scholarly journals Self-Medication Practices in Surrounding Communities of Birat Medical College and Teaching Hospital of Eastern Nepal

2019 ◽  
Vol 15 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Surya Bahadur Parajuli ◽  
Anjali Mishra ◽  
Heera KC ◽  
Prem Bhattarai ◽  
Sharad Karki ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Financial Burden ◽  
Negative Attitude ◽  
Family Type ◽  
Local Context ◽  
Common Source ◽  
Self Medication ◽  
Time Saving ◽  
Cross Sectional ◽  
Medical College

Background: Self-medication is the use of drugs to treat self-diagnosed disorders/symptoms, or the intermittent/continued use of a prescribed drug for chronic/recurrent disease/symptoms (WHO). It is the cause for antibiotic resistance, inappropriate treatment, financial burden and many deaths. WHO listed self-medication as one of the priority research area at the local context. The objective of the study was to find the prevalence and pattern of self-medication in surrounding communities of Birat Medical College and Teaching Hospital. Methods: A community-based cross-sectional study was conducted at the surrounding communities of Birat Medical College from 1st August 2018 to 15th December 2018. Multistage sampling was used to collect information from 348 household having family members aged 16 years and above. Ethical approval was taken from Institutional Review Committee of Birat Medical College. Pre-tested semi-structured questionnaire was used. Results: The mean age of the participants was 40.5±15.9 years. Prevalence of self-medication was 44.04%. Majority took self-medication for headache 43.6% followed by common cold 39.1% etc. Majority used allopathic drugs 82.7% followed by traditional healers 9.8%. Common medication were antipyretics 18.8%, antibiotics 16.5%, proton pump inhibitor 7.5%, antihistamines 6.8% etc. The reason behind self-medication were low cost 30.1%, time saving 24.1%, illness too trivial/mild for consultation 18.8%, quick relief 18.1%, high doctor fee 15 %, lack of awareness 13.5 %,  familiar with treatment options 12.8%, long waiting line in hospital 12% etc. Out of them 8.3% noticed side effects of self-medication. Out of all 59.5% felt the need of awareness program on rational use of medicines. Age, sex, marital status, ethnicity, religion, education and occupation of participants, education and occupation of head of household, poverty status, family type, house residence type, type of house has no significant association with self-medication. Participants residing in alani/rent households were 1.93 times more likely to self-medicate than those residing in their own and participants having negative attitude were 1.90 times more likely to self-medicate than those who had positive attitude and both were statistically significant.  Conclusions: The burden of self-medication was present and allopathic drugs including antibiotics were common. Adverse drug reactions were reported but participants were unaware about the place to report. Participants had negative attitude towards self-medication which is harmful for their health. As pharmacy was the common source of self-medication, the prescription based medicine dispensary should be advocated.

scholarly journals Prevalence of Self-medication among MBBS students of a Medical College in Kathmandu

2020 ◽  
Vol 58 (222) ◽  
Author(s):  
Anjan Khadka ◽  
Kumud Kumar Kafle
Keyword(s):  
Medical Students ◽  
Cross Sectional Study ◽  
First Year ◽  
Common Source ◽  
Self Medication ◽  
Medical Problems ◽  
Time Saving ◽  
Cross Sectional ◽  
First Year Students ◽  
Medical College

Introduction: Self-medication refers to self-prescription which includes diagnosing and treating one’s own illness and prescribing for one’s self. Though appropriate self-medication relieves acute symptoms, is time saving and economical, it should not be advocated because of more risks than benefits. Self-medication practices were found to vary in medical students of Nepal and India. This study was aimed to determine the prevalence of self-medication among medical students. Methods: This descriptive cross-sectional study was conducted among 76 MBBS students. The study involved the administration of the research questionnaire including demographic information, practice of self-medication, type of illness, factors influencing self-medication, commonly self- prescribed drugs, sources and strategies to reduce such practices. The data were analyzed using Graph pad prism version 6. Results: The prevalence of self-medication was 58 (76.6%), more common among first year students. The common illness found was headache and common drug self-prescribed was analgesic-antipyretic. The most common source of obtaining medicines for all three year medical students was pharmacy. Students were also prescribing medicines to family members, friends and juniors. More than half of the students 52 (68.4%) reported that self-medication practices should be encouraged. Conclusions: Self-medication had been widely practiced among medical students. Self-medication can relieve medical problems but also involve the risks of adverse drug reactions, resistance and masking of underlying diseases. Medical students should be given enough exposure for better understanding of rational prescribing to minimize self-medication. The further study on practice of self-medication is needed on various health professionals and even in general community.

