T. Gupta, Smriti Mayur Kasaudhan, Vivek Paudyal, Pratikshya Bharati, Kamal Hamal
Background: Health issues pertaining to the ear, nose, and throat (ENT) are commonly observed in rural hospitals located in high-altitude regions. Failure to treat these ailments can result in complications and have a detrimental impact on an individual’s well-being. This study aimed to assess the frequency and nature of ENT problems within the purview of General Practice. Methods: This was retrospective observational study done in the OPD of Karnali Academy of Health Sciences, Jumla. The data was taken from 2020 January to 2021 January. Data was collected by reviewing the record file from data store of KAHS. Data entry was done in excel sheet followed by its descriptive analysis. Results: During the period of January 2020 to January 2021, a total of 1219 cases were attended to by General Practitioners (GPs). The majority of cases were observed in the 20-30 age. Chronic Otitis Media, Epistaxis, and Acute Tonsillitis were the most commonly observed ear, nose, and throat problems, accounting for 43.5%, 24.1%, and 36.7% of cases, respectively. Conclusions: Ear diseases are the most frequently occurring among ENT conditions, followed by throat and nose diseases. In rural parts of Nepal, GPs are capable of managing most common cases. However, for challenging cases, GPs can seek consultation with ENT consultants via telemedicine during their practice. While GPs can manage common ENT cases at hospitals, they require regular training in the diagnosis and treatment of ENT diseases.
{"title":"PATTERNS OF ENT PROBLEMS UNDER GENERAL PRACTICE IN RURAL HOSPITAL OF HIGH ALTITUDE","authors":"T. Gupta, Smriti Mayur Kasaudhan, Vivek Paudyal, Pratikshya Bharati, Kamal Hamal","doi":"10.54530/jcmc.1266","DOIUrl":"https://doi.org/10.54530/jcmc.1266","url":null,"abstract":"Background: Health issues pertaining to the ear, nose, and throat (ENT) are commonly observed in rural hospitals located in high-altitude regions. Failure to treat these ailments can result in complications and have a detrimental impact on an individual’s well-being. This study aimed to assess the frequency and nature of ENT problems within the purview of General Practice.\u0000Methods: This was retrospective observational study done in the OPD of Karnali Academy of Health Sciences, Jumla. The data was taken from 2020 January to 2021 January. Data was collected by reviewing the record file from data store of KAHS. Data entry was done in excel sheet followed by its descriptive analysis.\u0000Results: During the period of January 2020 to January 2021, a total of 1219 cases were attended to by General Practitioners (GPs). The majority of cases were observed in the 20-30 age. Chronic Otitis Media, Epistaxis, and Acute Tonsillitis were the most commonly observed ear, nose, and throat problems, accounting for 43.5%, 24.1%, and 36.7% of cases, respectively.\u0000Conclusions: Ear diseases are the most frequently occurring among ENT conditions, followed by throat and nose diseases. In rural parts of Nepal, GPs are capable of managing most common cases. However, for challenging cases, GPs can seek consultation with ENT consultants via telemedicine during their practice. While GPs can manage common ENT cases at hospitals, they require regular training in the diagnosis and treatment of ENT diseases.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116288826","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}
P. M. Limbu, S. Khatiwada, Ashish Ghimire, Yogan Trikhatri, R. Maharjan
Nasogastric tube insertion is a procedure routinely performed in wards, emergency care, intensive care unit and operation theatre etc. In a conscious patient, confirmation of its position after placement is easy with high success rate. In contrary, the failure rate for NG insertion in an intubated patient is high. Although rare, there is a possibility for its malposition into the lungs in an intubated patient. We present a case in which a nasogastric tube was inserted following endotracheal intubation, which malpositioned into the lungs causing anesthesia workstation to malfunction.
