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

FACULTY ATTITUDES TOWARD ONLINE LEARNING 教师对在线学习的态度

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1156

P. Shankar

引用次数: 0

CLINICAL COURSE AND OUTCOME OF PATIENTS WITH SOLID ORGAN INJURY IN BLUNT ABDOMINAL TRAUMA 钝性腹部创伤实心器官损伤患者的临床过程与预后

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1162

S. Bhattarai, A. Acharya, Kishor Kumar Tamrakar

{"title":"CLINICAL COURSE AND OUTCOME OF PATIENTS WITH SOLID ORGAN INJURY IN BLUNT ABDOMINAL TRAUMA","authors":"S. Bhattarai, A. Acharya, Kishor Kumar Tamrakar","doi":"10.54530/jcmc.1162","DOIUrl":"https://doi.org/10.54530/jcmc.1162","url":null,"abstract":"Background: Blunt abdominal trauma, one of the most common injuries caused by road traffic accident are usually not obvious hence often missed unless repeatedly looked for. In view of this, the study was aimed to diagnose the solid organ injury and its incidence, mode, age, sex distribution, time of presentation, clinical course, management, time interval between injury and surgery, postoperative complications and outcomes.\u0000Methods: This prospective observational study was conducted in the department of General surgery, Chitwan Medical College Teaching Hospital, from August 2020 to July 2021. Data were collected with clinical history/examination, injury assessment, appropriate investigations, modes and patterns. Documentation with identification, history, clinical findings, diagnosis, management, complications and outcomes were done and analyzed with SPSS version 16.\u0000Results: Among 83 patients, most of them aged between 16-30 years (57.8%). Male to female ratio was 1.96:1. The most common mode was road traffic accidents (55.5%). Commonly injured organ was spleen (51%) and liver (30%) with associated other organs (65%). Conservative management was done in 62% and operative in 38%. Majority of patients were operated after 4-6 hours of initial presentation. The more the time interval between injury and surgery, the more the complications, duration of hospital stay and mortality. Post-operative complications were noted in 38.5% and mortality in7.22%.\u0000Conclusions: Blunt abdominal trauma was common and mainly associated with road traffic accidents. Associated abdominal and extra abdominal injury, delay presentation, diagnosis and intervention significantly predict high mortality and poor outcomes.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123478701","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

POST-STROKE DEPRESSION AMONG STROKE SURVIVORS ATTENDING THERAPY CENTERS IN CHITWAN 在chitwan治疗中心接受治疗的中风幸存者的中风后抑郁症

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1147

A. Koirala, Subash Koirala, N. Shrestha, S. Adhikari

{"title":"POST-STROKE DEPRESSION AMONG STROKE SURVIVORS ATTENDING THERAPY CENTERS IN CHITWAN","authors":"A. Koirala, Subash Koirala, N. Shrestha, S. Adhikari","doi":"10.54530/jcmc.1147","DOIUrl":"https://doi.org/10.54530/jcmc.1147","url":null,"abstract":"Background: The neuropsychiatric side effect of post-stroke depression is one of the most prevalent in stroke survivors. The purpose of this study was to determine the extent of post-stroke depression and the factors that influence post-stroke depression among stroke survivors attending therapy centers at various hospitals in Chitwan.\u0000Methods: A hospital-based cross-sectional study using the face-to-face interview method was carried out in different therapy centers in Chitwan, Nepal. A total of 137 stroke survivors were considered as a sample. The data was collected from November 25, 2021 to January 29, 2021. We used Pearson’s Chi-square test and binary logistic regression analysis to assess the factors influencing post-stroke depression among stroke survivors in Chitwan.\u0000Results: Among 137 stroke survivors, just more than half i.e., 54.70% (75) suffered from any kind of depression, and the remaining participants i.e. 45.30% (62) did not have depression. Result showed that current depression status among stroke survivors were significantly associated with age group [above 60 years (COR =2.88; CI=1.17-7.10)], educational status [primary and below (COR =4.02; CI=1.47-10.95)], past employment status [unemployment (COR=2.79; CI=1.37-5.69)], past alcohol intake [alcohol intake (COR=1.04; CI=0.52-2.10)] and current BMI status [underweight (COR =1.23; CI=0.24-6.07)].\u0000Conclusions: More than half, or 54.70% (75), suffered from depression, which is an unacceptable rate. Increased literacy, improved socioeconomic status, and lifestyle changes among stroke survivors would reduce the severity of depression. It is necessary to provide comprehensive, up-to-date information as well as supportive interventions with the goal of reducing depression among stroke survivors.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121139372","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

JEJUNO-JEJUNAL INTUSSUSCEPTION IN A PATIENT WITH PEUTZ-JEGHERS SYNDROME: A CASE REPORT AND REVIEW peutz-jeghers综合征患者空肠-空肠肠套叠1例报告及复习

