Journal of Chitwan Medical College最新文献_第5页

DENTAL CLEARANCE PRIOR TO ANTI-NEOPLASTIC THERAPY 抗肿瘤治疗前清除牙齿

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1227

S. Thakur

引用次数: 0

STUDY OF A VARIATION OF LUMBOSACRAL PLEXUS: SCIATIC NERVE AND ITS CLINICAL SIGNIFICANCE 腰骶丛:坐骨神经变异的研究及其临床意义

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1130

G. A. Khan, Ajeevan Gautam, S. Shakya, A. Shrestha

{"title":"STUDY OF A VARIATION OF LUMBOSACRAL PLEXUS: SCIATIC NERVE AND ITS CLINICAL SIGNIFICANCE","authors":"G. A. Khan, Ajeevan Gautam, S. Shakya, A. Shrestha","doi":"10.54530/jcmc.1130","DOIUrl":"https://doi.org/10.54530/jcmc.1130","url":null,"abstract":"Background: The pelvis is a home to pelvic parts of the sympathetic and parasympathetic nervous systems, the sacral and coccygeal plexuses, and the lumbosacral trunk. The lower spine’s sciatic nerve is made up of a combination of motor and sensory fibers from spinal nerves fourth lumbar to third sacral segment (ventral rami). The objective of study was to determine morphological variations in origin and formation of branching pattern of sciatic nerve.\u0000Methods: A descriptive cross-sectional study was conducted on twenty-four (forty-eight lower limbs) cadavers available in the Department of Anatomy at School of Basic Sciences, Chitwan Medical College. All damaged cadavers were excluded. The cadavers for undergraduate first year medical students dissected as per Cunningham’s Manual. The branching pattern of the sciatic nerve was noted. All Variation of each sacral plexus was photographed. Statistical analysis was done using Microsoft Excel and SPSS version 20. Both gluteal regions were studied for the locations and variation of the sciatic nerve.\u0000Results: Forty-eight lower limbs were examined. Among them forty-two lower limbs (87.5 percent) showed a normal anatomy of the sciatic nerve. Six lower limbs (12.5 percent) showed variations in the sciatic nerve. \u0000Conclusions: The study concluded that there are variations in origin and formation of branches of sciatic nerve. Variations of sciatic nerve observed could be beneficial for various surgical interventions like nerve release and pain management in compressed nerve.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"178 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116100438","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

ACCIDENTAL DATURA POISONING IN A CHILD, A CASE REPORT FROM CENTRAL NEPAL 尼泊尔中部儿童曼陀罗意外中毒病例报告

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.672

Bibek Regmi, Sudhir Adhikari, Sagun Khatri, Anjana Lamichhane

引用次数: 0

VARIATIONS OF SCIATIC NERVE BIFURCATION: A CADAVERIC STUDY 坐骨神经分叉的变异:一项尸体研究

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1160

Tinku Kumari Pandit, Shanta Hada, Muna Kadel

{"title":"VARIATIONS OF SCIATIC NERVE BIFURCATION: A CADAVERIC STUDY","authors":"Tinku Kumari Pandit, Shanta Hada, Muna Kadel","doi":"10.54530/jcmc.1160","DOIUrl":"https://doi.org/10.54530/jcmc.1160","url":null,"abstract":"Background: The sciatic nerve is formed in the pelvic cavity and leaves the cavity through the greater sciatic foramen below the piriformis muscle. It terminates by giving tibial and common peroneal (fibular) nerve near the superior angle of the popliteal fossa. Awareness of variations in bifurcation of sciatic nerve is significant during deep intramuscular gluteal injections, clinical conditions such as piriformis syndrome, sciatica, coccygodynia and muscle atrophy. The main objective of this study was to highlight the site of bifurcation of sciatic nerve.\u0000Methods: An observational cross–sectional study was performed in the Department of Anatomy of KIST medical college & Teaching Hospital, Lalitpur, Nepal. The data was collected after ethical approval from Institutional Review Committee. 50 specimens were taken in the study by convenient sampling method. Sciatic nerve was observed in respect to its site of bifurcation.\u0000Results: Out of 50 lower limbs, in 30 specimens (60%) the sciatic nerve showed bifurcation near the superior angle of popliteal fossa. 20 lower limbs (40%) showed variations,of which eight limbs (16%) showed division of nerve prior to its exit in the gluteal region, eight limb (16%) showed division in upper 2/3rd of back of thigh and four limbs (8%) showed division of the nerve in the popliteal fossa.\u0000Conclusions: This study concludes that the majority of sciatic nerve divides at the superior angle of the popliteal fossa while some divided into other regions such as pelvis, thigh & popliteal fossa.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"219 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114154510","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

