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Screening of Kidney Disease in Asymptomatic Female College Students by Urine Dipstick Method 尿检法筛查无症状女大学生肾脏疾病
Journal of the Institute of Medicine Pub Date : 2021-05-30 DOI: 10.3126/JIOM.V41I3.37358
S. Chhetri, D. Shah
{"title":"Screening of Kidney Disease in Asymptomatic Female College Students by Urine Dipstick Method","authors":"S. Chhetri, D. Shah","doi":"10.3126/JIOM.V41I3.37358","DOIUrl":"https://doi.org/10.3126/JIOM.V41I3.37358","url":null,"abstract":"Introduction Urine examination by urine dipstick method is a useful tool to identify asymptomatic individual for kidney disease. A urine dipstick analysis was conducted on world kidney day to determine the urine abnormalities among asymptomatic female college students. Methods A cross-sectional study was carried out in a government female college in Kathmandu Nepal. Three hundred asymptomatic female students participated in this study. Fresh midstream urine samples were obtained and tested by urine dipstick method. Random Blood glucose was monitored with glucometer. Blood pressure was measured by manual sphynomanometer. Results The mean age of the female students was 22.62±2.686 years. Fifteen participants (5%) were found positive for proteinuria and only 1% of participants had glycosuria. The systolic blood pressure of >120 mm Hg was present in 14% of participants while 5% of participants had diastolic blood pressure of >90mm Hg. Participants who were found to have urinary proteinuria detected had both systolic and diastolic blood pressure increased. Only 8% of the participants had random blood sugar of >140 mg/dl. Conclusion Urinary abnormalities like proteinuria and glycosuria in asymptomatic female students has significant prevalence. Systemic prehypertension and hypertension has alarming rates among adolescents. Hence, screening for blood pressure and early detection of renal disorders will lead to effective interventions and possibly reduce the burden of renal diseases.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"41 1","pages":"13-16"},"PeriodicalIF":0.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46299345","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
Nebulized Magnesium Sulphate Versus Saline as an Adjuvant in Acute Exacerbation of Chronic Obstructive Pulmonary Disease in a Tertiary Centre of Nepal: A Randomized Control Study 雾化硫酸镁与生理盐水在尼泊尔一家三级中心作为慢性阻塞性肺病急性加重的佐剂：一项随机对照研究
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37461
Manjita Bajracharya, R. Acharya, R. Neupane, R. Sthapit, Apurva Ratna Tamrakar
{"title":"Nebulized Magnesium Sulphate Versus Saline as an Adjuvant in Acute Exacerbation of Chronic Obstructive Pulmonary Disease in a Tertiary Centre of Nepal: A Randomized Control Study","authors":"Manjita Bajracharya, R. Acharya, R. Neupane, R. Sthapit, Apurva Ratna Tamrakar","doi":"10.3126/JIOM.V43I1.37461","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37461","url":null,"abstract":"Methods It was a randomized single blind interventional study of 172 cases of acute exacerbation of COPD presenting (AECOPD) with a peak expiratory flow rate (PEFR) <300 L/min measured 20 min after initial management. Patients received 5 mg salbutamol mixed with 3 ml isotonic magnesium sulphate or 3 ml normal saline on three occasions at 30 min intervals via nebulizer. The primary outcome measured was PEFR at 90 min and hospital admission, noninvasive or invasive ventilation and mortality were taken as secondary outcomes.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"5-10"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48257348","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: 2
Plasma Fibrinogen Level in Chronic Obstructive Pulmonary Disease and Its Correlation with GOLD Severity Staging 慢性阻塞性肺疾病患者血浆纤维蛋白原水平及其与GOLD严重程度分期的相关性
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37460
Achyut Gyawali, N. Bam, P. Pant, S. Das
{"title":"Plasma Fibrinogen Level in Chronic Obstructive Pulmonary Disease and Its Correlation with GOLD Severity Staging","authors":"Achyut Gyawali, N. Bam, P. Pant, S. Das","doi":"10.3126/JIOM.V43I1.37460","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37460","url":null,"abstract":"Results A total of 80 patients were enrolled. The mean age of the patient was 67.87±11.60 years. Plasma fibrinogen level was 159±12.72 mg/dl in mild COPD, 273.52±62.34 mg/dl in moderate COPD, 312.30±103.67 mg/dl in severe COPD, and 487±102.76 mg/dl in very severe COPD. The comparison between groups showed significant difference in plasma fibrinogen level (p<0.001). There was significant negative correlation between plasma fibrinogen level and forced expiratory volume in one second (FEV1%) predicted (r=-0.71, p=0.01). Conclusion High plasma fibrinogen level on discharge was found in COPD patients with severe airflow obstruction, frequent exacerbations and severe level of dyspnoea during AECOPD.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48626320","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
A Case Report on Deliberate Self-poisoning with Imidacloprid in a Young Female - Overview of a Newer Insecticide Poisoning 年轻女性故意使用吡虫啉自我中毒1例——一种新型杀虫剂中毒综述