Personal Disposition of Bachelor Nursing Students Regarding the Care of Advance Age People in Nobel Medical College Teaching Hospital

2020 ◽  
Vol 9 (2) ◽  
pp. 50-54
Author(s):  
Nilam Kumari Jha ◽  
Komal Kant Jha
Keyword(s):  
Nursing Students ◽  
Older People ◽  
Teaching Hospital ◽  
Nursing Student ◽  
College Teaching ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Family Type ◽  
Cross Sectional ◽  
Medical College

Background: Older people have complex requirements arising from future conditions. Nursing services regarding the care of advance age population is really important in to the readiness of nursing student. Materials and Methods: A cross-sectional study was conducted in Nobel Medical College Teaching Hospital, Biratnagar, Nepal from February to July 2020. A total of 118 Bachelor nursing students were selected by using a non- probability consecutive sampling technique. Data was collected by using Personal disposition regarding care of advance age people were evaluated by using standardized tool, Nolan’s Intent to work with older people questionnaire. All calculations and statistical analysis are processed by the SPSS 22.0. Results: It showed that personal disposition of regarding care of advance age people were negative perception about 51.7%. Among variable, age and study year were significantly associated with personal disposition (p=< 0 .001). However, there was no significant result showed between the family type, nursing programme and prior experience with advance age. Conclusion: The study concluded that the Bachelor nursing students had relatively negative personal disposition regarding care of advance age people. More study is important to higher understand students’ experiences and insight. These must certainly be augment to strengthen an result that is improved is clinical the look after the older grownups.

scholarly journals Prevalence of self-medication practices among the residents of urban slums located near govt. medical college, Jabalpur

2018 ◽  
Vol 5 (2) ◽  
pp. 811
Author(s):  
Shubham Jain ◽  
Aditya Thakur ◽  
Kunal Peepre ◽  
Shivika Kaushal ◽  
Pradeep Kasar
Keyword(s):  
Economic Status ◽  
Educational Interventions ◽  
Cross Sectional Study ◽  
Urban Slums ◽  
Common Source ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Chi Square Test

Background: Self-medication is defined as medication taken on the patient’s own initiative or on the advice of pharmacist or any other lay person. Self-medication can be described as a double edged sword for its users, because it has both beneficial and harmful effects. According to recent community based study in 2016 prevalence of self-medication in developing countries varies from 12% to as high as 73% in different communities. The objectives of the study were to assess the prevalence of self-medication among the residents of urban slums located near Govt. medical college, Jabalpur and to identify the factors associated with the practice of self-medication.Methods: It was a descriptive cross sectional study conducted in 412 families residing in slum areas around the medical college for duration of 2 months [1st July to 31st august 2017]. One participant from each family was interviewed. Data on socio demographic details (age, gender, education, occupation, and income), practice of self-medication, and reasons for use of self-medication were collected.Results: Among the total 412 participants, 176 (42.7%) practiced self-medication out of which 43.6% were Females. Highest prevalence of 58.1% amongst 18-40 years of age group, 69.3% was literates. Major reason for self-medication being disease is simple (56.5%). Majority took self-medication occasionally (72.5%) and most common source were Pharmacists (87.42%) through OTC (81.14%). Most widely used drugs were Analgesics (66.28%) and main indications were headache, body ache and other pains (25.2%). Associations were compared with chi-square test Socio economic status of participants and Vicinity distance from hospital revealed statistically significant result. Socio-economically upper class (p꞊0.018) and participants living more than 500 m away from hospital (p=0.010) tends to take more self medication.Conclusions: There was a heterogeneous spread in the practices. Easy availability of over the counter (OTC) drugs is a major factor responsible for irrational drug use. Community awareness programme, educational interventions should be conducted about side effects of self-medication. 

