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Kathmandu University Medical Journal (KUMJ)

G K Patel, P C Deepika, N Sisodia, M K Manjunath
Endo-perio lesions have been a dilemma to the dental practitioner. Both tissues share the same anatomical origin. Sometimes exact etiological passage of disease process cannot be traced; nevertheless traditional and newer treatment modalities must be employed to ensure best treatment possibilities. Patient reported with pain and pus exudates in upper left anterior region. Past dental history revealed no history of trauma. Initial examination revealed draining sinus with respect to 22. However, no Caries and pockets could be detected...
January 2017: Kathmandu University Medical Journal (KUMJ)
C Behera, K Krishna, S Arava
Aluminium phosphide is one of the most common poisons used for suicide in an agricultural country like India. Death is usually due to myocarditis which occurs within few hours of ingestion. There are many late complications reported in medical literature, however toxic effects on the gastrointestinal system, particularly corrosive action leading to massive haemorrhage is rarely reported. A 30 year old male developed upper gastrointestinal bleeding on the second day after consumption of aluminium phosphide. An exploratory laprotomy was done followed by adhesinolysis, gastrostomy closure with feeding jejunostomy and drainage...
January 2017: Kathmandu University Medical Journal (KUMJ)
F Elmas, B L Shrestha, T E Linder
Granulomatosis with polyangitis is a rare granuloma forming necrotizing vasculitis, which involves mainly the respiratory tract and renal system. Otologic involvement may occur primarily as chronic serous otitis media and chronic silent mastoiditis with conductive hearing loss and may rarely lead to sensorineural hearing loss requiring cochlear implantation. This case describes a patient with granulomatous poylangitis with profound sensorineural hearing loss who underwent subtotal petrosectomy with cochlear implantation...
January 2017: Kathmandu University Medical Journal (KUMJ)
Mohammed S Ellulu, Marwan O Jalambo
Urbanization has provided experimental settings for testing the interactive relationship between genetic background and changes in lifestyle and dietary patterns. The concept of gene-environment interaction was described by epidemic of obesity along with urbanization. Genome-wide association has identified several genes such as melanocortin-4 receptor that associates with environmental influences of obesity. Gene environment (GxE) interaction refers to modification by an environmental factor of the effect of a genetic variant on a phenotypic trait...
January 2017: Kathmandu University Medical Journal (KUMJ)
J P Rao, O Nepal
No abstract text is available yet for this article.
January 2017: Kathmandu University Medical Journal (KUMJ)
S Karki, M Pokharel, S Suwal, R Poudel
Background The exact role of High resolution computed tomography (HRCT) temporal bone in preoperative assessment of Chronic suppurative otitis media atticoantral disease still remains controversial. Objective To evaluate the role of high resolution computed tomography temporal bone in Chronic suppurative otitis media atticoantral disease and to compare preoperative computed tomographic findings with intra-operative findings. Method Prospective, analytical study conducted among 65 patients with chronic suppurative otitis media atticoantral disease in Department of Radiodiagnosis, Kathmandu University Dhulikhel Hospital between January 2015 to July 2016...
January 2017: Kathmandu University Medical Journal (KUMJ)
P Dahal, H Adhikari
Background Diabetic retinopathy (DR) is one of the leading causes of blindness in Nepal. Objective The main objective of the study is to know the awareness of diabetic retinopathy among new cases of diabetes mellitus (DM) attending the college of medical science- teaching hospital, Bharatpur, Nepal. Method All the diabetic cases referred for ophthalmic consultation and also referred outpatient department cases from other departments to ophthalmic outpatient department was carried out. Detailed demographics of the subjects and their awareness of potential ocular problems from diabetes mellitus were noted...
January 2017: Kathmandu University Medical Journal (KUMJ)
M Pokharel, I Shrestha, A Dhakal, R Cm Amatya
Background Oral cancer is a major public health problem worldwide. It has high mortality rates and chances of survival is relatively superior when detected early. Lack of knowledge and awareness about oral cancer among medical students may contribute to delay in diagnosis and treatment. Objective To assess awareness and knowledge of oral cancer among medical students. Method A cross-sectional study conducted among 286 students by Department of Otorhinolaryngology and Head & Neck surgery, Kathmandu University School of Medical sciences between July to August 2016...
January 2017: Kathmandu University Medical Journal (KUMJ)
S Suwal, S Karki, D Mandal, R C Poudel
Background Craniocerebral trauma is common health problem in emergency department of any hospital. CT is commonly indicated to to rule out any significant intracranial abnormalities in these patients, so that timely intervention of the significant intracranial pathologies can be done. Objective The study is done to evaluate CT findings of head injury patients in Dhulikhel Hospital. Method This prospective hospital based study was done in Department of Radiology of Dhulikhel Hospital in the period of January 2015 to December 2015...
January 2017: Kathmandu University Medical Journal (KUMJ)
C Upadhyaya, N K Chaurasia, I Neupane, S Srivastava
Background Impacted teeth are those that have erupted or are partially erupted and will not assume a normal arch relationship with opposing and adjacent teeth and tissues. Objective To evaluate the incidence and pattern of mandibular impacted third molars in patients of Dhulikhel Hospital. Method A retrospective study was conducted from March 2016 to November 2016 and reviewed 581 orthopantomograms and clinical records of patients who presented to the Department of Oral and Maxillofacial Surgery. The angulation of impaction was measured using Winter's classification and the level and position of impacted third molar was recorded using Pell and Gregory classification system...
