scholarly journals Spectrum of neurological disorders admitted in Tribhuvan University Teaching Hospital Maharajgunj

2013 ◽  
Vol 34 (3) ◽  
pp. 50-53 ◽  
Author(s):  
BP Gajurel ◽  
P Parajuli ◽  
R Nepali ◽  
KK Oli
Keyword(s):  
Teaching Hospital ◽  
Neurological Disorders ◽  
Descriptive Analysis ◽  
University Teaching ◽  
Fiscal Year ◽  
Institute Of Medicine ◽  
Central Nervous System Infections ◽  
Neurologic Disorders ◽  
Number Of Patients ◽  
Inpatient Settings

Introduction: Neurologic disorders are very common. Data on the type and burden of neurological cases either in the outpatient and inpatient settings in our country are not available. This research has been done to perform a descriptive analysis of the spectrum of neurological cases which were admitted over a period of one fiscal year in Tribhuvan University Teaching Hospital (TUTH), Maharajgunj, Kathmandu Methods: This retrospective study included all patients who were admitted with any neurological complaints over a period of one fiscal year (Shrawan 2067 B.S. to Asar 2068 B.S). Results: The total number of patients admitted was 1165. Out of these, 693 cases were due to neurological disorders (59.48%). The most common disorders were stroke, seizure disorder and central nervous system infections. Conclusion: A variety of neurological disorders, from very common to very rare, were admitted. DOI: http://dx.doi.org/10.3126/joim.v34i3.8918 Journal of Institute of Medicine, December, 2012; 34:50-53

Clinical Presentations of Chronic Kidney Disease Patients on Regular Haemodialysis Attending in Tribhuvan University Teaching Hospital Emergency Services

2019 ◽  
Vol 2 (2) ◽  
pp. 138-143
Author(s):  
Tirtha Man Shrestha ◽  
Pratap Narayan Prasad ◽  
Laxman Bhusal ◽  
Ram Prasad Neupane ◽  
Rajan Ghimire
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Serum Creatinine ◽  
Teaching Hospital ◽  
Emergency Services ◽  
University Teaching ◽  
Receiver Operating Curve ◽  
Maintenance Hemodialysis ◽  
Institute Of Medicine ◽  
Emergency Visit

 Background: Chronic kidney disease is increasing day by day and so is condition of renal replacement therapy mainly hemodialysis. Emergency visit of the patients under maintenance hemodialysis is frequent. The objective of the study is to study clinical parameters of these patients so that in future these deranged parameters can be focused during patient management and decrease their emergency visit. Methods: A prospective cross sectional study was conducted in emergency services of Tribhuvan University Teaching Hospital from 1st May 2018 to 31st October 2018 among the adult chronic kidney disease patients under maintenance hemodialysis. Ethical approval was taken from Institutional review board, Institute of Medicine, Tribhuvan University. Non-probability sampling method was used. Total of 300 patients were enrolled in the study. Patients’ age, sex, causes, laboratory parameter during emergency visit, need of emergency hemodialysis, and need of blood transfusion were studied. Results: Out of total 300 patients, mean age was 45.64 years (S.D =17.15). 190 (63.3 %) were male and 110(36.70%) were female. 152(50.70%) of patients had hypertension.Diabetes and Glomerulonephritis both had equal prevalence of 63(21%). Mean hemoglobin was 6.52gm% (S.D = 1.93). Mean pH was 7.17 (S.D =0.154). Mean serum potassium and creatinine level were 5.77 mEq/L (S.D =0.76) and 1076.03 mmol/l (S.D =367.25) respectively. Area under the Receiver Operating Curve was 0.660 for potassium and 0.598 for serum creatinine. Conclusion: Causes of chronic kidney disease, decreased hemoglobin level, increased serum creatinine and potassium level and metabolic acidosis are reasons of frequent emergency room visit among CKD patients. So these conditions need to be addressed to decrease emergency visit of these patients

scholarly journals Knowledge and awareness of cervical cancer in Southwestern Ethiopia is lacking: a descriptive analysis

2019 ◽  
Author(s):  
Atif Saleem ◽  
Alemayehu Bekele ◽  
Megan B. Fitzpatrick ◽  
Eiman A. Mahmoud ◽  
Athena W. Lin ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Teaching Hospital ◽  
Descriptive Analysis ◽  
Locally Advanced ◽  
University Teaching ◽  
Low Literacy ◽  
Clinicopathologic Characteristics ◽  
Cancer Burden ◽  
Southwestern Ethiopia ◽  
Jimma University

