LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 50

Search options

  1. Article: Effect of Infrapatellar Fat Pad Preservation vs Resection on Clinical Outcomes After Total Knee Arthroplasty in Patient with End-Stage Osteoarthritis.

    Rajbhandari, Ansul / Banskota, Bibek / Bhusal, Rajan / Banskota, Ashok Kumar

    Indian journal of orthopaedics

    2023  Volume 57, Issue 6, Page(s) 863–867

    Abstract: Purpose: The management of infrapatellar fat pad (IPFP) during total knee arthroplasty (TKA) is the subject of ongoing debate. There is conflicting evidence whether IPFP should be preserved or resected during TKA to improve clinical outcomes. This study ...

    Abstract Purpose: The management of infrapatellar fat pad (IPFP) during total knee arthroplasty (TKA) is the subject of ongoing debate. There is conflicting evidence whether IPFP should be preserved or resected during TKA to improve clinical outcomes. This study sought to establish if there is a benefit of one over another in terms of clinical function & patient satisfaction.
    Material & methods: Total of 67 patients (96 knees), 11 males & 56 females with a mean age of 66.29 years, who underwent TKA between 2016 and 2020 were included in the study. The planning for IPFP preservation (IPFP-P) on right side (50 knees) & IPFP resection (IPFP-R) on left side (46 knees) was done prospectively. We prospectively evaluated clinical outcomes post-TKA, comparing the right knee to the left knee in terms of IPFP-P vs IPFP-R using the oxford knee scoring (OKS) system. The SF-12 was used to evaluate and compare patient satisfaction between the two groups.
    Results: The mean OKS in the IPFP-P group was 42.86 ± 2.63 & in the IPFP-R group was 44.22 ± 2.40. The OKS differed significantly between the two groups (
    Conclusion: Our study shows that IPFP-R gave marginally better patient-reported functional outcome scores (OKS), but there was no difference in patient satisfaction (SF-12 scores) between the two groups.
    Language English
    Publishing date 2023-03-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 603194-8
    ISSN 0019-5413
    ISSN 0019-5413
    DOI 10.1007/s43465-023-00865-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article: Cutaneous myiasis in a neglected elderly.

    Shilpakar, Olita / Karki, Bipin / Rajbhandari, Bibek

    Oxford medical case reports

    2020  Volume 2020, Issue 8, Page(s) omaa063

    Language English
    Publishing date 2020-08-10
    Publishing country England
    Document type Case Reports
    ZDB-ID 2766251-2
    ISSN 2053-8855
    ISSN 2053-8855
    DOI 10.1093/omcr/omaa063
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: High Dependency Unit Admissions among Patients with Lower Extremity Long Bone Fracture Visiting the Department of Orthopaedics in a Tertiary Care Centre.

    Barnawal, Satish Prasad / Banskota, Bibek / Pandey, Nitesh Raj / Rijal, Saroj / Rajbhandari, Tarun / Regmi, Subhash / Banskota, Ashok Kumar

    JNMA; journal of the Nepal Medical Association

    2024  Volume 62, Issue 270, Page(s) 121–124

    Abstract: Introduction: Lower extremity long bone, femoral and tibial shaft, fractures often have associated injuries. Patients with lower extremity long bone fractures in the Department of Orthopaedics can land up in high dependency unit admissions, mostly due ... ...

