Journal of KIST Medical College最新文献

{"title":"Initial Experiences in Starting a Renal Transplant Center: Ab-initio profile of donors we encountered","authors":"Sonam Dargay, S. Bodapati, Sivaramakrishna Bodapati","doi":"10.61122/jkistmc268","DOIUrl":"https://doi.org/10.61122/jkistmc268","url":null,"abstract":"Introduction: Kidney transplantation is the ultimate treatment for people with ESRD. The Donors for such kidney can be either from living or from cadaver donors. The living donors are healthy people who are thoroughly worked up and screened. For the benefit of another person we subject a healthy subject to surgery. For this reason a study on how a donor’s health is affected as a result of kidney donation needs evaluation.\u0000Methods: This study is a combined retrospective and prospective study. The retrospective data were taken from the case sheet of patients maintained at the urology department of a large tertiary level hospital doing renal transplants. Prospective study of the cases were carried out by following up detail donor workup including history, clinical examination and investigations relevant to donor work up as per the protocol followed in the transplant center. Each prospective case were studied for complications of donor nephrectomy and followed up for a period of up to one year after donor nephrectomy. \u0000Results: A total of 36 donors underwent donor nephrectomy during the study period. There were only two laparoscopic nephrectomies and 34 by standard retroperitoneal open surgical method. 13 donors had postoperative complications (36.11%). The duration of stay varied from 5-35 days. Majority of the donors (44%) had a stay within the range of 10-15 days, followed by a stay of 5-10 days (30-56 percent of the donors). The remaining stay ranged from 2.78% to 8.33 %. The average stay in the hospital was found to be 14.17 days with SD of 6.45 days.\u0000Conclusion: Living kidney donation with all its advantages still holds the best solution for end stage renal disease. The inconvenience of haemodialysis along with the cost and loss of labour of a patient on haemodialysis makes renal transplant the ultimate replacement of a non-functioning kidney. The advantage of timing of transplantion according to the condition of the recipient makes it far superior than cadaver grafts.","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"60 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140476391","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}

{"title":"Outcome of Monopolar versus Bipolar Transurethral Resection of Prostate","authors":"Prabodh Regmi, R. B. Basnet","doi":"10.61122/jkistmc279","DOIUrl":"https://doi.org/10.61122/jkistmc279","url":null,"abstract":"Introduction: Transurethral resection of the prostate is the gold standard surgical treatment for benign prostatic hyperplasia with the lower urinary tract symptoms. Bipolar system is a new in technology to lower the adverse effects of monopolar system. This study was designed to find out clinic-demographic data and peri-operative outcomes of the monopolar versus bipolar transurethral resection of prostate.\u0000Methods: This prospective comparative study was conducted from June 2022 to March 2023, in the Department of Urology of Bir Hospital, National Academy of Medical Sciences, Nepal. Ethical approval of research was taken from Institutional Review Board, NAMS: Ref No. 735/2079/80. Microsoft Excel was used for descriptive analysis for clinic-demographic and outcome variable data, were presented in frequencies and percentages and their relation were analyzed by chi-square test/fisher’s exact test.\u0000A p-value of <0.05 statistically significant.\u0000Result: A total 80 patients were compared, bipolar(40 cases) and monopolar(40 cases). There were no differences in the incidence of hyponatremia, clot retention and evacuation rate, re-catheterization rate, mean hemoglobin loss, and mean length of hospital stay. The longer duration of operation time (>60 min) was observed in bipolar transurethral resection ( p=0.001). The transurethral resection syndrome was found only in M-TURP.\u0000Conclusion: Both  monopolar and bipolar transurethral resection of prostate showed no statistical differences in the amount of resected prostatic tissue, the incidence of hyponatremia, length of hospital stays, blood transfusion rate, re-catheterization rate, clot retention and evacuation rate. The shorter duration of surgery and the trans-urethral resection syndrome was observed in M-TURP.","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"238 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140472213","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}

