item: #1 of 207 id: jlmc-1 author: Acharya, Anup; Singh, Madan Mohan; Sah, Sushil Kumar title: Aerodigestive and Ear Foreign Bodies at Lumbini Medical College date: 2013-06-30 words: 2042 flesch: 71 summary: Objective: The aim of this study is to analyze different types of foreign bodies and sociodemographic correlates of self-inflicted foreign body insertion in ear, nose and throat. Foreign body of ear was found to be most frequent (43%) followed by throat (37%) and nose (20%). keywords: bodies; body; ear; foreign; nose; study; throat cache: jlmc-1.pdf plain text: jlmc-1.txt item: #2 of 207 id: jlmc-10 author: Paudel, M S; Kafle, Anjana; Chhetri, Bishal Khatri; Dhungana, Sahadev Prasad; Poudel, Anuj; ., Shamsuddhin title: Characteristics of Patients with Tuberculous Pleural Effusion in Rural Nepal date: 2013-06-30 words: 2251 flesch: 50 summary: The purpose of this study was to assess the demographic characteristics of patients presenting with pleural effusion in rural Nepal. Methods: A retrospective study was conducted with all the cases diagnosed and admitted with pleural effusion at Lumbini Medical College And Teaching Hospital from April 2011 to March 2013 of all the cases diagnosed and admitted with pleural effusion were included in the study. keywords: chest; effusion; fluid; med; patients; study; tuberculosis cache: jlmc-10.pdf plain text: jlmc-10.txt item: #3 of 207 id: jlmc-11 author: Sapkota, Prakash; Tambey, Y B; Thapa, Sunil; Shakya, Rajan title: Initial Experience of Percutaneous Nephrolithotomy at Lumbini Medical College date: 2013-06-30 words: 2684 flesch: 56 summary: Since ,the early 1980s when percutaneous nephrolithotomy (PCNL) was established for management of renal stones, open surgical procedures have virtually been replaced. Keywords: experience • percutaneous nephrolithotomy (PCNL) • renal stones • upper ureteric calculi ——————————————————————————————————————————————— ___________________________________________________________________________________ a - Lecturer b - Professor c - Medical Officer d - Department of Surgery Lumbini Medical College Teaching Hospital, Palpa, Nepal Corresponding Author: Dr. Prakash Sapkota e-mail: sheetal_sapkota@yahoo.com How to cite this article: Sapkota P, Tambay YB, Thapa S, Shakya R. Initial experience of percutaneous nephrolithotomy at Lumbini Medical College. keywords: nephrolithotomy; patients; pcnl; percutaneous; renal; stones cache: jlmc-11.pdf plain text: jlmc-11.txt item: #4 of 207 id: jlmc-12 author: Shah, Sarita; Pokharel, Nabin title: Knowledge Regarding Self Care Measures and Quality of Life among Patients with Chronic Renal Failure undergoing Hemodialysis date: 2013-06-30 words: 3390 flesch: 56 summary: This study aims to assess the knowledge on self care measured by structured knowledge questionnaire, assess the quality of life measured by WHO QOL-BREF Scale and try to find out the relationship between knowledge of self care measures and quality of life among chronic renal failure patients undergoing haemodialysis. The tool used for gathering relevant data was a structured questionnaire on knowledge of self care measures and WHO QOL-BREF scale among CRF patient undergoing Haemodialysis. keywords: care; disease; findings; kidney; knowledge; life; measures; minimum; patients; quality; self; study cache: jlmc-12.pdf plain text: jlmc-12.txt item: #5 of 207 id: jlmc-13 author: Sharma, Nil Raj; Timalsena, Pradeep; Chhetri, Sundip Dware; Panthee, Sarad title: Hemodynamic Changes During Laproscopic Cholecystectomy at Lumbini Medical College date: 2013-06-30 words: 1805 flesch: 56 summary: Old patients are more prone to haemodynamic changes than are younger Hg 25.45% Table 3 shows that haemodynamic changes with respect to mean arterial pressure and heart rate are increased by 31.70% and 28.76 % respectively at the end of surgery but there is minimal change at 5 and 10 minutes. keywords: changes; cholecystectomy; co2; patients; pneumoperitoneum; pressure cache: jlmc-13.pdf plain text: jlmc-13.txt item: #6 of 207 id: jlmc-14 author: Shrestha, Buddhi Kumar; Jain, Sushila; Maskey, Roshi; Banu, Hasena title: Comparative Evaluation of 25µg and 50µg of travaginal Misoprostol for Induction of Labor date: 2013-06-30 words: 1745 flesch: 62 summary: Results: The onset of contraction was earlier in group B in 34 cases as compared to group A, where only 25 cases had earlier contraction ( P> 0.05). The study included 100 cases pregnant females, out of which 50 cases received 25 g (group A) or 50 cases received 50 g (group B) misoprostol intravaginaly in posterior vaginal fornix. keywords: cases; group; induction; misoprostol cache: jlmc-14.pdf plain text: jlmc-14.txt item: #7 of 207 id: jlmc-16 author: Pokharel, Nabin title: Journal of Lumbini Medical College Editorial Policy date: 2013-06-30 words: 1544 flesch: 71 summary: Ar� cles for publica� on will only be accepted a� er ge� ng signed declara� on from the author that the manuscript has not been submi� ed elsewhere for publica� on. The fi gures should not be iden� fi able unless it is accompanied by wri� en permission of the subject. keywords: journal; ons; text cache: jlmc-16.pdf plain text: jlmc-16.txt item: #8 of 207 id: jlmc-166 author: Godar, Manita Sunam; Shrestha, Ruchi; Godar, Krishna Chandra title: Ectopic Eyelid Cilia in a 15 years old Girl: A Rare Presentation date: 2018-10-26 words: 1283 flesch: 51 summary: All anterior examples of ectopic cilia have been located in the lateral aspect of the upper eyelid.[2] The first reported case of ectopic cilia was described in 1936 by Weigmann in Godar MS. keywords: case; cilia; ectopic; eyelid; girl cache: jlmc-166.pdf plain text: jlmc-166.txt item: #9 of 207 id: jlmc-19 author: Thakur, Chandan Kumar; Khanal, L K; Jain, S K; Lamichhane, B; Paudel, Anuj title: Extrapulmonary Tuberculosis: A retrospective Study at a tertiary care hospital in Palpa, Nepal date: 2013-12-30 words: 1557 flesch: 67 summary: Extrapulmonary TB can aff ect any body parts and mostly it involves Lymph nodes, peritoneum, pleura, bone etc. Age wise, EPTB was found to be highest among young age group of 21-40 years (32.0%), whereas the lowest number of EPTB cases was among age groups less than ten years as shown in Table.1. keywords: eptb; nepal; prevalence; study; tuberculosis cache: jlmc-19.pdf plain text: jlmc-19.txt item: #10 of 207 id: jlmc-20 author: Joshi, Keshab Raj; Devi, S P; Lanjikar, P P title: Evaluation of biochemical marker for bone turnover in post menopausal women date: 2013-12-30 words: 1953 flesch: 54 summary: The present study analyse the serum calcium level and ALP level in post menopausal women and compared with the pre menopausal women. Table 3: Pearson correla on coeffi cient of serum calcium and serum ALP levels in post menopausal women. keywords: bone; calcium; group; menopausal; post; serum; women cache: jlmc-20.pdf plain text: jlmc-20.txt item: #11 of 207 id: jlmc-207 author: Chhetri, Raj Kumar; Baral, Suman; Thapa, Neeraj title: Metabolic Syndrome and Benign Prostatic Hyperplasia: A Nepalese Perspective date: 2018-07-18 words: 2793 flesch: 61 summary: It is closely associated with many diseases and recent studies have also shown its association with benign prostatic hyperplasia and lower urinary tract symptoms. Our study aimed to investigate association between metabolic syndrombe and its components with benign prostatic hyperplasia among patients managed surgically in a tertiary centre in Western Nepal. keywords: components; hyperplasia; metabolic; mets; patients; prostate; prostatic; size; syndrome cache: jlmc-207.pdf plain text: jlmc-207.txt item: #12 of 207 id: jlmc-21 author: Ghimire, Madhusudhan; Ghimire, Maushami title: Prevalence of Low Calorie Intake by Rural Families in Palpa District of Nepal date: 2013-12-30 words: 2675 flesch: 63 summary: Prevalence of low calories intake by rural family is widespread throughout the country popula on. Conclusion: low calorie intake by ethnic group was considerably higher than other groups in community. keywords: calories; families; food; intake; nepal; nutri; onal; ons; type cache: jlmc-21.pdf plain text: jlmc-21.txt item: #13 of 207 id: jlmc-212 author: Dongol Singh, Srijana; Shrestha, Ranendra Prakash Bahadur; Shrestha, Asim title: Etiological Profile of Neonatal Seizures and Prognostic Factors for Adverse Outcome: A Single Center Prospective Study date: 2018-11-30 words: 4274 flesch: 63 summary: Neonatal seizure is the most common manifestation and an important determinant of outcome of neurological disorders in newborn period. This study aims to delineate the etiological profile and neurodevelopmental outcome of neonatal seizures and also to identify predictors for adverse outcome. keywords: apgar; developmental; factors; multiple; neonatal; neonates; outcome; risk; seizure; study cache: jlmc-212.pdf plain text: jlmc-212.txt item: #14 of 207 id: jlmc-214 author: Acharya, Sumnima; Tiwari, Awadesh; Sharma, Rupesh title: Placental Thickness and Its Correlation with Gestational Age: A Cross-sectional Ultrasonographic Study date: 2018-12-21 words: 3003 flesch: 57 summary: Published: 21 December, 2018 a - Assistant Professor, Department of Radiodiagnosis b - Associate Professor and Head, Department of Radiodiagnosis c - Lecturer, Department of Radiodiagnosis d - Lumbini Medical College and Teaching Hospital, Pravas, Palpa Corresponding Author: Sumnima Archarya e-mail: doctorsumnima@gmail.com ORCID: https://orcid.org/0000-0001-8612-671X_______________________________________________________ —–————————————————————————————————————————————— ABSTRACT: Introduction: Placenta grows in size with the advancement of gestational age (GA) and plays an important role for delivery of nutrients from mother to fetus. It grows in size with the advancement of gestational age (GA) and plays an important role for delivery of nutrients from mother to fetus.[2] Last menstrual period (LMP) and clinical methods such as first fetal movements and uterine fundal height measurement were initially used for the evaluation of gestational age. keywords: age; correlation; journal; placental; study; thickness cache: jlmc-214.pdf plain text: jlmc-214.txt item: #15 of 207 id: jlmc-218 author: Paudel, Laxman; Kalakheti, Balkrishna; Sharma, Kiran title: Prevalence and Outcome of Preterm Neonates Admitted to Neonatal Unit of a Tertiary Care Center in Western Nepal date: 2018-12-08 words: 3222 flesch: 53 summary: Advances in the management have ensured better survival of preterm births, however cost, care and resource limitations influence the outcome. Common risk factors for preterm births were Prelabour Rupture of Membrane (31.2%) followed by Hypertensive Disorders in Pregnancy (15.1%) and Antepartum Hemorrhage (8.6%). keywords: admissions; birth; care; neonatal; outcome; preterm; risk; study; unit; weeks cache: jlmc-218.pdf plain text: jlmc-218.txt item: #16 of 207 id: jlmc-228 author: Kafle, Ram Chandra; Paudel, Navaraj; Jha, Girija Shankar; Sharma, Dibya; Alurkar, Vijay Madhav title: Factors associated with pre-hospital delay before reperfusion therapy in patients with ST-segment elevation myocardial infarction date: 2018-09-16 words: 3519 flesch: 58 summary: Pre-hospital delay is a major obstacle for early reperfusion therapy and has negative impact on mortality and left ventricle function. The duration from onset of symptoms to the presentation in the emergency room (pre-hospital delay) was 12.66 hrs (SD=14.19, range = 30 min to 72 hrs). keywords: acute; delay; elevation; factors; hospital; infarction; patients; pmid; pre; prehospital; study; time cache: jlmc-228.pdf plain text: jlmc-228.txt item: #17 of 207 id: jlmc-23 author: Jain, Sushila; Jain, S K; Paudel, Anuj title: Clinico-Pathological Study of ovarian tumors: A two years study at LMC & Teaching Hospital, Tansen – 11, Parvas, Palpa. date: 2013-12-30 words: 1465 flesch: 68 summary: 2.indd 70 Original Article L M Coll J 2013; 1(2): 70-73 Clinico-Pathological Study of ovarian tumors: A two years study at LMC & Teaching Hospital, Tansen – 11, Parvas, Palpa Jain S, Jain SK and Poudel A Department of Obstetrics & Gynaecology, LMC Tansen-11, Parvas, Palpa Corresponding author: Dr. Sushila Jain (MD), Lecturer in Obstetrics and Gynecology, Lumbini Medical College, Tansen-11, Parvas, Palpa, Nepal ABSTRACT Ovarian neoplasm is the commonest condi on observed in gynecology prac ce. Oophrectomy/Hysterectomy and Oophrectomy was performed on pa ent suff ering from ovarian tumors and the specimens were sent to Pathology department LMC & Teaching Hospital for their histological study. keywords: cases; study; tumor; years cache: jlmc-23.pdf plain text: jlmc-23.txt item: #18 of 207 id: jlmc-238 author: Dongol, Udaya Man Singh; Bohora, Sandeep title: Outcome of Percutaneous Nephrolithotomy in Horseshoe Kidneys date: 2018-08-16 words: 3942 flesch: 60 summary: Incidence and characteristics of kidney stones in patients with horseshoe kidneys: A systematic review and meta-analysis. The first report of percutaneous nephrolithotomy in horseshoe kidney was made by Wickkam and Kellet in 1981 and by Clayman in 1983.[14] The anatomic and vascular anomalies in horseshoe kidneys increase the technical complexity and makes the management of stone in horseshoe kidneys by percutaneous nephrolithotomy challenging, despite the higher stone free rate with minimal major complications. keywords: horseshoe; horseshoe kidneys; kidneys; nephrolithotomy; patients; rate; stone; study; units cache: jlmc-238.pdf plain text: jlmc-238.txt item: #19 of 207 id: jlmc-24 author: Acharya, Sushma; Acharya, S title: Maternal Mortality: Sharing Experience from Banke District date: 2013-12-30 words: 1450 flesch: 66 summary: Sharing Experience from Banke District Acharya S1 and Shanta A2 1College of Nursing, Lumbini Medical College, Palpa, Nepal, 2Plan International Nepal, Nepalgunj, Banke, Nepal Corresponding author: Shusma Acharya, Lecturer, College of Nursing, Lumbini Medical College, Palpa, Nepal ABSTRACT Maternal mortality is a global burden, with more than 500,000 women during each year due to pregnancy and childbirth related complica ons.1 Globally, 60-80% of maternal deaths are due to obstetric complica ons, these are hemorrhage, sepsis (infec on), obstructed labour and hypertensive disorder of pregnancy and complica ons of unsafe abor on.² OBJECTIVE: The maximum number of maternal deaths was from Madheshi and Muslim community, most of them were illiterate. keywords: health; maternal; mortality; nepal; study cache: jlmc-24.pdf plain text: jlmc-24.txt item: #20 of 207 id: jlmc-248 author: Kharbuja, Kalpana; Sharma, Mahesh; Sharma, Nil Raj title: Comparative Evaluation of Effectiveness of Intravenous Paracetamol and Intravenous Diclofenac as Post-operative Analgesia in Laparoscopic Cholecystectomy date: 2018-11-03 words: 3596 flesch: 54 summary: seven patients complained of post-operative nausea in Group B. DISCUSSION: Post-operative pain is one of the primary concerns because of its close ties with clinical outcome and acute post-operative well being.[7,8] Pain is often associated with autonomic, endocrine-metabolic, physiological and behavioral response.[9] Unlike in the past, concerns about adverse effects have limited the role of opioids in post-operative pain management. keywords: analgesia; diclofenac; group; intravenous; mean; pain; paracetamol; patients; post; rate; study cache: jlmc-248.pdf plain text: jlmc-248.txt item: #21 of 207 id: jlmc-250 author: Singh, Jeevan; Shrestha, Ashish; Kharbuja, Kalpana; Tandukar, Alex; Shrestha, Abha title: Minimal Local Analgesic Dose of Intrathecal Bupivacaine and Ropivacaine in Patients Undergoing Cesarean Section: A Comparative Study date: 2019-02-13 words: 3259 flesch: 56 summary: Eight participants in bupivacaine group and six in ropivacaine group required ephedrine for correction of hypotension. Vol 7, No 1, Jan-Jun 2019 potency of intrathecal ropivacaine and bupivacaine administration, especially in obstetric practice. keywords: anesthesia; cesarean; dose; intrathecal; pmid; ropivacaine; section; spinal; study cache: jlmc-250.pdf plain text: jlmc-250.txt item: #22 of 207 id: jlmc-255 author: Khanal, Jeevan; Pandey, Tilchan; Godar, Krishna title: Echocardiographic profile of patients with cardiomyopathy date: 2018-07-12 words: 2489 flesch: 54 summary: Mean age of males was significantly higher than that of females (60.96 yrs, SD = 13.61 versus 51.62 yrs, SD = 13.47) in dilated cardiomyopathy subgroup (p < 0.05). Echocardiographic Profile of Patients with Cardiomyopathy Jeevan Khanal,a,c Tilchan Pandey,b,c Krishna Godarb,c —–————————————————————————————————————————————— ABSTRACT: Introduction: Cardiomyopathies represent a heterogeneous group of diseases that often lead to progressive heart failure with significant morbidity and mortality. keywords: age; cardiomyopathy; dcm; heart; ischemic; patients; study cache: jlmc-255.pdf plain text: jlmc-255.txt item: #23 of 207 id: jlmc-256 author: Pokharel, Bandana; Sharma, Bhaskkar; Acharya, Anup title: Insomnia, its Prevalence, Associated Factors and Effects on Old Age: A Cross-Sectional Study date: 2018-12-30 words: 2816 flesch: 47 summary: The objective of this study was to assess the prevalence of insomnia, its associated factors and effects in old age adults. This study, therefore, aims to identify the prevalence of insomnia, its associated factors and effect in old age adults in a Nepalese community. keywords: age; effects; factors; insomnia; population; prevalence; sleep; study cache: jlmc-256.pdf plain text: jlmc-256.txt item: #24 of 207 id: jlmc-26 author: Mikrani, Jameel Akhthar; Sharma, U; Thapa, Sudeep title: Clinical Study of Pemphigus in Lumbini Medical College date: 2013-12-30 words: 1547 flesch: 69 summary: Conclusion: Pemphigus vulgaris (PV) is the most common clinical subtype in our centre. Pemphigus vulgaris 2. keywords: cases; pemphigus; treatment; vulgaris cache: jlmc-26.pdf plain text: jlmc-26.txt item: #25 of 207 id: jlmc-262 author: Bhatta, Anwesh; Basnet, Rydam title: Trend of Breastfeeding and its Impact on Morbidity in Children in a Tertiary Care Hospital in Kathmandu date: 2019-04-26 words: 4277 flesch: 62 summary: Males were 58 in number(56.3%) while Bhatta A. et al. Vol 6, No 2, July-Dec 2018 females were 45(43.7%). keywords: age; babies; breastfeeding; children; incidence; infants; life; months; study cache: jlmc-262.pdf plain text: jlmc-262.txt item: #26 of 207 id: jlmc-264 author: Baral, Suman; Thapa, Neeraj; Chhetri, Raj Kumar; Sharma, Rupesh title: A Comparative Analysis Between RIPASA and Alvarado Scoring Systems for the Diagnosis of Acute Appendicitis- A Nepalese Perspective date: 2018-12-31 words: 2749 flesch: 47 summary: Table 4 summarizes different variables at optimal cut-off level of >7.5 for RIPASA score and >7 for Alvarado score. With the cut-off value greater than 7.5 for RIPASA score; sensitivity, specificity, positive predictive value, negative predictive value, diagnostic accuracy and negative appendectomy rates were 94.5%, 27.27 %, 92.16 %, 37.5 %, 88.18% and 7.84% respectively. keywords: alvarado; appendicitis; diagnosis; ripasa; score; scoring; sensitivity; system cache: jlmc-264.pdf plain text: jlmc-264.txt item: #27 of 207 id: jlmc-266 author: Sharma, Bhaskkar; Devkota, Anup; Pant, Suresh Chandra title: Psychiatric Comorbidities in Patients with Alcohol Dependence Syndrome in a Tertiary Care Center: A Cross-Sectional Study date: 2018-12-27 words: 2653 flesch: 47 summary: Klimkiewicz A, Klimkiewicz J, Jakubczyk A, Kieres-Salo- moński I, Wojnar M. Comorbidity of alcohol dependence with other psychiatric disorders. A co-morbidity of alcohol dependence with other psychiatric disorders in young adult Mexican Americans. keywords: alcohol; comorbidity; dependence; disorder; illness; patients; psychiatric; study cache: jlmc-266.pdf plain text: jlmc-266.txt item: #28 of 207 id: jlmc-268 author: Koju, Bibek; Chaudhary, Shaligram; Shrestha, Anupama; Joshi, Lok Raj title: Cardio-respiratory Fitness in Medical Students by Queen’s College Step Test: A Cross-sectional Study date: 2019-06-28 words: 3003 flesch: 64 summary: A simple step test to estimate cardio respiratory fitness levels