Overuse of tetanus toxoid vaccine: a common but under-addressed issue in Nepal.

Introduction And Importance: Tetanus, though potentially fatal, is preventable with proper vaccination, but high tetanus titers from frequent or higher doses can lead to increased adverse events. In countries like Nepal, where tetanus vaccines are readily available over the counter, irrational and frequent dosing, especially in certain occupational groups, is a noted issue.

Case Presentation: A 28-year-old metal worker presented with a superficial cut on his forearm, managed with standard wound care, and reported a history of frequent tetanus vaccinations.

Immediate Fetal Outcome in Deliveries with Meconium Stained Amniotic Fluid.

Background: Meconium-stained amniotic fluid is considered as the bad predictor of fetal outcome having significant perinatal morbidity and mortality. This study aimed to compare immediate fetal outcomes in meconium-stained amniotic fluid and clear amniotic fluid.

Methods: Hospital-based comparative observational study was conducted from a total of 204 women admitted in labour room at a tertiary level hospital.

/ mutation spectrum analysis in South Asia: a systematic review.

Objective: Breast cancer (BC) is the most common form of cancer among Asian females. Mutations in the / genes are often observed in BC cases and largely increase the lifetime risk of having BC. Because of the paucity of high-quality data on the molecular spectrum of mutations in South Asian populations, we aimed to explore these mutations among South Asian countries.