Journal of Kathmandu Medical College最新文献_第3页

Authorship: An academic currency? 作者身份:学术货币?

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50793

Aakanksha Khadka, Sujaya Gupta

引用次数: 0

Mental stress among patients undergoing orthodontic treatment during coronavirus-19 global pandemic 冠状病毒全球大流行期间正畸治疗患者的精神压力

Journal of Kathmandu Medical College Pub Date : 2022-10-01 DOI: 10.3126/jkmc.v11i3.50785

Prabesh Sherchan, D. Gurung, Subekshya Bogati, Sujaya Gupta

{"title":"Mental stress among patients undergoing orthodontic treatment during coronavirus-19 global pandemic","authors":"Prabesh Sherchan, D. Gurung, Subekshya Bogati, Sujaya Gupta","doi":"10.3126/jkmc.v11i3.50785","DOIUrl":"https://doi.org/10.3126/jkmc.v11i3.50785","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) is the most recent disease of corona virus family that impacted people all over the world. Subsequent lockdown and fear of disease transmission greatly affected the orthodontic appointments, treatments, as well as mental health.\u0000Objectives: To assess the mental stress among patients undergoing orthodontic patients during COVID-19 pandemic.\u0000Methods: A descriptive cross-sectional study was conducted among individuals undergoing orthodontic treatment in the department of Orthodontics and Dentofacial Orthopaedics in Dental Hospital of Kathmandu Medical College from 2020 December to 2021 February after institutional ethical approval. Data were collected from 108 participants by convenience sampling technique using questionnaire. Exclusion criteria included patients who answered <75% questions and those who did not sign the informed consent form. Data were analysed for descriptive statistics in SPSS v.22.\u0000Results: Among all 108 patients, nine (8.3%) were very much worried that COVID-19 outbreak might cause teeth not to move as expected and 40 (37.1%) participants were very much depressed. Regarding perception of individuals concerning COVID-19 pandemic, 44 (40.7%) participants thought they had adequate knowledge about COVID-19. Almost half (48, 44.4%) patients in this study felt very much nervous that nothing could calm them. When participants were asked what were their main concerns for COVID-19 outbreak, more than half (60, 55.6%) responded risk of infection and 71 (65.7%) reported the impact on their work or study as their main concerns.\u0000Conclusion: As Orthodontists we must be aware of similar threats in future and take measures to improve the accessibility to dental practice.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"31 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":"133264743","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

Experience-complexity gap: A new challenge for nursing 经验-复杂性差距:护理面临的新挑战

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.48675

Ahmed Lateef Alkhaqani

引用次数: 1

Ultrasound correlation of transcerebellar diameter with last menstrual period for gestational age in second and third trimester of pregnancy 经小脑直径与妊娠中晚期末次月经期的超声相关性

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.48669

Smriti Mulmi, M. V. Shrestha, S. Pradhan, N. Thapa

{"title":"Ultrasound correlation of transcerebellar diameter with last menstrual period for gestational age in second and third trimester of pregnancy","authors":"Smriti Mulmi, M. V. Shrestha, S. Pradhan, N. Thapa","doi":"10.3126/jkmc.v11i2.48669","DOIUrl":"https://doi.org/10.3126/jkmc.v11i2.48669","url":null,"abstract":"Background: Foetal biometry is useful modality in assessment of gestational age (GA) for good obstetric outcome. Objectives: To compare ultrasonographic measurement of transverse cerebellar diameter (TCD) with other previously established foetal ultrasound biometric parameters. Methods: An analytical cross-sectional study was conducted from August 2020 to February 2021 in Department of Radiology at Kathmandu Medical College after ethical clearance. Convenience sampling technique was utilised to include all pregnant women in second and third trimester with known last menstrual period (LMP). Written informed consent was taken from those willing to participate. Congenital malformations, multiple pregnancies, irregular menstrual cycle, and maternal illness were excluded. Data were entered and analysed by using SPSS v.22. Descriptive statistics like mean, standard deviation, and percent were used. Inferential statistics (t- test and Pearson correlation) was also used to see the correlation between different variables. Results: Among 100 participants who participated in the study, 63 (63%) were primigravida with singleton pregnancy without any congenital anomalies. The mean foetal heart rate was 144.9 ± 13.6. The mean GA based on LMP, TCD, and other parameters were 30.86 ± 7.76 weeks, 31.07 ± 8.45 weeks, and 29.75 ± 6.61 weeks respectively. In 15-28 weeks, all parameters had nearly equal r-values. Among all, TCD revealed highest correlation (0.888). In 29-40 weeks, there was considerable difference in r-values. The second most accurate correlation was seen with head circumference (r = 0.874). Conclusion: TCD being stable parameter not affected by foetal growth status maybe preferred over other parameters in estimating foetal gestational age.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122528679","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

