发布求助
文献互助 智能选刊 最新文献

Journal of the Institute of Medicine最新文献

筛选
英文 中文
Diurnal Variability of Peak Expiratory Flow Rate in Healthy Adult Employees of a Medical College of Kathmandu 加德满都一所医学院健康成年雇员呼气流量峰值的日变异性
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37466
G. Khakurel, K. Gautam, S. Chalise
{"title":"Diurnal Variability of Peak Expiratory Flow Rate in Healthy Adult Employees of a Medical College of Kathmandu","authors":"G. Khakurel, K. Gautam, S. Chalise","doi":"10.3126/JIOM.V43I1.37466","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37466","url":null,"abstract":"Methods This cross-sectional study was done in employees of Kathmandu Medical College, Duwakot between March to August 2020. A total of 74 subjects of 30-45 years were included in the study. After adequate training, subjects were asked to record their own peak expiratory flow five times a day by Mini-Wright peak flow meter. Diurnal variability was expressed as amplitude percent mean and standard deviation percent mean. Data analysis was done by student’s unpaired t-test and one-way ANOVA.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"15-18"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45204793","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
Outcome of Carotid Endarterectomy in a Tertiary Center of Nepal: A Retrospective Study 尼泊尔一家三级中心颈动脉内膜切除术的疗效回顾性研究
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37469
P. B. Kadel, U. Shrestha, K. Shrestha, D. Gurung
{"title":"Outcome of Carotid Endarterectomy in a Tertiary Center of Nepal: A Retrospective Study","authors":"P. B. Kadel, U. Shrestha, K. Shrestha, D. Gurung","doi":"10.3126/JIOM.V43I1.37469","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37469","url":null,"abstract":"Results The total study population was 42 patients. Two patients (4.7%) developed stroke, one immediately in postoperative period and the other during follow up. There were two deaths (4.7%) postoperatively due to cardiac events and three (7.14%) recurrences of carotid stenosis among whom one (2.5%) developed late stroke. Twenty six patients (61.90%) were symptomatic prior to the procedure of which 20 patients (47.61%) had brain infarct. Overall one year survival was 95.2% post procedure and overall complication rate was 7.14%. The consequence in the form of death and stroke occurred more in the patients with comorbidities (3vs1) p=0.42.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"31-35"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43125620","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
Single Stage Surgery for Open Lisfranc Injury: A Case Report 开放性Lisfranc损伤的单期手术治疗1例报告
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37474
R. Lakhey, P. S. Bhandari, G. Kc
{"title":"Single Stage Surgery for Open Lisfranc Injury: A Case Report","authors":"R. Lakhey, P. S. Bhandari, G. Kc","doi":"10.3126/JIOM.V43I1.37474","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37474","url":null,"abstract":"Management of open Lisfranc injuries is challenging. The improper management of the injuries might lead to bad results like skin necrosis and arthritis of Lisfranc’s joints. A case of Myerson type A Gustilo Grade IIIB open Lisfranc injury was managed with single stage debridement and internal fixation. At three years follow-up, the result was excellent with American Orthopedic Foot and Ankle Society (AOFAS) midfoot score of 100 and the patient had rejoined his previous occupation requiring prolonged walking.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"54-56"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45262852","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 Tale of β-Lactamases and Multidrug Resistance in Pseudomonas aeruginosa Isolated from Inpatients in a University Hospital 某大学医院住院患者铜绿假单胞菌β-内酰胺酶及耐药性研究
Journal of the Institute of Medicine Pub Date : 2021-04-30 DOI: 10.3126/JIOM.V43I1.37467
S. Yadav, Sangita Sharma, S. K. Mishra, J. Sherchand
{"title":"A Tale of β-Lactamases and Multidrug Resistance in Pseudomonas aeruginosa Isolated from Inpatients in a University Hospital","authors":"S. Yadav, Sangita Sharma, S. K. Mishra, J. Sherchand","doi":"10.3126/JIOM.V43I1.37467","DOIUrl":"https://doi.org/10.3126/JIOM.V43I1.37467","url":null,"abstract":"Introduction In this era of modern medicine, antimicrobial resistance can be regarded as a major health calamity. The emergence of multidrugresistant (MDR) Pseudomonas aeruginosa strains poses therapeutic challenges and lead to treatment failure in hospitalized patients. This study was conducted to determine various types of β-lactamases among MDR P. aeruginosa isolates recovered from hospitalized patients.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"43 1","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49584517","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
