A study of menopausal symptoms and its impact on lives of Nepalese perimenopausal and postmenopausal women

Background: Menopausal health has not been given any consideration till the recent years in developing countries. With the improving status of women in the society, more and more women are seeking help for their menopausal problems.Objectives: The study aimed to find out the prevalence of menopausal symptoms and its impact on life of perimenopausal and postmenopausal women attending gynecology outpatient department at Kathmandu Medical College Teaching Hospital.Methods: A hospital based cross sectional study was done at Kathmandu medical college teaching hospital among 100 perimenopausal and postmenopausal women attending gynecology outpatient department in the month of August 2016. A pretested questionnaire was administered to the women selected by convenience sampling. Data was analyzed by SPSS version 20 and presented in percentage and frequency table.Results: The mean age of the women in the study population was 49.98 years(SD±6.18) and mean age at menopause was48.02 years (SD± 2.12). Ninety four percent of the women had one or more of the menopausal symptoms. The commonest menopausal symptom was mood swings and irritability (80% and 68% respectively) followed by vasomotor symptoms like hot flashes in 42% and night sweats in 24% of the women. These symptoms interfered with the women’s daily work performances in 46% of the cases, affected family life in 28% and affected social life in 32% of the cases.Conclusion: Majority of the women have menopausal symptoms during perimenopause and postmenopausal period. These symptoms have major impact on women’s personal, social, and family lives. Journal of Kathmandu Medical CollegeVol. 6, No. 1, 2017, page: 4-8

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Sleep Pattern and Problems in Young Children Visiting Outpatient Department of a Tertiary Level Hospital in Kathmandu, Nepal

Sleep Disorders ◽

10.1155/2020/8846288 ◽

2020 ◽

Vol 2020 ◽

pp. 1-5

Author(s):

Shrijana Pandey ◽

Shristi Bhattarai ◽

Anwesh Bhatta

Keyword(s):

Young Children ◽

Sleep Problems ◽

College Teaching ◽

Cross Sectional Study ◽

Outpatient Department ◽

Night Time ◽

Cross Sectional ◽

Medical College ◽

Sleep Parameters ◽

Waking Up

Background. Sleep is an important parameter of a child’s growth and development. The pattern and duration of sleep varies with age. Sleep problems are a common occurrence during childhood days, and these problems that establish in childhood are presumed to continue later in life. Many times, parental concerns regarding their child’s sleep problems like difficulty in putting to sleep, frequent night time awakening, and waking up early are overlooked during their visits to the hospital. Objective. The aim of this study was to find out the sleep patterns and problems of children aged six to thirty-six months. Methodology. A cross-sectional study was conducted at the pediatric outpatient department of Kathmandu Medical College Teaching Hospital from October, 2019 till March, 2020. Two hundred and forty-nine respondents were chosen purposively and were given questionnaires to be filled out. Research instrument was a standard, Nepali version of a structured questionnaire called Brief Infant Sleep Questionnaire (BISQ) which contained questions related to sleep parameters and sleep problems existing among young children of 6-36 months. Mean, standard deviation, frequencies, and Kruskal Wallis test were used for statistical analysis. Results. The mean duration of total sleep was 12.12 ± 2.00 hours, while that of night sleep was 9.22 ± 1.19 hours and mean daytime nap was 2.90 ± 1.66 hours. Most of the children (96%) coslept with their parents, and 55% of the children had feeding as a bedtime ritual. Overall, 19.6% of the children had sleep problems as identified by BISQ although only 5.6% of the parents perceived that their children had it. Conclusions. Sleep problems were present among young Nepalese children included in our study, and sleep assessment should be a part of every health checkup for children.

