scholarly journals Pattern of skin diseases and common drugs prescribed in dermatology outpatient department of Kathmandu Medical College-Teaching Hospital, Duwakot

2020 ◽  
Vol 8 (3) ◽  
pp. 141-145
Author(s):  
Binaya Shrestha ◽  
Prashanna Raj Shrestha
Keyword(s):  
Teaching Hospital ◽  
Skin Diseases ◽  
Disease Incidence ◽  
Drug Prescription ◽  
College Teaching ◽  
Oral Route ◽  
Outpatient Department ◽  
World Health ◽  
Medical College ◽  
Health Organization

Background: There is a wide variation in the pattern of skin diseases in different countries and the pattern even varies across different parts within the same country. For the treatment purpose different classes of drugs and combinational products are widely used in dermatology. Periodic prescription analysis in the form of drug utilization study can improve the quality of prescription and decrease irrational prescribing. Objectives: The objective of the study was to find the pattern of skin diseases and the common group of drugs prescribed in Kathmandu Medical College Teaching Hospital at Duwakot. Methodology: A prospective, observational, single center study was conducted at Dermatology outpatient department of Kathmandu Medical College Teaching Hospital at Duwakot, from December 2018 to June 2019 and a total of 300 prescriptions were collected during the study period. The data were collected from patient card and details were filled in the predesigned proforma. Results: A total of 300 prescriptions were collected and analyzed for demographic profile, disease incidence and drug prescription. Most common condition observed were dermatitis 50 (16.7%), tinea 43 (14.3%), urticaria 31 (10.3%). Antihistaminics (28.7%), corticosteroids (16.9%) antibiotics (14.8%), antifungals (14.8%) were the most common class of drugs prescribed. Drugs prescribed were mainly given by topical route (50.6%) followed by oral route. Conclusion: The current study revealed that the mean number of drugs/prescriptions was slightly higher than the recommended limit of two approved by world health organization and the practice of poly-pharmacy was occasionally seen.

scholarly journals The Assessment of Drug Use Pattern Using WHO Prescribing Indicators

2018 ◽  
Vol 16 (3) ◽  
pp. 279-284
Author(s):  
Binaya Shrestha ◽  
Sanjaya Mani Dixit
Keyword(s):  
Drug Use ◽  
Drug Prescription ◽  
College Teaching ◽  
Brand Names ◽  
World Health ◽  
Prescribing Indicators ◽  
Medical College ◽  
Rational Drug ◽  
Health Organization ◽  
Drug Use Pattern

Background: In order to promote rational drug use in developing countries, assessment of drug use pattern using the World Health Organization drug use indicators is important. The aim of this study was to assess the drug prescription patterns at Kathmandu Medical College Teaching Hospital, using some of the World Health Organization core drug use indicators.Methods: A prospective cross-sectional study was carried out in order to determine current prescribing trends at Kathmandu Medical College Teaching Hospital. A total of 605 prescriptions were collected and analyzed in the study.Results: The average number of drugs per prescription was 5.85 considering the total amount of prescriptions. Furthermore, assuming each prescription as an individual patient, 64.1% of patients received antibiotics, and 71% of patients received injectable form of drugs. Among antibiotics the most common antibiotics prescribed were Ceftriaxone, Amoxicillin/Cloxacillin, Azithromycin, Cefixime, and Cloxacillin. Only 16.94% of the medicines were prescribed in generic names with the rest 83.06% of the medicines being prescribed in brand names and 47.55% of medicines prescribed were from the National List of Essential Medicines-Nepal.Conclusions: The current study revealed that polypharmacy and prescription writing using brand names were common. Prescriptions writing in generic name needs to be promoted and encouraged. There appears to be a crucial need for the development of prescribing guidelines when it comes to antibiotics. Keywords: Drug prescription; drug utilization; prescribing practices; rational drug use; WHO prescribing indicators.

scholarly journals Nutritional assessment of children at Nepal Medical College Teaching Hospital

1970 ◽  
Vol 9 (3) ◽  
pp. 184-188
Author(s):  
P Rijal ◽  
A Sharma ◽  
S Shrestha ◽  
S Upadhyay
Keyword(s):  
Teaching Hospital ◽  
Nutritional Assessment ◽  
Economic Status ◽  
College Teaching ◽  
Large Family ◽  
Standard Technique ◽  
World Health ◽  
Age Assessment ◽  
Medical College ◽  
Health Organization

