Journal of Nepal Medical Association最新文献_第7页

Post-operative Unilateral Visual Loss and Ophthalmoplegia following Cervical Spine Surgery in Prone Position: A Case Report. 俯卧位颈椎手术后单侧视力丧失和眼球震颤：病例报告。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8582

Samaj Gautam, Suzit Bhusal, Ashlesha Chaudhary, Reshika Shrestha, Badri Rijal, Prakash Darjee, Surya Bajra Lama

引用次数: 0

Patterns of Skin Disease among Prisoners in Central Prison in Nepal: A Descriptive Cross-sectional Study. 尼泊尔中央监狱囚犯的皮肤病模式：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.8596

Bikrant Dhakal, Paras Modi Pangeni, Prashanna Man Maharjan, Shrija Rijal, Subash Wagle, Neeraj Thapa, Bhagat Lal Shrestha

{"title":"Patterns of Skin Disease among Prisoners in Central Prison in Nepal: A Descriptive Cross-sectional Study.","authors":"Bikrant Dhakal, Paras Modi Pangeni, Prashanna Man Maharjan, Shrija Rijal, Subash Wagle, Neeraj Thapa, Bhagat Lal Shrestha","doi":"10.31729/jnma.8596","DOIUrl":"10.31729/jnma.8596","url":null,"abstract":"Introduction: Skin diseases pose a significant health challenge globally, especially within prison settings where overcrowding and inadequate sanitation create a breeding ground for infections. Prisons, as part of society, exist in a dynamic equilibrium, serving as potential sources of infections that can spread beyond their confines. Despite facing similar challenges, there is a dearth of research focusing on skin diseases among inmates in Nepal. This study aims to assess patterns of skin diseases among prisoners.Methods: This was a descriptive cross-sectional study at the central prison, Kathmandu from December 2023 to March 2024. All patients with skin disease visiting the consultant Dermatologist and giving consent were included in this study. Ethical approval was obtained from the Nepal Health Research Council. Data were entered in Microsoft Excel 2010 and analysis was done by the Statistical Package for the Social Sciences software. Data were presented in the form of frequency and percentage.Results: A total of 253 patients visited the consultant Dermatologist for skin conditions. Out of which, eczema was 67 (26.50%), fungal infections 57 (22.50%), and bacterial infections 51 (20.10%). The mean age of the respondents was 34.21±12 years.Conclusions: The fungal and bacterial infections were common among the prisoners.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"323-326"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367510","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

Job Satisfaction among Medical Doctors in Nepal: A Descriptive Cross-sectional Study. 尼泊尔医生的工作满意度：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.8404

Jeevan Gyawali, Kritika Mishra, Bhim Chauhan, Agnimshwor Dahal, Binita Lamichhane, Bijaya Shrestha, Nejina Rijal, Bishrut Sapkota, Ajit Kumar Sah, Sneha Shah, Madhusudan Subedi

{"title":"Job Satisfaction among Medical Doctors in Nepal: A Descriptive Cross-sectional Study.","authors":"Jeevan Gyawali, Kritika Mishra, Bhim Chauhan, Agnimshwor Dahal, Binita Lamichhane, Bijaya Shrestha, Nejina Rijal, Bishrut Sapkota, Ajit Kumar Sah, Sneha Shah, Madhusudan Subedi","doi":"10.31729/jnma.8404","DOIUrl":"10.31729/jnma.8404","url":null,"abstract":"Introduction: Job satisfaction is an attitudinal variable representing the extent to which people like or dislike their jobs. It is a critical factor influencing healthcare quality, patient outcomes, and overall well-being in medical professionals. This study aimed to determine Job Satisfaction among medical doctors in Nepal.Methods: A descriptive cross-sectional study was conducted among medical doctors of Nepal between June 2023 and August 2023 after obtaining ethical approval from the Ethical Review Board of Nepal Health Research Council. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.Results: Among 380 participants, 63 (16.58%) (12.84-20.32 at 95% Confidence Interval) expressed satisfaction. The number of satisfied participants above 40 years were 10 (16%) and less than 40 years were 53 (84%). Out of 63, 46 (73.02%) were male and 17 (26.98%) were females.Conclusions: Job satisfaction among doctors practicing in Nepal was found to be lower than the studies conducted in similar settings.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 273","pages":"288-292"},"PeriodicalIF":0.5,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11261543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367506","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

