Introduction and importance: Synovial chondromatosis is a rare condition characterized by the cho... more Introduction and importance: Synovial chondromatosis is a rare condition characterized by the chondral proliferation of synovium forming loose bodies which can lead to pain, swelling, and decreased range of movement of the affected joint. Case presentation: Here the authors report a case of eighteen years lady with recurrent hip synovial chondromatosis who was treated previously with hip arthrotomy and loose bodies removal and now she underwent arthroscopic loose bodies removal with partial synovectomy. Clinical discussion: In comparison to arthrotomy of the hip, arthroscopic management is a minimally invasive surgery that is associated with decreased postoperative pain, earlier improvement in range of motion, a shorter course of rehabilitation, and overall lower morbidity. Conclusion: Thus, the authors recommend arthroscopic removal of the loose bodies and partial synovectomy for the management of synovial chondromatosis of the hip.
This study aims to examine the influence level of training on employee motivation in selected Sav... more This study aims to examine the influence level of training on employee motivation in selected Saving and Credit Co-operative Sector in Kathmandu valley. This is a descriptive study. The study applied a quantitative research design. Primary data were collected through a structured questionnaire. The study applied judgmental sampling. Responses were entered in Statistical Package for Social Science (SPSS), where statistical analysis was done. Inferential statistics i. e., correlation, and regression analysis were applied for data analysis. Multiple correlations indicate that employee competency, employee job knojob knowledge, technique, skill, and high correlation with motivation. The multiple linear regression model of employee motivation is significantly well-fitted to the given dataset. There is a satisfactory level of a significant and positive relationship between employee competency and motivation. The regression coefficient indicates that there is an insignificant and positive ...
Motivation is the set of forces that make employees willing to behave in an organization. It is a... more Motivation is the set of forces that make employees willing to behave in an organization. It is a crucial function of management or human resource management. The study’s objectives are to determine employees’ motivating factors as well as to identify employees’ general attitudes towards existing motivational factors. The qualitative research method was used. Primary data were collected adopting focus group discussion, observation, and interviews. Administrative and unranked employees of Padma Kanya Multiple Campus (PKMC) were selected for study by applying the case study method. Thematic analysis of data was applied. The most important motivating factor for both temporary administrative and unranked employees (helpers in office) was job security followed by pay and overtime remuneration. Administrative employees, to great extent, need intrinsic rewards particularly recognition, responsibility, promotion, and fairness whereas unranked permanent employees also, to some extent, were i...
Study Design. A cross-sectional study with a test–retest design. Objective. To translate and cult... more Study Design. A cross-sectional study with a test–retest design. Objective. To translate and culturally adapt the numerical rating scale (NRS) for neck pain intensity and the Neck Disability Index (NDI), and asses their measurement properties in a Nepalese neck pain population. Summary of Background Data. Neck pain is one of the most common musculoskeletal disorders in Nepal. Research on neck pain disorders has been hampered by lack of standardized patient-reported outcome measures (PROMs) in Nepali language. Therefore, we aimed at validating a Nepali version of the NDI and NRS neck pain. Methods. At Dhulikhel hospital in Nepal, 150 patients with neck pain and/or cervical radiculopathy completed the translated self-administered questionnaires. We had made one cultural adaption of the NDI driving item in the final Nepali version. Relative reliability was analyzed with intraclass correlation coefficient (ICC 2.1) and absolute reliability with the smallest detectable change (SDC). Inte...
Journal of Manmohan Memorial Institute of Health Sciences, 2016
BACKGROUND: Plantar fascitis is one of the commonest causes of heel pain. Thickening of plantar f... more BACKGROUND: Plantar fascitis is one of the commonest causes of heel pain. Thickening of plantar fascia is the most consistent sonological finding in plantar fasciitis.Objective: To estimate normal plantar fascia thickness in healthy Nepalese volunteers and evaluate its relationship with age, sex, height, weight and body mass index (BMI).METHODS: The plantar fascia thickness was measured at 5mm distal to its insertion into the calcaneus using 10 MHz linear array transducer. Total 700 feet of 350 healthy volunteers were evaluated in our study. Physical examination was also performed to assess height, weight and BMI.RESULTS: The mean plantar fascia thickness among entire population, male subjects, female subjects, right side and left side were respectively 2.39±0.37 (Range 1.4-3.6; 95% confidence interval=2.36-2.42); 2.47±0.37 (Range 1.4-3.6; 95% confidence interval =2.43-2.51); 2.32±0.35 (Range 1.4-3.5; 95% confidence interval =2.28-2.36); 2.39±0.36 (Range 1.4-3.6; 95% confidence inte...
