scholarly journals Mean Evan's Index among Patients with Normal Computed Tomography Scan visiting Radiology Department in a Tertiary Care Centre of Nepal: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (240) ◽  
Author(s):  
Sagar Koirala ◽  
Prity Agrawal ◽  
Suresh Bishokarma ◽  
Pratyush Shrestha

Introduction: Evan's index is useful to objectively see if ventricles size is abnormal especially in borderline cases of hydrocephalus. Studying ventricular size in CT scan is essential in every pathology of the brain. Use of objective parameters to define hydrocephalus helps us not only to diagnose a case but also follow up the case following treatment. The aim of this study was to find out the mean even index among patients visiting the department of radiology of a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted at a tertiary care hospital from 1st january 2020 to 31st December 2020. Ethical clearance was obtained from the Institutional Review Committee of Upendra Devkota Memorial Neurological and Allied Sciences (reference number: 116/2021). Computed tomography scans were done for various reasons in the hospital over a one year period and reported normal by the radiologists were included in the study. Convenient sampling was done. Statistical analysis was done using Statistical Package for the Social Sciences. Point estimate at 95% Confidence Interval was calculated along with mean and standard deviation for continuous data. Results: In this study, among the 216 cases, the mean Evan’s index was found to be 0.20±0.04. Conclusions: The mean evan’s index in our study population was lower than the normal cut-off value.

2020 ◽  
Vol 58 (222) ◽  
Author(s):  
Prashant Simkhada ◽  
Shradha Acharya ◽  
Roshan Lama ◽  
Sujata Dahal ◽  
Nita Lohola ◽  
...  

Introduction: Emergency department of a hospital is responsible for providing medical and surgical care to patients arriving at the hospital in need of immediate care. Emergency department is not staffed or equipped to provide prolonged care. Duration of stay in the Emergency department directly affects the quality of patient care. Longer length of stay is associated with Emergency department overcrowding, decline in patient care, increased mortality and decreased patients satisfaction. The main aim of this study is to find the mean stay duration of patients in the emergency department of a tertiary care hospital in Nepal.Methods: This is a descriptive cross-sectional study which was conducted in a tertiary care teaching hospital from Jan 15,2019 to Jan 30, 2019. Ethical clearance was obtained from Kathmandu Medical College- Instutional Review Committee. The calculated sample size was 587. Consecutive sampling technique was used. The data thus obtained was entered in SPSS version 20 and necessary calculations were done. Results: The mean emergency stay duration was obtained to be 3.18 hours at 95% confidence interval (C.I  and standard deviation was 2.51 hours. Female had longer mean duration of stay (3.25 hours) compared to male (3.11 hours). The maximum length of stay was 15.3 hours. Most of the patients attending the emergency department were discharged right through the emergency department 398 ( 67.8%). Mean duration of stay was longest (5.06 hours) for the referral group. Conclusions: The mean stay duration in Emergency Department of tertiary care hospital in Nepal is getting shorter compared to similar study done previously.


2020 ◽  
Vol 3 (1) ◽  
pp. 16-20
Author(s):  
P Shrestha ◽  
K Shrestha ◽  
L Acharya ◽  
S Shakya

Introduction: Sinew strings are frenum or wrinkle like entity of mandibular distal buccal mucosa which is frequently encountered in the population. Sinew strings play an important role in determining the width and buccal extension of the denture flange of mandibular complete denture. Materials and Methods: This descriptive cross-sectional study was conducted at a tertiary care hospital from 17th June 2020 to 20th September 2020. Convenient sampling (n=245) was done. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Data analysis was done in Statistical Package for the Social Sciences version 21. Results: Among the study population (n=245 participants), sinew string was seen in 35% of the participants. The frequency of sinew string present bilaterally was 19% while it was present unilaterally in 16% of the population. Conclusions: The presence of sinew string in the sampled Nepalese population showed a higher prevalence than previous studies.  


2019 ◽  
Vol 57 (219) ◽  
Author(s):  
Anmol Purna Shrestha ◽  
Roshana Shrestha ◽  
Sanu Krishna Shrestha ◽  
Alok Pradhan ◽  
Samjhana Basnet

Introduction: Dyspnea is a common presenting complaint in the emergency department worldwide and a diagnostic challenge for emergency physicians. Our study aims to find the prevalence of dyspnea among patients attending emergency department in our hospital. Methods: A descriptive cross-sectional study was conducted in the emergency department of Dhulikhel hospital from May 2019 to July 2019 after ethical approval from the institutional review committee. Total 1200 samples were collected by consecutive sampling method. All patients were triaged in the emergency department as a part of regular protocol. The participants were included in the study after obtaining an informed consent from the patient or caretaker (if the patient were not able to provide it). Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. The statistical analysis was done using R version 3.5.3 (2019-03-11). Results: The prevalence of dyspnea among patients attending emergency department of a tertiary care hospital was 107 (8.9%) (4.6%-13.2%) at 95% confidence interval. The patients triaged into red, orange and yellow categories were 14 (13.1%), 50 (46.7%) and 43 (40.2%) respectively. Median age was 64 years and 74 (69%) were ≥60 years. Sixty-seven (62.6%) were females and 40 (37.4%) were males. Forty-four (41.1%) arrived by ambulance. Most commonly associated symptoms were cough and fever 59 (51.1%) and 44 (41.1%) respectively. Conclusions: The prevalence of dyspnea among patients attending emergency department of our hospital is higher compared to that of other studies. This warrants structured and prompt management of dyspnea for quality improvement.


