JNMA; journal of the Nepal Medical Association
-
JNMA J Nepal Med Assoc · Nov 2019
Prevalence of Osteoporosis among Adults in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Osteoporosis is a common metabolic bone disease characterized by increased bone fragility, yet underdiagnosed and undertreated. With the increase in longevity of the populace, it is becoming an urgent and serious global epidemic. This being a preventable disease, has no clinical manifestations until there is a fracture. Early diagnosis and treatment are of dire necessity. Hence the aim of our study is to find the prevalence of osteoporosis among adults attending a tertiary care hospital-based on calcaneal quantitative ultrasound. ⋯ The prevalence of osteoporosis in our study is high and is consistent with other South Asian studies. Early detection of osteoporosis using calcaneal quantitative ultrasound can be a good screening tool.
-
JNMA J Nepal Med Assoc · Nov 2019
Prevalence of Verbal Abuse Among Doctors in Tertiary Care Hospital.
Verbal abuse is the act of forcefully criticizing, insulting or denouncing another person. Verbal abuse can be devastating to doctors and may cause long lasting emotional and psychological damage. This study aims to find the prevalence of verbal abuse among doctors in tertiary care hospital. ⋯ Prevalence of verbral abuse among the doctors were found out to be similar as the previous studies conducted in similar settings. This study has shown that doctors were frequently verbal abused by patient's relatives and were abused mostly in morning shift and were often worried in workplace.
-
JNMA J Nepal Med Assoc · Nov 2019
Multi-sectoral Approach to Non-Communicable Diseases Control: Easier Said than Done.
The burden of non-communicable diseases is growing and countries are committed to combat this and achieve the sustainable development goals and targets. Non-communicable diseases are complex conditions attributed by multiple behavioural risk factors and without understanding the whole ecosystem of such diseases, it is difficult to determine the global goals and targets for them and to take action to address them. ⋯ Therefore, it is essential to nuance the multi-sectoral approach to non-communicable diseases in order to better inform application to achieving the sustainable development goals for which multisectoral approach is imperative. Keywords: multi-sectoral; non-communicable diseases; risk factors; sustainable development goals.
-
JNMA J Nepal Med Assoc · Nov 2019
Clinical Profile of Neonates with Respiratory Distress in a Tertiary Care Hospital.
Respiratory distress in newborns is a very common reason for admission in Neonatal Intensive Care Unit which may be transient or pathological; morbidity is high if not prompted for early diagnosis and treatment. The present study is undertaken to find out the clinical profile of neonates with respiratory distress in infants in a tertiary care hospital in western Nepal. ⋯ Perinatal asphyxia accounted for the commonest cause of respiratory distress. To lessen the morbidity and mortality of the neonates with respiratory distress it is advocated that we practice proper and timely neonatal resuscitation, recognize the risk factors as early as possible so that perinatal asphyxia can be minimized.
-
JNMA J Nepal Med Assoc · Nov 2019
Cesarean Sections under General Anesthesia at a Tertiary Care Center in Western Nepal: A Descriptive Cross-sectional Study.
General anesthesia is feared to have adverse feto-maternal outcomes compared to neuraxial anesthesia. It is recommended to keep rate of caesarean sections under general anesthesia below 5% and 15% for elective and emergency caesarean sections respectively. This study was conducted to find out the prevalence of caesarean sections under general anesthesia at a tertiary care center in western Nepal. ⋯ The four year medical records of our institution showed fluctuating trend of caesarian sections under general anesthesia. The rate of general anesthesia for emergency caesarian section was within the recommended rate while it was slightly higher in elective caesarian section.