Pattern of Dermatological Disease and its Relation to Gender in Lumbini Medical College Teaching Hospital

Introduction: The pattern of skin disease differs in different countries, and within various region of a country depending on socio-economic, racial and environmental factors. Many researchers have reported various patterns of skin disease in different countries. This type of study has not been done in this part of country. So, we decided to study, assess and compare the different pattern of dermatological disease in patients visiting our centre. Methods: This was retrospective study done from the hospital record of Lumbini Medical College Teaching Hospital (LMCTH). The study was carried out from September 2014 to December 2014 while the data were accessed from the records of respondents from September 2013 to August 2014. The diagnosis was categorized into 10 groups. The diagnosiswhich did not fit any category was kept in "Others". The 10 categories include acne, bacterial infection, dermatophytes, eczema, leprosy, pigmentory diseases, psoriasis, scabies, urticaria and viral infection. Data was collected based on gender and categorized according to the diagnosis. Microsoft Excel was used for data entry while all the analysis both descriptive and inferential statistics was done using SPSS version 21. Results: There were a total of 7967 patients visiting Dermatology OPD. Out of the total patient, there were 52.10% female and 47.89% male and this difference was statistically significant. In both gender eczema was the most common skin disease. Eczema was significantly more common in male whereas acne was significantly common in female. Most of the patients were from age group of 15-30 yrs with eczema being commonest in this age group. Conclusion: Eczema and dermatophytes are the most common dermatological diseases. Eczema is significantly more common in male. Acne is significantly more common in female.

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Seasonal Variation of Pediatric Dermatoses

Journal of Lumbini Medical College ◽

10.22502/jlmc.v4i1.75 ◽

2016 ◽

Vol 4 (1) ◽

pp. 32

Author(s):

Pratistha Shrestha ◽

Jameel Akhtar Mikrani

Keyword(s):

Seasonal Variation ◽

Skin Diseases ◽

Data Entry ◽

College Teaching ◽

Age Group ◽

Pediatric Age ◽

Medical College ◽

Pediatric Age Group ◽

Dermatology Clinic ◽

Dermatological Disease

Introduction: Skin diseases are common in children; however they differ depending in age, region, socioeconomic status and climate. Many studies have been done to study pattern of dermatological disease in pediatric age group but only few studies have been done in its seasonal variation. So we decided to study seasonal variation of pediatric dermatoses. Methods: This was retrospective study done from hospital record of Lumbini Medical College Teaching Hospital (LMCTH). All children 14 years and below attending the Dermatology out-patient clinic with skin diseases between the period of March 2015 to February 2016 were included. Demographic, clinical and laboratory details were recorded. Data were collected and categorized according to four seasons. Microsoft Excel was used for data entry while all analysis, both descriptive and inferential, was done using SPSS version 22. Results: There were a total of 987 children visiting Dermatology clinic during the study period. Of those, 520 (52.7%) were male and the remaining 467 (47.3%) were female with M:F ratio of 1.1:1. Most of the disorders were seen between 10-14 years of age. Majority of visits was in summer (n=403, 40.8%) followed by spring, autumn and winter. Most common dermatosis seen among children during summer was fungal infection (n=91, 9.2%) and during winter was eczema (n=49, 5%). Conclusion: In the present setting there is seasonal variation of dermatological diseases in pediatric age group.

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A study of gastrointestinal tumors at kathmandu medical college teaching hospital

Journal of Pathology of Nepal ◽

10.3126/jpn.v8i1.19455 ◽

2018 ◽

Vol 8 (1) ◽

pp. 1285-1288

Author(s):

Sailesh Bahadur Pradhan ◽

Binita Pradhan ◽

Sailuja Maharjan ◽

Prabin Bikram Thapa

Keyword(s):

