JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Apr 2016
Multicenter StudySmoking Cessation and Attitudes, Belief, Observation, and Education of Medical Students, in Turkey.
Tobacco use is an important public health problem around the world.Aim of this study is to assess attitudes,belief and observation of the students on smoking cessation and medical education. ⋯ Majority of students are aware of health professionals' role on smoking cessation. Most of the students are willingness to take specific formal training on tobacco. Student's behaviours and attitudes were different by gender and smoking status.Improvement of tobacco cessation issues in medical curricula will be beneficial.
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JNMA J Nepal Med Assoc · Jan 2016
Cognitive Dysfunctions in Patients with Alcohol Dependence Syndrome in a Tertiary Hospital in Kathmandu.
Alcohol dependence is a chronic disorder, accompanied by neuropsychological deficits. Patients with alcohol dependence were evaluated to identify the cognitive dysfunctions. ⋯ Findings indicate that cognitive dysfunctions are prevalent among patients with alcohol dependence. Hence, routine neuropsychological assessment is of particular importance for early detection and remediation of underlying deficits, which completes the treatment of alcohol dependence.
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Blunt injury trauma is regularly encountered in the emergency department. Diagnostic tools that help in optimum management of blunt abdominal trauma include; Focussed Assessment Sonography for Trauma scan, Diagnostic peritoneal lavage and Computed Tomography scan. The aim of this study is to determine the validity of CT scan as an accurate diagnostic tool and its role in management of patients with blunt abdominal trauma. ⋯ In conjunction with close clinical monitoring, CT scan is reliable in the evaluation and management of blunt abdominal trauma patients. Our study also shows CT as a superior diagnostic modality compared to FAST scan.
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JNMA J Nepal Med Assoc · Jul 2015
Observational StudyRelationship of Oxygen Saturation with Neonatal and Maternal factors in Vaginal and Cesarean Deliveries.
Hypoxemia is the major cause of neonatal morbidity and mortality. The study aims to determine the influence of birth weight, Apgar score, gestation age, body mass index and hemoglobin of mother on levels of SpO2 in healthy newborns born vaginally and through cesarean section. ⋯ SpO2 levels in neonates born through cesarean section were higher in comparison to thoseborn by vaginal route. Birth weight and Apgar score had correlation with SpO2 in vaginal and cesarean births, respectively.
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JNMA J Nepal Med Assoc · Jul 2015
Observational StudyDoes Tranexamic Acid Reduce Perioperative Bleeding in Short Segment Pedicle Screw Fixation in Thoracolumbar Spine Fractures?
Blood loss with spinal surgery is common potential cause of morbidity and often requires blood transfusion. Tranexamic acid (TXA), is effective in reducing bleeding in patients undergoing knee arthroplasty. TXA used in spine surgery studies have included different cases leading to inconsistence of surgical procedures. Purpose of this prospective observational study was to examine effect of TXA decreasing bleeding in short segment pedicle screw fixation for thoracolumbar fractures. ⋯ Administration of TXA before surgery significantly reduces perioperative bleeding in patients undergoing short segment pedicle screw fixation for thoracolumbar spine fractures.