http://jnma.com.np/jnma/index.php/jnma/issue/feed Journal of Nepal Medical Association 2018-11-17T15:23:34+00:00 Dr. Angel Magar editor@jnma.com.np Open Journal Systems <p><strong>About JNMA<br></strong>Journal of Nepal Medical Association (JNMA) is an internationally peer-reviewed, MedLine/PubMed indexed,&nbsp;a general medical journal of Nepal Medical Association. JNMA is the first and oldest medical journal from Nepal since 1963 AD. 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Effective management requires clear understanding of risk factors. Smoking has a dose-dependent effect on periodontium. Similarly, individuals with diabetes have severe forms of periodontal diseases. We aim to assess the prevalence of periodontal disease in dental patients in relation to smoking and diabetes.</p> <p class="p3"><span class="s2"><strong>Methods: </strong></span>The study was conducted among 522 patients visiting the Periodontics Department, Kantipur Dental College. Individuals willing to participate had to sign an informed consent and undergo interview and clinical examination. Data collection, done on a structured proforma, was analysed using SPSS 20.0.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>Prevalence of periodontitis was 372 (71.3%), diabetes 33 (6.3%) and smoking as 138 (26.4%). Hypertension was observed in 64 (12.3%) patients and family history of diabetes among 94 (18%). Among the 372 periodontitis patients, smoking behaviour was present in 120 (32.3%), diabetes in 32 (8.6%), family history of diabetes in 72 (19.4%) and hypertension in 62 (16.7%). Conversely, 120 (87%) smokers, 33 (97%) diabetics, 72 (76.6%) with family history of diabetes, 62 (96.9%) hypertensive, 216 (41.4%) male and 156 (29.9%) female participants had periodontitis. Smoking behaviour was more in males: 115 (39.4%) compared to 23 (10%) females.</p> <p class="p4"><span class="s2"><strong>Conclusions: </strong></span>Periodontitis was significantly associated with smoking, diabetes, hypertension and age. It is recommended that tobacco cessation and diabetes control be promoted as an integral component of periodontal therapy and oral health be included as an essential element of general health when conducting national health surveys.</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3487 Cephalic Index in Indigenous Tharu Community 2018-11-07T17:57:54+00:00 Sanzida Khatun ksanzida12@gmail.com <p class="p1">&nbsp;</p> <p class="p2"><span class="s2"><strong>Introduction: </strong></span>Cephalic index is an important parameter for differentiation of race and sex which varies significantly on the basis of hereditary, geographical, racial, sexual and other factors. It is a morphometric expression of different forms of head. The objective of this research was to evaluate the cephalic index of people of indigenous Tharu community of Biratnagar, Nepal and to determine different head types.</p> <p class="p2"><span class="s2"><strong>Methods: </strong></span>A cross-sectional study was conducted in which maximum head length and breadth of 100 adult Tharu people living in Biratnagar were measured using spreading caliper and scale. The cephalic index was obtained from these values using Hrdlicka’s method.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>The mean cephalic index of the study population was 75.99±4.97. The mean cephalic indices of males and females were 76.22±5.14 and 75.78±4.85 respectively. The most common head type observed was dolichocephalic type 47 (47%). It was followed by mesocephalic type 37 (37%), brachycephalic type 13 (13%) was less common and least common was hyperbrachycephalic type 3 (3%).</p> <p class="p3"><span class="s2"><strong>Conclusions: </strong></span>Long head (dolichocephalic) type is more common in Tharu population in both the genders, whereas, broad head (brachycephalic and hyperbrachycephalic) type is present in very few people.</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3723 Dietary Practice among the Patients with End Stage Renal Disease undergoing Maintenance Haemodialysis 2018-11-08T10:39:34+00:00 Sangita Lamichhane (Dulal) dr.rkdulal@gmail.com Manasa Thapa Thakurathi dr.rkdulal@gmail.com Ram Krishna Dulal dr.rkdulal@gmail.com Shreejana Karki dr.rkdulal@gmail.com Krishna Bahadur Raut kalpanasilwal@gmail.com <p class="p2"><span class="s2"><strong>Introduction: </strong></span>Several studies on the nutritional status of chronic kidney disease patients living on haemodialysis revealed high prevalence of malnutrition (18-94%). A hospital-based study in Nepal revealed 66.7% mild to moderately malnourished and National Kidney Center reported common protein-energy malnutrition problem among haemodialysis patients. As almost all patients undergoing maintenance haemodialysis looked malnourished, this study was carried out to explore prevailing dietary knowledge and practice of the patients.