Medical Journal of Shree Birendra Hospital最新文献_第8页

Clinical and Demographic Profile of Acute Anterior Uveitis: A Hospital Based Study 急性前葡萄膜炎的临床和人口学特征:一项基于医院的研究

Medical Journal of Shree Birendra Hospital Pub Date : 2020-06-26 DOI: 10.3126/mjsbh.v19i2.28285

A. Gurung, D. Shrestha, P. Budhathoki, Sachit Dhakal, Sagar Rajkarnikar, K. Thapa, R. Shrestha

{"title":"Clinical and Demographic Profile of Acute Anterior Uveitis: A Hospital Based Study","authors":"A. Gurung, D. Shrestha, P. Budhathoki, Sachit Dhakal, Sagar Rajkarnikar, K. Thapa, R. Shrestha","doi":"10.3126/mjsbh.v19i2.28285","DOIUrl":"https://doi.org/10.3126/mjsbh.v19i2.28285","url":null,"abstract":"Introduction: Uveitis is an inflammatory condition of uvea of eye. It is a sight threatening condition, so accurate and timely diagnosis and treatment is required. Acute anterior uveitis is characterised by eye pain or photophobia, circumlimbal redness and anterior chamber cells and flare. Methods: This is a cross-sectional descriptive hospital record-based study based on data record in eye department of a tertiary care level centre in Kathmandu, Nepal. All cases of anterior uveitis presented to our OPD over one-year duration (December 2017November 2018) were enrolled. Age, sex, co-morbidities and profile of uveitis like slit lamp findings were recorded. Results: Total 52 cases of acute uveitis were observed during the study period. There were total 34 males and 18 females with eye involvement. Age group of the patients ranged from 19 to 79 years with median age of 36 years. Forty eight cases (92.3%) had unilateral involvement whereas only four cases (7.7%) had bilateral involvement. Keratic precipitates were seen in 44 patients. Majority of the patients had good vision; 65.4% in right eye and 69.2% in left eye. Conclusions: Most of the anterior uveitis occur in male in third and fourth decade. The most common complaints of the patient were decreased vision, eye pain and red eye.","PeriodicalId":33963,"journal":{"name":"Medical Journal of Shree Birendra Hospital","volume":"19 1","pages":"75-79"},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/mjsbh.v19i2.28285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45971961","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

Sensitivity Pattern of Gram Negative Bacteria Contaminating Traumatic Wounds: A Retrospective Study in a Tertiary Care Hospital of Kathamandu Valley 创伤伤口革兰氏阴性菌的敏感性:加德满都谷地三级医院的回顾性研究

Medical Journal of Shree Birendra Hospital Pub Date : 2020-06-26 DOI: 10.3126/mjsbh.v19i2.27689

Satya Narayan Suwal, Sammodavardhana Kaundinnyayana, K. Prajapati, Reena Baidya

{"title":"Sensitivity Pattern of Gram Negative Bacteria Contaminating Traumatic Wounds: A Retrospective Study in a Tertiary Care Hospital of Kathamandu Valley","authors":"Satya Narayan Suwal, Sammodavardhana Kaundinnyayana, K. Prajapati, Reena Baidya","doi":"10.3126/mjsbh.v19i2.27689","DOIUrl":"https://doi.org/10.3126/mjsbh.v19i2.27689","url":null,"abstract":"Introduction: Gram negative bacteria are commonly involved in wound infections and are significantly associated with morbidity and mortality because of increasing resistance to commonly used antibacterial agents. This study aims to evaluate the pattern of antibacterial sensitivity of the gram negative bacteria from wound swabs of accidental trauma cases. Methods: This retrospective study was done by collecting all the culture positive reports for wound swabs of accidental wounds from the microbiology laboratory and analyzing the reports showing growth of gram negative bacteria for frequency of sensitivity to commonly used antibacterial agents. Results: Culture positivity rate was 21.95% with growth of gram negative bacteria in 79.7% of cases. The most commonly isolated organism was Escherichia coli being 41.3% among gram negative isolates. Highly resistant bacteria were E. coli, Klebsiella pneumoniae and Acinetobacter spp. Conclusions: As there is low culture positivity rate for wound swabs obtained before washing the wounds inflicted by accidental trauma, prolonged routine use of prophylactic antibiotic is not justified. Thoroughly washing the wound is very likely to decrease the rate of wound infection further and reduces the need of antibacterial agents. Culture and sensitivity test should guide the treatment when wound is infected because highly resistant gram negative organism may be involved in such cases.","PeriodicalId":33963,"journal":{"name":"Medical Journal of Shree Birendra Hospital","volume":"19 1","pages":"103-107"},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42336537","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

Anti-NMDA Encephalitis: A Rare Encephalitis in a Child- A Case Report 抗nmda脑炎:一种罕见的儿童脑炎1例报告