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37476
S. Thapaliya, B. Basnet, S. Das, Rakshya Thapa
{"title":"A Case Report on Deliberate Self-poisoning with Imidacloprid in a Young Female - Overview of a Newer Insecticide Poisoning","authors":"S. Thapaliya, B. Basnet, S. Das, Rakshya Thapa","doi":"10.3126/JIOM.V43I1.37476","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37476","url":null,"abstract":"Imidacloprid is a newer insecticide of the group Neonicotinoids. It is safer to humans and hence considered a better alternative to organophosphorus compounds, especially in areas like Nepal with higher incidence of deliberate self-poisoning. There has been an increase in the number of reported cases of imidacloprid poisoning from South-East Asian countries, but none from Nepal. We report a case admitted in Intensive Care Unit with neurological manifestations, respiratory failure and development of Acute Kidney Injury following acute imidacloprid poisoning.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"60-62"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46222392","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
Knowledge of Nurses Working in Critical Care Areas Regarding Ventilator Associated Pneumonia Prevention Bundles in a Tertiary Level Cardiac Centre 在重症监护区工作的护士对三级心脏中心呼吸机相关肺炎预防包的了解
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37470
Sandip Bhandari, Medha Sharma, G. Shrestha
{"title":"Knowledge of Nurses Working in Critical Care Areas Regarding Ventilator Associated Pneumonia Prevention Bundles in a Tertiary Level Cardiac Centre","authors":"Sandip Bhandari, Medha Sharma, G. Shrestha","doi":"10.3126/JIOM.V43I1.37470","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37470","url":null,"abstract":"Introduction Prevention of ventilator associated pneumonia (VAP) is influenced by the knowledge and practices of nurses. This study was conducted to assess the knowledge of nurses working in critical care areas of a tertiary level cardiac centre regarding VAP prevention bundles. Methods In this descriptive study, 57 nurses working in critical care areas were included, they completed a self-administered questionaire containing demographic information followed by 18 multiple response questions. With the respondents choosing one or more correct answers, the percentage of correct answer for each options was obtained. For each questions, the correct percentage for all the options were averaged and expressed as average knowledge percent. The significance of association was tested using chisquare and Fisher exact test, with level of significance established at 95%. Data analysis was done using SPSS version 21. Results With a mean age of 26.8 years, the majority of the nurses had completed Bachelor’s degree (75.4%). Though 91.3% nurses had experience of more than a year in critical care, 87.7% of them had not obtained VAP or infection control training. The mean knowledge score of VAP was 70±7.5%, and 97.4% had satisfactory knowledge. There was no association between knowledge scores on prevention of VAP and educational qualification (p=0.26) and years of experience in intensive care unit (p=0.41). Conclusion Almost all of the nurses working in critical care areas had satisfactory knowledge regarding VAP bundle, however, they had lower knowledge on the definition and approach to prevent VAP. This study recommends to incorporate more nurses in training related to infection and VAP prevention.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"36-42"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45985698","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
Case Report of Fetal Macrosomia with Birth Weight 6.25 kg: A Rare Encounter 出生体重6.25 kg的巨大儿罕见病例报告
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37475
S. Maskey, G. Gurung
{"title":"Case Report of Fetal Macrosomia with Birth Weight 6.25 kg: A Rare Encounter","authors":"S. Maskey, G. Gurung","doi":"10.3126/JIOM.V43I1.37475","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37475","url":null,"abstract":"ABSTRACT Newborn weight exceeding 4000 g or 4500 g is considered as macrosomia, incidence of which varies from 6 to 10% of all deliveries. Maternal diabetes, obesity, age >35 years, male baby, history of previous macrosomia, multiparity are few risk factors. It is associated with several maternal and neonatal complications and presents an obstetric challenge as there is no consensus regarding the most appropriate route of delivery for macrosomic baby. We report a rare case of fetal macrosomia with birth weight of 6.25 kg delivered by cesarean section to 39 years old woman at 38 weeks 6 days period of gestation.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"57-59"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48655756","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
Anesthetic Management of Apert Syndrome: A Case Report Apert综合征的麻醉处理:1例报告
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37473
M. Koirala, G. Shrestha, Pankaj Joshi, B. Parajuli
