Journal of Nobel Medical College最新文献_第9页

Estimation of Stature from Percutaneous Tibial Length amongst Nepalese Students in Nobel Medical College Teaching Hospital 诺贝尔医学院教学医院尼泊尔学生经皮胫骨长度估算身高

Journal of Nobel Medical College Pub Date : 2021-06-17 DOI: 10.3126/jonmc.v10i1.37829

Jwala Kandel, Samjhana Ghimire

{"title":"Estimation of Stature from Percutaneous Tibial Length amongst Nepalese Students in Nobel Medical College Teaching Hospital","authors":"Jwala Kandel, Samjhana Ghimire","doi":"10.3126/jonmc.v10i1.37829","DOIUrl":"https://doi.org/10.3126/jonmc.v10i1.37829","url":null,"abstract":"Background: Estimation of stature is an integral part of forensic anthropology and identification process in dead bodies. Mutilated and skeletonized body parts, which are generally received during disasters and mass casualties, carries significant burden of identification for a forensic expert. This study is aimed at estimating stature from percutaneous tibial length. \u0000Material and Methods: A cross sectional study was conducted from February 2020 to February 2021 in Nobel Medical College Teaching Hospital. 350 Nepalese medical students, 183 males and167 females, who were between 18 – 30 years, were included in the study. Their height and percutaneous tibial length was measured. Simple regression analysis was done using SPSS software version 20 to obtain a correlation between two parameters. \u0000Results: The results showed a significant correlation between the stature and percutaneous tibial length in both sexes. The regression formulae derived for calculation of stature was 104.80 + 1.81 * percutaneous tibial length(cm) for male and 93.58 + 1.91 * percutaneous tibial length(cm) for female. All the measurements were higher in males than in females. \u0000Conclusion: The study revealed a significant correlation between stature and percutaneous tibial length for both sexes in Nepalese population. Hence stature can be estimated from tibial length in both sexes which can aid in identification process and anthropological studies in Nepal.","PeriodicalId":52824,"journal":{"name":"Journal of Nobel Medical College","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48883700","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

The Shift of Bacterial Sensitivity with Antibiotics in Acute Tonsillitis 急性扁桃体炎细菌对抗生素敏感性的变化

Journal of Nobel Medical College Pub Date : 2021-06-16 DOI: 10.3126/jonmc.v10i1.37807

Brihaspati Sigdel, S. Regmi

{"title":"The Shift of Bacterial Sensitivity with Antibiotics in Acute Tonsillitis","authors":"Brihaspati Sigdel, S. Regmi","doi":"10.3126/jonmc.v10i1.37807","DOIUrl":"https://doi.org/10.3126/jonmc.v10i1.37807","url":null,"abstract":"Correction: The second author, Sanjib Mani Regmi, was added to the website version on 13th August 2021. It omitted by mistake. The PDF of the article was correct.\u0000Background: The infection of tonsil may occur primarily or secondarily as a result of upper respiratory tract infection, usually preceded by a viral infection. Bacterial tonsillitis is most commonly caused by Streptococcus pyogenes. Penicillin remains the treatment of choice for S. pyogenes tonsillitis. The present study aimed to identify the bacterial pathogen in acute tonsillitis and their sensitivity to antibiotics.\u0000Material and Methods: This prospective study was conducted in the Department of Otolaryngology and Head & Neck Surgery and Department of Microbiology, Gandaki Medical College, Pokhara Nepal from January 2018 to January 2019. Ninety-six patients who presented with acute tonsillitis and admitted in the hospital were included in the study.\u0000Results: The commonest age group of acute tonsillitis was found to be between 21-30 years. S. pyogenes was the commonest isolate 32(33.3%) followed by S. aureus 19(19.8%). Streptococcus pyogenes was sensitive to Ampicillin (65.6%) and Cloxacillin (68.7%) while the isolates were more sensitive to levofloxacin and doxycycline. Carbapenem were found to be most effective drugs for intravenous treatment.\u0000Conclusion: The most common bacterial isolates were Streptococcus pyogenes. The sensitivity of organism shift from ampicillin group to fluroquinolones and tetracycline. Identification of bacterial isolates and their antibiotics sensitivity patterns could prevent resistance of bacteria to drugs and help in the proper management of acute tonsillitis.","PeriodicalId":52824,"journal":{"name":"Journal of Nobel Medical College","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45404919","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

A Country’s Dietary Guideline Should Now Be Updated by Replacing Refined Grain Diets by Whole Grains 一个国家的饮食指南现在应该更新，用全谷物代替精制谷物

