Medical Journal of Pokhara Academy of Health Sciences最新文献_第4页

Efficacy of topical terbinafine and clotrimazole in the treatment of dermatophytoses: a Clinical and Microbiological Comparision 外用特比萘芬和克霉唑治疗皮肤癣的疗效:临床和微生物学比较

Medical Journal of Pokhara Academy of Health Sciences Pub Date : 2018-06-04 DOI: 10.3126/mjpahs.v1i1.22457

A. Nepal

引用次数: 0

Incidence of Superficial Port Site Infection in Laparoscopic Cholecystectomy in relation to Spilt Stone and Bile Spillage 腹腔镜胆囊切除术中浅孔部位感染与结石和胆汁溢出的关系

Medical Journal of Pokhara Academy of Health Sciences Pub Date : 2018-06-04 DOI: 10.3126/mjpahs.v1i1.22459

S. Paudel, N. Gurung, Dhruva Bahadur Adhikari, A. Acharya, S. Shrestha, A. Gurung, D. Shrestha, A. Paudel

{"title":"Incidence of Superficial Port Site Infection in Laparoscopic Cholecystectomy in relation to Spilt Stone and Bile Spillage","authors":"S. Paudel, N. Gurung, Dhruva Bahadur Adhikari, A. Acharya, S. Shrestha, A. Gurung, D. Shrestha, A. Paudel","doi":"10.3126/mjpahs.v1i1.22459","DOIUrl":"https://doi.org/10.3126/mjpahs.v1i1.22459","url":null,"abstract":"Introduction: Laparoscopic cholecystectomy is the choice of operation for symptomatic gallstones. Gallstone and bile spillage can occur during laparoscopic cholecystectomy during dissection by cautery or due to perforation of gall bladder by grasper. The complication of spilt stone and bile may range from simple superficial surgical site infection, adhesion, obstruction, abscess formation to none. \u0000Methods: This study was conducted at Western Regional Hospital (WRH), Pokhara from July 2015 to December 2016. A total of one hundred and twenty patients who underwent laparoscopic cholecystectomy were included. All patients’ age, sex, pre-operative ultrasound findings, intra operative spillage of stone and bile and post-operative superficial surgical site infection were noted. Statistical analysis was done using Microsoft Excel software and SPSS-21. Result obtained from the study was discussed with reference to current world literature. \u0000Results: Out of one hundred and twenty patients, one hundred and nine were female and eleven were male with mean age of 42.68 years. Spillage of stones and bile occurred in twelve patients (10%). Spillage of stone and bile was common with multiple stones. Only four patients (one male and three females) developed superficial port site infection (3.3%). Two patients among spillage and two among non spillage developed superficial surgical site infection (p<0.05). Most common organism was Staphylococcus aureus followed by Escherichia coli. \u0000Conclusion: The incidence of split stone or bile is 10 % and is common with multiple gallstones. The chance of superficial surgical site infection is more in male patients and with spillage of stone and bile.","PeriodicalId":256896,"journal":{"name":"Medical Journal of Pokhara Academy of Health Sciences","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121492276","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

Profile of Risk Factors Associated with Stillbirth at Western Regional Hospital 西部地区医院死产相关危险因素分析

Medical Journal of Pokhara Academy of Health Sciences Pub Date : 2018-06-04 DOI: 10.3126/MJPAHS.V1I1.22453