EVALUATION OF PATIENTS’ SATISFACTION USING THE SERVQUAL QUESTIONNAIRE MODEL 采用等量问卷模型评价患者满意度

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.650

Pradesh Ghimire, N. Bista, Maghn R. Collao

{"title":"EVALUATION OF PATIENTS’ SATISFACTION USING THE SERVQUAL QUESTIONNAIRE MODEL","authors":"Pradesh Ghimire, N. Bista, Maghn R. Collao","doi":"10.54530/jcmc.650","DOIUrl":"https://doi.org/10.54530/jcmc.650","url":null,"abstract":"Background: Radiology services are vital part of health care service and as a service provider one needs to understand the quality of service being delivered, from the patients’ perspective. This study objectively evaluates the expectation and perception of patients towards the quality of service offered by the department using SERVQUAL questionnaire.\u0000Methods: This was a descriptive cross-sectional study from September to November, 2018 with 219 patients subjected to different services of the department and participated in the self-administered SERVQUAL questionnaire survey in terms of the dimensions of tangibles, reliability, responsiveness, assurance and empathy. The mean gap score between perception and expectation for each of the dimension were determined, and the obtained overall scores were compared. Data MP Version 14 software was used for data processing and analysis.\u0000Results: The overall average score was negative (-0.03). Particularly, the modern look of equipment, the displayed information at the department (tangibles) and promptness of the services provided were perceived to be less than expected (score -0.33). With regard to reliability (+0.27), responsiveness (-0.0004), assurance (+0.19) and empathy (-0.30), the positive behavior of the staff instilled confidence in the patients in undergoing the procedures and they kept the patients’ best interest in mind during the services provided.\u0000Conclusions: There exists a service quality gap in the patients’ expectations and the actual perception of services in the department. The institute is now better able to recognize the gap, and hence can design and implement strategies that can improve the quality of services for increasing the patients’ satisfaction and propensity.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129145987","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

SURGICAL OUTCOME OF MYRINGOPLASTY WITH AND WITHOUT CORTICAL MASTOIDECTOMY IN CHRONIC OTITIS MEDIA MUCOSAL INACTIVE TYPE

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1216

A. Jha, Sanjeev Nirala, M. K. Sah, Kamaluddin Rain

{"title":"SURGICAL OUTCOME OF MYRINGOPLASTY WITH AND WITHOUT CORTICAL MASTOIDECTOMY IN CHRONIC OTITIS MEDIA MUCOSAL INACTIVE TYPE","authors":"A. Jha, Sanjeev Nirala, M. K. Sah, Kamaluddin Rain","doi":"10.54530/jcmc.1216","DOIUrl":"https://doi.org/10.54530/jcmc.1216","url":null,"abstract":"Background: Chronic otitis media is usually complicated due to perforation of tympanic membrane and ultimately leading to hearing loss. The objective of this study was to compare the results of myringoplasty alone with myringoplasty with cortical mastoidectomy in COM (Chronic Otitis Media) mucosal inactive type in terms of graft uptake.\u0000Methods: This was a descriptive, prospective, qualitative type of study. A total of thirty patients of COM mucosal inactive type were included in the study of which 15 patients were selected alternatively for myringoplasty alone while another 15 patients were selected for myringoplasty with cortical mastoidectomy. Pure tone audiometry was done within 1 week prior to surgery. Graft uptake was assessed after 6 weeks and results were compared within and between the groups using Chi-square test.\u0000Results: Graft uptake rate of myringoplasty alone and myringoplasty with cortical mastoidectomy done using temporalis fascia graft and underlay technique was same 86.66% (n=26) and failure rate was 13.33% (n=4).The graft take was higher 88.9%(n=8) in small perforation worsened in medium (85 %) and then in subtotal perforation (79%). Graft uptake rate was highest in central perforation (86.9%) followed by posterior perforation (84.6%) and least in anterior perforation (77.7%). Mean age of presentation was 27.7 years, ranging from 15 to 60 years. Most common approach was permeatal in myringoplasty and postaural in case of myringoplasty with cortical mastoidectomy.\u0000Conclusions: The graft uptake rate myringoplasty alone are comparable to those of myringoplasty with cortical mastoidectomy. The choice of surgery is based on surgeon’s preference.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127878689","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