of rheumatoid arthritis patients in a clinical setting. Nabi T, Rafiq N, Qayoom O. Assessment of cardiovascular fitness [VO2max] among medical students by Queens College step test. keywords: basal; bmi; cardio; fitness; medical; students; study; test; vo2max cache: jlmc-268.pdf plain text: jlmc-268.txt item: #29 of 207 id: jlmc-27 author: Acharya, Anup; Singh, Madan Mohan; Shrestha, Arati; Pokharel, Bandana title: Ear Nose Throat (ENT) disorders in Government Schools of Far-Western Nepal date: 2013-12-30 words: 1920 flesch: 70 summary: Conclusions: ENT diseases and specially ear diseases are important health problems among school children of Nepal. There are no reliable data on the current prevalence of ENT disorders in school children. keywords: children; diseases; ear; health; nepal; school; students; study cache: jlmc-27.pdf plain text: jlmc-27.txt item: #30 of 207 id: jlmc-272 author: Sah, Sanjay Kumar; Jeelani, Bashir Ahmed title: Hand Index- A Forensic Tool for Sexual Dimorphism date: 2019-06-05 words: 2487 flesch: 63 summary: Figuring out hand index from measurement of hand dimensions is a convenient way to determine sexual dimorphism. Conclusion: Hand dimensions and hand index can be reliably used to determine sex in medicolegal cases, especially where isolated hand is obtained. keywords: dimensions; female; hand; index; male; right; sex cache: jlmc-272.pdf plain text: jlmc-272.txt item: #31 of 207 id: jlmc-273 author: Sharma, Rupesh; Tiwari, Awadhesh; Dwivedi, Rajeev title: Pattern of Lumbar MRI Changes in Patients with Chronic Low Back Pain in a Tertiary Care Center date: 2018-12-29 words: 2777 flesch: 59 summary: This study was done to see the patterns of MRI changes in patients with chronic low back pain in a tertiary care center in Western Nepal. MRI changes were noted in over 95% of the cases. keywords: changes; chronic; disc; lbp; lumbar; mri; pain; patients; study cache: jlmc-273.pdf plain text: jlmc-273.txt item: #32 of 207 id: jlmc-275 author: Aryal, Shreyashi title: Integration of Physical and Mental Health: A Reproductive Health Necessity date: 2019-02-10 words: 1103 flesch: 50 summary: In low income nations, where basic health care is still a struggle, mental health of women is low priority but if we want to reduce gender disparity, then it is necessary to combine physical and mental heath and give our women a sound mind in a sound body. Mental health aspects of women's reproductive health: a global review of the literature. keywords: care; health; integration; women cache: jlmc-275.pdf plain text: jlmc-275.txt item: #33 of 207 id: jlmc-276 author: Nepal, Samata; Atreya, Alok; Kanchan, Tanuj title: Clinico-epidemiology of Hymenoptera Stings in and around Kaski District, Nepal. date: 2019-12-29 words: 3310 flesch: 66 summary: Methods: This hospital-based study included all the patients with history of insect sting attending the Emergency Department of Manipal Teaching Hospital, Pokhara from May 2015 till November 2015. Though isolated cases of insect stings are reported from different regions, detailed analysis of insect stings and their outcomes are lacking in literature. keywords: cases; health; hymenoptera; insect; nepal; patients; stings; study; wasp cache: jlmc-276.pdf plain text: jlmc-276.txt item: #34 of 207 id: jlmc-28 author: Chhetri, Bishal Karki; Paudel, Mukesh Sharma; Dhungana, Sahadev Prashad; ., Shamsuddin title: Clinical profile of patients with acute coronary syndrome in Lumbini Medical College and Teaching Hospital: A prospective study date: 2013-12-30 words: 2539 flesch: 69 summary: 2.indd 89 Clinical profi le of pa ents with acute coronary syndrome in Lumbini Medical College and Teaching Hospital: A prospec ve study Che ri BK, Paudel MS, Dhungana SP and Shamsuddin Lumbini Medical College and Teaching Hospital (LMCTH), Palpa, Nepal Corresponding author: Dr. Bishal KC, Department of Internal Medicine, Lumbini Medical College and Teaching Hospital, Palpa, Nepal; e-mail: bishalk@gmail.com ABSTRACTS Background: The clinical profi le among pa ents with acute coronary syndromes (ACS) is not well studied in this western part of Nepal where Lumbini Medical College and Teaching Hospital (LMCTH) is situated. Circadian varia on study showed peak incidence of acute coronary syndrome during the early morning hours. keywords: acs; acute; chest; ents; hospital; mean; stemi; study cache: jlmc-28.pdf plain text: jlmc-28.txt item: #35 of 207 id: jlmc-280 author: Karki, Naresh; Joshi, Ruban Raj; Shrestha, Buddhi Kumar; Prasad, Pravin title: Drug Utilization Pattern by Using WHO Core Prescribing Indicators in Orthopedics and Obstetrics / Gynecology Departments of a Tertiary Care Hospital date: 2019-06-21 words: 3262 flesch: 50 summary: Therefore, prioritization on prescribing drugs by generic name and from essential drug list by respective departments to achieve the standards of WHO needs to be encouraged. Since many pharmaceutical companies develop and manufacture better drugs in terms of efficacy and safety, so that they promote the practice of prescribing drugs by brand name among the doctors in order to return the cost of manufacturing of drugs. keywords: department; drugs; list; number; orthopedics; pattern; prescribing; study cache: jlmc-280.pdf plain text: jlmc-280.txt item: #36 of 207 id: jlmc-281 author: Gupta, Sharad; Aryal, Manoj; Rajbhandari, Yogita; Adhikari, Ajay; Kamble, Vinit Kumar; Aryal, Binod title: Central Retinal Artery Occlusion Associated with Atrial Septal Defect: A Case Report date: 2019-06-25 words: 1689 flesch: 47 summary: Transthoracic echocardiogram revealed acyanotic congenital heart disease, large ASD (secundum type with left to right shunt) with a diameter of 28 mm, mild tricuspid regurgitation with mild pulmonary artery hypertension and dilated right atrium and right ventricle (Fig. 3). Fig 3.Echocardiogram of the patient shows large ostium secundum ASD with left to right shunt (yellow arrow) (A), dilated right atrium and right ventricle (B) by a transthoracic approach. keywords: artery; crao; defect; doi; eye; left; right cache: jlmc-281.pdf plain text: jlmc-281.txt item: #37 of 207 id: jlmc-282 author: Tamrakar, Suman Raj; Kayastha, Bhagirathi title: Paradigm Shift in Gynecological Surgeries Over Eight Years in Dhulikhel Hospital. date: 2019-12-31 words: 3058 flesch: 50 summary: The mean ages of hysterectomy cases were 45.14±7.41 and 45.46±6.6 years (p=0.7474) and of ovarian cystectomy cases were 30.58±11.70 and 29.52±8.90 years (p=0.4717) in the two time periods. Experiences of gynecological laparoscopic surgeries in a teaching hospital. keywords: cases; dhulikhel; hysterectomy; laparoscopic; paradigm; shift; surgeries; years cache: jlmc-282.pdf plain text: jlmc-282.txt item: #38 of 207 id: jlmc-284 author: Baral, Suman; Chhetri, Raj Kumar; Thapa, Neeraj title: Axial Torsion and Meckel’s Diverticulitis: A Diagnostic Conundrum date: 2019-12-31 words: 1560 flesch: 50 summary: Exploratory laparotomy showed axial twisting of diverticulum about 10 x 5 cm arising from anti-mesenteric border around 50 cm proximal to ileo-caecal junction with a fibrous band attached to the fundus and ileum leading to gangrenous diverticulum with clumping of bowel loops along with omental covering. 2. Axial twisting of diverticulum with a fibrous band attached to the fundus and ileum leading to gangrenous diverticulum. keywords: baral; diverticulum; doi; meckel; torsion cache: jlmc-284.pdf plain text: jlmc-284.txt item: #39 of 207 id: jlmc-285 author: Pokharel, Bandana; Sharma, Bhaskkar title: Depression and its Associated Risk Factors among Residents of a Geriatric Home in Western Nepal date: 2019-06-26 words: 2820 flesch: 52 summary: The trend of old age homes is rising in Nepal. WHO estimates that depression will rank second to heart disease by 2020 in terms of global disability.[4] Various studies have shown that a range of biological and social factors like increased age, economic status, social reaction, dissatisfaction with the old age, behavior of family members, gender, history of physical illness etc. are significant factors associated with depression in elderly.[3,5,6] The trend of old age homes is in rise in Nepal. keywords: age; depression; factors; geriatric; home; journal; population; study cache: jlmc-285.pdf plain text: jlmc-285.txt item: #40 of 207 id: jlmc-286 author: Lamichhane, Anita; Mishra, Aparna title: Correlation between C - Reactive Protein and Blood Culture in Neonatal Sepsis at a Tertiary Care Centre in Western Nepal date: 2019-11-17 words: 3196 flesch: 61 summary: Results: Out of 245 patients admitted with clinical suspicion of sepsis, 104 (42.45%, 95% CI: 36.18-48.90%) were blood culture proven sepsis. The proportion of blood culture proven sepsis in our study (42.45%) was comparable to the study done by Thakur et al. keywords: blood; blood culture; crp; culture; doi; journal; neonatal; protein; sepsis; study cache: jlmc-286.pdf plain text: jlmc-286.txt item: #41 of 207 id: jlmc-287 author: KC, Sudikshya; Shrestha, Subina; Bhattarai, Laxmi title: Nasal Parameters and Facial Index in Medical Undergraduates: A Cross Sectional Study date: 2019-12-30 words: 3623 flesch: 62 summary: Key words: Anthropometric, Facial index, Nasal index, Sexual dimorphism Original Research Articlehttps://doi.org/10.22502/jlmc.v7i2.287 Sudikshya KC,a,b Subina Shrestha,a,b Laxmi Bhattaraia,c Nasal Parameters and Facial Index in Medical Undergraduates: A Cross Sectional Study INTRODUCTION: Nose and face can be classified into different types according to nasal index and facial index. keywords: face; index; indian; nasal; nepalese; nose; study; type cache: jlmc-287.pdf plain text: jlmc-287.txt item: #42 of 207 id: jlmc-29 author: Ghimire, Moushami; Ghimire, Madhusudhan title: Situation of Environmental Health of Rural Communities in Palpa District of Nepal date: 2013-12-30 words: 3738 flesch: 63 summary: 14 4.1 Overcrowding Absent 266 78.5 Present 73 21.5 Source of water Tap water Informa on was obtained on socio-demographic, housing, ven la on in house, water resources, and disposal prac ces of waste water, garbage and excreta. keywords: disposal; environmental; excreta; health; pearson; sanita; square; type; water cache: jlmc-29.pdf plain text: jlmc-29.txt item: #43 of 207 id: jlmc-291 author: Pandey, Bhuwan Raj; Singh, Madan Mohan; Bajracharya, Kishor title: Otomycosis and its Predisposing Factors in Out-Patient Department of Otorhinolaryngology in a Tertiary Care Center date: 2019-12-29 words: 2908 flesch: 61 summary: DOI: https://doi.org/10.1177 %2F014556130007900815 9. However, pruritus with otorrhea was the most common presenting complaint in the patients who used topical ear drops (Table 2). keywords: department; ear; factors; oil; otomycosis; otorhinolaryngology; patients; study cache: jlmc-291.pdf plain text: jlmc-291.txt item: #44 of 207 id: jlmc-292 author: Acharya, Sarita; Mishra, Seoji title: Efficacy of Tranexamic Acid in Reducing Blood Loss in Cesarean Section: A Comparative Study. date: 2019-12-07 words: 3267 flesch: 59 summary: It accounted for more than 27% of maternal deaths in low-income regions and approximately 16% in high-income regions.[1] Post- partum hemorrhage (PPH) can kill a healthy woman within two hours of delivery.[2] Blood loss during cesarean section (CS) is almost twice than that in vaginal delivery and hence there is a need of a drug that reduces blood loss during CS. Tranexamic acid is a synthetic derivative of the amino acid lysine that exerts its anti-fibrinolytic effect through the reversible blockade of the lysine binding sites on plasminogen molecules.[3] It inhibits conversion of plasminogen to plasmin by tissue plasminogen activators.[4] The aim of this study was to evaluate the efficacy of tranexamic acid to reduce blood loss in cesarean section and its side effects. keywords: acid; blood; cesarean; group; loss; section; study; tranexamic cache: jlmc-292.pdf plain text: jlmc-292.txt item: #45 of 207 id: jlmc-293 author: Acharya, Sumnima; Tiwari, Awadhesh; Sharma, Rupesh; Paudel, Santosh title: Role of Ultrasound Scan in Non-Traumatic Acute Abdomen Presenting in Surgery Department of a Tertiary Care Center date: 2019-12-29 words: 3088 flesch: 54 summary: The percentage concordance of USG diagnosis with the final diagnosis at discharge was determined in terms of sensitivity, specificity, positive and negative predictive values for acute abdomen. Hence, with the help of USG, accuracy of diagnosing cause of acute abdomen increased by 16 %. keywords: abdomen; acute; department; diagnosis; non; pain; patients; usg cache: jlmc-293.pdf plain text: jlmc-293.txt item: #46 of 207 id: jlmc-294 author: Koirala, Mamta; Bajracharya, Srishti; Koirala, Mohan Laxmi; Neupane, Sarita; Bhandari, Keshav Raj title: Risk Factors for Obesity in Nepalese Women: A Cross-sectional Study date: 2020-01-21 words: 3647 flesch: 64 summary: Prevalence of obesity and associated risk factors among adults in Kinondoni municipal district, Dar es Salaam Tanzania. The present study did not show significant association between place of residency (urban versus rural) and overweight and obesity, the findings of which are similar to studies conducted in Iranian middle aged women.[4] keywords: factors; health; koirala; obesity; overweight; prevalence; risk; study; women cache: jlmc-294.pdf plain text: jlmc-294.txt item: #47 of 207 id: jlmc-296 author: Adhikaree, Ajay; KC, Man Bahadur; Malla, Rabi title: Apical Hypertrophic Cardiomyopathy: A Special Entity. date: 2020-01-02 words: 2239 flesch: 43 summary: DISCUSSION: AHCM has two morphological forms: a) Pure Apical form: hypertrophy (>15mm) confined to left ventricular apex below the papillary muscle, and b) Distal Dominant form: apical hypertrophy extends to the interventricular septum without basal septal hypertrophy. Hypertrophic nonobstructive cardiomyopathy with giant negative T waves (apical hypertrophy): Ventriculographic and echocardiographic features in 30 patients. keywords: ahcm; apical; cardiomyopathy; doi; heart; hypertrophic; pmid; wave cache: jlmc-296.pdf plain text: jlmc-296.txt item: #48 of 207 id: jlmc-3 author: Chhetri, Bishal Khattri; Paudel, M S; Pokharel, Nabin; Dhungana, Shadev Prasad; Paudel, Anuj; _, Shamsuddin title: Upper Gastrointestinal Endoscopy in Lumbini Medical College and Teaching Hospital date: 2013-06-30 words: 2188 flesch: 60 summary: Upper gastrointestinal endoscopy in Lumbini Medical College and Teaching Hospital: a retrospective study of two years. Upper gastrointestinal endoscopy in Lumbini Medical College and Teaching Hospital. keywords: alcohol; endoscopy; gastrointestinal; lumbini; study; ulcer; upper cache: jlmc-3.pdf plain text: jlmc-3.txt item: #49 of 207 id: jlmc-30 author: Dwivedi, Rajeev; Shah, S; Acharya, P; Gurung, S title: Ender’s Nail fixation in paediatric femoral shaft fractures. date: 2013-12-30 words: 2532 flesch: 69 summary: intramedullary nailing ( tanium elas c and Ender nails) with mean age of the pa ents being 9.2 years. Flexible intramedullary nailing in paediatric femoral fractures. keywords: children; ender; fractures; nails; sha cache: jlmc-30.pdf plain text: jlmc-30.txt item: #50 of 207 id: jlmc-300 author: Karki, Deelip Kumar; Nepal, Samata; Bhandari, Keshav Raj title: Prevalence and Associated Risk Factors of Hypertension Among Adults in Palpa District, Nepal date: 2020-01-19 words: 3360 flesch: 62 summary: Another study revealed that the participants who were diabetic were 16 times more likely to be hypertensive than those who were not (AOR=16.322, CI: 2.321-114.771).[25] CONCLUSION: This study evaluated the prevalence and associated risk factors of hypertension. Manandhar K, Koju R, Sinha NP, Humagain S. Prevalence and associated risk factors of hypertension among people aged 50 years and more in Banepa municipality Nepal. keywords: adults; district; factors; health; hypertension; nepal; palpa; prevalence; risk; study cache: jlmc-300.pdf plain text: jlmc-300.txt item: #51 of 207 id: jlmc-301 author: Shrestha, Subina; KC, Sudikshya title: Anthropometric Measurement of Hand Dimension and Their Correlation with Height in Undergraduate Students of a Medical College in Nepal date: 2020-05-29 words: 2391 flesch: 60 summary: Hand length showed moderate (males) to strong (females) positive correlation with statistical significance whereas hand breadth showed weak positive correlation with statistical significance. Anthropometric Measurement of Hand Dimension and Their Correlation with HeightAnthropometric Measurement of Hand Dimension and Their Correlation with Height jlmc.edu.np of hand dimensions (hand length and hand breadth) with height, and derive a linear regression equation between them to show if height could be predicted using hand dimensions. keywords: correlation; females; hand; height; length; males cache: jlmc-301.pdf plain text: jlmc-301.txt item: #52 of 207 id: jlmc-302 author: Bhandari, Sita; Nepal, Parbati; Pokharel, Bandana title: Knowledge Regarding Blood Donation among Students of a College in Western Nepal date: 2020-09-10 words: 2466 flesch: 65 summary: This study was conducted with an objective to assess knowledge level regarding blood donation among college students. Few (38.5%) of them had history of blood requirement in the family whereas, 23.1% had blood donation in family. keywords: blood; donation; history; knowledge; level; students; study cache: jlmc-302.pdf plain text: jlmc-302.txt item: #53 of 207 id: jlmc-303 author: Koju, Rajan; Joshi, Hemnath; Shrestha, Sujan Makaju; Karmacharya, Robin; Shalike, Narendra title: A Comparative Study Between Pneumatic and Laser Lithotripsy for Proximal Ureteric Calculus date: 2020-06-06 words: 2708 flesch: 59 summary: INTRODUCTION: Kidney and ureteric stones are common pathologies dealt in surgical out-patient department (OPD).[1] More than 80% of out-patient cases in our department are of stone disease in the renal system. Garg S, Mandal AK, Singh SK, Naveen A, Ravimohan M, Aggarwal M, Mete UK, Santosh K. Ureteroscopic laser lithotripsy versus ballistic lithotripsy for treatment of ureteric stones: a prospective comparative study. keywords: calculus; doi; laser; lithotripsy; pneumatic; stone; study cache: jlmc-303.pdf plain text: jlmc-303.txt item: #54 of 207 id: jlmc-305 author: Bajracharya, Srishti; Bam, Pratibha; Bajracharya, Priyanka title: Effectiveness of Structured Teaching Program on Menstrual Hygiene among Adolescent School Girls date: 2020-05-25 words: 3501 flesch: 57 summary: Conclusion: The structured teaching program is effective in improving knowledge, attitude and practice on menstrual hygiene among adolescent school girls. Santhanakrishnan I, Athipathy V. Impact of health education on menstrual hygiene: An intervention study among adolescent school girls. keywords: attitude; girls; hygiene; knowledge; menstrual; practice; program; school; study; teaching cache: jlmc-305.pdf plain text: jlmc-305.txt item: #55 of 207 id: jlmc-31 author: Karki, Deelip Kumar; Lall, B S; Paul, V title: Study on nutritional status of children under 5 years in palpa district, nepal: speacial reference to baal vita date: 2013-12-30 words: 2493 flesch: 66 summary: Majority of the children (80.5%) used to take junk foods Table 2: Nutri onal status of the children (height-for-age) p://mohp.gov.np/english/fi les/ new_publica ons/9-1- Frequency Percent Normal (>95%) 284 72.8 Mild Impaired (87.5%-95%) 87 22.3 Moderate Impaired (80%-87.5%) 15 3.8 Severely Impaired (<80%) 4 1.0 Total 390 100.0 *Height for age according to Waterlow’s classifi cation DK Karki et al 104 Journal of Lumbini Medical College some mes, followed by 16.7% very o en, 2.8% children never used to take. 2.indd 102 Study on Nutri onal Status of Children Under 5 Years in Palpa District, Nepal: Special Reference to Baal Vita Karki DK, Lall BS and Paul V Department of Community Medicine, Lumbini Medical College, Tansen, Pravas, Nepal Corresponding author: Dr. DK Karki, , Department of community Medicine, Lumbini Medical College Teaching Hospital and Research Centre, Pravas, P.O.Box-5, Tansen-11, Palpa, Nepal ABSTRACT Background: Malnutri on is a pathological state resul ng from a rela ve or absolute defi ciency or excess of one or more essen al nutrients. keywords: age; children; months; nepal; nutri; onal; status cache: jlmc-31.pdf plain text: jlmc-31.txt item: #56 of 207 id: jlmc-310 author: Chaudhary, Shaligram; Koju, Bibek; Joshi, Lok Raj title: Six-Minute Walk Test in Healthy Nepalese Young Adults Aged 18 to 25 Years: A Cross- Sectional Study date: 2020-05-22 words: 3591 flesch: 67 summary: The six-minute walk test (6MWT) is a safe, easy to administer, and well tolerated submaximal test to evaluate exercise capacity that reflects activities of daily living better than other walk test. Effect of exercise test on pulmonary function of obese adolescents. keywords: 6mwd; bmi; distance; minute; study; test; walk; years cache: jlmc-310.pdf plain text: jlmc-310.txt item: #57 of 207 id: jlmc-314 author: Chhetri, Uma; Aryal, Shreyashi title: Risk Factors and Perinatal Outcome of Meconium Stained Amniotic Fluid date: 2020-07-02 words: 3355 flesch: 61 summary: Maternal risk factors for MSAF in decreasing frequency were maternal age <25 years, post-dated pregnancy, anaemia, primipara, thick meconium, small for gestational age, PROM, intrauterine growth restriction, HDP, antepartum hemorrhage, diabetes and oligohydramnios.