Rare Primary Spinal Mesenchymal Chondrosarcoma: A Case Report 罕见的原发性脊髓间充质软骨肉瘤1例报告
Journal of the Institute of Medicine Pub Date : 2020-12-31 DOI: 10.3126/JIOM.V42I3.37602
Sushil Paudel, Shirish Adhikari, Sharad C Adhikari, Rohit K Pokharel
{"title":"Rare Primary Spinal Mesenchymal Chondrosarcoma: A Case Report","authors":"Sushil Paudel, Shirish Adhikari, Sharad C Adhikari, Rohit K Pokharel","doi":"10.3126/JIOM.V42I3.37602","DOIUrl":"https://doi.org/10.3126/JIOM.V42I3.37602","url":null,"abstract":"Primary extradural mesenchymal chondrosarcoma (MCS) is a very rare intraspinal tumor. Proper clinical evaluation with magnetic resonance imaging (MRI) followed by biopsy of the mass can confirm the diagnosis. Since MCS has a high tendency of recurrence and metastasis, the prognosis is guarded. We report a 52 years old male with primary extradural MCS in the lumbosacral region (L5-S3). Subtotal excision and biopsy were performed which confirmed the diagnosis. The patient received post excisional radiotherapy but expired after four months. Though rare, this tumor should be kept in differentials which helps in early diagnosis and thus can be treated with radical excision of the mass along with postoperative radiotherapy.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"42 1","pages":"102-105"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44190521","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
Separate Consent for Anesthetic Practice: Need of the Moment 麻醉实践的单独同意:当下的需要
Journal of the Institute of Medicine Pub Date : 2020-12-31 DOI: 10.3126/JIOM.V42I3.37571
A. Shrestha, G. Shrestha, S. Pradhan, Pankaj Joshi
{"title":"Separate Consent for Anesthetic Practice: Need of the Moment","authors":"A. Shrestha, G. Shrestha, S. Pradhan, Pankaj Joshi","doi":"10.3126/JIOM.V42I3.37571","DOIUrl":"https://doi.org/10.3126/JIOM.V42I3.37571","url":null,"abstract":"ABSTRACT Decades of refinement and modifications have led the modern anaesthetic practice to be conducted so smoothly and safely, that sometimes we take for granted the enormous amount of risks involved with it. Furthermore, with the evolution of monitoring techniques, and discovery of safer drugs, anesthesia has facilitated the conduction of complex surgeries on sicker patients, and older patients. The expansion to critical care and pain management services has added another dimension to this field, with anesthesiologists not just working as facilitators for another procedure, but acting as primary physicians. Anesthesiologists are among the few clinicians, who are involved in patient morbidity and mortality in their daily routine. With the ever-changing ethical and legal background, the significance of obtaining a separate consent for anesthesia needs to be timely evaluated. In this review, we have discussed the significance of a separate consent for anesthesia and highlight its various aspects.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45756068","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
Assessment of a Scoring System to Predict Difficult Laparoscopic Cholecystectomy 评分系统预测腹腔镜胆囊切除术难度的评估
Journal of the Institute of Medicine Pub Date : 2020-12-31 DOI: 10.3126/JIOM.V42I3.37587
P. Sigdel, Nirajan Subedi, Suman Phuyal, Ashik Pokharel, B. Ghimire, Yogendra Pratap Singh
{"title":"Assessment of a Scoring System to Predict Difficult Laparoscopic Cholecystectomy","authors":"P. Sigdel, Nirajan Subedi, Suman Phuyal, Ashik Pokharel, B. Ghimire, Yogendra Pratap Singh","doi":"10.3126/JIOM.V42I3.37587","DOIUrl":"https://doi.org/10.3126/JIOM.V42I3.37587","url":null,"abstract":"Results Among 136 cases, 70.6% were easy, 24.3% were difficult and 5.1% were very difficult intraoperatively. The factors like age >50 years, history of hospitalization for acute cholecystitis, previous abdominal surgery, palpable gall bladder, wall thickness >4mm and impacted stone were found statistically significant in predicting difficult LC. The preoperative scoring is statistically and clinically a good test for predicting the difficult LC (area under the curve = 0.824) with sensitivity of the test being 82.3% and specificity 72.7%. Conversion rate was 3.67%.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"42 1","pages":"71-75"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44169512","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
Comparative Study on Effectiveness and Safety of Atorvastatin with Rosuvastatin in Hyperlipidemic Patients at a Tertiary Care Hospital in Nepal 尼泊尔某三级医院高脂血症患者阿托伐他汀与瑞舒伐他汀有效性和安全性的比较研究
Journal of the Institute of Medicine Pub Date : 2020-12-31 DOI: 10.3126/JIOM.V42I3.37578
Binod Raut, Nimesh Paudel, D. Shrestha, Anant Bhosekar
