Ashwin Karakheti, N. Mahato, R. Chaudhary, Biswash Sapkota, S. B. Tiwari, P. Khadka, Arati Karakheti
{"title":"Mental Health Status of Secondary Level School Students of Gorkha District","authors":"Ashwin Karakheti, N. Mahato, R. Chaudhary, Biswash Sapkota, S. B. Tiwari, P. Khadka, Arati Karakheti","doi":"10.3126/njhs.v2i2.56791","DOIUrl":"https://doi.org/10.3126/njhs.v2i2.56791","url":null,"abstract":"Introduction: Mental health problem among the adolescent is one of the major global challenges. Adolescence is a transition phase ranging from 10 to 19 years. Most of these problems are manifested at this stage of life. Adolescents are more vulnerable to mental health problems as they face biological, physical, social and cultural transition simultaneously.\u0000Objective: The study objective of this study is to assess mental health status among secondary level school adolescents.\u0000Methods: This study is a cross-sectional study conducted among 317 secondary level school students of Gorkha, Nepal. Structured self-administered questionnaire and General Health Questionnaire-28 (GHQ-28) were used. Data was entered in Epidata and analyzed in SPSS 11.5\u0000Results: In this study, 24.9% of the respondents were found to have mental health problems. The mean age of respondent was 16.47 ± 1.32 years. In the study female respondents and adolescents from community school were more likely to develop mental health problems.\u0000Conclusions: Mental Health problem among secondary level school going adolescents was in alarming situation. Thus, to improve this problem among adolescents a comprehensive effort needs to be initiated.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"16 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":"128390423","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":"Enhancing Gingival Esthetics by Depigmentation","authors":"Rejina Shrestha, S. Pradhan","doi":"10.3126/njhs.v2i2.56809","DOIUrl":"https://doi.org/10.3126/njhs.v2i2.56809","url":null,"abstract":"The color of the gingiva has an important role in determining the esthetics of an individual. There are many etiological factors responsible for gingival pigmentation. Depigmentation of the gingiva can be done by various procedures which include scalpel surgery, cryosurgery, bur abrasion, laser surgery and electrosurgery. Among these procedures, laser depigmentation is the most comfortable method.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","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":"124407050","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":"Attitude of Medical Students towards Biochemistry and Its Integration through Problem-Based Learning","authors":"Rachana Pandey, P. Risal","doi":"10.3126/njhs.v2i2.56805","DOIUrl":"https://doi.org/10.3126/njhs.v2i2.56805","url":null,"abstract":"Introduction: Biochemistry is an important but volatile subject for undergraduate medical students and is included in integrated organ-based system with problem-based learning method in the curriculum of Kathmandu University School of Medical Sciences.\u0000Objective: This study was conducted to assess students’ attitudes toward Biochemistry and its integration into problem-based learning.\u0000Methods: It was a descriptive cross-sectional study that lasted 5 months (October 2020-February 2021) after ethical approval from the Institutional Review Committee- KUSMS. Among 150 students participated in the study, 51 were girls and 99 were boys. After taking consent, a pretested self-assessment semi structured questionnaire with a five point Likert scale for each question was used. Out of the statements in the questionnaire, eight questions were positive statements. Mean for each statement was calculated along with average mean score for each positive and negative statements.\u0000Results: The mean positive score was 3.06 for the attitude towards studying Biochemistry. The mean score towards the negative statements was 2.4. The mean score was 3.36 for positive statements towards attitude of students towards integration of Biochemistry in problem-based learning whereas the mean score of negative statements was 3.41.\u0000Conclusions: Students had overall positive attitude towards studying Biochemistry and its integration into an organ system based curriculum using problem-based learning.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"6 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":"133688736","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":"Estimating Stature among Medical Students in Lalitpur, Tertiary Care Hospital, using Index and Ring Finger Length","authors":"Amshu Pradhan, B. Mandal, A. Karn","doi":"10.3126/njhs.v2i2.56803","DOIUrl":"https://doi.org/10.3126/njhs.v2i2.56803","url":null,"abstract":"Introduction: Anthropometry refers to a group of systematic methods for quantitatively measuring the dimensions of the human body and skeleton. It is the fundamental tool for biological anthropology that is closely related to determining an individual’s height based on the available information.\u0000Objective: Medical and dental students in Nepal will use finger lengths to derive a regression equation to calculate an individual’s height in a tertiary care hospital.\u0000Methods: A cross-sectional study included 250 healthy Nepali students from KISTMCTH (145 females and 105 men). Using SPSS software version 17, the index (2DL) and ring (4DL) finger lengths were measured in order to create a regression formula.\u0000Results: Males outperform females in terms of Pearson’s correlation, coefficient of determination, and regression equation. Linear regression analysis was used to estimate stature using the assessed factors that were statistically significant (p 0.05) for both genders.\u0000Conclusions: Forensic professionals and anthropologists will find it useful to be able to estimate stature from the length of the finger when identifying a person from skeletal remains.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","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":"128970119","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}
