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

Prevalence of thyroid nodules in patients undergoing thyroid ultrasonography at a tertiary care centre 在三级保健中心接受甲状腺超声检查的患者甲状腺结节的患病率

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50782

Arbind Kumar Chaudhary, S. Khadka, Sushil Dulal, Narayan Bikram Thapa

{"title":"Prevalence of thyroid nodules in patients undergoing thyroid ultrasonography at a tertiary care centre","authors":"Arbind Kumar Chaudhary, S. Khadka, Sushil Dulal, Narayan Bikram Thapa","doi":"10.3126/jkmc.v11i3.50782","DOIUrl":"https://doi.org/10.3126/jkmc.v11i3.50782","url":null,"abstract":"Background: Thyroid nodules are common diseases, and have been detected up to 50% of the general population. Imaging plays a key role in the diagnosis and characterisation of thyroid diseases, and the information provided by imaging studies is essential for management planning.\u0000Objectives: To assess the prevalence of thyroid nodules in patients undergoing Thyroid ultrasonography in a tertiary care centre.\u0000Methods: A descriptive cross-sectional study was done among 86 patients. Data were collected from October 2021 to March 2022 after ethical clearance. Thyroid Imaging, Reporting and Data System were used to access the thyroid nodules. Descriptive statistics were applied using SPSS v.20.\u0000Results: The prevalence of thyroid nodules was seen in 98 (88%) individuals in total distributed in 15 (15.3%) males, and 83 (84.7%) females. Among total 98 patients, 66 (67.3%) patients had right thyroid nodules: benign 50 (51%), malignant 16 (16.3%) and 52 (53.7%) had left thyroid nodules: benign 36 (36.7%), malignant 16 (16.3%). The composition of thyroid nodules among majority participants was cystic type, anechoic type of echogenicity. Significant relationship was seen among female gender and malignancy, solid composition of thyroid nodules, and ill-defined margin.\u0000Conclusion: The prevalence of thyroid nodules was higher in comparison to other studies. Sonographic features like consistency, margin, and echotexture could differentiate benign and malignant thyroid nodules by using Thyroid Imaging Reporting and Data System.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"274 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122086756","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

Type of partial edentulousness among patients visiting the department of prosthodontics in a dental college 某牙科学院口腔修复科访诊患者部分无牙类型分析

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50788

Dilesh Pradhan, R. Adhikari

{"title":"Type of partial edentulousness among patients visiting the department of prosthodontics in a dental college","authors":"Dilesh Pradhan, R. Adhikari","doi":"10.3126/jkmc.v11i3.50788","DOIUrl":"https://doi.org/10.3126/jkmc.v11i3.50788","url":null,"abstract":"Background: There are various combinations of partial edentulism pattern in mandible and maxilla. Documenting the pattern of tooth loss is important for health care planning as it indicates the health of people and satisfaction of oral health care system.\u0000Objectives: To find out different types of partial edentulism among patients who come to the Department of Prosthodontics for prosthesis.\u0000Methods: A descriptive cross sectional study was carried out in 350 patients at Kathmandu Medical College and Teaching Hospital (KMCTH) visiting Department of Prosthodontics over the period of three months (July 2021 - September 2021) by convenience sampling method with complaint of partial edentulism. Ethical approval for the study was granted by Institutional Review Committee of KMCTH on 8th June 2021. The data obtained were entered and analysed using Statistical Package for Social Sciences (SPSS) v.18.\u0000Results: Single most common reason for tooth loss was found to be dental caries (102,29.14 %). Multiple most common reason for tooth loss were dental caries and periodontal disease (117,33.43 %). Partial edentulism in maxillary arch only 112(32%), in mandibular arch only 172(49.14%) and in both arches 66(18.86%). Kennedy’s Class III type of edentulism was most common in both maxillary arch 104 and mandibular arch 157.\u0000Conclusion: Kennedy’s Class III is most common type of partial edentulism in both maxillary and mandibular arch. Preventive programs targeted at reducing tooth loss need to be developed and implemented at national level since most prevalent cause of tooth loss is preventable.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134212023","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

Respectful maternity care 尊重产妇护理

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50781

Narayani Paudel

引用次数: 31

Association of physical activity and feeding preferences of children with their nutritional status: A school based crosssectional study 儿童身体活动和饮食偏好与营养状况的关系:一项基于学校的横断面研究

