Kathmandu University medical journal (KUMJ)
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Kathmandu Univ Med J (KUMJ) · Apr 2005
Emotional impact of cadaver dissection: a survey in a medical college in western Nepal.
Adverse physical and psychological effects to human dissection have been reported in many studies. In Nepal, the basic science subjects are taught in an integrated manner in the first four semesters of the MBBS course. Studies on the attitudes of medical students towards anatomy dissection are lacking in Nepal. The present study was carried out to obtain information on the present and initial perception of medical students on exposure to anatomy dissection and the association, if any, of the perception with demographic factors. ⋯ The loss and threat score were low compared to that reported in a previous study. The challenge scores were higher than those reported previously. Majority of students considered anatomy dissection as a significant life experience and one which was largely positive. Further studies with a larger student population and in other medical colleges are required.
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Kathmandu Univ Med J (KUMJ) · Jan 2005
Randomized Controlled Trial Comparative StudyComparative study of three antimicrobial drugs protocol (Ceftriaxone, Gentamicin/Amikacin and Metronidazole) versus two antimicrobial drugs protocol (Ceftriaxone and Metronidazole) in cases of intra-abdominal sepsis.
Treatment of intra-abdominal sepsis with antibacterial drugs should be initiated as soon as possible diagnosis is made before surgery and continued in the post operative period, unless required to be changed (when there is no satisfactory clinical response). The ideal agent (s) and duration of therapy remains somewhat controversial. However, early experimental and subsequent clinical studies have indicated that the spectrum of chosen antibacterial activity must encompass both colonic aerobes and anaerobes including B. fragilis. There are a number of multi drug protocols that are used to treat intra-abdominal septic conditions. Empiric use of these protocols not only adds toxicity to already ill patient but therapy becomes costly and utilizes human resource, unnecessarily. ⋯ At least three conclusions can be drawn from this study. Firstly protocol A is equally effective as protocol B. Secondly; it appears that combining aminoglycoside with Ceftriaxone therapeutically has no significant (P = 0.09) benefit over Ceftriaxone alone. Finally protocol A is less expensive in terms of total therapy than protocol B and can be used without fear even in subnormal functioning kidney.
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Kathmandu Univ Med J (KUMJ) · Jan 2005
Clinical TrialTramadol along with local anaesthetics in the penile block for the children undergoing circumcision.
This study was to find out the total duration of postoperative analgesia following circumcision in children when Tramadol was used as an adjunct to local anaesthetics in penile block. ⋯ Tramadol as an adjunct with Local Anaesthetics extends the duration of postoperative analgesia and can be used safely for this purpose in the children.
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Kathmandu Univ Med J (KUMJ) · Jan 2005
The oxygen and volatile anaesthetic delivery characteristics during spontaneous ventilation using a non-rebreathing coaxial anaesthesia system.
The gas delivery characteristics during simulated spontaneous ventilation of a non-rebreathing adaptation of the Bain circuit were examined. Tidal volumes were varied from 200 to 600 ml and respiratory rate from 8 to 20 breaths per minute obtaining characteristics for a minute volume range from 2.4 to 12 litres/minute. ⋯ Increasing minute volume was the primary determinant of decreasing minimum inspired concentrations with increasing respiratory rate having an independent but smaller effect in reducing concentrations. Thus this system was shown to be safe and economical for the use in spontaneous ventilation.