Journal of Kathmandu Medical College最新文献_第8页

Comparison of combined intra-articular and sub-acromial injection with intra-articular injection in adhesive capsulitis 关节内肩胛下联合注射与关节内注射治疗粘连性囊炎的比较

Journal of Kathmandu Medical College Pub Date : 2021-08-28 DOI: 10.3126/jkmc.v10i1.38969

R. Manandhar, Krishna Raj Khanal, Himal Khanal, S. Gautam

{"title":"Comparison of combined intra-articular and sub-acromial injection with intra-articular injection in adhesive capsulitis","authors":"R. Manandhar, Krishna Raj Khanal, Himal Khanal, S. Gautam","doi":"10.3126/jkmc.v10i1.38969","DOIUrl":"https://doi.org/10.3126/jkmc.v10i1.38969","url":null,"abstract":"Background: The pain and limitation of shoulder function can disrupt daily activities of patients for months to years. Adhesive capsulitis is considered a self-limiting disease but the duration remains uncertain. The brunt of the disease is focussed on the inflamed joint capsule. On this basis, use of corticosteroid injection is justified. However, injection method is not conclusive.\u0000Objectives: To compare clinical benefits of intra-articular injection alone versus combined intra-articular and subacromial injections in management of adhesive capsulitis.\u0000Methods: Fifty-nine patients with diagnostic criteria for adhesive capsulitis were included in the study from March 2019 to September 2020. Patients were divided into two groups; patients who underwent intra-articular (IA) injection alone (Group 1) and those who received both intra-articular and sub-acromial (IA+SA) injection (Group 2). The injections were landmark guided. Patients were followed up at three, six, and 12 weeks. Pain was recorded using visual analogue scale (VAS) and subjective function using Constant-Murley score.\u0000Results: Twenty-eight patients were included in Group 1 (IA) and 31 in Group 2 (IA+SA). Thirty-six patients were female (18 each in Group 1 and Group 2) and 23 patients were male (Group 1 = 13; Group 2 = 10). In the twelfth week, VAS score was reduced in both the groups. On comparing the mean value of Constant-Murley score between the two groups there is significant difference in value recorded at the sixth and twelfth week.\u0000Conclusion: The IA+SA injection provides significant reduction in pain and better function in the short term over the IA injection.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"13 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":"134313444","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 of relation of type of fracture with amount of postoperative fluid therapy and duration of hospital stay after surgery 骨折类型与术后液体治疗量及住院时间关系的研究

Journal of Kathmandu Medical College Pub Date : 2021-08-28 DOI: 10.3126/jkmc.v10i1.38947

R. Sinha, Prakash Poudel Jaishi, K. Neupane, Ashik Rajak, Prakash Banjade

{"title":"Study of relation of type of fracture with amount of postoperative fluid therapy and duration of hospital stay after surgery","authors":"R. Sinha, Prakash Poudel Jaishi, K. Neupane, Ashik Rajak, Prakash Banjade","doi":"10.3126/jkmc.v10i1.38947","DOIUrl":"https://doi.org/10.3126/jkmc.v10i1.38947","url":null,"abstract":"Background: Post-earthquake in Nepal many patients were rescued by the Nepalese Army and transferred to Shree Birendra Hospital where they were managed and discharged postoperatively to the area with substandard care.\u0000Objectives: This study aimed to establish the relation of type of fracture with the amount of fluid infused/transfused and postoperative hospital stay during earthquake victim resuscitation and care in April 2015.\u0000Methods: Hospital based data registered during the period of 25th April 2015 to 15th May 2015 were collected for this analytical study design. Seventy-five orthopaedic cases were selected randomly and analysed with software Minitab 17.\u0000Results: Fifty-three patients had long bone fractures, out of which 32 were infused with low, 18 with moderate, and three with high amounts of fluids. Similarly, 15 patients with non-long bone fractures were infused with low and seven patients with moderate amounts of fluid. The Chi-square association between type of fracture and amount of postoperative fluid therapy is 1.418, DF = 2 with p = 0.49. Similarly, the Chi-square association between the type of fracture and duration of hospital stay is 5.423 with DF = 4 and p = 0.247.\u0000Conclusion: Long bone fractures are more debilitating but are not a cause for long hospital stay postoperatively. And there is no significant relationship between the type of fracture and the amount of postoperative fluid therapy. Hence during the time of disaster, patients can be cared for in the hospital ward for a certain time and shifted to other areas of sub-standard care. This in turn can accommodate large victims during such critical times.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"38 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":"127462929","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

Routine immunisation services in Nepal during the COVID-19 pandemic 2019冠状病毒病大流行期间尼泊尔的常规免疫服务

Journal of Kathmandu Medical College Pub Date : 2021-08-28 DOI: 10.3126/jkmc.v10i1.38944

S. Mathema

引用次数: 0

Association between sleeping patterns, oral hygiene status, and self-reported academic performance among dental students 牙科学生的睡眠模式、口腔卫生状况和自我报告的学习成绩之间的关系

