JNMA; journal of the Nepal Medical Association
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Globally, Overweight has reached epidemic proportions. It is an excessive accumulation of fat that may impair health. Overweight and obesity area major contributor to the global burden of non-communicable disease. The prevalence of overweight is commonly assessed by using Body Mass Index (BMI), where overweight is indicated by BMI greater or equal to 25. Overall, about 13% of the world's adult population was obese in 2016, among them women were more affected than men. Overall,female population is higher than male in Nepal and concentrating on Kaski district female population are significantly more than that of male as per population census of 2011. The objective of this study was to find out the prevalence of overweight among adult women. ⋯ The finding of this study shows prevalence of overweight and obesity was high. Regular Physical exercise and balanced diet should be followed to prevent overweight and noncommunicable diseases.
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JNMA J Nepal Med Assoc · Jul 2020
Acute Poisoning among Patients Presenting to the Emergency Department of a Tertiary Care Center: A Descriptive Cross-sectional Study.
Acute poisoning is a major global public health problem contributing to one of the leading causes for a visit to an emergency department. This study aims to analyse the demographic and psychosocial characteristics of patients with acute poisoning presented to the emergency department. ⋯ The most common poisoning was organophosphorus with a suicide being the most common intention. Quarrel was the most frequent reason to take poison and the home was the most common place to take poison.
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JNMA J Nepal Med Assoc · Jul 2020
Historical ArticleA Lesson to Learn from the History of American Physicians.
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JNMA J Nepal Med Assoc · Jun 2020
Case ReportsCombined Penetrating Keratoplasty Followed by Pars Plana Vitrectomy for Firecracker Induced Bilateral Corneal and Intraocular Foreign Body: A Case Report.
Firecracker induced open globe injury is a big challenge for ophthalmic surgeons. Its association with the intraocular foreign body makes the diagnosis and treatment even more difficult resulting in poor anatomical and visual outcomes. We report a case of a 35-year-old male who presented with bilateral, multiple corneal and intraocular foreign body due to firecracker explosion. ⋯ Combined penetrating keratoplasty and cataract surgery were done in both eyes followed by pars plana vitrectomy for intraocular foreign body removal. The final best-corrected visual acuity of the patient stood to be 6/6 and 6/9 in the right and left eye respectively. The encouraging result in our case prompts ophthalmologists for a timely stepwise multidisciplinary approach in all open globe injuries with intraocular foreign body cases having poor initial acuity.
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JNMA J Nepal Med Assoc · Jun 2020
Case ReportsMassive Gastrointestinal Bleeding Masquerading Coagulopathy in Acute Viral Hepatitis: A Case Report.
Hepatitis A virus infection is typically an acute self-limiting illness associated with general nonspecific symptoms such as fever, malaise, anorexia, nausea, vomiting, abdominal pain or discomfort, and diarrhea. This may have atypical manifestation like prolonged cholestasis. Despite having varying typical and atypical manifestations such a case may present with life-threatening bleeding from a co-existing surgical cause such as perforation of Meckel's diverticulum.