Journal of Nepal Medical Association最新文献_第5页

Beyond The Books: Role of Extracurricular Activities In Medical Students. 书本之外：医学生课外活动的作用。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-05-31 DOI: 10.31729/jnma.8613

Madhu Sudan Aryal

引用次数: 0

Characteristics of Spinal Cord Injury Presenting to Tertiary Care Center in Gandaki province of Nepal: A Descriptive Cross-sectional Study. 尼泊尔甘达基省三级医疗中心脊髓损伤患者的特征：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-05-31 DOI: 10.31729/jnma.8619

Yadu Nath Baral, Rajesh Kumar Yadav, Sushila Baral, Srijana Paudel, Yoveen Yadav, Subash Gurung, Kathit Raj Ghimire, Jhapindra Pokharel, Ashim Gurung

{"title":"Characteristics of Spinal Cord Injury Presenting to Tertiary Care Center in Gandaki province of Nepal: A Descriptive Cross-sectional Study.","authors":"Yadu Nath Baral, Rajesh Kumar Yadav, Sushila Baral, Srijana Paudel, Yoveen Yadav, Subash Gurung, Kathit Raj Ghimire, Jhapindra Pokharel, Ashim Gurung","doi":"10.31729/jnma.8619","DOIUrl":"10.31729/jnma.8619","url":null,"abstract":"Introduction: Spinal cord injury is one of the common injury which causes damage to the spinal cord due to trauma, diseases or degenerations leading to disability and decreasing life expectancy. The study aims to find the characteristics of spinal cord injury presenting at a tertiary care centre.Methods: A Descriptive hospital based cross-sectional study was conducted at Pokhara, Gandaki Province, from 28th March to 25th September, 2023. 139 participants were interviewed for the study. Structured interview schedule and validated questionnaires were used for data collection. Ethical approval was taken for the study (Reference number: 151/079).Results: A total of 139 cases were observed; most common affected age group was between 25-55 years with a mean age of 48.68 years. Most (66.9%) of the spinal cord injury patients were not enrolled in health insurance program. Most 107 (77.0%) common cause for spinal cord injury was falls from height. Age, gender, occupation and duration of stay in the hospital were statistically significant with mode of treatment.Conclusions: Spinal cord injury mostly traumatic commonly due to fall from height affecting mainly male population residing in rural areas at their fourth decade of life who are mainly involve in manual work and agriculture. Spinal cord injury is a major health problem at global and local level causing major morbidity.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 274","pages":"397-400"},"PeriodicalIF":0.5,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oral Mucosal Lesions in Patients Attending Dermatology Outpatient Department of a Tertiary Care Center in Kathmandu: A Descriptive Cross-sectional Study. 加德满都一家三级医疗中心皮肤科门诊病人的口腔黏膜病变：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-05-31 DOI: 10.31729/jnma.8618