January 2017: Kathmandu University Medical Journal (KUMJ)
P K Singh, D Tamrakar, S Karki, R G Menezes
Background Identification is of utmost importance in any medicolegal investigation with sex determination being one of the principle indicators of identity. Sexing of bones becomes easy when the skeletal remains are complete. However, the problem arises when the bones are fragmented. Many researchers have undertaken several studies in different populations to determine the sex with reasonable accuracy using numerous measurements of the skull including those of the foramen magnum. Objective The present study was aimed to find the sexual dimorphism of the foramen magnum in the Nepalese population by analyzing the antero-posterior length, transverse diameter and area of the foramen magnum...
January 2017: Kathmandu University Medical Journal (KUMJ)
B P Upadhyay, P Ghimire, M Tashiro, M R Banjara
Background Seasonal influenza is one of the increasing public health burdens in Nepal. Objective The objective of this study was to isolate and characterize the influenza virus type and subtypes of Nepal. Method A total of 1536 throat swab specimens were collected from January to December 2012. Total ribonucleic acid was extracted using Qiagen viral nucleic acid extraction kit and polymerase chain reaction assay was performed following the US; CDC Real-time PCR protocol. Ten percent of positive specimens were inoculated onto Madin-Darby Canine Kidney cells...
January 2017: Kathmandu University Medical Journal (KUMJ)
S Thapa, A Ghosh, D Ghartimagar, R Narasimhan, T Prasad, O P Talwar
Background Lymphadenopathies are the clinical manifestation of enlargement of lymph nodes which are a common occurrence and are processes of lymph nodes in response to a variety of exogenous and endogenous stimulants. The vast majority of enlarged lymph nodes are non- neoplastic. Objective The objective of the study is to analyze the spectrum of non-neoplastic lesions of superficial lymphadenopathies with their histomorphological features. Method This was a retrospective hospital based study done in the department of Pathology...
January 2017: Kathmandu University Medical Journal (KUMJ)
D Rokaya, K Suttagul, S Karki, N Rokaya, D Seriwatanachai, M Humagain
Background Understanding post-earthquake oral health indicators is essential for developing oral health interventions of the victims. Presumably, due to a geographic difficulty, there has been no investigation to reveal the oral health status of individuals after the Gorkha earthquake in Nepal. Objective The main objective was to determine the oral health and practice of Nepalese affected by earthquake in April-May, 2015. Method The epidemiological cross sectional study was done at 5 different districts (Sindhupalchok, Dadhing, Bhaktapur, Kathmandu and Kavre) of Nepal from September till November, 2015...
January 2017: Kathmandu University Medical Journal (KUMJ)
D R Kafle, M Subedi, M Thapa
Background There are several etiologies of meningitis and encephalitis which must be considered in any patient presenting with fever, headache, neck stiffness and vomiting. Bacterial meningitis and viral encephalitis are medical emergencies and need urgent attention and treatment. Any delay in diagnosis and treatment has been shown to increase morbidity and mortality. Some of the survivors also have neurological sequel with a need for long term physical and occupational rehabilitation. Objective To find out common causes of meningitis, encephalitis, predictors of outcome, early and late complications of meningitis and encephalitis at Tertiary Care Hospital in Eastern Nepal...
January 2017: Kathmandu University Medical Journal (KUMJ)
B Thapa, K Shrestha
Background Brain drain means migration of technically skilled people from one country to another country. Migration of health workers including nurses are the result of interplay of many push and pull factors. Push factors are those conditions that influence the nurses' decision to leave their own country. Conversely, pull factors are those conditions in a given country that attract nurses, influencing their movement to that country. Objective The objective of this study was to identify push and pull factors of brain drain among the Nepalese nurses...
January 2017: Kathmandu University Medical Journal (KUMJ)
S P Kesari, S Chakraborty, B Sharma
Background Laryngopharyngeal reflux is a global health problem and is associated with a huge economic burden and decreased quality of life. Studies describing the epidemiology of laryngopharyngeal reflux are sparse in India and south east Asia. This study becomes significant as it is being conducted in Sikkimese population who resides in high altitude have a different lifestyle. Objective To evaluate the risk factors for laryngopharyngeal reflux among Sikkimese origin. Method Patients of Sikkimese origin visiting Ear Nose Throat outpatient department Were administered with validated questionnaire...
January 2017: Kathmandu University Medical Journal (KUMJ)
B K Prajapati
Background Diabetic ketoacidosis is one of the life-threatening acute complications of diabetes mellitus. Despite the improvements in diabetic care, it remains a major clinical problem in clinical practice. Objective To assess the clinical and laboratory profile of adults with diabetic ketoacidosis in Dhulikhel hospital. Method This is a descriptive cross-sectional study including adult patients admitted in Dhulikhel hospital from July 2014 to July 2016 with the diagnosis of diabetic ketoacidosis according to the guidelines of American diabetes association...
January 2017: Kathmandu University Medical Journal (KUMJ)
S Kumar, A Jalan, B N Patowary, U Bhandari
Background Acute Pancreatitis remains a common disorder with devastating consequences in severe form of disease. In this study we assessed serum procalcitonin for early prediction of severity of acute pancreatitis and compared it with multiple scoring systems and biomarkers. Objective This is a prospective comparative study in which 125 patients with diagnosis of acute pancreatitis were enrolled. All blood samples and imaging studies were obtained within 24-72 hours of admission and the severity was predicted...
January 2017: Kathmandu University Medical Journal (KUMJ)
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