[3] HDP with MSAF is caused by underlying utero-placental insufficiency, which causes fetal hypoxia, resulting in passage of meconium, meconium aspiration, respiratory distress and its consequences.[2] Similar risk factors have been mentioned in studies by Chaudhary et al.,[3] Dohbit et al.,[5] Avula TR et al.[4] and Gurubacharya S et al.[6] Vol 8, No 1, Jan-June 2020 Chhetri UD, et al. Risk Factors and Perinatal Outcome of Meconium Stained Amniotic Fluid 77 Licensed under CC BY 4.0 International License which permits use, distribution and reproduction in any medium, provided the original work is properly cited. keywords: factors; fluid; mas; meconium; msaf; risk; study cache: jlmc-314.pdf plain text: jlmc-314.txt item: #58 of 207 id: jlmc-315 author: Sintakala, Chandan; Manandhar, Prabina; Pandey, Niraj title: Dermatoglyphic Patterns Among Undergraduate Students of a Medical College: A Descriptive Cross-sectional Study date: 2020-06-10 words: 3093 flesch: 67 summary: Author Year Sample size Arch % Loop % Available from: https://www.jemds.com/data_pdf/1_asis%20 kumar%20ray%20%20%20%20%20%20%20 %20afs%20%20%20%20%20swe%20(3).pdf 4. keywords: college; finger; fingerprint; medical; patterns; students; study cache: jlmc-315.pdf plain text: jlmc-315.txt item: #59 of 207 id: jlmc-316 author: Gupta, Sharad; Sharma, Hari; Yadav, Reena; Singh, Sanjay Kumar; Chaudhary, Sushma title: Adult Onset Best Vitelliform Macular Dystrophy: A Case Report date: 2020-05-21 words: 1625 flesch: 56 summary: https://orcid.org/0000-0001-8654-5172 _______________________________________________________ ———————————————————————————————————————— ABSTRACT Introduction: Best disease or vitelliform macular dystrophy is a rare autosomal dominant disorder with bilateral presentation characterized by subretinal accumulation of yellowish material in the macular area. Best disease, also termed as vitelliform macular dystrophy, is a separate entity among the inherited macular dystrophies. keywords: case; disease; dystrophy; eyes; macular; vitelliform cache: jlmc-316.pdf plain text: jlmc-316.txt item: #60 of 207 id: jlmc-317 author: Aryal, Shreyashi; Shrestha, Deepak title: “Overcoming the Defect”:A Perinatal Review of Congenital Anomalies in 6984 Consecutive Deliveries in a Tertiary Care Center in Western Nepal date: 2020-06-30 words: 3925 flesch: 60 summary: Keywords: Birth defect, Folic acid, Risk factors, Still birth Original Research Articlehttps://doi.org/10.22502/jlmc.v8i1.317 Shreyashi Aryal,a,b Deepak Shrestha a,b “Overcoming the Defect”: Congenital Anomalies in 6984 Consecutive Deliveries in a Tertiary Care Center in Nepal How to cite this article:How to cite this article: Aryal S, Shrestha D. “Overcoming the Defect”: Congenital Anomalies in 6984 Consecutive Deliveries in a Tertiary Care Center in Nepal. Another major hurdle in the accurate diagnosis and cause of birth defect is the unavailability of fetal autopsy. keywords: anomalies; birth; care; congenital; defects; doi; folic; nepal; pmid; study cache: jlmc-317.pdf plain text: jlmc-317.txt item: #61 of 207 id: jlmc-318 author: Regmi, Ajaya; Rajak, Asish; Sharma, Sushil; Pandey, Chakra Raj title: Chondromyxoid fibroma of patella: a rare case date: 2020-07-02 words: 1391 flesch: 65 summary: [5] Soni R et al. reported a 15-year-old male with juxtacortical chondromyxoid fibroma in proximal tibia, which was treated with en bloc excision and bone grafting with no recurrence in one year follow up.[6] Immunohistochemichal analysis for Sox9 suggests chondrogenic component of tumor and may aid in case of doubtful diagnosis.[7] CONCLUSION: Chondromyxoid fibroma is rare, benign but locally aggressive tumor with a tendency to recur. Key words: Chondromyxoid fibroma, Osteochondroma, Patella, Tumor Case Reporthttps://doi.org/10.22502/jlmc.v8i1.318 Ajaya Regmi,a,d Asish Rajak,a,d Sushil Sharma,b,d Chakra Raj Pandey c,d Chondromyxoid Fibroma of Patella: A Rare Case How to cite this article:How to cite this article: Regmi A, Rajak A, Sharma S, Pandey CR. keywords: bone; case; chondromyxoid; fibroma; patella cache: jlmc-318.pdf plain text: jlmc-318.txt item: #62 of 207 id: jlmc-319 author: Atreya, Alok; Nepal, Samata; Acharya, Jenash title: Self-rating on Self-directed Learning: A Cross- Sectional Survey on a Cohort of Medical Undergraduates from Nepal. date: 2020-06-11 words: 3012 flesch: 61 summary: As medicine is an ever-changing field, it necessitates medical students to develop independent learning skills for continuous learning process. As medicine is an ever changing field, it has been emphasized that medical students develop independent learning skills for continuous learning process.[3] Self- directed learning (SDL) is a learning strategy where students take the initiative to learn on their own. keywords: education; learning; medical; nepal; pbl; self; students; study cache: jlmc-319.pdf plain text: jlmc-319.txt item: #63 of 207 id: jlmc-32 author: Shrestha, Buddhi Kumar title: Indications of caesarean section- Study of 200 Cases in Lumbini Medical College date: 2013-12-30 words: 1932 flesch: 74 summary: Height (feet) Percentage 40 2% 408 4% 4.90-5 26% 5.1 28% 5.2 25% 5.3 12% Above 5.4 3% Total 100% From the above table, 68% patent were above 5 feet in height-32% were below 5 feet Study in IPGMR 1987, Sir Sallimullah Medical College (SSMC) & Mi ord Hospital 1992 showed higher incidence in mul .4-6 Present study also correlates with it (Fig. I). Percentage 15-20 20% 21-25 47.5% 26-30 25% 31-35 5% 36-40 25% Total 100% This table shows LSCS % maximum at age 21-25yrs. keywords: caesarean; college; indica; lscs; sec; study cache: jlmc-32.pdf plain text: jlmc-32.txt item: #64 of 207 id: jlmc-320 author: Mansur, Dil Islam; Shrestha, Pragya; Maskey, Sunima; Sharma, Kalpana; Karki, Subindra; Kisiju, Trishna title: Morphometric Study of Lumbar Intervertebral Spaces (discs) by Using MRI. date: 2020-06-17 words: 3680 flesch: 68 summary: Another study done in Korea claimed a typical cephalo-caudal gradient of increment in anterior, middle and posterior heights of disc from the level of L1-L2 to L4-L5 followed by a decline at the level of L5-S1.[9] In the present study, it was also reported that the mean values for disc heights were higher among males than females which is also supported by an another study.[2] As there is difference in stature of males and females, the difference in disc height is also anticipated.[5] Anthropometric analysis shows that Humans get taller as they reach adult years and consequently the intervertebral discs height are also raised.[5] As there is alteration in thickness of intervertebral disc with ages, it is essential for the age particular computation of the disc.[11] There was an increment in disc height up to the third or fourth decade followed by a decrease in height. keywords: disc; height; intervertebral; level; lumbar; space; study cache: jlmc-320.pdf plain text: jlmc-320.txt item: #65 of 207 id: jlmc-321 author: Subedi, Anjali; Gurung, Sonam title: Hypertriglyceridemia Induced Acute Pancreatitis in Pregnancy: A Case Report date: 2020-05-21 words: 2175 flesch: 53 summary: Key words: Acute pancreatitis, Hypertriglyceridemia, Pregnancy Case Reporthttps://doi.org/10.22502/jlmc.v8i1.321 Anjali Subedi Adhikari,a,c Sonam Gurungb,c Hypertriglyceridemia Induced Acute Pancreatitis in Pregnancy: A Case Report How to cite this article:How to cite this article: Adhikari AS, Gurung S. Hypertriglyceridemia Induced Adhikari AS, Gurung S. Hypertriglyceridemia Induced Acute Pancreatitis in Pregnancy: A Case Report. https://orcid.org/0000-0002-9809-6180__________________________________________________ ABSTRACT Introduction: Acute pancreatitis is a rare event in pregnancy. keywords: acute; case; doi; hypertriglyceridemia; pancreatitis; pregnancy cache: jlmc-321.pdf plain text: jlmc-321.txt item: #66 of 207 id: jlmc-322 author: Bali, Harleen; Yadav, Deepak; Adhikari, Khushbu; Mahanta, Swagat Kumar; Tripathi, Rupam; Sapkota, Binam title: The Relationship of The Mandibular Canal to The Roots of Impacted Third Molars- The Root Factor: A Panoramic Radiographic Study. date: 2020-06-15 words: 4051 flesch: 62 summary: jlmc.edu.np impacted mandibular third molar roots and the inferior alveolar canal suggested a reasonable diagnostic accuracy for panoramic radiography for the same. In order to study the relations between change in Inferior Alveolar Canal (IAC) and Type, Class, and Level of impaction with radiographic root change of impacted third mandibular molar, we designed a study to assess the relationship of the mandibular canal to the roots of impacted third molar in reference to changes in roots and factors affecting it. keywords: canal; darkening; doi; iac; molar; oral; pmid; radiographic; right; roots; study cache: jlmc-322.pdf plain text: jlmc-322.txt item: #67 of 207 id: jlmc-323 author: Baral, Suman; Thapa, Neeraj; Chhetri, Raj Kumar title: Validation of a Preoperative Scoring System to Predict Difficult Laparoscopic Cholecystectomy: A Nepalese Perspective date: 2020-06-02 words: 3976 flesch: 56 summary: INTRODUCTION: Laparoscopic Cholecystectomy(LC) is one of the most common surgical procedures performed worldwide and is the procedure of choice for the management of symptomatic gall stones.[1] Though this has been considered one of the safest surgeries to begin with laparoscopy, it requires meticulous dissection and good exposure of Calot’s triangle in order to prevent bile duct injuries.[2] Dense adhesions at Calot’s triangle and patients presenting with chronic cholecystitis with fibrotic and contracted gall bladder sometimes make surgery difficult and chances of conversion remains.[3] Various preoperative risk factors include male sex, old age, features of acute cholecystitis with fever and leukocytosis, obesity, previous surgery leading to abdominal scar, ultrasonographic findings like thickened gall bladder wall more than 4 mm, distended gall bladder, pericholecystic collection, impacted stone etc. which make laparoscopic surgery difficult.[4] Preoperative prediction of difficulty in laparoscopic surgery and grading scales have widely been studied.[3,5,6] They have an advantage for the J. Lumbini. Med. There was not any significant association between gender as male patients showing difficult surgeries or conversion rates (p= 0.08) which was also seen in study by Gupta et al.[3] keywords: bladder; cholecystectomy; conversion; gall; laparoscopic; patients; preoperative; scoring; study; surgery cache: jlmc-323.pdf plain text: jlmc-323.txt item: #68 of 207 id: jlmc-325 author: Nepal, Binu; Atreya, Alok title: Online Medical Education in Nepal: Barking a Wrong Tree date: 2020-05-22 words: 1137 flesch: 63 summary: For students who are using mobile data for more than four weeks of online classes, it is making a hole in their pockets. To answer the queries of students individually among hundreds of students during online classes, teachers ought to have a magic wand. keywords: classes; internet; online; students cache: jlmc-325.pdf plain text: jlmc-325.txt item: #69 of 207 id: jlmc-326 author: Nepal, Pramod; Poudel, Saseem; Maharjan, Narendra title: COVID-19 Pandemic: A Surgical Perspective from Japan date: 2020-05-22 words: 1072 flesch: 49 summary: In some hospitals, chest CT is performed before surgery and non-emergency surgeries in patients with pneumonia or fever are suspended. In cases of emergency surgery, JSS and JSGS recommend waiting for the test results in suspected cases until the time permits, to wear full PPE for emergency surgery in confirmed and suspected cases, and to select the surgical procedure from the viewpoint of shortening the operating time and ensuring maximum safety of patients and the medical staffs. keywords: hospitals; japan; surgery; surgical cache: jlmc-326.pdf plain text: jlmc-326.txt item: #70 of 207 id: jlmc-33 author: Joshi, Ruban Raj title: Open Reduction of Complex Metacarpo-phalangeal Joint Dislocations date: 2013-12-30 words: 2721 flesch: 54 summary: The volar and dorsal approaches are viable options in the treatment of complex MP joint dislocations of the fingers. Complex MP joint dislocations are, by definition, irreducible by closed means and require open reduction, as the volar plate becomes entrapped between the metacarpal head and proximal phalanx. keywords: complex; dislocation; dorsal; joint; metacarpal; reduction; volar cache: jlmc-33.pdf plain text: jlmc-33.txt item: #71 of 207 id: jlmc-331 author: Singh, Kritina; Shrestha, Prashant; Baaniya, Jeena; Gurung, Prashansa title: Pregnancy Outcome Among Primigravidae Aged 35 Years and Above: A Comparative Study date: 2020-06-15 words: 2341 flesch: 58 summary: 82 elderly primigravidae (study group) was compared with 164 younger primigravida (control group) delivered during the period of study. Maternal age is an important determinant of pregnancy outcome. keywords: group; outcome; pregnancy; primigravidae; study; years cache: jlmc-331.pdf plain text: jlmc-331.txt item: #72 of 207 id: jlmc-334 author: Bishokarma, Suresh title: COVID-19 Pandemic: A Neurological Perspective date: 2020-05-26 words: 1765 flesch: 54 summary: [10] There can be multiple reasons for a patient with COVID-19 to present with impaired consciousness which includes viral encephalitis, metabolic perturbation, infectious toxic encephalopathy, seizure with post ictal confusion and stroke.[15] Seizure in COVID-19 patients has minimal incidences as observed by Mao et al.[15] Association of seizure in COVID-19 can be multifaceted. In a very recent study done by Zhao et al., five cases of GBS diagnosed among COVID-19 patients, three presented as axonal variant while two cases presented as demyelinating variants.[17] keywords: covid-19; doi; patients; pmid; sars; system; virus cache: jlmc-334.pdf plain text: jlmc-334.txt item: #73 of 207 id: jlmc-335 author: Karki, Naresh title: “Solidarity Trial”: A Feeling of Trust Towards COVID-19 Treatments date: 2020-06-10 words: 1123 flesch: 53 summary: Randomized clinical trials generally take years to conduct, while, “Solidarity Trial” will reduce the duration by 80%.[2] [2] Besides this, with involvement of multiple countries, the cost of trial will also reduce. keywords: covid-19; disease; treatment; trial cache: jlmc-335.pdf plain text: jlmc-335.txt item: #74 of 207 id: jlmc-336 author: Hughes, Tyler G. title: Perspectives on the COVID-19 Pandemic: Truth and Trust date: 2020-05-21 words: 1000 flesch: 67 summary: The price paid for avoidance of medical catastrophe was economic collapse. While we had dozens of leaders across the globe working with us, the College funneled all output through a newsletter published twice a week using input from three main sources: our own membership, medical literature, and government data. keywords: disaster; medical; world cache: jlmc-336.pdf plain text: jlmc-336.txt item: #75 of 207 id: jlmc-337 author: Nepal, Samata; Aryal, Shreyashi title: COVID-19 And Nepal: A Gender Perspective date: 2020-05-26 words: 919 flesch: 57 summary: In the present context of COVID-19 pandemic, continued access to safe reproductive health services, expansion of mitigation measures to contain GBV and safety of frontline health care workers should be taken into consideration in Nepalese scenario. Majority of the workforce at frontline health care are women in the form of nurses, midwives and female community health volunteers (FCHV). keywords: covid-19; health; nepal; pandemic cache: jlmc-337.pdf plain text: jlmc-337.txt item: #76 of 207 id: jlmc-338 author: Sigdel, Brihaspati; Dubey, Tulika title: Microscopic Antegrade Parotidectomy for Different Types of Parotid Tumor date: 2020-11-05 words: 2540 flesch: 61 summary: Identification and preservation of facial nerve trunk and its branches is very important in parotid surgery. Keywords: Antegrade parotidectomy, Facial nerve trunk, Microsurgical technique Original Research Articlehttps://doi.org/10.22502/jlmc.v8i2.338 Brihaspati Sigdel,a,c Tulika Dubey b,c Microscopic Antegrade Parotidectomy for Different Types of Parotid Tumor How to cite this article:How to cite this article: Sigdel B, Dubey T. Microscopic Antegrade Parotidectomy for Different Types of Parotid Tumor. keywords: antegrade; doi; nerve; parotid; parotidectomy; patients; surgery; tumor cache: jlmc-338.pdf plain text: jlmc-338.txt item: #77 of 207 id: jlmc-339 author: Baral, Suman title: Jugaad Culture Amidst COVID-19: A Time to Step Up for Innovation in Low-Income Countries. date: 2020-05-29 words: 1475 flesch: 54 summary: [6] To combat this issue, again NIC Nepal initiated the repair of 85 ventilators which were crippled and succeeded making 40 ventilators reusable. Nepal Covid-19 surveillance system and self- assessment app. keywords: corona; covid-19; innovation; nepal; system; time cache: jlmc-339.pdf plain text: jlmc-339.txt item: #78 of 207 id: jlmc-34 author: kaur, Narendra; Shrestha, Buddhi Kumar; Shrestha, Subha; Pokharel, Nabin title: Case Report of Peritoneal Hydatidosis Diagnosed as Ovarian Cyst date: 2013-12-30 words: 888 flesch: 57 summary: Keywords: disseminated • hydatid cyst • peritoneal hydatidosis ——————————————————————————————————————————————— ___________________________________________________________________________________ a - Lecturer b - Assistant Professor c - Department of Gynecology and Obstetrics Lumbini Medical College Teaching Hospital, Palpa, Nepal d - Department of Surgery Lumbini Medical College Teaching Hospital, Palpa, Nepal Corresponding Author: Dr. Narinder Kaur e-mail: nkaur@jlmc.edu.np How to cite this article: Kaur N, Shrestha BK, Shrestha S, Pokharel N. Case report of peritoneal hydatidosis diagnosed as ovarian cyst. Peritoneal hydatidosis is an uncommon finding. keywords: case; cyst; hydatidosis; report cache: jlmc-34.pdf plain text: jlmc-34.txt item: #79 of 207 id: jlmc-341 author: Shrestha, Rijen; Nepal, Samata; Atreya, Alok title: Need for Prioritizing Health: An Old War-Cry Reiterated By COVID-19 date: 2020-06-02 words: 3542 flesch: 58 summary: Federal Ministry of Health and Population and Nepal Health Sector Support Programme. Brief Reporthttps://doi.org/10.22502/jlmc.v8i1.341 Rijen Shrestha,a,c Samata Nepal,b,d Alok Atreya a,d Need for Prioritizing Health: An Old War-Cry Reiterated By COVID-19 How to cite this article:How to cite this article: Shrestha R, Nepal S, Atreya A. Need for Prioritizing Health: An Old Shrestha R, Nepal S, Atreya A. Need for Prioritizing Health: An Old War-Cry Reiterated By COVID-19. keywords: coronavirus; covid-19; government; health; kathmandu; march; medical; need; nepal; outbreak cache: jlmc-341.pdf plain text: jlmc-341.txt item: #80 of 207 id: jlmc-345 author: Bom, Rabin title: Planning, Preparedness and Challenges During COVID-19 Pandemic: Experiences from Emergency Department date: 2020-05-31 words: 1038 flesch: 63 summary: Following were the experiences from ED during the first few weeks of COVID-19 pandemic. Knowledge about COVID infection: Although it was already