Intraosseous Lipoma of Calcaneus An Uncommon Cause of Heel Pain: A Case Report. 钙骨骨内脂肪瘤--脚跟疼痛的罕见病因：病例报告。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-04-30 DOI: 10.31729/jnma.8581

Dilip Kumar Yadav, Ajay Kumar Yadav, Sujan Raj Paudel, Dilendra Yadav

引用次数: 0

Congenital Heart Disease among Children Undergoing Echocardiography in the Department of Paediatrics of Tertiary Care Centre: A Descriptive Cross-sectional Study. 在三级医疗中心儿科接受超声心动图检查的儿童中存在先天性心脏病：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-03-31 DOI: 10.31729/jnma.8557

Romila Chimoriya, Ritesh Chimoriya, Mandira Shrestha, Sabina Shrestha, Kailash Shah, Lopsang Lama, Kritika Rana

{"title":"Congenital Heart Disease among Children Undergoing Echocardiography in the Department of Paediatrics of Tertiary Care Centre: A Descriptive Cross-sectional Study.","authors":"Romila Chimoriya, Ritesh Chimoriya, Mandira Shrestha, Sabina Shrestha, Kailash Shah, Lopsang Lama, Kritika Rana","doi":"10.31729/jnma.8557","DOIUrl":"10.31729/jnma.8557","url":null,"abstract":"Introduction: Congenital heart disease in children are a major cause of infant mortality and morbidity. It is important to detect and manage these disorders timely as they are preventable. The objective of this study was to find out proportion of congenital heart disease in children in paediatric department in a tertiary hospital.Methods: This is a descriptive cross-sectional study carried out in the Department of Paediatric at Nepal Medical College and Teaching Hospital where all children (0-18 years) suspected to have congenital heart disease who underwent echocardiography were studied over a period of 1 year (2020-2021). The presence or absence of congenital heart disease were confirmed by echocardiography performed by paediatric cardiologist. The socioeconomic variables,clinical features and echocardiography findings were noted.Results: Out of total 249 patients,the proportion of patients diagnosed to have cardiac disorders was 73 with male predominance of 165 (66.26%). The most common age group was found to be neonates 111 (44%).The notable clinical features were murmur 47 (18.87%), tachypnoea 27 (10.84%) ,tachycardia 27 (10.84%) and cyanosis 9 (3.61%), clubbing 2 (0.80%), oedema 1 (0.40%), hypertension 9 (3.65%), murmur 47 (18.87%).Out of the total, there were 49 (19.67%) cases of acyanotic congenital heart disease, and 27 (10.84%) cases of cyanotic congenital heart disease.Conclusions: Our study focuses on early recognition of cardiac diseases which is crucial for preventing morbidity and mortality.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 272","pages":"257-260"},"PeriodicalIF":0.5,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11025490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367471","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

Etiological Profile of First Episode Seizures in Paediatric Patients at a Tertiary Care Centre: A Descriptive Cross-sectional Study. 一家三级医疗中心儿科患者首次癫痫发作的病因概况：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-03-31 DOI: 10.31729/jnma.8535

