JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Oct 2020
Health Co-morbidities and Early Marriage in Women of a Rural Area of Nepal: A Descriptive Cross-Sectional Study.
Early marriage is defined as the marriage of a young person less than 18 years. Early marriage is more prevalent in South Asia as more than half of all child marriage occurs here. Thirtyseven percent of girls in Nepal marry before age 18 years. This study was done to find out the health consequences of early marriage in women of a rural area of Nepal. ⋯ The prevalence of early marriage was high. Early married women had a lower level of socio-economic status, lower level of education, which harmed the participants' health status.
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JNMA J Nepal Med Assoc · Oct 2020
Anatomy of Internal Iliac Artery and Its Ligation to Control Pelvic Hemorrhage.
Pelvic hemorrhage is a major cause of maternal morbidity and mortality in developing countries. A sound clinical judgment, adequate assessment, and preparation of the patient are the best preoperative means to avoid its occurrence. Bilateral internal iliac artery ligation is a life-saving procedure to control massive obstetric and gynecological hemorrhage when other measures fail. ⋯ No tissue necrosis occurs due to ample collateral circulation in the pelvis from the major pelvic anastomoses. An increased understanding of retroperitoneal anatomy and regional variations of the internal iliac artery is needed to reduce the risk of intraoperative and postoperative complications. Keywords: internal iliac artery ligation;operative complications;pelvic anastomoses;pelvic hemorrhage;retroperitoneal anatomy.
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JNMA J Nepal Med Assoc · Oct 2020
Patterns of Rheumatic Heart Disease and Treatment Practices at Tertiary Care Center in Nepal: A Descriptive Cross-sectional Study.
Rheumatic heart disease is a sequel of rheumatic fever which causes heart valve damage. This study was conducted to look at the pattern of valve lesions and treatment practices in patients with rheumatic heart disease. ⋯ Mitral valve was affected commonly both in isolation and combination. The majority of patients who were eligible for cardiac interventions were treated medically with suboptimal use of anticoagulation and secondary prophylaxis.
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JNMA J Nepal Med Assoc · Oct 2020
Computer Vision Syndrome among Patients Attending the Outpatient Department of Ophthalmology in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Computers and digital electronic devices have become an integral part of life. These devices have adverse effects and nowadays are considered leading occupational hazards. Computer vision syndrome comprises of all the ocular, visual and musculoskeletal symptoms secondary to long term computer use. The objective of this study is to determine the prevalence of computer vision syndrome among people attending the outpatient department of ophthalmology in the tertiary care center in Nepal. ⋯ Our study showed that a significant number of people using a computer develop one or more symptoms on the long-term use of the computer. Therefore, it is very important to create awareness regarding computer vision syndrome and methods to prevent it among computer users.
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JNMA J Nepal Med Assoc · Oct 2020
ReviewMedical Induction for Mid trimester Abortion: A Hospital-based Descriptive Cross-sectional Study.
Second trimester abortion is known as termination of pregnancy from 13- 28 weeks of gestation which can be further divided into early second trimester as 13-22 weeks and late as 23-28 weeks. In our study we have limited up to early second trimester. We intend to see the success rate of combination of mifepristone and misoprostol for medical induction, median time required for expulsion, complication and need of dilation and evacuation in some cases. This study also aims to give a review of current literature in mid trimester abortion with respect to efficacy, complication and also to provide evidencebase recommendation for safe regimens for mid trimester pregnancy termination. ⋯ The combination of Mifepristone and Misoprostol have excellent result for termination of pregnancy if appropriately used after evaluating the patient with minimal complications.