JNMA; journal of the Nepal Medical Association最新文献_第10页

Functional Outcome of Transforaminal Lumbar Interbody Fusion Surgery in Spondylolisthesis: An Observational Study. 经椎间孔腰椎椎体间融合术治疗腰椎滑脱的功能结局：一项观察性研究。

JNMA; journal of the Nepal Medical Association Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.31729/jnma.9156

Saroj Chandra Dahal, Sabin Pokharel, Surya Bajra Lama Waiba, Deepak Kaucha, Rajesh Kumar Chaudhary, Ram Krishna Barakoti, Babu Kaji Shrestha

{"title":"Functional Outcome of Transforaminal Lumbar Interbody Fusion Surgery in Spondylolisthesis: An Observational Study.","authors":"Saroj Chandra Dahal, Sabin Pokharel, Surya Bajra Lama Waiba, Deepak Kaucha, Rajesh Kumar Chaudhary, Ram Krishna Barakoti, Babu Kaji Shrestha","doi":"10.31729/jnma.9156","DOIUrl":"10.31729/jnma.9156","url":null,"abstract":"Introduction: Transforaminal lumbar interbody fusion is indicated for stabilizing and fusing spondylolisthesis. There is no uniformity in functional outcomes reported across different studies. We aimed to find the functional outcomes of transforaminal lumbar interbody fusion in our cases.Methods: This retrospective observational study included post-operative spondylolisthesis cases. Visual Analogue Scale and the validated Nepali Oswestry Disability Index (version 2.1a) were used to grade pain and functional outcomes. Data were entered in MS Excel 2016 and analysed using JASP version 0.19.3. Point estimates at 95% Confidence Interval were calculated, along with frequencies and percentages for binary data, and mean with standard deviation or median with interquartile range for continuous data.Results: Among the total 68 patients, the median post-operative duration of follow-up was 27 months (IQR 39), ranging from 6 to 80 months. Sixty-three (92.65%) cases belonged to lower grade (grade I and II) spondylolisthesis. Predominant radiculopathy accounted for 56 (82.35%) cases. A total 61 (89.71%) cases underwent single-level transforaminal lumbar interbody fusion, whereas remaining 7 (10.29%) had two-level transforaminal lumbar interbody fusion surgery. The VAS score mean was 2.09+1.05 (95% CI: 1.83 - 2.34), where 63 (92.65%) had mild pain and 5 (7.35%) cases had moderate symptoms at the final follow-up. The mean Oswestry Disability Index score was 9.57+3.81(95% CI: 8.65 - 10.49).Conclusions: Patients reported lower pain scores and better functional outcomes post-operative in transforaminal lumbar interbody fusion surgery.","PeriodicalId":520657,"journal":{"name":"JNMA; journal of the Nepal Medical Association","volume":"63 288","pages":"600-604"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mucinous Ovarian Cancer in a Young Woman: A Case Report. 年轻女性粘液性卵巢癌1例报告。

JNMA; journal of the Nepal Medical Association Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.31729/jnma.9145

Radhika Kunwar, Beemba Shakya, Karishma Malla Vaidya, Bibhuti Dahal, Shankar Shrivastav

{"title":"Mucinous Ovarian Cancer in a Young Woman: A Case Report.","authors":"Radhika Kunwar, Beemba Shakya, Karishma Malla Vaidya, Bibhuti Dahal, Shankar Shrivastav","doi":"10.31729/jnma.9145","DOIUrl":"10.31729/jnma.9145","url":null,"abstract":"Mucinous ovarian cancer is a rare subtype of epithelial ovarian carcinoma, comprising <5% of all cases. Twenty three years old lady with increasing abdominal fullness and discomfort. Contrast enhanced computed tomography revealed a multiloculated ovoid cystic mass (17.5*21.6*9.1)cm in right adnexa. She underwent staging laparotomy with right salphingo-oophorectomy, peritoneal fluid cytology, bilateral pelvic lymph node dissection, infracolic omentectomy and appendectomy. Histopathology confirmed stage IA, grade 1, (well differentiated) mucinous adenocarcinoma of the ovary. After counseling, patient opted for completion surgery and underwent total abdominal hysterectomy with left salphingo-oophorectomy, repeat peritoneal fluid cytology and supracolic omentectomy. Due to malignant cell in the peritoneal fluid, she received adjuvant chemotherapy. She remains disease-free one year postoperatively. Fertility sparing surgery is oncologically permissible for stage IA MOC but contraindicated in 1C3 disease. In Nepal, scaling diagnostic capacity, centralizing services, and integrating culturally sensitive councelling are critical to balance fertility preservation with survival.","PeriodicalId":520657,"journal":{"name":"JNMA; journal of the Nepal Medical Association","volume":"63 288","pages":"614-616"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality of Sleep among the Post Operative Patients at a Tertiary Care Hospital: An Observational Study. 三级医院术后患者的睡眠质量：一项观察性研究

