scholarly journals Pattern of Sexually Transmitted Infections at Kohalpur Teaching Hospital

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

scholarly journals A study of gastrointestinal tumors at kathmandu medical college teaching hospital

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.

scholarly journals Prevalence and nature of psychiatric referrals from Intensive Care Unit of a teaching hospital

2018 ◽  
Vol 7 (1) ◽  
pp. 57-62
Author(s):  
R. Poudel ◽  
M. Belbase
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Teaching Hospital ◽  
College Teaching ◽  
Referral Rate ◽  
Next Of Kin ◽  
Psychiatry Department ◽  
Medical College ◽  
Common Diagnosis ◽  
The Difference

Introduction: Patients admitted to intensive care unit (ICU) are diagnosed with various disorders. There is limited literature on the prevalence of psychiatry disorders in patients admitted to ICU. The aim of the study was toestimate the prevalence and nature of psychiatric referrals from ICU. Material and Method: Hundred consecutive patient admitted to the ICU (both medical ICU and CCU) in Nepalgunj Medical College Teaching Hospital (NGMCTH), Kohalpur, Nepal and referred to psychiatry department were enrolled for the study. Study was conducted from October 14, 2017 to June 14, 2018. Informed consent was taken and patients were interviewed by two psychiatrists in different occasions separately and other relevant history was obtained from next of kin. Socio-demographic variables, referring department, reason for referral, purpose of referral, major symptom for referral were the major variables. Psychiatric diagnosis was made using the ICD-10. Data was analyzed using Statistical Package for the Social Sciences (SPSS) version 21.0 for Windows. Results: During the study period the total patients admitted to the ICU was 787 among which 100 were referred to psychiatry department. Psychiatry referral rate was 7.87%, average patients referred were 2.4 per day. Psychiatry morbidity was 8.11%. The mean age was 36.87+12.81 years. Most of the patients were female, and from urban background. The most common diagnosis was alcohol use disorder (AUD) followed by intentional self harm (ISH) and delirium respectively. Organic disorder and dissociative disorder were the only disorders significantly associated (p<0.05) with the age of the patient. AUD (p=0.007) and ISH (p=0.011) was common in female compared to males and the difference was statistically significant. Conclusion: Psychiatric referral rate and psychiatry morbidity was low.

scholarly journals Prevalence of Sexually Transmitted Infections in a Tertiary Care Centre

2012 ◽  
Vol 9 (2) ◽  
pp. 44-48 ◽  
Author(s):  
D Karn ◽  
A Amatya ◽  
E R Aryal ◽  
S KC ◽  
M Timalsina
Keyword(s):  
General Population ◽  
Sexually Transmitted Infections ◽  
Viral Infections ◽  
Tertiary Care ◽  
University Hospital ◽  
Management Approach ◽  
High Risk Population ◽  
Age Group ◽  
Sexually Transmitted ◽  
Common Diagnosis

Background The burden of sexually transmitted infections is huge and is disproportionately affecting developing nations. In Nepal, recent available data on sexually transmitted infections are mostly targeted to high risk population. A prevalence study was thus done to explore the pattern of sexually transmitted infection syndromes among general population of Nepal. Objectives To highlight the prevalence and changing pattern of sexually transmitted infections among general population. Methods A retrospective study. The study was conducted among 145 patients attending Department of Dermatology and Venerology, Dhulikhel Hospital Kathmandu University Hospital, for voluntary counseling and testing from April 2010 to April 2011. Syndromic case management approach was used for the classification and treatment of the patients. Results 106 patients were suffering from Sexually Transmitted Infections and 2 patients were positive for Human Immunodeficiency Virus. The most common diagnosis was genital viral infections (41.7%). Prevalence was highest among drivers/conductors (26.9%) and migrating workers (23.1%). Age group 20 to 24 years was the maximum sufferers (37%). Unsafe sexual activity (66.7%) was the most potential exposure and majority of the patients were not consistent in using condom. Conclusions Genital viral infections constitute the major bulk of sexually transmitted infections. Majority of the patients suffering from sexually transmitted infections were in the age group 20 to 24 years and were mostly drivers, conductors or migrating workers by occupation. In the background of few available baseline data, the results are expected to assist successful target interventions in the near future.DOI: http://dx.doi.org/10.3126/kumj.v9i2.6287  Kathmandu Univ Med J 2011;9(2):44-8

scholarly journals PREVALENCE OF FIBROMYALGIA SYNDROME (FMS) AMONG WOMEN

2021 ◽  
Vol 5 (12) ◽  
Author(s):  
Ashok Meena ◽  
D S Meena ◽  
Narendra Saini ◽  
Poonam Meena
Keyword(s):  
Fibromyalgia Syndrome ◽  
Cross Sectional Study ◽  
Married Women ◽  
Outpatient Department ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Common Diagnosis ◽  
Made In

