Journal of Kathmandu Medical College最新文献

{"title":"Superior subconjunctival dislocation of intraocular lens following blunt trauma: A rare case report","authors":"Sharad Gupta, Reena Yadav, Satbodh Shrestha, Bipin Bista, V. Gupta, Sushma Chaudhary","doi":"10.3126/jkmc.v10i2.40069","DOIUrl":"https://doi.org/10.3126/jkmc.v10i2.40069","url":null,"abstract":"Subconjunctival dislocation of the intraocular lens secondary to trauma is an unusual and serious condition in the pseudophakic eye. Here, a case of 75 years old male who had traumatic superior subconjunctival dislocation of intraocular lens to his right eye with cow’s horn is reported. The patient was managed with surgical extraction of the lens and planned for secondary intraocular lens implantation. It is quite challenging to manage such a case. Despite, proper surgical management visual outcomes are always guarded in such patients with blunt trauma.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"55 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":"124406302","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}

{"title":"Evaluation of the parenting styles and other social variables influencing behaviour of child in dental clinic","authors":"Parajeeta Dikshit, Senchhema Limbu, M. Malla, Sunita Khanal","doi":"10.3126/jkmc.v10i3.41237","DOIUrl":"https://doi.org/10.3126/jkmc.v10i3.41237","url":null,"abstract":"Background: Parents play a major role in the physical and emotional development of children. The parenting style has influence over child behaviour in the dental office. Other factors like family type, presence of siblings as well as position of child in the family may also affect the behaviour of the child in the dental clinic. \u0000Objectives: To evaluate the parenting styles and other social variables influencing child dental behaviour.\u0000Methods: One hundred and fifty-one healthy children aged 4-12 years were recruited by convenience sampling during their regular dental visits to Paediatric Dentistry Department, Kantipur Dental College from April to July 2021 after ethical clearance. Family and child demographic data were evaluated through a questionnaire. The accompanying parent completed the Parenting Styles and Dimensions Questionnaire (PSDQ). The behaviour of the children was evaluated during the routine non-invasive dental procedure using Frankl behaviour rating scale. \u0000Results: All three parenting styles were identified among Nepalese parents, including authoritative (136, 90.06%), authoritarian (6, 3.97%), and permissive parenting styles (9, 5.96%). Most of the children showed positive behaviour (98, 64.9%). Significant associations were detected with age (p = 0.027) and gender (p = 0.015) and their behaviour, but not between parenting styles, type of family, number of siblings, and position of child in the family with behaviour.\u0000Conclusion: The behaviour of the child was significantly associated with the age of the child, with younger children exhibiting more negative dental behaviour than older ones. However, other factors did not have association with child behaviour. ","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115702209","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}

{"title":"Clinical perspective of myths about oral health in patients visiting tertiary hospital in eastern Nepal: A descriptive cross-sectional study","authors":"A. Yadav, D. Giri, K. Subedi","doi":"10.3126/jkmc.v10i3.41241","DOIUrl":"https://doi.org/10.3126/jkmc.v10i3.41241","url":null,"abstract":"Background: Nepalese population consists of people from different cultural backgrounds having strong influence of the various myths on health seeking behaviour. Myths are defined as stories shared by a group of people which are a part of their cultural identity. They have a strong influence in the life of individuals and their way of living including seeking treatment during illness.\u0000Objectives: The objective of this study was to assess the prevalence of myths related to oral health.\u0000Methods: A descriptive cross-sectional study was conducted in Nobel Medical College and Teaching hospital after obtaining ethical clearance from January 2021 to March 2021 using convenience sampling technique. Patients above 15 years visiting dental OPD were included and refused to participate were excluded. SPSS Statistics for Windows, version 21.0 was used for statistical analysis.\u0000Results: There were total 250 participants: 103 (41.2%) male and 147 (58.8%) female with mean age 34.43 ± 10.75 years and ranging from 18 to 62 years. Among the participants, 178 (72.1%) regarded fomentation of swelling with hot water while 72 (21.9%) were against it. Among all the participants 36 (14.4%) supported that there was presence of worm in decayed tooth whereas 214 (85.6%) were against it.\u0000Conclusion: The prevalence of myths about dentistry was high among study population which could be associated with poor early health seeking behaviour and poor compliance with treatment.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121096891","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}

