Browsing by Author "Gyawali, Bigyan R"
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Publication Correlation of Body Mass Index with Handgrip Strength and Endurance of Dominant Hand in Medical Students(Institute of Medicine, 2020) Shrestha, Lava; Gurung, Sanyukta; Bhat, Neeti; Mahotra, Narayan B; Bajimaya, Mahesh M; Malla, Neha; Kandel, Sabita; Shakya, Aman; Aryal, Vibina; Gyawali, Bigyan R; Rayamajhi, Nirmala; Pradhan, SaitABSTRACT Introduction: Hand grip strength is used in evaluation of muscle strength and is also increasingly being used as an indicator for nutritional status. The maximum force applied voluntarily by the subject is called maximum handgrip strength, which is measured in kilograms. Muscular endurance is the ability of a muscle or muscle group to perform against a load for an extended period of time, measured in seconds. This study aims to correlate body mass index with handgrip strength and handgrip endurance in medical students. Methods:This is a cross sectional, observational study which included 74 undergraduate students of Maharajgunj Medical Campus by convenient sampling method. Body mass index was calculated by Quetelet’s formula. Camry digital hand dynamometer was used to measure handgrip strength in the dominant hand in kilograms. Participants were instructed to hold dynamometer with maintained pressure of 30% of maximum handgrip strength for as long as possible to determine the handgrip endurance. Statistical analyses were performed with SPSS Statistics software. Results: The handgrip strength was more in males than females with a mean of 43.09±3.72 kg, while handgrip endurance was more in females with a mean of 123.60±50.65 sec. Positive correlation was seen between body mass index and handgrip strength (r=0.23 and p=0.045). Body mass index and handgrip endurance also showed positive correlation (r=0.34 and p=0.003). Conclusion: Significant correlation of body mass index with handgrip strength and handgrip endurance was seen in medical students. Keywords: Body mass index, correlation, handgrip endurance, handgrip strength, medical studentsPublication Fish Bone in the Glottis of a Seventeen-Month-Old Child: A Case Report(Institute of Medicne, 2021) Baidya, Smriti; Gyawali, Bigyan RABSTRACT Foreign body aspiration is one of the leading causes of accidental death in children. Young children tend to put objects in their mouths which may additionally explain the incidence of foreign body aspiration. Laryngeal impaction of a foreign body is very rare as most aspirated foreign bodies pass through the laryngeal inlet and get lodged lower down in the airway. Inhaled foreign bodies are suspected from the history of incidence witnessed by the parent or caregiver or at times from clinical symptoms of respiratory complains not responding to medical therapy. Removal of the foreign body from the airway is the modality of treatment done via rigid bronchoscopy under general anesthesia in our setting. A rare case of foreign body aspiration with glottic impaction in very young child of seventeen months has been described here. Keywords: Fish bone, foreign body, laryngeal inlet