Journal of Kathmandu Medical College最新文献_第4页

Flipped classroom: A promising teaching approach for medical education 翻转课堂:一种很有前途的医学教学方法

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.48664

Megha Pradhan, Sujaya Gupta

引用次数: 1

Panuveitis after covishield vaccination in an undiagnosed immunocompromised patient: A rare case report from Nepal 未确诊免疫功能低下患者接种护膜后出现全葡萄膜炎:尼泊尔罕见病例报告

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.53073

Bipin Bista, R. Yadav, S. D. Sanyam, Sushma Chaudhary, Abinash Chaudhary, Sharad Gupta

引用次数: 0

Amplatzer atrial septal defect occluder device embolisation to right pulmonary artery Amplatzer房间隔缺损封堵器栓塞右肺动脉

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.48673

P. Khakural, R. Baral, A. Bhattarai, B. Koirala

引用次数: 0

Maxillary labial frenulum attachment among patients visiting a tertiary level hospital of Nepal 尼泊尔某三级医院患者上颌唇系带附着的研究

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.48668

S. Dahal, S. Gupta, Radha Baral, S. Dahal, D. Niroula, M. Humagain

{"title":"Maxillary labial frenulum attachment among patients visiting a tertiary level hospital of Nepal","authors":"S. Dahal, S. Gupta, Radha Baral, S. Dahal, D. Niroula, M. Humagain","doi":"10.3126/jkmc.v11i2.48668","DOIUrl":"https://doi.org/10.3126/jkmc.v11i2.48668","url":null,"abstract":"Background: The maxillary labial frenum is frequently inserted in the mucogingival junction. However, it may show variation in attachment. Despite the fact that an aberrant labial frenum has been associated to a range of syndromic and non-syndromic disorders, it is frequently overlooked during routine intraoral examinations. Objectives: To find the prevalence of types of maxillary labial frenum attachment in patients visiting tertiary hospital in Nepal. Methods: This analytical cross-sectional study comprised of 140 patients visiting the dental outpatient department of Tribhuvan University Teaching Hospital from December 23, 2021 to March 13, 2022. Investigators assessed the patient’s frenum insertion in the dental chair with the lip softly pulled away from the alveolar process in a nearly horizontal direction under good lighting. Data were entered and analysed statistically using SPSS.v21 where mean, standard deviation, frequency, and percentage were calculated depending upon the nature of data. Fisher’s exact test was done to determine the association of age category and sex with the types of frenulum attachment. Results: Most of the individuals (83, 59.3%) had the mucosal type of frenum followed by gingival (46, 32.9%), papillary (9, 6.4%), and least with papillary penetrating (2, 1.4%). Age and sex did not show any association with types of frenulum attachment. Conclusion: The insertion level of the labial frenum may vary, implying the significance of careful assessment during an intraoral examination. It also suggests that in presence of the abnormal attachment, an effective treatment approach planned timely could prevent gingival and interdental papilla pathological alterations.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"58 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":"130952492","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: 2

Analysis of smile pattern at a tertiary care centre 某三级保健中心微笑模式分析

Journal of Kathmandu Medical College Pub Date : 2022-07-01 DOI: 10.3126/jkmc.v11i2.49092

K. R. Joshi, Anupama Shrestha, L. Khanal, M. Guragain, A. Bhochhibhoya, Suvit Maskey, Shishtata Khanal

{"title":"Analysis of smile pattern at a tertiary care centre","authors":"K. R. Joshi, Anupama Shrestha, L. Khanal, M. Guragain, A. Bhochhibhoya, Suvit Maskey, Shishtata Khanal","doi":"10.3126/jkmc.v11i2.49092","DOIUrl":"https://doi.org/10.3126/jkmc.v11i2.49092","url":null,"abstract":"Background: The treatment of the aesthetic region of mouth is complicated. Knowledge of the smile pattern which includes smile line, smile curvature, smile arc, labiodental relation, and tooth exposed determines the success of treatment. This is helpful in the diagnosis and treatment planning phases of aesthetic dentistry. Objectives: To determine the smile pattern in aesthetic region and to compare the different smile patterns. Methods: This analytical cross-sectional study was done in the department of Prosthodontics and Maxillofacial Prosthesis, Universal College of Medical Sciences, Nepal from 15th October 2021 to 15th March 2022. A total number of 355 samples were taken by convenience sampling technique. After receiving participant’s consent, study was carried out using a digital camera. The camera was set to primarily capture the area between nose and chin, with lens parallel to the apparent occlusal plane of the participants. For study purpose, individuals were told to sit and hold head normally with their head in level with Frankfort horizontal plane. Results: The total number of participants were 355 out of which 153 (43.09%) were male and 202 (56.91%) were female. In the smile line pattern, the “Average” smile line was prevalent in a maximum number of participants (223, 62.8%) followed by the high and low smile lines. There was a significant relationship between the smile arc, labiodental relationship, and the tooth displayed. Conclusion: The findings of this study determines the smile pattern of this region, thus this will be helpful in the diagnosis and treatment planning during the treatment.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"54 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":"125498393","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

