Nepalese Medical Journal最新文献_第5页

Clinical Spectrum of Infertile Couple: a Retrospective Study at Teaching Hospital 教学医院不孕夫妇临床谱的回顾性研究

Nepalese Medical Journal Pub Date : 2020-12-30 DOI: 10.3126/NMJ.V3I2.35117

H. Rijal, S. Maskey

{"title":"Clinical Spectrum of Infertile Couple: a Retrospective Study at Teaching Hospital","authors":"H. Rijal, S. Maskey","doi":"10.3126/NMJ.V3I2.35117","DOIUrl":"https://doi.org/10.3126/NMJ.V3I2.35117","url":null,"abstract":"Introduction: Infertility has been rising steeply as the prime health issue among women around the world these days. This study aims to investigate the causes, hormonal profi le, and clinical spectrum of infertility.Materials and Methods: This is a descriptive cross-sectional study conducted throughout a one year duration in an infertility clinic. The couples meeting the inclusion criteria were included and a pre-formed proforma was used to collect the data regarding history, examination, and investigations.Results: A total of 118 infertile couples were analyzed. The mean age of the females was 28.3±4.5 years. There were 72.1 %cases of primary infertility and 27.9 %of secondary infertility. Regarding obesity status,35.5% were overweight and 15.2 % were obese. Thirty-one (26.2%) males were smokers, 41 (34.7%) used to consume alcohol, and 14 (11.8%) had a habit of chewing tobacco. Among the different fi ndings of semen analysis, 21.1% asthenozoospermia, 9.3% oligoasthenozospermia,7.6% oligospermia, 1.6% azoospermia. Female factor accounted for 45.3%, the malefactor for 28% and in 19.3% the defi nite factor was not determined. The ovulatory disorder was diagnosed in 38.6% of females and hysterosalpingography (HSG) revealed that around 10% had a unilateral block and 1.7% had a bilateral block.Conclusions: Infertility is becoming a global issue affecting a signifi cant number of young couples. About forty-six percent were female aging more than thirty years. The female factor for infertility was more common than the male factor among which ovulatory disorder was the commonest one. Asthenozoospermiawas the commonest abnormal fi nding on semen analysis in a male partner.","PeriodicalId":52856,"journal":{"name":"Nepalese Medical Journal","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79150270","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

Doctor-Patient Communication for Adherence to Hypertension Treatment in Nepal 尼泊尔高血压治疗依从性的医患沟通

Nepalese Medical Journal Pub Date : 2020-12-30 DOI: 10.3126/NMJ.V3I2.32946

R. Sah, H. Khanal, D. Shrestha, B. Paudel, R. Gautam, Andrea M. Straus, R. Love

{"title":"Doctor-Patient Communication for Adherence to Hypertension Treatment in Nepal","authors":"R. Sah, H. Khanal, D. Shrestha, B. Paudel, R. Gautam, Andrea M. Straus, R. Love","doi":"10.3126/NMJ.V3I2.32946","DOIUrl":"https://doi.org/10.3126/NMJ.V3I2.32946","url":null,"abstract":"Effective doctor-patient communication is key to addressing the signifi cant issue of nonadherence to hypertension treatment in Nepal. Common clinical messages about hypertension are evaluated utilizing the framework of the Common-Sense Model of Self-Regulation for their role in shaping the patient models that underlie nonadherent behavior. Clinical communications and practices are recommended: to respectfully elicit and address patient reliance on self-identifi ed symptoms; to accompany warnings of hypertension’s serious consequences with specifi c individual action-plans for durable effects; to emphasize the necessity of long-term continuous treatment without creating fears of dependence and withdrawal effects or burdensome monitoring and counseling; to inform of side-effects while presenting medication as nontoxic and necessary for the body’s maintenance of a healthy balance. By acknowledging the patient as an active agent engaged in self-regulation and by employing culturally consonant concepts (often Ayurvedic), we can encourage accurate patientillness and treatment representations that guide medication adherence.","PeriodicalId":52856,"journal":{"name":"Nepalese Medical Journal","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90832564","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

Mesenchymal Chondrosarcoma: A Rare Aggressive Variant of Chondrosarcoma 间充质软骨肉瘤:一种罕见的侵袭性软骨肉瘤