JNMA; journal of the Nepal Medical Association Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.31729/jnma.9159

Narayan Mahotra, Lava Shrestha, Sonam Chaudhary, Tabassum Thakurai, Tara Bhandari

{"title":"Quality of Sleep among the Post Operative Patients at a Tertiary Care Hospital: An Observational Study.","authors":"Narayan Mahotra, Lava Shrestha, Sonam Chaudhary, Tabassum Thakurai, Tara Bhandari","doi":"10.31729/jnma.9159","DOIUrl":"10.31729/jnma.9159","url":null,"abstract":"Introduction: A good sleep is important for recovery after stress like surgeries in patients. This study aims to study the quality of sleep postoperatively in our population to know the distribution of poor sleepers.Methods: A descriptive cross-sectional study was carried out from February, 2025 to April, 2025 after receiving ethical approval 081/082] in tertiary care hospital. The patients who were 18 years and above residing in the hospital after any surgery were included in the study. The general information of the patients was recorded followed by the responses in Pittsburgh Sleep Quality Index Questionnaire. Data was entered in Microsoft Excel 2016 and analysis was done using IBM SPSS Statistics version 16.0 and the descriptive statistics was used in the variables considered.Results: Out of 141 postoperative cases, only 133 participants were included for the analysis of Pittsburgh Sleep Quality Index questionnaire responses. The prevalence of poor sleepers was 92 (69.17%, 95% CI: 60.58%-76.89%). Severe difficulty was observed in the daytime dysfunction (27; 20.30%), sleep quality (17; 12.78%), and sleep latency (17; 12.78%) components of the Pittsburgh Sleep Quality Index. Among the poor sleepers, 67 (50.37%) were female, 40 (30.07%) were in the 40-59 years age group, and 86 (64.66%) were married. Of the total poor sleepers, 64 (48.12%) were within one week of the postoperative period.Conclusions: Poor sleep quality was prevalent after surgery, especially in the first week. It was more noticeable among females, middle-aged adults, and married individuals.","PeriodicalId":520657,"journal":{"name":"JNMA; journal of the Nepal Medical Association","volume":"63 288","pages":"605-609"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Uncommon Presentation Severe Hypercalcemia Linked to Cystic Parathyroid Adenoma Despite Negative Sestamibi Scan: A Case Report. 严重高钙血症与囊性甲状旁腺瘤的罕见表现，尽管Sestamibi扫描阴性：1例报告。

JNMA; journal of the Nepal Medical Association Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.31729/jnma.9170