</p> <p class="p2"><span class="s2"><strong>Methods: </strong></span>A descriptive cross-sectional survey of 471 patients undergoing haemodialysis from June 2015 to July in 2015 was carried out. After stratification through a systematic random sampling method, 40 (67%) patients from National Kidney Center and 20 (33%) from Bir Hospital were selected, interviewed face to face by using structured questionnaire. Ethical and institutional approval and patients’ consent were obtained.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>The level of knowledge score found to be medium and practice score was even low. Seventy percent knew about renal diet but only 36 (60%) believed in it. After having kidney disease 42 (70%) had changed their dietary practice. Surprisingly, 38 (63.3%) said they ate the food what the other member in their family ate.</p> <p class="p3"><span class="s2"><strong>Conclusions: </strong></span>Considerable limited knowledge (medium) and practices (low) scores were found. Had they have taken adequate dietician’s support, they might have taken right kind and right amounts of foods and benefitted in controlling potassium, phosphate and protein at the recommended level. Plant-based diet could assist in end stage renal disease in a number of ways: an edge of protection against diet cost, reduce inter-related co-morbidities&nbsp;or complications (hypertension and diabetes).</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3716 Attitude Towards Mental Illness Among Medical Students And Interns of a Medical College 2018-11-08T03:17:42+00:00 Astha Prasai prasaia084@gmail.com Shubash Chandra Sharma subukhanal@gmail.com Rika Rijal rikarjl@gmail.com Shreeyanta K.C. shreeyantakc@gmail.com <p class="p1">&nbsp;</p> <p class="p2"><span class="s2"><strong>Introduction: </strong></span>Mental health and physical health are interconnected. Attitude of medical professionals towards mentally ill affects the quality of care the patient receives. Today’s medical students are tomorrow’s medical practitioner. We conducted a study in a teaching hospital to assess the attitude towards mental illness among medical students and interns.</p> <p class="p2"><span class="s2"><strong>Methods: </strong></span>A descriptive cross sectional study was performed in 265 students in Kathmandu Medical College in August, 2017. Opinion about Mental Illness (OMI) questionnaire developed by Cohen and Struening was used.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>Of the total participants, 49.8%(132) were male and 50.2%(133) were female. Medical students were more authoritarian, more benevolent and believed that mental illness is like any other medical illness. They showed neutral attitude in terms of social restriction of mentally ill and interpersonal relationship as a cause of mental illness.</p> <p class="p3"><span class="s2"><strong>Conclusions: </strong></span>Positive attitude was seen only in terms of benevolence and mental hygiene ideology. Effective teaching and training programs is necessary to bring in positive attitude change towards mentally ill among medical students.</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3636 Concurrent Weekly versus Three Weekly Cisplatin with Radiotherapy in Locally Advanced Uterine Cervical Carcinoma. 2018-11-08T10:40:35+00:00 Md. Rakibul Hasan rakibulcmc43@gmail.com Md. Abdul Bari ma.bari@yahoo.com Sarwar Alam drsarwarbd@yahoo.com Guru Sharan Sah dr.gsah@gmail.com <p class="p2"><span class="s2"><strong>Introduction: </strong></span>Uterine cervical carcinoma is the commonest form of gynecological malignancy in Bangladesh as well as in South Asia. Outcome of weekly versus three weekly Cisplatin concurrent with External beam radiotherapy followed by intracavitary radiotherapy in locally advanced cervical carcinoma was compared in this study.