AbstractPurposeCervical cancer remains the second most common cancer and cancer-related death among women in Ethiopia. This is the first study, to our knowledge, describing the demographic, and clinicopathologic characteristics of cervical cancer cases in a mainly rural, Southwestern Ethiopian population with a low literacy rate to provide data on the cervical cancer burden and help guide future prevention and intervention efforts.MethodsA descriptive analysis of 154 cervical cancer cases at the Jimma University Teaching Hospital in Southwestern Ethiopia from January 2008 – December 2010 was performed. Demographic and clinical characteristics were obtained from patient questionnaires and cervical punch biopsies were histologically examined.ResultsOf the 154 participants with a histopathologic diagnosis of cervical cancer, 95.36% had not heard of cervical cancer and 89.6% were locally advanced at the time of diagnosis. Moreover, 86.4% of participants were illiterate, and 62% lived in a rural area.ConclusionA majority of the 154 women with cervical cancer studied at the Jimma University Teaching Hospital in Southwestern Ethiopia were illiterate, had not heard of cervical cancer and had advanced disease at the time of diagnosis. Given the low rates of literacy and knowledge regarding cervical cancer in this population which has been shown to correlate with a decreased odds of undergoing screening, future interventions to address the cervical cancer burden here must include an effective educational component.

scholarly journals Semen Parameters of Fertile Men Attending Tribhuvan University Teaching Hospital

2014 ◽  
Vol 9 (2) ◽  
pp. 87-91
Author(s):  
B Lamichhane ◽  
J R Baral ◽  
R Manandhar ◽  
A Shrestha
Keyword(s):  
Teaching Hospital ◽  
Sperm Concentration ◽  
University Teaching ◽  
Semen Parameters ◽  
Institute Of Medicine ◽  
Time To Pregnancy ◽  
Cross Sectional ◽  
Reference Limit ◽  
Progressive Motility ◽  
Reference Limits

Aims:  This study was done to analyze the semen parameters of fertile Nepalese men with a known time to pregnancy of less than or equal to 12 months and to compare the values obtained with the newer reference limit of WHO, 2010.Methods: A hospital based prospective cross- sectional study was conducted at Tribhuvan University Teaching Hospital, Institute of Medicine, from 15th April 2012 – 15th April 2013. Sixty fertile men with a known time to pregnancy (TTP) ≤ 12 months were included in the study and semen collection and analysis done at the laboratory of Department of Pathology. Results: The following one-sided reference limits, the fifth centile (with 95th percent confidence interval), were generated: semen volume, 1.0 ml (0.8-1.2); total sperm number, 25 million per ejaculate (11-39); sperm concentration, 10 million per ml (5-15); progressive motility, 15% (10-20); total (progressive plus non-progressive motility) motility, 30% (25 -35); vitality 50% (46-54); morphologically normal form, 99% (99.3- 99.4). Conclusions: The study concluded that only a single semen parameter cannot be conclusive of fertility, therefore combination of all semen parameters is more predictive. In addition the study also concluded that the semen parameters of Nepalese fertile men were found lower as compared to reference limits of WHO. DOI: http://dx.doi.org/10.3126/njog.v9i2.11772

scholarly journals Factors determining self-harm

1970 ◽  
Vol 32 (3) ◽  
pp. 14-17
Author(s):  
YL Shakya ◽  
R Acharya ◽  
MP Gupta ◽  
MR Banjara ◽  
PR Prasad
Keyword(s):  
Emergency Department ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Institute Of Medicine ◽  
Biochemical Tests ◽  
Cross Sectional ◽  
Delivery Of Care ◽  
Number Of Patients ◽  
Self Harm

Introduction: Self-harm forms a significant proportion of patient attending in emergency departments, typically 10-30 per 100000 people commit suicide annually. The objective of this study was to find out the factors responsible for self harm. Methods: This is a cross sectional study of 100 patients of self harm coming to Emergency Department of Tribhuvan University Teaching Hospital from 1stOctober 2007 to 31stMarch, 2008. Questionnaire about demographic information of patient along with details about cause of self harm, and any other illnesses associated was filled. Information about duration of arrival in emergency department, place of self harm was gathered. Patients were clinically examined and hematological and biochemical tests including liver function test and the type of poison used and its level in blood were examined. Results: Total number of patients with self harm was 100 (female - 71%; male- 29%).Among female, 16-30 years age group to be the largest (76%). Mean duration of arrival in emergency department was 3.08 hour. Metacid ingestion (29%) was found to be the most common cause for self harm. There is no difference of self harm for suicide and threat cause. Only 5% of patient with self harm has psychiatry illness in the past. Conclusions: Self harm forms a significant proportion of patient attending the Emergency department and the most common form of self harm used was metacid ingestion. There is compelling evidence for the need to improve delivery of care for patients who inflict self harm. Key words: Cause; emergency department; self harm. DOI: http://dx.doi.org/10.3126/joim.v32i3.4954 Journal of Institute of Medicine, December, 2010; 32:3 14-17

scholarly journals Chest X-Ray Findings Among Adult Patients Attending Usmanu Danfodiyo University Teaching Hospital Sokoto Northwestern Nigeria

