Opinion of hospital pharmacy practitioners toward the Continuing Pharmacy Education program: a study from a tertiary care hospital in central Nepal

Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed.Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis.Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015.Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09%) followed by hypertension (27.38%), trauma (15.47%), and coagulopathy (8.33%). Regarding treatment methods, most (52.38%) of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38%) patients required endoscopic sphenopalatine arterial ligation.Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients.

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Foreign Bodies in Ear, Nose and Throat: An Experience from a Tertiary Care Hospital in Central Nepal

Nepal Medical College Journal ◽

10.3126/nmcj.v21i4.27616 ◽

2019 ◽

Vol 21 (4) ◽

pp. 276-282

Author(s):

Apar Pokharel

Keyword(s):

Foreign Bodies ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Age Groups ◽

Care Hospital ◽

Throat Region ◽

Central Nepal ◽

And Gender ◽

One Year ◽

Nose And Throat

Foreign bodies are frequently encountered otorhinolaryngology emergency. The objective of this research paper is to analyze different foreign bodies in terms of type, site, age, and gender distribution and methods of removal. A retrospective study was performed from March, 2018 to March, 2019 in a tertiary care hospital in the central part of Nepal. The information was obtained from hospital record books. A total of 315 patients visited the hospital with a foreign body in either of their ear, nose or throat. It comprised of approximately 12% of all the ENT emergencies in the hospital in the last one year of study. Foreign bodies in ear, nose and throat region were found in all age groups, although it was more prevalent among children of age group less than 10 years.

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Confirmation of Blandm-1 gene among the carbapenem resistant isolates from patients with meningitis symptoms attending a tertiary care hospital of Central Nepal

Clinica Chimica Acta ◽

10.1016/j.cca.2019.03.546 ◽

2019 ◽

Vol 493 ◽

pp. S264-S265

Author(s):

Y. Jp ◽

G. Laxman ◽

B. Rayamajhee

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Central Nepal ◽

Carbapenem Resistant

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A study of spectrum of rheumatic heart disease in a tertiary care hospital in Central Nepal

IJC Heart & Vasculature ◽

10.1016/j.ijcha.2017.03.007 ◽

2017 ◽

Vol 15 ◽

pp. 26-30 ◽

Cited By ~ 2

Author(s):

S. Laudari ◽

G. Subramanyam

Keyword(s):

Heart Disease ◽

Rheumatic Heart Disease ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Central Nepal ◽

Rheumatic Heart

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The effect of a continuing medical education program on Venous thromboembolism prophylaxis utilization and mortality in a tertiary-care hospital

Thrombosis Journal ◽

10.1186/1477-9560-12-9 ◽

2014 ◽

Vol 12 (1) ◽

pp. 9 ◽

Cited By ~ 7

Author(s):

Fahad Al-Hameed ◽

Hasan M Al-Dorzi ◽

Essam Aboelnazer

Keyword(s):

Medical Education ◽

Venous Thromboembolism ◽

Education Program ◽

Continuing Medical Education ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Thromboembolism Prophylaxis ◽

Venous Thromboembolism Prophylaxis ◽

Medical Education Program

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Factors Associated with Adherence to Medication among Chronic Obstructive Pulmonary Disease Patients in Tertiary Care Hospital of Nepal: A Cross-Sectional Study

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2020/v32i2030737 ◽

2020 ◽

pp. 136-144

Author(s):

Sristi Neupane ◽

Parbati Thapa ◽

Anil Giri ◽

Sumitra Shrestha ◽

Nirmal Raj Marasine

Keyword(s):

Medication Adherence ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Chronic Obstructive ◽

Care Hospital ◽

Cross Sectional ◽

Obstructive Pulmonary Disease ◽

Central Nepal ◽

Copd Patients

Objective: Patients with chronic obstructive pulmonary disease (COPD) are known to have poor medication adherence in Nepal. Various factors affect the medication adherence of COPD patients. Therefore, we aimed to evaluate the medication adherence and its associated factors among the COPD patients in tertiary care hospitals in central Nepal. Methods: A hospital-based cross-sectional study was carried out among 164 patients aged ≥18 years, diagnosed with and under medication(s) of COPD for at least 6 months from September 2017 to March 2018, in a tertiary care hospital in central Nepal, using a purposive sampling technique. Morisky Green Levine Adherence (MGLA) score was employed to determine the rate of medication adherence. The differences between the two groups (adherent and non-adherent) were tested using independent t-test, and Chi-square tests, p<0.05 was considered statistically significant. Results: Patients were mostly ≥60 years (87.1%) and female (56.7%). The majority of the patients were found adherent to the prescribed treatment (108; 65.9%). The major reason for non-adherence was seem to be stopping medicine when feeling better (41.08%) and most of the patients had discontinued the medication due to experience of symptomatic relief (42.9%).Medication adherence was statistically significant with age group at p=0.040, educational status p=0.020, no. of daily drugs p= 0.029, and health behavior of the patients (p= 0.025). Conclusion: Our study suggested that two-third of COPD patients were adherent to their medication, and age, education, number of drugs, and health behaviors of the patients were the most influencing factors for medication adherence.

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Demographic and Clinical Profile in Patients with Liver Cirrhosis in a Tertiary Care Hospital in Central Nepal

Journal of Nepal Medical Association ◽

10.31729/jnma.3362 ◽

2017 ◽

Vol 56 (208) ◽

pp. 401-6

Author(s):

Subash Bhattarai ◽

Merina Gyawali ◽

Khus Raj Dewan ◽

Gaurav Shrestha

Keyword(s):

Liver Cirrhosis ◽

Alcohol Consumption ◽

Rural Areas ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Chronic Alcohol ◽

Chronic Alcohol Consumption ◽

Central Nepal ◽

Cirrhosis Of Liver

Introduction: Liver cirrhosis is an important health problem worldwide and is a common disease in Nepal. The profile of cirrhosis may vary due to different factors. This study was undertaken to see the demographic and clinical profiles of patients with cirrhosis of liver attending a tertiary care hospital in Central Nepal. Methods: Six hundred patients with clinical features, laboratory and sonological findings suggestive of chronic liver dysfunction and endoscopic evidence of portal hypertension were included in the study. Their demographic and clinical profile, endoscopic findings, outcomes during hospitalization were studied. Ethical approval was taken from Institutional Review Committee of College of Medical Sciences. SPSS 20 was used for statistical analysis. Results: The mean age of subjects was 54±11.84 years with 435 males (72.5%) and 165 (27.5%) females. Majority of 203 (33.8%) patients were from Mongol ethnicity followed by 127 (21.2%) Khas. Two hundred and twenty (36.6%) were farmers followed by 169 (28.2%) retired personnel. A total of 338 (56.4 %) patients were from rural areas. The commonest aetiology of cirrhosis was chronic alcohol consumption and seen in 552 (92%) patients. Abdominal distension was commonest presenting sign and observed in 561 (93.5%) patients. Ascites seen in 555 (92.5%) patients was the commonest complication followed by UGI bleed in 326(54.3%) patients. Gastro-oesophageal varices observed in 345 (57.5%) patients, was the most common endoscopic finding followed by portal gastropathy, peptic ulcer and erosive mucosal diseases. In patient mortality was noted in 92 (15.3 %) patients. Conclusions: This study highlights the burden of cirrhosis, usually caused by chronic alcohol consumption in Central Nepal. Majority of subjects were male, middle aged, farmers, from rural areas and predominantly observed in some ethnicity like Mongols. Cirrhotic patients usually present late with varied complications and have high mortality. Keywords: cirrhosis of liver; complications; endoscopy.

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