JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jan 2022
Peripheral Vascular Trauma among Vascular Surgery Cases Operated in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Peripheral vascular trauma can result in limb or life-threatening injuries. Early surgical intervention leads to a better outcome. Diagnosis is made clinically, by non-invasive and invasive imaging modalities. Our aim in this study is to find out the prevalence of peripheral vascular trauma among vascular surgery cases operated in a tertiary care centre of Nepal. ⋯ The prevalence of vascular surgery for peripheral vascular trauma among vascular surgeries operated in our study was similar to other studies done in similar settings. Vascular injury needs urgent intervention and appropriate management will result in a high chance of limb salvage and survival.
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JNMA J Nepal Med Assoc · Jan 2022
Stress Fractures among Paramilitary Trainee Visiting a Paramilitary Hospital of Nepal: A Descriptive Cross-sectional Study.
Young paramilitary recruits, who undergo strenuous exercise during basic training, are often presented with stress fractures, which could be due to an inadequate vitamin D (25-hydroxyvitamin D) intake. This study aimed to find the prevalence of stress fracture among young paramilitary trainees visiting the orthopedic outpatient department of a paramilitary hospital. ⋯ The prevalence of stress fracture among young paramilitary trainee was high compared to previous studies. Additionally, average Vitamin D and the bone mineral density value of the spine and the total hip among stressed fractured patients were also low.
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JNMA J Nepal Med Assoc · Jan 2022
Mean Attitude Score Regarding Dental Floss among Dentists in a District of Nepal: A Descriptive Cross-sectional Study.
Oral health is an inherent part of the overall individual's general health. Good oral hygiene practices are widely considered essential in maintaining good oral health and flossing has long been considered an indispensable part of an effective oral hygiene routine. This study aimed to find out the mean attitude score regarding dental floss among dentists. ⋯ Based on results of this study, the mean attitude score regarding dental floss among dentists in our study is similar to the findings of other studies. The majority of dentists were found to have a positive attitude towards dental floss.
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JNMA J Nepal Med Assoc · Jan 2022
Complications among Patients Undergoing Pancreaticoduodenectomy in Tertiary Care Centers of Nepal: A Descriptive Cross-sectional Study.
Pancreaticoduodenectomy (Whipple procedure), even after significant evolution, continues to be associated with a high morbidity. The study aimed to find out the prevalence of complications following pancreaticoduodenectomies performed by a single surgeon over a span of 20 years in tertiary care hospitals of Nepal. ⋯ The prevalence of complications in our study was comparable to other national and international studies. Surgery-specific complications such as delayed gastric emptying and postoperative pancreatic fistula showed a decline over the decade.
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JNMA J Nepal Med Assoc · Jan 2022
Case ReportsVascular Injury to the Neck by a Bamboo Stick: A Case Report.
Penetrating neck injuries causing rupture of sternocleidomastoid muscle along with transection of major vessels of the neck have significant morbidity and mortality due to the risk of severe hemorrhage and cerebral infarction. However, there are no universal guidelines for the management of penetrating neck injuries. ⋯ Post-operatively the hemorrhage was controlled and the patient was discharged on the fourth postoperative day. Thus, in a case of penetrating injury to the neck, prompt surgical wound exploration is beneficial.