Kathmandu University Medical Journal最新文献_第8页

Ultrasound Guided Estimation of Skin to Subarachnoid Space Depth in Patients Scheduled for Elective Surgeries under Subarachnoid Block. 在超声波引导下估算蛛网膜下腔阻滞期择期手术患者的皮肤至蛛网膜下腔深度。

Kathmandu University Medical Journal Pub Date : 2023-07-01

S Devkota, B K Baral, P R Poudel

{"title":"Ultrasound Guided Estimation of Skin to Subarachnoid Space Depth in Patients Scheduled for Elective Surgeries under Subarachnoid Block.","authors":"S Devkota, B K Baral, P R Poudel","doi":"","DOIUrl":"","url":null,"abstract":"Background Subarachnoid block is one of the commonly used techniques of regional anesthesia and accurate placement of spinal needle is crucial. A conventional spinal needle may be too long for a lean patient or too short in obese patients leading to multiple attempts, inadvertent nerve injuries and patient discomfort. So a pre-procedural estimation of the skin to subarachnoid space depth may be beneficial. Objective To estimate the skin to subarachnoid space depth using ultrasound and correlate it with the length of spinal needle to be inserted during subarachnoid block. Method This was a prospective, observational study conducted at Bir Hospital, Kathmandu in patients undergoing elective surgeries under subarachnoid block. A pre-procedural ultrasound of lumbo-sacral spine using 2-5 Hz curvilinear probe was done to measure skin to subarachnoid space depth (SSD) at the level of L3-L4 interspace. Then under all aseptic precautions, subarachnoid block was performed and the length of spinal needle outside the skin was measured and that length was subtracted from the standard length of needle to get the inserted length of spinal needle. These two measurements were compared. Result In the fifty patients included in the study, ultrasound estimated skin to subarachnoid space depth was found to be 4.24 ± 0.48 cm and the inserted length of spinal needle was 4.24 ± 0.46 cm. A significant correlation r=0.96 (p < 0.05) was found between the two measurements in the study population. Conclusion Ultrasound estimated skin to subarachnoid depth in the study population was found to be 4.24 ± 0.48 cm which correlated with the inserted length of spinal needle. So, use of ultrasound can be very helpful in performing subarachnoid block.","PeriodicalId":35493,"journal":{"name":"Kathmandu University Medical Journal","volume":"21 83","pages":"260-264"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112907","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

Discover yourself: open up your "Johari window" with "Dohari" Feedback. 发现自己：用 "Dohari "反馈打开你的 "乔哈里之窗"。

Kathmandu University Medical Journal Pub Date : 2023-07-01

R Shrestha

引用次数: 0

Prevalence, Pattern and Risk Factors of Oral Cancer -A single institute-based study from Nepal. 口腔癌的发病率、模式和风险因素--尼泊尔一项基于单一机构的研究。

Kathmandu University Medical Journal Pub Date : 2023-07-01

N K Chaurasia, C Upadhyaya, S Dulal, M Shakya, B R Adhikari, S Upreti

{"title":"Prevalence, Pattern and Risk Factors of Oral Cancer -A single institute-based study from Nepal.","authors":"N K Chaurasia, C Upadhyaya, S Dulal, M Shakya, B R Adhikari, S Upreti","doi":"","DOIUrl":"","url":null,"abstract":"Cancer of lip and oral cavity is the most common type of cancer in male population in South East Asia. Although it is a multifactorial disease, tobacco and alcohol use are the most common risk factors involved. Oral cancer has a direct relationship with deleterious habits. Inadequate knowledge about the disease and lack of awareness about its risk factors play vital role in increasing incidence of oral cancer. Objective To determine the prevalence and pattern of oral cancer as well as to find out the risk factors associated with development of oral cancer. Method The hospital records of the patients with histo-pathologically confirmed oral cancer between November 2011 to December 2021 were studied. Data regarding age, sex, associated risk factors and pattern of oral cancer were recorded. Descriptive statistics were obtained and recorded in tabulated form. Result Total of 312 (53.6%) cases out of 582 biopsies turned out to be histo-pathologically confirmed oral cancer. Out of 312 cases of oral cancer, 294 (94.27%) were squamous cell carcinoma. Total number of males were 196 (66.7%) and females were 116 (37.1%). The mean age was 56.2±13.4 years. Smoking (34.7%) was the most common risk factor and gingiva (42.6%) was the most common site of involvement. Conclusion Squamous cell carcinoma is the most common type of oral cancer and gingiva is the most common site of involvement. Tobacco smoking is the major risk factor for developing oral cancer.","PeriodicalId":35493,"journal":{"name":"Kathmandu University Medical Journal","volume":"21 83","pages":"303-308"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112890","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

COVID 19 Vaccine Breakthrough Infection among Health Care Workers. COVID 19 疫苗在医护人员中的突破性感染。