JNMA; journal of the Nepal Medical Association
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Linear Atrophoderma of Moulin is a rare skin condition that is characterized by the development of one or more atrophic patches or depressions in the skin. These patches are usually located on the trunk, but they can also occur on the arms, legs, and neck. ⋯ To our knowledge, this is the first case of LAM from Nepal. This case emphasizes the necessity of diagnosing Atrophoderma of Moulin and separating it from linear scleroderma due to differences in therapy and prognosis.
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JNMA J Nepal Med Assoc · Jun 2024
Traumatic Tympanic Membrane Perforation in Children: A Descriptive Cross-sectional Study.
TTraumatic perforation of the tympanic membrane in pediatric population is often encountered in primary otolaryngologic clinics or in the emergency department. The objective of the study was to find out the clinical presentation of traumatic tympanic membrane perforation in the pediatric population. ⋯ Traumatic perforation of the tympanic membrane resulted mostly from the blunt force trauma especially in male children.
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JNMA J Nepal Med Assoc · Jun 2024
Pre-hospital care, pre-hospital delay, and in-hospital delay in patients with traumatic brain injury in getting neurosurgical care in a tertiary care center: A Cross-Sectional study.
Timely institution of pre-hospital therapies aimed at damage control and the appropriately timed decision of transfer to higher centers for definitive neurosurgical management are crucial in determining the outcome of patients following traumatic brain injury. This study aimed to evaluate the factors determining pre-hospital care and delay in patients with traumatic brain injury. ⋯ Our study highlights the challenges in pre-hospital care and delays in reaching for neurosurgical care in patients with traumatic brain injury. Falls, road accidents, and physical assaults were the leading causes.
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JNMA J Nepal Med Assoc · Jun 2024
Erratum: Congenital Heart Disease among Children Undergoing Echocardiography in the Department of Pediatrics of Tertiary Care Centre: A Descriptive Cross-sectional Study.
The online version of the article "Congenital Heart Disease among Children Undergoing Echocardiography in the Department of Pediatrics of a Tertiary Care Centre: A Descriptive Cross-sectional Study" 1 has been updated according to the letter to the editor and the respective authors' reply published in JNMA Issue 275.
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As a seismic hotspot, Nepal has endured many catastrophic earthquakes, including the 2023 Jajarkot quake. These quakes worsen the existing fragilities, resulting in difficulties in accessing healthcare, outbreaks of infectious diseases, mental health problems, and nutritional shortfalls. The article examines the complex web of health consequences, such as infectious and non-infectious diseases and malnutrition, highlighting the need for a global health lens in tackling these issues. ⋯ The article identifies mitigation strategies, community involvement, and international cooperation as key elements in building resilience against future quakes. It discusses the role of climate change in seismic risks and the need for research, innovation, and adaptability in global health interventions, suggesting measures such as strengthening primary healthcare, preventing avoidable health problems through education, and improving supply chains. The article calls for a holistic approach to building resilient health systems, emphasizing community engagement, prevention, and preparedness to protect the health of vulnerable groups in seismic regions.