KNOWLEDGE, ATTITUDE AND PRACTICE OF PHARMACOVIGILANCE AMONG UNDERGRADUATE MEDICAL AND DENTAL STUDENTS OF A TERTIARY CARE TEACHING HOSPITAL 某三级教学医院医、牙本科学生药物警戒知识、态度与实践

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1205

T. Manandhar

{"title":"KNOWLEDGE, ATTITUDE AND PRACTICE OF PHARMACOVIGILANCE AMONG UNDERGRADUATE MEDICAL AND DENTAL STUDENTS OF A TERTIARY CARE TEACHING HOSPITAL","authors":"T. Manandhar","doi":"10.54530/jcmc.1205","DOIUrl":"https://doi.org/10.54530/jcmc.1205","url":null,"abstract":"Background: Under-reporting of suspected adverse drug reactions by health professionals is a widespread problem. To strengthen the pharmacovigilance program, medical students should be well trained about adverse drug reaction reporting from the very beginning. The objective of present study was to assess knowledge, attitude, and practice of pharmacovigilance among undergraduate medical and dental students of a tertiary care teaching hospital.\u0000Methods: A cross-sectional study was conducted among first and second-year medical and dental students on March 2021. An online questionnaire was used to collect data. The frequency of different measures mentioned by respondents was noted. The total score was compared among different subgroups using Mann–Whitney test.\u0000Results: Out of 238 students, 204 students (85.7 %) responded. Among them, medical students were 157 (77%) and dental students were 47 (23%). The medians for total knowledge, total attitude and total practice scores were 4, 7 and 2 respectively. Thus, respondents had good attitude towards pharmacovigilance but their knowledge and practice were not adequate. When MBBS students were compared with the BDS students, it was found that the median for total scores for knowledge and attitude were not significantly different (p > 0.05) but there was statistically significant difference (p < 0.05) between median for total practice scores.\u0000Conclusions: Positive attitude was noted among undergraduate medical and dental students towards pharmacovigilance, but knowledge and practice were not adequate. Thus, the study indicates the need for integrating interventions and education related to pharmacovigilance in undergraduate medical curricula to prepare them for future practice.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126925517","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

AWARENESS REGARDING DEVELOPMENTAL MILESTONES OF UNDER 3 YEARS CHILDREN AMONG MOTHERS AT A TEACHING HOSPITAL, CHITWAN 奇旺一家教学医院的母亲对3岁以下儿童发育里程碑的认识

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1165

Rojina Marahatta, Subina Bajracharya

{"title":"AWARENESS REGARDING DEVELOPMENTAL MILESTONES OF UNDER 3 YEARS CHILDREN AMONG MOTHERS AT A TEACHING HOSPITAL, CHITWAN","authors":"Rojina Marahatta, Subina Bajracharya","doi":"10.54530/jcmc.1165","DOIUrl":"https://doi.org/10.54530/jcmc.1165","url":null,"abstract":"Background: The growth of a child is the most important requirements for mental and physical development as well as social integrity. Knowledge of developmental milestones is essential for assessing normal development and to identify any delay in development. Mothers, who are usually taking care of the child, must have adequate knowledge regarding growth and development of child. The objective of this study was to assess the awareness regarding developmental milestones of under 3 years children among mothers at a teaching hospital, Chitwan.\u0000Methods: A descriptive, cross-sectional research was conducted among 104 mothers attending different pediatric departments of Chitwan Medical College & Teaching Hospital. Non-probability, convenience sampling technique was used to select the sample. Structured interview schedule was used for data collection and data were analyzed by using descriptive and inferential statistics.\u0000Results: The study revealed that more than half (52.95%) of respondents belonged to 20-29 years, 74% were Hindu, 58.7% belonged to urban area. Only 25% of the respondents had adequate level of awareness. Most of the mothers had awareness regarding social development & play (66.67%) followed by motor development (57.14%), physical development (50%), cognitive development (50%), & language development (50%).\u0000Conclusions: Majority of mothers have inadequate level of awareness regarding developmental milestones.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"04 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130235363","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 AND BLOOD PARAMETERS IN RELATION TO THE OUTCOMES OF COMMUNITY ACQUIRED PNEUMONIA 社区获得性肺炎的临床和血液指标与预后的关系