Rashmi Regmi, Shyam Sundar Parajuly, Dela Singh, Nabin Shrestha, Srijana Sharma

{"title":"Profile of Risk Factors Associated with Stillbirth at Western Regional Hospital","authors":"Rashmi Regmi, Shyam Sundar Parajuly, Dela Singh, Nabin Shrestha, Srijana Sharma","doi":"10.3126/MJPAHS.V1I1.22453","DOIUrl":"https://doi.org/10.3126/MJPAHS.V1I1.22453","url":null,"abstract":"Background: Stillbirth (SB) incidents are one of the most common adverse outcomes to occur during pregnancy. Studies indicate that approximately 3.3 million stillbirths are reported annually across the developing world. Institutional registration and under reporting of still birth to an authorized centre is a common problem. \u0000Objective: The objective of this study is to find out the incidence of SB after 28 weeks gestation and to find out the associated risk factors at Western Regional Hospital of Nepal. \u0000Materials and Methods: This is a cross sectional study carried out at Western Regional Hospital. Stillbirth babies born after 28 weeks of gestation or birth weight ≥ 1 kilogram and their mothers were recruited for the study. Intrapartum stillbirths were included despite of their ages, races or socio-economic status. Descriptive analysis was done on the data. \u0000Results: There were 3380 deliveries during the period of study. Among them, 50 cases were stillborn babies with a rate of 14 per thousand deliveries. The major risk factors associated were oligohydramnios, decreased fetal movement, growth restriction, meconium stained liquor and cord prolapse. \u0000Conclusion: Oligohydramnios (amniotic fluid index < 5cm) was the most common risk factor for stillbirth. Early identification and appropriate perinatal management could help to promote perinatal health.","PeriodicalId":256896,"journal":{"name":"Medical Journal of Pokhara Academy of Health Sciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133058855","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

Goodwill message from the Vice Chancellor 副校长的亲善致辞

Medical Journal of Pokhara Academy of Health Sciences Pub Date : 2018-06-04 DOI: 10.3126/mjpahs.v1i1.22448

B. Thapa

引用次数: 0

Psychiatric Referral Pattern in a General Hospital 某综合医院精神病转诊模式

Medical Journal of Pokhara Academy of Health Sciences Pub Date : 2018-06-04 DOI: 10.3126/MJPAHS.V1I1.22456

L. Vaidya, Rajan Sharma

引用次数: 0

Anesthesia practice in cesarean delivery in tertiary care hospital: a retrospective observational study 三级医院剖宫产麻醉实践:回顾性观察研究

Medical Journal of Pokhara Academy of Health Sciences Pub Date : 2018-06-04 DOI: 10.3126/mjpahs.v1i1.22452

Rohini Sigdel, M. Lama, Sanish Gurung, S. Timilsina

{"title":"Anesthesia practice in cesarean delivery in tertiary care hospital: a retrospective observational study","authors":"Rohini Sigdel, M. Lama, Sanish Gurung, S. Timilsina","doi":"10.3126/mjpahs.v1i1.22452","DOIUrl":"https://doi.org/10.3126/mjpahs.v1i1.22452","url":null,"abstract":"Background: Regional anesthesia is being utilized as the preferred anesthetic technique for cesarean delivery worldwide. This study was performed to review cesarean delivery anesthetic practice in our institute which represents a tertiary care regional hospital. \u0000Methods: Data was collected regarding the number of cesarean delivery performed during the period of six months from January 2017 to June 2017 at Western Regional Hospital. Number of elective versus emergency cesarean delivery, mode of anesthesia and the reason for general anesthesia and complications was recorded. \u0000Results: The number of cesarean delivery was found to be 1174(26.41%) of total deliveries during the study period. Out of which, 64.82% were for emergency indication and 35.18% were elective cesarean delivery. Spinal anesthesia was utilized in 99.03% of elective cesarean section and 97.63% of emergency cesarean section. The percentage of cases performed under general anesthesia was 1.87%. Reasons for general anesthesia included inadequate subarachnoid block, fetal malpresentation, eclampsia and maternal comorbidities. Complications related to general anesthesia like failed intubation, airway difficulty related to general anesthesia and anesthesia related mortality was not encountered. \u0000Conclusion: Spinal anesthesia is utilized widely and safely in obstetric practice at our hospital. Use of labour epidural analgesia should be introduced and encouraged in our setting to minimize the side effects of single shot spinal anesthesia and to avoid general anesthesia when indicated.","PeriodicalId":256896,"journal":{"name":"Medical Journal of Pokhara Academy of Health Sciences","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130024462","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

The Efficacy of Medical Expulsion Therapy in Distal Ureteric Calculi 药物排出治疗输尿管远端结石的疗效观察

Medical Journal of Pokhara Academy of Health Sciences Pub Date : 2018-06-04 DOI: 10.3126/mjpahs.v1i1.22454

Dhurba Adhikari, D. Shrestha, S. Poudel

引用次数: 0

Clinical and bacteriological profile of neonates admitted in the neonatal care unit of western regional hospital 西部地区医院新生儿监护室新生儿临床及细菌学分析

Medical Journal of Pokhara Academy of Health Sciences Pub Date : 2018-06-04 DOI: 10.3126/mjpahs.v1i1.22450

