Browsing by Author "Rai, Chandra Kala"
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Publication Carrying Angle Variation in Relation to Gender Among Children: An Observational Study(Nepal Medical Association, 2025) Makaju, Sarbada; Palikhe, Pratima; Chaudhary, Sonam; Rai, Chandra KalaAbstract 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.Publication Hypothyroidism among Type 2 Diabetic Patients Visiting Outpatient Department of Internal Medicine of a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2023) Shrestha, Biju; Rai, Chandra KalaAbstract Introduction: Diabetes-thyroid relationship is said to be bidirectional. Insulin resistance and hyperinsulinemia in type 2 diabetes mellitus increase free thyroxine but decrease free tri-iodothyronine and thyroid-releasing hormone synthesis. Thyroid dysfunction may in turn impose an adverse effect on glucose metabolism in type 2 diabetes mellitus. Undetected thyroid dysfunction can worsen glycemic control and predispose type 2 diabetes mellitus patients to cardiovascular and other diabetes-related complications. Recognition and timely treatment of thyroid dysfunction in type 2 diabetes mellitus patients can delay diabetic complications. The aim of this study was to find out the prevalence of hypothyroidism among type 2 diabetic patients visiting the outpatient Department of Internal Medicine of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted from 17 April 2021 to 5 September 2021 after obtaining ethical approval from the Institutional Review Committee (Reference number: 130120202). A total of 384 type 2 diabetic subjects were recruited for the study. Convenience sampling method was used. Point estimate and 95% CI were calculated. Results: Among 384 patients, the prevalence of hypothyroidism was found in 127 (33.07%) (28.36-37.78, 95% Confidence Interval). Among them, 56 (44.09%) were male and 71 (55.90%) were female. The mean age was 55.17±7.53 years. Conclusions: The prevalence of hypothyroidism was higher than in the other studies done in similar settings.