    Abstract Introduction: Lower extremity long bone, femoral and tibial shaft, fractures often have associated injuries. Patients with lower extremity long bone fractures in the Department of Orthopaedics can land up in high dependency unit admissions, mostly due to underlying complications. The study aimed to find out the prevalence of high dependency unit admissions among patients with lower extremity long bone fractures visiting the Department of Orthopaedics in a tertiary care centre.
    Methods: A descriptive cross-sectional study was conducted among patients with lower extremity long bone fractures in a tertiary care centre. The data from 1 March 2017 to 31 January 2020 was collected from the medical records from 1 August 2020 to 30 September 2020. All patients with femoral or tibial shaft fractures in isolation or a part of a multi-system injury were included. Patients with inadequate data were excluded. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
    Results: Among 507 patients with lower extremity long bone fractures, 137 (27.55%) (23.66-31.44, 95% Confidence Interval) required high dependency unit admission. Among them, 119 (86.86%) were males. A total of 71 (51.82%) cases involved 2-wheelers.
    Conclusions: The prevalence of high dependency unit admission among patients with lower extremity long bone fractures was high and majority of them required multidisciplinary approach.
    Keywords: femoral fractures; prevalence; tibial fractures; traffic accidents.
    MeSH term(s) Male ; Humans ; Female ; Orthopedics ; Tertiary Care Centers ; Cross-Sectional Studies ; Lower Extremity/injuries ; Leg Injuries ; Femoral Fractures
    Language English
    Publishing date 2024-02-24
    Publishing country Nepal
    Document type Journal Article
    ZDB-ID 2209910-4
    ISSN 1815-672X ; 0028-2715
    ISSN (online) 1815-672X
    ISSN 0028-2715
    DOI 10.31729/jnma.8430
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article ; Online: Suspicious Case of a Body packer "Mule" in a Low Resource Country: A Case Report.

    Rajbhandari, Bibek / Shilpakar, Olita / Thapa, Subash / Singh, Sumi

    JNMA; journal of the Nepal Medical Association

    2021  Volume 59, Issue 238, Page(s) 585–588

    Abstract: Body packing is the process of smuggling illicit drugs in the form of packages concealed within the gastrointestinal tract via ingestion or inserting into body orifices. These individuals are described as "body packers", "stuffers", "mules" or " ... ...

    Abstract Body packing is the process of smuggling illicit drugs in the form of packages concealed within the gastrointestinal tract via ingestion or inserting into body orifices. These individuals are described as "body packers", "stuffers", "mules" or "swallowers" and resort to carrying drugs like heroin, cocaine and cannabis. They present to the hospital following the development of complications or brought dead due to the rupture of packets or directly from detention for further investigations. This case illustrates a suspected case detained from the airport who was found to be carrying 93 pellets of an illicit drug, heroin, weighing 900 grams, one of the highest quantity carried by any body packer in the country till date. This case further sheds light on the fact that a meticulous history, detailed clinical examination and radiographic investigations like abdominal radiograph and imaging are the keys to diagnose body packers in a resource limited setting.
    MeSH term(s) Body Packing ; Drug Trafficking ; Foreign Bodies/diagnostic imaging ; Humans ; Radiography, Abdominal
    Language English
    Publishing date 2021-07-01
    Publishing country Nepal
    Document type Case Reports ; Journal Article
    ZDB-ID 2209910-4
    ISSN 1815-672X ; 0028-2715
    ISSN (online) 1815-672X
    ISSN 0028-2715
    DOI 10.31729/jnma.6618
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article: Pretilachlor poisoning: A rare case of a herbicide masquerading as organophosphate toxicity.

    Shilpakar, Olita / Karki, Bipin / Rajbhandari, Bibek

    Clinical case reports

    2020  Volume 8, Issue 12, Page(s) 3507–3509

    Abstract: Acute oral intoxication of pretilachlor, a chloroacetanilide herbicide, in humans can present with similar clinical manifestations of organophosphate toxicity. Clinicians should be aware of such mimickers for proper management of the patient. ...

    Abstract Acute oral intoxication of pretilachlor, a chloroacetanilide herbicide, in humans can present with similar clinical manifestations of organophosphate toxicity. Clinicians should be aware of such mimickers for proper management of the patient.
    Language English
    Publishing date 2020-11-03
    Publishing country England
    Document type Case Reports
    ZDB-ID 2740234-4
    ISSN 2050-0904
    ISSN 2050-0904
    DOI 10.1002/ccr3.3473
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Suspicious Case of a Body packer “Mule” in a Low Resource Country

    Bibek Rajbhandari / Olita Shilpakar / Subash Thapa / Sumi Singh

    Journal of Nepal Medical Association, Vol 59, Iss

    A Case Report

    2021  Volume 238

    Abstract: Body packing is the process of smuggling illicit drugs in the form of packages concealed within the gastrointestinal tract via ingestion or inserting into body orifices. These individuals are described as “body packers”, “stuffers”, “mules” or “ ... ...