Background Physical trauma is one of the major cause of mortality and morbidity among young and a... more Background Physical trauma is one of the major cause of mortality and morbidity among young and active age group and its increasing trend is of main concern. There are only few studies concerning the spectrum of physical trauma in Nepal. Objective This study aims to evaluate the epidemiological spectrum, the extent, severity of the physical trauma and the outcome evaluation of patients with physical trauma over a period of one year in the emergency department of the Kathmandu University Hospital and compare the same parameters with those patients presenting to the various outreach centers of the hospital in the community. Methods Patient treatment files from the emergency department and the reports from various outreach centers were retrieved for a period of one year (May 2011 to April 2012). Epidemiological information, mode, type and anatomic location of injuries were recorded. Outcome evaluation was assessed by number of patients discharged from emergency department of the hospit...
We retrospectively reviewed 30 patients with a diffuse-type giant-cell tumour (Dt-GCT) (previousl... more We retrospectively reviewed 30 patients with a diffuse-type giant-cell tumour (Dt-GCT) (previously known as pigmented villonodular synovitis) around the knee in order to assess the influence of the type of surgery on the functional outcome and quality of life (QOL). Between 1980 and 2001, 15 of these tumours had been treated primarily at our tertiary referral centre and 15 had been referred from elsewhere with recurrent lesions. The mean follow-up was 64 months (24 to 393). Functional outcome and QOL were assessed with range of movement and the Knee injury and Osteoarthritis Outcome Score (KOOS), the Musculoskeletal Tumour Society (MSTS) score, the Toronto Extremity Salvage Score (TESS) and the SF-36 questionnaire. There was recurrence in four of 14 patients treated initially by open synovectomy. Local control was achieved after a second operation in 13 of 14 (93%). Recurrence occurred in 15 of 16 patients treated initially by arthroscopic synovectomy. These patients underwent a mea...
A 16-year old girl presented with a history of abdominal pain, lump in epigastrium since one year... more A 16-year old girl presented with a history of abdominal pain, lump in epigastrium since one year. The ultrasound examination showed an epigastric mass, which was delineated as a filling defect in the stomach on barium studies. Upper GI endoscopy showed a large intragastric mass composed of hair. The CT scan showed a gastric mass extending to the duodenum. She was managed by surgical removal. A large gastric trichobezoar extending upto the jejunum was found. This case highlights the characteristic radiological appearance on barium, ultrasound and computed tomography of a bezoar within the stomach and a trichobezoar with a long tail extending upto the jejunum without intestinal obstruction is unusual.
Background The functional outcome and quality of life after sphincter-saving operations for ulce... more Background The functional outcome and quality of life after sphincter-saving operations for ulcerative colitis have not been previously assessed in Indian patients whose dietary habits and socio-cultural practices differ considerably from those in western countries. Patients and methods Between 1996 and 2002, we performed 46 J-pouch ileoanal anastomoses (IPAA), for patients with ulcerative colitis. Thirty-eight of these patients had had their ileostomy
International Journal of Business Management and Economic Review
The objectives of this study were to assess the contribution of Nirdhan Utthan Microfinance Insti... more The objectives of this study were to assess the contribution of Nirdhan Utthan Microfinance Institution, Ramkot branch in Kathmandu on saving mobilization and investment in different types of businesses or enterprises and to determine the roles of the microfinance to the economic status of its borrowers and entrepreneurs. The study applied both quantitative and qualitative data using a descriptive research design and case study method. It has employed both primary and secondary sources of data. Thematic analysis was used for primary data. Secondary data was analyzed using simple statistical tools such as tabulation and percentage. The finding has shown that microfinance has been successful to mobilize and manage saving in different business and economic sectors such as agriculture and forestry, cottage industries, services, trading, social and consumption, and other sectors. The finding of the study has also indicated that about 98.70 percent of the borrowers were successful to rece...