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.681

P. Wagley, S. Adhikari, M. Bhattarai, Basanta Gauli, S. Gurung, Sunil Patel, Niraj Puri, Sharmila Chapagain, Pragyik Pandey

{"title":"CLINICAL AND BLOOD PARAMETERS IN RELATION TO THE OUTCOMES OF COMMUNITY ACQUIRED PNEUMONIA","authors":"P. Wagley, S. Adhikari, M. Bhattarai, Basanta Gauli, S. Gurung, Sunil Patel, Niraj Puri, Sharmila Chapagain, Pragyik Pandey","doi":"10.54530/jcmc.681","DOIUrl":"https://doi.org/10.54530/jcmc.681","url":null,"abstract":"Background: Risk stratification of Community acquired pneumonia (CAP) is challenging for physicians. Though various biomarkers are available, they are costly or not readily available in all health care settings. This study aimed to analyze the prognostic value of routinely available clinical and blood parameters in relation to the outcome of patients admitted with community acquired pneumonia.\u0000Methods: This was a hospital-based observational study of the patients admitted to Chitwan Medical College (CMC), Nepal between August 2021 and December 2021. We enrolled patients 18 years old and above with the diagnosis of CAP in the study and excluded patients with COVID and active pulmonary tuberculosis. The outcomes of the patients were recorded as improved, not-improved, or dead. Fischer exact, Kruskal-Wallis or Mann-Whitney tests were used for analysis wherever appropriate.\u0000Results: Total 92 patients with mean age 58.2 years were enrolled in the study. Patients who were not improved or were dead had higher age (p=0.029), respiratory rate (p<0.001), shock index (p=0.013), total leukocyte count (TLC) (p=0.019), urea (p=0.046), creatinine (p<0.01), potassium (p<0.001), bilirubin (p=0.029), and lactate (P<0.05) and lower SpO2 (p<0.01), SpO2/FiO2 (p=0.018), pH (p=0.0497), and PaCO2 (p<0.001). Patients with nervous (p<0.001), cardiovascular (p=0.032) and renal system (p=0.019) involvement were also found to be associated with poor outcome.\u0000Conclusions: CAP patients with higher TLC, urea, creatinine, bilirubin and lactate, with lower SpO2, SpO2/FiO2, pH and PaCO2 and with involvement of more than one organ systems were found to have unfavorable prognosis. Higher potassium level was also found to be a potential marker of CAP severity.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131921669","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

ENDOCROWN: A SUBSTITUTE APPROACH TO POST AND CORE FOR REHABILITATION OF ENDODONTICALLY TREATED TOOTH 内冠:根管治疗后牙齿修复的桩核替代方法

Journal of Chitwan Medical College Pub Date : 2022-12-31 DOI: 10.54530/jcmc.1229

Sujan Thapa, S. Shubham

{"title":"ENDOCROWN: A SUBSTITUTE APPROACH TO POST AND CORE FOR REHABILITATION OF ENDODONTICALLY TREATED TOOTH","authors":"Sujan Thapa, S. Shubham","doi":"10.54530/jcmc.1229","DOIUrl":"https://doi.org/10.54530/jcmc.1229","url":null,"abstract":"Restoration of endodontically treated teeth (ETT) is distinct from root canal treatment although they are mutually dependent in planning, treatment and prognosis. The fabrication of full coverage crowns with or without the use of posts remains the long-established means of restoration of endodontically treated teeth. Despite all the clinical success achieved with intraradicular posts, they have been criticized for removal of sound tissue and risk of root perforation. With the amelioration of adhesive techniques and invention of newer materials, the concept of endocrown has been considered as an alternative and viable method for restoration of root canal treated molars. It is an indirect monoblock restoration aimed to achieve a bonded biomimetic reconstruction. The preparation is simple following minimally invasive principles of adhesive dentistry compared to conventional crowns with post and core. They have the advantage of removing lower amounts of sound tissue compared to other techniques, and with much lower chair time needed. Also, the masticatory stresses received at the tooth/ restoration interface are more properly dissipated along the overall restored tooth structure when endocrowns are placed. The rationale of the preparation was to use surface area available in the pulp chamber to gain stability and retention through adhesive cementation. The supragingival positioning of restorative margins prevents interferences with periodontal tissues. This article highlights a case report where a porcelain fused to metal endocrown is fabricated to effectively manage a grossly mutilated endodontically treated tooth and was followed up for one year.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133268506","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