JNMA; journal of the Nepal Medical Association
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Epidermolysis bullosa is a rare inherited blistering disease with an incidence of 8-10 per million live births. Dystrophic epidermolysis bullosa is a type of epidermolysis bullosa caused by mutation in type VII collagen, COL7A1. There are 14 subtypes of dystrophic epidermolysis bullosa and 400 mutations of COL7A1. ⋯ Preventing possible skin and mucosal injury in patients requiring surgery should be worked on. Here, we present a case of dystrophic epidermolysis bullosa in a 26-year-old male. Keywords: blister; dystrophic epidermolysis bullosa; epidermolysis bullosa; knee disarticulation; surgery.
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JNMA J Nepal Med Assoc · Sep 2018
Prevalence and Indications of Cesarean Section in a Community Hospital of Western Region of Nepal.
Cesarean section is one of the common obstetric procedures done when the childbirth is not anticipated to occur by the normal vaginal delivery. There has been increased rate of cesarean section globally as well as in our country in recent decades. ⋯ The rate of cesarean section was quite high in our study and further studies are recommended for understanding of causes and other associated factors with it.
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JNMA J Nepal Med Assoc · Sep 2018
Awareness on Girl Child Abuse Among Mothers of A Selected Community.
Girl Child Abuse is physically, emotionally, sexually abusing and neglecting the girl child by depriving her of universally accepted child rights. We aim to determine the awareness on girl child abuse among mothers so that necessary awareness programs could be recommended if found unsatisfactory. ⋯ The mothers had average level of awareness regarding girl child abuse; however, significant proportion of mothers still lacks good level of awareness. A nationwide study of such kind using qualitative tools as well as conducting awareness raising activities focusing on girl child abuse and sexual abuse in girl child is recommended.
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Periodontitis is multifactorial disease that along with dental caries remains one of the commonest cause of tooth loss worldwide. Effective management requires clear understanding of risk factors. Smoking has a dose-dependent effect on periodontium. Similarly, individuals with diabetes have severe forms of periodontal diseases. We aim to assess the prevalence of periodontal disease in dental patients in relation to smoking and diabetes. ⋯ Periodontitis was significantly associated with smoking, diabetes, hypertension and age. It is recommended that tobacco cessation and diabetes control be promoted as an integral component of periodontal therapy and oral health be included as an essential element of general health when conducting national health surveys.
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JNMA J Nepal Med Assoc · Sep 2018
Dietary Practice among the Patients with End Stage Renal Disease undergoing Maintenance Haemodialysis.
Several studies on the nutritional status of chronic kidney disease patients living on haemodialysis revealed high prevalence of malnutrition (18-94%). A hospital-based study in Nepal revealed 66.7% mild to moderately malnourished and National Kidney Center reported common protein-energy malnutrition problem among haemodialysis patients. As almost all patients undergoing maintenance haemodialysis looked malnourished, this study was carried out to explore prevailing dietary knowledge and practice of the patients. ⋯ Considerable limited knowledge (medium) and practices (low) scores were found. Had they have taken adequate dietician's support, they might have taken right kind and right amounts of foods and benefitted in controlling potassium, phosphate and protein at the recommended level. Plant-based diet could assist in end stage renal disease in a number of ways: an edge of protection against diet cost, reduce inter-related co-morbidities or complications (hypertension and diabetes).