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1185

Y. Devkota, N. Paudyal, D. Sah

引用次数: 0

COMPARATIVE STUDY OF SERUM URIC ACID LEVEL IN DIABETIC, PRE-DIABETIC AND NON-DIABETIC INDIVIDUALS IN A TERTIARY CARE CENTER OF NEPAL 尼泊尔三级保健中心糖尿病、糖尿病前期和非糖尿病患者血清尿酸水平的比较研究

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1159

Jharana Shrestha, Buddhi Raj Pokhrel, Manoj Karki, N. Gautam, B. Tamang, Gunjan Kumar Mandal, Anjan Palikhey, Bidhata Rayamajhi

{"title":"COMPARATIVE STUDY OF SERUM URIC ACID LEVEL IN DIABETIC, PRE-DIABETIC AND NON-DIABETIC INDIVIDUALS IN A TERTIARY CARE CENTER OF NEPAL","authors":"Jharana Shrestha, Buddhi Raj Pokhrel, Manoj Karki, N. Gautam, B. Tamang, Gunjan Kumar Mandal, Anjan Palikhey, Bidhata Rayamajhi","doi":"10.54530/jcmc.1159","DOIUrl":"https://doi.org/10.54530/jcmc.1159","url":null,"abstract":"Background: Diabetes mellitus is a global public health problem, with its prevalence escalating each decade. Serum uric acid is said to have a strong correlation with diabetes and might contribute to its risk. The present study aimed to compare the levels of serum uric acid in diabetic, pre-diabetic, and non-diabetic patients visiting a tertiary care center.\u0000Methods: This hospital-based cross-sectional study was conducted among 320 patients visiting medicine OPD of Universal College of Medical Sciences. Of them, 182 were diabetics, 48 were pre-diabetics, and 90 were non-diabetics. Serum uric acid, fasting blood glucose, post-prandial blood glucose, and glycated hemoglobin levels were measured. Kruskal-Wallis test, Chi-square test and Spearman’s correlation were performed for analysis. Finally, a multiple linear regression analysis was done to adjust for the confounding effects of various parameters. At a 95% confidence level, a p-value less than 0.05 was considered statistically significant.\u0000Results: Unadjusted serum uric acid levels were significantly different among non-diabetics, pre-diabetes and diabetes group. Serum uric acid levels also correlated positively but weakly with all the glycemic parameters (p < 0.001). However, after adjusting for the confounders like age, sex, diet, BMI, smoking, alcoholism, and hypertension, serum uric acid levels did not vary significantly among the study groups. There was no significant association of serum uric acid with glycemic parameters.\u0000Conclusions: Serum uric acid levels did not vary significantly among the diabetic, pre-diabetic, and non-diabetic individuals. Different modifiable and non-modifiable risk factors need to be considered in hyperuricemia in diabetic patients.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125600889","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

FUNCTIONAL OUTCOME OF MEDIAL GASTROCNEMIUS MUSCLE PEDICLE FLAP FOR SOFT TISSUE RECONSTRUCTION AROUND THE KNEE AND PROXIMAL LEG 腓肠肌内侧带蒂皮瓣在膝关节及小腿近端软组织重建中的功能效果

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1110

S. Pandey, S. Bidary

{"title":"FUNCTIONAL OUTCOME OF MEDIAL GASTROCNEMIUS MUSCLE PEDICLE FLAP FOR SOFT TISSUE RECONSTRUCTION AROUND THE KNEE AND PROXIMAL LEG","authors":"S. Pandey, S. Bidary","doi":"10.54530/jcmc.1110","DOIUrl":"https://doi.org/10.54530/jcmc.1110","url":null,"abstract":"Background: Soft tissue coverage around the knee and a proximal third leg can be done using a medial Gastrocnemius Muscle Pedicle Flap (GMPF). There are variable results in the literature about its outcome and such study is lacking in our country. The present study was undertaken to evaluate the outcome of the medial GMPF to reconstruct the defect around the knee and proximal 3rd leg.\u0000Methods: It was a retrospective study of 21 cases of medial GMPF reconstruction to cover the defect around the knee and proximal third leg over 2 years in tertiary care hospital. The outcome variables measured were flap and graft take up, fracture union, knee range of motion, and complications. Data was analyzed using SPSS software version 20.0 with descriptive statistics for categorical and discrete variables.\u0000Results: The mean age of the patient was 37.19 years (range 21-65). Out of a total of 21 cases, 20 (95.2%) were traumatic wound defects, whereas 1 case was complications of necrotizing fasciitis. Flap and graft take-up was good in all the cases. The mean time for union of tibia fracture was 24.57 weeks (range 16-36). The mean knee range of motion was 125 degrees (range 90-145). Two cases had a superficial infection and one had a deep infection.\u0000Conclusions: Medial GMPF gives satisfactory results in soft tissue reconstruction about knee and proximal 3rd leg and it can be performed well by trained orthopedic surgeons also with consistently good results.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126302688","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

WHO KILLED RATIONAL USE OF MEDICINE? 是谁扼杀了合理用药?