{"title":"Knowledge, attitude, and practices regarding periodontal health in patients visiting a dental teaching hospital","authors":"D. Aryal, Nashib Pandey, Kamana Neupane, A. Rijal, B. Dhami, R. Bhattarai","doi":"10.3126/jkmc.v10i3.41239","DOIUrl":"https://doi.org/10.3126/jkmc.v10i3.41239","url":null,"abstract":"Background: Periodontal diseases, despite being preventable have an increasing prevalence worldwide. Mechanical plaque control methods are most effective to prevent and control these diseases.\u0000Objectives: To assess the knowledge, attitude, and practices regarding periodontal health among patients visiting department of Periodontics, Kantipur Dental College and Hospital.\u0000Methods: An analytical cross-sectional study was conducted by administrating pretested questionnaire to 384 patients in Kantipur Dental College and Hospital from Sep 2020 to Aug 2021. The study was conducted for one year after taking ethical clearance. All the patients who first visited the department of Periodontics were requested to participate by convenience sampling method. Statistical analysis was done to correlate among knowledge, attitude, and practices.\u0000Results: Positive attitude and practices towards dental floss 165 (43%), tongue cleaning 273 (71.1%), replacing tooth brush 268 (69.8%), and regular dental visits 202 (52.6%) was demonstrated. There was lack of knowledge on interdental brushes 79 (20.52%), probiotics 52 (13.5%), gingival massage, and their use to improve periodontal health 17 (4.4%). \u0000Conclusion: The majority of the respondents had good oral hygiene practices with favourable knowledge and attitude with respect to periodontal health and its measure to control the disease. Various preventive programs must be conducted regularly to brush up their knowledge. Further improvements should be focused on knowledge and attitude which can increase and improve the practice of oral health.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132709418","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}

{"title":"Significance of Candida species in patients with coronavirus disease","authors":"K. Gurung, Sandeep Pokhrel, Dhan Raj Neupane, P. Pant, Samjhana Gurung","doi":"10.3126/jkmc.v10i3.41236","DOIUrl":"https://doi.org/10.3126/jkmc.v10i3.41236","url":null,"abstract":"Background: Respiratory fungal infection is a severe clinical condition especially in immune-compromised individuals. Secondary fungal infections as complications of severe coronavirus disease 2019 are on the rise. \u0000Objectives: This study was carried out to isolate the Candida species from coronavirus disease 2019 patients, identify different species of Candida and to show the significance of Candida species in coronavirus disease 2019 patients attending a dedicated hospital for coronavirus disease management.\u0000Methods: A hospital-based descriptive cross-sectional study was done in a period between 2nd Jestha to 23rd Ashad 2077 (16th May to 7th July 2021) in Nepalgunj Medical College, Kohalpur, Banke. The study included 100 Coronavirus disease 2019 patients. Sputum samples were taken and subjected to direct microscopy, cultured onto Sabouraud Dextrose Agar. Candida species were determined by standard microbiological methods. Informed consent was taken prior to participation in study. Data were analysed for simple descriptive analysis using Microsoft Office Excel.\u0000Results: Out of 100 sputum samples, 78 (78%) men and 22 (22%) women were included; Candida species were isolated from 36 (36%) patients. This study shows Candida species isolated higher in male and from 31-60 years of age group. \u0000Conclusion: We recommend that the investigation and identification of Candida may be routinely followed in the microbiology laboratories.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"387 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122818303","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}

{"title":"Cystic partially differentiated nephroblastoma in infant: A case report","authors":"A. K. Sah, U. Nepal, G. Pandey","doi":"10.3126/jkmc.v10i3.41243","DOIUrl":"https://doi.org/10.3126/jkmc.v10i3.41243","url":null,"abstract":"Cystic partially differentiated nephroblastoma is a variant of the multilocular cystic renal tumour, considered as the bridge between cystic nephroma and cystic Wilm's tumour. It usually occurs in children below the age of two years with predominance in male. Histopathology is considered a diagnostic modality. Neoadjuvant chemotherapy and adjuvant radiotherapy may benefit the patient in selected cases. Here, a five-month-old boy who presented with painless gradually increasing right sided abdominal mass is reported. Imaging and fine needle aspiration cytology findings were inconclusive to reach the diagnosis. The histopathology after a radical nephrectomy concluded the diagnosis of cystic partially differentiated nephroblastoma.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131216590","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}

{"title":"Magnetic resonance imaging in Kallmann syndrome: A case report","authors":"Shankar Prasad Poudel, U. Sangroula, Ashik Rajak","doi":"10.3126/jkmc.v10i1.38973","DOIUrl":"https://doi.org/10.3126/jkmc.v10i1.38973","url":null,"abstract":"Kallmann syndrome is a rare genetically inherited condition characterized by hypogonadotrophic hypogonadism and anosmia or hyposmia. It is due to failure of migration of gonadotrophic releasing hormone neuron and olfactory neuron to hypothalamus. This case reports a 39-year-old Maldivian adult with clinical features of Kallmann syndrome and magnetic resonance imaging brain showing absence of olfactory sulcus and bulb.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124431138","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}

{"title":"Extra canal in permanent maxillary first molar in patients undergoing root canal treatment at a tertiary care dental hospital, Nepal","authors":"Archana Gharti, N. Joshi, K. Prajapati, Sharada Devi Wagle, S. Shrestha","doi":"10.3126/jkmc.v10i1.38972","DOIUrl":"https://doi.org/10.3126/jkmc.v10i1.38972","url":null,"abstract":"Background: Permanent maxillary first molar normally has three root canals but it can have extra root canals for which several studies were done in many parts of the globe. However, this type of study to explore extra canal is lagging in the context of Nepal.\u0000Objectives: The objective was to determine the percentage of extra canal in permanent maxillary first molar in patients undergoing root canal treatment and to compare the same between male and female.\u0000Methods: The descriptive cross-sectional study was conducted in the department of conservative dentistry and endodontics of People’s Dental College and Hospital from 20th December 2019 to 20th December 2020 after receiving ethical approval from Nepal Health Research Council on 18th December 2019 (ERB protocol No 888/2019) . One hundred and eighty permanent maxillary first molar teeth without root canal calcification were enrolled. Convenient sampling was done. Access opening was done and all canal orifices were located and recorded. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 22.0 with frequency table. Chi-square test was used for inferential statistics.\u0000Results: Out of 180 teeth, extra canals were present in 44(24.4%) having more numbers in male than in females. Extra canal was present in the mesiobuccal root.\u0000Conclusion: Extra canal in the permanent maxillary first molar is present in Nepalese population with greater number in male than in female. Thus, exploration of the pulp chamber in search of an extra canal is necessary to prevent failure of root canal treatment.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124936052","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}