Alina Karki, Varsha Manandhar, Rupak Maharjan, Alisha Maharjan

{"title":"Oral Mucosal Lesions in Patients Attending Dermatology Outpatient Department of a Tertiary Care Center in Kathmandu: A Descriptive Cross-sectional Study.","authors":"Alina Karki, Varsha Manandhar, Rupak Maharjan, Alisha Maharjan","doi":"10.31729/jnma.8618","DOIUrl":"10.31729/jnma.8618","url":null,"abstract":"Introduction: Oral mucosal lesions though mostly benign, may impair the quality of life of patients. Some may even progress to malignancies. Many physicians, including dermatologists, tend to skip oral examinations, missing many important diagnoses. Understanding the frequency and types of oral mucosal lesions in dermatological settings can help in early diagnosis, referral and adequate treatment. This study was done to determine demographic characteristics and clinical presentations of patients with oral mucosal lesions presenting to the out-patient department (OPD) of dermatology in Nepal Armed Police Force (APF) Hospital, Kathmandu.Methods: This cross-sectional descriptive study was conducted after obtaining the ethical approval from the Institutional Review Committee of Nepal APF Hospital. Retrospective data of 264 patients presenting with oral mucosal lesions to the dermatology OPD were collected from 1st January 2021 to 31st December 2023 by using a pre-formed proforma. Data was entered in SPSS software and descriptive statistics were computed.Results: Out of 13,832 cases, oral mucosal lesion was seen in 264 (1.90%) cases among which 153 (57.96%) cases were males with male female ratio of 1.37:1. Most common age group affected was 31-45 years 96 (36.36%). Buccal mucosa 86 (32.57%) was the commonest site involved followed by tongue 73 (27.65%). Aphthous ulcer 82 (31.06%) was the commonest lesion found followed by oral candidiasis 25 (9.46%) and oral lichen planus 24 (9.09%).Conclusions: Aphthous ulcer was the commonest oral mucosal lesion seen in patients visiting dermatology outpatient department of Nepal APF Hospital, with buccal mucosa being the commonest site affected.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 274","pages":"387-391"},"PeriodicalIF":0.5,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Immunotherapy with Intralesional Vit D injection in Recalcitrant wart at a Tertiary Care Center: A Descriptive Cross sectional Study. 在一家三级医疗中心对顽固性疣采用维生素 D 局内注射免疫疗法：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-05-31 DOI: 10.31729/jnma.8614

Eliz Aryal, Jyoti Bhari, Prashanna Raj Shrestha

{"title":"Immunotherapy with Intralesional Vit D injection in Recalcitrant wart at a Tertiary Care Center: A Descriptive Cross sectional Study.","authors":"Eliz Aryal, Jyoti Bhari, Prashanna Raj Shrestha","doi":"10.31729/jnma.8614","DOIUrl":"10.31729/jnma.8614","url":null,"abstract":"Introduction: Recalcirant warts are resistant to conventional therapeutic option with high recurrence rate. In recent year, treatment of warts with different immunotherapeutic agent has shown good results, as it regulate epidermal cell proliferation and are involved in the formation of anti microbial peptides. Hence, this study was undertaken to evaluate the efficacy of immunotherapy with intralesional vitamin D in wart.Methods: A descriptive cross-sectional study was conducted from 1 January 2021 to 2 February 2023 at Kathmandu Medical College after approval from the Institutional Review Committee (Reference number: 0110202002). Ninety - two patients with recalcitrant wart of varying sizes and duration were included in the study. Injection vitamin D ( 600000 IU, 15mg/ ml) was injected about (0.2-0.5 ml) to the base of the wart. Maximum of five warts were injected per month, and was repeated after 4 weeks for 3 sessions.Results: Among 92 patient, complete response was seen in 70 patient (76.08%), partial response was seen in 17 patients ( 18.47%) and 5 patient(5.43%)showed no response. Mild pain as observed at the time of injection. Signs of hypervitaminosis D was not observed.Conclusions: Intralesional administration of Vitamin D is an effective treatment option for reclacitrant warts and is, highly effective, cost-efficient, with minimal adverse effects, and can be perfomed in our clinical set up.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 274","pages":"378-381"},"PeriodicalIF":0.5,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hypovitaminosis D among Adult Patients Visiting for General Health Check-up in a Tertiary Care Centre: A Descriptive Cross-sectional Study. 在一家三级医疗中心接受一般健康检查的成人患者中维生素 D 过低：一项描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-05-31 DOI: 10.31729/jnma.8612

Sanjeeb Tiwari, Saroj Gc, Vijay Shrees, Sujata Maharjan, Aakash Sherpali, Khagendra Bhandari, Suman Oli

