Journal of Lumbini Medical College最新文献_第2页

Vision Loss following Small Incision Cataract Surgery: A Case Report 小切口白内障术后视力丧失1例报告

Journal of Lumbini Medical College Pub Date : 2021-05-15 DOI: 10.22502/JLMC.V9I1.390

Sushma Chaudhary, Sharad Gupta, S. Singh, H. Sharma, R. Yadav, V. Kamble

引用次数: 0

COVID-19: Intranasal and Oral Routes of Vaccination COVID-19:鼻内和口服疫苗接种途径

Journal of Lumbini Medical College Pub Date : 2021-05-10 DOI: 10.22502/JLMC.V9I1.427

J. Robinson, Alexandra Leclézio, I. Banerjee

引用次数: 1

Nursing Students’ Perception of Online Learning Amidst COVID-19 Pandemic 新冠肺炎大流行期间护生对在线学习的认知

Journal of Lumbini Medical College Pub Date : 2021-05-08 DOI: 10.22502/JLMC.V9I1.408

Sunita Rana, C. K. Garbuja, G. Rai

{"title":"Nursing Students’ Perception of Online Learning Amidst COVID-19 Pandemic","authors":"Sunita Rana, C. K. Garbuja, G. Rai","doi":"10.22502/JLMC.V9I1.408","DOIUrl":"https://doi.org/10.22502/JLMC.V9I1.408","url":null,"abstract":"Introduction: The declaration of COVID-19 pandemic on 11th March 2020 by World Health Organization forced many countries including Nepal to choose online mode of nursing education. Hence, it is essential for the educators to find out students’ perception that ensures their readiness to learn in this new environment. This study sought to examine the perception of online learning among nursing students. Methods: After obtaining ethical clearance, a cross-sectional descriptive study was conducted among 211 nursing students using enumerative sampling method. Self-administered structured online questionnaire was used. Calculated Cronbach's alpha value was 0.828. Descriptive (frequency, percentage, mean etc.) and inferential statistics (Chi-square test) were used to analyze data. Results: The mean age of the participants was 19.80±1.87 years. All (100%) had mobile phone. Most (93.8%) had internet facility at home. More than half (59.7%) strongly agreed that face-to-face learning was more effective. Less than half (44.6%) strongly agreed that interrupted internet connection was an obstacle. More than half (56.9%) participants had positive perception of online learning. Age, enrolled nursing program and device used were statistically significant with perception of online learning. Conclusion: The perception of nursing students towards online learning is positive. Students are satisfied with their learning opportunities amidst COVID-19 through online education. However, interrupted internet connection, unfeasible practical natured courses, load-shedding etc. were perceived as obstacles to online learning. Age, enrolled nursing program, academic year, and devices used had an impact on positive perception.","PeriodicalId":16109,"journal":{"name":"Journal of Lumbini Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47214831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

Comparative Study on Effects of 2% Lidocaine Hydrochloride with Adrenaline (1:200000) on Blood Pressure Among Controlled Hypertensive and Non-hypertensive Patients During Dental Anesthesia 2%盐酸利多卡因和肾上腺素（1:200000）对控制性高血压和非高血压患者牙科麻醉期间血压影响的比较研究

Journal of Lumbini Medical College Pub Date : 2021-05-02 DOI: 10.22502/JLMC.V9I1.415

L. Tuladhar, Meen Bahadur Budhathoki, A. Bhattarai, K. Bimb, N. Acharya, E. Tuladhar

{"title":"Comparative Study on Effects of 2% Lidocaine Hydrochloride with Adrenaline (1:200000) on Blood Pressure Among Controlled Hypertensive and Non-hypertensive Patients During Dental Anesthesia","authors":"L. Tuladhar, Meen Bahadur Budhathoki, A. Bhattarai, K. Bimb, N. Acharya, E. Tuladhar","doi":"10.22502/JLMC.V9I1.415","DOIUrl":"https://doi.org/10.22502/JLMC.V9I1.415","url":null,"abstract":"Introduction: Local anesthetic used for dental extraction is 2% lidocaine hydrochloride with adrenaline (1:200000). Lidocaine is cardiac depressant and adrenaline is cardiac stimulant; it decreases or increases blood pressure respectively. Methods: A total of 100 patients (50 controlled hypertensive and 50 non-hypertensive) were selected. The study was conducted over a period of 14 months from January 2020 to February 2021. Blood pressure was measured for patients who were planned for dental extraction by auscultatory method. Following that, 1.5-3 ml (depending upon the nerve block) 2% lidocaine with adrenaline (1:200000) was injected using a 3ml syringe (26 Gauge). Blood pressure was re-recorded after 10 minutes from the time of injection. Visual analog scale pain score was obtained during administration of local anesthesia. Paired t-test was applied to compare blood pressure change before and after administration of local anesthesia in controlled hypertensive and non-hypertensive patients. Results: There was a statistically significant increase in both systolic and diastolic blood pressure in non-hypertensive patients (p = 0.008, p = 0.017). This, however, was not the case with controlled hypertensive patients. There was statistically significant increase in systolic blood pressure (p < 0.001). Pain on injection (50% in non-hypertensive and 48% in controlled hypertensive patients) was the only adverse drug reaction that was reported in both groups. Conclusion: 2% lidocaine hydrochloride with adrenaline (1:200000) increased systolic but not diastolic blood pressure in controlled hypertensive patients","PeriodicalId":16109,"journal":{"name":"Journal of Lumbini Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48665147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