Journal of Nobel Medical College Pub Date : 2021-06-16 DOI: 10.3126/jonmc.v10i1.37806

Arambam Giridhari Singh

引用次数: 0

Insights into Cardiovascular Disease Risk Based on Platelet Indices and Lipid Ratios in Reference to Glycemic Control and Duration of Diabetes 基于血小板指数和脂质比率的心血管疾病风险与血糖控制和糖尿病持续时间的关系

Journal of Nobel Medical College Pub Date : 2020-12-17 DOI: 10.3126/jonmc.v9i2.33488

P. Risal, R. Bhatt, Nikita Sakhakarmi, S. Thapa, S. Koju

{"title":"Insights into Cardiovascular Disease Risk Based on Platelet Indices and Lipid Ratios in Reference to Glycemic Control and Duration of Diabetes","authors":"P. Risal, R. Bhatt, Nikita Sakhakarmi, S. Thapa, S. Koju","doi":"10.3126/jonmc.v9i2.33488","DOIUrl":"https://doi.org/10.3126/jonmc.v9i2.33488","url":null,"abstract":"Background: Diabetic patients are at the risk of untimely atherosclerotic cardiovascular disease. The level of blood lipids, their ratios, glycosylated hemoglobin, and platelet indices are potential markers for the assessment of cardiovascular disease risk in diabetic patients. This study aims to insights into cardiovascular disease risk among diabetic patients in reference to glycemic control and duration of diabetes on the basis of lipid ratios and platelet indices by comparing with healthy controls. \u0000Materials and Methods: A case control study was carried out among the patients, diagnosed as type 2 diabetes mellitus at Dhulikhel hospital-Kathmandu University hospital. Socio-demographic questionnaire, anthropometric measurements, and biochemical tests was performed. Descriptive analysis and independent T-test for the testing relationship between categorical variables along with correlation was done. \u0000Results: Nearly one-third of diabetic patients were under poor glycemic control with high risk of cardiovascular diseases on the basis of blood lipid ratios and platelet indices. Cardiac risk ratio, Atherogenic Index of Plasma, and Atherogenic Coefficient was found to be significantly high in diabetic compared to the control group (5.22±1.54 vs. 3.71±0.99, p <0.05), (0.33±0.18 vs. 0.22±0.14, p <0.05), (4.22±1.54 vs. 2.71±0.99, p <0.05) respectively. Similarly Mean Platelet Volume was also significantly higher in diabetic compared to the control group (10.16±1.43 vs. 9.06±0.81, p <0.05). \u0000Conclusion: Poor glycemic control seems riskier than prolonged diabetes on the basis of blood lipids, their ratios and platelet indices.","PeriodicalId":52824,"journal":{"name":"Journal of Nobel Medical College","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46873601","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

Inverted Papilloma: Our Experience of Endoscopic Medial Maxillectomy and its Outcome in a Tertiary Care Center, Nepal 内翻性乳头状瘤:我们在尼泊尔三级护理中心内窥镜内颌切除术的经验及其结果

Journal of Nobel Medical College Pub Date : 2020-12-17 DOI: 10.3126/jonmc.v9i2.33490

M. Basnet, S. Thakur, B. Ghimire, N. Nepal

{"title":"Inverted Papilloma: Our Experience of Endoscopic Medial Maxillectomy and its Outcome in a Tertiary Care Center, Nepal","authors":"M. Basnet, S. Thakur, B. Ghimire, N. Nepal","doi":"10.3126/jonmc.v9i2.33490","DOIUrl":"https://doi.org/10.3126/jonmc.v9i2.33490","url":null,"abstract":"Background: Inverted Papilloma arises from the lateral wall of nose and is common in maxillary sinus. It is locally invasive, can recur and has malignant potential. Endoscopic medial maxillectomy is the preferred choice. \u0000Materials and Methods: This prospective study was conducted in the department of Otolaryngology, Nobel Medical College and Teaching Hospital, Biratnagar from June 2015 to June 2018. A total of 26 patients were included in the study, after informed consent and ethical clearance. Staging was done by Krouse method after imaging studies and preoperative endoscopic biopsy was performed. These patients then underwent endoscopic medial maxillectomy. All the data were collected in excel spreadsheet and analyzed in SPSS software. \u0000Results: Out of a total of 26 patients, male: female ratio was 1.6:1, with 16 male and 10female. Average age was 40.5 years (25-72years). According to Krouse staging, 2 patients were in Stage I, 7 patients in Stage II and 17 patients in Stage III. IP mostly involved the lateral wall of nose. Unilateral nasal obstruction was the commonest presenting symptom. The commonest post-operative complication was nasal crusting. Most of the patients were treated with simple endoscopic medial maxillectomy. \u0000Conclusion: Inverted Papilloma is common in male in their 4th decade of life with lateral wall of the nose being mostly affected. Most patients were in stage III of Krouse’s staging system. Simple endoscopic medial maxillectomy was the commonest procedure.","PeriodicalId":52824,"journal":{"name":"Journal of Nobel Medical College","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41282563","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

