Journal of the Institute of Medicine最新文献_第5页

Multilevel Spinal Injury: Incidence, Distribution and Neurological Patterns 多发性脊髓损伤的发病率、分布和神经系统模式

Journal of the Institute of Medicine Pub Date : 2020-08-31 DOI: 10.3126/JIOM.V42I2.37546

Y. Khadka, R. Lakhey, D. Kafle

引用次数: 0

Incidence of Contrast Induced Acute Kidney Injury, Its Risk Factors and In-Hospital Outcomes in Patients Undergoing Coronary Angiography and Angioplasty 冠状动脉造影和血管成形术患者造影剂诱导急性肾损伤的发生率、危险因素和住院结果

Journal of the Institute of Medicine Pub Date : 2020-08-31 DOI: 10.3126/JIOM.V42I2.37539

Prashun Upadhaya, P. Thapa, R. Gajurel, M. Sigdel

引用次数: 0

Predictors of Multiple Micronutrient Powder Intake Adherence among Children Aged 6-23 Months in Rasuwa District, Nepal: A Cross-sectional Study 尼泊尔拉苏瓦地区6-23个月儿童多种微量营养素粉末摄入依从性的预测因素：一项横断面研究

Journal of the Institute of Medicine Pub Date : 2020-08-31 DOI: 10.3126/JIOM.V42I2.37542

Ashish Timalsina, R. Paudel, Dipak Prasad Upadhyaya, S. Bhattacharya, B. S. Kuikel, Naresh Joshi, Sunil Adhikari, A. Aung

引用次数: 0

Leigh Syndrome in an Adolescent Girl: A Case Report 青春期少女Leigh综合征1例报告

Journal of the Institute of Medicine Pub Date : 2020-08-31 DOI: 10.3126/JIOM.V42I2.37547

M. Shrestha, L. Bajracharya, S. Basnet

引用次数: 0

Knowledge and Self-Care Practice on Hypertension among Hypertensive Patients in a Tertiary Level Hospital of Kathmandu 加德满都一家三级医院高血压患者的高血压知识与自我护理实践

Journal of the Institute of Medicine Pub Date : 2020-08-31 DOI: 10.3126/JIOM.V42I2.37528

Geeta K Satyal, L. Rai, R. Gautam, Bhuvan K Dangol, Rajina Shakya

{"title":"Knowledge and Self-Care Practice on Hypertension among Hypertensive Patients in a Tertiary Level Hospital of Kathmandu","authors":"Geeta K Satyal, L. Rai, R. Gautam, Bhuvan K Dangol, Rajina Shakya","doi":"10.3126/JIOM.V42I2.37528","DOIUrl":"https://doi.org/10.3126/JIOM.V42I2.37528","url":null,"abstract":"Introduction Hypertension is a public health challenge and major risk factor for cardiovascular disease in the developing as well as developed countries. The successful management of hypertension depends upon patient’s knowledge on hypertension and self-care practices. Methods A descriptive cross-sectional study was conducted to identify the knowledge and self-care practice on hypertension among 212 hypertensive patients attending in outpatient department of Manmohan Cardiothoracic Vascular and Transplant Center (MCVTC). Non-probability purposive sampling technique was used. Data was collected through face-to-face interview by using structured questionnaire. Data was analyzed using SPSS version 16.0. Results This study showed that 57.5% of the respondents had adequate level of knowledge on hypertension and 57.1% of the respondents had good overall self-care practice. Regarding self-care practice, we found 100% medicine adherence, 85.8% respondents avoided alcohol and 84.9% avoided smoking, 50.9% followed weight management practice, 48.6% followed dietary management and 44.8% performed physical activity. Level of knowledge was significantly associated with age, gender, educational status and occupation. Selfcare practice was only significantly associated with educational status. Level of knowledge and self-care practice were significantly positively correlated. Conclusion More than half of the respondents had adequate level of knowledge. Regarding self-care practice, nearly sixty percent of the respondents had good self-care practice. To bring those rates to higher level, awareness programs should be launched about diseases and self-care practice on hypertension.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":"42 1","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48216266","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: 4