a known fact about the corona virus and COVID-19 epidemic first being noted and spread in Wuhan, China, during late 2019; it was still unclear about the transmission and effects on the human body. Treatment plan and protocols were not clear and ED medical staffs were in dilemma on how to manage if any suspected case got admitted to ED. keywords: covid-19; staffs cache: jlmc-345.pdf plain text: jlmc-345.txt item: #81 of 207 id: jlmc-346 author: Negi, Sanjay Singh title: India Amidst COVID-19 Crisis: The Good, The Bad and The Ugly date: 2020-05-22 words: 2330 flesch: 64 summary: Pandey V. Coronavirus: India doctors ‘spat at and attacked’. Ganguly S. India must prepare for a tsunami of coronavirus cases. keywords: apr; cases; covid-19; crisis; disease; india; world cache: jlmc-346.pdf plain text: jlmc-346.txt item: #82 of 207 id: jlmc-347 author: Naraynsingh, Vijay; Harnanan, Dave; Maharaj, Ravi; Naraynsingh, Roshni title: COVID-19 in the West Indies: Trinidad and Tobago Experience date: 2020-05-27 words: 1076 flesch: 61 summary: Thus, a parallel ‘new’ system was set up where neither the beds, wards, institutions nor health care personnel dedicated to COVID-19 patients, mixed with the usual hospital population. https://orcid.org/0000-0001-5099-6203 How to cite this article: Naraynsingh V, Harnanan D, Maharaj R, Naraynsingh R. COVID-19 in the West Indies: Trinidad and Tobago Experience. keywords: cases; covid-19; indies; quarantine cache: jlmc-347.pdf plain text: jlmc-347.txt item: #83 of 207 id: jlmc-35 author: Narang, Sagar; Narang, Neeta Varandani title: Soft-tissue Necrosis Complicating Bone-cement Filling in a Patient with Proximal Tibia Giant cell Tumour and Co-morbid Depressive Illness date: 2013-12-30 words: 3249 flesch: 55 summary: Bone cement has been used in treatment of giant-cell tumors after curettage. Intra-lesional resection by curettage has a higher recurrence rate, but a satisfactory knee function compared to wide resection, on a long-term follow up.1 Curettage of tumor and filling the cavity with bone cement is an accepted procedure for the non-aggressive giant-cell tumor.2 Bone cement usage in proximal tibia has its own set of complications because of proximity of neurovascular structures and sparse soft-tissue cover. keywords: bone; cell; cement; knee; necrosis; patient; proximal; tibia; tissue cache: jlmc-35.pdf plain text: jlmc-35.txt item: #84 of 207 id: jlmc-350 author: Gupta, Nidhi; Pandey, Suniti title: Disruption of Anatomy Dissection Practical in COVID-19 Pandemic: Challenges, Problems and Solutions date: 2020-05-30 words: 1826 flesch: 45 summary: How will dissection videos help? Even in the ongoing crisis, dissection videos should be taken as a clinical practical cycle followed by interactive discussion of students amongst themselves and with the teacher. keywords: anatomy; dissection; education; learning; student; videos cache: jlmc-350.pdf plain text: jlmc-350.txt item: #85 of 207 id: jlmc-351 author: Aryal, Shreyashi; Shrestha, Deepak title: Motherhood in Nepal during COVID-19 Pandemic: Are We Heading from Safe to Unsafe? date: 2020-05-28 words: 1095 flesch: 55 summary: Preliminary reports suggest that a delay in reaching health care due to unavailability of transportation was the reason of untimely demise of this 29-year-old new mother.[6] SMP has to be tailored to fit this pandemic so that maternal mortality remains low. Financial incentives are provided for transport and completion of four antenatal visits, and for health care workers attending deliveries.[2] However, with the corona virus disease (COVID-19) pandemic, this program might not be enough to ascertain a safe motherhood for Nepalese women. keywords: care; health; nepal; pandemic cache: jlmc-351.pdf plain text: jlmc-351.txt item: #86 of 207 id: jlmc-352 author: Shrestha, Deepak title: Limitations of COVID-19 Fever Clinic as the First Point of Contact: Are We Relying Too Much? An Experience from a Tertiary Center date: 2020-06-06 words: 1038 flesch: 62 summary: Despite such elaborate investment in terms of human and materialistic resources, fever clinics have clearly been not able to detect all the suspicious cases. People with no symptoms and history of travelling, who might have acquired infection from contact to other unconfirmed cases easily escape detection at fever clinics. keywords: clinics; fever; patients cache: jlmc-352.pdf plain text: jlmc-352.txt item: #87 of 207 id: jlmc-354 author: Song, Quek Yek; Ling, Michelle Jia Ni title: COVID-19 Pandemic: An Unseen’s Evolution War date: 2020-05-30 words: 2036 flesch: 62 summary: Malaysia GDP 1960-2019 Data. May, 2020 Published: 30 May, 2020 a - Senior Adjunct Lecturer, b -Medical Student, c- Monash University, Malaysia. keywords: asia; cases; covid-19; healthcare; hospital; malaysia; pandemic; system cache: jlmc-354.pdf plain text: jlmc-354.txt item: #88 of 207 id: jlmc-355 author: Nepal, Bhagavat title: Coping with COVID-19 date: 2020-06-01 words: 1175 flesch: 62 summary: Surveillance strategies for COVID-19 human infection: interim guidance, 10 May 2020. With this perspective regarding treatment of COVID-19, prevention seems to be the only viable option against the disease. keywords: covid-19; doi; pmid; treatment; virus cache: jlmc-355.pdf plain text: jlmc-355.txt item: #89 of 207 id: jlmc-356 author: Joshi, Lok Raj title: Principles, Utility and Limitations of Pulse Oximetry in Management of COVID-19 date: 2020-06-06 words: 4065 flesch: 54 summary: On the same basis, if oxygenation of blood is impaired in the lungs, oxygen saturation of arterial blood (SaO2) falls which can be detected by pulse oximetry. Other scenarios that decrease the reliability of pulse oximetry are extremes of oxygen saturation as already mentioned. keywords: arterial; blood; covid-19; hemoglobin; limitations; management; oximetry; oxygen; pulse; respiratory; utility cache: jlmc-356.pdf plain text: jlmc-356.txt item: #90 of 207 id: jlmc-357 author: Kayastha, Suresh title: Gynecological Oncology Surgery During COVID-19 Pandemic: What We Should Know date: 2020-05-30 words: 1520 flesch: 39 summary: [7] There are many guidelines with alternative management options to help clinicians decide the management of gynecologic cancer during this pandemic.[8,9,10] European Society for Medical Oncology (ESMO) has prioritized patients as high priority, medium priority and low priority for outpatient visits, imaging, surgical oncology, medical oncology and for radiation oncology.[3,4,5] This has been formulated considering emergency conditions associated with cancer patients, clinical or radiological stage, histological variant and grade, ongoing or scheduled chemotherapy or radiation, and patients on trials and palliative therapy. Only life saving procedure should be done when there is high burden of COVID-19 cases and with limited resource supply and rest should be closely observed. keywords: cancer; covid-19; gynecologic; management; pandemic; surgery cache: jlmc-357.pdf plain text: jlmc-357.txt item: #91 of 207 id: jlmc-358 author: Bashyal, Krishnaprasad; Shrestha, Kajan Raj title: Vascular Surgery in COVID-19 Period and Beyond: Acknowledging the New Normal date: 2020-05-30 words: 1192 flesch: 61 summary: We must lead a dynamic change in our system, shifting paradigm of vascular surgery to primary health centers via trainings, webinars, workshops and continuing medical education (CME). Doctors, other health workers can be periodically updated through webinars to better their efficiency and broaden spectrum of diseases that can be managed at these centers. keywords: coronavirus; covid-19; nepal; surgery; vascular cache: jlmc-358.pdf plain text: jlmc-358.txt item: #92 of 207 id: jlmc-359 author: Babel, Shrinit; Jain, Surbhi; Conger, Lindsey title: COVID-19: Emerging Challenges for Students in Medicine and Schools in the United States date: 2020-06-02 words: 1891 flesch: 63 summary: It is not just high school students that are impacted by the shift to tele-education. According to Alison Whelan, AAMC’s chief medical education officer, more students than ever before have started the applications for medical school.[6] keywords: college; medical; school; students; test; university cache: jlmc-359.pdf plain text: jlmc-359.txt item: #93 of 207 id: jlmc-36 author: Narang, Sagar; Sapkota, Prakash title: Fatal Salmonella Typhi Necrotising Fasciitis following Intra-articular Steroid Injection date: 2013-12-30 words: 2144 flesch: 46 summary: Keywords: necrotising fasciitis • salmonella • steroid injection ——————————————————————————————————————————————— ___________________________________________________________________________________ a - Associate Professor b - Lecturer c - Department of Orthopedics and Traumatology Lumbini Medical College Teaching Hospital, Palpa, Nepal d - Department of Surgery Lumbini Medical College Teaching Hospital, Palpa, Nepal Corresponding Author: Dr. Sagar Narang e-mail: sagarnarang@jlmc.edu.np How to cite this article: Narang S, Sapkota P. Fatal salmonella typhi necrotising fasciitis following intra-articular steroid injection. Vol 1, No 2, July-Dec 2013 Case Report jlmc.edu.np https://doi.org/10.22502/jlmc.v1i2.36 INTRODUCTION: Intra-articular steroid injections are routinely used by trained orthopaedic surgeons in the management of rheumatoid, gouty and osteoarthritis patients, painful conditions like adhesive capsulitis of the shoulder, plantar fasciitis, medial and lateral epicondylitis of the elbow. keywords: fasciitis; injection; intra; necrotizing; patient; salmonella; steroid cache: jlmc-36.pdf plain text: jlmc-36.txt item: #94 of 207 id: jlmc-360 author: Prajapati, Ijendra; Kayastha, Gyan title: Preparedness of Community Hospital Against COVID-19 date: 2020-06-10 words: 1495 flesch: 52 summary: Among them community hospitals will play the important role in managing the pandemic in coming future Conflict of interest: Authors declare that no competing interest exists.  Social Workers • Level II PPE for hospital frontline workers. keywords: community; covid-19; disease; health; hospital; nepal; preparedness cache: jlmc-360.pdf plain text: jlmc-360.txt item: #95 of 207 id: jlmc-361 author: Piryani, Rano Mal; Piryani, Suneel; Piryani, Shomeeta; Shakya, Dhana Ratna; Huq, Muzaherul title: COVID-19 And Lockdown: Be Logical in Relaxing It date: 2020-06-03 words: 2041 flesch: 62 summary: As lockdowns are relaxing and physical distancing measures are lessened; proactive surveillance, case detection and contact tracing with isolation and quarantine will be required to prevent a dramatic resurgence of COVID-19 cases. They mentioned that social distancing compounded with Piryani RM, et al. COVID-19 And Lockdown: Be Logical in Relaxing It jlmc.edu.npJ. keywords: countries; covid-19; jan; lockdown; pandemic; piryani; south cache: jlmc-361.pdf plain text: jlmc-361.txt item: #96 of 207 id: jlmc-363 author: Surkhali, Bipana; Garbuja, Chandra Kumari title: Virtual Learning during COVID-19 Pandemic: Pros and Cons date: 2020-06-06 words: 1189 flesch: 48 summary: It should be kept in mind that many students who belong to rural areas have little or no access to internet. Beyond the immediate threat to health, unemployment, insecurity etc., education is one of the sensitive areas which has been affected tremendously, students in Nepal not being an exception. keywords: education; learning; nepal; students cache: jlmc-363.pdf plain text: jlmc-363.txt item: #97 of 207 id: jlmc-364 author: Nakarmi, Rajiv; Shrestha, Muza; Maharjan, Sunder title: Phytobezoar: A Rare Cause of Small Bowel Obstruction date: 2020-12-31 words: 2189 flesch: 60 summary: ABSTRACT: Introduction: Small bowel obstruction is a common condition encountered in surgical practice. Keywords: Phytobezoar, Small bowel obstruction, Sepsis Case Reporthttps://doi.org/10.22502/jlmc.v8i2.364 Rajiv Nakarmi,a,d Muza Shrestha,b,d Sunder Maharjanc,d Phytobezoar: keywords: bowel; cause; doi; obstruction; phytobezoar; pmid cache: jlmc-364.pdf plain text: jlmc-364.txt item: #98 of 207 id: jlmc-365 author: Koirala, Pallavi; Tamrakar, Dipesh title: Threat of Dengue Outbreak in Nepal in Context of COVID-19 Pandemic date: 2020-06-13 words: 1231 flesch: 64 summary: Dengue prevention activities targeting the endemic areas and also those areas which reported high cases last year is a need of time in addition to ongoing effort for COVID-19 management. The largest was in 2019 where more than 14,000 cases were detected including six deaths.[5] The number of people affected in 2019 was nearly ten times more than in 2018 and the possible reasons for such a huge number of cases could be : i) New area affected by dengue involving 68 districts in the year 2019 in comparison to 45 districts in 2018 ii) Outbreak started early from May while previously the outbreak started from July along with monsoon and peaked at August-September post monsoon.[6] The first case was seen in Sunsari district on 13 May, and iii) Large number of cases were reported from Metropolitan cities with dense population including the capital city Kathmandu which alone confirmed 1583 cases. keywords: covid-19; dengue; nepal; outbreak; pandemic cache: jlmc-365.pdf plain text: jlmc-365.txt item: #99 of 207 id: jlmc-366 author: Mathema, Smriti title: The The Impact of COVID-19 on Immunization Services date: 2020-06-07 words: 1469 flesch: 52 summary: COVID-19: operational guidance for maintaining essential health services during an outbreak. Although mortality rates for COVID-19 appeared to be low in children and in women in the reproductive age,[3] these groups might be disproportionately affected by the disruption of routine health services, particularly in LMICs. keywords: covid-19; health; immunization; pandemic; services cache: jlmc-366.pdf plain text: jlmc-366.txt item: #100 of 207 id: jlmc-367 author: Maharjan, Nabina; Mahawal, B S title: Bacteriological Profile of Wound Infection and Antibiotic Susceptibility Pattern of Various Isolates in a Tertiary Care Center date: 2020-10-29 words: 3953 flesch: 52 summary: ABSTRACT: Introduction: Wound infection due to various pathogenic microorganisms and the development of resistance to antibiotics is one of the major problems in medical sector. This study aimed to identify the etiological agents of wound infection along with their antibiotic susceptibility. keywords: antibiotic; bacteria; gram; infection; isolates; pattern; susceptibility; wound cache: jlmc-367.pdf plain text: jlmc-367.txt item: #101 of 207 id: jlmc-37 author: Sharma, Achyut Prashad title: Penetrating brain injury date: 2013-12-30 words: 5723 flesch: 55 summary: Op mum management of penetra ng brain injury requires a good understanding of ballis c characteris cs of the wounding agents and the mechanism of wounding and the ssue damage and adherence to basic surgical principles are prerequisites to a carefully executed and defi ni ve surgical management, when indicated¹. BALLISTICS AND PATHOLOGY A fi rearm is any weapon that uses an explosive powder to propel a projec le. In civilian penetra ng brain injury an altered level of consciousness is the rule. keywords: brain; ents; head; injuries; injury; management; missile; penetra; penetra ng; projec; trauma; wounds cache: jlmc-37.pdf plain text: jlmc-37.txt item: #102 of 207 id: jlmc-370 author: K.C, Shekhar; Mishra, Aditi; KC, Dhiraj; Karn, Dharmendra title: Nairobi Eye: A Clinico-epidemiological Study from A Tertiary Care Center of Central Nepal date: 2020-08-16 words: 2424 flesch: 53 summary: Keywords: Dermatology, Nairobi eye, Paederus dermatitis, Pederin Original Research Articlehttps://doi.org/10.22502/jlmc.v8i2.370 Shekhar KC,a,d Aditi Mishra,a,d Dhiraj KC,b,d Treatment outcome of Paederus dermatitis due to rove beetles (Coleoptera: Staphylinidae) on guinea pigs. keywords: clinical; dermatitis; eye; nairobi; paederus; patients; periocular; study cache: jlmc-370.pdf plain text: jlmc-370.txt item: #103 of 207 id: jlmc-372 author: Aryal, Kamal title: COVID-19 in the UK- Experience from The Frontline date: 2020-06-11 words: 1930 flesch: 57 summary: The decision to operate upon him was abandoned because it was believed that the risk of mortality is double for patients going to ward and four times if going to ICU (Intensive Care Unit) ventilated compared with current predicted mortality scores for COVID-19 positive patients undergoing surgery. The number of COVID-19 cases kept on rising. keywords: cancer; cases; covid-19; hospital; patients; surgery cache: jlmc-372.pdf plain text: jlmc-372.txt item: #104 of 207 id: jlmc-373 author: Thapa, Ajay Singh; Yadav, Rajesh Kumar; Basnet, Rajan; Pradhan, Bijay; Maharjan, Rosee; Chaudhary, Samreta title: Pre-operative Hypoglycemia in Patients Presenting for Surgery: A Hospital Based Cross-sectional Study date: 2021-03-16 words: 2360 flesch: 51 summary: The association between gender and pre-operative glucose level was not significant (Table 1). We observed insignificant association between gender and pre-operative glucose level in non diabetic participants. keywords: fluids; glucose; hypoglycemia; level; participants; patients; period cache: jlmc-373.pdf plain text: jlmc-373.txt item: #105 of 207 id: jlmc-374 author: Godar, Srijana Thapa; Kaini, Khem Raj title: Prevalence and Risk Factors of Hypertensive Retinopathy in Hypertensive Patients in a Tertiary Hospital of Gandaki Province of Nepal date: 2020-12-30 words: 2461 flesch: 55 summary: This study aimed to determine the prevalence and risk factors of hypertensive retinopathy in hypertensive patients in a tertiary care hospital in Nepal. [12] Other studies also found high prevalence of hypertensive retinopathy in hypertensive patients. keywords: doi; hospital; hypertensive; patients; prevalence; retinopathy; study; years cache: jlmc-374.pdf plain text: jlmc-374.txt item: #106 of 207 id: jlmc-375 author: Adhikari, Shambhu P; Maharjan, Riju; Jakibanjar, Redisha; Balla, Anushree; Shrestha, Manisha; Shalike, Narendra; Nepal, Govinda M title: Intensive Physiotherapy Interventions in Speedy Recovery of Sub-acute Stroke: A Case Series date: 2020-12-25 words: 3732 flesch: 57 summary: Keywords: Enriched environment, Intensive physiotherapy intervention, Stroke, Sub-acute Case Reporthttps://doi.org/10.22502/jlmc.v8i2.375 Shambhu P Adhikari,a,d Riju Maharjan,b,d Redisha Jakibanjar,b,d Anushree Balla,b,d Manisha Shrestha,b,d Narendra Shalike,c,d Govinda M Nepal a,d Intensive Physiotherapy Interventions in Speedy Recovery of Sub-acute Stroke: A Case Series How to cite this article:How to cite this article: Adhikari SP, Maharjan R, Jakibanjar R, Balla A, Shrestha M, Shalike Adhikari SP, Maharjan R, Jakibanjar R, Balla A, Shrestha M, Shalike N, Nepal GM. • Major complaints: In- ability to walk, inability to use his dominant right hand for eating/ drinking independently, wheelchair bound. keywords: acute; case; interventions; physiotherapy; recovery; stroke; training cache: jlmc-375.pdf plain text: jlmc-375.txt item: #107 of 207 id: jlmc-376 author: Shrestha, Ashish; Sharma, Pasanda; Lama, Anjila; Gurung, Ram Bahadur title: The Role of Aspartate Aminotransferase to Platelet Ratio Index as a Non-Invasive Predictor of Variceal Etiology of Upper Gastrointestinal Bleeding date: 2020-09-20 words: 3000 flesch: 63 summary: Of the patients with clinical features of chronic liver disease (CLD), 40 (80%) had variceal bleeding, nine (18%) had non-variceal bleeding, and one (2%) had unknown source of bleed. https://orcid.org/0000-0002-6065-5119_______________________________________________________ ABSTRACT: Introduction: Non-invasive strategies to predict variceal from non-variceal bleeding will be highly beneficial for preemptive management of Upper Gastrointestinal Bleeding (UGIB). keywords: apri; bleeding; doi; etiology; non; patients; pmid; ugib; variceal cache: jlmc-376.pdf plain text: jlmc-376.txt item: #108 of 207 id: jlmc-377 author: Pandey, Niraj; Padhee, Bandana title: Estimating the Height of An Individual from The Length of Ulna in Undergraduate Students of a Nepalese Medical College date: 2020-07-22 words: 2650 flesch: 66 summary: The regression formula derived using ulna length provides an alternate methodology for stature prediction in old and bedridden patients who cannot stand or those who suffer from vertebral column deformities.