Bacille Calmette–Guérin (BCG) Vaccine Induced Tuberculous Lymphadenitis: A Case Report 卡介苗诱导的结核性淋巴结炎一例报告

Journal of Nobel Medical College Pub Date : 2020-12-15 DOI: 10.3126/jonmc.v9i2.33406

K. Sapkota

引用次数: 0

Postpartum Depression and its Associated Factors among Postpartum Mothers Attending a Teaching Hospital in Eastern Nepal 尼泊尔东部某教学医院产后母亲产后抑郁及其相关因素

Journal of Nobel Medical College Pub Date : 2020-12-14 DOI: 10.3126/jonmc.v9i2.33395

Pratikshya Tripathi, Ganesh Devkota, P. Rai

{"title":"Postpartum Depression and its Associated Factors among Postpartum Mothers Attending a Teaching Hospital in Eastern Nepal","authors":"Pratikshya Tripathi, Ganesh Devkota, P. Rai","doi":"10.3126/jonmc.v9i2.33395","DOIUrl":"https://doi.org/10.3126/jonmc.v9i2.33395","url":null,"abstract":"Background: Postnatal depression is an important and burning public health issue in modern civilization with the strongest connection to adverse outcome for children and also maternal morbidity. The objective of the study was to determine the prevalence and factors associated with postpartum depression among postpartum mothers attending Nobel Medical College Teaching Hospital. \u0000Materials and Methods: A descriptive, cross-sectional study was conducted in Immunization Clinic of Nobel Medical College Teaching Hospital. A total of 178 postpartum mothers with a period of six to fourteen weeks after delivery were selected by using non- probability consecutive sampling technique. Data was collected by using Edinburg Postnatal Depression Scale. Association between variables was measured by Chi-square test and binary logistic regression analysis was performed to determine the prevalence and factors associated with postpartum depression among postpartum mothers \u0000Results: The prevalence of postpartum depression among postpartum mothers was 30.3%.Amongst various variables, age of the women, religion, educational level, occupation, monthly income, type of pregnancy, parity, problem during pregnancy and delivery, infant health problem, marital satisfaction and stressful life events in previous year were significantly associated with postpartum depression. \u0000Conclusion: The number of postpartum mothers experiencing postpartum depression was high. Early screening of depressive symptoms and counseling of postpartum mother should be included in routine antenatal and postnatal care services; so that, maternal morbidity and adverse child outcomes can be prevented. ","PeriodicalId":52824,"journal":{"name":"Journal of Nobel Medical College","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41512769","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

Study on Knowledge and Prevalence of Computer Vision Syndrome among Computer Operators in Nobel Medical College Teaching Hospital, Biratnagar, Nepal 尼泊尔比拉特纳格尔诺贝尔医学院教学医院计算机操作员计算机视觉综合征知识及患病率研究

Journal of Nobel Medical College Pub Date : 2020-12-14 DOI: 10.3126/jonmc.v9i2.33386

P. Gautam, U. Prakash, S. Dangol

{"title":"Study on Knowledge and Prevalence of Computer Vision Syndrome among Computer Operators in Nobel Medical College Teaching Hospital, Biratnagar, Nepal","authors":"P. Gautam, U. Prakash, S. Dangol","doi":"10.3126/jonmc.v9i2.33386","DOIUrl":"https://doi.org/10.3126/jonmc.v9i2.33386","url":null,"abstract":"Background: The eye and vision related problems that results from continuous use of computers and other visual display terminals for extended period of time leads to computer vision syndrome. Due to rapid digitalization in human life, the risk of developing it has also increased in many folds. So, with an aim of determining the prevalence and level of awareness of computer vision syndrome among computer users along with their attitude and practices to prevent it, this study was conducted in the office employees who use computer for a considerable period of time. \u0000Materials and Methods: A hospital based observational descriptive study was conducted in the out-patient department of Ophthalmology in Nobel Medical College and Teaching Hospital, Biratnagar, where 105 employees working in different work stations of same institution were enrolled. A questionnaire and the clinical findings were used to collect data. \u0000Results: About 80% of the employees were using computer for about (8-11) hours per day. Prevalence of computer vision syndrome noted was (92.4%) with low level of knowledge (85.7%) about it. About 45% of them wore glasses for their refractive errors but attitude and practices in work place to prevent the bad effects of using visual display terminals were found to be lacking (53.3%). Burning sensation in the eye, headache, ocular irritation and itching and neck, shoulder or back pain were the common symptoms. Around (60-70)% of the eyes tested positive for dry eye. \u0000Conclusion: Lack of awareness of computer vision syndrome and lack of personal protective measures were associated with its high level of prevalence. ","PeriodicalId":52824,"journal":{"name":"Journal of Nobel Medical College","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42770704","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: 4

