JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Mar 2023
Antihypertensive Medications Use among Chronic Hemodialysis Patients Visiting the Outpatient Department of Nephrology of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Anti-hypertensive medications are prescribed for the management of high blood pressure which is the leading cause of mortality in chronic hemodialysis patients. The objective of our study was to find out the prevalence of anti-hypertensive medication use among chronic hemodialysis patients visiting the outpatient Department of Nephrology of a tertiary care centre. ⋯ anti-hypertensive drugs; hemodialysis; prevalence.
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Herlyn-Werner-Wunderlich syndrome is a rare Mullerian and mesonephric ductal anomaly characterized by a triad of didelphys uterus, obstructed hemivagina, and ipsilateral renal agenesis complex. This entity is also known as obstructed hemivagina and ipsilateral renal anomaly. We present a case of a 24-year-old nulliparous female with Herlyn-Werner-Wunderlich who presented with dysmenorrhea and intermenstrual bleeding. The diagnosis was initially made through ultrasound and confirmed on magnetic resonance imaging. The nonspecific nature of symptoms and variability in presentation depending on the classification and type of Herlyn-Werner-Wunderlich syndrome often leads to misdiagnosis or a delay in diagnosis. Therefore, a high index of suspicion is required. ⋯ case reports; mesonephric ducts; mullerian ducts.
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JNMA J Nepal Med Assoc · Mar 2023
Thoraco-lumbar Burst Fractures among Patients Admitted to Spine Unit of the Department of Orthopedics of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Burst fractures are the most common fractures in the thoracolumbar junction. Unstable burst fractures are mostly associated with neural injury. Early neurological and mechanical stabilisation are the goals of treatment. The aim of this study was to find out the prevalence of thoracolumbar burst fractures among patients admitted to the spine unit of the Department of Orthopedics of a tertiary care centre. ⋯ fracture; injuries; prevalence; spine.
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JNMA J Nepal Med Assoc · Mar 2023
Depression among Medical Students of a Medical College: A Descriptive Cross-sectional Study.
Medical students encounter multiple psychological changes in the transformation from young insecure students to efficient physicians. They have to balance the personal, social and academic dimention in a busy schedule. So, this study aimed to find out the prevalence of depression among medical students of a medical college. ⋯ depression; medical students; mental health.
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JNMA J Nepal Med Assoc · Mar 2023
Refractive Error among Children Presenting to the Outpatient Department of Ophthalmology in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Refractive error is an important component of the priority disease 'childhood blindness' within the vision 2020 initiative to eliminate avoidable blindness. Some 12.8 million in the age group 5-15 years are visually impaired from uncorrected or inadequately corrected refractive errors. Early detection and treatment of uncorrected refractive errors enable them to perform better in daily activities. This study aimed to find the prevalence of refractive error among children presenting to the outpatient Department of Ophthalmology in a tertiary care centre. ⋯ children; ophthalmology; prevalence; refractive error.