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1182

P. Shankar

引用次数: 0

ASSESSMENT OF KNOWLEDGE AND PRACTICE ABOUT COVID-19 AMONG HEALTH CARE WORKERS INVOLVING IN VARIOUS AEROSOL GENERATING PROCEDURES 评估参与各种气溶胶产生程序的卫生保健工作者关于COVID-19的知识和实践

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1141

Surendra Kumar Acharya, Mamata Rai, Rameswari Acharya

{"title":"ASSESSMENT OF KNOWLEDGE AND PRACTICE ABOUT COVID-19 AMONG HEALTH CARE WORKERS INVOLVING IN VARIOUS AEROSOL GENERATING PROCEDURES","authors":"Surendra Kumar Acharya, Mamata Rai, Rameswari Acharya","doi":"10.54530/jcmc.1141","DOIUrl":"https://doi.org/10.54530/jcmc.1141","url":null,"abstract":"Background: Post-COVID, the importance of the particle and aerosol generation has gained much significance. Hence in the present study we assessed the knowledge and practice about COVID-19 among health care workers involving in various aerosol generating procedures.\u0000Methods: We piloted a questionnaire based descriptive cross-sectional study at various aerosol generating departments of KIST Medical College and Teaching Hospital, Imadol, Nepal from June 2020 to December 2020 with IEC No: 076/077/42. All the health care workers at same departments were included. The self- administered questionnaire had two sections; knowledge and practice. The responses noted and analyzed using the 2 tailed multivariate regressions to estimate influencing factors.\u0000Results: We observed that the about one third of the respondents get information about COVID-19 mainly from TV and social media. In the multivariate model, source of information, type of health institution and knowledge of COVID-19 are strongly associated with preventive practice of health care workers. HCWs who had good knowledge on COVID-19 were 2 times more likely implement good preventive practice.\u0000Conclusions: Type of health facilities, level of education, training on COVID, work experience, type of source of information were significantly associated with knowledge, and practice of HCWs toward COVID-19. Various aerosol generating departments showed good knowledge and practice. Among all OMFS department showed good knowledge and practice as compared to other departments of Dentistry. Also knowledge and practice of Departments of Medicine, Anesthesia, Emergency, Pediatrics and ENT showed good.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121697617","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

SIGNS AND ETIOLOGIES OF RESPIRATORY DISTRESS AMONG MECHANICALLY VENTILATED PATIENTS ATTENDING CHITWAN MEDICAL COLLEGE, BHARATPUR 奇旺医学院机械通气患者呼吸窘迫的体征和病因

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.674

S. Gurung, S. Adhikari, M. Bhattarai, Basanta Gauli, Niraj Puri, Sunil Patel, P. Wagley

{"title":"SIGNS AND ETIOLOGIES OF RESPIRATORY DISTRESS AMONG MECHANICALLY VENTILATED PATIENTS ATTENDING CHITWAN MEDICAL COLLEGE, BHARATPUR","authors":"S. Gurung, S. Adhikari, M. Bhattarai, Basanta Gauli, Niraj Puri, Sunil Patel, P. Wagley","doi":"10.54530/jcmc.674","DOIUrl":"https://doi.org/10.54530/jcmc.674","url":null,"abstract":"Background: Respiratory distress (RD) in mechanically ventilated patients may signify life-threatening complications which may be potentially reversible. The aim of the study was to determine the signs and etiologies of respiratory distress in patients under mechanical ventilation.\u0000Methods: A hospital-based cross-sectional study was done on adult patients on mechanical ventilation (MV) with Respiratory distress admitted at Chitwan Medical College, Nepal from January 2021 to June 2021.We studied various signs and etiologies of RD in different days on MV. Descriptive analysis was carried out using IBM SPSS version 20.\u0000Results: Total 66 patients were included in the study with mean ± SD of age was 55.3 ± 15.8 years with equal proportion of male and female. Out of total 154 occurrences of 11 signs in 66 patients, agitation was the most common one occurring 29.3% of times followed by use of accessory muscle in 15.9%. Most common cause of respiratory distress was interstitial syndrome of increased extra-vascular lung water or density on ultrasound was present more in patients on MV for ≥ 5 days. Most patients (74.2%) had multiple RD signs and 25.8% had only a single sign. Gasping was more common in patients on MV ≥ 5 days and agitation and delirium more in early days of MV.\u0000Conclusions: More than half of the conditions associated with RD on MV are relatively reversible and as the patients can develop RD any time or any day after being put on MV, a continued vigilance system is essential for their timely assessment and management.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115492809","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

SIRENOMELIA: A RARE CASE REPORT FROM RURAL HOSPITAL OF NEPAL 尼泊尔农村医院一例罕见病例报告

Journal of Chitwan Medical College Pub Date : 2022-09-29 DOI: 10.54530/jcmc.1184

S. Shrestha, K. Thani, Munna Keshari, A. Shrestha, Prashamsha Tamrakar

引用次数: 0