Objective:To evaluate the health status, age of menopause, and its symptomatology amongst Himachali middle-aged women.Materials and Methods:A community based cross-sectional study was done from Jul 07 to Jan 08. A structured questionnaire was given to 100 menopausal women from general community of Himachal Pradesh in Shimla.Results:Mean age of menopause was 44.54 years. Main symptoms associated with menopause were reported as fatigue (62%), hot flashes (56%), Cold sweats (52%), and backaches (51%). Other ailments associated with menopause were arthritis (25%), hypertension (23%), and diabetes (6%).Conclusion:Mean age of menopause was 44.54 years. Chief comorbid conditions were arthritis and hypertension.

The use of central venous catheters as access for hemodialysis has become common in children with end-stage renal disease. Phrenic nerve palsy is an unusual complication of this procedure. We report a case of delayed right diaphragmatic palsy due to phrenic nerve damage resulting from an indwelling right subclavian catheter in a 3-year-old child.

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