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Kathmandu University Medical Journal (KUMJ)

R Biswas, P Saxena, U Gupta, N Choudhary, R Chawla
Pregnancy over the cesarean scar is the rarest cause of ectopic pregnancy and development of persistent trophoblastic disease at the scar site is extremely rare. A high index of suspicion is needed for early diagnosis and management of cesarean scar molar pregnancy. This condition is difficult to diagnose and must be considered in the patient with a history of cesarean section who has persistent vaginal bleeding or symptoms of pregnancy after suction evacuation. Diagnosis can be confirmedby measuring ß Human Chorionic Gonadotropin levels, transvaginal ultrasound with doppler flow evaluation...
October 2016: Kathmandu University Medical Journal (KUMJ)
P Rajbhandari, B L Shrestha, A Dhakal, R Cm Amatya
Thyroid gland is the largest of all endocrine glands. It is composed of two lobes. These two lobes are joined by an isthmus and this resemble the letter "H". A wide range of morphological variations and developmental anomalies of the thyroid gland like hypoplasia, ectopy, hemiagenesis, and agenesis have been reported in literature. Out of these, the incidence of agenesis of the thyroid isthmus is rare, and very few cases have been reported. In our report, 28 year old male patient was found with agenesis of thyroid isthmus with papillary carcinoma in the right lobe of thyroid...
October 2016: Kathmandu University Medical Journal (KUMJ)
B Manohar, D Baidya, S Bhuvaneswari, A B Rai
The Keratocystic Odontogenic Tumor is a developmental cyst derived from the enamel organ or from the dental lamina. It is a benign, multicystic, intraosseous tumor of odontogenic origin, with a characteristic lining of parakeratinized stratified squamous epithelium and has a potential for aggressive, infiltrative behavior and recurrence. Keratocystic Odontogenic Tumors have a predilection for males and occurs mainly in the second and third decade of life, most commonly in the mandible, mostly in the posterior body, the angle and the ascending ramus...
October 2016: Kathmandu University Medical Journal (KUMJ)
S Singh, A K S Bilodi, A K Panigrahi
Congenital coloboma of eyelid is a rare anomaly. There is partial or total absence of eyelid structures. A seven year male child had coloboma of both the upper lids lateral to lacrimal puctum affecting the medial half of lid symmetrically with symblepharon in region of defect bilaterally. The study was carried out at Maharaja Krushna Chandra Gajpati Medical College Berhampur, Odisha in year 2010. Both eyebrows were abnormal. He presented on and off diminution of vision, burning sensation, redness and watering from both the eyes on and off...
October 2016: Kathmandu University Medical Journal (KUMJ)
D Karn, S Kc
Background Non-pustular palmoplantar psoriasis (PPP) is chronic and disabling dermatosis. Topical psoralen and solar ultraviolet - A therapy (PUVAsol) is efficacious and safe therapy in psoriasis management. Objective To study the efficacy and adverse clinical effect profile of topical PUVAsol along with methotrexate in PPP. Method This is a prospective, randomized, clinical trial conducted among 54 patients with moderate to severe PPP. Patients were grouped into two categories. Group I was treated with weekly oral methotrexate only while group II had additional soak PUVAsol therapy twice weekly for a total of three months...
October 2016: Kathmandu University Medical Journal (KUMJ)
S Suwal, S Karki, D Mandal, R C Poudel
Background Appendix is a blind-ended tubular structure arising from caecum, with variable intraluminal contents and position. Acute appendicitis is one of the common indications for emergency radiological investigation. Objective To assess visualization rate, size and position of normal appendix by Computed Tomography (CT). Method This cross-sectional observational study was done in 198 individuals undergoing abdominal CT without suspicion of acute appendicitis and without any pathology localized within right iliac fossa...