scholarly journals Self-Medication Practice among Medical Students of a Tertiary Teaching Hospital in Dhaka City

2019 ◽  
Vol 6 (1) ◽  
pp. 28-31
Author(s):  
Asma Khan ◽  
Afroza Sultana ◽  
Benzir Ahammad ◽  
Shamsun Nahar ◽  
Shafeya Khanam
Keyword(s):  
Medical Students ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Self Medication ◽  
Cross Sectional ◽  
Medical College ◽  
Tertiary Teaching ◽  
Tertiary Teaching Hospital ◽  
Experience Of Illness ◽  
Structured Questionnaire

Background: Self-medication is a common practice worldwide and the irrational use of drugs is a cause of concern. Objective: This present study was designed to assess the rate of self-medication among the medical students in a tertiary teaching hospital in Dhaka. Methodology: This descriptive cross-sectional study was conducted in the Department of Pharmacology at Shaheed Suhrawardy Medical College, Dhaka, Bangladesh from October to December 2017 for a period of three (03) months. The participants were briefed about the nature of the study; the consent was taken and a pre‐tested semi‐structured questionnaire was administered to them. The information pertaining to the pattern of self‐medication, indications for self‐medication and drugs used for self‐medication was included in the questionnaire. Result: A total of 303 students were included in this study. The rate of self-medication was 100.0%. A larger number of females were self-medicating (81.2%) than males (75.3%). The majority of the students self-medicated because of the illness being too trivial for consultation (43.2%) and previous experience of illness (43.2%). Fever (73.3%) and headache (65%) are the most common cause of self-medication. Antipyretics were most commonly self–medicated by the participants (98%). 45.5% 0f students told that self-medication is not an acceptable practice. 40% of the participants opined that self-medication was a part of self-care. Conclusion: In conclusion self-medication is widely practiced among students of the institute Journal of Current and Advance Medical Research 2019;6(1):28-31

scholarly journals Prevalence and pattern of self-medication among undergraduate students in a medical college of Kolkata

2017 ◽  
Vol 4 (10) ◽  
pp. 3619 ◽  
Author(s):  
Jayita Pal ◽  
Shamshad Ahmad ◽  
Promiti Pal ◽  
Debarun Chatterjee
Keyword(s):  
Medical Students ◽  
Adverse Drug Reactions ◽  
Online Survey ◽  
Public Health Problem ◽  
Common Source ◽  
Drug Reactions ◽  
Undergraduate Medical Students ◽  
Self Medication ◽  
Cross Sectional ◽  
Medical College

Background: Self-medication is quite a prevalent public health problem in every part of the world. It can cause serious harms to the recipients through various implications like adverse drug reactions, incomplete cure, drug dependence etc. Medical students are in a unique position for wide practice of self-medication. The current study aimed to estimate the prevalence and to find out the existing knowledge, attitude and pattern of practice regarding self-medication among the undergraduate medical students of ESIC Medical College, Joka, Kolkata. Methods: A cross-sectional study had been conducted among 300 undergraduate medical students through an online survey with the help of a predesigned pretested digital questionnaire. The participants fulfilling the inclusion criteria were included by complete enumeration method after taking informed consent. Results: The overall prevalence of ever-use of self-medication was 65%. Majority had some knowledge about actual definition of self-medication (74%), hazards due to change of time schedule of antibiotics (59.7%), hazards due to increase in dose of antibiotics (64%), adverse drug reactions of different antibiotics (65%) and importance of completing the dosage schedule of antibiotics (56.7%); the most common source of their information being textbooks or teachers (74%). Most common indications for self-medication were fever (79.6%), followed by cough and cold (74.8%), pain (61.4%), indigestion (51.3) and diarrhoea (43.3%). The most common drugs used were antacids (81.2%), analgesics (72.1%), antipyretics (53.2%) and antibiotics (43.3%). The major reason for practice of self-medication was minor illness (74.3%). Conclusions: Self-medication was widely prevalent among the medical students of ESIC Medical College, Joka, Kolkata. Continuous counselling activities with proper information through inclusion of this topic to academic course are the need of the hour to halt this malpractice. 

