Journal of Gandaki Medical College-Nepal最新文献_第4页

Study of nasal packing versus quilting following septoplasty surgery 鼻中隔成形术后鼻腔填塞与绗缝的对比研究

Journal of Gandaki Medical College-Nepal Pub Date : 2022-07-25 DOI: 10.3126/jgmcn.v15i1.43225

Kusheswar Sah, Brihaspati Sigdel, R. Nepali

{"title":"Study of nasal packing versus quilting following septoplasty surgery","authors":"Kusheswar Sah, Brihaspati Sigdel, R. Nepali","doi":"10.3126/jgmcn.v15i1.43225","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i1.43225","url":null,"abstract":"Introduction: Nasal packing is a commonly performed procedure after septoplasty. Quilting is alternative procedure which reduces the complications of nasal packing. This study aims to compare the post-operative outcome of quilting and nasal packing following septoplasty.\u0000Methods: This is a prospective comparative study carried on 80 patients divided into two equal groups who had undergone quilting and nasal packing randomly after septoplasty surgery for symptomatic deviated nasal septum. Post-operative nasal outcome score, pain, haemorrhage, anxiety, infection was compared between two groups at 1st, 3rd, 7th and 30th post-operative days.\u0000Results: There was significant improvement in nasal obstruction post-operatively in quilting group (p<0.05). Polyvinyl acetate sponge nasal packing group patients experienced significantly higher intensity of pain on 1st and 3rd post-operative days (p<0.05). Post-operative bleeding was also relatively higher in nasal packing group compared to quilting group at 3rd post-operative day. Patients had significantly higher levels of anxiety in the nasal packing group throughout a week post-operatively compared to the quilting group. Similarly, no statistically significant difference was noted in terms of adhesion between group A and group B on 7th and 30th post-operative day.\u0000Conclusions: Quilting technique following septoplasty showed higher improvement of post-operative nasal obstruction compared to Polyvinyl acetate sponge packing. It also decreased post-operative pain, bleeding, anxiety and adhesion. Quilting suturing following septoplasty can be recommended as an effective and comfortable alternative to nasal packing. ","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115141994","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

Validation of TIMI risk score for STEMI patients visiting a tertiary care hospital of western Nepal 尼泊尔西部三级医院STEMI患者TIMI风险评分的验证

Journal of Gandaki Medical College-Nepal Pub Date : 2022-07-25 DOI: 10.3126/jgmcn.v15i1.43993

R. Kafle, D. Sharma, D. R. Pokharel

{"title":"Validation of TIMI risk score for STEMI patients visiting a tertiary care hospital of western Nepal","authors":"R. Kafle, D. Sharma, D. R. Pokharel","doi":"10.3126/jgmcn.v15i1.43993","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i1.43993","url":null,"abstract":"Introduction: Cardiovascular disease is the leading cause of death globally, and ST elevation myocardial infarction remains main contributor to this mortality. Thrombolysis in myocardial infarction risk score which was derived from randomized clinical trials has been validated in non-selected western patient populations. The objective of this study was to find out the applicability of Thrombolysis in myocardial infarction risk score in our study population.\u0000Methods: A prospective observational study was conducted in admitted patients of cardiology unit, Manipal teaching hospital from February 25, 2020 to December 31, 2021. All consecutive patients admitted with diagnosis of acute ST elevation myocardial infarction were selected. Patients admitted with diagnosis of ST segment elevation myocardial infarction and undergone either primary, rescue or elective coronary reperfusion therapy were included for analysis.\u0000Results: Total of 339 cases with mean age of 60.62 ±12.64 were diagnosed to have acute ST elevation myocardial infarction and undergone coronary reperfusion therapy. Nearly two third cases were male and majority (61.35%) cases were below age of 65 years. Age of 65 years and above, Killip class III-IV [OR:20.54 (CI: 8.63–48.87), p<0.001], low HDL [(OR:0.481 (CI: 0.23 – 0.97) p= 0.038], heart rate >100 beats/ min [(OR: 5.79 (CI: 2.81 – 11.92), p<0.001] and anterior wall involvement [(OR: 2.8 (CI: 1.39–6.41), p=0.004] were significantly associated with 30 days mortality.\u0000Conclusions: Thrombolysis in myocardial infarction risk score is applicable in clinical practice for better risk stratified treatment in our setting. ","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130257952","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

Association between body mass index and blood pressure among adults 成年人体重指数与血压的关系

Journal of Gandaki Medical College-Nepal Pub Date : 2022-07-25 DOI: 10.3126/jgmcn.v15i1.43157

