Journal of Kathmandu Medical College最新文献

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Analysis of a health camp at a rural set up in Nepal 对尼泊尔农村卫生营的分析
Journal of Kathmandu Medical College Pub Date : 2021-12-31 DOI: 10.3126/jkmc.v10i4.43864
C. Karki, C. Karki, R. Basnet, Punam Basnet Dixit, Ashik Rajak
{"title":"Analysis of a health camp at a rural set up in Nepal","authors":"C. Karki, C. Karki, R. Basnet, Punam Basnet Dixit, Ashik Rajak","doi":"10.3126/jkmc.v10i4.43864","DOIUrl":"https://doi.org/10.3126/jkmc.v10i4.43864","url":null,"abstract":"Background: In Nepal where there is lack of health facilities in rural areas, health camps play an important role in providing health services. It is important to analyse health camps to determine the area of need and further planning. An analysis of a multispecialty health camp was done in Aurahi of Mahottari district which is one of the most rural areas of Nepal. \u0000Objectives: To quantitatively determine the population utilising the multispecialty health along with the patients’ demographic data and major health problems present in the area.\u0000Methods: A descriptive cross sectional study was conducted among 2560 people attending a health camp organised during 19th to 25th December 2019. Information was collected using registers with consent. Ethical clearance for the study was obtained from the Institutional Review Committee (IRC). The data were entered and analysed in Microsoft Excel.\u0000Results: Two thousand five hundred and sixty people which comprised 8.06% of the total population of the municipality reached out for services at the health camp. The number and percentage of population attending respective speciality were Nutrition - 869 (33.93%), Dental - 429 (16.75%), Gynaecology - 398 (15.50%), Medicine - 268 (10.46%), Obstetrics - 218 (8.52%), non-specific symptoms - 152 (5.94%), Dermatology - 122 (4.77%), ENT - 82 (3.22%) and Surgery - 50 (1.97%) respectively.\u0000Conclusion: The study shows presence of significant unmet health needs in this rural district of Nepal due to the lack of basic health services in the region.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"2016 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127417845","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
Use of herbal products and dietary supplements and its perception among people during the COVID-19 pandemic 在COVID-19大流行期间,草药产品和膳食补充剂的使用及其在人们中的认知
Journal of Kathmandu Medical College Pub Date : 2021-12-31 DOI: 10.3126/jkmc.v10i4.43860
A. Acharya, Marina Vaidya Shrestha, A. K. Bhattarai
{"title":"Use of herbal products and dietary supplements and its perception among people during the COVID-19 pandemic","authors":"A. Acharya, Marina Vaidya Shrestha, A. K. Bhattarai","doi":"10.3126/jkmc.v10i4.43860","DOIUrl":"https://doi.org/10.3126/jkmc.v10i4.43860","url":null,"abstract":"Background: In Nepal herbal medicines are popular and are used along with or instead of allopathic medicines. Scarcity of efficient and new pharmacological treatment and vaccine for COVID-19 has made people find alternative ways to prevent or treat the disease, including measures like use of herbal products. Evidence-based use of herbal products should be implemented to ensure patient safety.\u0000Objectives: To determine the prevalence of use of herbal products during COVID-19 and to find patients perception regarding their use.\u0000Methods: A descriptive online cross-sectional study was conducted among adult Nepali population from 5th February to 6th June 2021 after ethical clearance at Kathmandu Medical College. Convenience sampling was used to request 292 adults who could be traced through social media, living in Nepal, one member from one household were included. Participants unable to respond to English were excluded. Questionnaires consisting of socio-demographic characteristics, use of herbal products, Likert scale to measure perception was used. Data were transferred into Excel sheet and exported to SPSS v.20 for analysis.\u0000Results: Prevalence of use of herbal products during COVID-19 was 206 (70.5%). Most common used products were Lime, Turmeric, Ginger, Honey, and Garlic. Of all, 95 (32.5%) respondents indicated that they preferred herbal products over prescription medicine for prevention and treatment of COVID-19.\u0000Conclusion: The prevalence of use of herbal products was high during the COVID-19 pandemic and almost half of the participants had perception that compared to prescription medicines herbal products were safer, had less adverse effects and were of better quality.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123443033","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
