JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Sep 2018
Dietary Practice among the Patients with End Stage Renal Disease undergoing Maintenance Haemodialysis.
Several studies on the nutritional status of chronic kidney disease patients living on haemodialysis revealed high prevalence of malnutrition (18-94%). A hospital-based study in Nepal revealed 66.7% mild to moderately malnourished and National Kidney Center reported common protein-energy malnutrition problem among haemodialysis patients. As almost all patients undergoing maintenance haemodialysis looked malnourished, this study was carried out to explore prevailing dietary knowledge and practice of the patients. ⋯ Considerable limited knowledge (medium) and practices (low) scores were found. Had they have taken adequate dietician's support, they might have taken right kind and right amounts of foods and benefitted in controlling potassium, phosphate and protein at the recommended level. Plant-based diet could assist in end stage renal disease in a number of ways: an edge of protection against diet cost, reduce inter-related co-morbidities or complications (hypertension and diabetes).
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JNMA J Nepal Med Assoc · Sep 2018
Etiological Yield of Global Developmental Delay in Kanti Children's Hospital.
Global developmental delay is the common pediatric problem having spectrum of underlying causes. Etiological diagnosis is very vital for providing information regarding pathogenesis, prognosis, recurrence, risk and treatment options. The aim of this study was to determine etiological yield of global developmental delay. ⋯ A specific etiology can be determined in majority of cases of global developmental delay after comprehensive evaluation. The most common etiologies were perinatal asphyxia and post infectious sequelae.
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JNMA J Nepal Med Assoc · Sep 2018
Estimation of Body Height from Head Length among Dental Students of a Dental College.
Body height is an important measure of physical identity. Height exhibits a dimensional relationship with various parts of the body. This relationship helps to calculate height from dismembered and mutilated body parts in forensic examinations. As the cranial dimensions are more reliable and precise means of predicting the stature, this study was undertaken to find the relation between head length and height and to derive a regression formula for the estimation of height from head length among dental students. ⋯ It was observed in the present study that there was a significant positive correlation between height and head length in all the age groups indicating that head length is a reliable indicator in estimation of height.
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Cephalic index is an important parameter for differentiation of race and sex which varies significantly on the basis of hereditary, geographical, racial, sexual and other factors. It is a morphometric expression of different forms of head. The objective of this research was to evaluate the cephalic index of people of indigenous Tharu community of Biratnagar, Nepal and to determine different head types. ⋯ Long head (dolichocephalic) type is more common in Tharu population in both the genders, whereas, broad head (brachycephalic and hyperbrachycephalic) type is present in very few people.
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An account is given of ancient funeral practices and then of the development of forensic medicine from the mid twentieth century. Early forensic practices at Bir Hospital have been recorded and then the subsequent development of the study of forensic medicine in the country has been stated. Keywords: autopsies; Bir Hospital; forensic medicine; Institute of Medicine.