Kathmandu University medical journal (KUMJ)
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Kathmandu Univ Med J (KUMJ) · Jul 2011
Randomized Controlled Trial Comparative StudyPropofol sedation during spinal anaesthesia- a dose finding study.
It is important to be able to measure and maintain a specific sedation level to compare outcomes of different levels of sedation during anesthesia and the aims include general patient comfort, freedom from specific discomfort, and some amnesia for both the block procedure and the surgical operation, in order to meet the patient preference and safety. In this prospective randomized clinical study, we compared the three different infusion doses of propofol. ⋯ Propofol infusion at the rate of 50 mcg/kg/min for sedation in spinal anaesthesia provides optimal sedation, early awakening and excellent satisfaction level in the postoperative period.
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Kathmandu Univ Med J (KUMJ) · Jul 2011
Comparative StudyPractices and perceptions on contraception acceptance among clients availing safe abortion services in Nepal.
The Government of Nepal has implemented safe abortion policy since 2002. There are 245 approved sites providing safe abortion services to women across the country. Family planning counselling is one of the components of the safe abortion policy, which is important to reduce unwanted pregnancy, maternal morbidity and mortality due to the consequences of unsafe abortion and the service burden. ⋯ Knowledge, acceptance of counselling service and intention to use family planning measure was high in the study participants. There is need to provide skills on adapting with the adverse effect of family planning measure through continuous education and reinforcement.
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Kathmandu Univ Med J (KUMJ) · Apr 2011
Comparative StudyVariability of presentations and CT-scan findings in children with neurocysticercosis.
Neurocysticercosis is one of the common neurological morbidities in childhood. ⋯ Neurocysticercosis is a preventable zoonotic disease which results in significant morbidity in children where sanitary measures are inadequate. Any child presenting with a first episode, afebrile seizure should be screened for neurocysticercosis provided other common causes are ruled out.
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Kathmandu Univ Med J (KUMJ) · Apr 2011
Multicenter Study Comparative StudyMinimally invasive plate osteosynthesis with locking compression plate for distal diametaphyseal tibia fracture.
Distal diametaphyseal tibia fracture though requires operative treatment is difficult to manage. Conventional osteosynthesis is not suitable because distal tibia is subcutaneous bone with poor vascularity. Closed reduction and minimally invasive plate osteosynthesis (MIPO) with locking compression plate (LCP) has emerged as an alternative treatment option because it respects biology of distal tibia and fracture hematoma and also provides biomechanicaly stable construct. ⋯ The present case series shows that MIPO with LCP is an effective treatment method in terms of union time and complications rate for distal diametaphyseal tibia fracture. Malleolar skin irritation is common problem because of prominent hardware.