Journal of Lumbini Medical College (JLMC)
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Indications of caesarean section- Study of 200 Cases in Lumbini Medical College
No full textBackground: A Caesarean section is a surgical procedure in which one or more incisions are made through a mother\u27s abdomen (laparotomy) and uterus to deliver one or more babies, or, rarely, to remove a dead fetus. Methods and Materials: This study was a prospective descriptive one. It was done in Lumbini Medical College from 2068 Shrawan to 2069 Ashad. A total of 1419 deliveries occurred of which 234 deliveries by LSCS, incidence of LSCS was 16%. The commonest age group being operated ranged from 21-25 years (47.5%). Most of the patients who had undergone LSCS were multigravida-50.5%. The section was due to various indications, the most commonest cause in this study were fetal distress and obstructed labour, non progress of labour, the primary rate of LSCS was 85% while repeat section being 15%. Results: The Peak range of operations were done. In patients with 5 feet 2 inches height, the rate of elective LSCS 26.5%. Where emergency CS were done in 73.5% of cases. Regarding fetel outcome 97.5% survived and 2.5% had death. Conclusions : Fetal distress and non progress of labor was the commonest indication for Caesarean section in our instituituon
Fatal Salmonella Typhi Necrotising Fasciitis following Intra-articular Steroid Injection
Get PDFIntra-articular steroids administration in the absence of aseptic precautions can have disastrous consequences. Immunocompromised patients are at an increased risk of developing infections following such procedures. Salmonella has been infrequently reported as a causative organism for necrotising fasciitis. Gram negative endotoxemia with disseminated intravascular coagulation resulted in fatality in this patient. The case study is being presented to emphasise the need for aseptic precautions and sterile techniques while administering intra-articular steroids, to have a low threshold towards treating early joint infections expeditiously, and to consider possibility of a gram negative organism as a cause of septicaemia and necrotising fasciitis especially in debilitated patients
Evaluation of Serum HDL and LDL levels in Type II Diabetes Mellitus
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Introduction: Diabetes mellitus is a type of metabolic disorder characterized by hyperglycemia resulting from defect in insulin secretion, insulin action or both. This study intended to compare High Density Lipoprotein Cholesterol (HDL) and Low Density Lipoprotein Cholesterol (LDL) profile between type II diabetic and non-diabetic subjects and also find the correlation between HDL and LDL cholesterol in type II diabetic.
Methods: The study was conducted on 100 total subjects out of which experimental group with 50 subjects of known Type II Diabetes mellitus and control group with 50 subjects.
Results: The result of the present study suggests that fasting blood sugar and LDL cholesterol levels were increased but HDL cholesterol level was reduced in type II diabetic subjects when compared to controls.
Conclusion: The estimation of HDL cholesterol and LDL cholesterol in type II diabetes mellitus is very useful as it may serve as a useful parameter to monitor the prognosis of the patient
Extrapulmonary Tuberculosis: A retrospective Study at a tertiary care hospital in Palpa, Nepal
No full textBackground: Extra-pulmonary tuberculosis (EPTB) is a significant global health problem. Related studies to it in different places and diff erent durations are indicated by many previous research findings. Findings of this study could be beneficial for its preventive and control strategies. Methodology: Retrospective analysis of clinical specimens submitted to Central laboratory of Lumbini Medical College and Teaching Hospital (LMCTH) for extrapulmonary tuberculosis was performed. Total 261 samples submitted from April 2011 to February 2013 were included for analysis in this study. Results: Total 20.7% (54/261) prevalence of EPTB was reported. Based on sites involved; lymph node 87.03%, pleural effusion7.40%, peritoneal5.55% were found. Genderwise equal prevalence was seen among male and females. Age-wise prevalence among patients between 21-40 years was reported. Conclusion: Our finding indicates great necessity for further large scale study on prevalence of EPTB in this location for its prevention and control
Clinical Study of Pemphigus in Lumbini Medical College
Get PDFBackground: Pemphigus is a worldwide disease and varies in its clinical profile and epidemiology in different regions of the world. The disease is rare and few epidemiological data are available. Objective: The purpose of this study was to evaluate the epidemiologic, clinical, and therapeutic features of pemphigus in Lumbini Medical College. Methods: We retrospectively investigated a total of 70 patients with pemphigus. The parameters including age at diagnosis, sex, diagnostic methods and treatment outcome of the disease. Results: The mean age at the onset was 41.3 years. The male-to-female ratio was 1.18:1. Most of the patients were cured at the end of the treatment. Rest were clinically improved. Conclusion: Pemphigus vulgaris (PV) is the most common clinical subtype in our centre. The disease is more frequent in the fifth decade of life and has a male predominance in our region
Effectiveness of Self Instructional Model on the Management of Violent Patients among Nursing Personnel in Selected Ward of Lumbini Medical College.