</p> <p class="p2"><span class="s2"><strong>Methods: </strong></span>A quasi experimental study was carried out from April 2016 to September 2017. Total eighty patients of uterine cervical cancer were included and received External beam radiotherapy concurrent with either weekly or three weekly Cisplatin followed by High dose rate intracavitary brachytherapy. External beam radiotherapy was given with a dose of 50 Gray (Gy) in conventional fractionation over 5 weeks. Cisplatin 40 mg/m<span class="s3">2</span>, weekly was given along with radiotherapy to the patients of Arm A (n=40) while the patients of Arm B (n=40) received cisplatin 75 mg/m<span class="s3">2</span>, 3 weekly along with the radiotherapy. Patients were evaluated weekly during treatment and afterwards up to 6 months.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>The mean age of patients were 48±9 years for Arm A and 42±9 years for Arm B. Complete response at 6 months of follow up was observed in 30 (75%) and 36 (90%) patients of Arm A and B respectively.Overall complete response was observed in 66 (82.5%)patients. Common toxicities were nephrological, hematological, skin and bowel related and were managed accordingly. Grade III-IV neutropenia was more in patients of Arm A (42.5%) than B (20%).</p> <p class="p3"><span class="s2"><strong>Conclusions: </strong></span>This study showed that the radiotherapy concurrent with three weekly Cisplatin is effective and less toxic than weekly Cisplatin in locally advanced cervical carcinoma.</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3739 Comparison of Fentanyl and Dexmedetomidine as Intrathecal Adjuvants to Spinal Anaesthesia for Abdominal Hysterectomy 2018-11-07T17:57:49+00:00 Binod Gautam gautambinod@hotmail.com Sushila Tabdar sutabdar@yahoo.co.in Ujma Shrestha ujma_s@hotmail.com <p class="p2"><span class="s2"><strong>Introduction: </strong></span>Spinal anaesthesia, although advantageous for conducting abdominal hysterectomy, is not the first choice amongst surgeons for fear of intra-operative visceral pain. Intrathecal adjuvants may improve quality of spinal anaesthesia. This study aims to compare efficacy of intrathecal Fentanyl and Dexmedetomidine to reduce visceral pain during abdominal hysterectomy performed under spinal anaesthesia.</p> <p class="p2"><span class="s2"><strong>Methods: </strong></span>Sixty women undergoing abdominal hysterectomy for benign indications were randomly assigned to two equal groups in a double-blind fashion. Fentanyl 25 micrograms in group A or Dexmedetomidine 10 micrograms in group B was co-administered with hyperbaric Bupivacaine 15 milligrams for spinal anesthesia. Surgery through Pfannenstiel incision proceeded once sensory block reached eighth thoracic dermatome. The intra-operative visceral pain was assessed using a five-point scale: none, mild, intermediate, severe, and failed spinal anaesthesia. Duration of analgesia and peri-operative events were studied for 24 hours. Chi-square test, Mann-Whitney U-test and Student’s t-test were used for analysis. Level of significance used was P&lt;0.05.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>Fifty eight participants completed the study. Demographic variables and sensory block were similar between groups. General anaesthesia was not required in both groups. Significantly greater number of patients in group A required medications for visceral pain with Relative Risk of 2.8 (1.16-6.7). Pruritus and shivering occurred significantly higher in group A. Hypotension was significantly higher in group B. Post-operatively, group B patients showed a significantly longer duration of analgesia.</p> <p class="p3"><span class="s2"><strong>Conclusions: </strong></span>Dexmedetomidine is better than Fentanyl as an intrathecal adjuvant to spinal anaesthesia in minimizing visceral pain during abdominal hysterectomy and in prolonging post-operative analgesia.</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3690 Mifepristone and Misoprostol Vs Misoprostol Alone in Second Trimester Termination of Pregnancy 2018-11-07T17:57:51+00:00 Deepa Shah deepashah088@gmail.com Pappu Rijal drrijal315@yahoo.com Achala Thakur achalathakur98@gmail.com Rubina Rai rairubina@yahoo.com <p class="p2"><span class="s2"><strong>Introduction: </strong></span>During the last decade, medical methods for second trimester abortion have considerably improved and become safe and more accessible. The combination of mifepristone and misoprostol is now an established and highly effective method for second trimester abortion. But where mifepristone is not available or affordable, misoprostol alone has also been shown to be effective. The objective of this study is to compare the efficacy of mifepristone with misoprostol and misoprostol alone for second trimester termination of pregnancy.