JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jul 2019
Case ReportsSevere Birth Asphyxia without Sequelae: A Case Report.
Perinatal asphyxia is one of the major causes of neonatal morbidity and mortality. It mainly causes neurodevelopmental delay leading to hypoxic-ischemic encephalopathy. We present here the case of a preterm male baby of 1670 grams born at 31+3 weeks of gestation delivered by 25-year-old primi mother through vaginal delivery with history of umbilical cord prolapse. ⋯ But heart rate did not improve despite of using all form of resuscitation procedure including intubation and drugs. After 2 hours, baby cried spontaneously and later baby was managed in Neonatal Intensive Care Unit according to the neonatal unit protocol of the hospital. Keywords: birth asphyxia; cord prolapse; hypoxic ischemic encephalopathy.
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JNMA J Nepal Med Assoc · Jul 2019
Prevalence of Malnutrition in Patients with Liver Cirrhosis in A Tertiary Care Hospital.
Cirrhosis of liver is a progressively deteriorating disease. Medical management consist of treatment and prevention of complications. Nutritional intervention to improve nutritional status of the malnourished patient has favorable impact on prognosis. Traditional measures of nutritional assessment like Body Mass Index and waist circumference are inaccurate. This study was conducted to study the prevalence of malnutrition in cirrhotic patients. ⋯ Malnutrition is very common among cirrhotic patients and its prevalence increased from Child A to Child C status.
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JNMA J Nepal Med Assoc · Jul 2019
Prevalence of Hypertension in Adult Population of A Village of Nepal.
Hypertension is a cardiovascular disorder rapidly emerging as a major health problem in developing countries. Uncontrolled or poorly managed hypertension leads to several complications such as coronary heart disease, peripheral vascular disease and kidney disease. These complications account for approx 9.4 million deaths worldwide every year. Consequently, it is an urgent need for authorities to act upon this issue. This study was done to determine the prevalence of Hypertension in Deurali village of Nuwakot. ⋯ The prevalence of hypertension was found to be lower than the previous study done in similar settings.
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JNMA J Nepal Med Assoc · Jul 2019
Case ReportsAnaphylactic Bronchospasm during Induction of General Anaesthesia: A Case Report.
Bronchospasm represents the clinical manifestation of bronchial muscles contraction resulting in reduced alveolar air flow. Non-allergic mechanisms or anaphylaxis underlie the genesis of perioperative bronchospasm, a potential anaesthetic disaster. Early recognition and treatment are crucial. ⋯ Vecuronium was the most probable culprit but confirmation was not possible as the patient was lost to follow up. Rarely, perioperative anaphylaxis presents only with bronchospasm that requires prompt attention to avoid adverse outcome. Keywords: allergy; anaphylaxis; bronchial spasm; general anesthesia.
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JNMA J Nepal Med Assoc · Jul 2019
Prevalence of Maternal Anemia in A Tertiary Care Hospital in Western Nepal.
Maternal anemia is a common problem in developing countries like Nepal accounting for around 30-50% of women becoming anemic during pregnancy. The present study aims to find out the prevalence of maternal anemia in a tertiary care hospital in Western Nepal. ⋯ The prevalence of maternal anemia in this study is found to be higher than the national data which implies that maternal anemia is still a public health issue which needs to be addressed in spite of safe motherhood program launched by the government of Nepal.