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Prevalence of menopausal symptoms and perceptions about menopause among postmenopausal women attending Gynaecology OPD at GMC Idukki, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20170065 ◽

2017 ◽

Vol 6 (2) ◽

pp. 413 ◽

Cited By ~ 1

Author(s):

Leena A. Joseph ◽

Acka Priya Varghese

Keyword(s):

Postmenopausal Women ◽

Menopausal Symptoms ◽

Outpatient Department ◽

Treatment Seeking ◽

Cross Sectional ◽

Medical College ◽

Menopausal Women ◽

Seeking Behavior ◽

The Mean ◽

Post Menopausal

Background: Idukki is a hilly tract area in the state of Kerala. No studies regarding menopause has been reported from Idukki. This study is done among postmenopausal women in an attempt to shed light on the prevalence of menopausal symptoms and perceptions of postmenopausal women in a panchayat in Idukki district which is typically a rural area. Primary objectives of the study were to find the prevalence of menopausal symptoms in post-menopausal women attending the outpatient department of Government Medical College, Idukki, India and to find the perceptions about menopause among these post-menopausal women. Secondary objectives were to find the mean age and pattern of attainment of menopause among postmenopausal women and to find the treatment seeking behavior of the post-menopausal women residing in this area.Methods: A cross-sectional observational study is done among 100 postmenopausal women attending the outpatient department of Obstetrics and Gynaecology. Questions are asked based on interview schedule. The results are then analyzed.Results: The mean age of menopause was 45.69± 4.35. 78% of population had one or more symptoms in the menopausal period. Only 19.5% of the symptomatic women took treatment. 77% had positive perceptions.Conclusions: The awareness of these women in this area is poor thus limiting the treatment seeking behavior. Improvement of awareness is a must to improve the quality of life of post-menopausal women.

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A Study on Vertebral Compression Fracture in Postmenopausal Women with Back Pain in Two Medical College Hospitals of Bangladesh

Chattagram Maa-O-Shishu Hospital Medical College Journal ◽

10.3329/cmoshmcj.v18i2.47777 ◽

2020 ◽

Vol 18 (2) ◽

pp. 49-53

Author(s):

Khairul Anam ◽

Sumia Ahmed Tazri ◽

Fairzu Faiza ◽

AKM Maruf Raza

Keyword(s):

Back Pain ◽

Rural Communities ◽

Postmenopausal Women ◽

Social Life ◽

Vertebral Compression Fracture ◽

Compression Fracture ◽

Cross Sectional Study ◽

Vertebral Compression Fractures ◽

Cross Sectional ◽

Medical College

Background: To determine the prevalence and nature of the vertebral compression fracture in postmenopausal women suffering from back pain in the rural communities of Bangladesh. Materials and methods: Cross sectional study was conducted for the period January to December 2018 which included all postmenopausal women aged 55 years and above presented with back pain in the Obstetrics and Gynaecology and Orthopedic outpatient Departments of Jahurul Islam Medical College and North Bengal Medical College Hospitals. Vertebral fractures were diagnosed by X-Ray scanning of the spine based on predefined criteria. Results: Prevalence of vertebral compression fracture was 30.6%. Most of the subjects were highly active, of poor nutritional status and undergraduate. Majority (35.7%) of the patients belonged to 55-59 years group but prevalence was highest in 70-75 years of age. Maximum patients (48.1%) sustained fracture at only one vertebra. Highest number of fracture (61.1%) was found in the dorsolumbar region. Most of the fracture (44.8%) was of biconcave shape. Most of the wedge deformities were present from 12th thoracic and above and majority of the biconcave deformities were from 11th thoracic and below. Conclusion: Although the prevalence was low in comparison to other studies, it showed a great burden on our social life. The most important step in treating vertebral compression fractures is prevention and treatment of osteoporosis. Chatt Maa Shi Hosp Med Coll J; Vol.18 (2); July 2019; Page 49-53

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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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Knowledge of Pressure Ulcer Management among Nurses

Journal of Gandaki Medical College-Nepal ◽

10.3126/jgmcn.v9i2.17869 ◽

2017 ◽

Vol 9 (2) ◽

pp. 47-51 ◽

Cited By ~ 2

Author(s):

Nisha Shrestha ◽

P Shrestha

Keyword(s):