{"title":"Hypovitaminosis D among Adult Patients Visiting for General Health Check-up in a Tertiary Care Centre: A Descriptive Cross-sectional Study.","authors":"Sanjeeb Tiwari, Saroj Gc, Vijay Shrees, Sujata Maharjan, Aakash Sherpali, Khagendra Bhandari, Suman Oli","doi":"10.31729/jnma.8612","DOIUrl":"10.31729/jnma.8612","url":null,"abstract":"Introduction: Vitamin D deficiency presents a notable public health concern, with reported prevalence rising in hospital and community settings. It's linked to various chronic health issues and most often remains undiagnosed in developing nations. This study aimed to determine the prevalence of hypovitaminosis D among adults attending general health check-ups at a tertiary care hospital.Methods: This descriptive cross-sectional study was conducted among adult patients visiting for general health checkups in a tertiary care centre. The patients' data from 16 April 2023 to 24 November 2023 was retrieved from the hospital record. Serum 25(OH)D was measured by using the chemiluminescence micro particles immunoassay technique and classified as deficient, insufficient, and sufficient with values <20 ng/ml, 20-29 ng/ml, and 30-100 ng/ml, respectively. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.Results: Out of 357 adult patients, 291 (81.51%; 95% CI: 77.49%-85.54%) Confidence Interval) had hypovitaminosis D. Among them 124 (42.61%) were categorised as vitamin D insufficient and 167 (57.39%) as deficient. The mean age of patients was 43.25±12.99 years, with 205 (70.45%) female and 86 (29.55%) male. A total of 169 (58.08%) individuals were classified as obese. Dyslipidemia was observed in 249 (85.57%) patients, with 94 (32.30%) exhibiting hypercholesterolemia.Conclusions: The prevalence of hypovitaminosis D was higher than other studies done in similar settings. This higher prevalence necessitates public awareness of vitamin D's importance, urging proactive screening and management by physicians and implementation of cost-effective guidelines by policymakers.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 274","pages":"392-396"},"PeriodicalIF":0.5,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Indirect Carotid Cavernous Fistula with Ocular Manifestations: A Case Report. 间接性颈动脉海绵瘘伴有眼部表现：病例报告

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-05-31 DOI: 10.31729/jnma.8615

Pooja Shrestha, Angira Shrestha, Tina Khoju, Richa Makaju, Rajani Keshari, Rahul Gupta, Nigi Shrestha

引用次数: 0

Altered Passive Eruption among Patients Visiting Dental Outpatient Department in a Tertiary Care Center: A Descriptive Cross-sectional Study. 一家三级医疗中心牙科门诊部就诊患者的被动喷发改变：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-05-01 DOI: 10.31729/jnma.8400

Simant Lamichhane, Manoj Humagain, Sachita Thapa, Sita Bhusal, Arjun Hari Rijal, Prakriti Rupakhety, Rakesh Ranjan

{"title":"Altered Passive Eruption among Patients Visiting Dental Outpatient Department in a Tertiary Care Center: A Descriptive Cross-sectional Study.","authors":"Simant Lamichhane, Manoj Humagain, Sachita Thapa, Sita Bhusal, Arjun Hari Rijal, Prakriti Rupakhety, Rakesh Ranjan","doi":"10.31729/jnma.8400","DOIUrl":"https://doi.org/10.31729/jnma.8400","url":null,"abstract":"Introduction: The eruption of teeth is considered to be a continuous phenomenon. Two types of eruption are possible namely, active and passive eruption. Failure in passive eruption (by the apical movement of gingiva from the enamel surface) generally results in a clinical condition known as altered passive eruption. It can result in the shortened crown height of a tooth and an esthetically unpleasant situation i.e., excessive gingival display or gummy smile. The main motto of this study was to find out the prevalence of altered passive eruption and associated gingival biotypes in adult patients visiting for dental treatment in tertiary centers along with strategically placed outreach centers.Methods: A descriptive cross-sectional study was done in the Department of Dentistry, Dhulikhel Hospital, and four outreach centers of the same hospital. The study was conducted from October 2022 to April 2023 after obtaining the ethical approval. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated.Results: Among 165 patients, the prevalence of altered passive eruption was 21 (12.72%) (7.62-17.78 at 95% Confidence Interval). Furthermore, among 21 patients, the altered passive eruption was seen in the thick biotype patients in 16 (76.19%) and thin biotype patients in 5 (23.81%).Conclusions: The prevalence of altered passive eruption appeared to be equivalent when compared with the previous studies.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burnout among Nurses and Doctors Working at a Tertiary Care Government Hospital: A Descriptive Cross-sectional Study. 在一家三级政府医院工作的护士和医生的职业倦怠：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-05-01 DOI: 10.31729/jnma.8569