Gastrointestinal Tract ◽

Teaching Hospital ◽

Histopathological Examination ◽

Benign Lesion ◽

Malignant Lesion ◽

College Teaching ◽

Age Group ◽

Benign Lesions ◽

Cross Sectional ◽

Medical College

Background: Gastrointestinal tract tumour is responsible for more cancers and death than any other cancers. The tumour in GIT include the tumour of the Oral cavity, Esophagus, Stomach, Colon, Rectum, Liver, Gallbladder, Pancreas and Biliary tree.Materials and methods: A cross sectional study was carried out among all the gastrointestinal tract tumours specimens received for histopathological examination in between January 2016 to June 2017 in Department of Pathology, Kathmandu Medical College Teaching Hospital. All tumors diagnosed either benign or malignant were included in this study. Ethical clearance was obtained from the Institutional Review Committee in KMCTH.Results: Colorectum was found to be the most commonly involved site for malignant lesion comprising 40.2% among all malignant lesions followed by stomach comprising 28.6%. Malignancy was found to be more prevalent among male with M:F ratio of 1.6:1 in colorectal region and 1.4:1 in stomach cancers. Regarding benign lesions (polyps), rectum was found to be the commonest site (57.5%), followed by colon (20.0%) and stomach, the least common site.Malignant lesions were more common among the age group of 51-60 years (37.66%) with 70.13% above 50 years. Benign lesions were also found to be the most common above 50 years comprising 40.0 percent.Conclusion: Rectum & colon was found to be the most commonly involved site for both malignant and benign lesion. Malignancy is more prevalent among male and common above 50 years of age. However, malignant cases noted in the adult age group are a matter of great concern.

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Pattern of Sexually Transmitted Infections at Kohalpur Teaching Hospital

Journal of Nepalgunj Medical College ◽

10.3126/jngmc.v13i1.16408 ◽

2017 ◽

Vol 13 (1) ◽

pp. 25-27

Author(s):

Sumit Pandey ◽

Nirmala Sharma ◽

Nitesh Pokhrel ◽

Shambhu Joshi

Keyword(s):

Sexually Transmitted Infections ◽

Teaching Hospital ◽

Common Factor ◽

College Teaching ◽

Age Group ◽

College Hospital ◽

Major Health Problem ◽

Sexually Transmitted ◽

Medical College ◽

Common Diagnosis

Background: WHO estimated that approximately 448 million new cases of four main curable sexually transmitted infections (STIs), viz., gonorrhoea, syphilis, chlamydial infection, and trichomoniasis occur every year, nearly 80% of which in developing countries. STIs has proven role in facilitation of HIV infection and also increases susceptibility to other STIs. Most of the STIs, both ulcerative and non-ulcerative, are prevalent in Nepal and constitute one of the major health problem. Their epidemiological and clinical picture is being modified in the context of ongoing HIV/AIDS epidemic, especially during the last decade.Objectives: This study was undertaken to find out the pattern of sexually transmitted infections in Nepalgunj Medical College Teaching Hospital, Kohalpur.Method and material: This is a hospital - based descriptive study conducted in the Department of Dermatology, Venereology and Leprology of Nepalgunj Medical College Teaching Hospital, Kohalpur between August 2013 to July 2014. A total of 52 patients were included in the study and verbal consent was taken. History and clinical examinations were performed and the data were recorded and analyzed.Results: Total of 52 patients were diagnosed with Sexually Transmitted Infections, out of which 75% were male and 25% were female. The most common diagnosis was gonorrhea (34.6%) followed by condyloma accuminata (32.7%), latent syphilis (15.4%) non-gonococcal urethritis(9.6%), vaginal discharge syndrome (5.8%)and HIV (1%). Age group 21 to 30 years were the maximum sufferers.Conclusion: Gonorrhoea still comprises a major bulk of STI in Nepalgunj Medical College Hospital, Kohalpur. Majority of the patients suffering from sexually transmitted infections were in the age group 21-30 years. A trend of sexual exposure during adolescence with multiple partners and inconsistent use of condoms was observed as a common factor in its promotion despite efforts from various sectors.Journal of Nepalgunj Medical College Vol.13(1) 2015: 25-27

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Prevalence of Anemia among Children Diagnosed with Pneumonia Attending Birat Medical College Teaching Hospital, Morang, Nepal