Clinico pathological study of Odontogenic cysts and tumors in a Tertiary care Dental hospital of Nepal 尼泊尔一家三级牙科医院牙源性囊肿和肿瘤的临床病理研究

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45495

D. Bajracharya, B. Ojha, S. Koju, N. Maharjan

{"title":"Clinico pathological study of Odontogenic cysts and tumors in a Tertiary care Dental hospital of Nepal","authors":"D. Bajracharya, B. Ojha, S. Koju, N. Maharjan","doi":"10.3126/jkmc.v11i1.45495","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45495","url":null,"abstract":"Background: Diagnosis of odontogenic cysts and tumours requires detailed clinical, radiographical, and histopathological findings. Fourth edition WHO 2017, classification of Head and Neck lesions, reclassified odontogenic cysts and tumours. Objectives: To know relative frequency of odontogenic cysts and tumours according to WHO 2017 classification and to know their clinico-pathological characteristics in selected population of Nepal. Methods: An analytical cross-sectional study was done in 163 biopsies. Data were obtained conveniently from records of patients diagnosed with odontogenic cysts and tumours from April 2014-2021. Cases with complete clinical details were included whereas non-odontogenic cysts, oral soft tissue, and salivary gland lesions were excluded. Reclassification according to WHO 2017 classification was done. Age, gender, site, clinical presentations, and histological type were analysed using SPSS v.21. Results: In total of 163 biopsies, 120 (73.62%) cases were of odontogenic cysts and 43 (26.38%) cases were of odontogenic tumours. The mean age of occurrence for cysts was 33.35 ± 16.67 years and for tumours was 28.91 ± 13.96 years. Radicular cyst (49/120, 40.83%) and conventional ameloblastoma (23/43 53.48%) were the commonest cysts and tumours. Male (67/120, 55.83%) and female (24/43, 55.81%) predisposition was seen in cysts and tumours. Mandibular middle and posterior region were commonly affected in both cysts (58/162, 35.8%) and tumours (38/53, 71.7%). Conclusion: Increased frequency of radicular cysts and conventional ameloblastoma were appreciated with male predisposition in tumours and female predisposition in cysts. Both cysts and tumours were common in second to third decade of life affecting middle and posterior region of mandible.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116615669","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

Gastrointestinal manifestations and outcomes of hospitalised patients with COVID-19 disease 2019冠状病毒病住院患者胃肠道表现及转归

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45496

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

{"title":"Gastrointestinal manifestations and outcomes of hospitalised patients with COVID-19 disease","authors":"Shekhar Poudel, S. Poudel, Aakash Mishra, T. Bhattarai","doi":"10.3126/jkmc.v11i1.45496","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45496","url":null,"abstract":"Background: COVID-19 infection usually presents with respiratory symptoms. Many hospitalised patients of COVID-19 present with gastrointestinal symptoms which can alter the clinical outcomes of patients. Objectives: To characterise the gastrointestinal manifestations of COVID-19 patients requiring hospitalisation and their correlation with disease severity and clinical outcomes. Methods: This was a single centre prospective, observational, cohort study done at Kathmandu Medical College, a tertiary health care centre after ethical clearance. All consecutive hospitalised patients with COVID-19 disease admitted during May and June 2021 were included in the study after ethical clearance. Diagnosis of COVID-19 infection was done by RT-PCR. Gastrointestinal symptoms of abdominal pain, aguesia, nausea/vomiting, and diarrhoea were recorded on hospital admission and outcomes accessed at discharge. Data were analysed using SPSS v.24. Results: A total of 196 consecutive adult patients with COVID-19 infection were included in study. Gastrointestinal symptoms were recorded in 48 (24.5%) patients. The most frequent symptom was nausea/vomiting (23, 11.7%) followed by aguesia (19, 9.7%), diarrhoea (14, 7.1%), and abdominal pain (8, 4.1%). There was no significant association between duration of hospital stay and presence of gastrointestinal symptoms (10.15 vs 10.95 days; p = 0.481). No significance was seen on association of gastrointestinal symptoms with ICU admission and mortality but requirement of mechanical ventilation was significantly higher in patients without symptoms (10.4 vs 23.6%; p = 0.048). Conclusion: Significant proportion of patients with COVID-19 infection can have gastrointestinal manifestations. Presences of these symptoms do not have any association with the final clinical outcome of the patient.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125562011","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: 2