Sunil Kumar Shah, Richa Sinha, Pratik Neupane, Gobinda Kandel

{"title":"Burnout among Nurses and Doctors Working at a Tertiary Care Government Hospital: A Descriptive Cross-sectional Study.","authors":"Sunil Kumar Shah, Richa Sinha, Pratik Neupane, Gobinda Kandel","doi":"10.31729/jnma.8569","DOIUrl":"https://doi.org/10.31729/jnma.8569","url":null,"abstract":"Introduction: Work environment related feelings of dissatisfaction, exhaustion, decreased interest and isolation is common. Burnout among health professionals has been on rise at every stage of professional growth affecting wellness of service providers, patient care and health care organizational efficiency. Assessment of burnout among health care workers from government setup in the current context in this post COVID era in our socio-geographical context has become essential. The aim of this study was to find the prevalence of burnout among nurses and doctors working at a tertiary care government hospital in Nepal.Methods: This descriptive cross sectional study was conducted among nurses and doctors working at a tertiary level government hospital from 10th May 2022 to 9th Nov 2022 after approval from Institutional Review Committee of the same institute. Nurses and doctors available on duty, from all ages were included. Trainees and students, those unable to participate due to their illness, on leave, known cases of mental illness were excluded. The point estimate was calculated at 95% Confidence.Results: Among 180 participants, the prevalence of moderate burnout was 94 (52.22%) (44.92-59.51, 95% Confidence Interval). Among nurses 72 (50%), while in doctors 22 (61.11%) had moderate burnout. Out of those with moderate levels of burnout, the majority of 66 (52.80%) were in the age group 26-50 years.Conclusions: The prevalence of burnout among nurses and doctors is high, similar to other studies done in similar settings.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge on First Aid Management of Epistaxis among Medical Students of a Medical College: A Descriptive Cross-sectional Study. 医学院医学生对鼻衄急救处理的了解：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8580

Shiva Bhushan Pandit, Bipin Koirala, Rajeev Kumar Shah, Yoveen Kumar Yadav

{"title":"Knowledge on First Aid Management of Epistaxis among Medical Students of a Medical College: A Descriptive Cross-sectional Study.","authors":"Shiva Bhushan Pandit, Bipin Koirala, Rajeev Kumar Shah, Yoveen Kumar Yadav","doi":"10.31729/jnma.8580","DOIUrl":"10.31729/jnma.8580","url":null,"abstract":"Introduction: Epistaxis, a global Otorhinolaryngology emergency, often requires hospital admission, posing health concerns for all ages. Evaluating medical students' knowledge helps identify strengths and areas for improvement, ensuring future healthcare providers are well-prepared. Our study aimed to assess knowledge on first add management of epistaxis among medical students of a medical college.Methods: This descriptive cross sectional study was conducted among medical students in Birat Medical College Teaching Hospital after ethical approval was obtained. Data was collected electronically using google form from 109 medical students from 15 January 2024 to 15 March 2024.Results: The mean age of students was 20.71±1.44 years. The mean knowledge score of first aid management of epistaxis was 11.33± 5.24. Out of all students, 68 (62.38%) students had above-average knowledge on first aid management of epistaxis.Conclusions: The study emphasizes the varied knowledge levels among first and second-semester medical students regarding epistaxis. While more than half demonstrated above-average understanding, targeted educational interventions are warranted.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"327-331"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Touch of Medical Ethics at the Beginning of Medical School. 医学院伊始的医学伦理之触。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8597

Nova Ghimire, Dhirendra Yadav

引用次数: 0