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50790

S. Pant, A. Vaidya

{"title":"Association of physical activity and feeding preferences of children with their nutritional status: A school based crosssectional study","authors":"S. Pant, A. Vaidya","doi":"10.3126/jkmc.v11i3.50790","DOIUrl":"https://doi.org/10.3126/jkmc.v11i3.50790","url":null,"abstract":"Background: People who are obese have a higher risk of acquiring many severe diseases. Feeding preferences and physical activities are deemed to play an important role in obesity in children.\u0000Objectives: This study aimed to find out the prevalence of over nutrition among primary level children in selected private schools of Kathmandu Metropolitan City (KMC). It also assessed the impact of physical activity level and feeding preferences on their nutritional status.\u0000Methods: An analytical cross-sectional study was done among 488 children and their parents, in six schools of KMC between May and August 2016. Children with written permission were included in the study, while absentees or hostel dwellers were excluded. Multistage cluster sampling was used for sampling. Ethical clearance was obtained from Institutional Review Committee of Kathmandu Medical College Public Limited and informed consent was taken from all participants. The questionnaire contained questions regarding socio-demographic details, modified Child’s Feeding Questionnaire and Child Physical Activity Questionnaire. Data was entered and analysed using SPSS v.20.\u0000Results: The prevalence of overweight was 4.5% (22) and obesity was 2.5% (12). Similarly, 135 (27.7%) children had adequate physical activity per day. Those with adequate physical activity were 1.5 times more likely to be overweight. Parent’s perception of their child’s weight and their concern about their child being overweight were both predictors of the child’s actual weight.\u0000Conclusion: Nutritional status of children was affected by feeding preferences of their parents, so they need to be educated about the importance of healthy eating and physical activities.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129657139","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

Choriocarcinoma with atypical presentations causing diagnostic dilemma 表现不典型的绒毛膜癌导致诊断困境

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50791

P. Paudyal, S. Rawal, N. Katuwal, S. Rajbhandary, Asma Kunwar

引用次数: 0

Association between clinical, radiological, and hematological profile of children with pneumonia 儿童肺炎的临床、放射学和血液学特征之间的关系

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50786

Mukunda Timilsina, S. Basnet, Aparna Mishra

{"title":"Association between clinical, radiological, and hematological profile of children with pneumonia","authors":"Mukunda Timilsina, S. Basnet, Aparna Mishra","doi":"10.3126/jkmc.v11i3.50786","DOIUrl":"https://doi.org/10.3126/jkmc.v11i3.50786","url":null,"abstract":"Background: Patients with pneumonia present with varying symptoms, X-ray features and changes in the blood parameters.\u0000Objectives: To find out the association between clinical, radiological, and haematological profile of children with pneumonia.\u0000Methods: An analytical cross-sectional study was conducted in 130 children aged two to 60 months admitted to the paediatric ward of Manipal Teaching Hospital, who were chosen by convenience sampling technique from December 2019 to November 2020, and clinical, radiological and haematological parameters compared. The observed data were analysed using SPSS 20.\u0000Results: . Of the 130 children studied, 80 (61.5%) were male and 50 (38.5%) were female. History of prior admission for respiratory illness was seen in 75 (57.7%) patients Bronchopneumonia was seen in 72 (55.4%) patients and lobar pneumonia in 37 (28.5%) patients. Cough 122 (93.8%), Noisy breathing 86 (66.15%), Fever 70 (53.84%) and Fast breathing 67 (51.54%) were the most common presenting complaints. Patients with lobar pneumonia were more likely to present with fever than those with Bronchopneumonia (p-value 0.015). Those with history of prior admission were more likely to present with wheeze (p-value 0.035) and crepitations (p-value 0.024) than those admitted for the first time. Also, those presenting with crepitations as lung finding, were found to present with significantly lower total White blood cells (WBC) counts (p-value 0.012).\u0000Conclusion: There seems to be a significant association between fever as presenting complaint and lobar pneumonia. Also, those with history of prior admission are more likely to have lung signs (wheeze/crepitations) at presentation.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"174 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132151305","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

Study on probable aetiological factors of subfertility in a tertiary care hospital 某三级医院低生育能力可能病因的研究

