Journal Issue: Volume: 59, No. 242, October (2021)
Loading...
Volume
Number
Issue Date
2021
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Journal Volume
Articles
Supporting Healthcare Workers during COVID-19 Pandemic and beyond
(Nepal Medical Association, 2021) Shrestha, Badri Man
NA
Non-neoplastic Lesions of Gallbladder Among Cholecystectomy Specimens of a Tertiary Care Center: A Descriptive Cross-sectional Study
(Nepal Medical Association, 2021) Ghartimagar, Dilasma; Shrestha, Manish Kiran; Jhunjhunwala, Adarsh; Ghosh, Arnab; Thapa, Sushma; Regmi, Sudeep; Talwar, Om Praksah
Abstract:
Introduction: Gallbladder diseases are prevalent worldwide and present with a diverse histopathological spectrum. Mucosal irritation and chronic inflammation is considered as an important etiological factor for the mechanical or functional dysfunction of emptying of the gallbladder. This study aims to find the prevalence of non-neoplastic lesions of gallbladder among cholecystectomy specimens of a tertiary care center.
Methods: A descriptive cross-sectional study was conducted in the Department of Pathology, of a tertiary care center from January 2005 to December 2020. Ethical approval was taken from the Institutional Review Committee. All the patients who had undergone cholecystectomy procedures which showed non-neoplastic lesions were enrolled in the study. Convenient sampling was done. Statistical Package for Social Sciences version 21 and Microsoft Excel were used for data analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for
binary data.
Results: Out of 4914 cholecystectomy specimens, 4852 (98.73%) (95% Confidence Interval= 98.42- 99.04) were non-neoplastic lesions. There were 1252 (25.8%) males and 3600 (74.2%) females with a male to female ratio of 1:2.87. Age ranged from 2 to 89 years with a mean age of 45±14.48 years. Gallbladder lesions were observed maximum in age group 41-50 years with 1200 (24.7%) cases. Among the non-neoplastic lesions, cholecystitis without any specific finding was the most common finding with 3028 (62.4%) cases followed by cholelithiasis with 1478 (30.5%) cases.
Conclusions: The prevalence of non-neoplastic lesions of gallbladder is similar to other studies done in similar setings. Female predominance was noted in non-neoplastic lesions.
Lumbosacral Transitional Vertebrae amongst the Individuals Undergoing Magnetic Resonance Imaging of the Whole Spine in a Tertiary Care Hospital: A Descriptive Cross-sectional Study
(Nepal Medical Association, 2021) Karki, Subindra; Paudel, Ramchandra; Phuyal, Arun; Bhandari, Anupam
Abstract:
Introduction: Lumbosacral transitional vertebrae is a common congenital anomalous condition of the spine. Recent advances in magnetic resonance imaging have made it possible to acquire images of the whole spine. This study aimed to find out the prevalence of lumbosacral transitional vertebrae amongst the individuals undergoing magnetic resonance imaging of the whole spine in a tertiary care hospital.
Methods: A descriptive cross-sectional study was conducted in 750 patients of all age groups who underwent magnetic resonance imaging of the whole spine in the Department of Radiodiagnosis and Imaging, Kathmandu University School of Medical Sciences from 7th November, 2019 to 6th November, 2020. Convenience sampling technique was used. Ethical approval was taken from the Institutional Review Committee (Reference number 207/19). Data was analysed using Statistical Package for Social Sciences version 22. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage.
Results: Lumbosacral transitional vertebra was seen in 98 (13.10%) (95% Confidence Interval= 10.61-15.51) of the total 750 individuals. Out of the 98 patients who had lumbosacral transitional vertebra, 31 (4.10%) had lumbarization of S1 vertebra and 67 (8.94%) had sacralization of L5 vertebra.
Conclusions: Prevalence of lumbosacral transitional vertebrae amongst the individuals undergoing magnetic resonance imaging of the whole spine in our hospital was similar to other study done in similar settings. Lumbosacral transitional vertebrae are a common congenital anomalous condition of the spine that is identified incidentally. Enumeration of vertebrae from the first cervical vertebra using whole spine magnetic resonance imaging can confirm the presence of the lumbosacral transitional vertebrae with much accuracy.
Dementia in 50 Years and Older Patients from the Psychiatry Out Patient Department of a Tertiary Care Center: A Descriptive Cross-sectional Study
(Nepal Medical Association, 2021) Belbase, Mohan; Adhikari, Jyoti
Abstract:
Introduction: Dementia is a chronic and progressive syndrome due to disease of brain. Alzhemeir's disease is the most common cause of dementia. There are very few studies regarding prevalence of dementia in Nepal. The objective of this study is to find the prevalence of dementia in 50 years and older patients from the psychiatry out patient department of a tertiary care center.
Methods: A descriptive cross-sectional study was done in patients attending to psychiatry outpatient department over one year from May 2020 to April 2021. Ethical approval was taken from the Institutional Review Committee (Reference number: 745/077-078). The data were assessed using Statistical Package for Social Sciences version 20. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
Results: Out of 1332 patients, 52 (3.9%) (95% Confidence Interval=2.86-4.93) patients had dementia in which 30 (57.7%) are male while 22 (42.3%) are female. Mean age of study population is 70.12±11.21 with age range of 50 years to 88 years. We found 29 (55.8%) moderate, 18 (34.6%) severe and 5 (9.6%) mild type of dementia. We had 34 (65.3%) Alzheimer's followed by 16 (30.8%) vascular and 2 (3.9%) others types of dementia.
Conclusions: This study concludes that the prevalence of dementia in 50 years and older patients is similar in comparison to other studies done in similar settings.
Back Pain among COVID-19 Positive Health Care Workers in a Tertiary Care Hospital in Nepal: A Descriptive Cross-sectional Study Authors
(Nepal Medical Association, 2021) Shrestha, Shriraj; Bajracharya, Ayush; Dahal, Saurav; Bhandari, Parash; Maharjan, Basanta; Bajracharya, Suraj
Abstract:
Introduction: The world has been threatened with the emergence of the Novel Corona Virus straining the health care system and creating a global pandemic. This is not the first pandemic, and it certainly will not be the last to affect humanity. As the medical community is exposed to these highly contagious new diseases with arrays of symptoms like fever, cough, shortness of breath, anosmia, insomnia, and myalgia. Back pain can also be considered as one of the symptoms of COVID-19 infection. Therefore, this study aimed to find out the prevalence of back pain among the Health care workers who were tested positive for COVID-19 by the end of their isolation period.
Methods: This descriptive cross-sectional study was done from April 2021 to June 2021 in KIST Medical College and Teaching Hospital, Imadol, Lalitpur, Nepal, after receiving ethical approval from the Institutional Review Committee (Registration number: 2077/078/57). Convenience sampling was done. Data collection and entry were done in Microsoft excel, point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.
Results: Out of 156 COVID-19 positive patients, the prevalence of back pain was seen among 64 (41%) patients (95% Confidence Interval= 42.23-57.75). Among them 21 (32.8%) were males and 43 (67.2%) were females. Likewise, the minimum age was 20 years and the maximum was 68 years with a mean of 33.5±10.28.
Conclusions: This study demonstrated that a high proportion of healthcare workers were suffering from back pain and the findings are similar to the data from other international studies.