Birat Journal of Health Sciences ◽

10.3126/bjhs.v6i2.40356 ◽

2021 ◽

Vol 6 (2) ◽

pp. 1545-1548

Author(s):

Chandra Bhushan Jha ◽

Hem Sagar Rimal ◽

Ram Bhakta Subedi

Keyword(s):

Teaching Hospital ◽

College Teaching ◽

Hypochromic Anemia ◽

Hemoglobin Level ◽

Deficiency Anemia ◽

Age Group ◽

Cross Sectional ◽

Childhood Pneumonia ◽

Medical College ◽

Prevalence Of Anemia

Introduction: Childhood pneumonia is the leading cause of serious illness and death worldwide. In developing countries, pneumonia is the biggest single cause of childhood death under the age of 5 years. Globally, anemia is a major nutritional problem of immense public health significance. Iron deficiency anemia in children occurs most frequently between the age of 6 months and 3years, the same period of age when repeated infections occur. Objective: The main objective of this study is to determine the prevalence of anemia among children diagnosed with pneumonia. Methodology: This is a hospital based cross sectional study carried out in the Department of Paediatrics, Birat Medical College Teaching Hospital, from 15th February 2020 to 15th August 2020. This study was performed on 150 pneumonic children between 6 to 60 months of age. History regarding fever, cough and fast breathing was taken. All the data were recorded in the preformed proforma. Data was analyzed using SPSS version 16. Results: This study was performed on 150 pneumonic children, in which male babies (n=93; 62%) outnumbered the female babies (n=57; 38%). The majority of children were in the age group of 6 to 24 month (n=85; 56.7%). The mean hemoglobin level was 9. 49±1.39 gm/dl. The hemoglobin level less than 11 gm/dl was seen in 102 (68%) cases. Microcytic hypochromic anemia was present in 73 (71.6%) children. Conclusion: The prevalence of anemia among the pneumonic children of 6-60 months is 68% that is higher than the national data (52.6%) of prevalence of anemia in the same age group. While treating childhood pneumonia, checking hemoglobin on regular basis will be very useful to diagnose and manage concurrent anemia

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Histopathological Pattern of Endometrial Biopsies in Patients with Abnormal Uterine Bleeding Attending Birat Medical College Teaching Hospital

Birat Journal of Health Sciences ◽

10.3126/bjhs.v5i2.31378 ◽

2020 ◽

Vol 5 (2) ◽

pp. 1035-1039

Author(s):

Neeta Kafle ◽

Shilpi Shaukin ◽

Santosh Upadhaya Kafle ◽

Mrinalini Singh ◽

Surya Bahadur Parajuli

Keyword(s):

Teaching Hospital ◽

Histopathological Examination ◽

Age Groups ◽

College Teaching ◽

Abnormal Uterine Bleeding ◽

Endometrial Biopsy ◽

Uterine Bleeding ◽

Age Group ◽

Histological Pattern ◽

Medical College

Introduction: Abnormal uterine bleeding (AUB) is one of the commonest gynaecological problems. Etiology of AUB may be structural and functional and varies according to age group. Histological pattern of endometrial sampling along with clinical and radiological findings remains the diagnostic standard for clinical diagnosis of endometrial pathology which ultimately helps in deciding the management of the patients. Objectives: To determine histopathological pattern of endometrial biopsies in patients with AUB attending Birat Medical College Teaching Hospital. To determine the pattern of menstrual abnormality in patients with AUB in different age groups. Methodology: We conducted a prospective hospital based cross sectional study for a period of one year (1 April 2019 to March 31 2020). Histopathological findings of all endometrial biopsy samples in patients with AUB were examined. Patients were categorized into different age groups and the patterns of menstrual abnormality were also documented. Results: 166 patients presenting with AUB underwent endometrial biopsy. Most of them were of perimenopausal age group (42.77%). Menorrhagia was the most common presenting menstrual abnormality. Histopathological examination predominantly revealed normal cyclical endometrium. Hyperplasia was seen more frequently in patients > 40 years of age. Malignancy was diagnosed in 2.41%, all were adenocarcinoma and was seen in > 50 years age. Conclusion: AUB is a common gynaeco-pathological problem with varied clinical presentation and multiple causes. Functional endometrial changes account for the highest histological pattern. However hyperplasia and malignancy are important cause of AUB in perimenopausal and post menopausal age group's women.