October 2016: Kathmandu University Medical Journal (KUMJ)
P Poudyal, R Pb Shrestha, P S Shrestha, S Dangol, N C Shrestha, A Joshi, A Shrestha
Background Seizure disorder is the most common childhood neurologic condition and a major public health concern. Identification of the underlying seizure etiology helps to identify appropriate treatment options and the prognosis for the child. Objective This study was conducted to investigate the clinical profile, causes and electroencephalogram findings in children with seizure presenting to a tertiary center in Kavre district. Method This was a hospital based prospective study carried out in the Department of Pediatrics, Dhulikhel Hospital, Kavre from 1st April 2015 to 31st March 2016...
October 2016: Kathmandu University Medical Journal (KUMJ)
S Karki, M Pokharel, S Suwal, R Poudel
Background Precise knowledge of anatomic variations of nose and paranasal sinus complex is essential for achieving best surgical results during endoscopic sinus surgery. Computed tomography is the gold standard investigation for evaluation of paranasal sinuses and adjacent structures. Objective To study prevalence of anatomical variations of nose, paranasal sinuses and osteomeatal complex and to identify a probable association between anatomical variations and chronic rhinosinusitis. Method Prospective, analytical study conducted in 218 patients with Chronic rhinosinusitis in Department of Radiology, Dhulikhel Hospital, Kathmandu University Hospital between January 2015 to January 2016...
October 2016: Kathmandu University Medical Journal (KUMJ)
S Hada, S Amatya, R K Shrestha
Background Hyperactive sympathetic reaction is an important factor for development of hypertension in young individuals. The stress induced increase in blood pressure recovers within very short period of time and those with exaggerated stress induced cardiovascular response at young age have a high risk of blood pressure elevation in future. Objective To determine the cardiovascular reactivity in response to cold and to correlate its relation with factors such as smoking, family history and physical activity...
October 2016: Kathmandu University Medical Journal (KUMJ)
M Pokharel, I Shrestha, A Dhakal, B Purbey, R C Amatya
Background Although laryngopharyngeal reflux is a common condition encountered in otolaryngological practice, its diagnosis is not very easy because of its indistinct symptoms Objective To assess the efficacy of proton pump inhibitors versus proton pump inhibitors with lifestyle modification in patients with laryngopharyngeal reflux. Method Prospective, analytical study conducted in Department of Otorhinolaryngology and Head and Neck Surgery at Dhulikhel Hospital, Kathmandu University Hospital between January 2015 to January 2016...
October 2016: Kathmandu University Medical Journal (KUMJ)
B Paudel, G K Shrestha
Background Consent for care procedures is mandatory after receipt of adequate information. It maintains patient's rights and autonomy to make thoughtful decisions. Poor communication often leads to poor health quality. Objective To assess hospitalized patients' perception on informed consent regarding nursing care practices in a tertiary care center. Method This is a descriptive cross-sectional study among 113 admitted patients conducted in February 2012 at Dhulikhel Hospital, Nepal. Patients of various wards were selected using purposive non-probability sampling with at least 3 days of hospitalization...
October 2016: Kathmandu University Medical Journal (KUMJ)
M Dutta, S Ghatak, I Sen, R Sinha
Background Lesions of the sinonasal area are varied, but they mostly present as polypoid masses which require meticulous work-up to reach at the most probable diagnosis. Objective Analysis of polypoid sinonasal masses in terms of etiology, clinical presentations, brief demographic profile, clinico-histologic correlate where possible, and follow-up results. Method In this descriptive, longitudinal study, 198 patients with polypoid sinonasal masses attending the otolaryngology clinic of a tertiary teaching institute were selected using proper selection criteria and analyzed through a pre-set proforma and algorithm for a diagnostic work-up (that included histopathology where necessary)...
October 2016: Kathmandu University Medical Journal (KUMJ)
P C Katwal, N R Karki, P Sharma, S R Tamrakar
Background Dysmenorrhea is the most common gynecological disorder in women of reproductive age with implications as reduced quality of life and school absenteeism. Mental stress is possibly the most important known predisposing factor for primary dysmenorrhea. Objective This study aims to assess the relationship between stress and dysmenorrhea amongst the Nepalese medical students. Method This is cross-sectional descriptive study, conducted from 1st Dec. 2012 to 31st Jan. 2013. The study was conducted in Kathmandu University School of Medical Sciences...
