JNMA; journal of the Nepal Medical Association
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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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JNMA J Nepal Med Assoc · Apr 2013
Cost of diabetes mellitus care among patients attending selected outpatient clinics.
In developing countries diabetes mellitus affects economically productive age group; more often affecting the productive member of the family. The objective of the study was to estimate the direct and indirect cost of illness of patients with DM attending the selected outpatient clinics in Kathmandu Valley. ⋯ There is a high cost burden on the patient with DM visiting the selected private sector outpatient clinics.
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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.