Smriti Acharya, Sharon Daniel, Suyash Acharya, Rajinder Gupta, Daniel Kannappan

{"title":"An Uncommon Presentation Severe Hypercalcemia Linked to Cystic Parathyroid Adenoma Despite Negative Sestamibi Scan: A Case Report.","authors":"Smriti Acharya, Sharon Daniel, Suyash Acharya, Rajinder Gupta, Daniel Kannappan","doi":"10.31729/jnma.9170","DOIUrl":"10.31729/jnma.9170","url":null,"abstract":"Cystic parathyroid adenomas are uncommon occurrences, constituting approximately 1-2%, of primary hyperparathyroidism cases. They frequently pose diagnostic difficulties due to their limited detection in sestamibi scans. These cases of primary hyperparathyroidism commonly manifest with hypercalcemic crisis despite negative scan results. We present a rare scenario involving an elderly male who arrived at the emergency department with a swollen left neck, primarily due to a thyroid cyst causing breathing difficulties. Incidentally, hypercalcemia was also discovered during examination. Thorough investigations ensued, leading to the decision to perform a right hemithyroidectomy to address the large thyroid cyst and a parathyroidectomy. Histopathological analysis confirmed the presence of a cystic parathyroid adenoma, with subsequent normalization of calcium levels. Following the procedures, the patient experienced hypocalcemia and required calcium supplementation. This case stands out due to the high levels of parathyroid hormone, which typically raises suspicion for parathyroid carcinoma, making it a unique diagnostic challenge.","PeriodicalId":520657,"journal":{"name":"JNMA; journal of the Nepal Medical Association","volume":"63 288","pages":"623-625"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Preference of Pain Scale in Children using Novel Animated Emoji Scale in Nepal: An Observational Study. 尼泊尔儿童使用新颖动画表情量表评估疼痛量表偏好：一项观察性研究。

JNMA; journal of the Nepal Medical Association Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.31729/jnma.9140

Ankita Agrawal, Manisha Upadhyay

{"title":"Evaluation of Preference of Pain Scale in Children using Novel Animated Emoji Scale in Nepal: An Observational Study.","authors":"Ankita Agrawal, Manisha Upadhyay","doi":"10.31729/jnma.9140","DOIUrl":"10.31729/jnma.9140","url":null,"abstract":"Introduction: Pain is a common concern for pediatrics patients, maybe challenging because the child cannot properly explain the extent of pain they are experiencing. Several pain assessment tools have been developed and introduced in dentistry that facilitate self-report of pain in children. Three such pain rating scales Animated Emoji Scale, Visual Analogue Scale and Wong-Baker Faces Pain Rating Scale were used in this study to evaluate the pain perception among pediatric patients. This study was aimed to evaluate the preference of pain scale among these three scales in pediatrics patients.Methods: This hospital based cross sectional study was carried out from January till June in 182 children aged between 3-14 years divided into three groups on the basis of age: Group A (3-6 years, Group B 7-10 years, and Group C 11-14 years). Ethical clearance was taken (Reference number: UCMS/IRC/02/25). Pain score was recorded among these children using Animated Emoji Scale (AES), Visual Analogue Scale (VAS) and Wong-Baker Faces Pain Rating Scale (WBFPS). The data were entered into Excel and analyzed using IBM SPSS Statistics for Windows, version 26 (IBM Corp., Armonk, N.Y., USA).Results: Spearman's rank correlation coefficient evaluated a positive correlation among the three pain rating scales. Chi-square test showed statistically significant association between age group and preferred pain scale (p<0.001).Conclusions: AES was most preferred in younger age groups from age 3-10 years whereas elder children 11-14 years relied more on VAS as a self-reporting tool.","PeriodicalId":520657,"journal":{"name":"JNMA; journal of the Nepal Medical Association","volume":"63 288","pages":"582-585"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of the Nepalese Version of the Quality of Recovery-15 Questionnaire in Patients Undergoing Elective Surgery. 尼泊尔版择期手术患者康复质量-15问卷的验证。

JNMA; journal of the Nepal Medical Association Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.31729/jnma.9163