Nutritional and immunisation status of children visiting hospital during COVID-19 pandemic in Kathmandu, Nepal 尼泊尔加德满都COVID-19大流行期间住院儿童的营养和免疫状况

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45486

P. Kayastha, Vijay Chikanbanjar, R. Panday, S. Manandhar

{"title":"Nutritional and immunisation status of children visiting hospital during COVID-19 pandemic in Kathmandu, Nepal","authors":"P. Kayastha, Vijay Chikanbanjar, R. Panday, S. Manandhar","doi":"10.3126/jkmc.v11i1.45486","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45486","url":null,"abstract":"Background: The coronavirus disease-2019 (COVID -19) outbreak and lockdown measures have given challenges related to food production, food supply chain, indulgence in low healthy processed food, lack of public transportation, difficulties in accessing emergency and regular health services. Nepal already has high burden of child mortality (39 deaths per 1000 live births) and this pandemic situation has put children at greater risk of facing hunger, malnutrition, lack of routine immunisation, communicable disease outbreak, and many more psychological as well as physical health issues. Objectives: This study identifies nutritional status and gap in routine vaccination in children during COVID-19 pandemic thereby help in modelling action plan to prevent an outpouring in malnutrition and vaccine preventable infections in children. Methods: This is a hospital-based analytical cross-sectional study done among 138 children of ages one to 59 months old from 1st January 2021 to 1st August 2021 attending paediatric clinic of KMCTH. Results: In this study, 20 (14.4%) of the children were stunted, 23 (16.6%) were wasted and 15 (10.8%) were categorised under undernutrition, three (2.2%) were overweight and three (2.2%) were obese. There were significantly more male children stunted than female (p-value = 0.005). Thirty-five (33.3%) of less than 15 months children were reported to have delay of more than two weeks in routine immunisation of children. A significant delay of more than four weeks was observed in 29 (27.6%). Conclusion: Indirect impact of COVID-19 pandemic in children like malnutrition and gap in routine vaccination needs to be addressed seriously in Nepal.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126205837","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

Is anterior cruciate ligament reconstruction necessary for the non-sporting population? 非运动人群需要前交叉韧带重建吗?

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45491

R. Manandhar, Krishna Raj Khanal, S. Gautam, Aman Gupta, Himal Khanal, Suraj Bhusal

{"title":"Is anterior cruciate ligament reconstruction necessary for the non-sporting population?","authors":"R. Manandhar, Krishna Raj Khanal, S. Gautam, Aman Gupta, Himal Khanal, Suraj Bhusal","doi":"10.3126/jkmc.v11i1.45491","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45491","url":null,"abstract":"Background: Anterior cruciate ligament injury (ACL) is a common injury in both sporting and non-sporting population. All patients with an ACL injury may not require surgery. The criteria for deciding whether a reconstruction should be performed are not absolute and the trend is to offer reconstruction to the sporting population as they require a stable knee to perform in their line of work. The non-sporting population also require a stable knee to perform their daily activities. Objectives: To assess functional outcome in the non-sporting patients following reconstruction. Methods: A prospective observational analytical study was conducted in the age group from 18 to 55 years, with symptomatic ACL injury who were not involved in sporting activities from July 2020 to December 2021. Fifty patients participated in the study. Convenience sampling technique was used. The IKDC and Lysholm scores were used preoperatively and six months post-operatively to assess the benefit of the treatment. Results: Out of 50 patients, four were lost to follow up. Out of total 46 patients, 29 (63.04%) patients were male and 17 (36.96%) patients were female. The mean age of patients was 31.61 ± 7.38 years. The IKDC and Lysholm scores measured preoperatively were 47.07 ± 7.51 and 52.17 ± 7.91 and the six-month post-operative scores were 86.73 ± 5.54 and 90.69 ± 4.63 respectively. Conclusion: The patients from the non-sporting population who underwent ACL reconstruction had significantly improved IKDC as well as Lysholm scores compared to their function prior to the procedure.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132697045","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

Brain drain in Nepal and the plight of young health professionals 尼泊尔的人才流失和年轻卫生专业人员的困境

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45484

Subij Shakya

引用次数: 1