Kathmandu University medical journal (KUMJ)
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Kathmandu Univ Med J (KUMJ) · Jan 2011
Comparative StudyTricuspid valve repair: DeVega's tricuspid annuloplasty in moderate secondary tricuspid regurgitation.
Moderate secondary tricuspid incompetence has variable natural history if left unattended during mitral valve surgery. Recent data suggest progression of the secondary tricuspid incompetence over time.Secondary moderate tricuspid regurgitation in rheumatic mitral valve disease may regress after mitral valve surgery without direct intervention. ⋯ Mitral valve replacement does decrease the severity of tricuspid regurgitation amongst those with secondary moderate tricuspid regurgitation by at least one grade, but DeVega's annuloplasty confers a better repair result.
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Kathmandu Univ Med J (KUMJ) · Jan 2011
Randomized Controlled TrialRectal misoprostol versus intramuscular oxytocin for prevention of post partum hemorrhage.
Postpartum hemorrhage (PPH) is an important cause of maternal morbidity and mortality especially in the developing countries.,Compared to expectant management, active management decreases the incidence of PPH. ⋯ Rectal misoprostol is as effective as intravenous oxytocin in preventing postpartum hemorrhage with the similar incidence of side effects and is worthwhile to be used as a uterotonic agent for the routine management of third stage of labor.
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Kathmandu Univ Med J (KUMJ) · Jan 2011
Randomized Controlled TrialComparison of sniffing position and simple head extension for visualization of glottis during direct laryngoscopy.
The ability of good glottis visualization during direct laryngoscopy is major determinant of easy tracheal intubation. Sniffing position for laryngoscopy is considered as gold standard and ideal position. Several studies have questioned the validation of sniffing potion. ⋯ Glottic visualization and intubation difficulty score was better in sniffing position as compared to simple head extension.
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Ocular trauma is an important cause of blindness and ocular morbidity throughout the world. Prevalence studies help to define the target group, plan strategies and thereby lessen trauma related blindness in the country. ⋯ Blunt injuries were more common in young males. Household and workplace were common location of ocular injuries. Public awareness and strict legislation to use personal protective devices can help to reduce the occurrence of ocular injury.
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Kathmandu Univ Med J (KUMJ) · Jan 2011
Incidence and risk factor for ventilator-associated pneumonia in Kathmandu University Hospital.
Ventilator associated pneumonia is a major cause of morbidity in the intensive care unit. Difficulties in identification of the risk factors, in diagnosing and in prevention, have intensified the problem. ⋯ The incidence of ventilator pneumonia is high. Patients requiring prolonged ventilation, re-intubation, more invasive lines and H2 blockers, are at high risk and need special attention towards prevention.