{"title":"Perceived stigma among caregivers of mentally ill patient: A descriptive cross-sectional study","authors":"Pratibha Khanal","doi":"10.3126/jkmc.v10i1.38971","DOIUrl":"https://doi.org/10.3126/jkmc.v10i1.38971","url":null,"abstract":"Background: Stigmatising experience related to mental illness is not only confined to the patient but also experienced by their caregivers such as family members and friends. Caregivers feel down and helpless about their affiliation with stigma related to mental illness. Various research studies show that stigma related to mental illness have negative influence on caregivers which leads to concealing the status of mentally ill relatives.\u0000Objective: This study aimed to assess the level of perceived stigma among the caregivers of mentally ill patients.\u0000Methods: A descriptive cross-sectional study was conducted at Psychiatric outpatient and inpatient department of Psychiatry, Kathmandu Medical College from 30th January to August 30th 2020. Two hundred and sixteen respondents were chosen conveniently. Face to face interview was conducted using standard tool ‘Devaluation Consumers Families Scale’ to assess the perceived stigma among caregivers of mentally ill patients.\u0000Results: Perceived stigma among the caregivers of mentally ill patients was found to be medium (mean score 15.8±2.8). The caregivers perceived the community looking down on the families with mentally ill relatives (community rejection). The mean score was low (2.1±0.8) on “uncaring parents” which indicates that the respondents did not agree that parents of mentally ill patients were less responsible and caring than others.\u0000Conclusion: Caregivers of mentally ill patient perceive stigma in various forms which affects the usages of health facilities, care and support towards mentally ill relatives.\u0000Objective: This study aimed to assess the level of perceived stigma among the caregivers of mentally ill patients.\u0000Methods: A descriptive cross-sectional study was conducted at Psychiatric outpatient and inpatient department of Psychiatry, Kathmandu Medical College from 30th January to August 30th 2020. Two hundred and sixteen respondents were chosen conveniently. Face to face interview was conducted using standard tool ‘Devaluation Consumers Families Scale’ to assess the perceived stigma among caregivers of mentally ill patients. \u0000Results: Perceived stigma among the caregivers of mentally ill patients  was found to be medium (mean score 15.8±2.8). The caregivers perceived the community looking down on the families with mentally ill relatives (community rejection). The mean score was low (2.1±0.8) on “uncaring parents” which indicates that the respondents did not agree that parents of mentally ill patients were less responsible and caring than others. \u0000Conclusion: Caregivers of mentally ill patient perceive stigma in various forms which affects the usages of health facilities, care and support towards mentally ill relatives.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":" 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120829454","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}

{"title":"Emotional intelligence among nursing students of a government campus in eastern Nepal","authors":"Melina Shrestha, P. K. Mandal","doi":"10.3126/jkmc.v10i1.38970","DOIUrl":"https://doi.org/10.3126/jkmc.v10i1.38970","url":null,"abstract":"Background: Emotional intelligence is the ability to recognise one’s own feelings and those of others, for motivating ourselves, and for managing emotions well in ourselves and others. It is important to identify the level of emotional intelligence among nursing students for effective nursing leadership and quality nursing care.\u0000Objective: To assess the level of emotional intelligence of nursing students.\u0000Methods: A cross-sectional, descriptive research design was used to assess the level of emotional intelligence among 132 nursing students at Biratnagar Nursing Campus, Nepal. Data were collected by census method using self-administered structured questionnaire from 2018-05-13 to 2018-05-27. Emotional intelligence was measured using the Schutte Self Report Emotional Intelligence Test. Descriptive and inferential statistics (Chi-square test) was analysed to find out the association between emotional intelligence and demographic variables.\u0000Results: The findings showed that 96 (72.7%) of the respondents were from the 15 to 18 years age group. Similarly, 104 (78.8%) of the respondents had joined nursing education by their own choice. This study showed the majority 108 (81.8%) had a high level of emotional intelligence and 24 (18.2%) had a moderate level of emotional intelligence. There was no association between student’s level of emotional intelligence and their demographic variables.\u0000Conclusion: The participating nursing students had high levels of emotional intelligence. Owing to growing complexity in the healthcare environment and increasing expectations of clients in today’s competitive health care marketplace, the nursing students should be provided with emotional intelligence training and concepts should be incorporated into the nursing curriculum.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126872647","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}