Kathmandu University medical journal (KUMJ)
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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) · Jul 2011
Comparative StudyIntramedullary nailing for paediatric diaphyseal forearm bone fracture.
Though most of the pediatric diaphyseal forearm bone fracture can be treated with closed reduction and cast application, indications for operative intervention in pediatric both-bone forearm fractures include open fractures, irreducible fractures, and unstable fractures. Controversy exists as to what amount of angulation, displacement, and rotation constitutes an acceptable reduction. ⋯ Fixation with intramedullary rush pin for forearm fracture is an effective, simple, cheap, and convenient way for treatment in pediatric age group.
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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.
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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
Comparative StudyIpsilateral supracondylar fracture and forearm bone injury in children: a retrospective review of thirty one cases.
Pediatric supracondylar fracture and forearm bone fracture is common in isolation but combined supracondylar fracture with ipsilateral forearm bone fracture, known as floating elbow is not common injury. The incidence of this association varies between 3% and 13%. Since the injury is rare and only limited literatures are available, choosing best management options for floating elbow is challenging. ⋯ Displaced supracondylar fracture with ipsilateral displaced forearm bone injuries need early operative management in the form of closed reduction and percutaneous pinning which provides not only stable fixation but also allows close observation for early sign and symptom of development of any compartment syndrome.