[6] Many studies [7,8,9,10] have shown positive correlation of stature and different body parts dimension particularly long bones of the limb which has been found to be true in the present study with strong positive correlation between the stature and ulna lengths in both sexes. Duyar I, Perlin C. Estimating body height from ulna length: need of a population spe- cific formula. keywords: college; height; length; medical; stature; study; ulna cache: jlmc-377.pdf plain text: jlmc-377.txt item: #109 of 207 id: jlmc-379 author: Sharma, Alina title: Dermatological Aspects of COVID-19 date: 2020-06-21 words: 1864 flesch: 49 summary: Cutaneous manifestations in COVID-19 patients: The SARS-Cov-2 primarily affects the respiratory system, but currently numerous cutaneous manifestations of this viral infection are reported.[4] Incidence of cutaneous manifestations among confirmed COVID-19 cases was 20.4% among total 88 COVID-19 patients as per an Italian study conducted by Recalcati et al.[4] Skin problems in healthcare professionals dealing with COVID-19 patients: COVID-19 is primarily transmitted by droplets however transmission through surface contact is also not denied.[13] As skin is the first line of defense, maintaining integrity of skin must be of foremost priority to prevent contact transmission. keywords: covid-19; disease; doi; manifestations; patients; skin cache: jlmc-379.pdf plain text: jlmc-379.txt item: #110 of 207 id: jlmc-380 author: Upadhyay, Preeti title: Healthcare Workers and Burnout During COVID-19 Pandemic date: 2020-06-26 words: 1494 flesch: 57 summary: To add to this, a substantial rise is noticed in incidences of depression, anxiety, and substance abuse amongst the frontline healthcare workers.[3,4,8] Possible rationale for this rise in mental health conditions are attributed to one or more of the following reasons: lack of personal protective equipment (PPE), respirators, and hospital infrastructure to support the increasing hospitalizations due to COVID-19 infections, moral and ethical dilemma faced by healthcare workers during decision making process. Work culture in Nepalese medical fraternity tends to stem from a common belief that healthcare workers are bound to promote selfless service towards the society. keywords: burnout; covid-19; doi; healthcare; medical; workers cache: jlmc-380.pdf plain text: jlmc-380.txt item: #111 of 207 id: jlmc-381 author: Shrestha, Arati; Aryal, Shreyashi; Shrestha, Deepak title: COVID-19, Pregnant Women and Their Hard- Wired Worry date: 2020-06-22 words: 1537 flesch: 56 summary: The Centers for Disease Control and Prevention (CDC) has released Interim Clinical Guidance for Management of Patients with confirmed COVID-19, and guidance for evaluating and testing infected people. However, there is a concern that pregnant women might be more prone to miscarriage, preterm birth and fetal growth restriction if they get infected with COVID-19.[4] In Nepal, it is feared that COVID-19 peak is yet to be reached, as seen with other countries who were hit hard by the global pandemic. keywords: covid-19; disease; patients; sars; women cache: jlmc-381.pdf plain text: jlmc-381.txt item: #112 of 207 id: jlmc-382 author: Kandel, Santosh; Shrestha, Raju; Sharma, Rupesh; Sah, Sanjay Kumar title: Sexual Dimorphism of Maxillary Sinus: A Morphometric Analysis using Computed Tomography date: 2020-12-29 words: 3013 flesch: 55 summary: Thus, bones like maxillary sinus which are reported to get recovered intact even in case of severe destruction of skull and other skeletal bones are used.[2] Maxillary sinuses are the largest paranasal sinus, located in maxillary bone bilaterally. Maxillary sinus length The mean values of maxillary sinus length for both right and left side of males were greater in males (3.80±0.175, 3.74±0.209) cm than females (3.67±0.250, 3.64±0.256)cm respectively, with statistically significant difference of sexual dimorphism in only right side (p-value = 0.009) (Table 1) Maxillary sinus width The mean value of maxillary sinus width on right and left side of male group was 2.57±0.317 cm and 2.51±0.295 cm respectively. keywords: analysis; gender; maxillary; right; sinus; tomography; volume cache: jlmc-382.pdf plain text: jlmc-382.txt item: #113 of 207 id: jlmc-383 author: Bhattarai, Aabishkar; Karki, Bijaya title: Covid-19 Pandemic and Mental Health Issues date: 2020-06-26 words: 1223 flesch: 53 summary: Vol 8, No 1, Jan-Jun 2020 A dual relationship exists between the COVID-19 infection and mental health; infection causing mental health issues and mental health disorders on other hand being hurdle to control the pandemic. Lack of cognition in respect to patient with mental health disorders, inappropriate awareness of the risk and control strategies of personal protective behaviours, lack of knowledge/cognition regarding personal protection, handwashing, not touching t-zone of the face, tissue use; physical and social distancing and confinement to the home or psychiatric wards can increase the susceptibility to the disease. keywords: covid-19; health; june; pandemic; world cache: jlmc-383.pdf plain text: jlmc-383.txt item: #114 of 207 id: jlmc-385 author: Tiwari, Archana; Dahal, Prahar; Regmi, Sudeep; Rai, Ramji title: Fine Needle Aspiration versus Fine Needle Capillary Sampling Technique in Cyto-diagnosis of Thyroid Lesions date: 2020-08-23 words: 3464 flesch: 58 summary: Fine-needle aspiration versus non aspiration technique of cytodiagnosis in thyroid lesions. Comparative study of aspiration versus non-aspiration fine needle technique in thyroid nodule and its correlation with post-operative histopathological examination. keywords: aspiration; diagnosis; fine; fnac; fncc; needle; technique; thyroid cache: jlmc-385.pdf plain text: jlmc-385.txt item: #115 of 207 id: jlmc-386 author: Manandhar Shrestha, Jyoti Tara; Joshi, Hem Nath; Neupane, Prabin title: Medication Adherence Pattern for Benign Prostatic Hyperplasia: A Cross-Sectional Study date: 2020-10-30 words: 4164 flesch: 58 summary: A higher proportion of non-adherent patients said that medicines were not affordable when compared with the adherent group and the difference was statistically significant (p=0.047). Although adherent patient have higher literacy number this was not statistically significant. keywords: adherence; adherent; group; hyperplasia; medication; non; patients; pmid; study cache: jlmc-386.pdf plain text: jlmc-386.txt item: #116 of 207 id: jlmc-387 author: Pandey, Tilchan; Khanal, Jivan; Godar, Krishna Chandra title: Study of Association Between Glycated Hemoglobin and Lipid Profile in Type 2 Diabetes Mellitus in Tertiary Care Center date: 2020-12-02 words: 3312 flesch: 62 summary: Lipid profile values were significantly higher in poor glycemic control than good glycemic control patients. Interpretation of lipid profile value was done as per national cholesterol education program-Adult treatment panel III (NCEP-ATPII). keywords: control; correlation; diabetes; hba1c; lipid; mellitus; patients; profile; study; type cache: jlmc-387.pdf plain text: jlmc-387.txt item: #117 of 207 id: jlmc-39 author: Pokharel, Nabin title: HEALTH SYSTEM INFRASTRUCTURE OF NEPAL AND ROLE OF MEDICAL COLLEGES IN RURAL MEDICINE: is there need for collaboration? date: 2013-12-05 words: 969 flesch: 58 summary: The college being in such a place it has become an example that people need and will utilize good health care services in every corner of the country and health care can be given with good outcome in any corner if we have strong de- sire to work and serve. 7. Nepal Health Profile World Health Or- ganisation data (2010). keywords: areas; health; medical; nepal cache: jlmc-39.pdf plain text: jlmc-39.txt item: #118 of 207 id: jlmc-390 author: Chaudhary, Sushma; Gupta, Sharad; Singh, Sanjaykumar; Sharma, Hari; Yadav, Reena; Kamble, Vinit Kumar title: Vision Loss following Small Incision Cataract Surgery: A Case Report date: 2021-05-15 words: 1808 flesch: 53 summary: Conclusion: Retinal artery occlusion secondary to retro-bulbar block or drug induced toxicity following routine cataract surgery is unusual and sometimes dreadful vision threatening complication can occur. DISCUSSION: Retinal artery occlusions (RAO) are most commonly a result of embolic obstruction which might be of carotid or cardiac origin, vaso-obliter- ation and vascular compression.[5] keywords: case; cataract; eye; incision; surgery; vision cache: jlmc-390.pdf plain text: jlmc-390.txt item: #119 of 207 id: jlmc-392 author: Chhetri, Uma Maharjan; Lamichhane, Anita; Pokhrel, Shami; Sharma, Bhaskkar title: Assessment of Mental Health Problems of School Children Using Self Report Strengths and Difficulties Questionnaire date: 2021-05-24 words: 3751 flesch: 66 summary: There is limited data on the prevalence of mental health problems among adolescents in low-income countries like Nepal. This study intended to find the prevalence of mental health problems among school children in a secondary school in western Nepal. keywords: children; health; mhp; peer; problems; questionnaire; school; students; study cache: jlmc-392.pdf plain text: jlmc-392.txt item: #120 of 207 id: jlmc-393 author: Shrestha, Subina; KC, Sudikshya; Acharya, Sumnima title: Sex Determination from Radiological Assessment of the Sacrum in Nepalese Population: A Cross-sectional Study date: 2020-12-22 words: 2765 flesch: 65 summary: Similarly, the study conducted by Masih et al., found that of both mean sacral length and breadth were higher in males.[8] In the present study, the percentage of bones identified by demarking point of sacral index was 15.17% and 0.32% respectively in males and females whereas the study conducted by Joshi et al. found it to be 12.5% in males and 18.84% in females.[9] The present study calculated mean right alar index and mean left alar index in the males as 87.05 ± 19.15 and 96.59 ± 14.37 respectively and in females those values were 93.22 ± 19.16 and 103.48 ± 18.83 respectively. This shows that mean sacral breadth and mean sacral length in Nepalese population were comparatively higher than those in Maharastrian population, whereas sacral index was lower in Nepalese population.[5] The present study showed the mean sacral indices to be 96.67 ± 11.82 and 117.63 ± 15.79 respectively in males and females. keywords: females; index; length; mean; sacrum; study cache: jlmc-393.pdf plain text: jlmc-393.txt item: #121 of 207 id: jlmc-397 author: Dwivedi, Rajeev; Khatri, Mandir; KC, Arjun title: Comparison of External Fixation and Supplementary Kirschner-Wires Fixation With Volar Locking Plate for the Treatment of Intra- Articular Distal End Radius Fractures date: 2020-10-21 words: 3630 flesch: 60 summary: In a recent randomized controlled trial conducted by Sharma et al., results in the volar locking plate and external fixation group were comparable in terms of retaining anatomy and function, however, volar locking plates were superior in providing early recovery similar to present study.[15] Germaine GQ et al., found no significant difference between the results of the external fixator and the volar locking plate with regards to radiological and functional outcomes and complications.[16] A similar study was conducted by Pradhan RL et al., where a similar evaluation tool was used for functional evaluation. There are controversies regarding the benefit of open reduction and internal fixation with volar locking plates over closed reduction and external fixation along with supplementary Kirschner wires fixation for intra-articular distal end radius fracture. keywords: end; fixation; fractures; group; locking; months; plate; radius; volar cache: jlmc-397.pdf plain text: jlmc-397.txt item: #122 of 207 id: jlmc-398 author: Kamble, Vinit Kumar; Gupta, Sharad; Yadav, Reena; Singh, Sanjay Kumar; Bista, Bipin; Shah, Nirajan title: Unilateral Phthiriasis Palpebrarum Infestation: A Rare Presentation date: 2020-12-29 words: 1468 flesch: 56 summary: ABSTRACT: Introduction: Phthiriasis palpebrarum is an uncommon eyelid infestation mainly caused by Phthirus pubis also known as crab lice. Keywords: Crab louse, Nits, Phthiriasis palpebrarum, Pruritus, Seborrheic Case Reporthttps://doi.org/10.22502/jlmc.v8i2.398 Vinit Kumar Kamble,a,c Sharad Gupta,a,c Reena Yadav,a,c Sanjay Kumar Singh,a,c Bipin Bista,a,c Nirajan Sahb,c Unilateral Phthiriasis Palpebrarum Infestation: A Rare Presentation How to cite this article:How to cite this article: Kamble VK, Gupta S, Yadav R, Singh SK, Bista B, Sah N. Unilateral Kamble VK, Gupta S, Yadav R, Singh SK, Bista B, Sah N. Unilateral Phthiriasis Palpebrarum Infestation: A Rare Presentation. keywords: doi; infestation; nits; palpebrarum; phthiriasis; pmid cache: jlmc-398.pdf plain text: jlmc-398.txt item: #123 of 207 id: jlmc-4 author: Dhungana, Sahadeb Prasad; Paudel, M S; Chhetri, Bishal Khatri; _, Shamsuddin title: Why a Medical Career and What are Pros and Cons of medical profession? date: 2013-06-30 words: 3043 flesch: 57 summary: Also, sometimes medical students and graduates face the dilemma of remaining in or leaving the profession.3 The most important determinants of career choice in previous studies appeared to be personal interest, opportunity, flexible working hours and part-time practice. Medicine is regarded as a noble career as during their education, medical students work as health coaches, advising and helping people about basic health issues, solving their everyday problem, thereby enjoying respect and honor.14 Efforts can be made to reduce long working hours and improve salaries. keywords: career; medical; medicine; profession; students; study cache: jlmc-4.pdf plain text: jlmc-4.txt item: #124 of 207 id: jlmc-40 author: Pokharel, Bandana; Pokharel, Anupama title: Effectiveness of Self Instructional Model on the Management of Violent Patients among Nursing Personnel in Selected Ward of Lumbini Medical College. date: 2013-12-30 words: 1758 flesch: 53 summary: The effectiveness of self-instructional module was ob- served most of the areas, which is also supported by the findings of Barlow R, in which education was given to the nurses.10 The difference between the pre-test and post test knowledge score was an- alyzed using paired ‘t’ test. The gain in knowledge score was ob- served to be highly significant (Table-3). keywords: knowledge; nursing; self; test; violence cache: jlmc-40.pdf plain text: jlmc-40.txt item: #125 of 207 id: jlmc-403 author: Garbuja, Chandra Kumari; Rana, Sunita; Thapa, Pratima; Rana, Mohan Singh title: Perception of Educational Environment among Nursing Students of Different Colleges: A Cross- Sectional Study date: 2020-12-09 words: 4466 flesch: 60 summary: The study was conducted with the aim to assess perception of educational environment among nursing students of two different colleges. The perception of educational environment among nursing students of both colleges was directed towards positive direction rather than negative ones. keywords: colleges; educational; environment; learning; medical; nursing; participants; perception; students; study; teachers; teaching cache: jlmc-403.pdf plain text: jlmc-403.txt item: #126 of 207 id: jlmc-404 author: Nepal, Samata; Aryal, Shreyashi title: Reproductive Health Issues and Use of Family Planning Methods among Married Adolescent Mothers date: 2020-12-03 words: 3932 flesch: 64 summary: Methods: This was a cross-sectional study conducted among adolescent mothers who attended the family planning counselling session at Community Medicine Out- patient Department at a tertiary care center. Among 235 adolescent mothers, the mean age of adolescent mothers was 18.02 years (SD = 1.13). keywords: family; health; methods; mothers; nepal; planning; pregnancy; study; use; years cache: jlmc-404.pdf plain text: jlmc-404.txt item: #127 of 207 id: jlmc-405 author: Shrestha, Sandhya; Tuladhar, Jyoti Badan; Thapa, Namrata title: Knowledge, Practices and Anxiety related to Corona Virus Disease-19 (COVID -19) among Nursing Students in Nepal date: 2021-07-13 words: 3519 flesch: 66 summary: Likewise, 96.7% and 87.9% of them gave correct response on items regarding transmission and on items regarding preventive measures for COVID-19 infection respectively. Most (96.2%) responded correctly that older adults with serious chronic medical conditions like heart disease, diabetes and lung disease are at highest risk for COVID-19 infection which is similar to other studies conducted in Saudi Arab and China. keywords: anxiety; corona; covid-19; doi; knowledge; nursing; practice; respondents; students; study; virus cache: jlmc-405.pdf plain text: jlmc-405.txt item: #128 of 207 id: jlmc-406 author: Sharma, Bhaskkar; Shrestha, Rajesh; Lamichhane, Ram Prasad title: A Study on Electroencephalography Findings of Patients Visiting the Psychiatric Clinic: An Experience at A Tertiary Care Center in Western Nepal date: 2021-06-29 words: 1796 flesch: 64 summary: EEG History of seizure There is a paucity of reported literature on EEG findings although many institutes conduct EEG in Nepal now. keywords: eeg; findings; history; patients; seizure; study cache: jlmc-406.pdf plain text: jlmc-406.txt item: #129 of 207 id: jlmc-407 author: Maharjan, Nabina; Jamarkattel, Ashish; Nepal, Bhagavat Prasad title: External Ophthalmomyiasis by Oestrus Ovis: Two Case Reports from Nepal date: 2021-03-24 words: 1985 flesch: 58 summary: External ophthalmomyiasis by Oestrus ovis are first reported cases in Nepal. https://orcid.org/0000-0003-1873-4646_______________________________________________________ ABSTRACT Introduction: Ophthalmomyiasis is an infestation of eye with larvae of dipteran flies most commonly by Oestrus ovis (Sheep nasal botfly). keywords: case; external; nepal; oestrus; ophthalmomyiasis; ovis cache: jlmc-407.pdf plain text: jlmc-407.txt item: #130 of 207 id: jlmc-408 author: Rana, Sunita; Garbuja, Chandra Kumari; Rai, Geeta title: Nursing Students’ Perception of Online Learning Amidst COVID-19 Pandemic date: 2021-05-08 words: 3367 flesch: 57 summary: This study sought to examine the perception of online learning among nursing students. More than half (56.9%) participants had positive perception of online learning. keywords: covid-19; face; learning; nursing; online; participants; perception; students; study cache: jlmc-408.pdf plain text: jlmc-408.txt item: #131 of 207 id: jlmc-409 author: Atreya, Alok title: ‘Publish or Perish’ Trend: Fueling the Predatory Journals date: 2020-12-16 words: 1116 flesch: 62 summary: To get their articles published quick and easy, they sometimes fall prey to predatory journals. The only motive of predatory journals is to earn money. keywords: authors; journals; predatory cache: jlmc-409.pdf plain text: jlmc-409.txt item: #132 of 207 id: jlmc-412 author: Bhandari, Keshav Raj; Pachhai, Deepak Bahadur; Pant, Chet Raj; Jamarkattel, Ashish title: Prevalence of Refractive Error and Associated Risk Factors in School-Age Children in Nepal: A Cross-sectional Study date: 2021-06-24 words: 3693 flesch: 66 summary: The prevalence of refractive error in Kathmandu is 11.6% which is greater than our study.[10] However, Pradhan N reported a prevalence of 7.0% in which myopia was the most common refractive error 44 (61.9%) followed by astigmatism 16 (24.1%) and hypermetropia (14%) among the children with refractive errors.[1] However, the percentage distribution of refractive errors in our present study was higher than the refractive errors recorded by Naidoo et al., (4.7%) in South Africa, and Schimiti et al., (4.55%) in Brazil.