External Ophthalmomyiasis by Oestrus Ovis: Two Case Reports from Nepal 由雌卵引起的外眼病:尼泊尔2例报告

Journal of Lumbini Medical College Pub Date : 2021-03-24 DOI: 10.22502/JLMC.V9I1.407

Nabina Maharjan, Ashish Jamarkattel, B. Nepal

引用次数: 0

Pre-operative Hypoglycemia in Patients Presenting for Surgery: A Hospital Based Cross-sectional Study 手术患者的术前低血糖:一项基于医院的横断面研究

Journal of Lumbini Medical College Pub Date : 2021-03-16 DOI: 10.22502/JLMC.V9I1.373

A. Thapa, R. Yadav, R. Basnet, B. Pradhan, R. Maharjan, Samreta Chaudhary

{"title":"Pre-operative Hypoglycemia in Patients Presenting for Surgery: A Hospital Based Cross-sectional Study","authors":"A. Thapa, R. Yadav, R. Basnet, B. Pradhan, R. Maharjan, Samreta Chaudhary","doi":"10.22502/JLMC.V9I1.373","DOIUrl":"https://doi.org/10.22502/JLMC.V9I1.373","url":null,"abstract":"Introduction: Peri-operative glycemic control is an important factor for post-operative recovery and is well protocoled for diabetic patients in every setup. It is not always so with non-diabetic patients. This study aimed to observe the pre-operative glucose level and prevalence of hypoglycemia in patients presenting for surgery and its association with the duration of nil per oral period (NPO), age and intravenous fluids used in the pre-operative period. Methods: A cross-sectional study was conducted in the Department of Anesthesiology in a Nepalese medical college including all the patients posted for elective surgery over a period of three months. Socio-demographic and clinical details of the participants were collected in the operating theatre. Duration of NPO period and intravenous fluid prescribed in the pre-operative fasting period were recorded. A glucose strip test was performed on all the participants. Results: Participants were found to have fasted for an unnecessarily longer duration (12.84±2.27 hours). The incidence of hypoglycemia in patients posted for elective surgery was very high (43.3%). Ringer lactate and normal saline were equally prescribed (38.4%) and dextrose-normal saline was prescribed in the rest of the participants. Gender and type of intravenous fluids were positively correlated whereas NPO period was negatively correlated in overall participants though statistically insignificant. In hypoglycemic participants, we observed that lower glucose was influenced by pre-operative fluids, age and NPO duration. Conclusion: Pre-operative use of glucose-containing fluids during NPO period is an important step to prevent hypoglycemia and related consequences.","PeriodicalId":16109,"journal":{"name":"Journal of Lumbini Medical College","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44244621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and Risk Factors of Hypertensive Retinopathy in Hypertensive Patients in a Tertiary Hospital of Gandaki Province of Nepal 尼泊尔甘达基省一家三级医院高血压患者高血压视网膜病变的患病率和危险因素

Journal of Lumbini Medical College Pub Date : 2020-12-30 DOI: 10.22502/JLMC.V8I2.374

S. T. Godar, K. Kaini

{"title":"Prevalence and Risk Factors of Hypertensive Retinopathy in Hypertensive Patients in a Tertiary Hospital of Gandaki Province of Nepal","authors":"S. T. Godar, K. Kaini","doi":"10.22502/JLMC.V8I2.374","DOIUrl":"https://doi.org/10.22502/JLMC.V8I2.374","url":null,"abstract":"Introduction: Hypertensive retinopathy is one of the major complications of hypertension. The presence of hypertensive retinopathy may be an indicator of the presence of other complications too. This study aimed to determine the prevalence and risk factors of hypertensive retinopathy in hypertensive patients in a tertiary care hospital in Nepal. Methods: This was a hospital-based cross-sectional study conducted among 95 hypertensive patients aged 30 years and above. Standard proforma was used to collect socio-demographic and clinical variables of the patients. Detailed eye examination including fundus evaluation under mydriasis was done on all patients and hypertensive retinopathy was graded according to Keith-Wagener-Barker classification. Statistical analysis was carried out using Epi-info 7. Results: The mean age of the study sample was 59.74±15.11 years. The prevalence of hypertensive retinopathy was 38.95%. Among the patients with hypertensive retinopathy, the prevalence of grade I, II, III, and IV retinopathies were 7.36%, 17.89%, 10.52%, and 3.15% respectively. There was a statistically significant association between hypertensive retinopathy and controlled blood pressure and treatment of hypertension. However, there was no statistically significant association between hypertensive retinopathy and gender, duration of hypertension, residence, family history, history of smoking, and diet. Conclusion: Uncontrolled blood pressure and untreated patients of hypertension were the significant risk factors for hypertensive retinopathy. Early diagnosis and treatment of hypertension are essential to prevent loss of vision.","PeriodicalId":16109,"journal":{"name":"Journal of Lumbini Medical College","volume":"8 1","pages":"270-274"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45033745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Sexual Dimorphism of Maxillary Sinus: A Morphometric Analysis using Computed Tomography 上颌窦两性畸形的计算机断层扫描形态学分析