This study aims to evaluate the relationship between the satisfaction of customers in terms of af... more This study aims to evaluate the relationship between the satisfaction of customers in terms of after-sales services in the automobile industry in Kathmandu. This study applied a descriptive research design. This study type was quantitative. Since the population is unknown in this study 384 questionnaires were collected from respondents of this research work applying a purposive sampling technique. The population of the study was both two-wheelers and four-wheeler vehicle users from many places in Kathmandu and various backgrounds. Purposive sampling techniques were used in this study. This study applied the self-administered close-ended survey questionnaire. Multiple choice questions based on the Five-Point Likert Scale developed by Rensis Likert were used to mention a level of a statement of disagreement to an agreement where 1 indicates strongly disagree and 5 indicates strongly agree. Data were analyzed based on the majority of respondents/ responses collected out of the total sa...
The objective of the study is to assess the relationship between Employee Motivation and Employee... more The objective of the study is to assess the relationship between Employee Motivation and Employee Performance (EP). In this study, the researcher adopted a descriptive research design. The primary data was collected from the managerial and operating level employees at the head office of Nepal Electricity Authority (NEA) through a structured questionnaire using Five Point Likert Scale. The study used a quantitative research design and applied stratified and judgmental sampling techniques combinedly. The total number of populations from NEA was 566. The sample size of the study was 181 employees. However, 300 questionnaires were distributed considering the pandemic of COVID-19 and sampling error. Reliability tests were computed in this study. Reliability was ascertained by calculating Cronbach’s Alpha from the pilot study. Data were analyzed based on descriptive and inferential statistics. Means and standard deviation and correlation and regression analysis were used for data analysis...
Introduction: Magnetic Resonance Imaging is the preferred imaging modality in patients having ant... more Introduction: Magnetic Resonance Imaging is the preferred imaging modality in patients having anterior cruciate ligament tears. The aim of this study was to find out the prevalence of anterior cruciate ligament tears using magnetic resonance imaging among patients undergoing arthroscopy in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted in the Department of Orthopaedics and Traumatology of a tertiary care centre. Data from 17 November 2017 to 17 October 2022 were collected between 26 December 2022 and 30 December 2022 from the hospital records. Ethical approval was obtained from Institutinal Review Committee of the same institute (Reference number: 233/22). All patients with a knee injury who received arthroscopy were included in the study. Magnetic resonance imaging reports, arthroscopic findings and relevant data of each case were retrieved from the medical case records of patients. Convenience sampling method was used. Point estimate and 95% Con...
This study attempts to assess the influence of employee-related corporate social responsibility i... more This study attempts to assess the influence of employee-related corporate social responsibility initiatives on employee attraction, motivation, and retention in Nepalese commercial banking sectors. The study adopted a causal-comparative research design. This study used a quantitative approach. Nepal Bank Limited, Rashtriya Banijya Bank Limited, Himalayan Bank Limited, and Century Commercial Bank Limited were selected as sample units. The study was conducted based on primary data to be collected. These banks have a total of 1134 employees working in several hierarchies and positions. The study was performed by including a structured survey-based questionnaire on a sample of 340 employees who answered the questionnaire using a five-point Likert scale instrument. Descriptive and inferential statistics were used for data analysis. Means and Standard Deviation indicate a positive association between them.A moderate correlation was found between corporate social responsibility toward empl...
International Journal of Business Management and Economic Review
There is much debate as to whether employees should be participated or not in the decision-making... more There is much debate as to whether employees should be participated or not in the decision-making process. This study examined the status of employee participation in decision-making using Government-Owned Enterprises namely Nepal Electricity Authority (NEA), a corporate office located in Kathmandu, and privately run industry, Bira Furniture within Patan Industrial Estate located in Lalitpur, Nepal, as a case study. The study employed qualitative research for empirical investigation. Interviews, Focus Group Discussions (FGD), and observation were used for primary data collection. A purposive sampling method was applied. The study used thematic analysis of data. Lower-level employees have also adequate rights in their workplace decision-making at the head office of NEA. However, high-level decision-making power rest in top-level management. Most of the decisions are made based on rules, by-laws, and procedures. By nature, almost all functions are performed based on teamwork. Even tho...