Personal Disposition of Bachelor Nursing Students Regarding the Care of Advance Age People in Nobel Medical College Teaching Hospital 诺贝尔医学院教学医院护理本科生对老年人护理的个人倾向

Journal of Nobel Medical College Pub Date : 2020-12-14 DOI: 10.3126/jonmc.v9i2.33396

N. Jha, K. Jha

{"title":"Personal Disposition of Bachelor Nursing Students Regarding the Care of Advance Age People in Nobel Medical College Teaching Hospital","authors":"N. Jha, K. Jha","doi":"10.3126/jonmc.v9i2.33396","DOIUrl":"https://doi.org/10.3126/jonmc.v9i2.33396","url":null,"abstract":"Background: Older people have complex requirements arising from future conditions. Nursing services regarding the care of advance age population is really important in to the readiness of nursing student. \u0000Materials and Methods: A cross-sectional study was conducted in Nobel Medical College Teaching Hospital, Biratnagar, Nepal from February to July 2020. A total of 118 Bachelor nursing students were selected by using a non- probability consecutive sampling technique. Data was collected by using Personal disposition regarding care of advance age people were evaluated by using standardized tool, Nolan’s Intent to work with older people questionnaire. All calculations and statistical analysis are processed by the SPSS 22.0. \u0000Results: It showed that personal disposition of regarding care of advance age people were negative perception about 51.7%. Among variable, age and study year were significantly associated with personal disposition (p=< 0 .001). However, there was no significant result showed between the family type, nursing programme and prior experience with advance age. \u0000Conclusion: The study concluded that the Bachelor nursing students had relatively negative personal disposition regarding care of advance age people. More study is important to higher understand students’ experiences and insight. These must certainly be augment to strengthen an result that is improved is clinical the look after the older grownups.","PeriodicalId":52824,"journal":{"name":"Journal of Nobel Medical College","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48127498","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

Variation of the Nutrient Foramen of Fibula and its Clinical Significance 腓骨营养孔的变异及其临床意义

Journal of Nobel Medical College Pub Date : 2020-12-13 DOI: 10.3126/jonmc.v9i2.33383

S. Khatiwada, B. N. Adhikari

{"title":"Variation of the Nutrient Foramen of Fibula and its Clinical Significance","authors":"S. Khatiwada, B. N. Adhikari","doi":"10.3126/jonmc.v9i2.33383","DOIUrl":"https://doi.org/10.3126/jonmc.v9i2.33383","url":null,"abstract":"Background: The fibula is a long bone located at the lateral aspect of the leg. Its diaphysis is principally nourished by one or more nutrient arteries entering the shaft through an opening referred to as the nutrient foramen. The present findings on the morphometrics of the foramen may be helpful to forensic experts, radiologists and clinicians for diagnosis and management of various bony conditions. \u0000Materials and Methods: This was a descriptive cross sectional study conducted on fifty dry adult human fibulae collected at the Department of Anatomy, Chitwan Medical College from June to September 2020. Total fibular length along with the number and location of all nutrient foramina present were recorded. Foraminal index of the fibula was calculated as well. \u0000Results: The study revealed that the average length of Nepalese fibulae was 34.1 ± 1.9 cm. Eighty-eight percent fibula had a single nutrient foramen, 4 % had two and 8 % had none. The most common location was between the medial crest and posterior border (63%, in fibula with single foramen), followed by the medial crest (30%) and between the medial crest and interosseous border (7%). The average foraminal index was 44.01 ± 7.9 % with a range of 34.9 to 65.7 %. \u0000Conclusion: Single nutrient foramen located at the middle third on posterior aspect was the most common finding. Regional data on the number and location of the foramina would be useful to forensic experts and clinicians for various diagnostic and treatment purposes.","PeriodicalId":52824,"journal":{"name":"Journal of Nobel Medical College","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47458398","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