Nepalese Medical Journal Pub Date : 2020-12-30 DOI: 10.3126/NMJ.V3I2.35048

A. Jhunjhunwala, Arnab Ghosh, M. Shrestha, Dilasma Ghartimagar, S. Thapa, S. Regmi, B. Dhakal

引用次数: 0

Audiology and Speech-Language Pathology Services in Pediatric Population During COVID Pandemic in Nepal 尼泊尔COVID大流行期间儿科人群的听力学和语言病理学服务

Nepalese Medical Journal Pub Date : 2020-12-30 DOI: 10.3126/NMJ.V3I2.32325

Prabuddha Bhatarai, Biraj Bhattarai, Sureshwor Lal Karna

引用次数: 4

Twenty Percent 百分之二十

Nepalese Medical Journal Pub Date : 2020-12-30 DOI: 10.3126/nmj.v3i2.34836

Swosti Thapa

引用次数: 0

Clinical assessment of impacted lower third molars at Ekpan, Delta State in Nigeria 尼日利亚三角洲州Ekpan下颌第三磨牙阻生的临床评估

Nepalese Medical Journal Pub Date : 2020-12-30 DOI: 10.3126/NMJ.V3I2.29486

M. Etetafia, E. Anibor, M. Obaroefe

{"title":"Clinical assessment of impacted lower third molars at Ekpan, Delta State in Nigeria","authors":"M. Etetafia, E. Anibor, M. Obaroefe","doi":"10.3126/NMJ.V3I2.29486","DOIUrl":"https://doi.org/10.3126/NMJ.V3I2.29486","url":null,"abstract":"Introduction: Diagnosis and management of impacted mandibular third molars call for a cogent appraisal and treatment choice both for the sick person and the dental practitioner. This academic work scrutinized the pattern as well as treatment of impacted mandibular third molars at the Teem Clinic and Dental Centre, Ekpan, Delta State, in Nigeria.Materials and Methods: This cross-sectional survey involved 131 cases who reported impacted mandibular third molars. The age, gender, impacted tooth, type of impaction, pathological conditions, and treatment proffered were recorded.Results: The male to female ratio was 0.8:1, with an age range of 10 to 40 years. Of the lower third molar impactions 58 (42.0%) were mesioangular, 5 (3.6%) horizontal, 18 (13.0%) vertical and 57 (41.3%) were distoangular. A total of 47 (34.1%) quested for dental attention following varying degrees of pain induced by pericoronitis. Teeth removal was accomplished for 76 (55.0%) owing to carious lesions on the impacted teeth, proximate tooth, or both. Surgical extraction was the option taken in 69 (50.0 %) with caries on the impacted teeth while 3 (2.2%) had to pull out of their teeth done owing to carious lesions on the bordering second molars. In 3 (2.2%) both the impacted third molar and the proximate second molar were decayed. Conclusions: The prevailing indication for pulling out impacted mandibular third molars was acute pericoronitis. Mesioangular sort of impaction was most recurrent and ought to be considered for theplausibility of frequentness of complications.","PeriodicalId":52856,"journal":{"name":"Nepalese Medical Journal","volume":"131 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83260803","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

Dysgerminoma in Pseudohermaphroditism: A Case Report 假雌雄同体致生殖细胞异常瘤1例报告

Nepalese Medical Journal Pub Date : 2020-12-30 DOI: 10.3126/NMJ.V3I2.34909

R. Pun, S. Pudasaini, R. Mahaseth, K. Shrestha

引用次数: 1

Re: Statin Drug Therapy May Increase COVID-19 Infection 回复:他汀类药物治疗可能增加COVID-19感染

Nepalese Medical Journal Pub Date : 2020-12-30 DOI: 10.3126/NMJ.V3I2.28349

D. Lamichhane

引用次数: 0

Correlation of Arterial Blood Gas Value with Outcome of Patient Admitted with Acute Exacerbation of Chronic Obstructive Pulmonary Disease 慢性阻塞性肺疾病急性加重患者动脉血气值与预后的关系

