scholarly journals Assessment of Hand Hygiene Knowledge among Residents and Nursing staffs at Nobel Medical College Teaching Hospital, Biratnagar

2019 ◽  
Vol 38 (2) ◽  
pp. 69-73 ◽  
Author(s):  
Sunil Kumar Yadav ◽  
Arun Giri

Introduction: Hand hygiene is a very simple and cost-effective procedure to prevent cross-transmission of microorganisms. The compliance of residents and nursing staffs with hand hygiene guidelines seems to be vital in preventing disease transmission among patients. The objective of the study was to assess the knowledge of residents and nursing staffs with regard to hand hygiene. Material and Methods: This was an institution based descriptive cross-sectional study conducted among 55 respondents (29 nursing staffs and 26 resident doctors) of department of paediatrics, Nobel Medical College in Biratnagar, Nepal. Knowledge was assessed using WHO hand hygiene questionnaire for health care workers. Chi square test was used to compare the percentage of correct responses between resident doctors and nursing staffs. A p value of <0.05 was considered significant. Results: Among 26 resident doctors and 29 nursing staffs who participated in the study, 30.7% of resident doctors and 55.1% of nursing staffs had received formal training in hand hygiene in the last three years. Only 9% of participants (5 out of 55) had good knowledge regarding hand hygiene. Conclusions: The knowledge regarding hand hygiene is limited among the study population. The study recommends the need for emphasizing hand hygiene component in the preservice as well as in-service training programs of doctors and nurses.  

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Sreejith Sasidharan Nair ◽  
Ramesh Hanumantappa ◽  
Shashidhar Gurushantswamy Hiremath ◽  
Mohammed Asaduddin Siraj ◽  
Pooja Raghunath

Background. Hand hygiene is recognized as the leading measure to prevent cross-transmission of microorganisms. Regarding hospital acquired infections, the compliance of nurses with hand washing guidelines seems to be vital in preventing the disease transmission among patients. There is a paucity of studies exploring this subject in Asia. Especially medical and nursing student’s knowledge of standard hand hygiene precautions is rarely compared. Methods. A cross-sectional study was conducted among 98 medical and 46 nursing students in a tertiary medical college in India. Knowledge was assessed using WHO hand hygiene questionnaire. Attitude and practices were evaluated by using another self-structured questionnaire. Z test was used to compare the percentage of correct responses between medical and nursing students. A P value less than 0.05 was considered significant. Results. Only 9% of participants (13 out of 144) had good knowledge regarding hand hygiene. Nursing students knowledge (P=0.023) , attitude (P=0.023), and practices (P<0.05) were significantly better than medical students.


2017 ◽  
Vol 9 (2) ◽  
pp. 47-51 ◽  
Author(s):  
Nisha Shrestha ◽  
P Shrestha

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


Author(s):  
Kaliyamoorthy Kayalvili ◽  
Murugan Duraivel ◽  
Elangovan Nivedhitha ◽  
Subramanian Arul Selvan

Introduction: Chikungunya (CHIK) infection has caused many outbreaks in India with more than 13 lac people affected by the disease. Epidemics of CHIK infection occur during post monsoon period when there is a high vector density. Evidences on the prevalence of CHIK infection during non epidemic periods are limited. Aim: To determine the seroprevalence of CHIK infection during non epidemic periods among patients attending fever clinic in Chennai, Southern India. Materials and Methods: This cross-sectional study was done in 180 suspected cases of CHIK infection between the months of September 2014 and February 2015. A 5 mL of blood samples were collected from the suspected cases and serum was separated to detect for the presence of CHIK-IgM antibody by using CHIK-IgM antibody capture Enzyme Linked Immunosorbent Assay (ELISA) kit. Chi-square test was done to find out the statistical significance with p-value <0.05 kept as statistically significant. Results: The seroprevalence of CHIK infection during non epidemic periods was found to be 5.5% (10/180). Fever and joint pain were the major complaints present in all the study population. All the seronegative cases were tested for the presence of other infections and it was found that 13% were positive for typhoid, 9% were positive for leptospirosis, 4% for malaria and 2% for dengue infections. Conclusion: There are no vaccines or specific medications available till date. Prevention is the only effective approach against the disease. Even though the prevalence of CHIK infection is low during non epidemic periods, strict vector control and elimination of mosquito breeding sites are very important in controlling the disease transmission.


