JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jun 2020
Prevalence of Domestic Violence among Infertile Women attending Subfertility Clinic of a Tertiary Hospital.
Millions of couples suffered from Infertility worldwide. Infertility can cause intense emotional pain in women resulting in stress, anxiety and depression. Domestic violence in infertile women can further results in poor health status and lowers the quality of life. The objective of this study is to find out the prevalence of domestic violence among infertile women attending subfertility clinic of tertiary hospital. ⋯ The study concluded that women experiencing infertility are exposed to various forms of domestic violence, emotional one being most common. Routine screening for domestic violence in infertility clinics is necessary to give affected women an opportunity to access appropriate health care and support services.
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JNMA J Nepal Med Assoc · Jun 2020
Prevalence of Hemolysis, Elevated Liver Enzymes, Low Platelet Count Syndrome in Pregnant Women in a Tertiary Care Hospital.
Hemolysis, Elevated Liver Enzymes, Low Platelet count syndrome refers to biological syndrome occurring in pre-eclamptic and eclamptic women. There is a higher rate of maternal and perinatal morbidity and mortality due to the syndrome. So, the objective of the study is to find the prevalence and maternal- perinatal outcome in the syndrome. ⋯ Hemolysis, Elevated Liver Enzymes, Low Platelet count syndrome is one of the major causes of maternal and perinatal morbidity and mortality. Hence early recognition and prompt management may improve maternal and fetal outcomes.
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JNMA J Nepal Med Assoc · Jun 2020
Anterior Tooth Width Measurements among Patients in a Tertiary Hospital of Nepal: A Descriptive Cross-sectional Study.
The knowledge of anterior tooth width and their relationships with each other is essential for any esthetic and prosthodontic rehabilitation. The objective of this study is to measure the width of the anterior teeth of patients coming to a teritary hospital of Nepal. ⋯ Our findings of the average values of the anterior teeth and their difference from the central incisors on each side showed an agreement with the optimal relationships of anterior teeth, with the exception of the maxillary lateral incisors, which were 0.5mm larger than the values of the optimal relationship.
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JNMA J Nepal Med Assoc · Jun 2020
Case ReportsMassive Gastrointestinal Bleeding Masquerading Coagulopathy in Acute Viral Hepatitis: A Case Report.
Hepatitis A virus infection is typically an acute self-limiting illness associated with general nonspecific symptoms such as fever, malaise, anorexia, nausea, vomiting, abdominal pain or discomfort, and diarrhea. This may have atypical manifestation like prolonged cholestasis. Despite having varying typical and atypical manifestations such a case may present with life-threatening bleeding from a co-existing surgical cause such as perforation of Meckel's diverticulum.
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JNMA J Nepal Med Assoc · Jun 2020
Case ReportsA Child Lost to Follow Up Carrying Beta Thalassemia Major: A Case Report.
Thalassemia is inherited autosomal recessive disorders characterized by reduced rate of hemoglobin synthesis due to a defect in alpha or beta globin chain synthesis. Maldives has a beta thalassemia prevalence rate of 16-18%. Classical symptoms of beta thalassemia are common on those patients who present late for blood transfusion which is common among the south Asian countries due to resource poor situation. ⋯ Reporting this case will help health worker to manage cases accordingly. A five and half year prior diagnosed case of beta thalassemia at age of 2 years and lost to follow up presented with cough, Dyspnoea, Irritability, fatigue with classic symptom of beta thalassemia. She was managed with blood transfusion and kept on continuous follow up for transfusion and iron overload management.