Madhu Shah, Saurav Poudel, Bivusha Parajuli, Niranjan Kc, Rumi Kc

{"title":"Etiological Profile of First Episode Seizures in Paediatric Patients at a Tertiary Care Centre: A Descriptive Cross-sectional Study.","authors":"Madhu Shah, Saurav Poudel, Bivusha Parajuli, Niranjan Kc, Rumi Kc","doi":"10.31729/jnma.8535","DOIUrl":"10.31729/jnma.8535","url":null,"abstract":"Introduction: Seizures are the most common neurological emergency and one of the most common reasons for paediatrics hospital admissions. This study aimed to identify the etiology, clinical profile, and immediate outcome of children with the first episode of seizure in Eastern Nepal.Methods: This was a prospective descriptive study carried out in the Tertiary Care Centre from September 2022 to August 2023. Ethical clearance was taken from the Institutional Review Committee (Ref no:654/2022). Convenience sampling was done to include 170 children presenting with the first episode of seizure at age 6 months to 15 years. Variables collected were demographics, clinical presentations, family history, trauma history, laboratory tests, neuroimaging, EEG, final diagnosis, and immediate outcome.Results: A total of 170 patients were admitted with the first episode of seizure with 123 (72.36%) males and 47 (27.64%) females. The mean age of the patients was 5.13±2.95 years with 104 (61.18%) patients under 5 years of age. The most common seizure was generalized tonic-clonic type in 132 (77.64%) patients. The most common associated symptom was fever in 150 (88.23%) children. Neuroimaging was abnormal in 52 (30.59%) patients, with neurocysticercosis seen in 27 (15.88%). The most common etiology was febrile seizure in 92 (54.17%) patients, neurocysticercosis in 27 (15.88%), and meningitis in 12 (7.05%).Conclusions: Febrile seizures, neurocysticercosis, infection, and trauma were the major causes of seizures in children. When simple febrile seizures were unlikely, lumbar puncture, neuroimaging, and laboratory tests were useful tools for diagnosing etiologies of seizures.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 272","pages":"232-237"},"PeriodicalIF":0.5,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11025486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367473","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

Clinico-Demographic Profile of Children and Adolescents with Attention Deficit Hyperactivity Disorder Presenting to a Tertiary Care Centre: A Descriptive Cross-sectional Study. 在一家三级医疗中心就诊的注意力缺陷多动障碍儿童和青少年的临床人口学特征：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-03-31 DOI: 10.31729/jnma.8539

Utkarsh Karki, Supriya Sherchan, Anil Sharma, Amit Jha

{"title":"Clinico-Demographic Profile of Children and Adolescents with Attention Deficit Hyperactivity Disorder Presenting to a Tertiary Care Centre: A Descriptive Cross-sectional Study.","authors":"Utkarsh Karki, Supriya Sherchan, Anil Sharma, Amit Jha","doi":"10.31729/jnma.8539","DOIUrl":"10.31729/jnma.8539","url":null,"abstract":"Introduction: Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children. ADHD leads to significant impairment in overall functioning of the child. There is limited information concerning the clinical scenario of ADHD within Nepal. The study aims to determine the clinico-demographic profile and pattern of medication use in the treatment of ADHD.Methods: This study retrospectively examines the records of children diagnosed with ADHD at the Child and Adolescent Psychiatry (CAP) Unit, Kanti Children's Hospital (KCH), Nepal. Approval for the study was granted by KCH's Institutional Review Board. The analysis focused on data extracted from hospital records of ADHD patients spanning from 1 January 2021 to 30 June 2023 encompassing two and a half years.Results: A total of 585 children were diagnosed with ADHD, with a mean age 7±3.04 years. The majority 501 (85.64%) were male, and 377 (64.44%) were from the school going age group (6 to 11 years). The prevalent psychiatric comorbidities included Autism Spectrum Disorder (ASD) at 102 (17.43%), Intellectual Disability (ID) at 93(15.89%), and Oppositional Defiant Disorder (ODD) at 36 (6.15%). The commonly used medication was Clonidine 165 (28.20%) followed by Atomoxetine 154 (26.32%) and Risperidone 65 (11.11%).Conclusions: The study indicates that ADHD is highly prevalent in Nepal. Comorbidities like ASD and ID are frequently seen which further necessitates the need for structured assessments and multidisciplinary approaches to address ADHD. In our context with limited treatment options, the management of ADHD is extremely challenging.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 272","pages":"242-246"},"PeriodicalIF":0.5,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11025484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367470","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

Peptic Ulcer Disease among Patients Undergoing Upper Gastrointestinal Endoscopy in a Tertiary Care Centre: A Descriptive Cross-sectional Study. 在一家三级医疗中心接受上消化道内窥镜检查的患者中存在消化性溃疡疾病：一项描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-03-31 DOI: 10.31729/jnma.8527

