Background: Stroke is the major public health burden and the second major cause of death worldwide. This disease is common in old age persons, however the disease can also be seen in young persons. Identifying the modifiable risk factors of stroke may have contribution in prevention.Objective: The retrospective study was done to study risk factors of stroke in adult patients.Method and Material: This is a hospital based retrospective study conducted in Department of Medicine, Nepalgunj Medical College and st th Teaching Hospital, Kohalpur from the period of 1 January 2015 to 30 October 2016. A total of 119 patients were involved in this study. The diagnosis was confirmed using CT scan after taking history and performing clinical examination. Patients were then evaluated for the presence of both non-modifiable as well as modifiable risk factors. The data analysis was done using SPSS 13.0.Results: The mean age of the patient was 59.76±11.22. Among the collected patients, the higher percentage were male in comparison to female. Ischemic Stroke was more common than hemorrhagic stroke in our study. Other conventional risk factors were as follows: Alcohol use75(63%),cigarette smoking 70(58.8%), hypertension 60 (50.4%),diabetes 11(9.2%),previous vascular event 9(7.6%), heart disease 4(3.4%).Conclusions: Ischemic stroke was more common than hemorrhagic stroke; with alcohol use followed by smoking, hypertension and diabetes mellitus being the most common modifiable risk factors. Incidence of stroke increases with the age and the early recognition and management of the risk factors might reduce this major public burden. JNGMC, Vol. 14 No. 2 December 2016, Page: 53-55
Introduction: Stature is one of the most important anatomical parameters for personal identification. Estimation of stature by measuring different parts of the body is valuable in medico legal investigations as well as in anthropology. Objectives: The objective of this study was to find correlation between stature and foot length and developing a regression equation for stature estimation from foot length among medical students of Birat Medical College & Teaching Hospital, Morang, Nepal. Methodology: This is cross sectional study conducted at Department of Anatomy of Birat Medical College & Teaching Hospital, Morang, Nepal from 15 March 2019 to 15 June 2019. Two hundred (100 male and 100 female) medical students were enrolled in the study. Stature and foot length were measured using standard instruments. The collected data was entered into Microsoft excel and analyzed by using SPSS. Results: The mean stature in male was 165.4 cm with SD of 8.46 cm, in female the mean stature was 156.5 cm and with SD 6.56 cm. The mean foot length in male was 25.84 cm with SD of 1.73 cm, in female mean foot length was 23.35 cm with SD 1.30 cm. This gender wise difference in mean stature and foot length between males and females was statistically significant (p<0.001). There was significant positive correlation between stature and foot length (r = 0.534, P < 0.001) for male and (r=0.675, P < 0.001) for female. Regression equations were derived for estimation of stature from measurement of foot length in both sexes. Conclusion: This research found significant positive correlation between stature and foot length in both sexes. Regression equation was also derived which help to predict the stature by knowing the foot length in medico legal cases.
Background: Nerve conduction study (NCS) is an important electrophysiological tool that can be used for the measurement of the latency and amplitude of the facial nerve. The NCS helps in predicting the prognosis of patients with Bell's palsy. Evaluation of NCS of patients with Bell's palsy may have contribution in counselling and management of the patient. Objective: The study was aimed to study the state of nerve damage in patients with Bell's palsy. Methods: The latency and amplitude of facial nerve stimulating bilateral Orbicularis Oculi and Orbicularis Oris muscles were assessed and noted in 24 patients of Bell's palsy. Results: 15(62.5%) of the patients had significant axonal injury affecting one side and only 1(4.16%) patient had demyelinating injury. The total of 8(33.33%) patients had insignificant axonal injury of the facial nerve in comparision with the normal side. Conclusions: Nerve conduction study shows predominant axonal type of facial nerve injury in patients with Bell's palsy and hence provides valuable information regarding the prognosis and the state of nerve damage in patients with Bell's palsy.
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