{"title":"Anesthetic Management of Apert Syndrome: A Case Report","authors":"M. Koirala, G. Shrestha, Pankaj Joshi, B. Parajuli","doi":"10.3126/JIOM.V43I1.37473","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37473","url":null,"abstract":"Apert syndrome is a rare autosomal dominant disease associated with abnormalities of skull, face and limbs. These patients present for different types of surgeries. To the anesthesiologists,they pose special challenge during airway management, manifesting as difficulty in bag-mask ventilation and increased incidence of airway obstruction. Here, we report a case of a child with Apert syndrome undergoing syndactyly release under general anesthesia, in whom severe bronchospasm and a failed bag-mask ventilation occurred during the emergence of anesthesia requiring re-insertion of laryngeal mask airway.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"50-53"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43013652","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
Correlation of Status of Mastoid with Outcomes of Myringoplasty with Cortical Mastoidectomy in Mucosal Otitis Media with High Risk Perforation 高风险穿孔性中耳炎肥大状态与肉豆蔻成形术和皮质肥大切除术疗效的相关性
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37468
A. Shrestha, H. Bhattarai, P. Rayamajhi, R. Pradhananga
{"title":"Correlation of Status of Mastoid with Outcomes of Myringoplasty with Cortical Mastoidectomy in Mucosal Otitis Media with High Risk Perforation","authors":"A. Shrestha, H. Bhattarai, P. Rayamajhi, R. Pradhananga","doi":"10.3126/JIOM.V43I1.37468","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37468","url":null,"abstract":"Methods This prospective, observational study was done at Department of Otorhinolaryngology and Head and Neck Surgery, Tribhuvan University Teaching Hospital. Thirty-four patients of ag|e 15 and above with chronic mucosal otitis media having high-risk perforation undergoing cortical mastoidectomy with myringoplasty were included. The status of middle ear, aditus, and mastoid air cells were assessed. Post-operatively, patients were assessed for graft uptake and hearing after three months. The post-operative graft uptake and hearing results were correlated with the peroperative status. Four patients who had preoperative sensorineural hearing loss were studied in terms of graft uptake only.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47846067","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
Right Sided Aortic Arch with Aberrant Left Subclavian Artery from Kommerell’s Diverticulum, a Cause of Persistent Dysphagia in an Adult: A Case Report 右侧主动脉弓伴Kommerell’s憩室左锁骨下动脉异常，成人持续性吞咽困难的原因：一例报告
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37472
P. Regmi, I. Amatya, Bipula Kafle, P. Kayastha, S. Paudel
{"title":"Right Sided Aortic Arch with Aberrant Left Subclavian Artery from Kommerell’s Diverticulum, a Cause of Persistent Dysphagia in an Adult: A Case Report","authors":"P. Regmi, I. Amatya, Bipula Kafle, P. Kayastha, S. Paudel","doi":"10.3126/JIOM.V43I1.37472","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37472","url":null,"abstract":"ABSTRACT Congenital variations and anomalies of the aortic arch are important entity in vascular imaging. Most of them are asymptomatic. About 30-40% presents with tracheo-oesophageal symptoms like dyspnea and dysphagia. A 27 year-old female presented with persistent dysphagia for 6 months duration and cause of persistent dysphagia was the right sided aortic arch with aberrant left subcalvian artery from Kommerell’s diverticulum. The diagnosis was made through combination of chest X-Ray, echocardiography, non-ionic contrast swallow and Computed Tomography angiography. Non-invasive modalities (CT and MR Angiography) play an important role in diagnosis and pre-operative surgical planning providing relationship with the surrounding structures especially trachea and esophagus.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"47-49"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44695832","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
Risk Score for Prediction of Severe Postoperative Complications After Pancreaticoduodenectomy 预测胰十二指肠切除术后严重并发症的风险评分
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37464
Surendra Shah, R. Bhandari, P. Vaidya, Y. Singh, P. Lakhey
{"title":"Risk Score for Prediction of Severe Postoperative Complications After Pancreaticoduodenectomy","authors":"Surendra Shah, R. Bhandari, P. Vaidya, Y. Singh, P. Lakhey","doi":"10.3126/JIOM.V43I1.37464","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37464","url":null,"abstract":"Methods This was a retrospective observational study. Patients undergoing pancreaticoduodenectomy at Tribhuvan University Teaching Hospital (TUTH) between January 2017 to December 2017 were included in the study. Variables were recorded from case sheets of the patients. The “Risk Score” was calculated using the pancreatic duct diameter and body mass index (BMI). Association of risk score and severe postoperative complications were analyzed.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"11-14"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49528592","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
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