Giant Ocular Surface Squamous Neoplasia Wrapping Almost the Whole Cornea: A Case Report 几乎覆盖整个角膜的巨大眼表鳞状上皮增生：一例报告

Journal of the Institute of Medicine Pub Date : 2020-08-31 DOI: 10.3126/JIOM.V42I2.37548

Poonam Shrestha, M. Pandey

引用次数: 0

Profile and Antibiotic Susceptibility Pattern of Bacterial Isolates from Mobile Phones of Healthcare Workers in a Tertiary Care Centre of Nepal 尼泊尔一家三级医疗中心医护人员手机中细菌分离株的概况和耐药性模式

Journal of the Institute of Medicine Pub Date : 2020-08-31 DOI: 10.3126/JIOM.V42I2.37532

J. Sapkota, B. Jha, B. Mishra, D. Shrestha, A. Barakoti, Manisha Sharma

引用次数: 0

Adherence to Therapeutic Regimen in Diabetic Patients Attending a Tertiary Level Hospital 三级医院糖尿病患者治疗方案依从性分析

Journal of the Institute of Medicine Pub Date : 2020-08-31 DOI: 10.3126/JIOM.V42I2.37537

K. Shrestha, Takma Kc, Rachana Ghimire

引用次数: 1

Outcome of Acute Burn Injuries in a Tertiary Care Centre of Kathmandu Nepal 尼泊尔加德满都三级保健中心急性烧伤的结果

Journal of the Institute of Medicine Pub Date : 2020-08-31 DOI: 10.3126/JIOM.V42I2.37533

M. Devkota, Samit Sharma, S. Rayamajhi, J. Shrestha, I. Lohani

引用次数: 0

Cesarean Section or Instrumental Delivery: The Best Choice for Mode of Delivery during Second Stage of Labor 剖宫产还是器械分娩:第二产程分娩方式的最佳选择

Journal of the Institute of Medicine Pub Date : 2020-08-31 DOI: 10.3126/JIOM.V42I2.37536

S. Rawal, N. Katuwal, S. Shrestha

{"title":"Cesarean Section or Instrumental Delivery: The Best Choice for Mode of Delivery during Second Stage of Labor","authors":"S. Rawal, N. Katuwal, S. Shrestha","doi":"10.3126/JIOM.V42I2.37536","DOIUrl":"https://doi.org/10.3126/JIOM.V42I2.37536","url":null,"abstract":"Introduction Managing second stage of labour is very crucial. Emergency Cesarean Section (CS) or Instrumental Delivery (ID) is the only choices although complications might occur in both modes of deliveries. The rate of CS is at rise and the fear of failed ID followed by emergency CS with added complications makes the choice more difficult amongst the obstetricians. Methods A retrospective study done to assess the maternal and fetal outcome in second stage of labour following ID and emergency CS from April 2018 to March 2019 among the pregnant women having completed 34 weeks of gestations and beyond. Results Of 4761 deliveries, 2537 (53.2%) were vaginal and 2224 (46.7%) CS, and amongst all, 133 (2.7%) were second stage interventions. Out of 133, 78 had ID, 76 were successful and 2 failed. Fifty seven (2.6%) were second stage CS. Nulliparas (65.8%) needed more ID, teenage pregnancy (6.5%) (p=0.04) and heart disease (18.4%) (p=0.002) were high risk for ID. Complications were more in CS, uterine extensions, (29.8%) (p<0.001), urinary complications, (43.9%) (p<0.001) and blood loss (p<0.001). Neonatal admission too was higher in CS (n=29) and more so due to respiratory distress (16/29). Conclusion Despite of few failed attempted ID, it still proved to be better choice for delivery during second stage, as both maternal and neonatal complications were higher following the second stage CS. Hence, the correct and timely decision for ID addressing the associated risk factors could lead to favorable outcome.","PeriodicalId":85033,"journal":{"name":"Journal of the Institute of Medicine","volume":" ","pages":"42-46"},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44240927","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