{"title":"Functional Outcome of Distal Radius Fractures in Elderly Treated By Close Reduction And Cast Application under Hematoma Block","authors":"Arjun Dumre, R. Maharjan, Ganesh Gurung","doi":"10.61122/jkistmc282","DOIUrl":"https://doi.org/10.61122/jkistmc282","url":null,"abstract":"Introduction: Distal radius fractures are common in elderly population. Various options of treatment are available. Very good clinical outcomes have been reported in elderly patients with distal radius fractures treated by close reduction and cast application. The purpose of this study was to assess functional outcome of distal radius fractures in elderly treated by close reduction and cast application under hematoma block.\u0000Methods: Sixty two patients (19 males,42 females; mean age 67.7± 5.7 years) aged >60 years with distal radius fractures Frykman I to IV were treated with close reduction and cast application under hematoma block. Pain level was assessed using VAS score. Anatomical and functional results were assessed with radiological parameters, range of motion and DASH score at 2,6,12,24 and 52 weeks follow up.\u0000Results: Union was achieved in all fractures with mean time of 6.1±0.4weeks.At final follow up, mean radial height, radial inclination and radial tilt were 6.39 mm, 18.4°and 4.2° respectively. Mean VAS score and DASH score were 0.76 and 10.1 respectively. Complications were seen in 5 ( 6 % ) patients.\u0000Conclusion: Distal radius fractures in elderly treated by close reduction under hematoma block and cast application has good functional outcome.","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"342 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140473384","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}

{"title":"Comparison of Quality Of Life Before and After Laparoscopic Cholecystectomy","authors":"T. P. Bohara, Adarsh Gurung, Ellina Dangol, Salina Neupane, M. R. Joshi","doi":"10.61122/jkistmc291","DOIUrl":"https://doi.org/10.61122/jkistmc291","url":null,"abstract":"Introduction: Laparoscopic cholecystectomy (LC) is a treatment of choice for symptomatic cholelithiasis. LC is one of the most commonly done operations in our country. Patient-reported quality of life is an important outcome measure following all medical and surgical interventions. However, there are only a few papers available addressing quality of life-issues following laparoscopic cholecystectomy. Hence, we conducted a study to compare the quality of life to compare before and after LC.\u0000Methods: This is a longitudinal study. Patients who underwent laparoscopic cholecystectomy during the study period were included. Gastrointestinal quality of life (GIQLI) was measured before and six months after laparoscopic cholecystectomy.\u0000Result: Seventy-two patients, 11 (15.28 %) males and 61 (84.72 %) females were included in the study. The mean age was 44.97 years and the mean duration of symptoms was found to be 5.20 months. No complications were recorded. There was a statistical increase in the mean total GIQLI before and after LC (111.625 Vs 133, p < 0.0001).\u0000Conclusion: There was a significant increase in GIQLI after laparoscopic cholecystectomy in symptomatic patients.","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"70 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140473720","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}

{"title":"Prevalence and Associated Factors of Tobacco Smoking in Jumla, Nepal","authors":"P. P. Panta, Pratima Neupane, K. Amgain, Nishant Lama, IIchchya Panta","doi":"10.61122/jkistmc281","DOIUrl":"https://doi.org/10.61122/jkistmc281","url":null,"abstract":"Introduction: Globally, tobacco consumption is a major risk factor for mortality with an estimated five million deaths every year. Mortality due to cardiovascular diseases, cancer and respiratory conditions are the main cause of smoking. The rate of becoming smoker of teenagers increase day by day and 33% of them are believed to die due to consumption of tobacco. Almost 90% of them start smoking before the age of eighteen. The objective of this research is to study the prevalence, associated factors and behavior of cigarette smoking.\u0000Methods: A descriptive cross-sectional study design was used to find the prevalence of smoking and other associated factors. A sample of 345 students were recruited purposively from the selected school and a self administered questionnaire were used to collect the data in 2020 using WHO step survey.\u0000Data were entered in EPI data and Univariate and bivariate analysis was done using SPSS16. Logistic regression was used to find the associated factors. P value less than 0.05 was considered as statistical significant.\u0000Results: Among 318 students, 65% were male. The average age of the students was 18.03±1.65 years with the range of 15 to 25 years. The prevalence of smoking was estimated 23.3% (male=31.9% and female = 7.2%). The mean age of initiation of smoking was 16.5 years. Presence of parental smoking and smoking status was significantly associated (P < 0.05). Alcoholic habit was the predictor of smoking (p<0.05). Peer pressure (83.7%), exam load (55.8%), frustration (51.2%) family environment (43%), advertisement (34.9%), pleasure (26.7%) and curiosity (22.1%) were the main reason of starting smoking.  They had the knowledge of harmful effects of smoking i.e. cause cancer (91.8%), chronic bronchitis (65.70%), laryngeal cancer (42.10%), heart disease (34.3%).\u0000Conclusion: The prevalence of smoking was remarkably high in college students. Thus, it is important to address this preventable problem.","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"471 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140480148","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}

