JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jan 2022
Case ReportsAnuria, an Atypical Presentation of Leptospirosis: A Case Report.
Leptospirosis, an underreported disease, is a highly prevalent spirochaetal zoonotic disease in both tropical and temperate climates. Symptoms can range from mild illness to potentially life-threatening infection. Laboratory tests are nonspecific. ⋯ She initially tested negative for leptospirosis but was later found to be positive in the second week of illness. Unlike the usual non-oliguric renal failure in leptospirosis, she presented with anuria requiring haemodialysis and subsequently had a good recovery with treatment. We highlight the importance of clinical suspicion and logical interpretation of serologic tests based on its timing from the onset of illness.
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JNMA J Nepal Med Assoc · Jan 2022
Repeat Cesarean Section among Pregnant Women in a Tertiary Center of Nepal: A Descriptive Cross-sectional Study.
Cesarean Section is the most common obstetrics surgery done for both maternal and fetal indications. There is a rising trend of cesarean section rates which is associated with increased maternal morbidities. This study aims to find out the prevalence of repeat Cesarean Section among women with previous cesarean sections done in a tertiary centre. ⋯ The prevalence of Repeat Cesarean Cection from our study was similar to other studies done in similar settings. Repeat Cesarean Cection confers peri-operative morbidities which adversely affect postoperative recovery. Repeat Cesarean Cection continues to contribute to morbidity over subsequent pregnancies and serious maternal morbidity.
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JNMA J Nepal Med Assoc · Jan 2022
Acute Respiratory Infections among Under-five Children Admitted in a Tertiary Hospital of Nepal: A Descriptive Cross-sectional Study.
Acute respiratory infection is a major cause of mortality and morbidity among under-five children in developing countries. Children under five years of age are most vulnerable to various common but treatable conditions. The objective of this study is to find the prevalence of acute respiratory infections among under-five hospitalized children in a tertiary hospital of central Nepal. ⋯ Acute respiratory infection is the most common reason for hospital admission among children under five years of age and the prevalence was high as compared to the standard study. The chief complaints are fever and cough.
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JNMA J Nepal Med Assoc · Jan 2022
Digital Eye Strain among Adults Presenting to Tertiary Care Hospital in the Era of COVID-19 Pandemic: A Descriptive Cross-sectional Study.
The Novel Coronavirus disease 2019 pandemic has sent humanity indoors, replacing human contact with an electronic connection. The mandatory online classes and work from home policy to maintain the social distancing during the pandemic has forced the individual to spend most of the time in front of laptops or mobile screens. Digital eye strain is a group of vision-related symptoms that result from the continuous use of devices with digital displays, such as computers, tablets, and smartphones. The present study is done to find out the prevalence of digital eye strain among the adult population in a tertiary care hospital in the era of the COVID-19 pandemic. ⋯ The present study concluded that the prevalence of digital eye strain in the era of COVID-19 is high as compared to other studies conducted among adults.
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JNMA J Nepal Med Assoc · Jan 2022
Stereoacuity among Undergraduate Medical and Nursing Students at a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Stereopsis is defined as the ability to perceive object depth. It is measured in seconds of arc. Reduced stereoacuity impinges one's academic as well as a professional performance. Hence in this study, we aim to find out the mean stereoacuity among the undergraduate medical and nursing students using the Titmus fly test. ⋯ This study showed that the mean stereoacuity among the undergraduate medical and nursing students was in subnormal range which was similar to other studies.