</p> <p class="p2"><span class="s2"><strong>Methods: </strong></span>It is a comparative study conducted on 60 patients from 13 to 18 weeks of gestation admitted for second trimester termination on legal indications.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>Mean induction abortion interval was comparable in both the groups. Of the 30 cases in each group, nine cases in each Group A and six cases in Group B had incomplete/failed expulsion. Among these 15 cases, only nine required check curettage for complete evacuation while others received oxytocics only for completion. The distribution of these cases was also comparable in both the groups. Only one patient in Group B had complete failure of expulsion and underwent surgical evacuation. However, the difference in dosage of misoprostol required for complete expulsion and incidence of side effects were significantly higher in the group B.</p> <p class="p3"><span class="s2"><strong>Conclusions: </strong></span>Mifepristone and misoprostol combined together is now an established, highly effective and safe method for medical method of second trimester termination. However, when mifepristone is not available or affordable, misoprostol alone can also be used effectively, although a higher total dose is needed and side effects are higher than with the combined regimen.</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3751 Estimation of Body Height from Head Length among Dental Students of a Dental College 2018-11-07T17:57:48+00:00 Bipana Manandhar bipanamanandhar456@gmail.com Ritee Shrestha bipanamanandhar456@gmail.com <p class="p2"><span class="s2"><strong>Introduction: </strong></span>Body height is an important measure of physical identity. Height exhibits a dimensional relationship with various parts of the body. This relationship helps to calculate height from dismembered and mutilated body parts in forensic examinations. As the cranial dimensions are more reliable and precise means of predicting the stature, this study was undertaken to find the relation between head length and height and to derive a regression formula for the estimation of height from head length among dental students.</p> <p class="p2"><span class="s2"><strong>Methods: </strong></span>This descriptive cross-sectional study was conducted among 150 dental students of age group 18-21 years in the Department of Anatomy, Kantipur Dental College Teaching Hospital and Research Center, Basundhara, Kathmandu. The head length was measured with the help of spreading caliper. Height was measured with the help of a standard height measuring instrument. The head length and the height of the students were measured in centimeters. Data obtained were analyzed to find the correlation between head length and height and to derive a regression equation for the estimation of height.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>A significant positive correlation was observed between head length and height (r=0.734, P&lt;0.001). The regression equation for body height and head length including both sexes and all age groups of dental students was found to be y=12.9+8.45x where x is head length and y is body height.</p> <p class="p3"><span class="s2"><strong>Conclusions: </strong></span>It was observed in the present study that there was a significant positive correlation between height and head length in all the age groups indicating that head length is a reliable indicator in estimation of height.</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3758 Awareness on Girl Child Abuse Among Mothers of A Selected Community 2018-11-08T10:35:06+00:00 Taniya Thapa thapa.taniya@cmc.edu.np Khagi Maya Pun thapa.taniya@cmc.edu.np Krishna Bahadur Raut kalpanasilwal@gmail.com Kalpana Silwal kalpanasilwal@gmail.com Rajendra Kumar Chaudhary drchaudhary2990@yahoo.com <p class="p2"><span class="s2"><strong>Introduction: </strong></span>Girl Child Abuse is physically, emotionally, sexually abusing and neglecting the girl child by depriving her of universally accepted child rights. We aim to determine the awareness on girl child abuse among mothers so that necessary awareness programs could be recommended if found unsatisfactory.