N. Chaudhary, J. Giri, R. Gyawali, Prabhat Pokharel
{"title":"Orthodontic Management of Ectopically Erupted Maxillary Central Incisor: A Case Report","authors":"N. Chaudhary, J. Giri, R. Gyawali, Prabhat Pokharel","doi":"10.3126/njhs.v2i1.47183","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47183","url":null,"abstract":"Maxillary anterior teeth are often referred to as “social six”; if ectopically placed affect the quality of life of the patient. This article presents a case report of a skeletal class II patient with Angle’s class II malocclusion and ectopically erupted right maxillary central incisor which is managed with fixed orthodontics. This highlights the importance of proper history taking, careful examination, and proper investigations in reaching the diagnosis and formulation of the treatment plan. This case report also explains how the piggyback technique can be used for the traction of ectopically placed maxillary incisors and bring about satisfactory results and improve the confidence and self-esteem of the patient.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134138540","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}
Shikha Bantawa, M. Vikram, Navin Agrawal, Vimmi Singh, Ashok Ayer, A. Rai, Sita Shrestha, Santosh Kumari Agarwal
{"title":"Efficacy of Three Desensitizing Agents to Reduce Cervical Dentin Hypersensitivity: A Randomized Clinical Trial","authors":"Shikha Bantawa, M. Vikram, Navin Agrawal, Vimmi Singh, Ashok Ayer, A. Rai, Sita Shrestha, Santosh Kumari Agarwal","doi":"10.3126/njhs.v2i1.47166","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47166","url":null,"abstract":"Introduction: Dentin hypersensitivity (DH) is a commonly encountered dental complaint, management of which is often challenging to dentists. It occurs when dentinal tubules are patent both at the pulpal and the oral surface. It is widely accepted that DH affects function and quality of life. Thus, it is necessary for dentists to manage it properly.\u0000Objective: The objective of this study was to assess the efficacy of VivaSens and Propolis in comparison to Gluma in reducing cervical dentin hypersensitivity.\u0000Methods: A randomized clinical trial, double-blinded, parallel-group study was conducted among forty-five patients. They were randomly allocated into three different groups (n=15): Gluma (positive control), VivaSens, and Propolis. Tactile and evaporative methods were used to assess pain using the Numeric Pain Rating Scale (NPRS) in patients with cervical abrasion, with a complaint of dentin hypersensitivity. Pain score was recorded preoperatively, immediately after application, at one week and one month postoperatively. Data were analyzed using SPSS version 11.5 and Microsoft Excel version 2010. Mean NPRS scores were calculated.\u0000Results: All three desensitizing agents significantly reduced DH scores from baseline to all subsequent follow-ups (p<0.001). Kruskal–Wallis test elicited no significant differences in the mean difference in DH scores among positive control and test groups for both stimuli at all-time intervals (p < 0.05).\u0000Conclusions: Gluma, VivaSens, and Propolis desensitizing agents were effective in relieving cervical DH. No statistically significant difference was found in relieving DH among the agents in all subsequent follow-ups.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127432446","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}
Chetan Bohara, R. Maharjan, Subi Regmi, Gunjan Regmi, A. Singh, A. Shrestha
{"title":"Sphenopalatine Ganglion Block versus Conservative Management for Post Dural Puncture Headache in Cesarean Section","authors":"Chetan Bohara, R. Maharjan, Subi Regmi, Gunjan Regmi, A. Singh, A. Shrestha","doi":"10.3126/njhs.v2i1.47158","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47158","url":null,"abstract":"Introduction: Post-dural puncture headache is one of the frequently encountered and inevitable post-operative complications of the subarachnoid block. The primary treatment is always considered conservative management in such instances. However, an epidural blood patch remains an invasive gold standard treatment. Sphenopalatine ganglion block is propounded as minimally invasive with prompt and better outcomes.\u0000Objective: To assess the efficacy of Sphenopalatine ganglion block (SPGB) when compared to conservative management based on the onset of analgesia and its duration.\u0000Methods: This is a prospective study performed on 40 obstetrics patients who underwent Lower segment cesarean section in Lumbini Medical College and Teaching Hospital (LMCTH) who complained of Post dural puncture headache within 7 days. All the parturients are categorized into Group A, those who are treated with sphenopalatine ganglion block, and Group B, where post-dural puncture headache was treated with conservative management. Independent t-tests and Fischer’s test were used for statistical analysis.\u0000Results: The patients in group A showed positive outcomes where all of them were relieved of post-dural puncture headache within 10 mins after Sphenopalatine ganglion block (p<0.001) and the mean pain score, based on a numerical pain rating scale was less or equal to 4 for the first 8 hours.\u0000Conclusions: Sphenopalatine ganglion block (SPGB) could be used as an effective first-line treatment modality in the management of post-dural puncture headache compared to conservative management.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130157380","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}