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50783

Manoj Lamsal, S. Tamrakar

{"title":"Study on probable aetiological factors of subfertility in a tertiary care hospital","authors":"Manoj Lamsal, S. Tamrakar","doi":"10.3126/jkmc.v11i3.50783","DOIUrl":"https://doi.org/10.3126/jkmc.v11i3.50783","url":null,"abstract":"Background: Subfertility refers to describe women or couple who are not sterile but exhibit decreased reproductive efficiency even after 12 months of regular unprotected intercourse.\u0000Objectives: To find probable aetiological factors in subfertile couples attending Dhulikhel Hospital.\u0000Methods: This descriptive cross-sectional study was conducted among 140 subfertile couples in Dhulikhel Hospital from March 2016 to December 2017 after ethical clearance. The participants were recruited by convenience sampling, data were entered in Microsoft Excel Sheet and analysed using SPSS v.23. Descriptive statistics like frequency, percent, mean, and standard deviation have been presented.\u0000Results: Among 140 subfertile couples, mean duration of subfertility was 5.55 ± 3.96 years. About two-thirds (95, 67.9%) of them were of primary subfertility. Most subfertile clients (both) were of 26-30 years age group and about three-fifths (83, 59.3%) were of Janajati caste. The most common cause of subfertility was female factor (72, 51.4%) only. Ovulatory dysfunction (49, 35%) followed by tubal abnormalities (24, 17.1%) were major female contributory factors. Thyroid disorder was noted in 19 (13.6%) clients and hyperprolactinaemia was observed in 14 (10%) subfertile female clients. Two (1.4%) female clients had diabetes mellitus and 24 (17.1%) had evidence of different forms of genital infection. Only male factor contributed was seen in 16 (11.4%) clients and asthenozoopermia was the commonest abnormal semen parameters. Six (4.3%) males with abnormal semen parameter were working abroad.\u0000Conclusion: Ovulatory causes was found to be the commonest cause of subfertility in Dhulikhel Hospital. Asthenooospermia was the most common male factor.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127954740","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

Comparative evaluation of geneXpert MTB/RIF assay and Ziehl-Neelsen staining for the diagnosis of tuberculosis geneXpert MTB/RIF检测与Ziehl-Neelsen染色诊断结核病的比较评价

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50787

D. Hamal, R. Shrestha, Sulochana Parajuli, N. Nayak, Dharm Raj Bhatt, S. Subramanya, S. Gokhale

{"title":"Comparative evaluation of geneXpert MTB/RIF assay and Ziehl-Neelsen staining for the diagnosis of tuberculosis","authors":"D. Hamal, R. Shrestha, Sulochana Parajuli, N. Nayak, Dharm Raj Bhatt, S. Subramanya, S. Gokhale","doi":"10.3126/jkmc.v11i3.50787","DOIUrl":"https://doi.org/10.3126/jkmc.v11i3.50787","url":null,"abstract":"Background: Ziehl-Neelsen (ZN) staining for the diagnosis of tuberculosis is frequently used. Since ZN smear technique has poor sensitivity, molecular tool like GeneXpert assay have recently been introduced in Nepal. This study compared GeneXpert MTB/RIF assay with ZN stain microscopy for the diagnosis of tuberculosis.\u0000Objectives: To compare and evaluate GeneXpert MTB/RIF assay and Ziehl-Neelsen staining for the diagnosis of tuberculosis.\u0000Methods: An analytical observational study was conducted in Manipal Teaching Hospital, Pokhara from February 2020 to August 2021 after ethical clearance. A total of 355 clinical specimens (Sputum, Broncho-alveolar lavage, pus, lymph node aspirate etc) were collected and processed for Zeihl-Neelson staining and GeneXpert assay as per the recommended guidelines.\u0000Results: Zeihl-Neelson staining detected acid-fast bacilli (AFB) in 17 (4.78%) specimens, while GeneXpert assay showed positivity in 37 (10.42%). All the 17 smear positive sputum samples yielded positive result by GeneXpert also. AFB were not detected in any of the 318 samples negative by GeneXpert. Fifteen (83.3%) of the 18 specimens that showed high to medium density of bacilli by GeneXpert were positive by Ziehl-Neelsen staining. Only two (10.5%) of the 19 specimens with low bacillary density by GeneXpert were positive by Ziehl-Neelsen Staining. These differences were statistically significant (p <0.001). Out of 37 positive specimens, one yielded rifampicin resistant Mycobacterium tuberculosis.\u0000Conclusion: ZN smear, though, rapid, lacks sensitivity. GeneXpert, on the other hand, can be relied upon, as it detected significantly higher number of cases, demonstrated bacillary density and drug resistance.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"172 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128231763","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

