Kathmandu University Medical Journal

Publications in this journal

• Article: Comparative analysis between objective structured clinical examination (OSCE) and conventional examination (CE) as a formative evaluation tool in Pediatrics in semester examination for final MBBS students. Mondal R, Sarkar S, Nandi M, Hazra A.

  Mondal R, Sarkar S, Nandi M, Hazra A
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  ABSTRACT: Abstract BACKGROUND: The use of objective structured clinical examination in pediatrics is not common in undergraduate evaluation process. OBJECTIVE: To evaluate the effectiveness of objective structured clinical examination as compare to conventional examination as formative assessment tool in Pediatrics. METHODS: We conducted a cross sectional comparative study in defined population of 9th semester MBBS students to evaluate the effectiveness of objective structured clinical examination as comparison to conventional examination as formative assessment tool in Pediatrics. We analyzed the perception of objective structured clinical examination among the students. RESULTS: Fifty-two students appeared for the objective structured clinical examination evaluation on the first day and 42 turned up for conventional examination on the next day. The 42 students who turned up for both examinations were asked to respond to the perception evaluation questionnaire. Comparison of the two examination styles showed that students fared better in objective structured clinical examination than in conventional examination both with respect to mean total score (p less than 0.001) as well as mean percentage score. Out of the 42 subjects who appeared in both examinations, all passed in objective structured clinical examination and 35 passed in conventional examination, this difference was significant by McNemar chi-square test (p = 0.016). 73.8% of the students opined in favor of objective structured clinical examination as a better formative assessment tool whereas 9.5% students preferred conventional examination. CONCLUSIONS: Objective structured clinical examination a statistically significant better evaluation tool with comparison to conventional examination.
  Kathmandu University Medical Journal 01/2012; Kathmandu Univ Med J (KUMJ). 2012 Jan-Mar;10(37):62-5.(2012 Jan-Mar;10(37)):62-5..
• Article: Propofol sedation during sprinal anaesthesia- a dose finding study.

  Ghimire A, Bhattarai B, Rahman TR, Singh SN, Koirala S, Tripathi M
  Kathmandu University Medical Journal 07/2011; 35:170-3.
• Article: LIPOBLASTOMA IN HEAD & NECK: a rare childhood tumor.

  Bimal Kumar Sinha M.S. ** Narmaya. Thapa, M.S *** Dharma Kanta Baskota D.L.O, FCPS
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  ABSTRACT: Lipoblastoma is an uncommon benign mesenchymal tumor that occurs primarily in children younger than 3 yrs of age. Though benign gives great difficulty in its management due to its extent to different facial planes. A rare case of huge lipoblastoma affecting a 22 months old child involving various spaces of face & skull base has been reported. This huge tumor was completely & successfully removed through cheek incision without any postoperative complications. Key words: Lipoblastoma, Benign Mesenchymal Tumour, Head & Neck, C.T., M.R.I., FNAC, Total excision.
  Kathmandu University Medical Journal 03/2006; 4(1):94-97.
• Article: Renal transplantation: a global perspective.

  Shrestha B M
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  ABSTRACT: Renal transplantation: a global perspective.
  Kathmandu University Medical Journal 01/2006; 4(3):267-8.
• Source

  Available from: hellis.org

  Article: Epilepsy in children: an epidemiological study at Kathmandu Medical College Teaching Hospital Kathmandu.

  K N Shakya, R Shrestha, M R Baral
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  ABSTRACT: To analyze the relative frequencies of various epileptic seizures and to study the age at onset of different seizure types in Nepalese children. Prospective study. Hospital outpatient based in Kathmandu, Nepal, between November 2001 to October 2002. 50 children diagnosed as epilepsy excluding neonatal and febrile seizures. Main outcome measure: Diagnosis and classification of cases according to the International Classification of Epilepsy of the International League Against Epilepsy [ILAE] and number of patients in each category with various ages at first seizure. Generalized seizures (78%) were 3.54 times commoner than partial seizures (22%). Most frequent seizure types were generalized tonic clonic (36%), tonic (16%), complex partial (14%), atonic (12%) and absence (10%). Generalized clonic, simple partial and partial with secondary generalization, each had less than 5% frequencies. In 40% cases the first seizure occurred when aged between 2-5 years. In partial seizures the peak age at onset was observed below 6 years while primary generalized seizure was more frequently seen in age group 2-10 years. More paediatric patients with primary generalized seizures (78%) were observed than with partial seizures (22%). In this age group, the most frequent seizure type was generalized tonic clonic (36%) with the peak frequency of age at onset of seizures in 2-5 years.
  Kathmandu University Medical Journal 1(1):14-9.
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  Available from: hellis.org

  Article: Incidence of ophthalmoscopic fundus changes in hypertensive patients.