Introduction and importance: Synovial chondromatosis is a rare condition characterized by the cho... more Introduction and importance: Synovial chondromatosis is a rare condition characterized by the chondral proliferation of synovium forming loose bodies which can lead to pain, swelling, and decreased range of movement of the affected joint. Case presentation: Here the authors report a case of eighteen years lady with recurrent hip synovial chondromatosis who was treated previously with hip arthrotomy and loose bodies removal and now she underwent arthroscopic loose bodies removal with partial synovectomy. Clinical discussion: In comparison to arthrotomy of the hip, arthroscopic management is a minimally invasive surgery that is associated with decreased postoperative pain, earlier improvement in range of motion, a shorter course of rehabilitation, and overall lower morbidity. Conclusion: Thus, the authors recommend arthroscopic removal of the loose bodies and partial synovectomy for the management of synovial chondromatosis of the hip.
This study aims to examine the influence level of training on employee motivation in selected Sav... more This study aims to examine the influence level of training on employee motivation in selected Saving and Credit Co-operative Sector in Kathmandu valley. This is a descriptive study. The study applied a quantitative research design. Primary data were collected through a structured questionnaire. The study applied judgmental sampling. Responses were entered in Statistical Package for Social Science (SPSS), where statistical analysis was done. Inferential statistics i. e., correlation, and regression analysis were applied for data analysis. Multiple correlations indicate that employee competency, employee job knojob knowledge, technique, skill, and high correlation with motivation. The multiple linear regression model of employee motivation is significantly well-fitted to the given dataset. There is a satisfactory level of a significant and positive relationship between employee competency and motivation. The regression coefficient indicates that there is an insignificant and positive ...
Motivation is the set of forces that make employees willing to behave in an organization. It is a... more Motivation is the set of forces that make employees willing to behave in an organization. It is a crucial function of management or human resource management. The study’s objectives are to determine employees’ motivating factors as well as to identify employees’ general attitudes towards existing motivational factors. The qualitative research method was used. Primary data were collected adopting focus group discussion, observation, and interviews. Administrative and unranked employees of Padma Kanya Multiple Campus (PKMC) were selected for study by applying the case study method. Thematic analysis of data was applied. The most important motivating factor for both temporary administrative and unranked employees (helpers in office) was job security followed by pay and overtime remuneration. Administrative employees, to great extent, need intrinsic rewards particularly recognition, responsibility, promotion, and fairness whereas unranked permanent employees also, to some extent, were i...
Study Design. A cross-sectional study with a test–retest design. Objective. To translate and cult... more Study Design. A cross-sectional study with a test–retest design. Objective. To translate and culturally adapt the numerical rating scale (NRS) for neck pain intensity and the Neck Disability Index (NDI), and asses their measurement properties in a Nepalese neck pain population. Summary of Background Data. Neck pain is one of the most common musculoskeletal disorders in Nepal. Research on neck pain disorders has been hampered by lack of standardized patient-reported outcome measures (PROMs) in Nepali language. Therefore, we aimed at validating a Nepali version of the NDI and NRS neck pain. Methods. At Dhulikhel hospital in Nepal, 150 patients with neck pain and/or cervical radiculopathy completed the translated self-administered questionnaires. We had made one cultural adaption of the NDI driving item in the final Nepali version. Relative reliability was analyzed with intraclass correlation coefficient (ICC 2.1) and absolute reliability with the smallest detectable change (SDC). Inte...
Journal of Manmohan Memorial Institute of Health Sciences, 2016
BACKGROUND: Plantar fascitis is one of the commonest causes of heel pain. Thickening of plantar f... more BACKGROUND: Plantar fascitis is one of the commonest causes of heel pain. Thickening of plantar fascia is the most consistent sonological finding in plantar fasciitis.Objective: To estimate normal plantar fascia thickness in healthy Nepalese volunteers and evaluate its relationship with age, sex, height, weight and body mass index (BMI).METHODS: The plantar fascia thickness was measured at 5mm distal to its insertion into the calcaneus using 10 MHz linear array transducer. Total 700 feet of 350 healthy volunteers were evaluated in our study. Physical examination was also performed to assess height, weight and BMI.RESULTS: The mean plantar fascia thickness among entire population, male subjects, female subjects, right side and left side were respectively 2.39±0.37 (Range 1.4-3.6; 95% confidence interval=2.36-2.42); 2.47±0.37 (Range 1.4-3.6; 95% confidence interval =2.43-2.51); 2.32±0.35 (Range 1.4-3.5; 95% confidence interval =2.28-2.36); 2.39±0.36 (Range 1.4-3.6; 95% confidence inte...