</p> <p class="p2"><span class="s2"><strong>Methods: </strong></span>A descriptive cross-sectional study was done in Sundarbazar municipality of Lamjung district among randomly selecting 288 mothers who participated voluntarily in face to face interview that used structured questionnaire from 27<span class="s3">th </span>March to 23<span class="s3">rd </span>April, 2016. Data was analyzed by using descriptive and inferrential statistics like frequency, percentage, mean, standard deviation, chi-square and linear by linear association.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>The findings of the study revealed that majority of mothers 224 (77.8%) had average level of awareness regarding girl child abuse and only 21 (7.3%) had good level of awareness with mean score±SD of 45.94±9.94 (total score-76). Awareness of mother on girl child abuse was found significantly associated with age, ethnicity, educational status, type of family, age at marriage and number of children at P&lt;0.05.</p> <p class="p3"><span class="s2"><strong>Conclusions: </strong></span>The mothers had average level of awareness regarding girl child abuse; however, significant proportion of mothers still lacks good level of awareness. A nationwide study of such kind using qualitative tools as well as conducting awareness raising activities focusing on girl child abuse and sexual abuse in girl child is recommended.</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3760 Prevalence and Indications of Cesarean Section in a Community Hospital of Western Region of Nepal 2018-11-07T17:57:48+00:00 Rajendra Kumar Chaudhary drchaudhary2990@yahoo.com Krishna Bahadur Raut kalpanasilwal@gmail.com Kristina Pradhan kristinapradhan@gmail.com <p class="p1">&nbsp;</p> <p class="p2"><span class="s2"><strong>Introduction: </strong></span>Cesarean section is one of the common obstetric procedures done when the childbirth is not anticipated to occur by the normal vaginal delivery. There has been increased rate of cesarean section globally as well as in our country in recent decades.</p> <p class="p2"><span class="s2"><strong>Methods: </strong></span>This descriptive cross-sectional study has been carried out by reviewing a year of data from maternity ward of Paschimanchal Community Hospital, Prithvi Chowk, Pokhara. The total number of delivery, their modes either vaginal or cesarean, indications for the cesarean section and their outcomes were analyzed. The obtained data was entered and analyzed in Microsoft Excel.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>Total of 257 cases underwent delivery during the study period and 174 (63.27%) were by cesarean section. Oligohydramnios is the most common indication for cesarean section. Around 25 (14.36%) of the women underwent repeat cesarean section.</p> <p class="p3"><span class="s2"><strong>Conclusions: </strong></span>The rate of cesarean section was quite high in our study and further studies are recommended for understanding of causes and other associated factors with it.</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3734 Etiological Yield of Global Developmental Delay in a Hospital 2018-11-08T10:35:07+00:00 Anshu Jha anshujha148@gmail.com <p class="p1">&nbsp;</p> <p class="p2"><span class="s2"><strong>Introduction: </strong></span>Global developmental delay is the common pediatric problem having spectrum of underlying causes. Etiological diagnosis is very vital for providing information regarding pathogenesis, prognosis, recurrence, risk and treatment options. The aim of this study was to determine etiological yield of global developmental delay.</p> <p class="p2"><span class="s2"><strong>Methods: </strong></span>This descriptive cross-sectional study included children of 6 months to 5 year of age with global developmental delay referred to pediatric outpatient Neurology clinic of Kanti Children’s Hospital. Diagnostic study included detailed history, examination followed by required investigations neuroimaging, electroencephalogram, hearing and visual assessment. Thyroid function test, karyotyping and enzyme essay were done in selected patients depending on the condition.