{"title":"MALPOSITION OF NASOGASTRIC TUBE INTO LUNGS LEADING TO ANAESTHESIA WORKSTATION MALFUNCTION: A CASE REPORT","authors":"P. M. Limbu, S. Khatiwada, Ashish Ghimire, Yogan Trikhatri, R. Maharjan","doi":"10.54530/jcmc.1276","DOIUrl":"https://doi.org/10.54530/jcmc.1276","url":null,"abstract":"Nasogastric tube insertion is a procedure routinely performed in wards, emergency care, intensive care unit and operation theatre etc. In a conscious patient, confirmation of its position after placement is easy with high success rate. In contrary, the failure rate for NG insertion in an intubated patient is high. Although rare, there is a possibility for its malposition into the lungs in an intubated patient. We present a case in which a nasogastric tube was inserted following endotracheal intubation, which malpositioned into the lungs causing anesthesia workstation to malfunction.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132078216","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}
Background: Type 2 Diabetes Mellitus commonly affects the elderly individuals. Reduced muscle strength has been considered as one of the complication of Type 2 Diabetes Mellitus. Handgrip strength is an important parameter to evaluate the power of the hand. Hand grip strength has also proven to be an important measure to diagnose muscle degeneration at an early stage. The study aimed to compare the hand grip strength between individuals with and without type 2 diabetes mellitus. Methods: This comparative cross-sectional study was conducted in the Outpatient Department of Medicine, Kathmandu Medical College and Teaching Hospital. In total 200 subjects who met inclusion criteria participated in the study. Handgrip strength was measured with an isometric hand dynamometer and comparisons were made between diabetic and non-diabetic groups. Independent t-test were used to analyze the significance difference in hand grip strength between the two groups (p=0.05). Results: Total of 200 subjects (100 T2DM and 100 controls) were studied. Mean hand grip strength (kg) was significantly lower both in men and women with diabetes compared with controls (37.54±6.08 vs 45.16±4.82, p = 0.000 in men and 33.97±6.47 vs 44.54±5.42, p = 0.000 in women). Conclusions: Hand Grip Strength was significantly lower in subjects with type 2 diabetes mellitus subjects when compared with healthy volunteers.
背景:2型糖尿病常见于老年人。肌肉力量下降被认为是2型糖尿病的并发症之一。握力是评价手的力量的一个重要参数。握力也被证明是早期诊断肌肉变性的重要指标。该研究旨在比较2型糖尿病患者和非2型糖尿病患者的握力。方法:在加德满都医学院门诊部和教学医院进行比较横断面研究。共有200名符合纳入标准的受试者参加了本研究。用等距手测力仪测量了手握力，并在糖尿病组和非糖尿病组之间进行比较。采用独立t检验分析两组握力差异有统计学意义(p=0.05)。结果:共研究受试者200例(T2DM患者100例，对照组100例)。男性和女性糖尿病患者的平均握力(kg)均明显低于对照组(男性37.54±6.08 vs 45.16±4.82,p = 0.000;女性33.97±6.47 vs 44.54±5.42,p = 0.000)。结论:与健康志愿者相比，2型糖尿病患者的握力明显降低。
{"title":"HAND GRIP STRENGTH IN TYPE II DIABETIC PATIENTS VISITING OUT PATIENT DEPARTMENT OF A TERTIARY CARE CENTRE OF NEPAL","authors":"B. Shrestha, P. Gurung","doi":"10.54530/jcmc.1241","DOIUrl":"https://doi.org/10.54530/jcmc.1241","url":null,"abstract":"Background: Type 2 Diabetes Mellitus commonly affects the elderly individuals. Reduced muscle strength has been considered as one of the complication of Type 2 Diabetes Mellitus. Handgrip strength is an important parameter to evaluate the power of the hand. Hand grip strength has also proven to be an important measure to diagnose muscle degeneration at an early stage. The study aimed to compare the hand grip strength between individuals with and without type 2 diabetes mellitus.\u0000Methods: This comparative cross-sectional study was conducted in the Outpatient Department of Medicine, Kathmandu Medical College and Teaching Hospital. In total 200 subjects who met inclusion criteria participated in the study. Handgrip strength was measured with an isometric hand dynamometer and comparisons were made between diabetic and non-diabetic groups. Independent t-test were used to analyze the significance difference in hand grip strength between the two groups (p=0.05).\u0000Results: Total of 200 subjects (100 T2DM and 100 controls) were studied. Mean hand grip strength (kg) was significantly lower both in men and women with diabetes compared with controls (37.54±6.08 vs 45.16±4.82, p = 0.000 in men and 33.97±6.47 vs 44.54±5.42, p = 0.000 in women).\u0000Conclusions: Hand Grip Strength was significantly lower in subjects with type 2 diabetes mellitus subjects when compared with healthy volunteers.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127565882","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}