Medical Journal of Shree Birendra Hospital Pub Date : 2020-06-26 DOI: 10.3126/mjsbh.v19i2.28666

Saurav Khetan, N. Agrawal, Prakash Rajoli

引用次数: 0

Outcome of Surgical Treatment of Stress Fracture Neck of Femur in Military Recruits 新兵股骨颈应力性骨折的外科治疗效果

Medical Journal of Shree Birendra Hospital Pub Date : 2020-06-26 DOI: 10.3126/mjsbh.v19i2.28278

Sushil Rana Magar, P. Chand, B. B. Thapa, R. Sinha, R. Shah, D. Maharjan, Sushil Shrestha

{"title":"Outcome of Surgical Treatment of Stress Fracture Neck of Femur in Military Recruits","authors":"Sushil Rana Magar, P. Chand, B. B. Thapa, R. Sinha, R. Shah, D. Maharjan, Sushil Shrestha","doi":"10.3126/mjsbh.v19i2.28278","DOIUrl":"https://doi.org/10.3126/mjsbh.v19i2.28278","url":null,"abstract":"Introduction: Stress fracture of neck of femur is known to occur in athletes and soldiers. From treatment perspective, this is still an unsolved fracture. The purpose of this study is to critically analyse the functional outcome of surgical treatment of stress fracture of neck of femur in military recruits performed by the same surgical team. Methods: This is a retrospective study of surgically treated femoral neck stress fracture from 1st December 2012 to 1st December 2013. All fractures were fixed with three 6.5 mm cancellous lag screws with washers. For failure of primary fixation or non-union, osteosynthesis with fibular strut graft was performed. Patients were evaluated at six weeks, 12 weeks, six months, 12 months and then yearly for three years. Functional outcome was evaluated by using Harris Hip Score at six months and at final follow-up. The outcome was followed up for six years up to Dec 2019. Results: There were eight males and one female patient. Mean age of patient was 20.7 years (Range, 19-23 years). Average follow-up period was 67.6 months (range 6-81). Lag screw fixation was done in five cases after closed reduction and in four cases after open reduction. Osteosynthesis with fibular graft was done in two cases. In six cases, fracture united at a mean duration of 9.8 months (Range 6-20). In three cases there was non-union of the fracture with added infection in one case. Avascular necrosis of femoral head developed in two cases. Conclusions: Successful surgical treatment of stress fracture of neck of femur requires anatomical reduction and stable interfragmentary compression with lag screws.","PeriodicalId":33963,"journal":{"name":"Medical Journal of Shree Birendra Hospital","volume":"19 1","pages":"90-96"},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/mjsbh.v19i2.28278","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47103993","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

Comparison Between Mini PCNL and Standard PCNL in Management of Nephrolithiasis 迷你型PCNL与标准型PCNL治疗肾结石的比较

Medical Journal of Shree Birendra Hospital Pub Date : 2020-06-26 DOI: 10.3126/mjsbh.v19i2.26640

B. Bhandari, B. Thapa, D. Ayer, S. Thapa, S. Bista

引用次数: 1

An Author’s Dilemma: Where to Publish? 作家的困境：在哪里出版？

Medical Journal of Shree Birendra Hospital Pub Date : 2020-06-26 DOI: 10.3126/mjsbh.v19i2.29327

Raju Kafle

{"title":"An Author’s Dilemma: Where to Publish?","authors":"Raju Kafle","doi":"10.3126/mjsbh.v19i2.29327","DOIUrl":"https://doi.org/10.3126/mjsbh.v19i2.29327","url":null,"abstract":"Journals are the essence of scholarly communication. They not only serve to disseminate latest scientific advancements but also provide a platform for archiving scholarly information for future reference, and allow a researcher to assert his or her scientific caliber. Selecting the most suitable journal to showcase one’s scholarly work is no mean feat. With more than 43,000 biomedical journals listed with PubMed1, the database maintained by United States National Library of Medicine (NLM), this exercise can easily baffle an inexperienced researcher. The huge risk of rejection of a paper from a journal that is not the right fit, and a widening web of dubious and predatory journals which publish almost everything sent to them, make this task particularly daunting. You may think that getting your paper into a journal with the highest possible impact factor is your only concern. However, this makes sense only if you think that you will be judged solely on the journal your paper is in rather than the quality and actual impact of the work. Although journal name and impact factor are still used to judge papers (or even researchers), the problems with this approach are becoming more widely known.2 Within one journal, papers can vary enormously in their quality and citations so it is unfair to judge a single paper by the mean number of citations in a whole journal.","PeriodicalId":33963,"journal":{"name":"Medical Journal of Shree Birendra Hospital","volume":"19 1","pages":"57-59"},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/mjsbh.v19i2.29327","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44795280","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