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Study on Knowledge and Prevalence of Computer Vision Syndrome among Computer Operators in Nobel Medical College Teaching Hospital, Biratnagar, Nepal

Journal of Nobel Medical College ◽

10.3126/jonmc.v9i2.33386 ◽

2020 ◽

Vol 9 (2) ◽

pp. 45-49

Author(s):

Pramod Sharma Gautam ◽

Uday Chandra Prakash ◽

Subreena Dangol

Keyword(s):

Computer Vision ◽

Teaching Hospital ◽

Human Life ◽

College Teaching ◽

Extended Period ◽

Visual Display ◽

Work Place ◽

Medical College ◽

Computer Vision Syndrome ◽

Department Of Ophthalmology

Background: The eye and vision related problems that results from continuous use of computers and other visual display terminals for extended period of time leads to computer vision syndrome. Due to rapid digitalization in human life, the risk of developing it has also increased in many folds. So, with an aim of determining the prevalence and level of awareness of computer vision syndrome among computer users along with their attitude and practices to prevent it, this study was conducted in the office employees who use computer for a considerable period of time. Materials and Methods: A hospital based observational descriptive study was conducted in the out-patient department of Ophthalmology in Nobel Medical College and Teaching Hospital, Biratnagar, where 105 employees working in different work stations of same institution were enrolled. A questionnaire and the clinical findings were used to collect data. Results: About 80% of the employees were using computer for about (8-11) hours per day. Prevalence of computer vision syndrome noted was (92.4%) with low level of knowledge (85.7%) about it. About 45% of them wore glasses for their refractive errors but attitude and practices in work place to prevent the bad effects of using visual display terminals were found to be lacking (53.3%). Burning sensation in the eye, headache, ocular irritation and itching and neck, shoulder or back pain were the common symptoms. Around (60-70)% of the eyes tested positive for dry eye. Conclusion: Lack of awareness of computer vision syndrome and lack of personal protective measures were associated with its high level of prevalence.

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Histopathological Analysis of Endometrial Biopsy in Gandaki Medical College Teaching Hospital, Pokhara, Nepal

Journal of Gandaki Medical College-Nepal ◽

10.3126/jgmcn.v12i1.22608 ◽

2019 ◽

Vol 12 (1) ◽

pp. 25-30

Author(s):

B Parajuli ◽

G Pun ◽

S Ranabhat ◽

S Poudel

Keyword(s):

Histopathological Examination ◽

Hydatidiform Mole ◽

College Teaching ◽

Histopathological Diagnosis ◽

Age Group ◽

Medical College ◽

Dilatation And Curettage ◽

Partial Mole ◽

Proliferative Endometrium ◽

The Common

Objective: To study the spectrum of histopathological diagnosis of endometrial lesions and their distribution according to age. Methods: All the endometrium samples obtained by the procedure of dilatation and curettage and hysterectomy sent for histopathological examination at Pathology Department of Gandaki Medical College Teaching Hospital, Pokhara, Nepal. The study duration was total 12 months ranging from July 2016 to June 2017. All the endometrial samples were processed, sectioned at 4 - 6 μm and stained with routine H & E stain. Patient’s data including age, sex, procedure of the biopsy taken and histopathological diagnosis were noted. A pathologist, using Olympus microscope, reported the slides. Cases were reviewed by a second pathologist whenever necessary. Results: A total of 128 cases were studied. The most common histopathological diagnosis was proliferative endometrium (28.9%) followed by disorder proliferative endometrium (15.65%). Most of the patients were in age group 36 - 45 years comprising 32.03%. Hydatidiform mole comprised of 7.03% and among Hydatidiform mole, partial mole was more common. Dilatation and curettage (82.8%) was the common procedure in compare to hysterectomy for the evaluation of endometrial lesions. Conclusions: In this study, we observed a variety of endometrial lesions. Most of them are benign; among benign, proliferative endometrium was the common histopathological diagnosis followed by disorder proliferative endometrium. Most common presenting age group was found to be at 36 - 45 years. In evaluation of hydatidiform mole, partial mole was more frequent in compare to complete mole. Conventional dilatation and curettage is the preferred method in developing countries with limited resource to screen endometrial lesion and therefore biopsy should be sent for histopathological examination. Thus histopathological examination of routinely stained hematoxylin and eosin is readily available and widely accepted standard technique for evaluation of the endometrial lesions.