Chitra Thapa, Sabin Gauchan, Sulav Acharya, Mohan Raj Sharma

{"title":"Validation of the Nepalese Version of the Quality of Recovery-15 Questionnaire in Patients Undergoing Elective Surgery.","authors":"Chitra Thapa, Sabin Gauchan, Sulav Acharya, Mohan Raj Sharma","doi":"10.31729/jnma.9163","DOIUrl":"10.31729/jnma.9163","url":null,"abstract":"Introduction: The 15-item Quality of Recovery scale is a widely used tool for assessing postoperative recovery. It has been translated and validated in various languages and cultural settings. However, a validated Nepalese version is currently unavailable.Methods: A cross-sectional study was conducted among 216 patients undergoing elective surgery under general anesthesia, following ethical approval (Ref. No. 21-081/082). The 15 items of the Quality of Recovery scale were translated into Nepalese and modified as needed, resulting in the final version: Quality of Recovery scale-N. Patients were interviewed preoperatively (the day before surgery) and on the first postoperative day using the QoR-N. Reliability, validity, responsiveness, and feasibility of the QoR-N were then evaluated.Results: The Quality of Recovery scale-N showed acceptable reliability, with a Cronbach's alpha of 0.890, mean inter-item correlation of 0.413, split-half reliability of 0.94, and standard error of measurement of 2.79. Responsiveness was supported by a Cohen's effect size of 1.4 and standardized response mean of 1.39. QoR-N scores did not correlate with age or surgery duration, and showed no significant difference between ASA physical status I and II, or across minor, intermediate, and major surgeries. However, scores were significantly higher in males than females, and in patients with good overall recovery (per visual analogue scale) compared to those with poor recovery. The recruitment rate was 100%, and completion rate was 94.33%.Conclusions: The Quality of Recovery scale-N demonstrated acceptable validity, reliability, responsiveness, and clinical feasibility, and is suitable for use in Nepalese patients undergoing elective surgery.","PeriodicalId":520657,"journal":{"name":"JNMA; journal of the Nepal Medical Association","volume":"63 288","pages":"590-595"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Femoral Notch Anatomy and Tibial Slope in Anterior Cruciate Ligament Injuries: An Observational Study. 前交叉韧带损伤的股骨切迹解剖和胫骨斜度：一项观察性研究。

JNMA; journal of the Nepal Medical Association Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.31729/jnma.9144

Jayant Bhagwan Mishra, Sunil Singh Thapa, Kaushal Raj Kafle, Sundar Suwal, Arjun Prasad Lamichhane

{"title":"Femoral Notch Anatomy and Tibial Slope in Anterior Cruciate Ligament Injuries: An Observational Study.","authors":"Jayant Bhagwan Mishra, Sunil Singh Thapa, Kaushal Raj Kafle, Sundar Suwal, Arjun Prasad Lamichhane","doi":"10.31729/jnma.9144","DOIUrl":"10.31729/jnma.9144","url":null,"abstract":"Introduction: The anterior cruciate ligament is a primary knee stabilizer frequently injured during sports activities, with risk factors including intrinsic anatomical variations. These anatomical factors vary by race, sex, and body structure. The study aimed to identify anatomical risk factors for anterior cruciate ligament injury in the Nepalese population using magnetic resonance imaging.Methods: This observational comparative study was conducted from December 2021 to July 2023 after obtaining ethical clearance (Reference number: 286(6-11) E2 078/079). Magnetic resonance imaging scans of 122 knees (61 anterior cruciate ligament injured and 61 intact) were analyzed. Intercondylar femoral notch width, notch width index, notch angle, medial and lateral posterior tibial slopes were measured. Notch shapes (A, U, W) were classified. Independent t-test and chi-square test were used for comparing continuous and categorical variables, respectively. The Statistical Package for the Social Sciences (version 26) was used for analysis.Results: The anterior cruciate ligament injured group showed significantly smaller mean notch widths (coronal: 1.90±0.28cm, axial: 1.98±0.30cm), lower notch width indices (coronal: 0.27±0.03, axial: 0.28±0.04), and more acute notch angles (coronal: 49.89±6.12°, axial: 48.70±6.67°) compared to controls (all p<0.05). Both medial (11.23±5.21° vs 8.76±4.76°) and lateral (11.24±5.33° vs 8.76±4.94°) posterior tibial slopes were significantly steeper in injured knees (p<0.01). Type A notches were more common in injured knees.Conclusions: Smaller femoral notches, lower notch indices, more acute notch angles, and steeper posterior tibial slopes were associated with anterior cruciate ligament injuries.","PeriodicalId":520657,"journal":{"name":"JNMA; journal of the Nepal Medical Association","volume":"63 288","pages":"577-581"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conundrum of Cholesterol Management and Health Implications of Low Cholesterol Levels: A Narrative Review. 胆固醇管理的难题和低胆固醇水平对健康的影响：一个叙述性的回顾。

JNMA; journal of the Nepal Medical Association Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.31729/jnma.9166