</p> <p class="p2"><span class="s2"><strong>Results: </strong></span>In this study, 110 patients were evaluated out of which 70 were male and 40 were female. An etiological diagnosis was determined in 86 (78%) of the patients classified under following categories perinatal asphyxia 49 (44.5%), post infectious sequelae 11 (10%), cerebral dysgenesis 6 (5.45%), genetic syndrome 6 (5.45%), metabolic causes 5 (4.54%), neurocutaneous syndrome 4 (3.63%) and non-specific leucodystrophy changes . Etiology was unknown in 24 (21 %) of the patients.</p> <p class="p3"><span class="s2"><strong>Conclusions: </strong></span>A specific etiology can be determined in majority of cases of global developmental delay after comprehensive evaluation. The most common etiologies were perinatal asphyxia and post infectious sequelae.</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3791 Dystrophic Epidermolysis Bullosa 2018-11-17T15:23:34+00:00 Randhir Sagar Yadav sagar.randhir@gmail.com Amar Jayswal aamarjayswal1@gmail.com Shumneva Shrestha shumnevashrestha@gmail.com Sanjay Kumar Gupta sanjay046@yahoo.com Upama Paudel upama_ups@yahoo.com <div>Epidermolysis bullosa is a rare inherited blistering disease with an incidence of 8-10 per million</div> <div>live births. Dystrophic epidermolysis bullosa is a type of epidermolysis bullosa caused by mutation</div> <div>in type VII collagen, COL7A1. There are 14 subtypes of dystrophic epidermolysis bullosa and 400</div> <div>mutations of COL7A1. Electron microscopy is the gold standard diagnostic test but expensive.</div> <div>Immunofluorescence study is a suitable diagnostic alternative. Trauma prevention along with</div> <div>supportive care is the mainstay of therapy. Squamous cell carcinoma develops at an early age in</div> <div>epidermolysis bullosa than other patients, particularly in recessive dystrophic epidermolysis bullosa</div> <div>subtypes. Regular follow-up is imperative in detecting and preventing complications. Gene therapy,</div> <div>cell therapy and bone marrow transplantation are the emerging novel therapeutic innovations.</div> <div>Preventing possible skin and mucosal injury in patients requiring surgery should be worked on.</div> <div>Here, we present a case of dystrophic epidermolysis bullosa in a 26-year-old male.</div> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3715 A Forensic Tale of Nepal 2018-11-07T17:57:50+00:00 Hemang Dixit h2dixit@gmail.com <p>An account is given of ancient funeral practices and then of the development of forensic medicine from the mid twentieth century. Early forensic practices at Bir Hospital have been recorded and then the subsequent development of the study of forensic medicine in the country has been stated.</p> 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3631 Are you Discussing Dental Caries in Children with Current and Local References ? - Letter to The Editor 2018-11-07T17:57:52+00:00 Martin Hofmeister martin.j.hofmeister@gmail.com 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3708 Re: Are you Discussing Dental Caries in Children with Current and Local References ? - Letter to The Editor 2018-11-07T17:57:51+00:00 Parajeeta Dikshit pardix9@gmail.com 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3541 Clinico-radiological Observations in Meconium Aspiration Syndrome - Letter to The Editor 2018-11-07T17:57:53+00:00 Jogender Kumar jogendrayadv@gmail.com 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3834 Re: Clinico-radiological Observations in Meconium Aspiration Syndrome - Letter to The Editor 2018-11-07T17:57:47+00:00 Nagendra Chaudhary enagendra@hotmail.com Susana Lama lama_suzana@yahoo.com Shyam Kumar Mahato shyam_319@yahoo.com Nikhil Agrawal nikhil_alad_4u@hotmail.com Santosh Pathak drsan2s4u@gmail.com Om Prakash Kurmi omkurmi@googlemail.com Baldev Bhatia baldev_bhatia@rediffmail.com Kailash Nath Agarwal kna_ped@yahoo.com 2018-10-31T00:00:00+00:00 ##submission.copyrightStatement## http://jnma.com.np/jnma/index.php/jnma/article/view/3835 ERRATUM of Issue 209 JNMA 2018 2018-11-13T19:11:30+00:00 Journal of Nepal Medical Association editor@jnma.com.np <p class="p2">The online version of the “Clinico-radiological Observations in Meconium Aspiration Syndrome”(Lama S, Mahato S, Chaudhary N, Agrawal N, Pathak S, Kurmi O, Bhatia B, Agarwal K. Clinico-radiological Observations in Meconium Aspiration Syndrome. J Nepal Med Assoc. 2018 Feb;56(209):510-5) has been updated according to the letter to the editor and respective authors’ reply published in JNMA 213 Issue.</p> 2018-11-07T16:47:12+00:00 ##submission.copyrightStatement##