2020 ◽  
Vol 18 (2) ◽  
pp. 73-77
Author(s):  
U. Sharma ◽  
S. Lama Moktan ◽  
S.B Shrestha

Background Sciatic nerve block used for various surgeries below knee and for maintenance of analgesia demonstrates wide variability regarding its bifurcation into tibial and common peroneal nerves, frequently accounting for incomplete nerve blocks. Objective To determine the variation of sciatic nerve bifurcation among Nepalese volunteers. Method This cross sectional study was conducted in the Department of Anesthesiology of Kathmandu Medical College Teaching Hospital from March to May 2019, where 110 healthy volunteers underwent ultrasonography of sciatic nerve starting from popliteal fossa to its bifurcation. The distance between the bifurcation of sciatic nerve from popliteal crease and depth of the nerve at that point from the skin were measured. Result The mean distance at which sciatic nerve bifurcated from the popliteal crease was 5.42 ± 1.37 cm. Most commonly, the sciatic nerve bifurcated at a distance of 5-7 cm from the popliteal crease in 110 limbs (50.45%). However, in 80 limbs (36.69%), the bifurcation was found at less than 5 cm from the popliteal crease. The depth of the nerve from the skin at the point of bifurcation was 1.72 ± 0.54 cm, with results showing it was deeper in females compared to males (p value < 0.001). Conclusion This study showed that though the distance of sciatic nerve bifurcation from the popliteal crease in our study group was coherent with the published literature of 5-12 cm; many volunteers also had this bifurcation at distances less than 5 cm. Females showed nerves to be deeper at the point of bifurcation than males.


JKCD ◽  
2019 ◽  
pp. 1-4
Author(s):  
Nadia Munir

Objective: This study aimed to find out the fr equency of the MB2 canal in maxillary first molars, using different diagnostic methods. Materials & Methods: 106 patients, clinically diagnosed with irreversible pulpitis and exposed pulp, requiring endodontic treatment were selected via random non-probability purposive sampling technique for the study . This cross-sectional study was conducted for 12 weeks in the dentistry department of Ayub Medical College from August 2018 to October 2018. A detailed history was taken and documented in the pro-forma. After administration of Local anaesthesia and rubber dam application, the access cavity was prepared and floor of the pulp chamber visualized. MB2 Canal location was done with a naked eye and under magnification (x2.0 to x6.0) Magnification and confirmed by inserting size 08 K file. The data obtained were analyzed using SPSS version 20. Chi-square test was run to determine the association of the presence of the MB2 canal with other variables. P-value of 0.05 was considered to be significant.


Author(s):  
Chibi R. Vairamani ◽  
Brogen S. Akoijam

Background: Health research is a low priority area in the developing world, mostly due to inadequate research budgets and financially not rewarding venture. Medical students have a limited understanding of research and what it entails. Training on research theory to application, is an important but neglected part of medical education curriculum in the country, which needs to be paid more attention. The objective of the study was to assess the knowledge, attitude and perceived barriers towards conducting research among medical students in a remote medical college of India. Methods: This cross sectional study was done in the easternmost medical college of India during November-December 2015. A self-administered questionnaire was used to collect data from postgraduates and interns. Data were summarized using descriptive statistics. Chi-square test was used for comparing proportions. A p-value of <0.05 was considered significant. Results: Out of the total 493 eligible participants, 440 responded to the questionnaire. More than 3/5th of the respondents had inadequate level of knowledge of conducting research. Inadequate training (87%), lack of funding (76%), lack of motivation (67%) and no mentorship program (66%), were the major reasons cited by the respondents for not participating in research projects. Ever conducted research was associated with better knowledge of research. Majority of the participants wanted to know more about research. Conclusions: The study revealed inadequate knowledge but a positive attitude towards research. Sufficient training in research methods, skills and institution of mentorship program can boost participation in research. 


2021 ◽  
Vol 15 (5) ◽  
pp. 1485-1487
Author(s):  
M. Z. Anwar ◽  
A. F. Anjum ◽  
M. Ur Rehman ◽  
S. A. A. Gardezi ◽  
I. Rafique ◽  
...  

The whole world is facing one of the biggest health related disasters of the century. As a novel disease, Covid-19 has so many parameters yet to explore. Objectives: To explore any correlation between atopy and Covid-19 among residents of Gujrat and Kharian, Punjab, Pakistan. Study Design: Cross-sectional study. Methodology: This study with enrolled subjects (n=206) was carried out after ethical review committee’s (ERC) approval at Life Diabetes Centre, Gujrat and CMH Kharian Medical College (CKMC), over a period of 3 months, Kharian-Pakistan. Both male and female medical subjects were enrolled. Statistical analysis: Data was analyzed by SPSS software, version 17. Parameters like gender, allergy and treatment taken were presented as frequency and percentage. Chi square was applied to see the correlation with p-value <0.05 as significant. Results: Total 206 patients were randomly selected, 89 male and 117 females. Among 206, only 13 patients had allergy from different allergens. Only 2 patients required hospitalization and injectable treatment. Conclusion: We concluded that there is strong affiliation between atopy and Covid-19 presentations. Key Words: Covid-19, Atopy, Treatment and Gender.


