Browsing by Author "S, Bhandary"
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Publication Cervical necrotizing fasciitis in an uncontrolled type II diabetic patient(Kathmandu University, 2006) RK, Singh; S, Bhandary; PT, Wakode; P, KarkiWe report a case of cervical necrotizing fasciitis (CNF) in a female having uncontrolled type II diabetes mellitus. The patient was presented to us after 20 days of preliminary symptoms. The aetiology of microbial inoculation in subdermal tissue was not known. The isolate was Staphylococcus aureus. In spite of the delay in presentation, the patient was successfully treated with combined antimicrobial and surgical intervention. Key words: Necrotizing fasciitis, head and neck, cervical, diabetes mellitus.Publication Nutritional status and morbidity pattern among governmental primary school children in the Eastern Nepal(Kathmandu University, 2004) SR, Shakya; S, Bhandary; PK, PokharelObjective: To assess the nutritional status and morbidity pattern of primary school children. Methods: Descriptive, cross-sectional study was administered in the five governmental schools located in Dhankuta town (Dhankuta district) and Ineruwa town (Sunsari district). The schools were selected using simple random sampling technique. From these selected schools, a total number of 818 students studying from Grade I to V were enumerated in the study using census survey method. Results: Among 818 students, 61% of the students were found to be malnourished. The students were more stunted (21.5%) than wasted (10.4%). Only 5.4 % of the students were found to be both wasted and stunted. The collected blood and stool samples from the students revealed parasitic infestation of 65.8% and anaemia of 58%. The most common diseases in those schools were: skin diseases (20%), dental caries (19.8%), and lymphodenopathy (10.5%). Among skin diseases, pediculosis was more common among girls while ringworms and scabies were common among boys. Conclusion: The study revealed that high percentage of primary school students was malnourished. It was found that there was a high prevalence of parasitic infestation and anaemia. The study result revealed the urgent need for initiation of school health program with specific emphasis on prevention of diseases, improvement of personal hygiene and nutritional status with the collaboration of governmental and non-governmental institutions. Key Words: Nepal, school health, nutritional status, malnutrition, anaemia, pediculosis.Publication Regarding “Tonsillar microbial flora: A comparison of infected and non-infected tonsils”(Kathmandu University, 2006) S, Bhandary; RK, Singh; S, ShresthaNAPublication Sinonasal inverted papilloma in eastern part of Nepal(Kathmandu University, 2006) S, Bhandary; RK, Singh; S, Shrestha; AK, Sinha; BP, Badhu; P, KarkiObjective: To evaluate the clinicopathological profile of sinonasal inverted papilloma in a tertiary referral center in eastern part of Nepal. Methods: A prospective study consisting of total 28 histologically proven cases of sinonasal inverted papilloma was conducted in the ENT department of the center. The study period was from April 2002 to November 2005. Result: Out of 28 cases studied, 21 were males and 7 were females with male to female ratio of 3:1. The highest incidence was seen in the 5 th and 6 th decades of life. The duration of symptoms varied from 5 months to 20 years with mean duration of 3.9 years. The lateral nasal wall and nasal cavity involvement was seen in all 28 cases. Maxillary sinus was involved in 27(96.4%) subjects followed by ethmoid (20), sphenoid (10) and the frontal sinus (7). The principle presenting symptom was nasal obstruction seen in 96.4% of the patients. Twenty two cases were treated by lateral rhinotomy with medial maxillectomy while, orbital exenteration was done in two cases. Associated carcinoma was noticed in 10.15% of all the subjects studied. Conclusion: Sinonasal papilloma mostly presented in fifth to six decades of life mainly affecting the male patients. Majority of the patients were treated by lateral Rhinotomy with medial maxillectomy surgery. Early presentation would have given chances for endoscopic surgery. Key words: Sinonasal inverted papilloma, lateral Rhinotomy, medial maxillectomy.