JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Apr 2023
Metabolic Syndrome among Stable Chronic Obstructive Pulmonary Disease Patients Visiting Outpatient Department of a Tertiary care centre: A Descriptive Cross-sectional Study.
Metabolic syndrome; a constellation of obesity, hypertension, and disturbances of lipid and carbohydrate metabolism is a common phenomenon in chronic obstructive pulmonary disease. Systemic inflammation plays an important role in both conditions. The aim of this study was to find out the prevalence of metabolic syndrome among stable chronic obstructive pulmonary disease patients visiting the outpatient Department of a tertiary care centre. ⋯ chronic obstructive pulmonary disease; c-reactive protein; metabolic syndrome.
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JNMA J Nepal Med Assoc · Apr 2023
Stroke among Patients Admitted to a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Stroke is the second most common cause of mortality after ischemic heart disease and the leading cause of morbidity around the world. This study aimed to find out the stroke among patients admitted to a tertiary care centre. ⋯ hemorrhagic stroke; ischemic stroke; prevalence.
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JNMA J Nepal Med Assoc · Apr 2023
Gynaecoid Pelvis among Female Patients Attending Department of Radiology of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
The bony pelvis consists of the two hip bones, the sacrum and the coccyx. The bony pelvis is divided into the greater pelvis and the lesser pelvis. The junction between the greater and the lesser pelvis is the pelvic inlet. The transverse and anteroposterior dimensions of the pelvic inlet will classify the pelvis as the anthropoid, gynaecoid, android, and platypelloid pelvis. Knowledge of female pelvis type is important for obstetricians to know the process of labour which can decrease the morbidity and mortality of mothers and neonates. Thus, the aim of this study was to find out the prevalence of gynaecoid pelvis among female patients attending the Department of Radiology of a tertiary care centre. ⋯ female; pelvis; radiology.
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JNMA J Nepal Med Assoc · Apr 2023
Case ReportsOmphalocele, Exstrophy of Cloaca, Imperforate Anus, and Spinal Defects Complex: A Case Report.
Omphalocele, exstrophy of cloaca, imperforate anus, and spinal defects complex is a rare malformation complex that includes omphalocele, cloacal exstrophy, imperforate anus and spinal defects with the incidence of 1 in 200,000 to 400,000 pregnancies and is even rarer in twin gestation. The etiology of this complex is still unclear. Most cases are sporadic. Prenatal screening must be done for diagnosis and appropriate multidisciplinary management of cases. In severe cases, termination of pregnancy is considered. We present a 4-day first twin child with underdeveloped ambiguous genitalia delivered via emergency lower section cesarean section at 32+3 weeks of gestation with giant liver containing omphalocele, cloacal exstrophy, imperforate anus and meningocele with severe pulmonary artery hypertension and non-visualization of right kidney and ureter, absence of uterus, fallopian tubes and right ovary. Separation and repair of the cecum and bladder were done. The ladd procedure was performed. Ileostomy was created and single-stage repair of the abdominal wall was done. ⋯ anorectal malformations; bladder exstrophy; case reports; neural tube defects; umbilicus.
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JNMA J Nepal Med Assoc · Apr 2023
Preterm Neonates Admitted in the Neonatal Intensive Care Unit at a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Preterm birth, one of the leading causes of admissions to the Neonatal intensive care unit, is a major contributor to neonatal morbidity and mortality in developing countries. This study aimed to find out the prevalence of premature neonates admitted to the Neonatal Intensive Care Unit of a tertiary care centre. ⋯ morbidity; neonatal; neonatal intensive care unit; premature birth.