Journal Issue: Volume: 19, No 1, Issue 73, JAN.-MARCH, 2021
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Volume
Number
Issue Date
2021
Journal Title
Journal ISSN
1812-2027
Journal Volume
Articles
Predatory Journal or Publishing: A Wolf in Sheep’s Clothing
(Kathmandu University, 2021) Shrestha, BL
NA
Awareness Regarding Diabetes Mellitus among General Population of Banepa Municipality
(Kathmandu University, 2021) Manandhar, S; Buddhacharya, M; Maharjan, S
ABSTRACT
Background
Diabetes is a silent disease and many people with diabetes may become aware of
it only after life-threatening complications. The presence of knowledge of diabetes
could contribute in early diagnosis and minimize the occurrence of complications.
Hence, healthcare and public policy makers are putting extensive efforts to aware
them on diabetes.
Objective
To assess the level of diabetes knowledge and its risk among the general public of
Banepa municipality.
Method
A Cross sectional study was conducted to assess the awareness about diabetes
among the general public of Banepa municipality. During the period of November
2019 to January 2020, 273 respondents of Banepa municipality were included with
informed consent. Data was collected using a pre-tested structured questionnaire
through one-to-one interviews. Indian Diabetes risk score (IDRS) was used to identify
the risk of diabetes among them that consists of four elements i.e. age, abdominal
obesity, physical activity, and family history. Data entry and analysis was done using
SPSS version 20.
Result
It was found that 61.9% had a higher level of knowledge of diabetes. IDRS score
shows more than half percent (53.5%) of respondents were in high risk, 39.2% were
in medium risk and 7.3% were in low risk.
Conclusion
This study implies that there was good knowledge about diabetes among people.
However, the majority of them are at risk for developing diabetes in future which
may be due to lack of practical implication of knowledge. It reflects the necessity
to educate and reinforce the public regarding prevention of diabetes which further
postpones its complications.
KEY WORDS
Awareness, Diabetes, IDRS, Knowledge, Risk factors
A Hospital Based Study of Prevalence of Dry Eye in Tertiary Care Hospital of Nepal
(Kathmandu University, 2021) Joshi Shrestha, L; Kaiti, R
ABSTRACT
Background
Dry eye is a common disorder of the tear film that results from decreased tear
production, excessive tear evaporation, or abnormality in mucin or lipid components
of the tear film associated with symptoms of ocular discomfort.
Objective
To determine the prevalence of dry eye among patients above 40 years attending
out-patient department in a Tertiary Care Hospital of Nepal.
Method
This was a prospective hospital-based study done at the Department of Ophthalmology
in Dhulikhel Hospital, Kathmandu University Hospital for a period of six months from
September 2016 to February 2017. All the patients above 40 years of age, attending
out patients department were screened by ophthalmologist using the Ocular Surface
Disease Index (OSDI). Those patients who were diagnosed of dry eye by OSDI were
further evaluated by Schirmer’s test and Tear film breakup time (TBUT).
Result
Out of 4470 patients attending Ophthalmology outpatient department 1599 patients
were of age above 40 years. The overall prevalence of dry eye according to OSDI
questionnaire was 25% (400). The mean age of patient with dry eye was 54 yrs. 169
were males (42.2%) and 231 were females (57.7%). Among them Schirmer’s test was
positive in 16.7% (67) and TBUT was positive in 85.7% (343) of the patients with dry
eye.
Conclusion
Dry eye is a common condition among patients attending ophthalmology outpatient
department in tertiary care center and is leading cause of ocular discomfort. The
prevalence of dry eye was higher among indoor workers than in outdoor workers.
Further studies are needed to establish association and risk factor of dry eye.
KEY WORDS
Dry eye, Ocular surface disorder index questionnaire, Schirmer’s test, Tear film break
up time
Outcome of Achilles Tendon Repair using Four Strand Cross Locked Cruciate Repair Technique
(Kathmandu University, 2021) Dhoju, D; Thapa, J
ABSTRACT
Background
Four strand cross locked cruciate tendon repair technique for Achilles tendon rupture
has shown promising result.
Objective
To evaluate the outcome of all acute traumatic Achilles tendon rupture case treated
by a novel repair technique of four strand cross locked cruciate.
Method
A total of 40 cases of acute traumatic Achilles tendon rupture from 2011 to 2018
treated by four strand cross locked cruciate repair technique were retrospectively
evaluated using Achilles Tendon Total Rupture Score.
Result
Average age of patient was 29.45 years. Male preponderance was seen. Most of the
patient (97.5%) had complete rupture of Achilles tendon. Most of the patient (92.5%)
had open injury. The average length of hospitalization was 7 days. All the patients
recovered to the level of physical activity previous to the tendon lesion. The achilles
tendon total rupture score significantly improved from 6 month post op period to 12
months (p=0.02) and 2 years post op period (p=0.038).
Conclusion
The optimum method of suturing technique for acute traumatic rupture of Achilles
tendon remains controversial. The four strand cross locked cruciate repair technique
provides a stable and reliable construct for the Achilles tendon repair. The technique
requires further investigation with direct comparison with other mostly used
techniques like Krackow and Gift box suture technique.
KEY WORDS
Achilles tendon, Locked cruciate, Repair technique
Comparison of Outcome of Borderline and Normal Amniotic Fluid Index in Term Pregnancy
(Kathmandu University, 2021) Ansari, SN; Baral, J; Gurung, G; Jha, A
ABSTRACT
Background
Determination of Amniotic Fluid Index (AFI) is an important component of antepartum
assessment of all normal pregnancies.
Objective
To compare the obstetric interventions and neonatal outcomes in term pregnancies
with borderline Amniotic Fluid Index versus normal Amniotic Fluid Index.
Method
This hospital based prospective study was conducted at Tribhuwan University
Teaching Hospital over 1 year between 2017 and 2018 in 128 women having
uncomplicated term pregnancy admitted in labor ward. Of the 128 women, 64
women had borderline Amniotic Fluid Index (5.1-8 cm) and 64 normal AFI (8.1 - 24
cm). Parameters studied were induction of labor, cesarean section, instrumental
delivery, intrapartum abnormal fetal heart rate, meconium staining of liquor, APGAR
score at 5 and 7 minutes, birth weight, neonatal intensive care unit (NICU) admission
and neonatal death. Data was analyzed using software OpenEpi.
Result
Statistically significant difference in result was obtained in the two groups in terms
of rate of induction of labor (73.4% vs 35.9%, p = 0.0001, OR = 4.9), rate of cesarean
section (42.1% vs 28 .1%, p = 0.04, OR = 1.8), tachypnea (50% vs 11.1%, p = 0.01)
and low birth weight (9.1% vs 4.5%, p = 0.04). No statistical significance was found
in meconium staining of liquor (33% vs 38.3%, p = 0.3) and APGAR score of <7 at
5 minutes (3.1% vs 1.5%, p = 0.06). There were no neonatal intensive care unit
admissions and neonatal mortality in any of the babies.
Conclusion
Detection of amniotic fluid volume at term is important for timely maternal
interventions to improve the overall fetal outcome.
KEY WORDS
Borderline amniotic fluid index, Cesarean section, Induction of labor, Meconium
stained liquor, Tachypnoea