    Abstract Body packing is the process of smuggling illicit drugs in the form of packages concealed within the gastrointestinal tract via ingestion or inserting into body orifices. These individuals are described as “body packers”, “stuffers”, “mules” or “swallowers” and resort to carrying drugs like heroin, cocaine and cannabis. They present to the hospital following the development of complications or brought dead due to the rupture of packets or directly from detention for further investigations. This case illustrates a suspected case detained from the airport who was found to be carrying 93 pellets of an illicit drug, heroin, weighing 900 grams, one of the highest quantity carried by any body packer in the country till date. This case further sheds light on the fact that a meticulous history, detailed clinical examination and radiographic investigations like abdominal radiograph and imaging are the keys to diagnose body packers in a resource limited setting.
    Keywords complications ; custody ; illicit drugs ; lethal ; Medicine (General) ; R5-920
    Subject code 360
    Language English
    Publishing date 2021-07-01T00:00:00Z
    Publisher Nepal Medical Association
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  7. Article ; Online: Pretilachlor poisoning

    Olita Shilpakar / Bipin Karki / Bibek Rajbhandari

    Clinical Case Reports, Vol 8, Iss 12, Pp 3506-

    A rare case of a herbicide masquerading as organophosphate toxicity

    2020  Volume 3508

    Abstract: Abstract Acute oral intoxication of pretilachlor, a chloroacetanilide herbicide, in humans can present with similar clinical manifestations of organophosphate toxicity. Clinicians should be aware of such mimickers for proper management of the patient. ...

    Abstract Abstract Acute oral intoxication of pretilachlor, a chloroacetanilide herbicide, in humans can present with similar clinical manifestations of organophosphate toxicity. Clinicians should be aware of such mimickers for proper management of the patient.
    Keywords bradycardia ; poisoning ; vomiting ; Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2020-12-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

  8. Article ; Online: Multiple Organ Dysfunction and Acute Pancreatitis Following Wasp Stings.

    Shilpakar, Olita / Rajbhandari, Bibek / Karki, Bipin / Bogati, Umesh

    Journal of Nepal Health Research Council

    2020  Volume 18, Issue 3, Page(s) 566–568

    Abstract: Wasp stings are common in our part of the world and may cause complications ranging from mild local reactions to fatal anaphylaxis. Severe cases may present with multisystem involvement causing acute kidney injury, hepatic dysfunction, clotting ... ...

    Abstract Wasp stings are common in our part of the world and may cause complications ranging from mild local reactions to fatal anaphylaxis. Severe cases may present with multisystem involvement causing acute kidney injury, hepatic dysfunction, clotting abnormalities, rhabdomyolysis or even death. However, cases with acute pancreatitis as a complication of wasp sting is not usual and have been very rarely reported. We present a case of a fifty-two-year-old lady with the history of multiple wasp stings followed by multiple organ dysfunction and acute pancreatitis with complete recovery following immediate conservative measures. Keywords: Acute kidney injury; multiple organ dysfunction; pancreatitis; wasp; sting.
    MeSH term(s) Acute Disease ; Animals ; Female ; Humans ; Insect Bites and Stings/complications ; Middle Aged ; Multiple Organ Failure/etiology ; Nepal ; Pancreatitis/etiology ; Wasps
    Language English
    Publishing date 2020-11-14
    Publishing country Nepal
    Document type Case Reports ; Journal Article
    ZDB-ID 2551251-1
    ISSN 1999-6217 ; 1999-6217
    ISSN (online) 1999-6217
    ISSN 1999-6217
    DOI 10.33314/jnhrc.v18i3.2637
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: Amitraz Poisoning - Tale of an Unusual Pesticide Poisoning: A Case Report.