B. Kalakheti, A. Lamichhane, Bikesh Prajapati, H. Upadhyay
Background: The neonatal period of the small for gestational age (SGA) neonates is the most vulnerable phase; the neonatal morbid conditions along with the mortality being the major health issues in the developing countries like Nepal. The objective of this study was to assess the morbidity pattern of the SGA neonates admitted in the neonatal intensive care unit. Methods: A hospital base cross-sectional study was carried out in 100 SGA neonates admitted in the neonatal care unit of College of Medical Sciences Teaching Hospital, Bharatpur, Nepal from May 2020 to April 2021 Small for gestational age neonates (SGA) was defined as birth weight <10th percentile for gestational age by Lubchenco’s growth chart. Infant characteristics and neonatal outcomes were assessed during the hospital stay and the data was entered in the SPSS v23.0. Results: Among the total 100 cases of SGA neonates, 66 % were male. The mean birth weight was 1900 ±SD 381gm (range 1000-2500 gm). Term SGA neonates accounted for 60% while preterm SGA neonates were 40%. Common morbidities seen in SGA neonates were sepsis (44%), hyperbilirubinemia (34%), perinatal depression/birth asphyxia (34%) and shock (22%). While comparing the morbidities between term and preterm neonates, a significant correlation was observed between hypothermia (p-value = 0.001), polycythemia (p-value = 0.001), NEC (p-value= 0.004) and perinatal depression/asphyxia (0.013) with the period of gestation. Mortality was observed in 8% due to various perinatal problems. Conclusions: From this study, we can conclude that SGA is associated with various morbidities, sepsis being the most common morbidity amongst perinatal asphyxia, hyperbilirubinemia, hypothermia and hypoglycemia.
{"title":"MORBIDITY PATTERN OF SMALL FOR GESTATIONAL AGE BABIES ADMITTED IN A NEONATAL CARE UNIT","authors":"B. Kalakheti, A. Lamichhane, Bikesh Prajapati, H. Upadhyay","doi":"10.54530/jcmc.1257","DOIUrl":"https://doi.org/10.54530/jcmc.1257","url":null,"abstract":"Background: The neonatal period of the small for gestational age (SGA) neonates is the most vulnerable phase; the neonatal morbid conditions along with the mortality being the major health issues in the developing countries like Nepal. The objective of this study was to assess the morbidity pattern of the SGA neonates admitted in the neonatal intensive care unit.\u0000Methods: A hospital base cross-sectional study was carried out in 100 SGA neonates admitted in the neonatal care unit of College of Medical Sciences Teaching Hospital, Bharatpur, Nepal from May 2020 to April 2021 Small for gestational age neonates (SGA) was defined as birth weight <10th percentile for gestational age by Lubchenco’s growth chart. Infant characteristics and neonatal outcomes were assessed during the hospital stay and the data was entered in the SPSS v23.0. \u0000Results: Among the total 100 cases of SGA neonates, 66 % were male. The mean birth weight was 1900 ±SD 381gm (range 1000-2500 gm). Term SGA neonates accounted for 60% while preterm SGA neonates were 40%. Common morbidities seen in SGA neonates were sepsis (44%), hyperbilirubinemia (34%), perinatal depression/birth asphyxia (34%) and shock (22%). While comparing the morbidities between term and preterm neonates, a significant correlation was observed between hypothermia (p-value = 0.001), polycythemia (p-value = 0.001), NEC (p-value= 0.004) and perinatal depression/asphyxia (0.013) with the period of gestation. Mortality was observed in 8% due to various perinatal problems. \u0000Conclusions: From this study, we can conclude that SGA is associated with various morbidities, sepsis being the most common morbidity amongst perinatal asphyxia, hyperbilirubinemia, hypothermia and hypoglycemia.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122466814","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}
