JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Dec 2022
Self-medication in Primary Dysmenorrhea among Undergraduate Students in a Medical College: A Descriptive Cross-sectional Study.
Primary dysmenorrhea is painful menstruation in women with normal pelvic anatomy, usually beginning during adolescence, primarily associated with a normal ovulatory cycle. There is an increased likelihood of self-medication among medical students. The aim of this study is to find out the prevalence of self-medication in primary dysmenorrhea among undergraduate students in a medical college. ⋯ dysmenorrhea; menstruation; prevalence; self medication.
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JNMA J Nepal Med Assoc · Dec 2022
Bear Maul Injury among Patients Presenting to the Department of Surgery in a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Bears are robust and agile wild creatures that can potentially inflict injuries. Black bears (Ursus thibetanus) are an inhabitant of the mountainous part of Nepal. Encounters between humans and bears generally occur in the bear-prevalent areas of Nepal and the world inflicting complex categorical injuries. The aim of the study was to find the prevalence of bear maul injury among patients presenting to the Department of Surgery in a tertiary care centre. ⋯ bears; injuries; lacerations; Nepal; prevalence.
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Nepal stands in a vulnerable position when it comes to counterfeit medicines as two of its major trade partners countries are leading producers of falsified healthcare products. The impacts that it can lead to are a lower standard of healthcare delivery to the public, increased cost of treatment, antibiotic resistance, and even fatality. The time of crisis as the Coronavirus disease 2019 pandemic is often seen as an opportunity to endorse substandard products in greater amounts. The people's doubt over the medicine is another issue generated by this malpractice that can lead to problems like vaccine hesitancy which can have scary outcomes so forth in a pandemic situation like this. Stronger national policies and vigilant authorities are prime to overcoming flourishing counterfeit culture as it is a peak time when we can not put public health at stake. ⋯ counterfeit medicines; Nepal; patient safety; substandard medicines.
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JNMA J Nepal Med Assoc · Dec 2022
Mean Tip Apex Distance in Patients undergoing Dynamic Hip Screw Fixation for Pertrochanteric Fractures without using Traction Table: A Descriptive Cross-sectional Study.
Dynamic Hip Screw fixation has shown to be equally effective compared to cephalomedullary nailing. The effectiveness of dynamic hip screw fixation for pertrochanteric fractures without using traction table is not well investigated. This study aimed to find out the mean tip apex distance in patients undergoing dynamic hip screw fixation for pertrochanteric fractures without using traction table. ⋯ fracture fixation; hip fractures; operating tables.
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JNMA J Nepal Med Assoc · Dec 2022
Case ReportsIntracranial Calcification and Seizure with Down Syndrome: A Case Report.
Down syndrome is a genetic disorder caused by an extra copy of chromosome number 21. New onset of seizure in adults with Down syndrome is rare. The exact pathogenesis of intracranial calcification and seizure in Down syndrome is unknown, however, a possible association between hypocalcemia and vitamin D deficiency in Down syndrome was reported. An 18-year-old girl with nasal bridge, mongoloid slants, clinodactyly and saddle gap of toes, and prominent Downs phenotypes was present with a low level of parathyroid hormone, calcium, and vitamin D. Due to a higher prevalence of intracranial calcification in people with Down syndrome, there is an increased possibility of hypocalcemia and vitamin D deficiency. Hence, serum levels of calcium and vitamin D should always be checked before starting treatment with anti-epileptic drugs. ⋯ basal ganglia; Down syndrome; seizure; trisomy 21.