Liver haematoma in pregnancy: A rare complication of HELLP syndrome 妊娠期肝血肿:HELLP综合征的罕见并发症
Journal of Kathmandu Medical College Pub Date : 2021-11-23 DOI: 10.3126/jkmc.v10i2.40071
Chandan Pandey, J. Shrestha, B. Timilsina, Prerana Bhattarai, Apariharya Rana
{"title":"Liver haematoma in pregnancy: A rare complication of HELLP syndrome","authors":"Chandan Pandey, J. Shrestha, B. Timilsina, Prerana Bhattarai, Apariharya Rana","doi":"10.3126/jkmc.v10i2.40071","DOIUrl":"https://doi.org/10.3126/jkmc.v10i2.40071","url":null,"abstract":"Liver haematoma complicating pregnancy with HELLP syndrome is a rare but life-threatening condition. Diagnosis requires a high index of suspicion. Here a case of liver haematoma is presented in a 29 years multigravida at 34 weeks of pregnancy. Initially hypertension was not revealed since she had presented in shock. She had presented with on and off epigastric pain for many days. In context of haemoperitoneum in ultrasound, emergency laparotomy was done and liver haematoma diagnosed intraoperatively. Haematoma was managed with packing and second look laparotomy was done to remove the packs. Haematoma gradually resolved over period of months.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124286389","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
Game-based learning in medical education 医学教育中的游戏学习
Journal of Kathmandu Medical College Pub Date : 2021-11-23 DOI: 10.3126/jkmc.v10i2.40015
Sanjaya Mani Dixit
{"title":"Game-based learning in medical education","authors":"Sanjaya Mani Dixit","doi":"10.3126/jkmc.v10i2.40015","DOIUrl":"https://doi.org/10.3126/jkmc.v10i2.40015","url":null,"abstract":"Not applicable.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129333712","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
Eosinophilic pleural effusion in an eleven-year-old boy 11岁男童嗜酸性胸腔积液
Journal of Kathmandu Medical College Pub Date : 2021-11-23 DOI: 10.3126/jkmc.v10i2.40063
K. N. Shakya, A. Shrestha, Arabindra Yadav, U. Gautam, R. Panday, Mira Lamichhane
{"title":"Eosinophilic pleural effusion in an eleven-year-old boy","authors":"K. N. Shakya, A. Shrestha, Arabindra Yadav, U. Gautam, R. Panday, Mira Lamichhane","doi":"10.3126/jkmc.v10i2.40063","DOIUrl":"https://doi.org/10.3126/jkmc.v10i2.40063","url":null,"abstract":"Pleural effusion fluid with ?10% eosinophils may be seen in 5-16% of exudative pleural effusions. Its association with helminthic infestation is reported in the literature. This patient with left-sided eosinophilic pleural effusion was a referred case from another hospital and treated initially as parapneumonic. With inadequate response to antibiotics and a markedly high IgE level praziquantel was started. This resulted in rapid disappearance of symptoms, decrease in the eosinophil count, and radiological improvement. After exclusion of parapneumonic, tuberculosis, autoimmune disease, and malignancy, a trial of antihelminthics should be considered an option. This may spare unnecessary investigations.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126718161","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
Oral Zinc supplementation in the treatment of sepsis in Nepalese children: A double-blind randomised placebo-controlled trial 口服锌补充剂治疗尼泊尔儿童败血症:一项双盲随机安慰剂对照试验
Journal of Kathmandu Medical College Pub Date : 2021-11-23 DOI: 10.3126/jkmc.v10i2.40019
Shyam Prasad Kafle, Lalan Prasad Rauniyar, Eqtedar Ahmad, N. Koirala, Maya Rouniyar
{"title":"Oral Zinc supplementation in the treatment of sepsis in Nepalese children: A double-blind randomised placebo-controlled trial","authors":"Shyam Prasad Kafle, Lalan Prasad Rauniyar, Eqtedar Ahmad, N. Koirala, Maya Rouniyar","doi":"10.3126/jkmc.v10i2.40019","DOIUrl":"https://doi.org/10.3126/jkmc.v10i2.40019","url":null,"abstract":"Background: Sepsis is one of the most common causes of morbidity and mortality in young children. Zinc supplementation has a preventive effect against diarrhoeal diseases and respiratory infections, but little is known about its effect on the treatment of sepsis. \u0000Objectives: To evaluate the benefit of oral Zinc supplementation along with standard antimicrobial therapy in childhood sepsis. \u0000Methods: A randomised, double-blind controlled trial was conducted on 164 septic children between 1-15 years of age from 15th April 2017 to 14th April 2018 in a eastern Nepal tertiary care centre. Block randomisation was done with four participants in each block. There were 21 and 20 blocks in the intervention and in the placebo group respectively. Each child received oral zinc (20 mg elemental zinc/day) or a placebo once a day for 14 days.  