[11,12] Assefa WY reported refractive errors in either eye were present in 174 (9.4%) children. Refractive error study in Children: results from La Florida, Chile. keywords: age; children; error; eye; myopia; nepal; prevalence; school; students; study cache: jlmc-412.pdf plain text: jlmc-412.txt item: #133 of 207 id: jlmc-414 author: Karki, Naresh; Kandel, Kamal; Prasad, Pravin title: Assessment of Prescription Errors in the Internal Medicine Department of a Tertiary Care Hospital in Nepal: A Cross-Sectional Study date: 2021-05-25 words: 4514 flesch: 59 summary: No 216 (50.8) Average number of drugs prescribed per encounter 4.4 ± 2.2 In 168 (39.5%) patients prescription errors were seen. This study was conducted to assess prescription errors occurred in a tertiary care hospital in Nepal. keywords: category; department; drugs; errors; hospital; medicine; patients; prescription; study cache: jlmc-414.pdf plain text: jlmc-414.txt item: #134 of 207 id: jlmc-415 author: Tuladhar, Lujaw Ratna; Budhathoki, Meen Bahadur; Bhattarai, Anjali; Bimb, Kushal; Acharya, Nikhil; Tuladhar, Eans Tara title: Comparative Study on Effects of 2% Lidocaine Hydrochloride with Adrenaline (1:200000) on Blood Pressure Among Controlled Hypertensive and Non-hypertensive Patients During Dental Anesthesia date: 2021-05-02 words: 3669 flesch: 51 summary: Comparative Study on Effects of 2% Lidocaine Hydrochloride with Adrenaline (1:200000) on Blood Pressure Among Controlled Hypertensive and Non-hypertensive Patients During Dental Anesthesia jlmc.edu.np (1:200000) on blood pressure among controlled hypertensive and non-hypertensive patients during dental anesthesia. Comparative Study on Effects of 2% Lidocaine Hydrochloride with Adrenaline (1:200000) on Blood Pressure Among Controlled Hypertensive and Non-hypertensive Patients During Dental Anesthesia jlmc.edu.np ___________________________________________________________________________________ Submitted: 22 January, 2021 Accepted: 19 April, 2021 keywords: adrenaline; anesthesia; blood; hypertensive; lidocaine; non; patients; pressure; study cache: jlmc-415.pdf plain text: jlmc-415.txt item: #135 of 207 id: jlmc-426 author: Pokharel, Monika; Karki, Subindra; Dhakal, Ashish; KC, Abha Kiran; Shrestha, Krishna Sundar; Rajbhandari, Pradeep; Neupane, Manish title: A Ten-year Retrospective Study of Nasal Bone Fractures at a Tertiary Care Hospital of Nepal date: 2021-06-20 words: 2651 flesch: 62 summary: Nasal bone fracture occurs due to its vulnerable position and reduced biomechanical resistance to traumas. Conclusion: Nasal bone fracture is a complex clinical issue which needs to be addressed early. keywords: bone; class; doi; fractures; nasal; patients; reduction; study cache: jlmc-426.pdf plain text: jlmc-426.txt item: #136 of 207 id: jlmc-427 author: Robinson, Jared; Leclézio, Alexandra; Banerjee, Indrajit title: COVID-19: Intranasal and Oral Routes of Vaccination date: 2021-05-10 words: 1531 flesch: 57 summary: Oramed forms joint venture to develop new oral vaccines for Covid-19. This first generation of vaccines developed against COVID-19 are all administered via the conventional intramuscular route. keywords: covid-19; intranasal; routes; vaccine cache: jlmc-427.pdf plain text: jlmc-427.txt item: #137 of 207 id: jlmc-428 author: Thapa, Pratima; Dhakal, Binita; Shrestha, Upasana; Adhikari, Srijana Gautam; Shrestha, Sunayana title: Pregnant Women’s Mental Health Status and its Related Factors Amidst COVID-19: A Cross- Sectional Study date: 2021-06-30 words: 4574 flesch: 61 summary: Pregnant women being the vulnerable group are most likely to be at increased risk. Keywords: Anxiety; COVID-19; Depression; Pregnant women; Stress Original Research Articlehttps://doi.org/10.22502/jlmc.v9i1.428 Pratima Thapa,a,c Binita Dhakal,a,c Upasana Shrestha,a,d Srijana Gautam Adhikari,a,e Sunayana Shrestha b,f Pregnant Women’s Mental Health Status and its Related Factors Amidst COVID-19: A Cross- Sectional Study How to cite this article:How to cite this article: Thapa P, Dhakal B, Shrestha U, Adhikari SG, Shrestha S. Pregnant Women’s Mental Health Status and its Related Factors Amidst COVID-19: A Cross-Sectional Study. keywords: anxiety; covid-19; depression; doi; health; pandemic; participants; pmid; pregnant; status; stress; study; women cache: jlmc-428.pdf plain text: jlmc-428.txt item: #138 of 207 id: jlmc-43 author: Joshi, Ruban Raj; Narang, Sagar; Sundararaj, G D title: Fractures of the proximal humerus in children and adolescents date: 2013-12-30 words: 2850 flesch: 52 summary: Key words: Proximal humerus fracture, Children, Open reduction, Operative. —–————————————————————————————————————————— 71J. Lumbini. Med. Due to the results of studies such as those mentioned above, operative indications for proximal humerus fractures are expand- ing, particularly in adolescent patients with displaced fractures.2,17 As in our nine patients with age of ten or more, operative intervention can lead to good results. keywords: children; fixation; fractures; humerus; patients; reduction; years cache: jlmc-43.pdf plain text: jlmc-43.txt item: #139 of 207 id: jlmc-430 author: Karki, Subindra; Paudel, Ram Chandra; Bhandari, Anupam; Phuyal, Arun; Dahal, Mohit Raj title: Anatomical Variants of Portal Vein Branching in CECT Scan of Abdomen: A Descriptive Study date: 2021-10-04 words: 2288 flesch: 64 summary: Conclusion: The most common variation in portal venous system was trifurcation of portal vein followed by right posterior as first branch and right anterior branch arising from left portal vein respectively. The portal vein (PV) is formed by the confluence of the splenic and superior mesenteric veins, and drains directly into the liver, contributing to approximately 75% of its blood flow.[1,2] Normally the main PV divides into right and left portal veins. keywords: abdomen; branching; cect; portal; right; vein cache: jlmc-430.pdf plain text: jlmc-430.txt item: #140 of 207 id: jlmc-434 author: Chhetri, Pramod Kumar; Basnet, Prabhat; Adhikari, Aarati title: Anatomical Variations of Renal Artery in Patients Undergoing Computed Tomography of Abdomen: A Hospital-based Cross-sectional Study date: 2021-08-29 words: 4027 flesch: 55 summary: Conclusion: Renal artery variation was observed in approximately one-third of individuals. Anatomical variations in the number and origin of the renal arteries were first reported by Bartholin (1665-1738).[1] In approximately 25-30% of individuals, more than one renal artery is present.[2] Different origin and variations of renal artery are explained by the development of the mesonephric arteries. keywords: arterial; arteries; artery; branching; kidney; patients; pmid; renal; study; variations cache: jlmc-434.pdf plain text: jlmc-434.txt item: #141 of 207 id: jlmc-435 author: Nepal, Parbati; Garbuja, Chandra Kumari; Nepal, Manju title: Clinical Nurses’ Knowledge and Attitude on Palliative Care: A Cross-Sectional Study date: 2021-06-30 words: 4118 flesch: 60 summary: The psychological aspect of care knowledge seems very poor. This study aimed to assess clinical nurses' knowledge and attitude on palliative care. keywords: attitude; care; dying; knowledge; level; nurses; pain; palliative; participants; study cache: jlmc-435.pdf plain text: jlmc-435.txt item: #142 of 207 id: jlmc-445 author: Pradhan, Noora; Tamrakar, Suman Raj; Karmacharya, Shailendra Bir title: Effect of Anemia in Pregnancy and its Perinatal Outcome: A Prospective Cohort Study date: 2021-11-17 words: 3225 flesch: 65 summary: Multipara 4(23.5%) 34(9.7%) Registration Status Booked 8(47.1%) 209(59.4%) 0.314 Unbooked 9(52.9%) 143(40.6%) Mode of Delivery Normal 9(52.90%) A study by Lone et al. showed women having moderate anemia had 1.8 times increased risk of having Apgar score less than 5 at 1 min while women in the present study had 13.23 times higher risk of having Apgar score of less than 6 at 1 min.[18] Also, in present study anemia and mode of delivery were not statistically significant. keywords: anemia; birth; health; outcomes; pregnancy; study; women cache: jlmc-445.pdf plain text: jlmc-445.txt item: #143 of 207 id: jlmc-448 author: Sharma, Rupesh; Pokharel, Sona; Neupane, Phanendra; Subedi, Rituraj title: Morphological Variation of Circle of Willis in Nepali Population: A 3D Time-of-Flight Magnetic Resonance Angiography Based Study date: 2021-06-30 words: 2817 flesch: 60 summary: Circle of Willis variations and artery diameter measurements in the Turkish population. COW variation Frequency (n=118*) Normal COW configuration 55 (46.6%) keywords: angiography; circle; configuration; cow; pcom; population; study; variation; willis cache: jlmc-448.pdf plain text: jlmc-448.txt item: #144 of 207 id: jlmc-45 author: Mikrani, Jameel Akhtar; Shrestha, Arati title: Clinical and Epidemiological Features of Psoriasis in Patients Visiting Lumbini Medical College date: 2014-06-30 words: 1630 flesch: 58 summary: As many as 15.5% of psoriasis patient develop psoriatic arthritis.2,4,5 There are many treatment options for this disease namely topical, systemic, phototherapy and biological agents. Bo K, Thoresen M, Dalgard F. Smokers report more psoriasis, but not atopic dermatitis or hand eczema: results from a Norwegian population survey among adults. keywords: disease; lumbini; medical; patients; psoriasis; study cache: jlmc-45.pdf plain text: jlmc-45.txt item: #145 of 207 id: jlmc-455 author: Subedi, Anjali; Magar, Poonam; Shrestha, Junu; Subedi, Seema title: Impact of Lockdown of COVID 19 Pandemic in Pregnancy Outcomes in a Tertiary Care Centre: What to expect? date: 2022-01-03 words: 3175 flesch: 50 summary: Methods: It was a cross-sectional, analytical study done in the Department of Obstetrics and Gynecology, Manipal Teaching Hospital for three months lockdown period (March 2020 to June 2020) and total deliveries along with maternal and perinatal complications were studied in the lockdown period and compared with those in non-lockdown period. In the study, more cases of early pregnancy complications were seen in lockdown period than in non-lockdown period. keywords: care; complications; covid; lockdown; non; pandemic; period; pregnancy; study cache: jlmc-455.pdf plain text: jlmc-455.txt item: #146 of 207 id: jlmc-456 author: Chaudhary, Shaligram; Joshi, Lok Raj; Koju, Bibek title: Relationship among Sex, Pattern of Weakness and Treatment Outcomes of Post-Stroke Patients: A Register-Based Longitudinal Study date: 2022-08-04 words: 3533 flesch: 57 summary: 01 August, 2022 Published: 04 August, 2022 a- Lecturer, Department of Physiology b- Assistant Professor, Department of Physiology c- Lumbini Medical College and Teaching Hospital, Prabhas, Tansen-7, Palpa, Nepal Corresponding author: Shaligram Chaudhary Lumbini Medical College and Teaching Hospital, Palpa e-mail: shaligram20@gmail.com ORCID: https://orcid.org/0000-0002-7242-1846 levels, lifestyle (smoking, alcohol consumption, exercise, diet), the prevalence of hypertension, diabetes, etc. are potential factors that can contribute to sex differences in the incidence of stroke.[4,5] The relationship of sex with the type of stroke, location of the lesion, side of limb weakness, and quality of life has also been studied.[6,7] A study found that the incidence of right-sided weakness is more common than left-sided weakness due to more frequent involvement of the left middle cerebral artery.[8] It has been observed that females have poorer health outcomes compared How to cite this article: Chaudhary S, Joshi LR, Koju B. Relationship among Sex, Pattern of Weakness and Treatment Outcomes of Post-Stroke Patients: A Register-Based Longitudinal Study. https://doi.org/10.22502/jlmc.v10i1.456 Original Research Article Relationship among Sex, Pattern of Weakness and Treatment Outcomes of Post-Stroke Patients: A Register-Based Longitudinal Study Shaligram Chaudhary, a,c Lok Raj Joshi, a,c Bibek Koju b,c ABSTRACT: Introduction : keywords: differences; doi; outcome; patients; pmid; rehabilitation; sex; stroke; study; weakness cache: jlmc-456.pdf plain text: jlmc-456.txt item: #147 of 207 id: jlmc-457 author: Rana, Sunita; Koirala, Mamta; Thapa, Nongmaithem Jid Noon Baral; KC, Samikshya title: Fatigue and Sleep Quality Among Staff Nurses Working in A Tertiary Care Hospital During COVID-19 Pandemic date: 2021-10-11 words: 3315 flesch: 63 summary: Table 2 shows that mean score of acute fatigue, chronic fatigue and inter shift recovery were 69.05±22.16, 64.83±21.18 and 40.42±20.27 respectively. Acute fatigue was moderately and Table 1: Participants’ level of acute fatigue, chronic fatigue and inter shift recovery (n=151). keywords: chronic; fatigue; inter; nurses; quality; recovery; shift; sleep; staff; work cache: jlmc-457.pdf plain text: jlmc-457.txt item: #148 of 207 id: jlmc-458 author: Parajuli, Surya Bahadur; Mishra, Anjali; Luitel, Anish; Sherpa, Tshering Wangchu; KC, Heera title: The Cost of Menstrual Cycle in Young Nepali Women: A Cross-Sectional Study date: 2021-12-02 words: 3343 flesch: 66 summary: The objective of this study was to find the cost of menstrual cycle and their perceptions on menstrual cost among young Nepali women. Hence, we conducted this study with an objective to find the cost of the menstrual cycle and their perceptions on menstrual cost among young Nepali women. keywords: cost; cycle; july; menstrual; period; sanitary; study; women cache: jlmc-458.pdf plain text: jlmc-458.txt item: #149 of 207 id: jlmc-459 author: Shrestha, Deepak; Singh, Kritina; Aryal, Shreyashi title: Adverse Pregnancy Outcomes in Overweight and Obese Pregnant Women in a Tertiary Care Center of Western Nepal: A Prospective Cohort Study date: 2022-01-12 words: 3466 flesch: 60 summary: Whereas in total blood loss, the mean difference was statistically significant for obese group against normal BMI (p=0.001) or overweight groups (p=0.005) only. However, there were four cases of HDP in obese group, and one each in normal BMI and overweight groups. keywords: bmi; groups; maternal; normal; obese; outcomes; overweight; pregnancy; study cache: jlmc-459.pdf plain text: jlmc-459.txt item: #150 of 207 id: jlmc-46 author: Aryal, Shreyashi; Karki, Chanda title: Induction of Labour in Prelabour Rupture of Membranes with or without Cervical Ripening with Prostaglandin E2 date: 2014-06-30 words: 4105 flesch: 55 summary: Cervical priming with prostaglandin results in higher rate of vaginal delivery and shorter induction to vaginal delivery interval and this is viewed as an advantage to the mother. Cervical priming with PGE2 results in a higher rate of vaginal delivery and shorter induction to vaginal delivery interval. keywords: cases; delivery; group; induction; labour; membranes; oxytocin; prom; rupture; study cache: jlmc-46.pdf plain text: jlmc-46.txt item: #151 of 207 id: jlmc-460 author: Nepal, Parbati; Adhikari, Dipa title: Readiness for Self-directed Learning among Nursing Students of Lumbini Medical College and Teaching Hospital: A Cross-sectional Study date: 2021-12-25 words: 3015 flesch: 58 summary: Nursing students had a higher level of readiness for self-directed learning, so the teachers need to adopt those learning strategies that help and encourage nursing students for independent learning which enhance student’s learning with better retention, good decision making, and confidence. 2.Gyawali S, Jauhari AC, Ravi Shankar P, Saha A, Ahmad M. Readiness for self directed learning among first semester students of a medical school in Nepal. keywords: learning; level; lumbini; nursing; readiness; self; students; study cache: jlmc-460.pdf plain text: jlmc-460.txt item: #152 of 207 id: jlmc-466 author: Joshi, Lok Raj; Chaudhary, Shaligram; Koju, Bibek; Dani, Saurav; Khadka, Anuska title: Self-Assessed Time Span of Focused Attention During a Breath Focus Test Task as a Measure of Mindfulness: A Preliminary Evaluation date: 2022-07-03 words: 4702 flesch: 54 summary: Out of the 290 sessions performed by all participants in total, unforeseen distraction or discomfort was reported as the mode of termination of the task in 101 (34.8%) breath focus sessions (Table 2). Table3: Major findings (N = 76 unless specified otherwise) Variable Observation Rate of breathing (breath cycles per minute) 14.6 ± 3.6 Breath count with awareness 42.5 (27.3 - 67.2) Intersession breath count difference 20 (13 - 35) Corrected intersession breath count difference 0.46 (0.28 - 0.73) Time span of focused attention (minutes) 3.0 (1.9 - 4.5) keywords: attention; awareness; breath; count; focus; mindfulness; participant; task; test; time cache: jlmc-466.pdf plain text: jlmc-466.txt item: #153 of 207 id: jlmc-467 author: Dongol, Anjana; Deoju, Shreya; Shikharakar, Shreeja; Rayamajhi, Sushil Jung; Pradhan, Noora; Tripathi, Priyanka title: Menopausal Symptoms in Premenopausal Women Among the Cohort of Gynecological Patients Attending Outpatient Department of Dhulikhel Hospital. date: 2021-12-30 words: 3122 flesch: 47 summary: The total prevalence of menopausal symptoms was 91.8%. These symptoms may initiate during the perimenopausal period.[7] Menopausal symptoms in perimenopausal and menopausal women can vary from mild to severe. keywords: age; doi; hospital; menopausal; mrs; perimenopausal; pmid; study; symptoms; women cache: jlmc-467.pdf plain text: jlmc-467.txt item: #154 of 207 id: jlmc-468 author: Sharma, Rupesh; Shrestha, Deepak; Thapa, Krishna; Bhandari, Kiran title: Evaluation of Alcazar Scoring System to Differentiate Between Benign and Malignant Ovarian Masses- A Nepalese Perspective date: 2022-01-14 words: 2082 flesch: 43 summary: Alcazar scoring system includes both grey-scale as well as Doppler characteristics of the ovarian masses and is one of the more widely used systems worldwide. Keywords: Alcazar scoring system, Doppler, Histopathology, Ovarian mass Original Research Articlehttps://doi.org/10.22502/jlmc.v9i2.468 Rupesh Sharmaa,e Deepak Shresthab,e, Krishna Thapac,e Kiran Bhandarid,e Evaluation of Alcazar Scoring System to Differentiate Between Benign and Malignant Ovarian Masses- keywords: alcazar; benign; masses; ovarian; scoring; system cache: jlmc-468.pdf plain text: jlmc-468.txt item: #155 of 207 id: jlmc-469 author: Karki, Naresh; Kandel, Kamal; Prasad, Pravin; Khanal, Jeevan title: Antihypertensive Drug Use Pattern in a Tertiary Care Hospital of Western Region of Nepal: A Cross-Sectional Study date: 2023-01-02 words: 3777 flesch: 42 summary: The risk of occurrence of hypertensive complications and subsequent mortalities can be minimized if patients are treated rationally with antihypertensive drugs.[4,5] The assessment of antihypertensive drug use in hospitals at regular time intervals always plays an important role to mitigate the burden of hypertension and may help healthcare providers prescribe the drugs rationally.