B. Dhital, S. Regmi, B. Shrestha, Sovit Thapa, Shahid Murtaza
Background: Coronavirus Disease 2019 is global pandemic having high morbidity and mortality. It is thought that COVID-19 can predispose high thrombus burden and lead to Acute Coronary Syndrome. The aim of this study was to compare the symptoms, angiographic characteristics and procedural outcome in COVID-19 positive and COVID-19 negative patient undergoing percutaneous coronary intervention for acute coronary syndrome. Methods: All the data of 121 patients who were admitted at Chitwan Medical College on April 2020 to September 2020, suffering from acute coronary syndrome who underwent PCI were collected and compared with COVID-19 positive and negative patients using SPSS version 22. The categorical variables were presented as numbers or percentages (%) and continuous variables were presented as mean ± standard deviation. Results: Patient suffering with acute coronary syndrome with concurrent COVID-19 infections have more symptoms of fever (27.3% Vs 0.9%) and cough (27.3% Vs 2.8%, complications (45.5% Vs 7.3%), Mortality (36.4% Vs 0.9%), multi vessels thrombosis (27.3% Vs 2.8%) glycoprotein IIb/IIIa inhibitors use (27.3% Vs 0.14%) than non-COVID infection. Conclusions: Patient with acute coronary syndrome with concurrent COVID-19 infections have high complication rate, multivessel thrombosis and death.
背景:2019冠状病毒病是一种高发病率和高死亡率的全球性大流行疾病。人们认为COVID-19可导致血栓高负荷并导致急性冠状动脉综合征。本研究的目的是比较经皮冠状动脉介入治疗急性冠脉综合征的COVID-19阳性和COVID-19阴性患者的症状、血管造影特征和手术结果。方法:收集Chitwan医学院2020年4月至2020年9月收治的121例急性冠状动脉综合征行PCI的患者资料，并使用SPSS 22版软件与COVID-19阳性和阴性患者进行比较。分类变量以数字或百分比(%)表示，连续变量以均数±标准差表示。结果:急性冠状动脉综合征合并COVID-19感染患者的发热(27.3% Vs 0.9%)、咳嗽(27.3% Vs 2.8%)、并发症(45.5% Vs 7.3%)、死亡率(36.4% Vs 0.9%)、多血管血栓形成(27.3% Vs 2.8%)、糖蛋白IIb/IIIa抑制剂使用(27.3% Vs 0.14%)等症状均高于非COVID-19感染患者。结论:急性冠状动脉综合征并发COVID-19感染患者并发症发生率高、多支血管血栓形成及死亡。
{"title":"PRIMARY PERCUTANEOUS CORONARY INTERVENTION IN COVID-19 PATEINTS","authors":"B. Dhital, S. Regmi, B. Shrestha, Sovit Thapa, Shahid Murtaza","doi":"10.54530/jcmc.1207","DOIUrl":"https://doi.org/10.54530/jcmc.1207","url":null,"abstract":"Background: Coronavirus Disease 2019 is global pandemic having high morbidity and mortality. It is thought that COVID-19 can predispose high thrombus burden and lead to Acute Coronary Syndrome. The aim of this study was to compare the symptoms, angiographic characteristics and procedural outcome in COVID-19 positive and COVID-19 negative patient undergoing percutaneous coronary intervention for acute coronary syndrome.\u0000Methods: All the data of 121 patients who were admitted at Chitwan Medical College on April 2020 to September 2020, suffering from acute coronary syndrome who underwent PCI were collected and compared with COVID-19 positive and negative patients using SPSS version 22. The categorical variables were presented as numbers or percentages (%) and continuous variables were presented as mean ± standard deviation.\u0000Results: Patient suffering with acute coronary syndrome with concurrent COVID-19 infections have more symptoms of fever (27.3% Vs 0.9%) and cough (27.3% Vs 2.8%, complications (45.5% Vs 7.3%), Mortality (36.4% Vs 0.9%), multi vessels thrombosis (27.3% Vs 2.8%) glycoprotein IIb/IIIa inhibitors use (27.3% Vs 0.14%) than non-COVID infection.\u0000Conclusions: Patient with acute coronary syndrome with concurrent COVID-19 infections have high complication rate, multivessel thrombosis and death.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132769453","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}
Pragati Gautam Adhikari, S. N. Joshi, Arika Poudel
Background: The evaluation of glaucoma includes measurement of the intraocular pressure and Visual field. Both procedures frequently take place on the same appointment. A rise in intraocular pressure brought on by either internal or external sources could change the recommended course of treatment. The management of patients, therefore, benefits from understanding intraocular pressure changes and their implications. The goal of this study was to determine how visual field testing affected intraocular pressure in glaucoma suspects and glaucoma patients. Methods: The study’s cross-sectional design was carried out from October 15, 2020, to