JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Mar 2018
Teenage Pregnancies in Nepal - The Problem Status and Socio-Legal Concerns.
Teenage pregnancy is an issue that needs to be addressed for a better health of the women and the society. The present analysis is undertaken to find out the incidence of teenage mothers who have had hospital delivery and focuses upon the various reasons for teenage pregnancy with a brief discussion upon the associated medicolegal and social aspects. ⋯ Education and awareness in the form of campaign, advertisements, road shows, television or radio programmes are suggested for a decline in the rate of teenage marriages and teenage pregnancies in Nepal in the days to come.
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JNMA J Nepal Med Assoc · Mar 2018
Molecular Confirmation of G1138A Mutation in FGFR gene in Achondroplasia.
Achondroplasia is the most common form of skeletal dysplasia of genetic origin in humans which is characterized by disproportionate rhizomelic dwarfism. Heterozygous mutation in the transmembrane domain of the FGFR3 gene (4p16.3) occurs as a de novo mutation in most of the cases. ⋯ This study further supports that the G1138A mutation is the one of the most common point mutation among Achondroplasia cases. Genetic diagnosis can be useful to identify the disease prenatally and differentiate other life threatening dwarfism for the safety of both mother and fetus.
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JNMA J Nepal Med Assoc · Mar 2018
Health Problems while Working as a Volunteer or Humanitarian Aid Worker in Post-Earthquake Nepal.
Volunteers and humanitarian aid workers working in disaster struck areas of the world are a vulnerable group of travelers. Nepal saw an influx of these humanitarian aid workers following earthquakes in April and May 2015. This study was undertaken to find out the pre-travel preparation and to estimate the risk of disease while the volunteers were deployed in Nepal. ⋯ Traveler's Diarrhea and dermatological problems were the most common health related problems. Volunteers were not properly prepared for self-treatment and pre-travel preparation was sub-optimal. Important pre travel health advice will decrease the incidence of health problems in this group.
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JNMA J Nepal Med Assoc · Mar 2018
Relationship of Body Mass Index with Dental Caries among Children attending Pediatric Dental Department in an Institute.
Oral health, the mirror of general well being, is altered by many mediators like infection, chronic inflammation, and genetic predisposition. Apart from these mediators, nutrition has been postulated as an alternative mediator. The present dietary pattern among children is contributing to childhood overweight as well as increasing the risk for developing dental caries. The food habits contributing to dental caries as well as obesity are similar. Undernutrition has also shown to be associated with the dental caries. The study was conducted to investigate the relationship of body mass index to dental caries. ⋯ The study showed the presence of more normal and underweight children but there was no statistically significant association between body mass index and decayed, missing and filled teeth index.
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Trekkers going to high altitude can suffer from several ailments both during and after their treks. Gastro-intestinal symptoms including nausea, vomiting, and abdominal pain are common in high altitude areas of Nepal due to acute mountain sickness or due to a gastro-intestinal illness. Occasionally, complications of common conditions manifest at high altitude and delay in diagnosis could be catastrophic for the patient presenting with these symptoms. ⋯ Perforation peritonitis at high-altitude, though rare, can be life threatening. Timely evacuation from high altitude, proper diagnosis and prompt treatment are essential for taking care of such patients. Keywords: duodenal ulcer; Everest; hypoxia; mountaineering; trekking.