2019 ◽  
Vol 4 (2) ◽  
pp. 734-737
Author(s):  
Shilpi Shaukin ◽  
Satosh U Kafle ◽  
Mrinalini Singh

Introduction: Exfoliative cytological study of body fluids is easy, simple, rapid, cost effective and patient compliant investigation that helps in characterizing the disease into their varying subtypes. These presumptive and sometimes definitive diagnoses are in most cases the cornerstone which helps in staging and prognosis of the patient Objective: To determine the spectrum of malignant and non-malignant lesions in exfoliative cytology Methodology: This was a quantitative retrospective cross sectional study conducted at Birat Medical College Teaching Hospital from 24th December 2014 to 24th December 2018. All the exfoliative samples received at the lab were accepted in our study. Results: Of the 300 samples received, the maximum number were those of sputum followed by pleural fluid and ascitic fluid. Peritoneal fluid, Cerebrospinal fluid, synovial fluid, fluid from suspected abscess and breast fluid were also received. Malignancy was found in 1.67% of the samples studies. Conclusion: A study of different cytomorphological features of exfoliative cytology samples will help in establishing the role of cytology as an important diagnostic tool in improving the effectiveness of diagnosis , treatment & prognosis of the patient in the medical field.  


2017 ◽  
Vol 5 (2) ◽  
pp. 68-75
Author(s):  
Md Ashrafuzzaman ◽  
Avisak Bhattacharjee ◽  
Mahbubur Rahman

Background: Fournier’s gangrene is a rare, rapidly progressive, necrotizing fasciitis of the external genitalia and perineum.Objective: The main aim of this study was to observe comprehensively the disease profile of Fournier’s gangrene, with a specific intent to observe the proportion of patient presenting with Fournier’s gangrene.Materials and method: This cross sectional study was done in Sir Salimullah Medical College & Mitford Hospital, Dhaka, Bangladesh. By purposive sampling from the admitted patients of department of Surgery 22 patients were finalized according to the eligibility criteria. Patients were thoroughly evaluated and managed and all relevant data were recorded. Data were managed, edited and plotted in tabular and figure form. Data analysis was done by chi square test. p value was significant at <0.05.Results: The mean ±SD age of the patients was 43.9±14.82 years. Among the study subjects 68.2% showed insidious onset whereas remaining showed abrupt onset. Both cutaneous and anorectal factors claimed the highest (36.4%) of etiology. Pain and Oedema were the prime manifestation. In 59% cases testes were not exposed. In 36.4% cases only scrotum was involved whereas in 22.7% cases both scrotum and perineum were involved. After provision of aggressive treatment in 72.7% cases no complication was observed. During treatment 9.1% subjects expired.Conclusion: Elderly and low economic profile people are frequently affected with Fournier’s gangrene. To reduce the significant morbidity and mortality aggressive medical and surgical management is mandatory.Delta Med Col J. Jul 2017 5(2): 68-75


2020 ◽  
Vol 3 (2) ◽  
pp. 88-92
Author(s):  
Maheer Badar Raja ◽  
Marriyam Khalid Sharif ◽  
Jannat Shahid ◽  
Ayesha Junaid ◽  
Rubina Zulfqar

Introduction: Thalassemia Major is a hemolytic anemia which is prevalent in developing countries and is preventable by promoting awareness among the masses. Objectives: To assess the current general disease awareness and compare the level of understanding between parents attending government versus private thalassemia care facilities. Methods: This cross-sectional study was conducted in four thalassemia centers of Rawalpindi and Islamabad from December 2017 to January 2019. Parents/caregivers of Thalassemia Major Patients were included by non-probability purposive sampling and those having children having other blood disorders, were excluded. After taking informed consent, a pretested structured questionnaire was given to participants and awareness level was classified into ‘unaware’, ‘aware’ and ‘well-aware’ categories, based on the score achieved. Data was evaluated using SPSS version 23.0. Chi-square test was used for analysis. Results: A total of 277 parents were included. Parents who took their children to government and private centers were 161 (58.1%) vs 116 (41.9%) respectively. There was a statistically significant difference in the know-how about mode of disease transmission (p value=0.02), blood-borne diseases (p value=0.00), method of complete cure (p value= 0.05) and harmful effects of repetitive blood transfusions (p value=0.05) among parents visiting the two different facilities. While 80.2% parents in private centers were ‘well-aware’, the corresponding percentage in government centers was 57.1%. Conclusion: General disease awareness was average. Parents visiting private institutes have shown much better awareness. Funding and dedicated education, with focus on government organizations, which are accessible for the common man, is required.


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