2020 ◽  
Author(s):  
Mohammed Abacha ◽  
Isma'il Salima ◽  
Sadiq Abubakar Audu ◽  
Abubakar Umar ◽  
Gurama Aminu Dahiru ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Hypertensive Heart Disease ◽  
Adult Patients ◽  
University Teaching ◽  
Pathologic Finding ◽  
X Rays ◽  
X Ray ◽  
Number Of Patients ◽  
Male Preponderance ◽  
Chest X Ray

Background: Chest x-ray is the most frequently performed diagnostic examination particularly in patients with respiratory and cardiac diseases and for routine medical checkup and planning for surgery. A study on the image quality of chest x-rays had been conducted but the findings on the chest x-rays have not been studied in this tertiary health institution. This study aimed at revealing the most common pathologies and sex distribution of the pathologies on chest x-rays of adult patients attending the hospital. Materials and Methods: A retrospective study of 190 adult (aged 18 and above) patients’ chest x-ray reports was conducted using the existing reported documents of chest x-rays from the archives of Radiology Department of Usmanu Danfodiyo University Teaching Hospital (UDUTH) Sokoto from January 2018 - October 2019 using data capture sheet as instrument for data collection. Data was analyzed using Microsoft excel version 2010. Results: Out of the 190 chest x-rays, 54% were for male while 46% were for female patients with the highest number of patients in the 29-38 years age group. Most of the radiographs studied were normal examinations (38.95%). Moreover, the most common pathology was hypertensive heart failure (26.84%) with male preponderance (13.68%). Conclusion: Hypertensive heart disease is the most common pathologic finding of adult chest x-ray in the study area with elderly male preponderance.

scholarly journals Goals of older hospitalised patients: a qualitative descriptive study

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029993 ◽  
Author(s):  
Maria Johanna van der Kluit ◽  
Geke J Dijkstra ◽  
Sophia E de Rooij
Keyword(s):  
Teaching Hospital ◽  
Older Patients ◽  
Descriptive Study ◽  
University Teaching ◽  
Daily Functioning ◽  
Hospitalised Patients ◽  
Number Of Patients ◽  
Qualitative Descriptive ◽  
Multiple Chronic Diseases ◽  
Descriptive Method

ObjectivesSince the population continues ageing and the number of patients with multiple chronic diseases is rising in Western countries, a shift is recommended from disease oriented towards goal-oriented healthcare. As little is known about individual goals and preferences of older hospitalised patients, the aim of this study is to elucidate the goals of a diverse group of older hospitalised patients.DesignQualitative descriptive method with open interviews analysed with inductive content analysis.SettingA university teaching hospital and a regional teaching hospital.ParticipantsTwenty-eight hospitalised patients aged 70 years and older.ResultsSome older hospitalised patients initially had difficulties describing concrete goals, but after probing all were able to state more concrete goals. A great diversity of goals were categorised into wanting to know what the matter is, controlling disease, staying alive, improving condition, alleviating complaints, improving daily functioning, improving/maintaining social functioning, resuming work/hobbies and regaining/maintaining autonomy.ConclusionsOlder hospitalised patients have a diversity of goals in different domains. Discussing goals with older patients is not a common practice yet. Timely discussions about goals should be encouraged because individual goals are not self-evident and this discussion can guide decision making, especially in patients with multimorbidity and frailty. Aids can be helpful to facilitate the discussion about goals and evaluate the outcomes of hospitalisation.

scholarly journals Status of Thyroid Disorders in Central Nepal: A Tertiary Care Hospital Based Study

2015 ◽  
Vol 3 (1) ◽  
pp. 119-122
Author(s):  
RV Mahato ◽  
B Jha ◽  
KP Singh ◽  
BK Yadav ◽  
SK Shah ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Thyroid Dysfunction ◽  
Tertiary Care ◽  
University Teaching ◽  
Overt Hypothyroidism ◽  
Care Hospital ◽  
Institute Of Medicine ◽  
Major Health Problem ◽  
Major Health ◽  
Central Nepal