2021 ◽  
Vol 33 (1) ◽  
pp. 90-96
Author(s):  
Richa Sinha ◽  
Trisha Gupta ◽  
Sonam Maheshwari

Objective: In the present study, demographic profile, knowledge and motivation of COPD patients attending tertiary hospital, the level of anxiety and depression is assessed. Materials and Methods: This cross-sectional study was carried out on consecutive patients with COPD during their routine out- and in-patient visits in the tertiary care hospital during 4 months (April 2019 to July 2019). Physician confirmed cases of more than 1-year duration were included in the study. Thus 194 COPD patients were admitted in the ward. They were interviewed by using HADS scale and Modified Morisky scale. The diagnosis of COPD was confirmed by Chest X- ray and Spirometery test and a history of exacerbation or hospitalization over past 6 months was also obtained. The chi square-test, t-test and one-way analysis of variance were used in the univariate analyses, whilst regression was used in the multiple variable analyses.Results: A total of 194 COPD individuals, 124 Males and 70 Females were enrolled in the study. The mean age of the respondents was 49.16 ± 8.20 (25-62) years. The mean scores for anxiety and depression were 19.12± 2.38 and 11.54± 2.50 respectively. Both anxiety and depression scores were statistically significant between the gender.  Among males 70 % cases were having no comorbid conditions; however, 57.10 % females were having more than two comorbid conditions. Conclusion: Present study illustrates that anxiety and depression are common in patients with COPD, furthermore, patients with depressive disorders have more comorbidities in comparison with patient with anxiety.


2020 ◽  
Vol 58 (227) ◽  
Author(s):  
Robin Joshi

Introduction: Retrograde intrarenal surgery with improving skill and knowledge may be consideredone of the first-line treatment options for removal of renal stones. The study is done to find theoutcome of retrograde intrarenal surgery in patients with renal stone. Methods: This descriptive cross sectional study was carried out on patients undergoingretrograde intrarenal surgery for renal stone at a tertiary care hospital December 2019 to March2020. Ethical approval was taken from the institutional review committee (Ref. no.200120202).The Convenient sampling method was applied. Data was collected and analyzed in StatisticalPackage for the Social Sciences version 20.0. Point estimate at 95% confidence interval wascalculated along with frequency and proportion for binary data. Results: Out of the 28 patients, the retrograde intrarenal surgery was successful in 27 (96.4%)cases. There were 16 (57.15%) females and 12 (42.86%) male patients with the mean age of37.86±11.47 years. Most of the stones were in renal pelvis 18 (64.28%) followed by lowercalyx 8 (28.57%). The mean diameter of the stone was 11.47 ±3.33mm whereas most ofthe stones were on the right side 16 (57.15%). The mean hardness was 1155.21±265.34Hounsfield units. Perioperative complications like failed access sheath placement in 2 (7.14%)cases, hematuria in 6 (21.43%) cases, fever in 6 (21.43%) cases, and septicemia in 4 (14.28%)cases. Conclusions: We found that the success rate of retrograde intrarenal surgery for the renal stonewas acceptable and similar to other published studies . Retrograde intrarenal surgery is feasiblefor the treatment of kidney stones with acceptable complications and success rates.


2020 ◽  
Vol 58 (222) ◽  
Author(s):  
Muna Badu

Introduction: Detailed clinical history through a properly filled requisition form can help a radiologist in making a diagnosis. The objective of this study was to observe the missing clinical details of Computed Tomography requisition forms at radiology department in tertiary care hospital. Methods: This descriptive cross-sectional study was done in 196 Computed Tomography requisition forms in the department of radiology from September 2019 to October 2019. Ethical clearance from the Institutional Review Committee – Reference No. 120720194 was obtained. An informed consent from the participants was taken prior to the procedure. Convenient sampling was done. The data obtained were computed and analyzed using Statistical Package for Social Sciences to tabulate the results. The results were displayed in frequency and proportion of binary data. Results: All the request forms had name filled, however date was filled in 183 (93.4%), age was filled in 195 (99.5%), sex was filled in 193 (98.5%) and address was only in 30 (15.3%) of the forms. Clinical history and provisional diagnosis were written in 179 (91.3%) forms. Signature was found in more than half of forms 135 (68.9%) whereas the department referring the patient was filled in 92 (46.9%) of forms and the name of doctor referring the patient was not filled mostly. The handwriting was clear in 191 (97.4%) of cases and standard words were used. Use of non-standard abbreviation was found in only 2 (1%) forms. Conclusions: Clinical details were filled in most of the requisition forms however other parameters were still incompletely and inadequately filled.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

Author(s):  
Nandini Chatterjee ◽  
Supratick Chakraborty ◽  
Mainak Mukhopadhyay ◽  
Sinjon Ghosh ◽  
Bikramjit Barkandaj ◽  
...  

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