S. Shrestha, J. Ghimire, R. Bastola, R. Gurung

引用次数: 1

Ossicular Involvement and Types of Pathology in Chronic Otitis Media Squamous Active Disease 慢性中耳炎鳞状活动性疾病的听骨受累及病理类型

Medical Journal of Pokhara Academy of Health Sciences Pub Date : 2018-06-04 DOI: 10.3126/MJPAHS.V1I1.22460

Swasti Sharma

{"title":"Ossicular Involvement and Types of Pathology in Chronic Otitis Media Squamous Active Disease","authors":"Swasti Sharma","doi":"10.3126/MJPAHS.V1I1.22460","DOIUrl":"https://doi.org/10.3126/MJPAHS.V1I1.22460","url":null,"abstract":"Background: Chronic otitis media (COM) squamous type is commonly associated with cholesteatoma. In COM squamous type with active disease, there is retraction of pars flaccida or pars tensa with retention of squamous epithelial debris and is associated with inflammation and production of pus. It is potentially dangerous because it can cause resorption of bone, leading to ossicular erosion and destruction of bony plates of middle ear. The objective of this study is to determine the effect of chronic otitis media squamous type on the ossicular chain as well as to observe the types of pathology in this disease. \u0000Methods and materials: Fifty cases of chronic otitis media squamous type who underwent surgical management were included. The status of ossicular chain was evaluated intraoperatively. The type of pathology involving middle ear was also studied. Cases admitted for revision surgery were excluded from the study. \u0000Results: Of the total fifty cases, ossicular changes were observed in forty eight cases and in two cases all ossicles were intact. Long process of incus is the most frequently involved ossicle. The most common pathology was found to be mixed type (52%). \u0000Conclusion: The conclusion of this study is that ossicular chain is commonly involved in chronic otitis media squamous type and mixed pathology consisting of cholesteatoma and granulation tissue is the most frequent pathology.","PeriodicalId":256896,"journal":{"name":"Medical Journal of Pokhara Academy of Health Sciences","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126556489","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

Dreams and ability to recall: Comparison between propofol and ketamine in patients undergoing surgery under IVA 梦和回忆能力:异丙酚和氯胺酮在IVA下手术患者中的比较

Medical Journal of Pokhara Academy of Health Sciences Pub Date : 2018-06-04 DOI: 10.3126/mjpahs.v1i1.22451

M. Lama, Rohini Sigdel, Sanish Gurung, S. Timilsina

{"title":"Dreams and ability to recall: Comparison between propofol and ketamine in patients undergoing surgery under IVA","authors":"M. Lama, Rohini Sigdel, Sanish Gurung, S. Timilsina","doi":"10.3126/mjpahs.v1i1.22451","DOIUrl":"https://doi.org/10.3126/mjpahs.v1i1.22451","url":null,"abstract":"Background: Dreaming during anaesthesia is a common phenomenon. Dreams can occur with both inhalational agents as well as intravenous agents (IVA) like propofol and ketamine. But there are concerns like patient awareness, dreams and other untoward effects that may be associated with IVA. We have conducted this study to quantify the incidence of dreaming during IVA with propofol or ketamine. \u0000Methods: Sixty-nine patients aged 18 to 60 years scheduled for short procedures lasting from 5 to 25 minutes under IVA were randomized into two groups – group propofol or group ketamine. All the patients received midazolam and fentanyl intravenously. Then, patients in group propofol received propofol and those in ketamine group received ketamine for induction and maintenance of anaesthesia. After the end of surgery, when the patient were fully recovered from anaesthesia, patients were interviewed about occurrence of dreams and their ability to recall the dreams. \u0000Results: There were 35 patients in group propofol and 34 patients in group ketamine. The incidence of dreaming during anaesthesia was greater in patients of ketamine group, 23 (67.65%), when compared to propofol group, 7 (20%) (p < 0.001). Among the dreamers, 6 patients in the ketamine group and only 1 patient in the propofol group were able to recall their dream. \u0000Conclusion: Dreaming is quite common during IVA for short surgical procedure, more so following ketamine than propofol anaesthesia.","PeriodicalId":256896,"journal":{"name":"Medical Journal of Pokhara Academy of Health Sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132383389","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