JNMA; journal of the Nepal Medical Association
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Uterine scar dehiscence or rupture is a rare but potentially life-threatening complication of caesarean delivery. It is the opening of the uterine incision line that can lead to postpartum haemorrhage, pelvic hematoma, pelvic abscess, endomyometritis, generalised or localised peritonitis and sepsis. ⋯ Investigations revealed uterine scar rupture with a uterovesical collection. The case was managed conservatively with intravenous antibiotics, an intracervical Foley's catheter and a gonadotropin-releasing hormone agonist.
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JNMA J Nepal Med Assoc · May 2022
Depression among Armed Police Force Soldiers Serving in a Police Headquarter: A Descriptive Cross-sectional Study.
Depression is a common mental health problem among soldiers worldwide. Depression decreases the efficiency and productivity of the soldiers. The objective of this research is to find out the prevalence of depression among armed police force soldiers serving in a police headquarter. ⋯ armed forces personnel; depression; depressive symptoms; soldiers.
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JNMA J Nepal Med Assoc · May 2022
Organophosphorus Poisoning among Acute Poisoning Cases Presenting to the Emergency Department of a Secondary Care Centre: A Descriptive Cross-sectional Study.
Organophosphorus is an easily available compound, especially in agriculture and farming related areas. This study evaluated organophosphorus poisoning among the population in those high-risk areas. The main objective of this study is to find out the prevalence of organophosphorus poisoning among acute poisoning cases presenting to the Emergency Department of a secondary care centre. ⋯ acetaminophen; emergency departments; organophosphorus poisoning; prevalence.
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"Walk a mile in someone else's shoes" is a reminder to practice empathy. Reading about the diseases in a textbook but encountering that disease is a nightmare. ⋯ Learning from the experience will always be deeply seated in the person. It provides readers with a better understanding to practice empathy as a medical student and knowledge of the treatment of hemoptysis.
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JNMA J Nepal Med Assoc · Apr 2022
Integrated Electronic Health Record System in a Tertiary Care Centre: A Single Centre Implementation Experience.
An integrated electronic health record system is a common platform for efficient and active interaction of four major subsystems namely the medical record system, laboratory system, picture archiving and communication system and enterprise resource planning system. Barriers like knowledge and attitude of computer usage, time consumption, information technology workforce, electricity, cost of technology and devices, data safety and security deter institutions from implementation. ⋯ Many hospitals struggle to implement and maintain integrated electronic health records. We aimed to discuss the steps undertaken to integrate this system in a district hospital setting with the inherent challenges and the subsequent impact.