Percentage was calculated for descriptive statistics and Chi-square for inferential statistics with 95% CI and p <0.05 for data analysis using SPSS v.16.\u0000Results: Of the participants, 84 (51.21%) received Zinc and 80 (48.79%) received a placebo in adjunct to the standard antimicrobial therapy. Most of the children 76 (46.34%) were under five years and were male 98 (59.75%), and 69 (42.07%) were underweight. Those receiving zinc and placebo had similar improvements at discharge; there was no reduction in the need for higher-order antibiotics or in the length of PICU/ hospital stay. Zinc supplementation in childhood sepsis had no benefit on decreasing mortality or decreasing severity (p >0.05).\u0000Conclusion: Zinc supplementation during childhood sepsis does not help in short-term clinical recovery.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134535554","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 and outcome of children with acute bacterial meningitis in a tertiary care centre in eastern Nepal 尼泊尔东部三级保健中心急性细菌性脑膜炎儿童的临床概况和结局
Journal of Kathmandu Medical College Pub Date : 2021-11-23 DOI: 10.3126/jkmc.v10i2.40016
M. Bhatta, S. Kafle, B. Rai, R. Subedi
{"title":"Clinical profile and outcome of children with acute bacterial meningitis in a tertiary care centre in eastern Nepal","authors":"M. Bhatta, S. Kafle, B. Rai, R. Subedi","doi":"10.3126/jkmc.v10i2.40016","DOIUrl":"https://doi.org/10.3126/jkmc.v10i2.40016","url":null,"abstract":"Background: Bacterial meningitis is a severe infection of the central nervous system with varied clinical presentations. It is associated with substantial mortality and morbidity.\u0000Objectives: The objective of this study was to assess the clinical profile, including the clinical features, laboratory and radiological parameters, clinical course, treatment, response to treatment, complications, and outcome of children at discharge.\u0000Methods: A prospective observational study was conducted among 52 inpatient children of acute bacterial meningitis aged one month to 14 years over a period of six months. The patients were enrolled during admission and followed up daily till discharge. Socio-demographic, clinical, and diagnostic details and outcomes were recorded and analysed using statistical package for social sciences version 20.\u0000Results: The median age of the patients was two years with male to female ratio of 2:1. Fever (45, 87%), vomiting (37, 71%), seizure (33, 64%) and headache (22, 46%) were the most common symptoms. The cerebrospinal fluid culture was positive in three (6%) cases. Complications were seen in 20 (39%) patients including four (7.7%) deaths. Patients with prolonged fever, malnutrition, loss of consciousness, ear discharge, presence of meningeal signs, abnormal pupil, high cerebrospinal fluid protein, positive cerebrospinal fluid, and blood culture, low blood pH, and hyperlactataemia were significantly associated with complications (p <0.05).\u0000Conclusion: Factors like malnutrition, longer duration of fever, and abnormal neurological and laboratory findings were associated with higher rates of complications.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128813264","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
Drain or no drain in Rhomboid excision and Limberg rotational flap for pilonidal sinus 菱形切除及Limberg旋转皮瓣治疗毛突窦引流或不引流
Journal of Kathmandu Medical College Pub Date : 2021-11-23 DOI: 10.3126/jkmc.v10i2.40018
A. Joshi, B. Acharya
