Browsing by Author "Shakya, BM"
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Publication Musculoskeletal Disorders, Computer Vision Syndrome and the Quality of Life among Banking Staff in Nepal(Kathmandu University, 2023) Shakya, S; Shakya, BM; Neupane, SABSTRACT Background Musculoskeletal disorders (MSDs) and Computer vision syndrome (CVS) are work- related health problems affecting people of working-age, which result in loss of productivity and quality of life. Objective To assess the prevalence of musculoskeletal disorders and computer vision syndrome and their association with quality of life among the banking staff of Nepal. Method A cross-sectional questionnaire survey was conducted among 207 banking staff of the banks of Kathmandu. We used cluster random sampling to recruit the study participants. Musculoskeletal disorders was defined as pain or discomfort in one of nine body parts during the past 12 months using the English version of the Nordic Musculoskeletal Questionnaire (NMQ-E). Computer vision syndrome was defined as the presence of any visual symptoms like dry eye, excessive tearing, eye irritation, etc. at least once during the past 12 months. Quality of life (QoL) was assessed through the SF-36 questionnaire. Logistic regression models were fitted to determine the association of musculoskeletal disorders and computer vision syndrome with Quality of life. Result The prevalence of musculoskeletal disorders and computer vision syndrome were 65% and 92% respectively. The participants with musculoskeletal disorders were twice likely to have poor physical Quality of life (OR 2.34, 95% CI 1.20-4.58), while those with Computer vision syndrome were ten times likely to have low physical Quality of life (10.42, CI: 1.29-84.09). Conclusion Musculoskeletal disorders and computer vision syndrome were common among the bank workers in Nepal and are found associated with poor physical Quality of life. This calls for strategies emphasizing ergonomics and regular job shifting. KEY WORDS Computer, Low- and Middle-Income countries, Musculoskeletal pain, Occupational healthPublication Myocardial Infarction in Non-obstructive Coronary Arteries (MINOCA) in the Perioperative Period can Epinephrine be Responsible?(Kathmandu University, 2022) Koirala, M; Shakya, BM; Parajuli, B; Ghimire, BABSTRACT Ephedrine, metaraminol, epinephrine and maneuvers like carotid sinus stimulation used during intraoperative period have been postulated to cause temporary spasm of the coronary vessels leading to decrease supply to the myocardium and precipitating myocardial infraction in non-obstructive coronary arteries (MINOCA). As an anaesthesiologists, we should be aware that even a dose as small as 25 mcg epinephrine infiltrated along with local anaesthetic in the subcutaneous plane may be responsible for coronary vessel spasm and thus myocardial infraction in non- obstructive coronary arteries. We report a case of 45 years old female with papillary carcinoma of thyroid who developed features of non-ST elevation myocardial infarction 5 minutes after the subcutaneous infiltration of 5 ml of 2% Xylocaine with 1:200000 Epinephrine. Patient was managed for acute Myocardial Infarction. Coronary angiogram done the next day revealed normal coronary arteries, hence the diagnosis Myocardial infraction in non-obstructive coronary arteries was made. KEY WORDS Acute myocardial infraction, Epinephrine, Local anaesthetics