JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · May 2021
Length of Stay in the Emergency Department during COVID-19 Pandemic in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Emergency Department overcrowding has become worsening problem internationally which may affect patient, emergency department efficiency and quality of care and this may lead to increased risk of in hospital mortality, higher costs, medical errors and longer times to treatment. With this pandemic COVID-19 likely to go on for months, if not a year or longer, the Emergency Department should be prepared for large influx of patients infected with COVID-19. The aim of this study is to find-out the length of stay in emergency department during COVID-19 pandemic at a tertiary care hospital in Nepal. ⋯ Definitive management starts in respective wards and Intensive Care Units. During COVID-19, with longer emergency stay, chances of cross-infection increases, and the health workers serving in emergency department will be at risks. So guidelines for shorter emergency stay should be implemented.
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JNMA J Nepal Med Assoc · May 2021
Osteoporosis among Postmenopausal Women Attending the Orthopedics Department of a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Osteoporosis and resulting fracture is a major public health concern worldwide. With increase in life expectancy, osteoporosis and fragility fracture is expected to be more prevalent. It is associated with high patient morbidity, while hip and vertebral fractures have high mortality. The real burden of the problem is yet to be established in developing countries like Nepal. This study aims to find out the prevalence of osteoporosis among postmenopausal women visiting a tertiary care hospital. ⋯ Prevalence of osteoporosis was high. Women with history of fragility fracture are at increased risk of another fragility fracture. It is hence necessary to have awareness programs and early screening to minimize the magnitude of morbidity and mortality associated with osteoporosis.
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JNMA J Nepal Med Assoc · May 2021
Practices Regarding COVID-19 among Online Respondents in Nepal: A Descriptive Cross-sectional Study.
The alarming rate of rise in COVID-19 cases led to lockdown in Nepal in order to curb the transmission and spread of the virus among the general public. This research was conducted to know the practices regarding the COVID-19 among the general population of Nepal. The aim of the study is to find out the value of different practices regarding COVID-19 which includes use of face masks, avoiding crowded places and hand hygiene. ⋯ The study concludes good practices regarding COVID-19 among Nepalese population but is still not satisfying. This depicted adequate awareness among the public as a result of adequate dissemination of information and resources during the lockdown.
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JNMA J Nepal Med Assoc · May 2021
Survival of Resin-Bonded Fixed Metal-Ceramic Dental Prostheses Placed in the Anterior Region: A Descriptive Cross-sectional Study.
Resin-bonded fixed dental prostheses have an advantage over conventional fixed dental prostheses in terms of conservation of tooth structure but many clinicians refrain from using this treatment plan over the concern of the retention of those prostheses. In anterior region, it has better survival rate because of the less masticatory force. This study was conducted to find out the survival of resin-bonded fixed metal-ceramic dental prostheses placed in anterior region of a tertiary care hospital. ⋯ This study showed that the survival after five years of resin-bonded fixed dental metal ceramic was high. The study's findings are comparable with international studies.
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JNMA J Nepal Med Assoc · May 2021
Surgical Procedure among Patients with Foreign Body Obstruction in Food Passage in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Foreign body is any object in a region it is not meant to be, where it can cause harm if immediate medical attention is not sought. Its removal by surgical procedure is one of the commonest surgeries done. The objective is to find out prevalence of the patients who underwent operation for foreign bodies obstruction in food passage in the Department of Otorhinolaryngology-Head and Neck Surgery in a tertiary care centre. ⋯ Prevalence of the patients who underwent operation for foreign bodies obstruction in food passage in a tertiary care hospital is high. Their removal by rigid oesophagoscopy is one of the commonest surgical procedures done in tertiary care center.