J. Mishal, C. Jha, S. C. Shrestha, Y. Agrawal, A. Chaudhary, Nikky Maharjan
{"title":"Gross and Micro Anatomical Study of Placenta from Normal and Hypertensive Pregnancies","authors":"J. Mishal, C. Jha, S. C. Shrestha, Y. Agrawal, A. Chaudhary, Nikky Maharjan","doi":"10.3126/njhs.v2i1.47150","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47150","url":null,"abstract":"Introduction: The examination of the placenta gives a clear idea of what happened with fetus when it was in the mother’s womb. The changes in placenta of women with pregnancy induced hypertension and normal pregnancies can be compared.\u0000Objective: This study was done to find out differences in gross structure and histology between normal and hypertensive placentas.\u0000Methods: Placenta from case and control group was collected from the Gynecology and Obstetrics Department of B.P.Koirala Institute of Health Sciences, Dharan. The histology slides were prepared, examined and parameters was collected.\u0000Results: The mean weight of placenta in control group was 469.5±148.9gm and in case group was 375.50 ± 109.08gm which was statistically significant. The histological observation of syncytial knot, hyalinized villi, stromal fibrosis, necrosis, hemorrhage and calcification in placenta was significantly higher in case group than that of in normotensive group.\u0000Conclusions: It is concluded that, in hypertension complicating pregnancy, with increase of severity, there is decrease in morphology and increase in abnormal histological changes of placenta. So, the reduction in placental morphological parameters and histological changes might be the reason for retarded growth of baby with increased complication of hypertension.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125900833","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}
R. Mandal, Nirmal Shakya, Sanket Kumar Risal, Rajani KC Shah
{"title":"Mass Carbon Monoxide Poisoning in a Family: A Case Report from Nepalgunj","authors":"R. Mandal, Nirmal Shakya, Sanket Kumar Risal, Rajani KC Shah","doi":"10.3126/njhs.v2i1.47184","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47184","url":null,"abstract":"Carbon monoxide (CO) is a colorless, odorless gas produced as a by-product of the complete combustion of hydrocarbons. CO binds rapidly to Haemoglobin (Hb), leading to the formation of carboxyhemoglobin (COHb), so the oxygen-carrying capacity of the blood will be decreased and causing tissue hypoxia. We present the case of accidental carbon monoxide poisoning in a family where four members were reported dead and three unconscious in the morning after sleeping in a room with burning briquettes. Carbon monoxide poisoning can be fatal. Public awareness about such poisoning is essential for prevention.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"37 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131716094","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}
N. Gautam, B. Gajurel, Sangam Shah, Subarna Giri, R. Ojha, R. Karn, R. Rajbhandari, Sunanda Paudel, A. Shrestha
{"title":"Clinical Profile and Short-Term Outcome of Cerebral Venous Thrombosis in a Nepalese Population: A Retrospective Study","authors":"N. Gautam, B. Gajurel, Sangam Shah, Subarna Giri, R. Ojha, R. Karn, R. Rajbhandari, Sunanda Paudel, A. Shrestha","doi":"10.3126/njhs.v2i1.47167","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47167","url":null,"abstract":"Introduction: Cerebral venous thrombosis (CVT) is a rare cause of stroke. The increased awareness among the physicians and the suspiciousness of the myriad of its clinical presentation with increased availability of investigation modules and therapeutic options has led to a decrement of mortality and morbidity. The study intends to assess the clinical etiological profile of patients of CVT and also to assess short-term outcomes and if any factors are associated with it.\u0000Methods: It was a hospital-based retrospective, observational cross-sectional study at a tertiary care center in Kathmandu among adult CVT patients from August 2019 to August 2021. Clinical, etiological, and radiological data, the outcome at discharge, and any factors influencing this were assessed where possible. Data were analyzed using SPSS 25 software. Analysis of the descriptive data was performed and independent factors influencing short-term outcome (admission date < 7 days) were analyzed.\u0000Results: There were a total of 15 cases included in the study. The study showed female predominance (66.7%. The mean age of the patients was 48.87 years. Four (26.7%) patients had hypertension. The history of oral contraceptive pill (OCP) use was among five (33.33%) females. A significant association was present with direct signs in CT scan (p=0.02), and low erythrocyte sedimentation rate (ESR), p= (0.02).\u0000Conclusions: OCP and hypertension are increasingly recognized as independent risk factors for CVT. The presence of direct signs in the CT head and the presence of high ESR have independent predictive value in assessing short-term outcomes.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131998751","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}