Background: Nepal is a Himalayan, landlocked country surrounded by India and China. It is endemic for iodine deficiency disease. Thyroiddysfunction is major health problem among the Nepalese people. Its prevalence increases with age. Screening of thyroid disease is advised inhigh risk population. Objectives: To find out the prevalence of thyroid dysfunction among subjects who attended Biochemistry Departmentof Tribhuwan University Teaching Hospital, Kathmandu, Nepal. Material and Methods: This is a hospital based retrospective studyconducted in the Department of Biochemistry Tribhuwan University Teaching Hospital, Institute of Medicine. This study was designed toinvestigate status of thyroid dysfunction in central Nepal. A total of 5230 cases from all over Nepal were studied in a single year. Blood sampleswere collected, serum separated and thyroid hormones (fT3, fT4 and TSH) were assayed by Vitros ECIQ analyser Ortho Clinical DiagonosticsUSA. Result and discussion: Among 5230 subjects prevalence of thyroid dysfunction was 29.0% with subclinical hypothyroidism17%,hypothyroidism 8%, hyperthyroidism 3%, subclinical hyperthyroidism1% and euthyroidism 71%.Higher prevalence was seen in the age group31-45. Conclusion: This study revealed that subclinical and overt hypothyroidism is preponderant followed by sub clinical hyperthyroidism.Females are more vulnerable to the thyroid dysfunction. Since it is a hospital based study, the prevalence of thyroid dysfunction may not beapplicable. So an extensive demographic survey should be done to provide accurate data of thyroid dysfunction in the general populationDOI: http://dx.doi.org/10.3126/ijasbt.v3i1.12218     Int J Appl Sci Biotechnol, Vol. 3(1): 119-122 

scholarly journals Incidence of Congenital Fetal Malformation Abnormalities in Tribhuban University, Teaching Hospital, Kathmandu, Nepal: a Hospital Based Study

2021 ◽  
Vol 3 (1) ◽  
pp. 30-33
Author(s):  
Sunita Bajracharya ◽  
Deepak Rajbhandari ◽  
Binaya Gurung ◽  
Asma Rana
Keyword(s):  
Birth Defects ◽  
Teaching Hospital ◽  
International Classification Of Diseases ◽  
University Teaching ◽  
Fetal Malformation ◽  
Institute Of Medicine ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
A Prospective Study ◽  
First Year Of Life

Background : Birth defects are defined as abnormalities of structure or function, which are present at birth. Major birth defects are abnormalities that lead to developmental or physical disabilities or require medical or surgical treatment and they're the leading cause of death in the first year of life. The objective of this study is to find the incidence of congenital abnormalities in this institution. Methods: This was a prospective study conducted in Institute of  Medicine, Maharajgunj Medical Campus, Tribhuwan  University Teaching Hospital  from 14th April 2015 to 11th  Feb ,2016 . All the delivered babies in this hospital during the study period were included. All the birth cases of gross congenital fetal malformation were identified and carefully studied and were classified according to the International Classification of diseases (ICD-10). Results: Total number of congenital fetal malformation abnormalities (CMF) delivered during this period was 94 (1.13%) in total 8300 birth /7868 live birth. CMF were categorized as, Musculoskeletal - 25.55%, CNS - 17.02%, Gastrointestinal -13.33%, Renal 14.25%, Cardiac -10.63%,  Respiratory -10.6%, craniofacial -  9.57%, Genitouriary - 8.51%,  and Miscellaneous - 9.57%. Conclusion: Birth abnormalities incompatible to life needs to be timely diagnosed and terminated, whereas as those compatible to life should be given a chance to be born and cared thereafter. All the mothers who have, had previous malformed babies must undergo preconceptional counseling, before planning next pregnancy in order to avoid recurrent mishap.  

scholarly journals Role of Laparoscopy in Management of Nonpalpable Undescended Testis in Children

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
E F Ibrahim ◽  
S M Abdelameguid ◽  
A S Hussein ◽  
I A A Abdelhai
Keyword(s):  
Teaching Hospital ◽  
Undescended Testis ◽  
Convincing Evidence ◽  
University Teaching ◽  
Preoperative Imaging ◽  
Testicular Descent ◽  
Number Of Patients ◽  
Wide Range ◽  
Impalpable Testis

Abstract Background Normal testicular descent relies on a complex interplay of numerous factors. Any deviation from the normal process can result in an undescended testis (UDT). UDT is a common abnormality that carries fertility and malignancy implications. Aim of the Work The aim of this study is Evaluation of the role of laparoscopy in diagnosis and management of clinically impalpable testis. Patients and Methods Nineteen male patients were included in this study with twenty two non-palpable testes. All these patients were subjected to diagnostic laparoscopy & the subsequent decision was then based on the laparoscopic finding. There was no age limit for the procedure. The procedure was carried in Ain Shams University teaching hospital and El-mataria teaching hospital. Results The study included nineteen patients with twenty two non-palpable testes. Age at presentation was averaging 18.5 ± 12.5 months. Our study may present convincing evidence that laparoscopy has significant advantage over imaging procedures. Preoperative imaging proved inaccurate in determining testicular position in 10 of the 22 testes (45.5%) this is in agreement with many studies which reported that ultrasonography helped to identify only 45% of non palpable testis. Conclusion This study tried to assess roughly the effectiveness of laparoscopy as a diagnostic tool and treatment of non-palpable undescended testis. This study dealt with a very small number of patients and this issue still needs more researches to study all the benefits and disadvantage and shall need further study on a wide range of patients.

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