Background Physical trauma is one of the major cause of mortality and morbidity among young and a... more Background Physical trauma is one of the major cause of mortality and morbidity among young and active age group and its increasing trend is of main concern. There are only few studies concerning the spectrum of physical trauma in Nepal. Objective This study aims to evaluate the epidemiological spectrum, the extent, severity of the physical trauma and the outcome evaluation of patients with physical trauma over a period of one year in the emergency department of the Kathmandu University Hospital and compare the same parameters with those patients presenting to the various outreach centers of the hospital in the community. Methods Patient treatment files from the emergency department and the reports from various outreach centers were retrieved for a period of one year (May 2011 to April 2012). Epidemiological information, mode, type and anatomic location of injuries were recorded. Outcome evaluation was assessed by number of patients discharged from emergency department of the hospit...
We retrospectively reviewed 30 patients with a diffuse-type giant-cell tumour (Dt-GCT) (previousl... more We retrospectively reviewed 30 patients with a diffuse-type giant-cell tumour (Dt-GCT) (previously known as pigmented villonodular synovitis) around the knee in order to assess the influence of the type of surgery on the functional outcome and quality of life (QOL). Between 1980 and 2001, 15 of these tumours had been treated primarily at our tertiary referral centre and 15 had been referred from elsewhere with recurrent lesions. The mean follow-up was 64 months (24 to 393). Functional outcome and QOL were assessed with range of movement and the Knee injury and Osteoarthritis Outcome Score (KOOS), the Musculoskeletal Tumour Society (MSTS) score, the Toronto Extremity Salvage Score (TESS) and the SF-36 questionnaire. There was recurrence in four of 14 patients treated initially by open synovectomy. Local control was achieved after a second operation in 13 of 14 (93%). Recurrence occurred in 15 of 16 patients treated initially by arthroscopic synovectomy. These patients underwent a mea...
A 16-year old girl presented with a history of abdominal pain, lump in epigastrium since one year... more A 16-year old girl presented with a history of abdominal pain, lump in epigastrium since one year. The ultrasound examination showed an epigastric mass, which was delineated as a filling defect in the stomach on barium studies. Upper GI endoscopy showed a large intragastric mass composed of hair. The CT scan showed a gastric mass extending to the duodenum. She was managed by surgical removal. A large gastric trichobezoar extending upto the jejunum was found. This case highlights the characteristic radiological appearance on barium, ultrasound and computed tomography of a bezoar within the stomach and a trichobezoar with a long tail extending upto the jejunum without intestinal obstruction is unusual.
Background The functional outcome and quality of life after sphincter-saving operations for ulce... more Background The functional outcome and quality of life after sphincter-saving operations for ulcerative colitis have not been previously assessed in Indian patients whose dietary habits and socio-cultural practices differ considerably from those in western countries. Patients and methods Between 1996 and 2002, we performed 46 J-pouch ileoanal anastomoses (IPAA), for patients with ulcerative colitis. Thirty-eight of these patients had had their ileostomy
International Journal of Business Management and Economic Review
The objectives of this study were to assess the contribution of Nirdhan Utthan Microfinance Insti... more The objectives of this study were to assess the contribution of Nirdhan Utthan Microfinance Institution, Ramkot branch in Kathmandu on saving mobilization and investment in different types of businesses or enterprises and to determine the roles of the microfinance to the economic status of its borrowers and entrepreneurs. The study applied both quantitative and qualitative data using a descriptive research design and case study method. It has employed both primary and secondary sources of data. Thematic analysis was used for primary data. Secondary data was analyzed using simple statistical tools such as tabulation and percentage. The finding has shown that microfinance has been successful to mobilize and manage saving in different business and economic sectors such as agriculture and forestry, cottage industries, services, trading, social and consumption, and other sectors. The finding of the study has also indicated that about 98.70 percent of the borrowers were successful to rece...