Nepalese Medical Journal Pub Date : 2020-05-11 DOI: 10.21203/rs.3.rs-26704/v1

S. Gautam, S. Kc, Milesh Jung Sijapati, Purnima Gyawali, K. Geetika, S. B. Gurung

{"title":"Correlation of Arterial Blood Gas Value with Outcome of Patient Admitted with Acute Exacerbation of Chronic Obstructive Pulmonary Disease","authors":"S. Gautam, S. Kc, Milesh Jung Sijapati, Purnima Gyawali, K. Geetika, S. B. Gurung","doi":"10.21203/rs.3.rs-26704/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-26704/v1","url":null,"abstract":"Background: The outcome of Chronic Obstructive Pulmonary Disease depends upon the partial pressure of oxygen and carbon dioxide This study was aimed to find the role of arterial blood gas parameters during the length of hospital stay among patients admitted for Chronic Obstructive Pulmonary Diseasewith acute exacerbation. \u0000Materials and Methods: This was an observational study conducted in KIST Medical College Teaching Hospital from February 2017 to August 2019. Patients admitted with the chronic obstructive pulmonary disease were evaluated. Demographic data as well as oxygen saturation (SPO2), pulmonary function test, and arterial blood gas analysis were recorded and analyzed. \u0000Results: Among 112 patients, the female to male ratio was 1.38: 1 with 84.8% over 60 years of age. One-third of patients (n=38) had exposure to both tobacco smoking and biomass and of them, 86.8% were females. Mean SpO2 was 75.9% and mean FEV1 was 0.92 L (SD=0.295) and significant association was found (p<0.001) between them. Furthermore, 70 (62.5%) patients had type I respiratory failure and 42 patients (37.5%) had type II respiratory failure. Patients with type II respiratory failure and hypercapnic patients had prolonged hospital stay with significant p-value (p<0.001). Similarly, significance was observed in the p-value for acidic blood pH, which was <0.05. \u0000Conclusions: Increased length of hospital stay is seen in patients with acute exacerbation of Chronic Obstructive Pulmonary Disease with type II respiratory failure. Hence, aggressive early management to correct hypercapnia may lead to decreased hospital stay along with a better outcome. Thus hypercapnia should be considered as one of the important criteria to flag the patient and manage accordingly. ","PeriodicalId":52856,"journal":{"name":"Nepalese Medical Journal","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73264060","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

Sleep Disordered Breathing in Patient with Type 2 Diabetes Mellitus and its Association with Diabetic Retinopathy: Single Center Study 2型糖尿病患者睡眠呼吸障碍及其与糖尿病视网膜病变的关系:单中心研究

Nepalese Medical Journal Pub Date : 2019-06-20 DOI: 10.3126/NMJ.V2I1.23546

Milesh Jung Sijapati, M. Pandey, Poojyashree Karki, N. Khadka

{"title":"Sleep Disordered Breathing in Patient with Type 2 Diabetes Mellitus and its Association with Diabetic Retinopathy: Single Center Study","authors":"Milesh Jung Sijapati, M. Pandey, Poojyashree Karki, N. Khadka","doi":"10.3126/NMJ.V2I1.23546","DOIUrl":"https://doi.org/10.3126/NMJ.V2I1.23546","url":null,"abstract":"Introduction: Sleep-disordered breathing comprises of obstructive sleep apnea, central sleep apnea, and periodic breathing. There is a link between obesity diabetes and sleep apnea with its association with retinopathy. Therefore this study was done to find out the association of sleep-disordered breathing in uncontrolled diabetes mellitus and association with retinopathy.Materials and Methods: This study was done from 2015 September to 2018 September in Sleep center, Nepal. Patients diagnosed with Type 2 diabetes mellitus were included. Diabetes mellitus was diagnosed as blood sugar fasting ≥ 126mg/dl, or blood sugar postprandial ≥200mg/dl and glycosylated hemoglobin above 6.5%. Obstructive sleep apnea risk was determined using the STOP-BANG questionnaire. Relationships between the risk of Obstructive sleep apnea and clinical variables along with its association with diabetic retinopathy were evaluated using bivariate analyses and covariate-adjusted logistic regression models.Results: A total of 150 diabetic patients were analyzed. Among them 30 (20.0%) patients had mild Obstructive sleep apnea, 14 (9.3%) patients had moderate Obstructive sleep apnea and 15 (10.0%) patients had severe sleep apnea. Among patients with diabetes mellitus on multivariate regression analysis Obstructive sleep apnea was associated with diabetes mellitus OR 2.05, 95% CI (1.69- 8.83) and diabetic retinopathy OR 1.20 (0.67-5.89).Conclusions: This study concludes that those individuals having diabetes may be suffering from obstructive sleep apnea and association with retinopathy these individuals can be considered for the screening of sleep-disordered breathing by polysomnography.","PeriodicalId":52856,"journal":{"name":"Nepalese Medical Journal","volume":"7 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3126/NMJ.V2I1.23546","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72487617","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