Shova Sapkota, Saurav Sen Oli, Mamata Karki, Prerana Singh Rokaha

{"title":"Peptic Ulcer Disease among Patients Undergoing Upper Gastrointestinal Endoscopy in a Tertiary Care Centre: A Descriptive Cross-sectional Study.","authors":"Shova Sapkota, Saurav Sen Oli, Mamata Karki, Prerana Singh Rokaha","doi":"10.31729/jnma.8527","DOIUrl":"10.31729/jnma.8527","url":null,"abstract":"Introduction: Peptic ulcer is a common disease of gastrointestinal tract usually present with epigastric pain and discomfort. Upper gastrointestinal endoscopy is its gold standard investigation. There has been limited study on the prevalence of peptic ulcer disease among patients undergoing upper GI endoscopy especially in Nepal. Our study aimed to find the prevalence of peptic ulcer disease among patients undergoing upper GI endoscopy at our centre.Methods: A descriptive cross-sectional study was conducted among patients undergoing upper gastrointestinal endoscopy at a tertiary care centre from October 1, 2022 to March 31, 2023. Data was retrieved from hospital records using a preformed proforma and sample size of 219 was calculated and data of 273 cases was collected using the convenience method of sampling.Results: Among 273 patients, peptic ulcer disease was found in 29 (10.62%) of patients among which 28 (10.25%) had antral ulcer and only 1 (0.36%) had duodenal ulcer.Conclusions: The prevalence of peptic ulcer disease is lower in our study centre compared to other studies and further studies can be conducted on the associated risk factors and socio-demographic distribution of peptic ulcer disease.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 272","pages":"226-228"},"PeriodicalIF":0.5,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11025483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367478","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

Mayer-Rokitansky-Kuster-Hauser Syndrome Type II with Fused Kidneys in Pelvic Cavity: A Case Report. 梅尔-罗基坦斯基-库斯特-豪泽综合征 II 型伴骨盆腔肾脏融合：病例报告

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-03-31 DOI: 10.31729/jnma.8532

Suman Paudel, Prerana Singh Rokaha, Pankaj Kafle

引用次数: 0

Assessment of Third Molar-related Symptoms Affecting Quality of Life using Nepali Version of Oral Health Impact Profile-14: A Descriptive Cross-sectional Study. 使用尼泊尔版《口腔健康影响档案-14》评估影响生活质量的第三磨牙相关症状：描述性横断面研究。

IF 0.5 4区医学

Journal of Nepal Medical Association Pub Date : 2024-03-31 DOI: 10.31729/jnma.8546

Bikash Chaudhary, Sujaya Gupta, Sangya Mukhiya, Dikshya Silwal, Shristi Shakya, Yasuma Tiwari

{"title":"Assessment of Third Molar-related Symptoms Affecting Quality of Life using Nepali Version of Oral Health Impact Profile-14: A Descriptive Cross-sectional Study.","authors":"Bikash Chaudhary, Sujaya Gupta, Sangya Mukhiya, Dikshya Silwal, Shristi Shakya, Yasuma Tiwari","doi":"10.31729/jnma.8546","DOIUrl":"10.31729/jnma.8546","url":null,"abstract":"Introduction: Impacted third molars often cause pain, infections, swelling, and functional limitations. This study is an attempt to assess impacted third molars-related symptoms affecting quality of life using standardised Nepali version of oral health impact profile-14 (OHIP-14) questionnaire.Methods: This descriptive cross-sectional study was conducted at Kathmandu Medical College Teaching Hospital from October 2021 to February 2022 after institutional ethical approval. Patients with impacted third molars were included by convenience sampling technique. Patients with psychiatric illness, taking psychotropic drugs, pregnant, and lactating females were excluded. third molars-related symptoms were recorded in OHIP-14 questionnaire. Data entered in Microsoft Excel sheet were analysed. The findings have been presented as frequency, percent, mean, and standard deviation. The point estimate was calculated at a 95% Confidence Interval.Results: Mean OHIP-14 score of participants was 21.77±11.59. Due to TM, \"pain in the mouth\" had score of (2.33±1.24) and followed by \"uncomfortable experience on eating food\" (2.12±2.15). Among seven OHIP-14 dimensions, \"physical pain\" with two items OHIP3 and OHIP4 had score of 4.53±2.19 implying most participants had \"quite a lot\" of physical pain due to TM: OHIP3 = 194 (50.2%) and OHIP4 = 183 (47.3%).Conclusions: Impacted third molars-related symptoms were affecting quality of life of participants.","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 272","pages":"247-251"},"PeriodicalIF":0.5,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11025480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367469","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