Comparing the outcome of lateral versus posterior approach for hemi-replacement arthroplasty for neck of femur fracture: A randomised controlled trial 比较外侧入路与后路半置换术治疗股骨颈骨折的疗效:一项随机对照试验

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.48667

P. Kafle, R. Maharjan, P. Chaudhary, A. B. Shah, Nishchal Rijal, Pratikshya Dawadi

{"title":"Comparing the outcome of lateral versus posterior approach for hemi-replacement arthroplasty for neck of femur fracture: A randomised controlled trial","authors":"P. Kafle, R. Maharjan, P. Chaudhary, A. B. Shah, Nishchal Rijal, Pratikshya Dawadi","doi":"10.3126/jkmc.v11i2.48667","DOIUrl":"https://doi.org/10.3126/jkmc.v11i2.48667","url":null,"abstract":"Background: Among commonly used approaches, posterior approach (Moore’s) results in better regain of function as it require less muscle dissection, while the lateral approach (Hardinge’s) has a lower risk of dislocation. Objectives: To compare the functional outcome between lateral and posterior approaches for hemiarthroplasty. Methods: This parallel design randomised controlled trial of equivalence (allocation ratio 1:1) was conducted in the department of orthopaedics, BP Koirala Institute of Health Sciences with institutional ethical clearance. Fifty eligible patients of >60 years with isolated traumatic displaced neck of femur fracture, presenting during study period from September 2017 to August 2019, were conveniently recruited and randomly allocated by using computerised Excel random number generation technique to undergo hemi-replacement arthroplasty either by lateral approach (N = 25) or by posterior approach (N = 25) and were evaluated at six weeks, three months, six months, and twelve months. Final statistical analysis was done using SPSS v.20 software among 45 patients because four deceased and one was lost to follow-up. The p-value <0.05 was considered statistically significant. Results: The functional outcome as measured by the Modified Harris Hip score at one year was 83.78 ± 5.89 for lateral approach and 80.40 ± 7.56 for posterior approach group (p = 0.102). The hip pain, mean blood loss, operative time, and prothesis size was similar between the two approaches. Conclusion: The study showed that there was no significant difference between the two approaches for hemireplacement arthroplasty in terms of mean operating time, hip pain, and functional outcomes.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115104384","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

Knowledge and perception towards COVID-19 vaccination among health care workers at a tertiary care centre 三级保健中心卫生保健工作者对COVID-19疫苗接种的知识和认知

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.48672

Subash Pant, P. Shrestha, Rajat Acharya, Mathura Kc

{"title":"Knowledge and perception towards COVID-19 vaccination among health care workers at a tertiary care centre","authors":"Subash Pant, P. Shrestha, Rajat Acharya, Mathura Kc","doi":"10.3126/jkmc.v11i2.48672","DOIUrl":"https://doi.org/10.3126/jkmc.v11i2.48672","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) has caused an enormous impact on the health care system. The most effective way of controlling infectious diseases like COVID-19 is often vaccination. Health care workers have a key role in reducing the burden of the pandemic, role modeling preventive behaviours, and helping to vaccinate others. Objective: The aim of the study was to find the knowledge, and perception towards COVID-19 vaccination among health care workers. Methods: A descriptive cross-sectional study was conducted at Kathmandu Medical College Teaching Hospital from 1st June 2021 to 30th June 2021. Ethical clearance was taken from the institutional review committee (Ref. 2005202101). Convenience sampling was done. All the health care workers of the hospital who provided consent for the study were included in the study. Collected data were entered and analysed using SPSS v.24. Results: In this study, 270 health care workers were included, out of which 90 (33.3%) were male and 180 (66.7%) were female. The majority (176, 65.2%) of the health care workers got vaccinated to boost their immunity. The most common factor causing COVID-19 vaccine hesitancy in health care workers initially was the safety of the vaccine (133, 49.3%). Conclusion: The majority of the participants had good knowledge and positive perception of the COVID-19 vaccines. It demonstrates the need for effective education and communication designed to enhance knowledge about the COVID-19 vaccine and to teach vaccine counselling skills to the health care workers.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115252008","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 of optic nerve sheath diameter with direct intracranial pressure measurement in neurosurgical patients 神经外科患者视神经鞘直径与直接颅内压测量的关系