    Shilpakar, Olita / Karki, Bipin / Rajbhandari, Bibek

    JNMA; journal of the Nepal Medical Association

    2020  Volume 58, Issue 225, Page(s) 338–340

    Abstract: Amitraz is a formamidine group of compounds used in many parts of the world as an agricultural pesticide and an ectoparasiticide. Amitraz intoxication secondary to the oral, dermal or inhalational routes, both accidental and suicidal, has been ... ...

    Abstract Amitraz is a formamidine group of compounds used in many parts of the world as an agricultural pesticide and an ectoparasiticide. Amitraz intoxication secondary to the oral, dermal or inhalational routes, both accidental and suicidal, has been encountered in humans leading to severe life-threatening side effects. Only very few cases of amitraz toxicity have been reported to date. This emphasizes the importance to ascertain amitraz intoxication from more commonly encountered pesticides like organophosphorus poisoning to avoid erroneous management of the patient. We report a case of a twenty-seven-year-old man who presented to the emergency room following suicidal ingestion of amitraz with the clinical manifestations of vomiting, altered sensorium, bradycardia and hypotension and complete recovery following supportive management.
    MeSH term(s) Adult ; Humans ; Male ; Organophosphate Poisoning/diagnosis ; Pesticides/poisoning ; Toluidines/poisoning
    Chemical Substances Pesticides ; Toluidines ; amitraz (33IAH5017S)
    Language English
    Publishing date 2020-05-30
    Publishing country Nepal
    Document type Case Reports ; Journal Article
    ZDB-ID 2209910-4
    ISSN 1815-672X ; 0028-2715
    ISSN (online) 1815-672X
    ISSN 0028-2715
    DOI 10.31729/jnma.4919
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: Air Medical Evacuation of Nepalese Citizen During Epidemic of COVID-19 from Wuhan to Nepal.

    Rajbhandari, Bibek / Phuyal, Naveen / Shrestha, Bikal / Thapa, Moon

    JNMA; journal of the Nepal Medical Association

    2020  Volume 58, Issue 222, Page(s) 125–133

    Abstract: In December 2019, the world was disrupted by the news of a new strain of virus known as Novel Corona virus, taking lives of many in China. Wuhan, the capital of Central China's Hubei province is said to be the place where the outbreak started. The city ... ...

    Abstract In December 2019, the world was disrupted by the news of a new strain of virus known as Novel Corona virus, taking lives of many in China. Wuhan, the capital of Central China's Hubei province is said to be the place where the outbreak started. The city went on a lockdown as the disease spread rapidly. After the lockdown, most countries like India and Bangladesh airlifted their citizens who were studying in Wuhan. Similarly, Nepal also has many youth studying medicine in Wuhan. Pleas for help from the students reached the government. This was a first encounter of such experience for Nepal government. With the help of Health Emergency Organizing committee, Epidemiology and Disease Control Division, Nepal Army Hospital, Nepal Police Hospital, Waste Management team, Nepal Ambulance service, Tribhuwan Airport and Royal Airlines the government of Nepal planned, organized and successfully brought back all the 175 students on 15 the February, 2019 from Wuhan, China. The aim of the present article is to share the experience, the challenges faced and recommendations for future similar cases. Keywords: evacuation; Nepal; Novel Corona virus; Wuhan.
    MeSH term(s) Aircraft ; Betacoronavirus ; COVID-19 ; China ; Coronavirus Infections/epidemiology ; Epidemics ; Nepal ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Students, Medical ; Transportation ; Travel
    Keywords covid19
    Language English
    Publishing date 2020-04-20
    Publishing country Nepal
    Document type Journal Article
    ZDB-ID 2209910-4
    ISSN 1815-672X ; 0028-2715
    ISSN (online) 1815-672X
    ISSN 0028-2715
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top