JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · May 2022
Depression among Armed Police Force Soldiers Serving in a Police Headquarter: A Descriptive Cross-sectional Study.
Depression is a common mental health problem among soldiers worldwide. Depression decreases the efficiency and productivity of the soldiers. The objective of this research is to find out the prevalence of depression among armed police force soldiers serving in a police headquarter. ⋯ armed forces personnel; depression; depressive symptoms; soldiers.
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JNMA J Nepal Med Assoc · May 2022
An Outbreak Investigation of Varicella Zoster among Male Military Personnel in a Military Training Centre.
Chickenpox is an acute, highly infectious disease. Outbreaks can occur in adults in closed institutional settings like hostels and barracks. This study aims to report varicella zoster outbreak among male military personnel in a military training centre. ⋯ chickenpox; military; outbreak.
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JNMA J Nepal Med Assoc · May 2022
End Stage Renal Disease among Patients Undergoing Haemodialysis at a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Chronic kidney disease is defined as structural or functional damage of the kidney persisting for three or more months. Studies have shown hypertension and diabetes as the leading causes of chronic kidney disease. The aim of this study is to find out the prevalence of end-stage renal disease patients undergoing haemodialysis in a tertiary care hospital. ⋯ chronic kidney failure; chronic renal insufficiency; end stage renal disease; hemodialysis; Nepal.
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Evans syndrome is defined as the concomitant or sequential association of warm autoimmune hemolytic anaemia with immune thrombocytopenia, and less frequently autoimmune neutropenia. It is associated with non-cross-reacting auto-antibodies directed against antigens specific to red blood cells, platelets or neutrophils. Clinical symptoms could be related to hemolysis and thrombocytopenia. ⋯ The first-line treatment of Evans syndrome is intravenous corticosteroids or intravenous immunoglobulins and second-line treatment with rituximab or splenectomy for those who are refractory to steroids. Here is a case of a fifty-year-old- female who presented with bleeding from the mouth and gums, bluish patches over the shin and trunk along with generalised weakness and severe backache. We are interested in reporting this case because the presentation of patients with such scenarios on our part will compel the treating physician to overlook Evans syndrome and get it underdiagnosed.
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The complete absence of limbs is a rare occurrence. Though the causes are various, it is hard to elicit most of the time. ⋯ Increasing the feasibility of the scan can help in the early diagnosis and management. Here, we report a rare combination of limb defects that we managed in a district-level hospital and highlight the difficulties in the management and referral of the patients while working in rural areas.