JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Oct 2020
Mental Wellbeing during the Lockdown Period following the COVID-19 Pandemic in Nepal: A Descriptive Cross-sectional Study.
COVID-19 pandemic has profoundly affected all aspects of society, including mental and physical health. Often missed is the fact that the pandemic is occurring against the backdrop of a very high prevalence of mental health issues. Protecting the mental health of people and healthcare workers is important for long-term positive health outcomes and proper control of the outbreak. ⋯ Combating this challenge requires integration across disciplines. One potential part of the solution is psychological intervention teams. An emerging positive connotation to the pandemic is that it needs to be harnessed as a tool for improving health facilities, community participation, and fighting misinformation.
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JNMA J Nepal Med Assoc · Oct 2020
Case ReportsMultiple Acquired Elastotic Hemangioma in a Single Patient: A Case Report.
Acquired elastotic hemangioma is a hemangioma variant which was first described in 2002. Usually it is characterized by being a benign, solitary, slow growing lesion and associated with solar exposure but here we discuss a case of 50 years old male from Australia, who had multiple pigmented and violaceous lesions on the back which he had noticed for 5 years. The cases of multiple lesions are reported few in the literature. ⋯ Histopathology revealed band like proliferation of blood vessels involving superficial dermis arranged horizontally parallel to the epidermisalong with elastosis in dermis. Treatment was done through surgical excision with no relapse reported. Keywords: acquired elastotic hemangioma;basal cell carcinoma;elastosis.
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JNMA J Nepal Med Assoc · Oct 2020
Anatomy of Internal Iliac Artery and Its Ligation to Control Pelvic Hemorrhage.
Pelvic hemorrhage is a major cause of maternal morbidity and mortality in developing countries. A sound clinical judgment, adequate assessment, and preparation of the patient are the best preoperative means to avoid its occurrence. Bilateral internal iliac artery ligation is a life-saving procedure to control massive obstetric and gynecological hemorrhage when other measures fail. ⋯ No tissue necrosis occurs due to ample collateral circulation in the pelvis from the major pelvic anastomoses. An increased understanding of retroperitoneal anatomy and regional variations of the internal iliac artery is needed to reduce the risk of intraoperative and postoperative complications. Keywords: internal iliac artery ligation;operative complications;pelvic anastomoses;pelvic hemorrhage;retroperitoneal anatomy.
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JNMA J Nepal Med Assoc · Oct 2020
Histopathologic Profile of Salivary Gland Tumors among Specimens from a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Salivary gland tumors are rare, comprising about 3% of all head and neck neoplasms. About 80% of the tumors are in parotids, 10% in submandibular glands and the remainders are distributed in sublingual and minor salivary glands. This study was conducted to evaluate the relative frequencies, types, site of distribution and the histopathological features of salivary gland tumors. ⋯ Benign salivary gland tumors were more common than malignant tumors and the most common site of location was the parotid for both the benign and malignant tumors. Female outnumbered the male population in benign tumors whereas males were slightly more than females in malignant tumors. This study corroborated well with other previously published studies.
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JNMA J Nepal Med Assoc · Oct 2020
Dental Practice during COVID-19 in Nepal: A Descriptive Cross-sectional Study.
Currently, coronavirus disease (COVID-19) has become pandemic and spread globally. In Nepal, the number of COVID-19 is increasing day-by-day. This research was done to find out the impact of COVID-19 on dentists, patients, and dental practice in Nepal. ⋯ Dentists, patients, and dental practice are severely affected by the COVID-19.The majority of the dentists have faced financial burdens. The dental treatments should be done with high standards of care and infection control following proper recommendations.