Bindu Thapa, Deepti Kc, K. Shrestha, Sunita Gurung

{"title":"Association between body mass index and blood pressure among adults","authors":"Bindu Thapa, Deepti Kc, K. Shrestha, Sunita Gurung","doi":"10.3126/jgmcn.v15i1.43157","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i1.43157","url":null,"abstract":"Introduction: Increase in body mass index increases risk of developing high blood pressure. Controversies have been found regarding the association of body mass index with high blood pressure. So, this study was conducted to find association between body mass index and blood pressure.\u0000Methods: A cross-sectional study was conducted among 245 adults of Pokhara, Lekhnath Metropolitan Ward No. 27 using convenient sampling method. The questionnaire was adopted from the step 2 (physical measurements) section of the WHO STEPS instrument.\u0000Results: Among 245 subjects, almost half (48.5%) of the subjects had normal body mass index. One-fourth (25%) of the subjects were overweight. About 60 percent of the respondents had normal systolic blood pressure. There were no significant positive correlations of body mass index with both systolic BP, diastolic BP and age. However, significant positive correlation was found between age and systolic BP.\u0000Conclusions: The study finding concluded that there are no significant positive correlations of body mass index with both systolic BP, diastolic BP and age. However, age and systolic BP has significant positive correlation. Therefore, with increase in age, regular monitoring of BP is required. ","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127294925","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

Recognition and management of palatogingival groove: Hidden trap in the tooth-A case report 腭龈沟的识别与处理:牙中隐藏的陷阱- 1例报告

Journal of Gandaki Medical College-Nepal Pub Date : 2022-07-25 DOI: 10.3126/jgmcn.v15i1.41576

S. Bista, Rebiccca Ranjit, S. Subedi, D. Kunwar

引用次数: 0

Monopolar versus bipolar cautery in tonsillectomy: A comparative study 单极与双极烧灼在扁桃体切除术中的比较研究

Journal of Gandaki Medical College-Nepal Pub Date : 2022-07-25 DOI: 10.3126/jgmcn.v15i1.44897

Neeraj K.C., R. Nepali, T. Dubey

{"title":"Monopolar versus bipolar cautery in tonsillectomy: A comparative study","authors":"Neeraj K.C., R. Nepali, T. Dubey","doi":"10.3126/jgmcn.v15i1.44897","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i1.44897","url":null,"abstract":"Introduction: Tonsillectomy is the most commonly performed surgeries in otolaryngology. Despite the evolution in surgical and anaesthetic techniques, pain and bleeding are still the most important surgical complications. This study was done to compare the pain and bleeding following tonsillectomy using monopolar and bipolar cautery techniques in our population.\u0000Methods: It was a prospective, longitudinal study done over a period of one year at Gandaki Medical College, Pokhara, Nepal. Total 45 patients who underwent tonsillectomy by either monopolar or bipolar cautery were included in the study and assessed for postoperative pain and haemorhage. The data was entered in Microsoft Excel and further analysis done by statistical package for the social sciences 16.0. The association of variables was be tested by Chi square test and p-value of less than 0.05 was considered significant. Confidence interval was be kept at 95%.\u0000Results: Out of the 45 patients who underwent tonsillectomy, 35.5% were males and 64.5% were females. The age of patients varied from 16 to 60 years. Mean age of the patients was 27.5 years. Fourty percent of the total patients underwent tonsillectomy by monopolar cautery whereas 60% patients were operated by bipolar cautery. No statistically significant difference was found between the two groups regarding age, sex ratio, postoperative pain and bleeding.\u0000Conclusions: Both monopolar and bipolar cautery are equally effective methods of tonsillectomy in terms of postoperative pain and haemorrhage. ","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131007582","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

Comparison of ultrasonography and computed tomography in detecting urolithiasis in a teaching hospital of Kaski district 卡斯基区某教学医院超声与计算机断层检查尿石症的比较

Journal of Gandaki Medical College-Nepal Pub Date : 2022-07-25 DOI: 10.3126/jgmcn.v15i1.42900

N. Paudel, P. Sharma, B. Sharma, Keshav Sharma, S. Parajuli, Krishna Timilsina

{"title":"Comparison of ultrasonography and computed tomography in detecting urolithiasis in a teaching hospital of Kaski district","authors":"N. Paudel, P. Sharma, B. Sharma, Keshav Sharma, S. Parajuli, Krishna Timilsina","doi":"10.3126/jgmcn.v15i1.42900","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i1.42900","url":null,"abstract":"Introduction: Urolithiasis is an increasing health problem worldwide including developing countries like Nepal. Ultrasonography and computed tomography of kidney, ureter and urinary bladder imaging modalities are used in detection of urolithiasis. This study was done to compare ultrasonography and computed tomography of kidney, ureter and urinary bladder findings for detection of urolithiasis.\u0000Methods: A cross-sectional study was conducted in Department of Radiology, Gandaki Medical College, Pokhara, Nepal from July to October, 2021 after obtaining ethical clearance from Institutional Review Committee of Gandaki Medical College. Total 92 patients who had urolithiasis in computed tomography and had ultrasound report available within one week were selected for the study. Demographic data of patients, location and side of calculi were recorded. The findings of ultrasonography and computed tomography were then compared. Similarly, sensitivity and specificity of ultrasonography were calculated.\u0000Results: Urolithiasis was more common in middle age groups i.e. 20 to 40 years (n= 57, 62.0%) and in males (n=56, 60.9%). Kidney was the commonest location detected by both ultrasonography (n=45, 48.9%) and computed tomography (n=44, 47.8%) with predominance in right side. Some of the calculi that were undetected by ultrasonography were easily confirmed by computed tomography in various locations. This was found to be statistically significant (p<0.05). The sensitivity and specificity of ultrasonography in compared to computed tomography was 83.7% and 100% respectively.\u0000Conclusions: Ultrasonography has poor sensitivity and high specificity for detecting urolithiasis. Thus, computed tomography can be considered as better imaging modality as compared to ultrasonography for diagnosis of urolithiaisis. ","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122440665","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