Background: Child malnutrition is the single biggest contributor to under-five morbidity and mortality. Objectives: To assess the prevalence and types of malnutrition in children below 60 months of age, attending outpatient department at Nepal medical college teaching hospital in Attarkhel, Kathmandu, Nepal. Methods: A prospective study was carried out in five hundred and twelve children below 60 months of age from September 2010 to April 2011. Children detailed history, sex, weight were recorded and length/height were measured using standard technique. The length /height and weight were plotted on WHO centiles curves.1The malnutrition were graded according to WHO classification. Result: Out of 512 children, according to WHO based on weight for age assessment , 148 (28.9%) were undernourished .Subsequently, in weight for height analysis, 73 (14.2%) were wasted and in height for age assessment, 64 (12.5%) were stunted. The present study also shows , 59 (11.5%), 50 (9.80%) and 14 (2.7%) children with acute, chronic and acute on chronic malnutrition. Conclusion: This study revealed that a high prevalence of undernutrition exists in Nepalese children. Overall, 28.9% children were undernourished. Illiteracy, large family size, not exclusively breast feeding, delayed weaning and low socio- economic status are the major risk factors for malnutrition. Keywords: anthropometry; undernutrition; World Health Organization. DOI: http://dx.doi.org/10.3126/hren.v9i3.5588   HR 2011; 9(3): 184-188

scholarly journals Assessment of Drug Use Pattern Using WHO Prescribing Indicators

2018 ◽  
Vol 16 (3) ◽  
pp. 279-284
Author(s):  
Binaya Shrestha ◽  
Sanjaya Mani Dixit
Keyword(s):  
Drug Use ◽  
World Health Organization ◽  
Teaching Hospital ◽  
College Teaching ◽  
Brand Names ◽  
World Health ◽  
Medical College ◽  
The World ◽  
Health Organization ◽  
Drug Use Pattern

Background: In order to promote rational drug use in developing countries, assessment of drug use pattern using the World Health Organization drug use indicators is important. The aim of this study was to assess the drug prescription patterns at Kathmandu Medical College Teaching Hospital, using some of the World Health Organization core drug use indicators.Methods: A prospective cross-sectional study was carried out in order to determine current prescribing trends at Kathmandu Medical College Teaching Hospital. A total of 605 prescriptions were collected and analyzed in the study.Results: The average number of drugs per prescription was 5.85 considering the total amount of prescriptions. Furthermore, assuming each prescription as an individual patient, 64.1% of patients received antibiotics, and 71% of patients received injectable form of drugs. Among antibiotics the most common antibiotics prescribed were Ceftriaxone, Amoxicillin/Cloxacillin, Azithromycin, Cefixime, and Cloxacillin. Only 16.94% of the medicines were prescribed in generic names with the rest 83.06% of the medicines being prescribed in brand names and 47.55% of medicines prescribed were from the National List of Essential Medicines-Nepal.Conclusions: The current study revealed that polypharmacy and prescription writing using brand names were common. Prescriptions writing in generic nameneeds to be promoted and encouraged. There appears to be a crucial need for the development of prescribing guidelines when it comes to antibiotics.

scholarly journals Etiology of Maternal Mortality at Nepalgunj Medical College

2018 ◽  
Vol 16 (2) ◽  
pp. 27-30
Author(s):  
Durga B.C. ◽  
Ganesh Prasad Neupane ◽  
Maya Rai ◽  
Aseem Sharma
Keyword(s):  
Maternal Mortality ◽  
Health Care Services ◽  
College Teaching ◽  
Public Health Problem ◽  
Obstetric Care ◽  
World Health ◽  
Maternal Deaths ◽  
Medical College ◽  
Surgical Teams ◽  
Health Organization

Introduction: Maternal mortality is an indicator of the quality of obstetric care in a community directly reflecting the utilization of health care services available. Maternal mortality has been recognised as a public health problem in the developing countries. Aim and Objective: To analyse the etiology of maternal deaths. Material and Methods: This descriptive study was conducted in the gynaecology and obstetrics department of the Nepalgunj Medical College Teaching Hospital Banke Nepal for a period of two years from august 2016-august 2018. All cases of maternal deaths in line with the definition of World Health Organization have been included. Data were collected and analyzed. Results: Twenty three (23) maternal deaths were identified during the study period. 69.56% of deaths occurred due to direct obstetric causes. Uncontrollable postpartum haemorrhage with 37.5 % was the leading cause of maternal death followed by eclampsia (18.75%) and sepsis (18.75%). Indirect causes were dominated by heart disease. Maximum 56.5% of deaths had occurred after 48 hours of admission. Conclusions: Haemorrhage, eclampsia and infections are the main causes of maternal deaths in our study. access to emergency medication, transfusion and anaesthetic and surgical teams in hospitals but also through the involvement of religious leaders, traditional and any community to better understand the population obstacles to reducing maternal mortality.