October 2016: Kathmandu University Medical Journal (KUMJ)
S S Rai, T Ratanasiri, T Arkaravichien, P Thapa, R Koju
Background Iron deficiency anemia is one of the major public health problems mostly affecting pregnant women of developing countries like Nepal. Kathmandu, the capital city of Nepal, has considerably high prevalence of anemia, which is attributed to inadequate dietary iron and problems of compliance to iron and folic acid supplementation. Objective This descriptive study aimed to identify the levels of and determinants associated with compliance regarding Iron and folic acid supplementation among pregnant women in Kathmandu, Nepal...
October 2016: Kathmandu University Medical Journal (KUMJ)
S Banerjee, L Bandyopadhyay, A Dasgupta, B Paul, O Chattopadhyay
Background Musculoskeletal disorders comprise the single largest group of work-related illnesses in developing countries. Sedentary working style with wrong posture for long time is considered to be an important risk factor, which is largely modifiable. Objective This study was performed to determine the prevalence and find out the factors associated with Musculoskeletal disorders among the workers involved in tailoring occupation. Method A descriptive community based cross-sectional study was conducted in the urban slums of Chetla, Kolkata on March and April, 2015...
October 2016: Kathmandu University Medical Journal (KUMJ)
C Upadhyaya, N K Chaurasian, D Kafle
Background Bilateral sagittal split osteototomy of mandible is one of the most commonly performed orthognathic surgical procedure performed in the mandible. According to hierarchy of stability, mandibular setback procedure is considered to be relatively unstable procedure and chances of relapse are higher. Objective We conducted this study to determine the skeletal stability of mandibular setback procedure using bilateral sagittal split osteotomy technique in Nepalese population. Method Lateral cephalograms of 14 patients who underwent mandibular setback using bilateral saggital split osteotomy were taken pre-operatively (P1), immediate postoperatively (P2) and eight months to one year post-operatively (P3)...
October 2016: Kathmandu University Medical Journal (KUMJ)
A S Laganà, V L La Rosa, A M Rapisarda, S G Vitale
No abstract text is available yet for this article.
October 2016: Kathmandu University Medical Journal (KUMJ)
P K Pokharel, S S Budhathoki, M P Upadhyay
Community based education trains health professional students to deal with the community health problems. The attitude and skills they gain as planners for health care provision are applicable in both hospital and community settings. BP Koirala Institute of Health Sciences has implemented a model of Community based education which encompasses the health institutions, organisations and the communities of the sixteen districts in eastern Nepal and refers to this concept as the 'Teaching District" concept of B P Koirala Institute of Health Sciences...
July 2016: Kathmandu University Medical Journal (KUMJ)
B Nayak Satheesha, D Reghunathan, B M George, S Mishra
Occurrence of accessory lobes of liver and anomalies of gall bladder is quite common. A thorough knowledge of their variation can minimise diagnostic and surgical errors. We found concurrent variations of liver and gall bladder. A small accessory liver lobe was attached to the quadrate lobe through a stalk formed by peritoneum. The gall bladder was "bean shaped" due to the presence of a constriction in the middle of its body. Since the accessory lobe was quite close to gall bladder, it could compress the gall bladder and hinder normal functioning of it...
July 2016: Kathmandu University Medical Journal (KUMJ)
R Kumar, G Jaiswal, A Bhargava, J Kundu
Superior mesenteric artery syndrome is a life-threatening rare acquired upper gastrointestinal disorder due to mechanical compression of third part of duodenum by the acute angulation of Superior mesenteric artery, leading to obstruction. Acute loss of intervening mesenteric fat as a result of a variety of debilitating conditions is believed to be the etiologic factor causing the reduced aortomesenteric angle. Abdominal CT angiography showed the dilatation of second part of duodenum and vascular compression of the proximal third part of the duodenum between the aorta and superior mesenteric artery...
July 2016: Kathmandu University Medical Journal (KUMJ)
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