  K J Karki
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  ABSTRACT: A prospective, hospital based, clinical study was conducted in hypertensive patients referred to the eye OPD, KMCTH, Sinamangal during a period of three months to find out the incidence of fundus changes. A total of 302 hypertensive patients were included in the study and their fundus changes were evaluated by direct ophthalmoscopy. The age of the patients ranged from 30-70 years and the duration of hypertension from 1-25 years. The blood pressure was not controlled in 218 patients (72.18%). More female patients (56.22%) were hypertensive than male (43.78%). But the fundus changes were less in female patients. Caste-wise hypertension was more common in Brahmins (38.41%) and fundus changes were also comparatively more. The fundus changes were found in 192 patients (63.57%) and the most common findings were hypertensive retinopathy. GrI + GrII combined together (52.31%). The other common fundus finding was BRVO in 11 patients (3.64%). A routine ophthalmoscopic fundus examination to detect the retinal changes in hypertensive patients is recommended.
  Kathmandu University Medical Journal 1(1):27-31.
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  Available from: hellis.org

  Article: Role of Nepal medical council in MBBS curriculum.

  Hemang Dixit
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  ABSTRACT: The development of the Bachelor of Medicine and Bachelor of Surgery (MBBS) course in Nepal is recounted. From the stage of having a single medical college to the stage of having ten is documented. The role that the Nepal Medical Council (NMC) has played in the development of medical education in Nepal has been adequately described. Comparison of the MBBS course that the three universities are running the MBBS is done and suggestions are made for possible future directions.
  Kathmandu University Medical Journal 1(1):66-72.
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  Available from: hellis.org

  Article: Neurocycticercosis--a review.

  J A Ansari, P Karki, S Dwivedi, L H Ghotekar, R K Rauniyar, S Rijal
  Kathmandu University Medical Journal 1(1):48-55.
• Article: Quo Vadis--post graduate medical education in Nepal?

  D B Karki
  Kathmandu University Medical Journal 1(1):2.
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  Available from: hellis.org

  Article: Visual outcome and IOP control after cataract surgery in lens induced glaucomas.

  A P Rijal, D B Karki
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  ABSTRACT: Lens induced glaucoma is one of the important cause of secondary glaucoma in our population. Retrospective analysis of 40 cases of lens induced glaucoma presenting to Nepal Eye Hospital from January 2002 to December 2004 were analyzed to find the prevalence of sex, age, visual outcome, IOP control, and duration between appearance of symptoms and surgical invention. Females out numbered male (55:45 percent). Phacomorphic glaucoma was seen more than phacolytic type (65:35). Visual recovery was good in 45% cases (6/12-6/60) and moderately fair in 30% cases (VA <6/60). Preoperative IOP ranged from 24.0-59.0 mmHg. Postoperative IOP ranged from 14-22 mmHg. Duration between symptoms and surgery was 1 week to 4 months.
  Kathmandu University Medical Journal 4(1):30-3.
• Source

  Available from: hellis.org

  Article: Dermatoglyphics: a study of finger tip patterns in bronchial asthma and its genetic disposition.

  U K Gupta, S Prakash
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  ABSTRACT: Finger tip patterns of sixty patients of Bronchial Asthma were compared with that of 50 control cases. Higher frequency of whorls was observed in first digit of both generations of bronchial asthma patients in comparison to controls. In all digits the frequency of arches was reduced in both generations of bronchial asthma patients as compared to controls. These findings proved highly significant statistically (P valve:<0.001). There was no significant change in finger tip patterns in II, & III digit, but, IV & V digit showed significant reduction in frequency of loops in both generations of bronchial asthma patients as compared to controls. There is scope of more studies in this field and the significant findings can be included as part of clinical picture of bronchial asthma.
  Kathmandu University Medical Journal 1(4):267-71.
• Article: A typical case of Myasthenia Gravis.

  M Poudel, G M Angel, A Neopane, D B Karki
  Kathmandu University Medical Journal 1(3):193-6.