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.48671

B. Kc, Amit Thapa

{"title":"Association of optic nerve sheath diameter with direct intracranial pressure measurement in neurosurgical patients","authors":"B. Kc, Amit Thapa","doi":"10.3126/jkmc.v11i2.48671","DOIUrl":"https://doi.org/10.3126/jkmc.v11i2.48671","url":null,"abstract":"Background: Invasive intracranial devices are gold standard for measurement of intracranial pressure (ICP), however optic nerve sheath diameter (ONSD) by using ultrasound is emerging lately as a non-invasive bedside tool. Objectives: This study aimed to find association between ONSD and invasive ICP and also to find optimum cut off of ONSD to detect raised ICP. Methods: An analytical observational study using a convenience sample was done at Department of Neurosurgery, Kathmandu Medical College from March 1, 2022 and March 31, 2022. The ONSD of both the eyes were measured using ultrasound in patients with ventriculostomy catheter. Simultaneous ICP was also recorded. The Pearson’s correlation coefficient was used to assess an association between the ONSD and direct ICP measurement. Results: Total of 40 ONSD measurements were done in 12 neurosurgical patients. Age of patients ranged from 17-75 years with mean age of 47.33 ± 17.67 years with male to female ratio of 1:2 respectively. Pearson’s correlation coefficient of ONSD and invasive ICP was 0.86 (p-value <0.001) showing significant correlation. Receiver operator characteristic curve generated an area under the curve with value of 0.93 (95% of confidence interval = 0.86 to 1.00). The ONSD cut off value of >5 mm predicted ICP >20 mmHg with a sensitivity of 92.3% and specificity of 85.2%. Conclusion: There exists a significant correlation between ONSD and invasive ICP with optimal cut off >5 mm to detect raised ICP.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127432517","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

Effectiveness of local injection of autologous blood versus corticosteroid in treatment of tennis elbow 局部注射自体血与皮质类固醇治疗网球肘的疗效比较

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.48666

T. Prasai, Krishna Raj Khanal, Nanda Kishor Shah, R. Pradhan, Bimal Kumar Pandey

{"title":"Effectiveness of local injection of autologous blood versus corticosteroid in treatment of tennis elbow","authors":"T. Prasai, Krishna Raj Khanal, Nanda Kishor Shah, R. Pradhan, Bimal Kumar Pandey","doi":"10.3126/jkmc.v11i2.48666","DOIUrl":"https://doi.org/10.3126/jkmc.v11i2.48666","url":null,"abstract":"Background: Tennis elbow or lateral epicondylitis is characterised by pain and tenderness at the lateral epicondyle of humerus. There are various treatment modalities recommended, but there is no universally accepted therapeutic modality yet. Objectives: To compare the functional outcomes of local injection of corticosteroid versus autologous whole blood for tennis elbow. Methods: This was a non-randomised trial conducted from May 2020 to January 2021 after ethical clearance. Patients attending orthopaedic surgery outpatient department, Kathmandu Medical College with lateral epicondylitis of the humerus were included by convenience sampling into corticosteroid group or autologous blood injection group based on whether they presented on odd or even calendar days respectively. There were 38 patients in corticosteroid group and 36 patients in autologous blood group. The visual analogue scale (VAS) and Nirschl staging system were calculated before injection, and then at one week, six weeks, and six months after injection. Results: Patients in both groups showed statistically significant decrease in pain from preinjection scores on both VAS and Nirschl scale at all follow-ups. There was no statistically significant difference between the two groups up to six weeks. At six months, autologous blood injection group showed statistically significant decrease in pain compared with corticosteroid injection group on both scoring systems. Conclusion: Both groups showed comparable improvement up to six-week follow-up. Autologous blood injection group had significantly better improvement at six months. Autologous blood injection was more effective than corticosteroid injection at midterm follow-up, and had lower recurrence rate.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130787781","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

