JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Nov 2019
Multi-sectoral Approach to Non-Communicable Diseases Control: Easier Said than Done.
The burden of non-communicable diseases is growing and countries are committed to combat this and achieve the sustainable development goals and targets. Non-communicable diseases are complex conditions attributed by multiple behavioural risk factors and without understanding the whole ecosystem of such diseases, it is difficult to determine the global goals and targets for them and to take action to address them. ⋯ Therefore, it is essential to nuance the multi-sectoral approach to non-communicable diseases in order to better inform application to achieving the sustainable development goals for which multisectoral approach is imperative. Keywords: multi-sectoral; non-communicable diseases; risk factors; sustainable development goals.
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JNMA J Nepal Med Assoc · Nov 2019
Clinical Profile of Neonates with Respiratory Distress in a Tertiary Care Hospital.
Respiratory distress in newborns is a very common reason for admission in Neonatal Intensive Care Unit which may be transient or pathological; morbidity is high if not prompted for early diagnosis and treatment. The present study is undertaken to find out the clinical profile of neonates with respiratory distress in infants in a tertiary care hospital in western Nepal. ⋯ Perinatal asphyxia accounted for the commonest cause of respiratory distress. To lessen the morbidity and mortality of the neonates with respiratory distress it is advocated that we practice proper and timely neonatal resuscitation, recognize the risk factors as early as possible so that perinatal asphyxia can be minimized.
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JNMA J Nepal Med Assoc · Nov 2019
Cesarean Sections under General Anesthesia at a Tertiary Care Center in Western Nepal: A Descriptive Cross-sectional Study.
General anesthesia is feared to have adverse feto-maternal outcomes compared to neuraxial anesthesia. It is recommended to keep rate of caesarean sections under general anesthesia below 5% and 15% for elective and emergency caesarean sections respectively. This study was conducted to find out the prevalence of caesarean sections under general anesthesia at a tertiary care center in western Nepal. ⋯ The four year medical records of our institution showed fluctuating trend of caesarian sections under general anesthesia. The rate of general anesthesia for emergency caesarian section was within the recommended rate while it was slightly higher in elective caesarian section.
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JNMA J Nepal Med Assoc · Nov 2019
Awareness regarding Menstrual Hygiene among Girl Students of a School in Chitwan.
Adolescent girls often lack knowledge regarding reproductive health including menstruation which can be due to socio-cultural barriers in which they grow up. It is important to educate adolescents about issues related to menstruation so that they can safeguard themselves and hold implications for professionals involved in improvement of reproductive health. The main objective of the study was to find out awareness regarding menstrual hygiene among girl students of a school in Chitwan. ⋯ Awareness regarding menstrual hygiene was present among the girl students, but practice for proper menustral hygiene was low compared to studies done in similar settings.