Antimicrobial Sensitivity Pattern of Pseudomonas Aeruginosa Isolated from a Tertiary Care Hospital 某三甲医院铜绿假单胞菌耐药性分析

Medical Journal of Shree Birendra Hospital Pub Date : 2020-06-26 DOI: 10.3126/mjsbh.v19i2.28380

S. Bhatta, M. Pradhan, Alina Singh, R. Chaudhary, Y. I. Singh

{"title":"Antimicrobial Sensitivity Pattern of Pseudomonas Aeruginosa Isolated from a Tertiary Care Hospital","authors":"S. Bhatta, M. Pradhan, Alina Singh, R. Chaudhary, Y. I. Singh","doi":"10.3126/mjsbh.v19i2.28380","DOIUrl":"https://doi.org/10.3126/mjsbh.v19i2.28380","url":null,"abstract":"Introduction: Pseudomonas aeruginosa (P. aeruginosa) is one of the major cause of nosocomial infection. Multi-drug-resistant P. aeruginosa (MDR PA) are increasingly encountered in clinical samples .Therefore, this study was undertaken to know the sensitivity pattern of P. aeruginosa and to detect MDR PA from clinical samples. Methods: This was a laboratory based retrospective-cross sectional study conducted at Department of Microbiology at a tertiary care referral centre in Kathmandu, Nepal from December 2018 to December 2019. Total of 200 isolates of P. aeruginosa were isolated from clinical samples. Non repetitive sample per patient was included in the study. Samples were processed according to standard methodology and antimicrobial sensitivity testing (AMST) was carried out by Modified Kirby Bauer disk diffusion test as per Clinical Laboratory Standard Institute guideline. MDR was defined as strains resistant to one or more agent of ≥ 3 groups of antimicrobial categories. Results: Highest number of P. aeruginosa were isolated from sputum (93), followed by wound swab (35), and pus (29). AMST revealed the most sensitive drug to be Amikacin (91.51%) followed by Meropenem (78.5%) and Piperacillin/Tazobactam (77.50%). Out of 200 isolates, 69 (34.5%) were MDRPA. Conclusions: The information regarding sensitivity pattern of P. aeruginosa will help clinicians to choose most effective antimicrobials for the treatment of patients thus saving the time duration and total cost of patient management and also it will play a key role in setting antimicrobial stewardship policy.","PeriodicalId":33963,"journal":{"name":"Medical Journal of Shree Birendra Hospital","volume":"19 1","pages":"70-74"},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/mjsbh.v19i2.28380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48346350","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

A Prospective Drug Utilisation Study and Pharmacoeconomic Analysis in Paediatric Dentistry at a Tertiary Hospital 某三级医院儿科牙科前瞻性用药研究及药物经济学分析

Medical Journal of Shree Birendra Hospital Pub Date : 2020-06-26 DOI: 10.3126/mjsbh.v19i2.27735

Binaya Shrestha, M. Pradhan

{"title":"A Prospective Drug Utilisation Study and Pharmacoeconomic Analysis in Paediatric Dentistry at a Tertiary Hospital","authors":"Binaya Shrestha, M. Pradhan","doi":"10.3126/mjsbh.v19i2.27735","DOIUrl":"https://doi.org/10.3126/mjsbh.v19i2.27735","url":null,"abstract":"Introduction: Paediatric dentistry is the branch of dentistry dealing with children from birth to adolescence. Children tend to suffer from various dental conditions which can be primarily infective in nature and hence requires drugs that can be expensive. Drug utilisation data are needed for developing and monitoring policies because data on drug expenditure are not sufficient. Methods: This was a prospective cross-sectional study conducted in the Department of Pedodontics (paediatric dentistry) of a tertiary care teaching institute in Kathmandu, Nepal from July 2019 to December 2019. During the study period a total of 200 prescriptions were collected. Analysis was conducted using MS excel 2016 and further required analysis was done using Statistical Package for the Social Sciences v22.0. Results: A total of 200 prescriptions were analysed during the study period, of which 126 were males whereas 74 were females. The most common drug prescribed was paracetamol whereas amoxicillin was the most commonly prescribed antibiotics. Most common condition was periapical abscess but space infection was the most expensive condition.There was no statistically significance between the cost of drugs prescribed for the male and female patients. Conclusions: The drug prescription pattern was found to be rational. Every institution must have their own Drugs and Therapeutics Committee as has been suggested by WHO, so that patients will be benefited through decreasing economical burden, and adverse drug reactions and that by this, therapeutic effect will be increased.","PeriodicalId":33963,"journal":{"name":"Medical Journal of Shree Birendra Hospital","volume":"19 1","pages":"60-64"},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/mjsbh.v19i2.27735","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43390968","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