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Outcome of initial three years of Cranial Endoscopy at DG Khan Medical College & Teaching Hospital, Dera Ghazi Khan.

World Neurosurgery ◽

10.1016/j.wneu.2021.11.107 ◽

2021 ◽

Author(s):

Iqbal Ahmad ◽

Ummer Farooq Raina ◽

Muhammad Yousaf ◽

Liaqat Jalal ◽

Samia Saeed ◽

...

Keyword(s):

Teaching Hospital ◽

College Teaching ◽

Medical College ◽

Cranial Endoscopy

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Anxiety and Depression among Patients with Chronic Obstructive Pulmonary Diseases in Pulmonology Unit of Nobel Medical College Teaching Hospital

Birat Journal of Health Sciences ◽

10.3126/bjhs.v6i1.37557 ◽

2021 ◽

Vol 6 (1) ◽

pp. 1285-1290

Author(s):

Nilam Kumari Jha ◽

Komal Kant Jha

Keyword(s):

Risk Factor ◽

Teaching Hospital ◽

College Teaching ◽

Pulmonary Diseases ◽

Anxiety And Depression ◽

Chronic Obstructive ◽

Early Assessment ◽

Medical College ◽

Copd Patients ◽

Chronic Obstructive Pulmonary Diseases

Introduction: Anxiety and Depression is a common comorbidity in chronic obstructive pulmonary disease patients. Impaired lung function is a risk factor for depression In COPD patients, reduced recreational activities and social Isolation is a major risk factor resulting in anxiety and depression. Objective: The objective of this study is to evaluate the prevalence of Anxiety and Depression among the COPD patients at Pulmonology unit of Nobel Medical College Teaching Hospital. Methodology: A hospital based cross- sectional research design was used for the study. A total of 185 patients with previously diagnosed COPD. Data were collected by using a face to face interview technique in patients to evaluate anxiety and depression using Nepali version of Hospital Anxiety and Depression Scale questionnaire at Nobel Medical College Teaching Hospital, Biratnagar, Nepal from May to August 2020. Data analysis were done by descriptive and inferential statistics. Results: A total of 185 patients participated in the study, 157 patients (84.9%) had anxiety, 107 patients (57.8%) had depression and 102 patients (55.1%) had both anxiety and depression. There was statistically significant association of anxiety and depression in COPD patients with age, religion, occupation, smoking status, duration of illness, history of previous hospitalization, number of hospitalization in previous year, type of family, domiciliary oxygen therapy. Conclusion: The study concluded that anxiety and depression had been most prevalent in COPD patients. Therefore health personnel working in the Pulmonology unit should be aware the early assessment and treatment of anxiety and depression of chronic obstructive pulmonary diseases patients.

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Knowledge, Attitude and Practices of Pharmacovigilance among Doctors at a Tertiary Care Teaching Hospital Birgunj, Nepal

Med Phoenix ◽

10.3126/medphoenix.v6i1.36681 ◽

2021 ◽

Vol 6 (1) ◽

pp. 14-18

Author(s):

Smita Singh ◽

Deependra Prasad Sarraf ◽

Prabin Singh ◽

Pragati Poudyel

Keyword(s):

Teaching Hospital ◽

Health Care Professionals ◽

Tertiary Care ◽

College Teaching ◽

Cross Sectional Study ◽

Cross Sectional ◽

Tertiary Care Teaching Hospital ◽

Care Teaching ◽

Medical College ◽

National Medical

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire. Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.

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