Subodh Bashyal, Manoj Karki, Deepa Shah

{"title":"Conundrum of Cholesterol Management and Health Implications of Low Cholesterol Levels: A Narrative Review.","authors":"Subodh Bashyal, Manoj Karki, Deepa Shah","doi":"10.31729/jnma.9166","DOIUrl":"10.31729/jnma.9166","url":null,"abstract":"Lowering cholesterol for the health benefit of dyslipidemia is a well-known fact, but emerging evidence highlights risks associated with excessive lowering. The use of lipid-lowering agents to reduce cardiovascular risk is well-established; however, excessive cholesterol reduction has raised concerns about the potential health implications of excessively low cholesterol levels. This review explores the \"cholesterol paradox,\" highlighting the dual nature of cholesterol as both a contributor to cardiovascular risk and an essential component for cellular integrity, hormone synthesis, brain function, and vitamin D production. A systematic search of PubMed, Google Scholar, JAMA, and Cochrane Library for eligible studies was conducted from 1980 until December 1, 2024. Evidence suggests that excessively low cholesterol levels may impair cell membrane integrity, neurotransmission, and immune function. This review underscores the need for balanced clinical approach to cholesterol management rather than solely aiming for aggressive reduction, ensuring both cardiovascular protection and broader systemic health.","PeriodicalId":520657,"journal":{"name":"JNMA; journal of the Nepal Medical Association","volume":"63 288","pages":"626-631"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiology of Orthopaedic Trauma Cases at a Tertiary Level Hospital in Nepal: An Observational Study. 尼泊尔三级医院骨科创伤病例的流行病学：一项观察性研究。

JNMA; journal of the Nepal Medical Association Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.31729/jnma.9152

Manoj Kandel, Sarik Kumar Shrestha, Krishna Prasad Paudel, Rabin Bom, Ashmita Paudel, Toya Raj Bhatta, Pritam Chaudhary, Prakash Kandel, Sumit Sharma

{"title":"Epidemiology of Orthopaedic Trauma Cases at a Tertiary Level Hospital in Nepal: An Observational Study.","authors":"Manoj Kandel, Sarik Kumar Shrestha, Krishna Prasad Paudel, Rabin Bom, Ashmita Paudel, Toya Raj Bhatta, Pritam Chaudhary, Prakash Kandel, Sumit Sharma","doi":"10.31729/jnma.9152","DOIUrl":"10.31729/jnma.9152","url":null,"abstract":"Introduction: Trauma is a leading cause of morbidity and mortality worldwide. While there has been significant progress in understanding trauma in high-income countries, data from Nepal is limited. This study's main objective was to explore the demographic profile, injury patterns, and treatment of orthopaedic trauma patients presenting to a tertiary-level hospital in Nepal.Methods: This was a retrospective study conducted at a tertiary-level hospital of Nepal. All complete records of trauma cases presenting to the hospital from January 2017 to December 2022 were included in the study. Data were collected from electronic and manual records, anonymized, and analyzed with Microsoft Excel 2021.Results: A total of 27,893 complete records were included in the study. Of these, 19,679 (70.55%) patients were male. Patients aged 30-44 years accounted for 9,566 (34.29%) cases. The mechanisms of injury included falls in 12,585 (45.12%) cases and road traffic accidents in 8,524 (30.56%) cases. Fractures were identified in 17,593 (63.07%) patients, with 9,800 cases classified as lower extremity fractures. Additionally, 18,595 (66.67%) patients were referred from outside the district.Conclusions: Orthopaedic trauma was seen more commonly in males and the most common causes of injury are falls and RTA. Fractures were the most common pattern of orthopaedic injuries and lower extremity fractures were the most common.","PeriodicalId":520657,"journal":{"name":"JNMA; journal of the Nepal Medical Association","volume":"63 288","pages":"561-566"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mental Health of Nepalese Migrant Workers: A Call for Action in South Korea. 尼泊尔移工的心理健康：呼吁韩国采取行动。

JNMA; journal of the Nepal Medical Association Pub Date : 2025-08-01 Epub Date: 2025-07-31 DOI: 10.31729/jnma.9165

Bibek Giri, Minani Gurung, Qorinah Estiningtyas Sakilah Adnani, Vijay Kumar Chattu

引用次数: 0