NepMed Repository :: Browsing by Author "Chaudhary, Sonam"

Browsing by Author "Chaudhary, Sonam"

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Carrying Angle Variation in Relation to Gender Among Children: An Observational Study
(Nepal Medical Association, 2025) Makaju, Sarbada; Palikhe, Pratima; Chaudhary, Sonam; Rai, Chandra Kala
Abstract Introduction: Carrying angle is the angle formed at the elbow joint during full extension and supination of arm and forearm which increases with increasing age till 14 years. This study measures the carrying angle variation with gender which can be beneficial for pediatricians in diagnosis, treatment planning of the related cases. Methods: The study was conducted 70 patients of Kathmandu Medical College and Teaching Hospital at Sinamangal and Duwakot between 15 December 2023 to 30 December 2023 after getting the ethical clearance from the Institutional Review Committee (reference no. KMC-IRC 08122023/02) with convenience sampling method. The carrying angle was measured by manual goniometer by drawing the axes in the arm and forearm. The data obtained was analyzed in different age groups and body mass index between boys and girls. The data was analyzed with Statistical Package for the Social Sciences version 25. Results: Out of 70 participants, 38(54.29%) were boys and 32(45.71%) were girls. The mean carrying angle among girls in right side was 10.53±2.52 degrees and 9.05±3.71 degrees for boys (p=0.06). Similarly, on left side it was 10.15±2.37 degrees for girls and 8.76±2.96 degrees for boys (p=0.036). Conclusions: The Carrying angle on both sides was found to be increased among female children in comparison to male irrespective of different age and BMI groups.
Comparison of Spirometric Parameters in different Postures among Young Healthy Volunteers
(Nepal Health Research Council, 2023) Mahotra, Narayan B; Shrestha, Lava; Kandel, Sabita; Chaudhary, Sonam
Abstract Background: Spirometry is the most common pulmonary function tests that specifically measures volume and flow of air during respiration. It helps to identify obstructive and restrictive diseases of the lungs. The alterations of the results in spirometry can happen even in normal health due to change in body postures that alter lung volumes and muscle biomechanics. So, the objective of this study is to determine the effects of change of postures mainly supine, sitting and standing on pulmonary parameters of young healthy volunteers. Methods: A cross-sectional analytical study was conducted among young medical students of Maharajgunj Medical Campus in the department of Clinical Physiology. A total of 31 students were selected by convenient sampling technique. Pulmonary parameters: Forced Vital Capacity (FVC), Forced Expiratory Volume in 1st second (FEV1), FEV1/FVC, Peak Expiratory Flow(PEF), EF2575 were collected from spirometry. The spirometry was done in supine, sitting and standing postures and the best value of each posture was selected for the comparison and obtained data were analyzed using repeated measures ANOVA with confidence interval of 95%. Results: The pulmonary parameters recorded in different postures showed that the mean of these variables comparatively increased in standing posture than others with mean FVC 3.98±0.66 L, mean FEV1 3.53±0.55L, mean FEV1/FVC 89.23±5.60%, mean PEF 8.60±1.62L/s and mean PEF2575 4.46±1.08 L/s. The mean comparisons of these pulmonary parameters in supine, sitting and standing postures showed statistically significant differences with P value < 0.05. Conclusions: The pulmonary parameters are affected by body postures. Those parameters are recorded highest during standing posture and lowest during supine posture. Keywords: Postures; pulmonary parameters; spirometry
Pattern of Blood Products Consumption in a Teaching Hospital
(Nepal Health Research Council, 2024) Shrestha, Lava; Gurung, Numaya; Mahotra, Narayan Bahadur; Pradhan, Sait; Ghimire, Ananda; Pokhrel, Kailash Mani; Khanal, Kapil; Dhungana, Reechashree; Gautam, Naveen; Kandel, Sabita; Chaudhary, Sonam
Background: Blood transfusions are lifesaving, but resource limitations and inadequate utilization patterns pose challenges in low- and middle-income countries. In Nepal, detailed analyses of blood use practices, are needed to inform resource allocation and policy decisions. The objective of this study was to study the overall and component-specific use, explore temporal trends in utilization of blood and blood products. Methods: We conducted an observational study analyzing data from Blood Bank of Tribhuvan University Teaching Hospital (TUTH), a tertiary hospital (January 1st - December 31st, 2019). Data included patient demographics, blood groups, blood products requested and transfused, and facility type. Data analysis was conducted with SPSS v20. Results: Patients from TUTH had substantially higher blood product requests, requesting 25,716 units compared to only 1855 units across other centers combined. Blood groups A positive (8089, 31.4%) and and O positive (7851, 30.6%) were the most requested blood groups. Whole blood (11358, 44.2%) and packed red blood cells (9565, 37.2%) were most frequently requested. We observed monthly fluctuations in demand with peak of 2742 requests in December with a trough in June (1947 units). Notably, only approximately 46% of blood products requested from patients admitted to TUTH were ultimately transfused. Conclusions: Whole blood and packed red blood cells were the most frequently requested blood products. Eventhough whole blood was the most frequently requested blood product, the most transfused one was packed red cells. Peak demand was observed in December. Our study provides valuable insights into blood utilization patterns, underscoring the need for specific strategies to improve blood transfusion management practices. Keywords: Blood banking; blood transfusion; blood utilization; LMICs. Nepal.
Risk Factors of Primary Dysmenorrhea among Undergraduate Students of a Medical Institution of Nepal
(Central Department of Public Health, 2025) Malla, Neha; Mahotra, Narayan; Shrestha, Sushan Man; Chaudhary, Sonam
Background: Primary dysmenorrhea (PD) has significant impact on life of young females. This study aimed to find various risk factors of primary dysmenorrhea and its impact on daily life. Methods: A cross-sectional study was done in 165 female undergraduate students (age ≤24 years) of Institute of Medicine by convenience sampling method. It was a questionnaire-based study. Anthropometric measurements were taken for Body Mass Index (BMI), waist circumference and waist hip ratio. Results: The study showed presence of PD in 98.2% participants among whom 20.6% had mild, 32.6% had moderate and 44.8% had severe PD. Pre-menstrual symptoms (PMS) was significantly associated with severity of PD (p <0.001, OR: 3.603, CI: 1.675-7.752). However, there was no statistically significant correlation seen with early age of menarche (p = 0.932) and family history of dysmenorrhea (p value= 0.70). No association was seen between severity of PD with BMI (p = 0.720), waist circumference (p = 0.850) and waist hip ratio (p = 0.858). Severity of PD was associated with limitations in daily activity (p value<0.001, OR:6.302, CI: 2.855-13.911), behavioral changes (p =0.001, OR: 2.638, CI: 1.186-5.864) and skipping of college (p < 0.001, OR: 10.00, CI: 2.922-34.227). Conclusions: The prevalence of primary dysmenorrhea was very high in young females. Institutional and social support system, plans and policies to support and create easy accessibility to treatment is needed. Only then young women will be able to achieve their full potential and hence social equity will be achieved.

Browsing by Author "Chaudhary, Sonam"

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