September 15, 2021, in a tertiary eye care facility. Intraocular pressure was measured before and after the visual field test. Data entry, as well as data analysis, was done on IBM SPSS 20. For comparisons of the intraocular pressure, the Wilcoxon signed-ranks test was used. A P ≤0.05 was considered statistically significant. Results: The Analysis of the data set showed no statistical significance difference between the intraocular pressures obtained before and after the test in each of the eyes and regarding the test duration Conclusions: Short-duration visual field testing did not significantly influence intraocular pressure, according to the study. This finding suggests that when clinically evaluating both the glaucoma patients and suspects, the visual field test may be done concurrently with the intraocular pressure measurement.
{"title":"INFLUENCE OF VISUAL FIELD TESTING ON INTRAOCULAR PRESSURE IN PATIENTS WITH GLAUCOMA SUSPECTS ATTENDING TERTIARY CARE CENTER IN KATHMANDU","authors":"Pragati Gautam Adhikari, S. N. Joshi, Arika Poudel","doi":"10.54530/jcmc.684","DOIUrl":"https://doi.org/10.54530/jcmc.684","url":null,"abstract":"Background: The evaluation of glaucoma includes measurement of the intraocular pressure and Visual field. Both procedures frequently take place on the same appointment. A rise in intraocular pressure brought on by either internal or external sources could change the recommended course of treatment. The management of patients, therefore, benefits from understanding intraocular pressure changes and their implications. The goal of this study was to determine how visual field testing affected intraocular pressure in glaucoma suspects and glaucoma patients.\u0000Methods: The study’s cross-sectional design was carried out from October 15, 2020, to September 15, 2021, in a tertiary eye care facility. Intraocular pressure was measured before and after the visual field test. Data entry, as well as data analysis, was done on IBM SPSS 20. For comparisons of the intraocular pressure, the Wilcoxon signed-ranks test was used. A P ≤0.05 was considered statistically significant.\u0000Results: The Analysis of the data set showed no statistical significance difference between the intraocular pressures obtained before and after the test in each of the eyes and regarding the test duration\u0000Conclusions: Short-duration visual field testing did not significantly influence intraocular pressure, according to the study. This finding suggests that when clinically evaluating both the glaucoma patients and suspects, the visual field test may be done concurrently with the intraocular pressure measurement.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133499592","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}
Background: Patient satisfaction with nursing care is the degree of convergence between the patient’s expectation with the ideal nursing care and their perception of the nursing care they received. Patient satisfaction with nursing care is an important determinant of quality of care in healthcare facility settings. The objective of this study was to assess satisfaction towards nursing services among admitted patients in Chitwan Medical College & Teaching Hospital (CMCTH).Methods: A descriptive, cross-sectional research design was conducted among 157 patients admitted in medical and surgical units of CMCTH. Data were collected by non-probability, convenience sampling technique using structured interview schedule and analyzed using descriptive and inferential statistics.Results: The study revealed that 45.9% of patients were young adults, 51% were male, 86.6% were Hindu, 44.6% were Brahmin/ Chhetri, 61.8% were from municipality and 42% had studied up to secondary education and above. More than half (52.2%) of patients had good satisfaction towards nursing services and association between level of satisfaction towards nursing services and mode of admission was statistically significant (p=0.036).Conclusions: Considerable proportion of respondents are dissatisfied with nursing services. Therefore, effective strategies need to be planned and implemented to improve quality of nursing services so that level of satisfaction towards nursing services can be improved.