Perception and experience of online classes among undergraduate and postgraduate medical students during COVID-19 医本科生和研究生在新冠肺炎期间在线课程的感知与体验

Journal of Gandaki Medical College-Nepal Pub Date : 2022-07-25 DOI: 10.3126/jgmcn.v15i1.42526

Suman Sharma, Brihaspati Sigdel

{"title":"Perception and experience of online classes among undergraduate and postgraduate medical students during COVID-19","authors":"Suman Sharma, Brihaspati Sigdel","doi":"10.3126/jgmcn.v15i1.42526","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i1.42526","url":null,"abstract":"Introduction: The purpose of this study was to analyze the perception and experiences of online classes among undergraduate and post-graduate medical students during COVID-19.\u0000Methods: This prospective cross-sectional study was conducted in the Medical College of Nepal. A self-administered semi-structured questionnaire was developed through extensive review of related literature. It was sent among 304 students. Student who did not want to take part in a survey, didn’t respond to all questions were excluded from the study. The data was received via email and completeness was checked. Out of 304 student, 265 students met the criteria for study. Two parts of the questionnaire included: demographic data related to medical students and online classes; and five perception-related questions which are measured by Likert scale. Perception of student were divided into positive, neutral and negative.\u0000Results: About 265 students out of 304 students completed the form which is 87.1% response rate. The mean age of the students was 24.5±2.5 years. Majorities of students (87.5%) used wifi and almost two third students (66%) wanted two classes per day. Nearly half (49.4%) students felt happy with initiation with online classes and 50.1% said voice was clear during classes. Overall, positive perception was found on was 72.15% of students toward online classes.\u0000Conclusions: Majorities of students used wifi. Nearly 50% of the student feel happy with initiation of online classes. More than two third students had a positive perception toward online classes. Online learning became the alternative option to continue academics during COVID-19.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"535 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121688175","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

Concha bullosa mucocele disguising as a nasal tumor in an epistaxis patient: A case report 鼻出血患者鼻甲大泡黏液囊肿伪装为鼻肿瘤1例

Journal of Gandaki Medical College-Nepal Pub Date : 2022-07-25 DOI: 10.3126/jgmcn.v15i1.43208

Brihaspati Sigdel, Amrit Pokhrel, S. Paudel

引用次数: 0

Evaluation and surgical outcome of inverted nipple at Kathmandu Medical College Teaching Hospital 加德满都医学院附属医院乳头内翻的评价及手术效果

Journal of Gandaki Medical College-Nepal Pub Date : 2022-07-25 DOI: 10.3126/jgmcn.v15i1.44270

A. Bajracharya

{"title":"Evaluation and surgical outcome of inverted nipple at Kathmandu Medical College Teaching Hospital","authors":"A. Bajracharya","doi":"10.3126/jgmcn.v15i1.44270","DOIUrl":"https://doi.org/10.3126/jgmcn.v15i1.44270","url":null,"abstract":"Introduction: Inverted nipples are related to multifactorial aspects, relating with aesthetic, biological, and psychological to the patient. The treatment depends on the patient’s symptoms and aesthetic complaints caused by the inverted nipple. The objective of this study was to evaluate the grading of inverted nipple and the surgical outcome by using Sakai method for its correction.\u0000Methods: It is a hospital based descriptive study conducted to assess age, sex, site, shape, grading. The history of peri-areolar abscess, recurrence and treatment outcome by Sakai method for its correction.\u0000Results: A total of 20 patients were included with 26 cases of inverted nipple in which six cases of bilateral, nine cases of left sided and five cases of right sided. The mean age was 30±8.399 years ranging from 18 to 52 years. Most of them were females 19(95%). We found grade II inverted nipple on 16(80%) of patients and grade III inverted nipple on 4(20%). Most of them were round shape 16(50%), rest were rectangular 4(20%), slanting 3(15%), omega 2(10%) and one with cup shape nipple. Patients were followed up for three months for observation.\u0000Conclusions: The common type of inverted nipple was Grade II followed by Grade III and the defects were successfully corrected using Sakai method. \u0000 ","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125230936","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

Oral and systemic health: An inextricable linkage 口腔和全身健康:一个不可分割的联系

Journal of Gandaki Medical College-Nepal Pub Date : 2022-07-25 DOI: 10.3126/jgmcn.v15i1.45313

R. Ranjit

引用次数: 0