Journal Issue: No 1, Issue 13, JAN-MAR, 2006
Loading...
Volume
Number
Issue Date
Journal Title
Journal ISSN
1812-2027
Journal Volume
Articles
Risk factors, associated health problems, reasons for admission and knowledge profile of diabetes patients admitted in BPKIHS
(Kathmandu University, 2006) RS, Mehta; P, Karki; SK, Sharma
Objectives: The objective of the study was to find out the demographic profile, identify the known risk factors,
assess the associated health problems, find out the reasons for admission and explore the knowledge profile of the
patients admitted with diabetes in medical units of BPKIHS.
Methods: It was hospital based exploratory study conducted among the admitted DM patients during the period of
1-3-2003 to 29-2-2004 in medical units using simple random sampling, which included 35 samples. The data was
analysed using Excel and SPSS programme.
Results: About 54% subjects were of age group between 40-60 yr., Hindu 85.7%, married 92.9%, and non-
vegetarian 75.9 %. About 50% of subjects were on Insulin. About 60.7 % subject had hypertension, 39.3 % had
ocular problem, and 25 % had renal problems. Majority of subject (82.1 %) had knowledge about the disease, they
were suffering but limited subject had the knowledge about, causes, curability, treatment modalities, diet, and other
aspects.
Conclusions: As the knowledge regarding various aspects of DM is very low, there is need for information booklet
in Nepali and health education programme among public will be very beneficial.
Key Words: Risk Factors, Associated Health problems, Knowledge profile, Diabetes.
Origin and countermeasure for common skin flap complications after radical operation for breast cancer
(Kathmandu University, 2006) Wu Hongying; Zhang Chun Shan; B, Thakur
Objective: To discuss the various factors which cause the common skin flap complications after radical operation
for breast cancer
Methods: Two hundred sixteen patients with T1-3N0-1M0 breast cancer underwent radical surgery at The Cancer
Hospital of Xingtai City, China during 1995-2003. Patey mastectomy was performed in majority of patients. Skin
flaps were dissected using scalpel after injecting adrenaline containing saline into subcutaneous tissue. Diathermy
was used only to stop bleeding vessels. A subset of patients who developed abnormal vascularity of skin flaps,
seroma collection and flap necrosis was analyzed. Pressure garment and suction drains were used routinely. Flap
necrosis < 3cm2 was allowed to heal with secondary intention whereas larger defects were skin grafted.
Results: In 56 patients, flap associated complications were noted. Abnormal vascularity, flap necrosis and seroma
collection were absorbed in 34 (15.7%), 13 (6%) and 9 (4.2%) patients, respectively. Eight patients (3.7%) required
skin grafting. All patients were discharged with full recovery.
Conclusion: To minimize the skin flap complications after radical surgery for breast cancer, lesser use of cautery,
injection of adrenaline containing solution into subcutaneous tissue, routine use of suction drains and application of
pressure garment may be recommended.
Key Words: Modified radical mastectomy; seroma
Tonsillar microbial flora: A comparison of infected and non- infected tonsils
(Kathmandu University, 2006) M, Bista; RCM, Amatya; P, Basnet
Objective: The main objective of this study was to find out the most common organism affecting the tonsils in
recurrent tonsillitis.
Methodology: This was a prospective study consisting of total number of 50 patients, conducted in the ENT
department of Dhulikhel Hospital, KUTH, Dhulikhel, Nepal. The study period was of one year and three months
(March 2004 to April 2005).
Results: Total numbers of 50 patients were selected, of which 32 were of acute tonsillitis and 18 were taken as
control. Among these males were 32 and females were 18. The age group was from 3 years to 64 years. Throat
swabs of patients were taken by aseptic method and were sent to the laboratory immediately. Among the infected
tonsils the most common organism was Streptococcus viridans followed by Streptococcus pneumoneae and
Morexella catarrhalis. The third most common was Beta haemolytic streptococci whereas Micrococcus was not
isolated in any of the infected samples. Likewise in non-infected tonsils, the most common organism isolated was
again Streptococcus viridans followed by Micrococcus and Diptheroids. In these specimen no Beta haemolytic
streptococci was isolated from the control group.
Conclusion: Thus, the study is able to put forward the fact that most common organism affecting the tonsils in
infected as well as non- infected state is Streptococcus viridans. Where as Beta haemolytic streptococci was not
found in non- infected tonsils, like wise Micrococcus was not found in infected tonsils.
Key words: Recurrent tonsillitis, microflora