{"title":"Awareness and Utilization of Menstrual Cup among Adolescent Nursing Students of a Selected College.","authors":"Sumitra Mulepati, Sarmila Koirala, Sushila Devi Bhandari, Babita Budhathoki, Rajya Laxmi Bhele, Madhuri Thapa","doi":"10.61122/jkistmc286","DOIUrl":"https://doi.org/10.61122/jkistmc286","url":null,"abstract":"Introduction: Menstruation is normal physiological process of a woman, during this period basic hygiene and care is most important. Most of the women use sanitary napkins and pads for maintaining menstrual hygiene, though menstrual cup is a good alternative to sanitary pads as it is reusable and environment-friendly. Awareness of nursing students about this will have significant clinical and public health implications. Hence, the current research aimed at assessing awareness and utilization of menstrual cup among adolescent nursing students. \u0000 Methods: Analytical cross-sectional research design was conducted among 121 adolescent nursing students selected by enumerative sampling from Nepalese Army Institute of Health Sciences, College of Nursing and Nepali Army college of Health Science. Semi-structured questionnaire was used to collect the data. Descriptive statistics such as frequency, percentage, mean and standard deviation was used to describe the socio-demographic characteristics and inferential statistics i.e., spearman rank correlation was used to find out the correlation between level of awareness and utilization of menstrual cup. \u0000Results: In this study, majority (81%) of the respondents had moderate level and only (14%) of respondents had adequate level of awareness on menstrual cup. Very few respondents (9.1%) of them had used menstrual cup. There was negligible positive correlation between level of awareness and utilization of menstrual cup (r=0.003). \u0000Conclusion: The findings of the study concluded that nursing students have moderate knowledge regarding menstrual cup and its usage and only very few of them are using it hence, there is a need for educational programs, campaigns and continuous monitoring to improve and reinforce the knowledge regarding menstrual cup and its usage among students as they are the one who in future will reach to serve the public and raise awareness throughout the country. \u0000 ","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"689 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140474538","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}

{"title":"Pattern of Pre-Anesthetic Medications Used In Various Surgical Specialties in A Tertiary Care Hospital","authors":"Rosi Pradhan, Anil Maharjan, Bibena Lamichhane, A. Bhochhibhoya, U. Laudari, Anjan Khadka, Ashmita Bhochhibhoya, Parichhya Bista, Aditya Kumar Jha","doi":"10.61122/jkistmc287","DOIUrl":"https://doi.org/10.61122/jkistmc287","url":null,"abstract":"Introduction: Most of the surgeries done in our country under anesthesia are mostly at urban region and very low number at remote areas. Even those surgeries done under anesthesia do not receive proper premedication. Pre-anesthetic medicine has been linked to a variety of outcomes, including postoperative recovery time, the need for postoperative analgesia, and hospital stay. Yet, we have very less data regarding the patterns of use of drugs for premedication.\u0000Methods: It is a cross-sectional descriptive study performed in the department of Anesthesiology at KIST Medical College and Teaching Hospital from 15th Feb 2022 till 14th Feb 2023, after obtaining ethical clearance from the Institutional Review Committee. The total sample size was 385 which were calculated using Cochrane formula. All the patients who belonged to American Society of Anesthesiologists (ASA) I-III undergoing elective surgical procedures and administered premedication were selected for the study only after their informed written consent.\u0000Results: Out of 496 cases, 385 (53.8%) of patients were selected and pre-medications were recorded. The premedication used were metoclopramide 375 (97.4%), pantoprazole 375 (97.4%), paracetamol 52 (13.5%), glycopyrrolate 26 (6.75%), pregabalin 21 (5.45%), alprazolam 20 (5.19%), and lorazepam 1 (0.25%).  Types of surgeries categorizations were 59.22 % general surgery, 17.92 % Gynecological and Obstetrics, 17.14 % Orthopedic cases, 4.67 % ENT and 1.04 % dental cases.\u0000Conclusion: The most commonly administered pre-anesthetic drugs were metoclopramide, pantoprazole, paracetamol, pregabalin, alprazolam and then lorazepam.","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"469 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140479913","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}