Journal of Kathmandu Medical College Pub Date : 2021-08-28 DOI: 10.3126/jkmc.v10i1.38967

Sunita Khanal, S. Shrestha, R. Bhattarai

{"title":"Association between sleeping patterns, oral hygiene status, and self-reported academic performance among dental students","authors":"Sunita Khanal, S. Shrestha, R. Bhattarai","doi":"10.3126/jkmc.v10i1.38967","DOIUrl":"https://doi.org/10.3126/jkmc.v10i1.38967","url":null,"abstract":"Background: Sleep is very important for normal functioning and overall development of the body for all. Information on association between sleeping patterns, oral hygiene status, and self-reported academic performance among dental students is not available in Nepal.\u0000Objectives: The aim of the study was to assess the association between sleeping patterns, oral hygiene status, and selfreported academic performance among dental students.\u0000Methods: Analytical cross-sectional study was conducted among second year to final year students of Kantipur Dental College for a period of four months. Ethical approval was obtained from the institutional review committee of Kantipur Dental College before collecting the data. Convenience sampling was used. Data collection was done by using self administered, Pittsburgh Sleep Quality Index (PSQI) questionnaire for assessing sleep quality. For assessing oral hygiene status, Greene and Vermillion OHI-S index was used. Academic performance was measured by the performance of the students in their previous university exam. Data were entered in Microsoft Excel and analysis was done by using SPSS version 20 and p <0.05 was considered to be statistically significant.\u0000Results: Altogether 138 students participated in the study. Self-reported sleep quality was fairly good among 82 (59.4%) students but the actual sleep quality determined by PSQI was good among 92 (67 %) students. Mean hours of actual sleep of participants was 7 ± 1.52 hours. The association between sleeping patterns, academic performance, and oral hygiene status was found to be statistically insignificant.\u0000Conclusion: The sleeping patterns, oral hygiene status and academic performance had no significant association.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"13 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":"126803933","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

Relationship between chronological age and skeletal maturity of wrist joint and hand in a sample of Nepalese population: A radiographic study of wrist joint and hand in Nepalese population: A radiographic approach 在尼泊尔人口样本中，实足年龄与腕部和手部骨骼成熟度之间的关系:尼泊尔人口腕部和手部的放射学研究:一种放射学方法

Journal of Kathmandu Medical College Pub Date : 2021-08-28 DOI: 10.3126/jkmc.v10i1.38946

Sudhir Raman Parajuli, R. Gautam, Sidarth Timsinha, P. Sharma

{"title":"Relationship between chronological age and skeletal maturity of wrist joint and hand in a sample of Nepalese population: A radiographic study of wrist joint and hand in Nepalese population: A radiographic approach","authors":"Sudhir Raman Parajuli, R. Gautam, Sidarth Timsinha, P. Sharma","doi":"10.3126/jkmc.v10i1.38946","DOIUrl":"https://doi.org/10.3126/jkmc.v10i1.38946","url":null,"abstract":"Background: The human body grows and matures with age, especially in children and adolescents. Skeletal age is determined from the development stage of bones.\u0000Objectives: To determine the age of epiphyseal fusion of the lower end of radius and ulna in the Nepalese population which is important from a medicolegal point of view.\u0000Methods: An analytical cross-sectional study was conducted on patients undergoing X-rays of hand and wrist attending Manipal Teaching Hospital, Pokhara in a one-year period from January 1, 2019 to December 31, 2019. Total sample was 90 cases. The X-rays were assessed as appearance and not-appearance of epiphysis and different phases of skeletal maturity were graded according to McKern and Stewart classification.\u0000Results: Mean age was relatively higher in males in fusion of radius. Whereas in ulna, no difference was recorded in mean age in the fifth stage. In male the correlation coefficient for stage of fusion for radius and ulna with age (years) was 0.90 and 0.65 (p < 0.001), while for the females the correlation coefficient for stage of fusion of radius and ulna with age was 0.94 and 0.82 (p <0.001), both indicating a strong correlation.\u0000Conclusion: Estimation of age is not only important for identification of the deceased victim but also in medicolegal issues where there are many cases in courts which are undergoing age assessment by experts in absence of birth certificate or counterfeit documents.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"14 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":"127847146","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

Antibiotic susceptibility pattern and risk factors associated with Acinetobacter and Pseudomonas infection at a tertiary care hospital 三级医院不动杆菌和假单胞菌感染相关的抗生素敏感性模式和危险因素

Journal of Kathmandu Medical College Pub Date : 2021-08-28 DOI: 10.3126/jkmc.v10i1.38945