[5,6] Many studies have been published worldwide related to the pattern of use of antihypertensive drugs. The case proforma consisted of socio-demographic characteristics of patients (age, gender, hospital number, domicile and ethnic group), clinical characteristics of patients (diagnosis, number of diagnosis, stage of hypertension, presence of complications and name of complications) and information related to antihypertensive drug use pattern (number of drugs used, class of antihypertensive drugs, name of antihypertensive drug, route of administration, use of monotherapy or combination therapy, number of drugs used in combination therapy, J. Lumbini Med. keywords: antihypertensive; care; combination; drug; hospital; hypertension; nepal; patients; pattern; study; use cache: jlmc-469.pdf plain text: jlmc-469.txt item: #156 of 207 id: jlmc-47 author: Ghimire, Moushami; Ghimire, Madhusudhan title: Menarche and Its Determinants in Adolescent Girls date: 2014-06-30 words: 2248 flesch: 64 summary: Age at menarche was more likely before 13 years of age when the age of onset of sexual feeling was earlier than 12 years of age, in students than in domestic workers and if they are living with parents than in those not living with parents. Menarche age is an important indicator of reproductive health of a woman or a community. keywords: adolescent; age; girls; health; living; menarche; study; years cache: jlmc-47.pdf plain text: jlmc-47.txt item: #157 of 207 id: jlmc-473 author: Acharya, Radha; Chauhan, Samridhi; Pandey, Jyotsna; Chaudhary, Ashmita; Pandey, Chandranshu title: Peripheral Neuropathy and Foot Care Practices Among Patients with Diabetes Mellitus Attending a Tertiary Care Hospital: A Cross-sectional Study date: 2023-01-04 words: 5601 flesch: 54 summary: Diabetic foot care: knowledge and practice. The Michigan Neuropathy Screening Instrument and the Nottingham Assessment of Functional Foot Care were used to determine the prevalence of peripheral neuropathy and to assess foot care practices. keywords: care; care practices; diabetes; doi; foot; foot care; hospital; med; neuropathy; participants; patients; peripheral; pmid; practices; prevalence; study cache: jlmc-473.pdf plain text: jlmc-473.txt item: #158 of 207 id: jlmc-475 author: Bhandari, Keshav Raj; Bahadur Pachhai, Deepak; Parajuli, Shova; Kandel, Kamal; Prasad Upadhyay, Hari title: Prevalence and Associated Factors of Overweight and Obesity in Reproductive Women of a Municipality in Western Nepal date: 2022-09-22 words: 3843 flesch: 59 summary: Age (p < 0.001), education (p = 0.02), occupation (p = 0.012), marital status (p = 0.008), presence of chronic disease (p < 0.001), dietary pattern (p = 0.01), restaurant visit (p = 0.002) and stress (p = 0.003) were significant associated factors for overweight including obesity among reproductive age women. This study aimed to estimate the prevalence of overweight and obesity, and to determine the associated factors among reproductive women in a municipality in western Nepal. keywords: age; obesity; overweight; prevalence; study; women cache: jlmc-475.pdf plain text: jlmc-475.txt item: #159 of 207 id: jlmc-478 author: Prajapati, Rupa; Maharjan, Surendra title: Birth Preparedness and Complication Readiness among Husbands Whose Wives were Delivered Within the Last 12 Months: A Cross-sectional Study date: 2022-09-12 words: 3554 flesch: 58 summary: https://doi.org/10.22502/jlmc.v10i1.478 Original Research Article Birth Preparedness and Complication Readiness among Husbands Whose Wives were Delivered Within the Last 12 Months: A Cross-sectional Study Rupa Prajapati a,c , Surendra Maharjan b,c ABSTRACT: Introduction: Birth preparedness and complication readiness (BPCR) Slightly more than three-quarter of husbands were prepared well for birth and complication readiness. keywords: birth; complication; danger; husbands; preparedness; readiness; signs; study cache: jlmc-478.pdf plain text: jlmc-478.txt item: #160 of 207 id: jlmc-48 author: Pokharel, Bandana; Pokharel, Anupama title: Perceived Social Support among Mentally Ill Patients date: 2014-06-30 words: 2085 flesch: 57 summary: Positive functional social network can work as a buffering agent.6 This way social support can uplift the quality and subjective wellbeing of people as well as enable people to develop and use positive forms of coping and problem solving strategies.7 There is a lack of study on perceived social support of mentally ill INTRODUCTION: Tonsing K, Zimet GD, Tse S. Assessing social support among South Asians: The multidimensional scale of perceived social support. keywords: family; illness; patients; study; support; type cache: jlmc-48.pdf plain text: jlmc-48.txt item: #161 of 207 id: jlmc-480 author: Mahat, Samyog; Koirala, Sarun; Shah, Sandip; Khanal, Laxman title: A Students’ Perception in Learning Human Anatomy Towards Dissection or Prosection date: 2023-03-09 words: 2960 flesch: 50 summary: The current study showed relevant findings about student perceptions with regard to positive and negative aspects of prosection and dissection in learning anatomy. Our findings correlate with the previous study done by Dissabandara et al. which showed that students perception towards dissection is time consuming, difficult in finding correct structures as compared to other forms of learning anatomy.[2] Time consuming may be due to difficulty in finding structure at once during cutting the body. keywords: anatomy; dissection; learning; perception; pmid; prosection; students; study cache: jlmc-480.pdf plain text: jlmc-480.txt item: #162 of 207 id: jlmc-481 author: Bhurtel, Radha; Pokhrel, Ram Prasad; Sharma, Sumitra title: Screen Time in Children of Central Nepal: A Parent Reported Cross-sectional Study during COVID-19 Pandemic date: 2022-10-24 words: 3320 flesch: 56 summary: The family context of low-income parents who restrict child screen time. This study aimed to assess the duration of screen time and parental perspective towards screen viewing in children during the pandemic. keywords: children; covid-19; health; media; pandemic; parents; screen; study; time cache: jlmc-481.pdf plain text: jlmc-481.txt item: #163 of 207 id: jlmc-482 author: Chhetri, Dipendra Singh; Joshi, Ruban Raj; Tiwari, Sagar title: Risk Factors Associated with Frozen Shoulder among Nepalese Population: A Hospital-based Comparative Study date: 2023-01-26 words: 2892 flesch: 58 summary: Frozen shoulder presents with pain and stiffness in the shoulder which may lead to an inability to work and or to carry out household and leisure-time activities, Therefore, this study precisely assesses the potential influence of several factors on frozen shoulder development and evaluate the possible relationship between these factors in elevating the risk for frozen shoulder in individuals. Vol 10, No 2, Jul-Dec 2022 jlmc.edu.np http://jlmc.edu.np Chhetri DS, et al. Risk Factors Associated with Frozen Shoulder among Nepalese Population Table 1: Distribution of selected demographic variables and risk factors in frozen shoulder cases and controls. keywords: age; doi; factors; frozen; pmid; risk; shoulder; study; thyroid cache: jlmc-482.pdf plain text: jlmc-482.txt item: #164 of 207 id: jlmc-487 author: Shrestha, Arati; Sunwar, Kopila; Shah, Miki; Thapa, Sunita; Pokharel, Aruna; Shrestha, Deepak; Tiwari, Archana title: PAP Smear versus Colposcopy in the Absence of HPV-DNA Testing for the Screening of Pre-malignant and Malignant Cervical Lesions date: 2022-12-18 words: 3880 flesch: 50 summary: CONCLUSION: Cervical cancer screening is quickly becoming an urgent public health problem which needs immediate attention from all concerned parties. Shaki O, Chakraborty BK, Nagraja N. A study on cervical cancer screening in asymptomatic women using Papanicolau smear in a tertiary care hospital in an urban area Mumbai, India. keywords: cin; colposcopy; findings; lesions; pap; patients; smear; study cache: jlmc-487.pdf plain text: jlmc-487.txt item: #165 of 207 id: jlmc-489 author: Pokharel, Aruna; Shrestha, Arati; Shrestha, Deepak; Aryal, Shreyashi; Tiwari, Archana title: Prevalence of Abnormal PAP Smear in Pregnancy: A Hospital-Based Study in Western Nepal date: 2023-01-20 words: 3282 flesch: 55 summary: The accuracy of PAP smear in pregnancy is almost similar to that of non-pregnant state.[2] Gestational age (in weeks) Frequency (%) 5-10 29 (14.5) 11-15 35 (17.5) 16-20 26 (13) 21-25 68 (34) 26-28 42 (21) In this study, it was observed that the majority of the study participants (n=156, 78%) were not aware about PAP smear and only 44 (22%) knew about the procedure. keywords: age; cancer; pap; participants; pregnancy; prevalence; smear; study; women cache: jlmc-489.pdf plain text: jlmc-489.txt item: #166 of 207 id: jlmc-49 author: Acharya, Sumnima; Chaturvedi, Shyam Kishore title: Significance of Computed Tomography in the Diagnosis of Cerebrovascular Accidents date: 2014-06-30 words: 1960 flesch: 58 summary: Among 51 clinically diagnosed cases of hemorrhagic stroke, 32(62.7%) cases were proved by CT scan as hemorrhagic stroke and among clinically diagnosed cases of infarct, 39(86.7%) cases were proved by CT scan as infarct which is statistically significant (p <0.001). Among 51 clinically diagnosed cases of hemorrhagic stroke, 32(62.7%) cases were proved by CT scan as hemorrhagic stroke and among clinically diagnosed cases of infarct, 39(86.7%) cases were proved by CT scan as infarct which is statistically significant (p <0.001). keywords: cases; infarct; scan; stroke; study cache: jlmc-49.pdf plain text: jlmc-49.txt item: #167 of 207 id: jlmc-495 author: Adhikaree, Ajay; Budha, Arjun Kumar; Rawat, Gobind; Nepal, Choodamani; Dhungana, Umesh; Gautam, Suwas Chandra; Bidari, Prayas title: Clinical Profile and Short-term Outcome of Heart Failure Patients in a Tertiary Hospital in Kaski, Nepal: A Cross-sectional Study date: 2022-10-20 words: 5453 flesch: 45 summary: Heart failure with preserved ejection fraction was the most prevalent (61.2%) type and dilated cardiomyopathy (27.6%) was the commonest etiology of heart failure. The aim of this study was to evaluate the epidemio-clinical profile and short-term outcome of hospitalized heart failure patients in a tertiary care hospital. keywords: adhikaree; disease; doi; failure; heart; heart failure; hospital; outcome; patients; pmid; profile; study; term cache: jlmc-495.pdf plain text: jlmc-495.txt item: #168 of 207 id: jlmc-496 author: Pandey, Bhuwan Raj; Singh, Madan Mohan title: Endoscopic Transcanal Type I Cartilage Tympanoplasty for Anterior Perforation of Tympanic Membrane: A Cross-sectional Study date: 2023-03-05 words: 3504 flesch: 49 summary: Conclusion: Endoscopic transcanal tympanoplasty is a minimally invasive procedure, which provides complete exposure of anterior tympanic membrane perforation thus avoiding external incisions and canalplasty. Gamra et al. evaluated the anatomical and audiological results of type 1 cartilage tympanoplasty in the reconstruction of tympanic membrane perforations and they achieved functional results similar to the temporal fascia.[12] In our study, we used tragal perichondrium with cartilage as a graft material with the help of endoscope and the overall success rate for graft take up was 89.4% after three months of post-operative period. keywords: anterior; cartilage; endoscopic; graft; membrane; perforation; perichondrium; tympanoplasty; type cache: jlmc-496.pdf plain text: jlmc-496.txt item: #169 of 207 id: jlmc-499 author: Shrestha, Buddhi Kumar; Ray, Satindar title: Evaluation of Intra-operative and Post-operative Complications of Non Descent Vaginal Hysterectomy: A Single-center Hospital-based Prospective Study date: 2023-06-01 words: 3196 flesch: 42 summary: Vol 11, No 1, Jan-June 2023 jlmc.edu.np http://dx.doi.org/10.5772/intechopen.103086 http://dx.doi.org/10.5772/intechopen.103086 https://pubmed.ncbi.nlm.nih.gov/28538495/ https://doi.org/10.1097/aog.0000000000002112 https://doi.org/10.1097/aog.0000000000002112 https://pubmed.ncbi.nlm.nih.gov/30879487/ https://pubmed.ncbi.nlm.nih.gov/30879487/ https://doi.org/10.1016/j.jogc.2018.12.006 https://pubmed.ncbi.nlm.nih.gov/34506386/ https://doi.org/10.31729/jnma.5315 http://jlmc.edu.np/ Shrestha BK, Ray S. Intra- and Post-operative Complications of Non Descent Vaginal Hysterectomy Seshadri-Kreaden U. Clinical and cost comparisons for hysterectomy via abdominal, standard laparoscopic, vaginal and robot-assisted approaches. Fig.1 Post-operative complications of the study population DISCUSSION: keywords: cases; complications; descent; doi; hospital; hysterectomy; mean; post; study cache: jlmc-499.pdf plain text: jlmc-499.txt item: #170 of 207 id: jlmc-50 author: Ghimire, Madhusudhan; Sharma, Achala; Ghimire, Moushami title: Smoking and Depression among Healthcare Workers date: 2014-06-30 words: 2831 flesch: 66 summary: It is believed that the level of health status of health workers as well as community should go ahead parallel but many researchers have noted that high risk behaviours (smoking, tobacco use, alcoholism, irregular diet intake, lack of exercise etc.) are prevalent among health workers. imposed on employees.4 Some behavioral factors like dietary pattern, alcohol intake, cigarette smoking, carelessness in family and social relationship of health workers may impact on holistic aspects of community health. keywords: age; cigarette; depression; health; healthcare; nepal; prevalence; smoking; study; workers cache: jlmc-50.pdf plain text: jlmc-50.txt item: #171 of 207 id: jlmc-51 author: Joshi, Ruban Raj; Sundararaj, Gabriel David title: Solitary Osteochondroma Arising from the Dorsal Vertebral Spinous Process date: 2014-06-30 words: 1452 flesch: 54 summary: Osteochondromas rarely affect the spine; 1.3% to 4.1% of solitary osteochondromas arise within the spine, and approximately 9% of patients with multiple osteochondromas have spinal lesions.3-5 Understanding embryological development of spine could also conjecture on other etiological hypothesis. How to cite this article: Joshi RR, Sundararaj GD, Solitary osteochondroma arising from the dorsal vertebral spinous process: A Case Report. keywords: case; fig; osteochondroma; process; spine cache: jlmc-51.pdf plain text: jlmc-51.txt item: #172 of 207 id: jlmc-53 author: Thapa, Neeraj; Hamal, Bhairav Kumar; Yadav, Nagendra Prashad; Thapa, Ghanashyam title: Bacterial Translocation as a Cause of Postoperative Sepsis in Surgical Patients Undergoing Laparotomy date: 2014-12-30 words: 2164 flesch: 52 summary: Bacterial translocation is the invasion of indigenous intestinal bacteria through the gut mucosa to normally sterile tissues and the internal organs. Results: Bacterial translocation was identified in 22 (44.8%) patients. keywords: bacteria; culture; lymph; patients; sepsis; study; translocation cache: jlmc-53.pdf plain text: jlmc-53.txt item: #173 of 207 id: jlmc-54 author: Joshi, Ruban Raj; Sundararaj, Gabriel David title: Clinical Results of Surgically Treated Medial Humeral Epicondylar Apophyseal Avulsion Injury in Children and Adolescent. date: 2014-12-30 words: 3991 flesch: 59 summary: In this retrospective study between October 2011 and October 2014 from Lumbini Medical College Teaching Hospital, 28 children (18 boys and 10 girls) with medial epicondyle fractures were reviewed. Treatment of medial epicondyle fractures is controversial. keywords: elbow; epicondyle; fractures; medial; r t cache: jlmc-54.pdf plain text: jlmc-54.txt item: #174 of 207 id: jlmc-55 author: Kaur, Narinder; Aryal, Shreyashi title: Clinical Study of Ectopic Pregnancy in a Tertiary Care Hospital in Nepal date: 2014-12-30 words: 2274 flesch: 58 summary: Clinical Study of Ectopic Pregnancy in a Tertiary Care Hospital in Nepal Narinder Kaura, Shreyashi Aryalb —–————————————————————————————————————————— ABSTRACT: Introduction: Ectopic pregnancy is a cause of pregnancy related mortality and its incidence is on the rise. The aim of modern management of ectopic pregnancy should be to diagnose ectopic pregnancy accurately, so that women can seek prompt diagnosis and treatment and optimize their future fertility. keywords: cases; clinical; ectopic; patients; pregnancy; study cache: jlmc-55.pdf plain text: jlmc-55.txt item: #175 of 207 id: jlmc-56 author: Paudyal, Parbati Nepal; Nepal, Manju title: Knowledge on Perimenopausal Symptoms among Women Attending Lumbini Medical College Teaching Hospital date: 2014-12-30 words: 2314 flesch: 52 summary: This study was done to assess the knowledge of women about perimenopausal symptoms. The role of health care provider is that they should seriously discuss about mid-life women’s health problems including perimenopausal symptoms and treatment modality including hormonal replacement therapy so the quality of life of women can be improved. keywords: knowledge; level; perimenopausal; respondents; symptoms; women cache: jlmc-56.pdf plain text: jlmc-56.txt item: #176 of 207 id: jlmc-57 author: Acharya, Anup; Singh, Madan Mohan; Pokharel, Bandana title: Psychological Distress in Patients having Globus Pharyngeus date: 2014-12-30 words: 1888 flesch: 60 summary: Psychological distress in patients having globus pharyngeus jlmc.edu.np ours, found that distress was present in 37.5% of the general population.11 Comparing findings of our control group with this result, there was no significant difference in the occurrence of psychological distress (X2(1)=0.539, p=0.44). Chi-square test of independence was calculated comparing the grading of GHQ-12 scores in study group and controls. keywords: control; distress; globus; group; patients; study cache: jlmc-57.pdf plain text: jlmc-57.txt item: #177 of 207 id: jlmc-58 author: Acharya, Anup; Singh, Madan Mohan; Tambay, Yeshwant Gajanan title: Tracheal Resection and Anastomosis for Postintubation Tracheal Stenosis date: 2014-12-30 words: 1266 flesch: 61 summary: Tracheal stenosis is one of the dreaded complication of tracheal intubation. Since then she had moved to India with Fig 2: CT Neck, axial cuts (upper two) and reconstructed sagittal (lower) shows tracheal stenosis just above tracheostomy tube. keywords: anastomosis; intubation; stenosis; tracheal cache: jlmc-58.pdf plain text: jlmc-58.txt item: #178 of 207 id: jlmc-59 author: Shrestha, Subha; Shrestha, Buddhi Kumar title: Adolescent Pregnancy among Ethnic Variants at Lumbini Medical College date: 2015-06-30 words: 2293 flesch: 60 summary: Adolescent pregnancy is a common social phenomenon that results to both maternal and fetal related health consequences globally. The main objective of this study was to estimate the maternal and fetal outcome of adolescent pregnancies visiting Lumbini Medical college among ethnic variants of mid-western region. keywords: college; health; lumbini; medical; outcome; pregnancy; study cache: jlmc-59.pdf plain text: jlmc-59.txt item: #179 of 207 id: jlmc-6 author: Jain, Sushila; Paudel, Anuj; Jain, S K title: Present potential of exfoliative cytology in detection of cervix cancer date: 2013-06-30 words: 2010 flesch: 59 summary: It is evident that unlike in the developed countries, Pap smear screening is not well organized. This study was carried out to find out the prevalence of abnormalities in Pap smears, particularly pattern of epithelial cell abnormality in women attending Lumbini Medical College in western Nepal. keywords: cancer; cell; pap; patients; screening; smear cache: jlmc-6.pdf plain text: jlmc-6.txt item: #180 of 207 id: jlmc-60 author: Shrestha, Buddhi Kumar; Shrestha, Subha title: Education Status of Husband and Wife and its Influence on Acceptance of Contraception date: 2015-06-30 words: 1712 flesch: 51 summary: This study is an endeavor to assess the relation between education status of husband and wife and acceptance of contraception among postpartum women at Lumbini Medical College Teaching Hospital. Education status of husband and wife may affect the acceptance of contraception. keywords: acceptance; contraception; education; husbands; status cache: jlmc-60.pdf plain text: jlmc-60.txt item: #181 of 207 id: jlmc-61 author: Sharma, Ram Prashad; Vaidya, Pradip Raj; Chand, Man Bahadur title: The Efficacy of Ketamine Gargle in Attenuating Postoperative Sore Throat date: 2015-06-30 words: 2706 flesch: 60 summary: Postoperative sore throat (POST) is a common complication of general anesthesia with endotracheal intubation that affects the patient satisfaction after surgery. The efficacy of ketamine gargle in attenuating postoperative sore throat: a randomized control trial. keywords: gargle; group; intubation; ketamine; occurrence; patients; post; study; throat cache: jlmc-61.pdf plain text: jlmc-61.txt item: #182 of 207 id: jlmc-62 author: Nepal, Parbati; Dhungana, Bina title: Lifestyle Modification after Diagnosis of Hypertension in Patients Visiting Lumbini Medical College Teaching Hospital date: 2015-06-30 words: 2292 flesch: 57 summary: Changes in lifestyle after hypertension diagnosis in Canada. Lifestyle modifications is an important aspect of hypertension therapy. keywords: diagnosis; hypertension; lifestyle; lumbini; medical; respondents; study cache: jlmc-62.pdf plain text: jlmc-62.txt item: #183 of 207 id: jlmc-63 author: Shrestha, Pratistha; Mikrani, Jameel Akhtar title: Pattern of Dermatological Disease and its Relation to Gender in Lumbini Medical College Teaching Hospital date: 2015-06-30 words: 1812 flesch: 63 summary: Pattern of Dermatological Disease and its Relation to Gender in Lumbini Medical College Teaching Hospital Pratistha Shrestha,a Jameel Akhthar Mikrania —–————————————————————————————————————————————— ABSTRACT: Introduction: The pattern of skin disease differs in different countries, and within various region of a country depending on socio-economic, racial and environmental factors. Many researchers have reported various patterns of skin disease in different countries. keywords: diseases; eczema; gender; pattern; skin; study cache: jlmc-63.pdf plain text: jlmc-63.txt item: #184 of 207 id: jlmc-64 author: Kaur, Narinder; Jain, Sushila title: Perinatal Outcome of Deliveries after One Previous Caesarean Section date: 2015-06-30 words: 2505 flesch: 