This study aims to evaluate the relationship between the satisfaction of customers in terms of af... more This study aims to evaluate the relationship between the satisfaction of customers in terms of after-sales services in the automobile industry in Kathmandu. This study applied a descriptive research design. This study type was quantitative. Since the population is unknown in this study 384 questionnaires were collected from respondents of this research work applying a purposive sampling technique. The population of the study was both two-wheelers and four-wheeler vehicle users from many places in Kathmandu and various backgrounds. Purposive sampling techniques were used in this study. This study applied the self-administered close-ended survey questionnaire. Multiple choice questions based on the Five-Point Likert Scale developed by Rensis Likert were used to mention a level of a statement of disagreement to an agreement where 1 indicates strongly disagree and 5 indicates strongly agree. Data were analyzed based on the majority of respondents/ responses collected out of the total sa...
The objective of the study is to assess the relationship between Employee Motivation and Employee... more The objective of the study is to assess the relationship between Employee Motivation and Employee Performance (EP). In this study, the researcher adopted a descriptive research design. The primary data was collected from the managerial and operating level employees at the head office of Nepal Electricity Authority (NEA) through a structured questionnaire using Five Point Likert Scale. The study used a quantitative research design and applied stratified and judgmental sampling techniques combinedly. The total number of populations from NEA was 566. The sample size of the study was 181 employees. However, 300 questionnaires were distributed considering the pandemic of COVID-19 and sampling error. Reliability tests were computed in this study. Reliability was ascertained by calculating Cronbach’s Alpha from the pilot study. Data were analyzed based on descriptive and inferential statistics. Means and standard deviation and correlation and regression analysis were used for data analysis...
Introduction: Magnetic Resonance Imaging is the preferred imaging modality in patients having ant... more Introduction: Magnetic Resonance Imaging is the preferred imaging modality in patients having anterior cruciate ligament tears. The aim of this study was to find out the prevalence of anterior cruciate ligament tears using magnetic resonance imaging among patients undergoing arthroscopy in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted in the Department of Orthopaedics and Traumatology of a tertiary care centre. Data from 17 November 2017 to 17 October 2022 were collected between 26 December 2022 and 30 December 2022 from the hospital records. Ethical approval was obtained from Institutinal Review Committee of the same institute (Reference number: 233/22). All patients with a knee injury who received arthroscopy were included in the study. Magnetic resonance imaging reports, arthroscopic findings and relevant data of each case were retrieved from the medical case records of patients. Convenience sampling method was used. Point estimate and 95% Con...
This study attempts to assess the influence of employee-related corporate social responsibility i... more This study attempts to assess the influence of employee-related corporate social responsibility initiatives on employee attraction, motivation, and retention in Nepalese commercial banking sectors. The study adopted a causal-comparative research design. This study used a quantitative approach. Nepal Bank Limited, Rashtriya Banijya Bank Limited, Himalayan Bank Limited, and Century Commercial Bank Limited were selected as sample units. The study was conducted based on primary data to be collected. These banks have a total of 1134 employees working in several hierarchies and positions. The study was performed by including a structured survey-based questionnaire on a sample of 340 employees who answered the questionnaire using a five-point Likert scale instrument. Descriptive and inferential statistics were used for data analysis. Means and Standard Deviation indicate a positive association between them.A moderate correlation was found between corporate social responsibility toward empl...
International Journal of Business Management and Economic Review
There is much debate as to whether employees should be participated or not in the decision-making... more There is much debate as to whether employees should be participated or not in the decision-making process. This study examined the status of employee participation in decision-making using Government-Owned Enterprises namely Nepal Electricity Authority (NEA), a corporate office located in Kathmandu, and privately run industry, Bira Furniture within Patan Industrial Estate located in Lalitpur, Nepal, as a case study. The study employed qualitative research for empirical investigation. Interviews, Focus Group Discussions (FGD), and observation were used for primary data collection. A purposive sampling method was applied. The study used thematic analysis of data. Lower-level employees have also adequate rights in their workplace decision-making at the head office of NEA. However, high-level decision-making power rest in top-level management. Most of the decisions are made based on rules, by-laws, and procedures. By nature, almost all functions are performed based on teamwork. Even tho...
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Papers by Rohit Shrestha