Pressure Ulcer ◽

College Teaching ◽

Cross Sectional Study ◽

Current Evidence ◽

Chi Square ◽

Cross Sectional ◽

Medical College ◽

Adequate Knowledge ◽

Chi Square Test ◽

Experience Education

Background: Pressure ulcer (PU) development remains a significant complication among at-risk patients. It is considered “never events” because they are preventable and should “never” happen. It has been associated with increased morbidity, mortality, hospital cost and length of stay in the hospital. Prevention of pressure ulcers is considered a nurse-sensitive indicator hence nurses should have adequate knowledge about current evidence-based prevention and management of pressure ulcer. However, non adherence to these guidelines is frequent and lack of knowledge may act as barriers to using guidelines in clinical practice.Objectives: The objectives of the study were to 1. assess the knowledge of pressure ulcer management among nurses 2. determine the level of knowledge of pressure ulcer management among nurses 3. assess the association of knowledge of nurses and baseline variables.Methods: A descriptive cross sectional study was conducted, using pretested self administered questionnaire to assess the knowledge on pressure ulcer management among purposively selected 100 nurses working in Gandaki Medical College Teaching Hospital in 2015. Descriptive statistics as frequency and percentage were used and inferential statistics (Chi-square test) was done to find out association between knowledge and selected baseline variables.Results: The study revealed that 59% of the respondents had adequate knowledge where as 41% of nurse’s knowledge was found to be inadequate. Significant association was not found between age, working ward, experience, education, training, duration and knowledge of pressure ulcer management among Nurses.Conclusion: This result indicates that more than half of the nurses had the adequate knowledge but there is still need of education and training related pressure ulcer management.Journal of Gandaki Medical CollegeVolume, 09, Number 2, July December 2016, Page: 47-51

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Knowledge and attitude regarding HIV/AIDS among patients attending medicine outpatient department in C. C. M. Medical College and Hospital, Durg

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20195450 ◽

2019 ◽

Vol 6 (12) ◽

pp. 5095

Author(s):

Suresh C. Gupta ◽

Karan J. Jain ◽

Anjana Tiwari ◽

Indu Padmey ◽

Nandkishor J. Bankar ◽

...

Keyword(s):

Sampling Technique ◽

Cross Sectional Study ◽

Modern Medicine ◽

Unprotected Sex ◽

Hiv And Aids ◽

Outpatient Department ◽

Cross Sectional ◽

Medical College ◽

Modes Of Transmission ◽

Hiv Aids

Background: Acquired immunodeficiency syndrome (AIDS) is one of the deadliest diseases that modern medicine has ever had to tackle. Understanding the knowledge about HIV/AIDS in general populations will help in formulating strategy for prevention and treatment. With this background, this study was conducted to assess the knowledge and awareness about HIV/AIDS among general population.Methods: A cross sectional study was conducted at C.C.M. Medical College and Hospital, Durg during December 2018 to January 2019. The data was collected from 450 patients attending the medicine outpatient department. Study subjects were selected using convenient sampling technique. Patients giving consent and willing to participate were included in the study. The data was collected in predesigned and pretested questionnaire.Results: 77.11% study participants were aware that unprotected sex can lead to transmission of HIV, 73.78% knew that shaking hands will not transmit the disease. 79.8% knew that use of condom can prevent transmission of HIV/AIDS. Overall males had better knowledge than females. 76.85% said they would behave friendly with people having HIV/AIDS and 69.78% were willing to take care of relatives with HIV.Conclusions: This study indicates that majority participants have good knowledge about difference between HIV and AIDS, modes of transmission and prevention though they were not completely aware of it. The proportion of those with lack of correct knowledge though comparatively less, needs to be taken as a challenge and addressed through well planned health educational activities at various platforms including teaching hospital premises.

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An Observational Cross-Sectional Study of the Proportion of Cutaneous Lesions Affecting External Ear, Presenting to Outpatient Clinic of a Tertiary Care Medical College in the Eastern Part of India

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/269 ◽

2021 ◽

Vol 8 (19) ◽

pp. 1414-1419

Author(s):

Kanishka Chowdhury ◽

Sabyasachi Banerjee

Keyword(s):