Get PDFIntroduction: Mental health nursing is the practice of promoting mental and caring for people with mental illness. Violence towards nurses by the psychiatry patient in clinical setting is an endemic worldwide and a multifaceted problem. Method: Purposive sampling of thirty sample of nurses from psychiatry ward, emergency room and medicine ward were selected. Sampling Technique was pre-experimental, one group pre-test, postÂtest design, Reliability of the tool (r=0.95) was tested by split half method using Karl Pearson\u27s Product Moment Correlation formula and Spearman-Brown\u27s Prophecy formula. Socio-demographic data by using proforma. Pretest was done, knowledge score was calculated, self-developed instructional model was introduced and after 7 days’ duration post-test was done. Results: Pre-test assessment revealed that the highest percentage (53.34) of the nursing personnel had good level of knowledge. The significance of difference between the pre-test and post-test knowledge scores was statistically tested using paired \u27t\u27 test and was found to be very highly significant (t=11.66, P < 0.05). Interpretation: The study revealed that there was very highly significant increase in the knowledge following the administration of self-instructional module
Aerodigestive and Ear Foreign Bodies at Lumbini Medical College
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Introduction: Aerodigestive and Ear foreign bodies are common Ear Nose Throat (ENT) emergencies. They arecommonly encountered by otolaryngologists, paediatricians, and primary care physicians. Objective: The aim ofthis study is to analyze different types of foreign bodies and sociodemographic correlates of self-inflicted foreign body insertion in ear, nose and throat.
Method: Seventy-four patients with aerodigestive foreign body coming to our Hospital over a period of one year, starting from January 1, 2012, were enrolled in the study. Hospital based cross sectional descriptive study was done. Socio-demographic data was collected by history and clinical examination of all those patients. The data collected from 74 patients were entered and analyzed using descriptive and analytical statisticalmethods using SPSS version 17.0.
Result: There were total of 74 cases of ENT foreign body. Male predominance was noted (61%). Foreign body of ear was found to be most frequent (43%) followed by throat (37%) and nose (20%). Foreign body of nose was almost limited in paediatrics population (14 out of 15) whereas in the elderly group foreign body of throat was only found. Seeds, meat bolus or bone or both, insects and cotton bud were the most common foreign bodies. There was significant relation between the type of foreign body and age (p <0.05) and the living foreign body and ear.
Conclusion: Foreign bodies of nose, ear and throat are common in ENT department. They should be timely managed to prevent potential complications
Prevalence of Low Calorie Intake by Rural Families in Palpa District of Nepal
Get PDFBackground: Healthy population is indispensable for national development. Adequate food intake by people is the key determinant to keep up their health. Malnutrition nevertheless remains pervasive in developing countries, undermining people’s health, productivity, and often their survival. Food insecurity and hunger remain persistent in Nepal. Prevalence of low calories intake by rural family is widespread throughout the country population. Mainly marginalized communities, ethnic group with poor economic status, traditional societies and lower cast people are exposed to food defi cit. Objective: to investigate the prevalence of low calories intake by rural families and its associated determinants in Palpa district. Materials and methods: The cross-sectional study was designed to achieve objective of the research. A random sample of 339 families was selected from rural areas (DUMRE, DAMKADA, GORKHEKOT and TELGHA villages) of this district. Data were analyzed by using the SPSS software for Windows (version 16.0). Results: The existence of inadequate food calorie intake among rural families was most common. Most of them were malnourished. Conclusion: low calorie intake by ethnic group was considerably higher than other groups in community
Situation of Environmental Health of Rural Communities in Palpa District of Nepal
No full textBackground: Sanitation refers to create and maintain hygienic conditions, through services such as garbage collection and its proper disposal, wastewater disposal, consumption of safe drinking water, housing condition and its surrounding, an act or process of making sanitary, the promotion of hygiene and prevention of disease. Human being is a social animal and being a part of society, factors affecting the society also affect human and his surroundings. The study is concerned to demographic variables and environmental practices in rural communities. Objectives: To find out environmental situation and observe an impact of demographic variables on environmental factors. Materials and methods: A cross-sectional study was followed to conduct the study in palpa district of Nepal at 2012. Three hundred thirty nine households were selected through simple random procedure. Semi-structure interview schedule was used to collect information. Data were analyzed using software SPSS for windows version 16.0. Results: Most of the families were faithful to ethnic group. Practices of refuse and excreta disposable had unsatisfactory where percentages of throwing refuse and open field defecation was 39.2 and 9.1 respectively. 77.6% households were consumed tap water. Most of the households (53.4%) did not have proper drainage system around their houses. Conclusion: Family type and caste of households were strongly associated with practice related to excreta disposal, drainage system and refuse disposable. Improper sanitation could be main threat to public health promotion and disease prevention in study areas