A Prospective Study to Assess the Effectiveness of Extracorporeal Shock Wave Lithotripsy Versus Ureteroscopy for Proximal Ureteral Calculi Between Sizes 5 to 10 mm 一项评估体外冲击波碎石与输尿管镜治疗输尿管近端5 - 10mm结石疗效的前瞻性研究

Medical Journal of Shree Birendra Hospital Pub Date : 2020-06-26 DOI: 10.3126/mjsbh.v19i2.27535

B. Rayamajhi, A. Khadka, N. Thapa

{"title":"A Prospective Study to Assess the Effectiveness of Extracorporeal Shock Wave Lithotripsy Versus Ureteroscopy for Proximal Ureteral Calculi Between Sizes 5 to 10 mm","authors":"B. Rayamajhi, A. Khadka, N. Thapa","doi":"10.3126/mjsbh.v19i2.27535","DOIUrl":"https://doi.org/10.3126/mjsbh.v19i2.27535","url":null,"abstract":"Introduction: There are various international guidelines for the surgical treatment of upper ureteral calculi. For upper ureteral stone of less than 10 mm size, ESWL and URS are regarded as first line treatment. However, there is lack of national guidelines for appropriate surgical options for such stone in our settings. Methods: The study was prospective comparative type involving 100 patients who were divided into ESWL and URS groups comprising 50 patients in each. ESWL and URS were performed after confirmation of stone size with ultrasonography and non-contrast enhanced computed tomography. All patients underwent X-ray KUB at one week and six weeks post procedure for confirmation of stone clearance. Those with residual calculi of size < 5 mm were considered stone free. Statistical analysis was done using Graph pad prism version 6. Results: The mean age of patients in ESWL and URS groups were 41.28 ± 15.3 years and 42.84 ± 16.1 years respectively. The male to female ratio was higher in ESWL group. The mean size of the stone pre ESWL was 8.58 mm and pre URS was 8.44 mm. The percentage of stone clearance at one week and six weeks for ESWL was 56% and 90% respectively whereas for URS, it was more than 90% at both one week and six weeks. The complications were higher with URS (20%) than ESWL (8%). Conclusions: The ESWL and URS are equally effective in stone clearance. The duration is longer with ESWL and the complications were more in URS group.","PeriodicalId":33963,"journal":{"name":"Medical Journal of Shree Birendra Hospital","volume":"19 1","pages":"65-69"},"PeriodicalIF":0.0,"publicationDate":"2020-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/mjsbh.v19i2.27535","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44395157","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

Disability and Deformity in Patients of Hansen’s Disease Attending a Tertiary Care Center in Nepal 在尼泊尔三级保健中心的汉森病患者的残疾和畸形

Medical Journal of Shree Birendra Hospital Pub Date : 2020-01-14 DOI: 10.3126/mjsbh.v19i1.26671

Sagar Mani Jha, N. Shakya, S. Shakya, M. Maharjan

{"title":"Disability and Deformity in Patients of Hansen’s Disease Attending a Tertiary Care Center in Nepal","authors":"Sagar Mani Jha, N. Shakya, S. Shakya, M. Maharjan","doi":"10.3126/mjsbh.v19i1.26671","DOIUrl":"https://doi.org/10.3126/mjsbh.v19i1.26671","url":null,"abstract":"Introduction: Leprosy is responsible for disability and deformity among patients. Nerve damage is one of the main features of leprosy and it is the main cause of disability in the patients. Developing deformity leads to restriction in professional work and hence reduced income as well as it also acts adversely on social wellbeing. The aim of this study was to study the spectrum of Grade 2 disability among all leprosy patients attending outpatient and inpatient according to WHO grading and to find the association with Ridley Jopling classification. Methods: It was an observational cross sectional hospital based study. All the inpatients and outpatients of leprosy getting treatment and were on follow up in the Department of Dermatology between December 2017 to November 2019 were included. Details of disability and deformity were recorded and were Classified as per WHO grading and Ridley Jopling classification. Cross tab was used in descriptive analysis to compare between different variables and data was analysed in percentage. Results: A total of 88 patients were included in the study. Maximum number of patients 41 (46.7%) belonged to 30 to 50 years of age group. Various degrees of loss of sensation was seen in all patients and total number of patients with Grade 1 disability were 68 (77.3%) and Grade 2 disability were 20 (22.7%). Maximum number of patients 11 (12.5%) with Grade 2 disability was seen in Lepromatous Leprosy. Conclusions: Disability and deformity can occur in any spectrum of disease and intervention as early as possible will help reduce the incidence.","PeriodicalId":33963,"journal":{"name":"Medical Journal of Shree Birendra Hospital","volume":"19 1","pages":"26-30"},"PeriodicalIF":0.0,"publicationDate":"2020-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/mjsbh.v19i1.26671","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44262146","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