Journal of Lumbini Medical College Pub Date : 2020-12-29 DOI: 10.22502/JLMC.V8I2.382

S. Kandel, R. Shrestha, Rupesh Sharma, S. Sah

{"title":"Sexual Dimorphism of Maxillary Sinus: A Morphometric Analysis using Computed Tomography","authors":"S. Kandel, R. Shrestha, Rupesh Sharma, S. Sah","doi":"10.22502/JLMC.V8I2.382","DOIUrl":"https://doi.org/10.22502/JLMC.V8I2.382","url":null,"abstract":"Introduction: Gender determination is the important aspect of forensic science. Most of the bones used for sex determination are badly disfigured and found in incomplete state, thus bones recovered intact are used. Maxillary sinus being recovered intact can be used for gender determination by measuring maxillary sinus dimension through computed tomography (CT). The aim of this study was to assess sexual dimorphism using morphometric maxillary sinus measurements through CT scan. Methods: This analytical cross-sectional study included CT scan images of 80 patients (40 males and 40 females). Maxillary sinus mediolateral (ML), superoinferior (SI), anteroposterior (AP) linear dimensions and volume were measured. All the measured parameters were then subjected to Student’s t-test to determine mean difference between males and females and discriminative statistical analysis to determine gender. Results: The mean value of maxillary sinus length, width, height and volume in males on both right and left sides were (3.80±0.175, 3.74±0.209) cm, (2.57±0.317, 2.51±0.295) cm, (3.55±0.338, 3.5±0.286) cm and (17.49±3.909, 16.54±3.274) cm3 respectively and in females (3.67±0.250, 3.64±0.256) cm, (2.37±0.297, 2.34±0.3222) cm, (3.29±0.280, 3.23±0.254) cm and (14.42±2.935, 13.81±2.779) cm3 respectively. The discriminative analysis showed that the accuracy of maxillary sinus measurements was 72.5% in females and 75% ofmales (overall accuracy = 73.8%). Conclusion: The maxillary sinus measurements are valuable guide for sex determination with relatively good accuracy rate.","PeriodicalId":16109,"journal":{"name":"Journal of Lumbini Medical College","volume":"8 1","pages":"264-269"},"PeriodicalIF":0.0,"publicationDate":"2020-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43380263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Unilateral Phthiriasis Palpebrarum Infestation: A Rare Presentation 单侧帕氏邻苯二甲酸感染：罕见表现

Journal of Lumbini Medical College Pub Date : 2020-12-29 DOI: 10.22502/JLMC.V8I2.398

V. Kamble, Sharad Gupta, R. Yadav, S. Singh, Bipin Bista, Nirajan Shah

引用次数: 0

Intensive Physiotherapy Interventions in Speedy Recovery of Sub-acute Stroke: A Case Series 强化理疗干预在亚急性脑卒中快速康复中的应用：一系列病例

Journal of Lumbini Medical College Pub Date : 2020-12-25 DOI: 10.22502/JLMC.V8I2.375

S. Adhikari, R. Maharjan, Redisha Jakibanjar, Anushree Balla, M. Shrestha, Narendra Shalike, G. Nepal

{"title":"Intensive Physiotherapy Interventions in Speedy Recovery of Sub-acute Stroke: A Case Series","authors":"S. Adhikari, R. Maharjan, Redisha Jakibanjar, Anushree Balla, M. Shrestha, Narendra Shalike, G. Nepal","doi":"10.22502/JLMC.V8I2.375","DOIUrl":"https://doi.org/10.22502/JLMC.V8I2.375","url":null,"abstract":"Introduction: Intensive physiotherapy interventions have shown good recovery in stroke if applied to stable patients who can tolerate it. Influence of enriched environment on intensive physiotherapy interventions after acute care has not been studied in low-resource contexts, and therefore, we reported outcome of the interventions in multiple cases with stroke in Nepalese context and cultural background. Case reports: Three patients in sub-acute stage of stroke were admitted in intensive physiotherapy treatment unit where the environment was therapeutically enriched. The therapist-administered interventions were intensive for each domain of impairment and activity limitations, every day for six days a week. Patients were trained to carry out caregiver-assisted practice or self-practice in enriched environment. Training demonstrated visible and measurable outcome in all cases. Conclusion: Intensive physiotherapy interventions in an enriched environment promoted good recovery in short period in stroke. The interventions applied, and the principles adopted were based on the established evidence, and therefore findings of this study may support for its feasibility and applicability.","PeriodicalId":16109,"journal":{"name":"Journal of Lumbini Medical College","volume":"8 1","pages":"275-280"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43460794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1