64 summary: Disruption of prior uterine incision following misoprostol for induction of labor in women with previous caesarean delivery. Indication of previous caesarean section and mode of delivery in this pregnancy Table 4. keywords: caesarean; patients; section; study; vbac cache: jlmc-64.pdf plain text: jlmc-64.txt item: #185 of 207 id: jlmc-65 author: Kharbuja, Kalpana; Sharma, Mahesh; Sharma, Nil Raj title: Bier's block date: 2015-06-30 words: 1197 flesch: 53 summary: IVRA is easy to administrate, its overall cost is low, it is applicable to all age groups, the onset of surgical anesthesia is quite rapid, and after the tourniquet (a device introduced for limb amputation by war surgeons) is released, normal sensation and motor power return rapidly.4 Short elective surgical procedures (< 90 min) can be performed on the hand and the forearm, usually on soft tissues. There was no known allergy history to local anesthesia. keywords: anesthesia; bier; block; case; ivra cache: jlmc-65.pdf plain text: jlmc-65.txt item: #186 of 207 id: jlmc-66 author: Adhikaree, Ajay; Kohli, Suresh Chandra; Pokhrel, Daya Ram; Bhatta, Dharma title: Asymptomatic Bacteriuria in Diabetic Adults date: 2015-12-30 words: 3056 flesch: 57 summary: There is paucity of data on prevalence of ABU in wider age group of diabetic patients in Nepalese population.7 Hence, the aim of the present study was to evaluate the prevalence of ABU among wider age group diabetic adult patients, to assess the associated risk factors including age, gender, duration of DM, BMI, glycaemic control and identification of bacteriological profile along with antibiotic sensitivity pattern of those isolates. Njunda AL, Assob JCN, Nsagha SD, Nde PF, Kamga HLF, Ajebe FN, et al. Uropathogens from diabetic patients with asymptomatic bacteriuria and urinary tract infections. keywords: abu; adults; asymptomatic; bacteriuria; control; diabetes; med; mellitus; patients; reference; study; tract; urinary cache: jlmc-66.pdf plain text: jlmc-66.txt item: #187 of 207 id: jlmc-67 author: Thapa, Neeraj; Shris, Sachin; Pokharel, Nabin; Tambay, Yeshwant Gajanan; Kher, Jayant R; Acharya, Sumnima title: Complications of Percutaneous Nephrolithotomy and their Management date: 2015-12-30 words: 2887 flesch: 55 summary: Although PCNL initially proved to be an effective technique, the near-concurrent introduction of shockwave lithotripsy (SWL) resulted in a rapid and marked decrease in the utilization of PCNL.14 There has been, however, a recent increase in the utilization of PCNL, largely attributed to the limitations of newer SWL equipment, an increase in stone prevalence, and the refinement of PCNL indications, techniques, and instrumentation.15-19 Although percutaneous renal surgery is less invasive than an open procedure, complications may occur. Management of hemorrhage after percutaneous renal surgery. keywords: complications; kidney; nephrolithotomy; patients; pcnl; percutaneous; renal; stones; surgery; urol cache: jlmc-67.pdf plain text: jlmc-67.txt item: #188 of 207 id: jlmc-69 author: Koirala, Mamta; Koirala, Mohan Laxmi title: Contributing Factors for Perceived Satisfaction with Nursing Care among Inpatients in General Wards date: 2015-12-30 words: 2378 flesch: 57 summary: Patient satisfaction with nursing care is considered an important factor in explaining patients' perceptions of service quality.1 Patient satisfaction is defined as the extent of the resemblance between the expected quality of care and the actual received care.2,3 Patient satisfaction is defined as the extent of the resemblance between the expected quality of care and the actual received care. keywords: care; health; hospital; nursing; patients; quality; satisfaction; study cache: jlmc-69.pdf plain text: jlmc-69.txt item: #189 of 207 id: jlmc-7 author: Joshi, K R; Hiremath, K K; Gupta, S P title: Evaluation of Serum HDL and LDL levels in Type II Diabetes Mellitus date: 2013-06-30 words: 2105 flesch: 58 summary: However controversial studies also have been reported where no significant change in HDL cholesterol levels in diabetic patients reported.15 HDL cholesterol concentration are strongly and independently related to coronary artery disease, but the relationship is inverse; a low HDL cholesterol being an important predictor of coronary heart disease and whereas high levels of HDL cholesterol is protecting against coronary heart disease. Results: The result of the present study suggests that fasting blood sugar and LDL cholesterol levels were increased but HDL cholesterol level was reduced in type II diabetic subjects when compared to controls. keywords: cholesterol; diabetes; hdl; ldl; mellitus; type cache: jlmc-7.pdf plain text: jlmc-7.txt item: #190 of 207 id: jlmc-70 author: Acharya, Anup; Singh, Madan Mohan; Shrestha, Arati title: Endoscopic Management of Epistaxis in Lumbini Medical College date: 2015-12-30 words: 2065 flesch: 48 summary: Proper guidelines for its management are lacking; on the other hand, the management is mostly done by the junior health service providers which has invited non-standardized practice of epistaxis management. Endoscopic management of epistaxis in Lumbini Medical College. keywords: endoscopic; epistaxis; management; nasal; packing; patients cache: jlmc-70.pdf plain text: jlmc-70.txt item: #191 of 207 id: jlmc-71 author: Sharma, Mahesh; Kharbuja, Kalpana; Sharma, Nil Raj title: Intraperitoneal Hydrocortisone plus Bupivacaine versus Bupivacaine alone for Pain Relief after Laparoscopic Cholecystectomy date: 2015-12-30 words: 2671 flesch: 49 summary: Laparoscopic cholecystectomy (LC) is the most common, minimally invasive and gold standard methods in treatment for symptomatic cholelithiasis.1 Less post-operative pain, early oral intake after surgery, shorter hospital stay, early resumption of normal activities and improved cosmesis have been well recognized advantages of LC.2,3 Although pain is less intense than following open cholecystectomy, some patients still experience considerable discomfort during the first 24 to 72 postoperative hours, which can delay discharge.4 Various modalities have been proposed to relieve pain after laparoscopic cholecystectomy like usage of non-steroidal anti-inflammatory drugs (NSAIDs), opioids, intraperitoneal local anesthetics, port site infiltration of local anesthetic etc.5 Therefore, pre- operative decision for pain relief after laparoscopy is an important aspect of planning laparoscopic cholecystectomy. Laparoscopic cholecystectomy has been the gold standard in the treatment of gallstones since last decades. keywords: bupivacaine; cholecystectomy; group; hydrocortisone; intraperitoneal; laparoscopic; pain; patients; relief cache: jlmc-71.pdf plain text: jlmc-71.txt item: #192 of 207 id: jlmc-72 author: Kaur, Narinder; Aryal, Shreyashi title: Pattern of Severe Acute Maternal Morbidity in a Tertiary Care Institute date: 2015-12-30 words: 3257 flesch: 58 summary: More recently review of the cases of severe acute maternal morbidity (SAMM), also termed as near miss obstetrics events, has been found to be a useful supplementary indicator to investigate maternal health care. Keywords: maternal death • maternal mortality • morbidity • near miss • obstetric complications ——————————————————————————————————————————————— ___________________________________________________________________________________ a - Lecturer, Department of Obstetrics and Gynecology Lumbini Medical College, Palpa, Nepal Corresponding Author: Dr. Narinder Kaur e-mail: dr.kaurnarinder@gmail.com How to cite this article: Kaur N, Aryal S. Pattern of severe acute maternal morbidity in a tertiary care institute. keywords: blood; care; health; maternal; miss; morbidity; mortality; near; samm; study cache: jlmc-72.pdf plain text: jlmc-72.txt item: #193 of 207 id: jlmc-73 author: Joshi, Ruban Raj; Dwivedi, Rajeev title: Presentation and Management of Soft-Tissue Foreign Bodies in a Teaching Hospital of Western Nepal date: 2015-12-30 words: 3145 flesch: 58 summary: CONCLUSIONS: Foreign body injuries are severe injuries that may cause significant problems when ignored. We frequently encounter patients with soft tissue foreign body in fresh wounds as well as 50 J. Lumbini. Med. keywords: bodies; body; cases; hospital; injury; management; patients; teaching; tissue cache: jlmc-73.pdf plain text: jlmc-73.txt item: #194 of 207 id: jlmc-74 author: Panthee, Kiran; Sharma, Kiran; Kalakheti, Balkrishna title: Supernumerary Nipples, Congenital Scoliosis, Spina Bifida, Diastematomyelia, and Crossed Renal Ectopia in a child date: 2015-12-30 words: 1163 flesch: 52 summary: On physical examination, the child had normal facies, supernumerary nipple on the right side (Figure 1), normal left nipple, scoliosis and lumbosacral prominence. Balkrishna Kalakhetic,d —–————————————————————————————————————————————— ABSTRACT: Introduction: Supernumerary nipples are common anomalies which may be associated with several systemic disorders, particularly urinary tract abnormalities. keywords: bifida; nipples; renal; spina; supernumerary cache: jlmc-74.pdf plain text: jlmc-74.txt item: #195 of 207 id: jlmc-75 author: Shrestha, Pratistha; Mikrani, Jameel Akhtar title: Seasonal Variation of Pediatric Dermatoses date: 2016-06-30 words: 2056 flesch: 66 summary: Seasonal variation of common skin diseases in pediatric age group: A retrospective study conducted in a medical college of Nepal. Many studies have been done to study pattern of dermatological disease in pediatric age group but only few studies have been done in its seasonal variation. keywords: age; dermatoses; group; infection; study; variation cache: jlmc-75.pdf plain text: jlmc-75.txt item: #196 of 207 id: jlmc-76 author: Tiwari, Archana; Rai, Ramji; Jain, Surendra Kumar title: Importance of Routine Histopathological Examination of Gallbladder Specimen in Detecting Incidental Malignancies date: 2016-06-30 words: 3124 flesch: 48 summary: Deguara et al. had also reported one percent cases of incidental gallbladder carcinoma in their study of 2577 cholecystectomies.19 Khan et al. reported 1.86% of incidental gallbladder carcinomas, whereas Weinstein et al. reported 0.35%.20,21 Incidental gallbladder carcinoma: value of routine histological examination of cholecystectomy specimens. keywords: cancer; carcinoma; cases; examination; gallbladder; incidental; med; specimens; study cache: jlmc-76.pdf plain text: jlmc-76.txt item: #197 of 207 id: jlmc-77 author: Subedi, Shanti; GC, Narayan; Lamichhane, Sabina; Chhetri, Manisha title: Initial Experiences of Laparoscopic Surgery at Nobel Medical College Teaching Hospital date: 2016-06-30 words: 2235 flesch: 53 summary: Keywords: cystectomy • hysterectomy • laparoscopy • learning • minimally invasive surgical procedures ——————————————————————————————————————————————— ___________________________________________________________________________________ a - Assistant Professor b - Lecturer c - Department of Obstetric and Gynecology, Nobel Medical College Teaching Hospital, Biratnagar, Nepal Corresponding Author: Dr. Shanti Subedi e-mail: subedi007@gmail.com How to cite this article: Subedi S, Narayan GC, Lamichhane S, Chhetry M. Initial experiences of laparoscopic surgery at Nobel Medical College Teaching Hospital: A learning curve. Initial experiences of laparoscopic surgery at Nobel Medical College Teaching Hospital. keywords: cases; college; hysterectomy; laparoscopic; patients; study; surgery cache: jlmc-77.pdf plain text: jlmc-77.txt item: #198 of 207 id: jlmc-78 author: Panthee, Kiran; Sharma, Kiran; Kalakheti, Balkrishna; Thapa, Kul title: Clinical Profile and Outcome of Asphyxiated Newborn in a Medical College Teaching Hospital date: 2016-06-30 words: 2094 flesch: 59 summary: Developing countries have the highest incidences of asphyxia, where sub-Saharan Africa and South Asia, together, account for nearly 70% of worldwide stillbirths.5 Outcome of birth asphyxia depends on APGAR score at five minutes, heart rate at 90 seconds, time to first breath, duration of resuscitation, arterial blood gases, and acid-base status at 10 and 30 minutes of age.6 The neonatal mortality has decreased but morbidity after birth asphyxia in the form of neuro-developmental sequelae is same or even increased due to survival of asphyxiated babies.7 The aim of this study was to know the clinical profile and outcome of asphyxiated newborn in a tertiary center of Nepal where patient are mainly from rural area. Birth asphyxia is major cause of NICU admission and neonatal mortality.4 keywords: asphyxia; babies; birth; cases; hie; perinatal; study cache: jlmc-78.pdf plain text: jlmc-78.txt item: #199 of 207 id: jlmc-79 author: Pandit, Upendra; Das, Chittaranjan; Banu, Farhat; Ahamad, Shakil title: Outcome of Eclamptic Mothers Attending Tertiary Care Centre from Home and those Referred from Primary Heath Care Site date: 2016-06-30 words: 2507 flesch: 68 summary: Keywords: eclampsia • magnesium sulphate • seizure • treatment outcome ——————————————————————————————————————————————— ___________________________________________________________________________________ a - Assistant Professor b - Professor c - Lecturer d - Department of Obstetric and Gynecology Nepalgunj Medical College Teaching Hospital, Nepal e - Department of Pediatrics, Nepalgunj Medical College Teaching Hospital, Nepal Corresponding Author: Dr. Upendra Pandit e-mail: drupandit@gmail.com How to cite this article: Pandit U, Das CR, Banu F, Ahmad S. Outcome of eclamptic mothers attending tertiary care centre from home and those referred from primary heath care site: a comparative study. Vol 4, No 1, Jan-June 2016 Pandit U. et al. Outcome of eclamptic mothers attending tertiary care centre. keywords: care; centre; group; hospital; maternal; mothers; outcome cache: jlmc-79.pdf plain text: jlmc-79.txt item: #200 of 207 id: jlmc-8 author: Pokharel, Nabin; Sapkota, Prakash; Chhetri, Binay Khatri; Shakhya, Rajan; Thapa, Sunil title: Experience of Laparoscopic Cholecystectomy at Lumbini Medical College Teaching Hospital date: 2013-06-30 words: 1611 flesch: 58 summary: Laparoscopic cholecystectomy (LC) first of all performed by Philipe Moret in Lyon, France in March 1987 has in fact revolutionized the treatment of cholelithasis.1 After National Institutes of Health Consensus Conference in 1993, LC has replaced open cholecystectomy as the gold standard in the treatment of patients with symptomatic cholelithiasis.2 The present study aimed to study all the cases of laparoscopic cholecystectomy conducted in current setup at Lumbini Medical College and Teaching Hospital, to compare the results with the published literature and also analyze the complications and ways to decrease the incidence of conversion to open procedure. keywords: cases; cholecystectomy; conversion; laparoscopic cache: jlmc-8.pdf plain text: jlmc-8.txt item: #201 of 207 id: jlmc-82 author: Gurung, Sandeep; KC, Dipendra; Khatri, Roshni title: Elastic Stable Intramedullary Nailing for Treatment of Pediatric Tibial Fractures date: 2016-06-30 words: 2598 flesch: 61 summary: Classification of open fractures according to Gustilo and Anderson classification is shown in Table 2.8 The average union time for closed fractures was 11.61 weeks (SD=2.65) and open fracture was 14.36 weeks (SD=2.62). Corresponding Author: Dr. Sandeep Gurung e-mail: sgurung848@gmail.com How to cite this article: Gurung S, KC D, Khatri R. Elastic stable intramedullary nailing for treatment of pediatric tibial fractures. keywords: children; fixation; fractures; intramedullary; open; tibia; treatment cache: jlmc-82.pdf plain text: jlmc-82.txt item: #202 of 207 id: jlmc-83 author: Dwivedi, Rajeev; Joshi, Ruban Raj; Byanjankar, Subin; Shrestha, Rahul title: Outcomes of Pediatric Supracondylar Fractures of Humerus Treated by Posterior Triceps Splitting Approach date: 2016-06-30 words: 2815 flesch: 56 summary: Outcomes of Pediatric Supracondylar Fractures of Humerus Treated by Posterior Triceps Splitting Approach Rajeev Dwivedi,a Ruban Raj Joshi,a Subin Byanjankar,a Rahul Shresthaa —–————————————————————————————————————————————— ABSTRACT: Introduction: Close reduction and percutaneous pinning is the gold standard treatment for supracondylar fracture of humerus. There are certain indications for open reduction and internal fixation (ORIF) like unacceptable closed reduction, pucker sign, vascular insufficiency, and compound fractures.1,3,4 Outcome of supracondylar fracture mainly depends upon reduction of fracture fragments and surgical approach used to open the fracture. keywords: approach; fracture; humerus; patients; reduction; supracondylar cache: jlmc-83.pdf plain text: jlmc-83.txt item: #203 of 207 id: jlmc-84 author: Shrestha, Subha; Shakya, Raju; Shrestha, Buddhi Kumar; Kaur, Narinder; Thapa, Babita title: Status of Scar in Repeat Cesarean Section in a Tertiary Hospital date: 2016-06-30 words: 2422 flesch: 67 summary: Objective of this study was to evaluate the status of previous cesarean scar during repeat cesarean section (RCS) and calculate the maternal morbidity in those cases in a tertiary hospital. Conclusion: Most of the scars of repeat cesarean section were healthy with no scar rupture. keywords: cesarean; rcs; repeat; scar; section; study; women cache: jlmc-84.pdf plain text: jlmc-84.txt item: #204 of 207 id: jlmc-86 author: Acharya, Sumnima; Tiwari, Awadesh; Shrestha, Amit; Sharma, Rupesh; Shak, Raju prasad title: Computed Tomography Findings in Patients with Seizure Disorder date: 2016-06-30 words: 2637 flesch: 59 summary: Generalized seizure was more frequent than partial seizure in both gender. In 206 cases of partial seizures, 125 cases were abnormal and 81 having normal CT scan findings. keywords: cases; epilepsy; findings; patients; scan; seizure cache: jlmc-86.pdf plain text: jlmc-86.txt item: #205 of 207 id: jlmc-87 author: Shrestha, Buddhi Kumar; Shrestha, Subha title: Comparison of Perinatal Outcome of Breech Presentation between Vaginal Delivery and Cesarean Section date: 2016-06-30 words: 1986 flesch: 54 summary: Vaginal breech deliveries are undertaken with the reasons like avoidance of cesarean section in next pregnancy, null risk of operative and anesthetic hazards, ability to resume early all household works after vaginal birth, etc. The purpose of this study is to compare the perinatal outcome of breech deliveries in singleton breech presentation between vaginal breech delivery and cesarean section. keywords: breech; cesarean; delivery; perinatal; presentation; section cache: jlmc-87.pdf plain text: jlmc-87.txt item: #206 of 207 id: jlmc-88 author: Shrestha, Deepak; Thapa, Babita; Aryal, Shreyashi; Shrestha, Buddhi Kumar; Kalakheti, Balkrishna; Panthee, Kiran title: Successful Management of Quadruplet Pregnancy following Spontaneous Conception date: 2016-06-30 words: 2082 flesch: 54 summary: Conclusion: A multidisciplinary approach with good neonatal care facilities is warranted for a better outcome in higher order multiple pregnancies. The main fetal complication of higher order multiple pregnancies is prematurity with its concomitant increase in perinatal mortality and morbidity.1,12 As in our case, more than 90% of the cases end in premature deliveries.6 It has been well established that chorionicity rather than zygosity determines the outcome in multifetal pregnancies mainly because of increased risk of transfusion syndromes in addition to problems of prematurity.13 Because of quadrichorionic and quadriamniotic placentation, no such complications were encountered in our case. keywords: case; multiple; outcome; pregnancies; pregnancy; quadruplet; report; weeks cache: jlmc-88.pdf plain text: jlmc-88.txt item: #207 of 207 id: jlmc-9 author: Paudel, Anuj; Jain, S K title: Study of Thyroid Lesions by Fine Needle Aspiration Cytology and its Correlation with Thyroid Function Test date: 2013-06-30 words: 1588 flesch: 59 summary: 44% of thyroid swelling cases were from the age group of 21 to 40 years (Table 2). Assessment of thyroid pathology is even more informative if correlated with thyroid function tests (TFT). keywords: aspiration; fine; fnac; needle; study; thyroid cache: jlmc-9.pdf plain text: jlmc-9.txt