JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Apr 2013
ABO and Rh blood groups and their ethnic distribution in a teaching hospital of Kathmandu, Nepal.
ABO and Rh blood group systems are the most important blood grouping systems from clinical aspect. Determination of blood group is important for blood transfusion therapy, medico-legal purposes, organ transplantation, settlement of paternity disputes etc. ⋯ Blood group O was found to be the most common blood group while AB was the rarest one. It was found that blood group O is the more common in Sherpa, Brahmin and Yadav; A in Limbu, Rai and Newar; and B in Tharu and Marwari ethnicities.
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JNMA J Nepal Med Assoc · Apr 2013
Multicenter StudyMaternal near-miss: a multicenter surveillance in Kathmandu Valley.
Multicenter surveillance has been carried out on maternal near-miss in the hospitals with sentinel units. Near-miss is recognized as the predictor of level of care and maternal death. Reducing Maternal Mortality Ratio is one of the challenges to achieve Millennium Development Goal. The objective was to determine the frequency and the nature of near-miss events and to analyze the near-miss morbidities among pregnant women. ⋯ Study result yielded similar pattern amongst developing countries and same near-miss conditions as the causes of maternal death reported by national statistics. Process indicators qualified the recommended standard of care. The near-miss event could be used as a surrogate marker of maternal death and a window for system level intervention.
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Diseases of upper gastrointestinal tract are responsible for a great deal of morbidity and mortality. The histopathological study of endoscopic biopsies permits exact diagnosis for further management.The aim of this study is to find out the histopathological pattern of endoscopic biopsy. ⋯ Mild chronic gastritis was the commonest lesion noted in non-neoplastic lesions and adenocarcinoma was the commonest neoplastic lesion in the endoscopic gastric biopsies.
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JNMA J Nepal Med Assoc · Apr 2013
Radiological techniques in the diagnosis of strangulating small bowel obstruction.
Early detection of signs of strangulation in case of acute small bowel obstruction is critical because it mandates an operation. Therefore the role of different radiological techniques used for diagnosing strangulating small bowel obstruction has been discussed here. Strangulation remains a major problem in patients with acute small bowel obstruction. Despite of having several radiological diagnostic tools, CT is the only method with established higher diagnostic sensitivity and specificity in patients with acute small bowel obstruction as well as strangulation.
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JNMA J Nepal Med Assoc · Apr 2013
Attitude toward mental illness and psychiatry among the medical students and interns in a medical college.
Medical students tend to have a neutral or negative attitude to Psychiatry as a discipline. This study was initiated to explore the attitude towards mental illness and Psychiatry among the medical students and interns in Kathmandu University School of Medical Sciences. ⋯ attitude; interns; medical students; mental illness; psychiatry.