Role of anti-craving drugs baclofen and topiramate in the maintenance of abstinence in alcohol dependence syndrome 抗渴望药物巴氯芬和托吡酯在酒精依赖综合征戒断维持中的作用

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50903

V. Kaul, Prithi Bahadur Rai

{"title":"Role of anti-craving drugs baclofen and topiramate in the maintenance of abstinence in alcohol dependence syndrome","authors":"V. Kaul, Prithi Bahadur Rai","doi":"10.3126/jkmc.v11i3.50903","DOIUrl":"https://doi.org/10.3126/jkmc.v11i3.50903","url":null,"abstract":"Background: Alcohol craving is psychological condition related to motivation. Craving is risk factor for relapse in alcohol dependence syndrome. No gold standard therapy is available; many therapeutic agents are under various evaluation stages.\u0000Objectives: To evaluate role of anti-craving drugs baclofen and topiramate in maintenance of abstinence in alcohol dependence syndrome\u0000Methods: From March to October 2018, an open-label interventional study with 70 sample size was conducted at Nobel Medical College, following ethical clearance. Age range for inclusion was 20-60, with no history of psychotropic use, whereas history of psychiatric illness and use of substance, excluding nicotine were excluded. After written informed consent patients were admitted for detoxification, and after detoxification, anti-craving therapy was started with topiramate and baclofen and asked for follow-up at two, four, and six weeks. Clinical withdrawal assessment scale was used for withdrawal symptoms and obsessive-compulsive drinking scale (OCDS) for progress in craving. Baclofen at 20 mgs/day, topiramate at 50 mgs/day, were prescribed and increased as required at follow-up.\u0000Results: Maximum daily dose of baclofen was 24.29 ± 2.19 mg and topiramate 120 ± 33.21 mg. Baclofen group patients had significant improvement in second week (OCDS T score 16.41± 9.52) while topiramate group showed significant improvement (OCDS T score 17.70 ± 7.57) after four weeks. Major side effects were tremors 8.10% in topiramate group, headache was 5.40% in both groups.\u0000Conclusion: Baclofen and topiramate were equally effective at six weeks for controlling cravings. Baclofen started to show significant improvements after two weeks of trial.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114505889","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

Morphological variation of coronoid process, sigmoid notch, and condylar process among patients of tertiary care centre of Nepal 尼泊尔三级保健中心患者冠突、乙状骨切迹和髁突的形态学变化

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50902

R. Chaulagain, Sanjeeb Chaudhary, P. Poudel, Ajeevan Gautam

{"title":"Morphological variation of coronoid process, sigmoid notch, and condylar process among patients of tertiary care centre of Nepal","authors":"R. Chaulagain, Sanjeeb Chaudhary, P. Poudel, Ajeevan Gautam","doi":"10.3126/jkmc.v11i3.50902","DOIUrl":"https://doi.org/10.3126/jkmc.v11i3.50902","url":null,"abstract":"Background: Mandibular ramus undergoes remodelling with time. The remodeling is also influenced by factors such as ageing, dental status, gender, stress, trauma, force exerted during occlusion, and joint diseases. Studies have reported variations in morphology of coronoid process, condylar process, and sigmoid notch of the mandible.\u0000Objectives: To assess the morphological variations of processes of mandible and the sigmoid notch in a tertiary care centre of Nepal.\u0000Methods: A retrospective study was conducted at Chitwan Medical College. This study included 310 orthopantomograms (OPGs) retrieved from the archives of the hospital data from 2022 May-June. All OPGs were taken with same radiographic equipment. Data taken in predesigned proforma were entered and analysed in SPSS v.16. Descriptive statistics was used to explain the results in tabulated form.\u0000Results: Among 310 OPGs assessed, 188 (60.6%) were female and rest male. Angled mandibular condyle was prevalent on both right 123 (39.7%) and left side 134 (43.2%). More than 50% of sigmoid notch was of sloping shape on both right and left side. Triangular type of coronoid process was present 185 (59.7%) on right side and 183 (59.0%) on left side. Among the coronoid process types, triangular was found more in male and females on both right and left sides.\u0000Conclusion: This study concluded that the angled type of condylar process, sloping type of sigmoid notch, and triangular type of coronoid process were more prevalent on both right and left side. All three parameters were also observed to be prevalent in females suggesting gender variation.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122527616","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