Journal of Kathmandu Medical College

Cardiac surgery in a patient with Glanzmann’s thrombasthenia

Prabhat Khakural — 2024-07-21

Cardiac surgery in patients with bleeding disorders like Glanzmann’s thrombasthenia is quite challenging because of the increased risk of postoperative bleeding resulting in higher transfusions and associated morbidity. Platelet transfusion and use of

Predicting mortality in traumatic intracranial haemorrhage patients visiting tertiary level hospital

Bikram Shakya — 2024-07-21

Introduction: Traumatic intracranial haemorrhage is a major contributor to trauma-related morbidity and mortality.
Existing prognostic models often lack accuracy, generalizability, and ease of application due to the complexity of

Stress among caregivers of critically ill patients in a tertiary level hospital

Sabita Pandey Bashyal — 2024-07-21

Introduction: Different people react differently to stress in difficult circumstances. Patients who are hospitalized in the critical care unit typically have major medical conditions. They may be unconscious or kept o

Effectiveness of ultrasound guided erector spinae block for post-operative analgesia following laparoscopic cholecystectomy in a tertiary level hospital

Roshan Pradhan — 2024-07-21

Introduction: A minimally invasive method for the treatment of gallstone disease is laparoscopic cholecystectomy (LC).Varies strategies and methods are used to alleviate post-operative pain, and some patients still experience moderate

Profile of patients with chest injuries in a teaching hospital in Gandaki province Nepal: An observational study

Om Bahadur Karki — 2024-07-21

Introduction: Chest is one of the common sites of injuries in trauma with significant morbidity and mortality. Thoracic trauma may be classified as chest wall, pleura, pulmonary and. mediastinum injury. However, data on chest injuries

Prevalence of abuse among school going adolescents in eastern Nepal

Sabitra Poudel — 2025-11-18

Introduction: Adolescent years are the formative years of a person’s life. Any form of physical or emotional maltreatment may have long term negative impacts on child’s life. So, it is crucial to protect them from any form of adversities and promote their socio-emotional learning as well as psychological wellbeing.
Objective: To assess the prevalence of abuse among school going adolescents.
Methodology: An analytical cross-sectional study was conducted among 305 school going adolescents of Dharan Sub-metropolitan city by using purposive sampling technique after taking Ethical approval from Institutional Review committee of Kathmandu Medical College. Data was collected from October to November 2022 using using NORVOID abuse questionnaire through self-administered questionnaire technique. The collected data was analysed by using statistical package for social science version 21.
Results: The prevalence of emotional physical and sexual abuse was 18.7%, 11.8% and 5.2% simultaneously. Being female (OR = 3.8, CI:1.8-8), living outside one’s own home (OR = 2.7 95% CI:1.5-6.9), and having a father engaged in business (OR = 2.23, 95% CI:1.05-4.7) were significant risk factors for emotional abuse. Sexual abuse was more likely among females (OR = 12.25, 95% CI: 2.2-68.5) and those whose mothers were involved in business (OR = 10.195% CI: 1.1-92). Physical abuse was associated with living away from one's own home (OR = 3.3, 95% CI:1.3-8.3).
Conclusion: Female gender, parental involvement in business, and residing away from one’s own home had significantly influenced the risk of abuse highlighting need for targeted interventions to protect vulnerable groups.

Pattern of alcohol consumption and its risk assessment among medical college students

Pujan Pokharel — 2024-07-21

Introduction: Alcohol consumption is a global concern due to its association with numerous diseases and health conditions. This study

Risk factors for ectopic pregnancy in a tertiary care hospital

Asmita Adhikari — 2024-07-21

Introduction: Ectopic pregnancy is associated with significant morbidity and mortality. Identifying its risk factors can
help in reducing the incidence.

Prevalence of Urinary Tract Infection among Pregnant Women attending Tertiary Care Center in the first trimester: A Cross-Sectional Study

Swati Gupta — 2024-07-21

Introduction: Urinary tract infection (UTI) is one of the most prevailing clinical infection in pregnant women, due to the physiological and anatomical changes occurring during pregnancy. Considering the increased risk, this study focu

Efficacy and tolerability of escitalopram and duloxetine in patients suffering from depression

Prithi Bahadur Rai — 2024-07-21

Introduction: Depression is a leading cause of disability worldwide, with significant treatment gaps in low-resource settings like Nepal. Escitalopram, a selective serotonin reuptake inhibitor (SSRI), and duloxetine, a serotonin-norepi