{"title":"SATISFACTION TOWARDS NURSING SERVICES AMONG ADMITTED PATIENTS AT A TEACHING HOSPITAL, CHITWAN, NEPAL","authors":"Shiksha Sapkota, Subina Bajracharya","doi":"10.54530/jcmc.1222","DOIUrl":"https://doi.org/10.54530/jcmc.1222","url":null,"abstract":"Background: Patient satisfaction with nursing care is the degree of convergence between the patient’s expectation with the ideal nursing care and their perception of the nursing care they received. Patient satisfaction with nursing care is an important determinant of quality of care in healthcare facility settings. The objective of this study was to assess satisfaction towards nursing services among admitted patients in Chitwan Medical College & Teaching Hospital (CMCTH).Methods: A descriptive, cross-sectional research design was conducted among 157 patients admitted in medical and surgical units of CMCTH. Data were collected by non-probability, convenience sampling technique using structured interview schedule and analyzed using descriptive and inferential statistics.Results: The study revealed that 45.9% of patients were young adults, 51% were male, 86.6% were Hindu, 44.6% were Brahmin/ Chhetri, 61.8% were from municipality and 42% had studied up to secondary education and above. More than half (52.2%) of patients had good satisfaction towards nursing services and association between level of satisfaction towards nursing services and mode of admission was statistically significant (p=0.036).Conclusions: Considerable proportion of respondents are dissatisfied with nursing services. Therefore, effective strategies need to be planned and implemented to improve quality of nursing services so that level of satisfaction towards nursing services can be improved.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121694585","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}
{"title":"ORAL CANCER SCREENING","authors":"Abhishek Gupta","doi":"10.54530/jcmc.1273","DOIUrl":"https://doi.org/10.54530/jcmc.1273","url":null,"abstract":"<jats:p>NA</jats:p>","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116160961","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}
Background: Renal stones are one of the most common urological problems requiring surgical interventions. Retrograde intra-renal surgery is a minimally invasive surgical technique with minimal complications and a good stone-free rate. In the present study we aimed to assess the outcomes and safety of retrograde intrarenal surgery. Methods: A retrospective study was performed at Chitwan Medical College Teaching Hospital in the span of two years from Dec 2019 to Nov 2021. Patient demographics; stone burden, stone density, and location were collected from the medical records and evaluated. The data was collected in a proforma which was then entered into SPSS version 20. The data was presented in form of frequency and percentage. Results: One hundred and seventy patients were subjected to retrograde intrarenal surgery, out of which 32 were converted to mini- percutaneous nephrolithotripsy, 12 were presented and total of 126 were subjected to retrograde intrarenal surgery. The major complications were pyrexia in 21(16.67%) patients followed by hematuria in 4(3.17%) patients, and sepsis in 2(1.58%) patients. The stone-free rate was 94.4%. 2 (1.58%) patients underwent mini- percutaneous nephrolithotripsy and5 (3.96%) of them showed stones of varying size 2-6mm, non-obstructive with none of cases planned for staged retrograde intrarenal surgery. Conclusions: Primary Retrograde intrarenal surgery is the safe and effective treatment for the intrarenal stones.