Background: The aim of the study is to find the incidence of fibromyalgia in orthopaedic female outpatient department in a medical college hospital Methods: Cross-sectional study conducted on the female patients coming to orthopedic outpatient department. Results: The result showed that about 42.00% patients diagnosed with fibromyalgia syndrome (FMS).  The age group that is majorly affected by fibromyalgia is between 40-60 years of age.  Married women accounts to the major group of 89% Conclusion: We concluded that the most common diagnosis made in an orthopaedic female outpatient department is fibromyalgia Keywords: Fibromyalgia, Orthopaedics, Women

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

2015 ◽  
Vol 3 (1) ◽  
pp. 16
Author(s):  
Pratistha Shrestha ◽  
Jameel Akhtar Mikrani
Keyword(s):  
Teaching Hospital ◽  
Skin Disease ◽  
Data Entry ◽  
College Teaching ◽  
Age Group ◽  
Microsoft Excel ◽  
Total Patient ◽  
Medical College ◽  
Dermatological Disease ◽  
Common Skin

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.

scholarly journals Microbiological surveillance of hospital environment in a Medical College Hospital in Kathmandu, Nepal

2013 ◽  
Vol 1 (2) ◽  
pp. 76-79 ◽  
Author(s):  
SB Pradhan ◽  
CD Shrestha
Keyword(s):  
Infection Control ◽  
Teaching Hospital ◽  
Descriptive Analysis ◽  
College Teaching ◽  
Hospital Environment ◽  
Clinical Microbiology Laboratory ◽  
College Hospital ◽  
Medical College ◽  
Gram Staining ◽  
Before And After

INTRODUCTION: Hospital acquired infections (HAI) are serious problems in the patient care and management despite antimicrobial therapy and advances in supportive care in developing countries. Regular cleaning following institutionalized guidelines of infection control policies can minimize the possibility of contamination and prevent the HAI so that the morbidity and mortality related to HAI will be reduced. MATERIALS AND METHODS: Descriptive analysis of the culture growth of the samples from different sites of the Kathmandu Medical College Teaching Hospital (KMCTH) environment from 4th March, 2011 to 4th April, 2012 was done. The swabs were taken before and after fumigation and disinfection and number of colonies grown were used to monitor the effectiveness of the intervention. The cultures and Gram staining were performed as per standard microbiological procedures in Clinical Microbiology Laboratory, Department of Pathology, Kathmandu Medical College Teaching Hospital. RESULTS: Almost all the floors of the hospital wards swabbed were contaminated with the bacteria. The bacteria that grew from the environment ranged from 50 to 140 colonies in Medical Intensive Care Unit and Special High Care Unit respectively. Common contaminants were Staphylococci spp., Gram negative diplococcic, and Gram positive. The Staphylococci spp. contaminated air in most of the wards. The number of colonies after fumigation and disinfection were drastically decreased from no growth to 15 colonies. CONCLUSIONS: Environment was contaminated with microorganisms. Even after regular cleaning and disinfection, bacterial growth was seen. To prevent any contamination prior HAI develops, hospital needs to develop programmes for the implementation of good infection control practices. DOI: http://dx.doi.org/10.3126/ijim.v1i2.7410 Int J Infect Microbiol 2012;1(1):76-79

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

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

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

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.

Rapid detection of Rotavirus antigen in stool sample of acute diarrheic children

2012 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
Sushmita Roy ◽  
S.M. Shamsuzzaman ◽  
K.Z. Mamun
Keyword(s):  
Stool Sample ◽  
Rapid Detection ◽  
Cross Sectional Study ◽  
Rapid Diagnosis ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Rotavirus Infection ◽  
Medical College ◽  
Stool Samples

Rotavirus is one of the leading causes of pediatric diarrhea globally. Accurate and rapid diagnosis of Rotavirus diarrhea should reduce unnecessary use of antibiotics and ultimately reduce drug resistance. Study was designed for rapid diagnosis of Rotavirus antigen in stool sample by ICT (Immunochromatographic test) as well as to observe the seasonal variation of rotavirus infection. This cross sectional study was carried out in the department of Microbiology, Dhaka Medical College from January 2011 to December 2011. Eighty stool samples were collected from Dhaka Shishu Hospital and Dhaka Medical College Hospital. All samples were tested for rotavirus antigen by ICT. Among 80 patients, 42 (52.5%) samples were positive for rotavirus antigen. Among these 42 positive samples, 30 (71.43%) were from 0-12 months of age group, 10 (23.81%) from 13 to 24 months of age group and rest 2 (4.76%) from 25 to 36 months of age group. Rotavirus Ag was detected in stool samples from January to April and another peak episode from October to December. Considering the importance of Rotavirus associated diarrhea, rapid detection of Rotavirus infection in human is substantially needed and should be routinely practiced.DOI: http://dx.doi.org/10.3329/bjmm.v6i1.19354 Bangladesh J Med Microbiol 2012; 06(01): 11-13

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.  

Sign in / Sign up

Export Citation Format

Share Document