scholarly journals Psychosocial Profile Of Subjects Presenting With Sexual Dysfunctions In Psychiatry Outpatient Department Of A Teaching Hospital In Nepal

2021 ◽  
Vol 10 (1) ◽  
pp. 72-75
Author(s):  
R. Poudel
Keyword(s):  
Sexual Dysfunction ◽  
Teaching Hospital ◽  
Sexual Interest ◽  
College Teaching ◽  
Well Being ◽  
Outpatient Department ◽  
Sexual Dysfunctions ◽  
Sexual Medicine ◽  
Medical College ◽  
Arousal Disorder

Introduction: Sexuality is way people experience and express themselves sexually. It influences psychological, physical and social well-being of both men and women. Sexual dysfunctions are believed to be among the commonly prevalent psychological disorders in the general population but there is a lack of published research papers and literature related to sexuality and sexual medicine from Nepal. The aim of the present study was to descriptively analyze the nature of sexual dysfunctions in a teaching hospital. Material And Method: Retrospective analysis of data from subjects attending the psychiatry outpatient department in Nepalgunj Medical College Teaching Hospital, Kohalpur over the calendar year 2019 was done. Sociodemographic and clinical parameters of the subjects were obtained from the OPD register. Diagnosis was made using the DSM-5. Results: Out of total 54 subjects, 92.6% were male while 7.4% were female. Married subjects constituted 79.6% while single/unmarried 20.4%. Premature ejaculation was the most common sexual dysfunction encountered (55.5%) followed by erectile disorder (33.3%) and female sexual interest/arousal disorder (5.5%). Male hypoactive sexual desire disorder was seen in 3.7% and genito-pelvic pain/penetration disorder was seen in 2%. Conclusion: Males more commonly seek medical help for sexual dysfunction than females. People especially females, hesitate to discuss and seek medical help for sexual dysfunctions. There is lack of research on sexual medicine and sexuality from Nepal and prevalence of various sexual dysfunctions is not known.

scholarly journals Awareness regarding diabetes mellitus among individuals attending a hospital, Bhaktapur

2019 ◽  
Vol 8 (2) ◽  
pp. 103-107
Author(s):  
Rita Kafle ◽  
Binita Pradhan ◽  
Ram Krishna Chandyo
Keyword(s):  
Physical Activity ◽  
Diabetes Mellitus ◽  
Risk Factors ◽  
General Practice ◽  
Teaching Hospital ◽  
Preventive Measures ◽  
College Teaching ◽  
Outpatient Department ◽  
Medical College ◽  
Prevention Of Diabetes

Background: Diabetes mellitus is the most prevalent metabolic condition and one of the major health and socioeconomic problems worldwide. Awareness of risk factors and prevention of diabetes plays a major role for prevention of diabetes mellitus in general population.Objectives: To assess level of awareness regarding diabetes mellitus risk factors and preventive measures among individuals who attended General Practice outpatient department at Kathmandu Medical College Teaching Hospital, Duwakot, Bhaktapur.Methodology: This is a descriptive study conducted in Department of General Practice and Emergency of Kathmandu Medical College Teaching Hospital. The study included 370 patients attending General Practice outpatient department from November 2018 to April 2019. The data collected was entered in the Statistical Package for the Social Sciences software and analysed for results. Ethical clearance was taken from Institutional Review Committee of Kathmandu Medical College.Results: The study included 370 participants; the mean age was 40.83±12.21 years. More than half of the participants (56.5%) were females and 43.5% were males. The most commonly mentioned risk factor was lack of physical activity and obesity. Almost 80% participants correctly stated that physical activity could help prevent diabetes mellitus. There was no statistical significance between awareness and educational level of participants.Conclusion: This study showed that proper awareness programs need to be carried out in rural and urban communities to prevent diabetes and its complications. In this study, patient awareness about risk factors and preventive measures was not appreciable. Association of awareness with age, sex and education level was not statistically significant.

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

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.  

Evaluation of Drug Use Based on WHO Prescribing Indicator in Mizan- Tepi University Teaching Hospital, south Western Ethiopia: A Cross Sectional Study

2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam
Keyword(s):  
Drug Use ◽  
World Health Organization ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
World Health ◽  
Sectional Study ◽  
Hospital Data ◽  
Cross Sectional ◽  
Health Organization

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.

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

2021 ◽  
Author(s):  
Iqbal Ahmad ◽  
Ummer Farooq Raina ◽  
Muhammad Yousaf ◽  
Liaqat Jalal ◽  
Samia Saeed ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
College Teaching ◽  
Medical College ◽  
Cranial Endoscopy

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

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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