JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Mar 2020
Professional Quality of Life of Physicians in Nepal: Addressing the Present-day Need.
Medical practice is a noble profession that bears with it critical responsibilities on the practitioner and expectations from the public. Few studies originating from low-income countries like Nepal indicate a greater extent of dissatisfaction in relation to workload, financial and social circumstances among doctors leading to lower Quality of life. ⋯ There are indications, based on first-hand experiences and the socio-political situation, that Quality of Life may be alarmingly poor among doctors working in Nepal. The first step towards a comprehensive effort to addressing this issue would be to carry out researches on doctors to gauge the scale and dimensions of the issue.
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Adult-onset Still's Disease is a rare auto inflammatory disorder of unknown etiology characterized mainly by high spiking fever, arthritis, evanescent rash and lymphadenopathy. It is a form of systemic onset juvenile rheumatoid arthritis that is encountered in adults, typically between 15-25 years and 36-45years. We here describe a 28 years lady with fever, arthritis of multiple large joints, lymphadenopathy and rash, with negative Rheumatoid factor and evidence of past infection with Ebstein-Barr virus and Parvovirus B19. ⋯ All the major and minor criteria of Yamaguchi for diagnosis were met. Her disease responded well with steroid, she achieved remission and is currently under maintenance therapy. Keywords: Adult-onset stills disease; arthritis; ferritin; fever.
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JNMA J Nepal Med Assoc · Feb 2020
Sleep Quality among Medical Students of a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Medical students are under constant stress due to demanding academic load, fear of exam failure and hectic schedules. These factors can lead to poor sleep quality among medical students. Sleep quality of medical students not only determine their academic performance but is also important in determining long term effect on cognitive, psychosocial, behavioural as well as physical health of individuals. Although there are not enough recent studies to assess sleep quality of students, it is necessary to evaluate the condition of sleep among students. This study aims to find out the prevalence of poor sleep quality among medical students. ⋯ Significant numbers of medical students have poor sleep quality which may affect their academic performance and may have long term impact on their health. Efforts must be directed towards educating about the sleep hygiene as well as proper time management skills.
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JNMA J Nepal Med Assoc · Feb 2020
Prevalence of Self-medication among MBBS students of a Medical College in Kathmandu.
Self-medication refers to self-prescription which includes diagnosing and treating one's own illness and prescribing for one's self. Though appropriate self-medication relieves acute symptoms, is time saving and economical, it should not be advocated because of more risks than benefits. Self-medication practices were found to vary in medical students of Nepal and India. This study was aimed to determine the prevalence of self-medication among medical students. ⋯ Self-medication had been widely practiced among medical students. Self-medication can relieve medical problems but also involve the risks of adverse drug reactions, resistance and masking of underlying diseases. Medical students should be given enough exposure for better understanding of rational prescribing to minimize self-medication. The further study on practice of self-medication is needed on various health professionals and even in general community.
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JNMA J Nepal Med Assoc · Feb 2020
Air Medical Evacuation of Nepalese Citizen During Epidemic of COVID-19 from Wuhan to Nepal.
In December 2019, the world was disrupted by the news of a new strain of virus known as Novel Corona virus, taking lives of many in China. Wuhan, the capital of Central China's Hubei province is said to be the place where the outbreak started. The city went on a lockdown as the disease spread rapidly. ⋯ With the help of Health Emergency Organizing committee, Epidemiology and Disease Control Division, Nepal Army Hospital, Nepal Police Hospital, Waste Management team, Nepal Ambulance service, Tribhuwan Airport and Royal Airlines the government of Nepal planned, organized and successfully brought back all the 175 students on 15 the February, 2019 from Wuhan, China. The aim of the present article is to share the experience, the challenges faced and recommendations for future similar cases. Keywords: evacuation; Nepal; Novel Corona virus; Wuhan.