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

Med Phoenix ◽  
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.

scholarly journals Perception towards Online Classes during COVID-19 among MBBS and BDS Students in a Medical College of Nepal: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (235) ◽  
Author(s):  
Nitasha Sharma ◽  
Chet Kant Bhusal ◽  
Sandip Subedi ◽  
Rajeshwar Reddy Kasarla
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Online Classes ◽  
Sectional Study ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Dental Surgery ◽  
Face To Face ◽  
Medical College ◽  
Medical Colleges

Introduction: Sudden outbreak of COVID-19 pandemic has affected the educational system worldwide, forced the medical colleges to close due to lock down, and disrupted the classroom face-to-face teaching process. As a result, medical colleges shifted to an online mode of teaching. The aim of this study is to find out the perception towards online classes during COVID-19 lockdown period among MBBS and BDS students at a medical college of Nepal. Methods: This was a descriptive cross-sectional study carried out at Universal College of Medical Sciences and Teaching Hospital among first and second year Bachelor in Medicine, Bachelor of Surgery and Bachelor in dental surgery students from 1st June 2020 to 30th August 2020. Ethical approval was taken from Institutional Review Committee of Universal College of Medical Sciences and Teaching Hospital (IRC UCMS, Ref: UCMS/IRC/025/20). Convenient sampling method was used. Semi-structured questionnaire was used. Statistical Package for Social Sciences 22 was used for analysis and frequency and percentage was calculated. Results: One hundred fifty six (73.93%) students were enjoying online learning only to some extent, 135 (63.98%) felt online class not equally effective as face-to-face teaching. The students had disturbance during online classes as internet disturbance 168 (79.60%), and electricity problem 47 (22.3%). Similarly, many students 155 (73.50%) felt external disturbance, headache 26 (12.3%), and eye strain 26 (12.3%). Conclusions: Most of the students suffered from disturbances during online classes probably because of internet and electricity problem. When compulsory to conduct online classes, students felt that not more than three online classes per day should be conducted to avoid eye strain and headache.

Dysmenorrhoea among Adolescent Females Attending a Suburban Medical College in West Bengal, India

2021 ◽  
Vol 10 (29) ◽  
pp. 2171-2175
Author(s):  
Shelley Seth
Keyword(s):  
Adolescent Girls ◽  
School Health ◽  
Dietary Habits ◽  
Cross Sectional Study ◽  
Adolescent Females ◽  
The Body ◽  
Female Adolescents ◽  
Self Medication ◽  
Cross Sectional ◽  
Medical College

BACKGROUND Dysmenorrhoea is the most common gynaecological problem. Almost half of the female adolescents suffer from it resulting in a major cause of school / college absenteeism. We tried to find out the prevalence of dysmenorrhoea among female adolescents in a suburban population and investigate a potential association between the body mass index, dietary habits and behavioural factors and its correlation with absenteeism. METHODS A cross sectional study was done on 270 adolescent females attending outpatient department of a suburban medical college. We interviewed the selected adolescent girls using a pretested semi structured questionnaire after obtaining their or their parents consent. Statistical analysis was done using frequencies, percentages and chi square test with statistical software package SPSS version 20. RESULTS Total 270 unmarried adolescent girls were interviewed. Among them 51.1 % girls suffered from dysmenorrhoea. 58.7 % patients suffered from mild dysmenorrhoea whereas 27.5 % and 13.8 % suffered from moderate and severe dysmenorrhoea respectively. 59.02 % of girls with normal BMI and 54.55 % of obese girls suffered from dysmenorrhoea. Only 16 % patients with mild dysmenorrhoea were absent from their school or college whereas 63.1 % and 84.2 % of patients with moderate to severe dysmenorrhoea had school or college absenteeism respectively. 74.47 % of patients used to take self-medication. CONCLUSIONS Dysmenorrhoea was a significant cause of absenteeism and habit of self-medication was prevalent. Introduction of a school health program for menstrual health might improve the issues. KEY WORDS Menstruation, Dysmenorrhoea, Adolescents

scholarly journals Evaluation of female pelvic mass - correlation of clinical and histopathological findings in female patients attending at Birat Medical College and Teaching Hospital, Morang, Nepal

