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NepMed is a Nepal MEDLINE(Medical Literature Analysis and Retrieval System Online) by Nepal Health Research Council(NHRC) in collaboration with Nepal Medical Association. It includes bibliographic information for articles from academic biomedical journals covering medicine, dentistry, nursing, pharmacy, dentistry veterinary medicine, and allied health sciences.
 

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Publication
Sexual Intercourse during Pregnancy among Postpartum Women Admitted to the Department of Obstetrics in a Tertiary Care Centre
(Nepal Medical Association, 2023) Bibechan Thapa,; Pradhan, Smrity Maskey; Maharjan, Meenu; Pandey, Aakriti; Sen, Kamana; Karki, Shreyasi; Pudasaini, Prajwal; Tiwari, Anu
Abstract Introduction: Pregnancy is a time when women's bodies and minds go through a lot of changes. Sexuality is an important part of a woman's health and well-being, and it often changes during pregnancy. Most women admit that their libido changes in some way during pregnancy. However, the sexuality of a pregnant woman is very individual and influenced by a variety of different factors. This is a very important topic that is often taboo, especially in a male-dominated society, and it needs to be explored more. The aim of this study was to find out the prevalence of sexual intercourse among postpartum women admitted to the Department of Obstetrics in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted among postpartum women admitted to a tertiary care centre after taking ethical approval from the Institutional Review Committee. The study was carried out from 1 January 2021 to 30 December 2021. Convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 97 pregnant women admitted to the Department of Obstetrics, the prevalence of sexual intercourse was 36 (37.11%) (27.50-46.72, 95% Confidence Interval). A total of 34 (94.44%) were sexually active in the first trimester while 13 (36.11%) and 4 (11.11%) were sexually active in the second trimester and third trimester respectively. Conclusions: The prevalence of sexual intercourse during pregnancy was lower than other studies done in similar settings
Publication
Type I Lip Patterns among Medical Students of a Medical College
(Nepal Medical Association, 2023) Shrestha, Kabir; Dahal, Samarika; Baral, Radha; Neupane, Abishikha
Abstract Introduction: Identity and identification have long been a source of interest and concern in forensic dentistry, whether in the context of a criminal investigation or the identification of a deceased person. Lip print has demonstrated a high level of potential as one of the best options, as well as its usage as supporting evidence. The aim of this study was to find out the prevalence of Type I lip patterns among medical students of a medical college. Methods: This descriptive cross-sectional study was done among medical students of a medical college from 30 December 2021 to 30 February 2022 after obtaining ethical approval from the Institutional Review Committee. The lipstick was applied in a thin layer uniformly, and the impression was taken with the help of the cellophane tape. The specimens were analyzed and classified based on Tsuzuki and Tsuchihashi's classification. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 120 medical students, the prevalence of type I lip pattern was 48 (40%) (31.23-48.77, 95% Confidence Interval). Among them, 26 (54.17%) were males and 22 (45.83%) were females. Conclusions: The prevalence of Type I lip pattern among medical students was higher than in other studies done in similar settings.
Publication
Empagliflozin Use among Patients with Heart Failure in the Outpatient Department of Medicine in a Tertiary Care Centre
(Nepal Medical Association, 2023) Ghimire, Rinku; Pokharel, Sinet; Jayshwal, Raju; Shreewastav, Rupesh Kumar
Abstract Introduction: Sodium-glucose co-transporter 2 inhibitors were initially used in the treatment of type 2 diabetes mellitus and subsequently, it was shown to be useful in heart failure among patients with or without diabetes mellitus. This study aimed to find out the prevalence of empagliflozin use among patients with heart failure in an outpatient department of medicine in a Tertiary care centre. Methods: A descriptive cross-sectional study was conducted among patients with heart failure attending the outpatient Department of Internal Medicine from 1 December 2022 to 30 May 2023 after obtaining ethical approval from the Institutional Review Committee. All patients with heart failure in the given study period were included. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Out of 550 patients, 188 (34.18%) (30.22-38.15, 95% Confidence Interval) received empagliflozin. The mean age was 55.11±9.99 years. A total of 124 (65.95%) were male. The mean duration of use was 104.97±63.16 days. Among the adverse effects, electrolyte imbalance was present in 14 (7.44%), hypotension in 14 (7.44%), and acute kidney injury in 12 (6.38%). Conclusions: The prevalence of empagliflozin use among patients with heart failure was found to be lower than mentioned in the guidelines.

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