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Search Results: 1 - 10 of 224350 matches for " R Shrestha "
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Medical negligence: An insight
R Shrestha
Kathmandu University Medical Journal , 2008, DOI: 10.3126/kumj.v6i4.1751
Abstract: doi: 10.3126/kumj.v6i4.1751 ? ? Kathmandu University Medical Journal (2008), Vol. 6, No. 4, Issue 24, 533-534
Impact of educational interventions on nurses' knowledge regarding care of patient with central venous line
R Shrestha
Journal of Kathmandu Medical College , 2013, DOI: 10.3126/jkmc.v2i1.10553
Abstract: Background: Central Venous Line is widely used in critically ill patients for continuous assessment of the cardiovascularsystem. Adequate knowledge of nurses in taking care of central venous pressure line plays vital role to minimizecomplications and to accurately recognize catheter-related problems, thus securing safer and improved outcome forthe patient. This study was performed to fi nd out the effectiveness of educational intervention in increasing nurses’ knowledge regarding care of patients with Central Venous Line among nurses. Methods: This is a pre-experimental study design (pre-intervention---intervention---post-intervention). After institutionalapproval, 40 nurses were taken from Kathmandu Medical College Teaching Hospital for study adopted with SimpleRandom Sampling (Lottery) method. A structured, self-administered questionnaire was used for pre- intervention datacollection After two weeks of educational intervention, post- intervention test was taken. The data was analysed andcalculated by using descriptive Statistics and Paired “t” test was applied to assess the differences between pre-interventionand post- intervention results. Results: Overall, mean knowledge score was 14.75 with SD 2.37 in the pre intervention. After educational interventionthe score was changed to 16.80 with SD 5.51. There was signifi cant difference between the pre -intervention and postinterventionknowledge score (p value =0.039).While assessing the overall existing knowledge level of the participants, most of the participants had moderate knowledgelevel (50% to 75%). After intervention knowledge level signifi cantly increased (p value=0.001). Conclusion: The study showed that educational intervention programme considerably improved the nurses’ level ofknowledge about care of patient with central line. Overall mean knowledge score between pre-intervention and postinterventionwas found to be significant. DOI: http://dx.doi.org/10.3126/jkmc.v2i1.10553 Journal of Kathmandu Medical College , Vol. 2, No. 1, Issue 3, Jan.-Mar., 2013, page: 28-30
Terson's syndrome
R Sharma,JK Shrestha
Nepalese Journal of Ophthalmology , 2009, DOI: 10.3126/nepjoph.v1i1.3678
Abstract: Terson's syndrome is rarely encountered in ophthalmic practice. The ophthalmologists should be acquainted with the clinical features and methods of diagnosis of this syndrome. Here we report a middleaged lady with altered sensorium, visual impairment and headache who was diagnosed as having Terson's syndrome after fundoscopy and spinal tap. It was managed conservatively. Key words: vitreous hemorrhage; subarachnoid hemorrhage DOI: 10.3126/nepjoph.v1i1.3678 Nep J Oph 2009;1(1):77-79
Comparison between Laparoscopic Hysterectomy and Abdominal Hysterectomy
R Shrestha,LH Yu
Nepal Journal of Obstetrics and Gynaecology , 2014, DOI: 10.3126/njog.v9i1.11183
Abstract: Aims: Hysterectomy can be performed by abdominal, vaginal and laparoscopic methods. Laparoscopic hysterectomy has been reported as an alternative to traditional abdominal hysterectomy with benefit of early recovery, short hospital stay and less operative complications. This study compared laparoscopic versus abdominal hysterectomy in terms of surgery time, blood loss, post-operative recovery, and duration of hospital stay.
Weighted Hardy spaces on the unit disk
K. R. Shrestha
Mathematics , 2014,
Abstract: In this paper we mainly discuss three things. First, there is no canonical norm on the space $H^p_u(\mathbb{D})$. Second, we improve the weak-$*$ convergence of the measures $\mu_{u,r}$. Third, the dilations $f_t$ of the function $f\in H^p_u(\mathbb{D})$ converge to $f$ in $H^p_u$-norm and hence the polynomials are dense in $H^p_u(\mathbb{D})$.
Time Response Dynamics of Plasmon Excitation in Cobalt Nanoparticles on Glass Substrate
R. K. Shrestha,H. Garcia
Physics , 2013,
Abstract: We use ultrafast pump-probe transmission spectroscopy to measure the electronic relaxation time for electrons in cobalt nanoparticles embedded on glass substrate using femtosecond laser pulses. We found that the plasmon excitation is inhomogenously broadening with a fast excitation time of 23 fs. and a plasmonic relaxation time of 97fs. The femtosecond laser pulses used in this experiment were come from a Ti:Sapphire resonator that uses a self-mode-locking mechanism based on the nonlinear Kerr effect. The pulses were found to have repetition rate of 103.52MHz with a pulse width of 64.5 fs at FWHM, and 810nm center wavelength.