{"title":"OUTCOMES AND SAFETY OF RETROGRADE INTRA RENAL SURGERY FOR RENAL STONES","authors":"R. Shah, Raghvendra Vimal Yadav, K. Adhikari","doi":"10.54530/jcmc.1253","DOIUrl":"https://doi.org/10.54530/jcmc.1253","url":null,"abstract":"Background: Renal stones are one of the most common urological problems requiring surgical interventions. Retrograde intra-renal surgery is a minimally invasive surgical technique with minimal complications and a good stone-free rate. In the present study we aimed to assess the outcomes and safety of retrograde intrarenal surgery.\u0000Methods: A retrospective study was performed at Chitwan Medical College Teaching Hospital in the span of two years from Dec 2019 to Nov 2021. Patient demographics; stone burden, stone density, and location were collected from the medical records and evaluated. The data was collected in a proforma which was then entered into SPSS version 20. The data was presented in form of frequency and percentage.\u0000Results: One hundred and seventy patients were subjected to retrograde intrarenal surgery, out of which 32 were converted to mini- percutaneous nephrolithotripsy, 12 were presented and total of 126 were subjected to retrograde intrarenal surgery. The major complications were pyrexia in 21(16.67%) patients followed by hematuria in 4(3.17%) patients, and sepsis in 2(1.58%) patients. The stone-free rate was 94.4%. 2 (1.58%) patients underwent mini- percutaneous nephrolithotripsy and5 (3.96%) of them showed stones of varying size 2-6mm, non-obstructive with none of cases planned for staged retrograde intrarenal surgery.\u0000Conclusions: Primary Retrograde intrarenal surgery is the safe and effective treatment for the intrarenal stones.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126566398","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}
Snehashish Ghosh, R. Bhattarai, S. Mahanta, Bhawana Sapkota
Background: Oral mucosal lesions represent a wide range of anomalies and pathologies that could be attributed to different aetiologies. Awareness about them can help in prevention whereas early detection and prompt treatment minimize impairment and ameliorate symptoms. The objective of the present study was to estimate the prevalence of OML in patients, visiting the dental outpatient department of a tertiary care hospital in Chitwan, Nepal. Methods: The present retrospective cross-sectional study was carried out in the department of Oral Pathology of a tertiary care hospital in Chitwan, Nepal from December 2017 to December 2022. The attributes of the study included the details like age and gender, site, and the histopathological diagnosis of the biopsy specimen. The data extracted were tabulated in excel sheets and were analyzed by the statistical package of social sciences (SPSS) software, version 20. Results: In total 138 cases of OML were included in the present study. The study population consisted of 45.65% males and 54.34%. Oral epithelial dysplasia (OED) was the most prevalent oral potentially malignant disorder (OPMD), followed by oral lichen planus (OLP). Pyogenic granuloma was the most prevalent non-neoplastic lesion recorded in the study population, followed by mucocele. Conclusions: The present study was conducted in a single institution and the results represent the prevalence rate of OML among the patients visiting the same institution. This, therefore, provide insight into the frequently occurring OML, which will help clinicians to develop treatment strategies, and the public health dentists identify the risk factors and ways to prevent them.
{"title":"CLINICOPATHOLOGICAL EVALUATION OF THE ORAL MUCOSAL LESIONS IN A TERTIARY CARE HOSPITAL OF CHITWAN, NEPAL","authors":"Snehashish Ghosh, R. Bhattarai, S. Mahanta, Bhawana Sapkota","doi":"10.54530/jcmc.1259","DOIUrl":"https://doi.org/10.54530/jcmc.1259","url":null,"abstract":"Background: Oral mucosal lesions represent a wide range of anomalies and pathologies that could be attributed to different aetiologies. Awareness about them can help in prevention whereas early detection and prompt treatment minimize impairment and ameliorate symptoms. The objective of the present study was to estimate the prevalence of OML in patients, visiting the dental outpatient department of a tertiary care hospital in Chitwan, Nepal.\u0000Methods: The present retrospective cross-sectional study was carried out in the department of Oral Pathology of a tertiary care hospital in Chitwan, Nepal from December 2017 to December 2022. The attributes of the study included the details like age and gender, site, and the histopathological diagnosis of the biopsy specimen. The data extracted were tabulated in excel sheets and were analyzed by the statistical package of social sciences (SPSS) software, version 20.\u0000Results: In total 138 cases of OML were included in the present study. The study population consisted of 45.65% males and 54.34%. Oral epithelial dysplasia (OED) was the most prevalent oral potentially malignant disorder (OPMD), followed by oral lichen planus (OLP). Pyogenic granuloma was the most prevalent non-neoplastic lesion recorded in the study population, followed by mucocele.\u0000Conclusions: The present study was conducted in a single institution and the results represent the prevalence rate of OML among the patients visiting the same institution. This, therefore, provide insight into the frequently occurring OML, which will help clinicians to develop treatment strategies, and the public health dentists identify the risk factors and ways to prevent them.","PeriodicalId":265624,"journal":{"name":"Journal of Chitwan Medical College","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115669330","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}
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