2020 ◽  
Vol 4 (3) ◽  
pp. 845-849
Author(s):  
Seema Kumari Mishra ◽  
Roshan Pradhan ◽  
Hanoon P Pokharel
Keyword(s):  
Clinical Diagnosis ◽  
Teaching Hospital ◽  
Pelvic Mass ◽  
Exploratory Laparotomy ◽  
Cross Sectional Study ◽  
Histopathological Diagnosis ◽  
Female Pelvis ◽  
Cross Sectional ◽  
Medical College ◽  
Pelvic Masses

Introduction: The female pelvis is a quite complex anatomical region consisting of uro-genital system as its main part and other structures like blood vessels, gastrointestinal tracts, lymphatics, nerves and a part of musculoskeletal system. Thus, the differential diagnosis of pelvic masses may be of gynecological or non gynecological origin. Gynecological pelvic masses are uterine, ovarian or adnexal masses which may be benign or malignant. Objective: The objective of this study was to evaluate the type of various gynecological pelvic masses and to correlate the preoperative diagnosis with histopathological diagnosis. Methodology: This was a hospital based cross sectional study conducted on 107 patients from September 2018 to September 2019 at Birat Medical College and Teaching Hospital (BMCTH) with presenting complian of lump in the abdomen. These patients underwent clinical examination, routine and specific investigations along with ultrasonographic evaluation and tumour markers to reach a preoperative clinical diagnosis. Patients were admitted and preanesthetic consultation was done. Patients were taken for therapeutic or diagnostic laparoscopy or exploratory laparotomy and diagnosis were confirmed with histopathological diagnosis. Results: Total 107 patients were enrolled in the study with age ranging from 21 to ≥70 years and among them majority (42.1%) were in the age group of 41-50 years. The most common presenting complain of patients were lower abdominopelvic pain (58.87%). The most common clinical diagnosis was leiomyoma in 39.25% patients followed by adenomyosis in 24.29% patients. The most common histopathological diagnosis was fibroid uterus seen in 42.05% patients. There were 2 (1.86%) patients of ovarian malignancies and 1 (0.93%) patient of uterine malignancy.

scholarly journals The Impact of acne on the quality of life of the patients attending dermatology outpatient department at Nobel Medical College Teaching Hospital

2018 ◽  
Vol 7 (1) ◽  
pp. 45-49
Author(s):  
Manish Pradhan ◽  
Chandra Bhal Jha ◽  
Dipa Rai
Keyword(s):  
Quality Of Life ◽  
Teaching Hospital ◽  
College Teaching ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Medical College ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Background: Acne is a very common distressing skin condition that affects multiple aspects of quality of life of an individual. It has been illustrated that acne have tremendous effect on an individual’s self-image and impacts his or her quality of life. The extent of burden of the disease experienced by the patients seems to be underestimated by the whole medical fraternity. The aim of the study is to determine the health related quality of life impairment in acne patients using CADI and to identify various variables that increase the patients’ susceptibility for quality of life impairment. Subjects and Methods: This is a hospital based, cross sectional study conducted in the Department of Dermatology, Nobel Medical College Teaching Hospital from Jan 2017 to December 2017.A total of 202 acne patients were evaluated with CADI. Clinical characteristics were recorded after history and clinical examination. Results: Out of total 202 patients enrolled, 56.4% of patient scored a CADI score of (5-9) indicating moderate quality of life impairment and 15.3% of patient scored a CADI score of 10 or more indicating severe quality of life impairment. The mean CADI score was 6.82 ± 2.75. There was positive correlation between the CADI score and impact on quality of life with grade of acne, which was statistically significant (p<0.001). Conclusion: Acne is a common skin disease with tremendous adverse effect on the patient’s health related quality of life. Patients are affected both physically and mentally with this condition. Journal of Nobel Medical College Volume 7, Number 1, Issue 12, January-June 2018, Page: 45-49 

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