{"title":"Comparative Study on Effectiveness and Safety of Atorvastatin with Rosuvastatin in Hyperlipidemic Patients at a Tertiary Care Hospital in Nepal","authors":"Binod Raut, Nimesh Paudel, D. Shrestha, Anant Bhosekar","doi":"10.3126/JIOM.V42I3.37578","DOIUrl":"https://doi.org/10.3126/JIOM.V42I3.37578","url":null,"abstract":"Introduction Hyperlipidemia is one of the most contributing factors to coronary heart diseases. Statins have become standard medicine in clinical practice to reduce total cholesterol, low density lipoprotein and to increase high density lipoprotein cholesterol. This study is conducted to compare the effectiveness and safety of atorvastatin with rosuvastatin in hyperlipidemic patients. Methods This is a prospective observational study involving 150 patients conducted in the Department of Internal Medicine of Kathmandu Medical College and Teaching Hospital from July 2019 to March 2020. Patients newly diagnosed with hyperlipidemia were enrolled. Patients that were prescribed with 10 mg of atorvastatin and 5 mg of rosuvastatin by the treating physician once daily for 6 weeks were divided into two groups. Data was recorded in the customized proforma and the SPSS package version 20 was used for analysis. Results Patients that were prescribed with atorvastatin were put in group I and those prescribed with rosuvastatin were included in group II with 75 participants in each group. The mean age of the patients were 50.56± 10.08 years in group I and 52.45±10.20 years in group II with male to female ratio of 3:1. The mean BMI of group I was 25.36±1.74 and that of group II was 26.48±2.21 before therapy. There was a significant main effect of duration (F1,74=401.02, p<0.001) on the TG and TC levels (F1,74=1134.23, p<0.001) as well as (F1,74=614.99, p<0.001) on the LDL and HDL levels (F1,74=146.38, p<0.001). Conclusion Rosuvastatin was significantly more effective than atorvastatin in reducing levels of TG, TC and LDL-C. Rosuvastatin also significantly increased the level of HDL.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"42 1","pages":"32-37"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48167692","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
Comparison of Round Window Anatomy between Pediatric and Adult Population: A Perspective from Cochlear Implantation Surgery 儿童与成人圆窗解剖学的比较：从人工耳蜗植入术的角度
Journal of the Institute of Medicine Pub Date : 2020-12-31 DOI: 10.3126/JIOM.V42I3.37573
R. Pradhananga, B. Gyawali, P. Rayamajhi
{"title":"Comparison of Round Window Anatomy between Pediatric and Adult Population: A Perspective from Cochlear Implantation Surgery","authors":"R. Pradhananga, B. Gyawali, P. Rayamajhi","doi":"10.3126/JIOM.V42I3.37573","DOIUrl":"https://doi.org/10.3126/JIOM.V42I3.37573","url":null,"abstract":"Introduction The round window is thought to be an ideal port for inserting electrodes during cochlear implantation. Considering its complex anatomy with an individual variation, this study aims to review the anatomy of round window based on the visibility of round window niche and round window membrane via posterior tympanotomy in pediatric and adult population who underwent cochlear implantation.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"42 1","pages":"23-25"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43297131","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
Outcome of Extracranial Carotid Pseudoaneurysm Surgery: A Retrospective Study 颅外颈动脉假性动脉瘤手术的预后:回顾性研究
Journal of the Institute of Medicine Pub Date : 2020-12-31 DOI: 10.3126/JIOM.V42I3.37586
Nikesh Bhandari, U. Shrestha, K. Shrestha, D. Gurung
{"title":"Outcome of Extracranial Carotid Pseudoaneurysm Surgery: A Retrospective Study","authors":"Nikesh Bhandari, U. Shrestha, K. Shrestha, D. Gurung","doi":"10.3126/JIOM.V42I3.37586","DOIUrl":"https://doi.org/10.3126/JIOM.V42I3.37586","url":null,"abstract":"Introduction Extracranial carotid pseudoaneurysm (ECPA) is commonly associated with blunt or penetrating trauma and can result in thromboembolic event, cranial nerves palsies, rupture and hemorrhage. Due to the limited number of large studies, safety and efficacy of surgical and interventional management of ECPA is not well characterized. Open surgery with resection of pseudoaneurysm with end-to-end anastomosis or interposition graft is currently the preferred method of management. The aim of this study is to study the demographics, etiopathogenesis, presentation and outcome after surgical intervention of ECPA at our center.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"42 1","pages":"67-70"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43888411","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
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信