J. B. Sherchan

{"title":"Antibiotic susceptibility pattern and risk factors associated with Acinetobacter and Pseudomonas infection at a tertiary care hospital","authors":"J. B. Sherchan","doi":"10.3126/jkmc.v10i1.38945","DOIUrl":"https://doi.org/10.3126/jkmc.v10i1.38945","url":null,"abstract":"Background: Infection due to Acinetobacter spp. and Pseudomonas aeruginosa is a major worldwide concern these days. Antibiotic resistance and predisposing factors among the patients for acquiring such infection is a major challenge globally and in Nepal.\u0000Objectives: To determine antimicrobial susceptibility pattern of Acinetobacter spp. and Pseudomonas aeruginosa isolates along with predisposing factors.\u0000Methods: A total of 9,705 clinical samples were processed in this analytical cross-sectional study from December 2019 to November 2020. Antibiotic susceptibility pattern was determined following Clinical Laboratory Standard Institute guidelines. Patients’ information was obtained after informed consent.\u0000Results: Acinetobacter spp. and Pseudomonas aeruginosa isolates were 92 (0.95%). Fifty-three (57.61%) samples were respiratory samples. Thirteen (20%) Pseudomonas aeruginosa and 18 (66.67%) Acinetobacter spp. were multidrug-resistant (MDR). Eight (12.31%) Pseudomonas aeruginosa strains and 13 (48.15%) Acinetobacter spp. strains were sensitive only to Colistin. Twenty-two (95.65%) prolonged hospital stayers had MDR bacteria compared to only nine (13.04%) non-prolonged hospital stayers (p-value <0.001). Sixteen (94.12%) of diabetic patients had MDR bacteria isolates in comparison to only 15 (20%) of non-diabetic patients (p-value <0.001). Thirty-one (33.69%) were elderly patients (age ?65 years) and 61 (66.31%) were of age less than 65 years old. Seventeen (54.84%) of elderly patients had MDR isolates whereas only 14 (22.95%) of patients who are not elderly had MDR isolates (p-value =0.0047).\u0000Conclusion: Acinetobacter spp. and Pseudomonas aeruginosa strain were isolated from various samples. For effective treatment of infection by such organisms detailed microbiological diagnosis and drug susceptibility testing is needed along with identification of predisposing factors.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"11 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":"128074396","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

Drug utilisation pattern of antihistamines in upper respiratory tract infections in paediatric patients 儿科上呼吸道感染患者抗组胺药的用药模式

Journal of Kathmandu Medical College Pub Date : 2021-08-28 DOI: 10.3126/jkmc.v10i1.38968

J. Bharati, Sanjay Ulak, A. Keshari, A. Acharya

{"title":"Drug utilisation pattern of antihistamines in upper respiratory tract infections in paediatric patients","authors":"J. Bharati, Sanjay Ulak, A. Keshari, A. Acharya","doi":"10.3126/jkmc.v10i1.38968","DOIUrl":"https://doi.org/10.3126/jkmc.v10i1.38968","url":null,"abstract":"Background: Upper respiratory tract infections (URTIs) are the most common infections in the paediatric population leading to health care consultations. Antihistamines are commonly prescribed medicines in children.\u0000Objectives: This study attempted to assess the current prescription patterns of antihistamines used in the treatment of URTIs.\u0000Methods: A descriptive cross-sectional study was conducted in the outpatient paediatric department of Kathmandu Medical College from January 2020 to April 2021. Ethical approval was taken from Institutional Review Committee of Kathmandu Medical College. A convenient sampling technique was used. The data were collected from the outpatient department prescription card into a suitably designed proforma. Drug use indicator developed by the World Health Organisation for Rational Use of Drugs was utilised. Data were analysed using SPSS v.20.\u0000Results: Data from prescriptions of 345 patients aged less than 14 years were collected from the paediatric outpatient department of KMCTH. The most common condition was common cold (132, 38.26%). Most commonly prescribed antihistamines were Fexofenadine (156, 45.21%). Average number of drugs per prescription was 2.31. The total number of drugs prescribed by generic name was 128 (16%). Antibiotics made its place in prescriptions 279 (34.96%) times. No parenteral medication was used and 140 (17.5 %) of all drugs prescribed were from the National List of Essential Medicines.\u0000Conclusion: Antihistamines, mostly second generation, were commonly prescribed in URTIs in paediatric patients. Majority of WHO indicators were within normal limits while some needed marked improvement. Different programmes can be implemented for improvement in prescribing patterns and promotion of rational drug use.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"8 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":"114364607","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

Endodontic management of dens invaginatus of maxillary lateral incisor: A case report 上颌侧切牙凹牙的根管治疗1例

Journal of Kathmandu Medical College Pub Date : 2021-08-25 DOI: 10.3126/jkmc.v10i1.38974

Ranjan Thapaliya, Reema Joshi, A. Thapa, R. Shrestha

引用次数: 0

Tobacco smoking and COVID-19 infections: A summary of facts from scientific literature 吸烟与COVID-19感染:科学文献中的事实摘要

Journal of Kathmandu Medical College Pub Date : 2020-12-31 DOI: 10.3126/jkmc.v9i4.38098

U. Aryal

引用次数: 0

Management of oral myiasis: A rare entity 口腔蝇蛆病的处理:一个罕见的实体

Journal of Kathmandu Medical College Pub Date : 2020-12-31 DOI: 10.3126/jkmc.v9i4.38096

R. Puppala, Balaji Kethineni, U. C. Birapu, Sneha Goliya, Raghavendra Kumar, Edara Lilly Grace

引用次数: 0