Pattern Of Skin Diseases In A Rural Village Development Community Of Nepal
R Shrestha,DP Shrestha,L Lama,D Gurung,I Rosdahl
Nepal Journal of Dermatology, Venereology & Leprology , 2014, DOI: 10.3126/njdvl.v12i1.10595
Abstract: 72 Introduction: Skin diseases are a common cause of morbidity in Nepal as per the health services report. There is limited information on the prevalence and pattern of skin diseases in the community. The objective of this study was to determine the pattern of skin diseases in a rural village development community of Nepal. Materials and methods:? Two? dermatologic? health camps were conducted, during which, the villagers were examined by dermatologists. The skin diseases diagnosed were recorded in a proforma. Results: There were 433 individuals examined and 359 (male-47.9%; female-52.1%) had skin disease identified clinically (camp prevalence- 83%). The age of patients ranged from 1 to 80 years (mean-24.5; SD±15.9), with majority in the age group of 10-19 years. The most common skin disease category was eczemas (36.4%), followed by infections (28.4%), acne (22%), pigment disorders (34%) and urticaria (12.3%). Conclusion: Skin diseases were common in the community. The five most common Skin disease categories were eczemas, infections, acne and pigment disorders were the more common conditions. DOI: http://dx.doi.org/10.3126/njdvl.v12i1.10595 Nepal Journal of Dermatology, Venereology & Leprology Vol.12(1) 2014 pp.41-44 ?
Pattern of Ophthalmological Diseases in the Patients of Shree Birendra Hospital
S Rajkarnikar,A Gurung,RR Bist,R Shrestha,SM Shrestha
Medical Journal of Shree Birendra Hospital , 2010, DOI: 10.3126/mjsbh.v9i2.5023
Abstract: Introduction: Blindness is one of the most tragic yet often avoidable disabilities in the developing world. The pattern of ocular diseases varies in different parts of Nepal due to differences in socioeconomic and geographic factors. This retrospective study likely reflects the pattern of ocular diseases in Kathmandu Valley.
Optical coherence tomographic assessment of macular thickness and morphological patterns in diabetic macular edema: Prognosis after modified grid photocoagulation
A Shrestha,N Maharjan,A Shrestha,R Thapa,G Poudyal
Nepalese Journal of Ophthalmology , 2012, DOI: 10.3126/nepjoph.v4i1.5864
Abstract: Introduction : The topographic mapping is useful for monitoring patients for the development of macular edema and following the resolution of edema after laser treatment. Objectives : To evaluate the usefulness of optical coherence tomography (OCT) for mapping of macula after laser therapy in clinically significant macular edema (CSME). Materials and methods : A prospective study was carried out enrolling 60 eyes of 35 patients with the diagnosis of CSME. OCT was performed at first visit and every successive follow up visit. The retinal thickness was measured automatically using OCT retinal mapping software. Statistics : Correlation between vision status and central macular thickness (CMT) was done using the Spearman’s correlation test. The analysis of variance (ANOVA) and independent t-test were used for comparison of groups. Results: The OCT revealed sponge like thickening pattern (ST) in 67.4 % followed by cystoid macular edema (CME) in 19.6 %. Best corrected visual acuity (BCVA) improved in 89.1 % after 6 months of treatment. There was high correlation between vision status and CMT (P =<0.001). The mean values of baseline CMT were 301.68 (±134.738), 434.83 (±180.758), 518.67 (±275.184), 327 (±108.393) and 334.85 (±158.91) microns for the OCT patterns of ST, CME, sub-foveal detachment (SFD), vitreo-macular interface abnormality (VMIA) and average CMT respectively (p=0.042). Conclusion: OCT is a useful tool for evaluating CSME. It can show the various morphological variants of CSME while the BCVA and CMT are fairly different. DOI: http://dx.doi.org/10.3126/nepjoph.v4i1.5864 NEPJOPH 2012; 4(1): 128-133
Management of Pediatric Displaced Distal Metaphyseal Forearm Fracture: Comparison between Cast Immobilization and Percutaneous Kirschner Wire Fixation
D Shrestha,D Dhoju,N Parajuli,G Dhakal,R Shrestha
Nepal Orthopaedic Association Journal , 2011, DOI: 10.3126/noaj.v2i1.8133
Abstract: Background: Distal metaphyseal forearm fracture is one of the common injuries in children. Closed reduction and above elbow cast is the standard method of treatment but reported to be associated with redisplacement rate of 7-25%. Closed reduction and fixation with percutaneous Kirschner wire is an alternative treatment option to prevent redisplacement. Methods: Thirty five children (group I) of age between 6 to 13 yrs with displaced ( more than 50% of cortical diameter) or angulated (more than 20°) distal metaphyseal forearm fracture managed with closed reduction and above elbow cast were compared with 21 children (group II) managed with closed reduction and percutaneous crossed Kirschner fixation. Clinical outcomes and complications were compared in both groups after 12 weeks of follow up. Results: Preoperative variables in both the groups were comparable. Mean loss of elbow flexion and extension (12° vs. 4°, p =0.08), wrist dorsflexion and palmerflexion (27° vs. 14°, p=0.12) and forearm supination and pronation (27° vs. 15°, p= 0.143) were more in group I but were statistically not significant. Complications rate (28.4% vs. 19.04%, p= 0.04) was higher in group I (such as fracture redisplacement and swelling) than in group II (pin tract infection). Conclusions : Grossly displaced or angulated distal metaphyseal forearm both bone fracture in children treated with either closed reduction and above elbow cast or closed reduction with crossed Kirschner wire fixation have no statistically significant clinical outcomes in terms of loss of movement of elbow, wrist and forearm but complication rate is higher in cast group. Percutaneous Kirschner wire fixation prevents redisplacement. DOI: http://dx.doi.org/10.3126/noaj.v2i1.8133 Nepal Orthopaedic Association Journal Vol.2(1) 2011: 1-6
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