Clinical profile of COVID-19 patients admitted in a tertiary care hospital of Nepal: A descriptive cross-sectional study 尼泊尔一家三级医院收治的COVID-19患者的临床概况:一项描述性横断面研究

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.48670

S. Poudel, Shekhar Poudel, P. Shrestha, T. Bhattarai, Aakash Mishra

{"title":"Clinical profile of COVID-19 patients admitted in a tertiary care hospital of Nepal: A descriptive cross-sectional study","authors":"S. Poudel, Shekhar Poudel, P. Shrestha, T. Bhattarai, Aakash Mishra","doi":"10.3126/jkmc.v11i2.48670","DOIUrl":"https://doi.org/10.3126/jkmc.v11i2.48670","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) causes mild to severe respiratory illness and is associated with ICU admission and mortality. Since data regarding clinical profile of COVID-19 patients in Nepal is still lacking, it is important to study clinical behaviour of COVID-19 in Nepal. In this study the demographic profile, clinical features, lab parameters, and outcomes in hospitalised COVID-19 patients in a tertiary care hospital are reported. Objective: To assess the clinical profile in terms of clinical symptoms, laboratory parameters, and outcome of COVID-19 admitted patients in a tertiary care hospital. Methods: This is a descriptive cross-sectional study conducted at KMCTH, from June 1, 2021 to July 31, 2021 after taking ethical clearance from institutional review committee. All patients infected with COVID-19 admitted in this hospital, from June 1, 2021 to July 31, 2021 were included by convenience sampling. Data were collected, and entry and analysis were done in Microsoft Excel Sheet 2007. Results: During the study period, 245 COVID-19 patients were admitted and were included in the study. The median age of the patients was 55 years, the mean age was 55 ± 17 years, and 139 (56.74%) were male. The common presenting complaints were cough in 180 (73.47%) followed by fever in 176 (71.84%) patients. Most common comorbidity found was hypertension in 89 (36.33%), followed by diabetes in 50 (20.44%). Conclusion: In this single-centred study, the characteristic features included presence of comorbidities, higher level of inflammatory markers, and high mortality rate in severe to critical hospitalised COVID-19 patients.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"1212 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114158497","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

Effect of Risperidone and Olanzapine on blood glucose levels and lipid profile among individuals with schizophrenia 利培酮和奥氮平对精神分裂症患者血糖水平和血脂的影响

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.49091

V. Kaul, P. Rai

{"title":"Effect of Risperidone and Olanzapine on blood glucose levels and lipid profile among individuals with schizophrenia","authors":"V. Kaul, P. Rai","doi":"10.3126/jkmc.v11i2.49091","DOIUrl":"https://doi.org/10.3126/jkmc.v11i2.49091","url":null,"abstract":"Background: Treatment of schizophrenia requires use of antipsychotics for considerable time. Studies established that patients have risk of metabolic side effects. Objectives: To study fasting blood glucose levels and lipid profile in schizophrenic patients and to see that same was present in study population. Methods: This study was conducted at psychiatry outpatient department, Nobel Medical College and Teaching Hospital Kanchanbari Biratnagar from October 2018 till august 2019 after due approval from college ethics committee. A total of 50 consenting drug naive schizophrenia patients 17- 60 years of age, with no comorbidity, were divided alternatively into two groups. group 1 was treated with olanzapine, group 2 with risperidone for eight weeks. With flexible dosage for ease of the therapy and individual patient requirement. Fasting blood glucose and lipid profile was measured at day baseline, four, eight weeks. Results: There was rise of fasting blood glucose in both groups but more in olanzapine group with no statistically significant intergroup difference (The p-value after eight weeks was 0.504). In lipid profile, mean total cholesterol levels were higher in the group 1, (p = 0.005 after eight weeks). Triglycerides, on intergroup comparison significant difference (p = 0.002) was noted. Higher values in group 1 were recorded. However, very low-density lipoprotein was elevated (p = 0.003) in group1 only. Conclusion: olanzapine and risperidone cause non-significant rise in fasting blood sugar. Olanzapine caused statistically significant rise of total cholesterol, triglycerides, very low-density lipoprotein as compared to risperidone.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130918414","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