Seborrheic Dermatitis ◽

Tertiary Care ◽

Skin Lesions ◽

Cross Sectional Study ◽

Outpatient Department ◽

Basic Knowledge ◽

External Ear ◽

Cutaneous Lesions ◽

Cross Sectional ◽

Medical College

BACKGROUND Cutaneous lesions of external ear are quite common in clinical practice. Patients often present with various cutaneous lesions of the external ear to various disciplines. They are often underdiagnosed as many lesions, though commonly diagnosed by our dermatologist colleague are missed by other clinicians. These lesions can be classified in various ways, according to the aetiology, and according to the anatomic sites. In the present study, we tried to assess the prevalence of different skin lesions affecting external ear presenting to an ENT and skin outpatient department of a tertiary care medical college in Eastern part of India. METHODS This is a descriptive observational study, cross sectional in design. 240 patients attended the outpatient department with cutaneous lesions affecting external ear from January 2019 to February 2020. The patients presenting in both ENT and skin outpatient department were chosen randomly. Cases were diagnosed based on history and clinical examination and appropriate investigation as required. All cases were categorised into 5 types (infective, inflammatory, autoimmune, neoplasm & naevi, and reactive & reparative) according to the aetiology. In each category, prevalence of various skin lesions was recorded. RESULTS A total number of 240 cases were detected during the study period. Among them, infective 43.33 %, inflammatory 30.83 %, autoimmune 9.17 %, neoplasm & naevi 4.17 % and reactive & reparative were 12.82 %. Taenia was the most common lesions encountered (20.51 %) followed by keloid (12.5 %). Impetigo and seborrheic dermatitis shared same number of cases (9.4 %). Neoplastic lesions were the least common. CONCLUSIONS With some awareness and basic knowledge, many of the cutaneous lesions of external ear can be diagnosed and treated whenever patients report to a clinician, thus saving valuable time, effort and money of the patient. KEYWORDS Cutaneous Lesions, Skin Lesions, External Ear

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Cough Variant Asthma in Medical Outpatient Department of a Tertiary Care Hospital in Bangladesh

Journal of Enam Medical College ◽

10.3329/jemc.v3i1.13871 ◽

2013 ◽

Vol 3 (1) ◽

pp. 29-31

Author(s):

Swapna Bhattacharjee ◽

Shekhar Bhattacharjee ◽

Rukhsana Parvin

Keyword(s):

Chronic Cough ◽

Tertiary Care ◽

Complete Recovery ◽

Cross Sectional Study ◽

Outpatient Department ◽

Care Hospital ◽

College Hospital ◽

Cross Sectional ◽

Cough Variant Asthma ◽

Medical College

Background: Cough variant asthma (CVA) is a subset of asthma where the only symptom is chronic persistent cough. Many cases go unrecognized due to lack of proper evaluation. Response to asthma medication with features supportive of airway hypersensitivity helps in management of this disease. Objective: To find out the proportion of cough variant asthma among the patients attending medicine outpatient department of Enam Medical College, Savar, Dhaka. Materials and Methods: This cross sectional study was conducted in Enam Medical College Hospital, Savar, Dhaka over a period of two years from July 2009 to July 2011. Cough variant asthma was diagnosed mainly on clinical ground as chronic cough without wheezing, fever, weight loss, shortness of breath or sputum or any other apparent cause that persisted for more than eight weeks with absolutely normal physical examination of chest, normal chest radiography and blood count except raised eosinophil count and IgE level. Patients who met these criteria were given 2 weeks course of inhaler beclomethasone propionate and were assessed for improvement. Those who improved after steroid inhalation were categorised as having cough variant asthma. Results: Out of purposively selected 148 patients complaining only of chronic dry cough for more than eight weeks, 92 patients met the primary selection criteria for cough variant asthma. These 92 patients were given 2 weeks trial of 250 ìgm beclomethasone inhalation twice daily. Seventy nine patients reported almost complete recovery from chronic cough after 2 weeks and were categorized as having CVA. Thirteen patients did not improve and were not categorized as CVA. Conclusion: These findings suggest that cough variant asthma is the most common among the patients with chronic cough not due to any apparent cause. The efficacy of inhaled corticosteroid suggests that early intervention is effective in the treatment of this disease. DOI: http://dx.doi.org/10.3329/jemc.v3i1.13871 J Enam Med Col 2013; 3(1): 29-31

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