{"title":"Spectrum of Intracerebral Hemorrhage in a Tertiary Hospital","authors":"Chandra Man Prajapati, Lalit Kumar Sah, Sachit Koirala, Sikhar Shrestha, Grish Dhakal, Eliza Adhikari, R. Mukhia, Kamal Koirala, Arati Rai","doi":"10.61122/jkistmc293","DOIUrl":"https://doi.org/10.61122/jkistmc293","url":null,"abstract":"Introduction: Intracerebral hemorrhage is a devastating  type of stroke that leads to profound morbidity and carries high mortality. Survivors of  hemorrhagic stroke  suffer  not only from physical  and social decline but also results in loss of productivity and financial burden. \u0000Causes of hemorrhagic stroke are hypertension, coagulopathic condition, diabetes mellitus and cardiovascular diseases. lesional hemorrhagic stroke can be due to subarachnoid hemorrhage from intracranial aneurysm,  arteriovenous malformation, dural arteriovenous fistula etc. \u0000Methods: A retrospective cross sectional study carried out at KISTMCTH. Data from six years duration was analysed from hospital records, outpatient department records. Patients that presented with intracranial hemorrhage were included. Post operative patients and traumatic intracerebral hemorrhage cases were not included. \u0000  \u0000Results:  Total of 112 patients was included in the study. 73 (65.1%) of them were male and 39 (34.8%) were female. putamen and caudate region were most common 47 (41.9%) followed by subarachnoid region 27 (24.1%), thalamus 19 (16.9%), cerebellum 9 (8.04%) , lobar region 8 (7.1%) and brainstem 2 (1.7%). Intracranial hemorrhage was more common in age group of 41-60 years 59 (52.6%)  followed by age group 61- 100 years 42 (37.5%). 14 (51.8%) female had subarachnoid hemorrage in comparision to 13 male (48.1%). Anterior communicating artery aneurysm had highest occurrence 10 (37%) followed by middle cerebral artery aneurysm 6 (22.2%) , paraclinnoidal / anterior choroidal/posterior communicating artery aneurysm 5 (18.5%),  vertebral artery aneurysm 3 (11.1%), distal anterior cerebral artery aneurysm 1 (3.7%). \u0000Intracranial hemorrhage had highest occurrence on the month of January (15%)  and lowest on the month of November (3.57%). 29 (25.8%) of total intracranial hemorrhage patient had intraventricular extension of hemorrhage. Intraventricular extension was more common in thalamic hematoma 15 (13.39%) followed by caudate/putaminal hematoma 10 (8.9%), cerebellum 3 (2.6%).Modified Rankin Scale ( MRS) outcome score was found to be highest as MRS 6 for 34 (30.6%) patients . while good outcome in terms of MRS 1 , MRS 2 and MRS 3  were observed for  7 (6.2%), 26 (23.2%), 25 (22.3%) patients respectively. \u0000Conclusion: Hypertension remains one of the major risk factor that results in various location specific hemorrhage   and it  shows specific peak seasonal variation. Proper blood pressure control is recommended  for prevention of  intracranial hemorrhages.","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"347 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140470623","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}

{"title":"Accuracy of Prediction of Birth Weight by Fetal Ultrasound","authors":"S. Acharya, A. Tiwari","doi":"10.3126/jkistmc.v2i2.33566","DOIUrl":"https://doi.org/10.3126/jkistmc.v2i2.33566","url":null,"abstract":"Introduction: Fetal weight estimation using ultrasonography (USG) is beneficial for the better feto-maternal outcome. This study was done to determine the accuracy of prediction of birth weight by fetal ultrasound. \u0000Methods: This was a cross-sectional study carried out in the Department of Radio diagnosis, Lumbini Medical College and Teaching Hospital (LMCTH), Palpa, Nepal from1st June to 31st December 2018.Fetal weight was calculated by USG in 325 women using Hadlock’s formula and correlated with birth weight. \u0000Results: Our study showed that fetal ultrasound using Hadlock’s formula has error in estimation of fetal weight by 189gm (SD: 111 gm). In 91.3% of the cases, there was an error of estimation by less than 10% compared to actual weight. \u0000Conclusion: It can be concluded that sonographic estimation of birth weight can be recommended to yield a better prediction of birth weight and to further evaluate fetal well-being.  ","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115090991","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}