{"title":"Drain or no drain in Rhomboid excision and Limberg rotational flap for pilonidal sinus","authors":"A. Joshi, B. Acharya","doi":"10.3126/jkmc.v10i2.40018","DOIUrl":"https://doi.org/10.3126/jkmc.v10i2.40018","url":null,"abstract":"Background: Healing in Rhomboid flap for pilonidal sinus is always a problem. Different measures are applied to reduce the rate of wound infection with variable results.\u0000Objectives: To determine the effect of routine use of drain on the rate of early wound complications and additional interventions after Rhomboid flap. \u0000Methods: A retrospective chart review of all cases that underwent Rhomboid flap in five years in two tertiary care centres was done. Complication rates such as wound infection, wound disruption, and flap necrosis were evaluated.\u0000Results: A total of 38 cases of Rhomboid flap are included for analysis. Out of all cases 37 cases were done for Pilonidal sinus and one case for presacral dermoid cyst. In the first eight cases, flap was made without drain and subsequent 30 cases were done with two suction drains for five days. The rate of superficial wound infection in the group without drain was found to be significantly higher compared with flap with drain 5 (in 8) versus 2 (in 30) (62.5% versus 6.66%, p <0.5). \u0000Conclusion: Drain placement after Rhomboid flap is a good intervention to reduce wound infection.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114255270","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
The profundity of mental health during the COVID-19 pandemic COVID-19大流行期间精神卫生的深度
Journal of Kathmandu Medical College Pub Date : 2021-11-23 DOI: 10.3126/jkmc.v10i2.40072
Avilasha Singh
{"title":"The profundity of mental health during the COVID-19 pandemic","authors":"Avilasha Singh","doi":"10.3126/jkmc.v10i2.40072","DOIUrl":"https://doi.org/10.3126/jkmc.v10i2.40072","url":null,"abstract":"Mental health has always been stigmatised and overlooked. Since, anxiety and stress are natural responses while facing a threat of new diseases. Hence, this pandemic has shown us the importance of mental health. During this time there have been many triggers that have caused repercussions in people’s mental health. Mental health crisis is on the rise. So, it is important to be able to tackle mental health problems as effectively as physical health problems, not only now but in the future as well, once and for all.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133332591","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
Feeding practices and early childhood caries among children with primary dentition 初级牙列儿童的喂养习惯和早期儿童龋齿
Journal of Kathmandu Medical College Pub Date : 2021-11-23 DOI: 10.3126/jkmc.v10i2.40017
S. Sundas, B. K. Sah, N. Dhakal, A. Rai, N. Joshi
{"title":"Feeding practices and early childhood caries among children with primary dentition","authors":"S. Sundas, B. K. Sah, N. Dhakal, A. Rai, N. Joshi","doi":"10.3126/jkmc.v10i2.40017","DOIUrl":"https://doi.org/10.3126/jkmc.v10i2.40017","url":null,"abstract":"Background: Early childhood caries (ECC) is major oral health problem of young children. Risk factors for ECC are poor oral hygiene and feeding practices. Prevalence and severity of ECC is increasing with change in lifestyle and diet pattern in developing countries.\u0000Objectives: To assess the association between feeding practices and severity of early childhood caries in preschool children.\u0000Methods: An analytical cross-sectional study was conducted with convenient sample of 96 children up to six years age in Peoples Dental College from July to December 2020. Clinical examination included the recording of dental caries (dmft) using WHO criteria. The self-validated questionnaire consisting seven questions about feeding practices was asked to mothers. The Chi-square test was performed to determine association between severity of ECC and feeding pattern.\u0000Results: Mean dmft was 6.77 ± 5.91. Prevalence of severe-ECC (S-ECC) was highest in youngest age group. Caries experience was similar in breast fed, bottle fed, and mixed. There was no significant difference in non-severe ECC and ECC in relation to duration of breast or bottle feeding but frequency of night feeding was associated with S-ECC. Children given ready-made infant formula solid food had more S-ECC (13, 92%) compared to non-severe ECC (1, 7.1%) which was statistically significant. Children given homemade gram flour food were noted to have less of S-ECC (5, 27.5%) than nonsevere ECC (13, 72.5%) which was statistically significant.\u0000Conclusion: Present study revealed that multiple night feeding and weaning with readymade food are significant factors for S-ECC.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125583492","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
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