scholarly journals Clinical Profile of Patients with Seizure in Kathmandu Medical College Teaching Hospital.

2019 ◽  
Vol 8 (2) ◽  
pp. 53-56
Author(s):  
Krishna Dhungana ◽  
Dipesh Shakya ◽  
Rabindra Shrestha ◽  
Sabnam Bhatta ◽  
Sabbu Maharjan
Keyword(s):  
Teaching Hospital ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Cross Sectional ◽  
Radiographic Findings ◽  
Medical College ◽  
Number Of Patients ◽  
East Asia Region ◽  
Age And Sex

Background: Seizure is a common clinical condition. It represents a majority of patients visiting neurology OPD as well as inpatient department in Kathmandu Medical College Teaching Hospital. While the number of patients with seizure is increasing in Nepal, data on the clinical profile of patients with seizure is scarce. Thus, this study aims to find out the relative frequency of seizure in different age and sex groups. It also aims to find out the common causes of seizure in our Nepalese population. Materials and Methods: A descriptive cross sectional study was carried out in patients attending outpatient and inpatient of Neurology department of Kathmandu Medical College Teaching Hospital between periods of July 2018 to December 2018. Demographic characteristics, radiographic findings, EEG findings and drugs taken by patients were recorded according to the proforma. Results: Data from one hundred patients were collected and analyzed. Most of the patients were less than 41 years of age. Most of the patients were male. The prime cause of seizure was found to be neurocysticercosis (25%). Majority of the patients were on monotherapy. Conclusion: Our data regarding the frequency of seizure in different age and sex groups is comparable to data in South East Asia region whilst, different from the western data. In our population, neurocysticercosiswas the most common cause of seizures. Also, most seizures were controlled with monotherapy.

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 Prevalence of Perinatal Asphyxia in Neonates at a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2019 ◽  
Vol 57 (219) ◽  
Author(s):  
Sunil Raja Manandhar ◽  
Rydam Basnet
Keyword(s):  
Risk Factors ◽  
Confidence Interval ◽  
Teaching Hospital ◽  
Perinatal Asphyxia ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College

  Introduction: Perinatal asphyxia is one of the major causes of perinatal and early neonatal mortality in developing countries. The main objective of this study was to observe the prevalence of perinatal asphyxia in babies born at Kathmandu Medical College Teaching Hospital. Methods: This was a descriptive cross-sectional study conducted at Kathmandu Medical College Teaching Hospital over six month period (January to June 2019). All preterm, term and post term babies delivered at Kathmandu Medical College Teaching Hospital were included. Ethical clearance was received from Institutional Review Committee of Kathmandu Medical College (Ref.:2812201808). Convenient sampling method was applied. Data analysis was done in Statistical Package for Social Sciences (SPSS 18), point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: A total of 1284 babies delivered over six months period were enrolled in this study and 47 (3.66 %) babies were asphyxiated, at 95% Confidence Interval (2.64%-4.68%). The mean birth weight of asphyxiated babies was 2759.75±65 grams and gestational age was 37.57±2 weeks. Among asphyxiated babies, 15 (32%) babies were normal, 15 (32%) babies were in Hypoxic Ischemic Encephalopathy stage I, 14 (30%) were in stage II and 3 (6%) were in stage III. Twenty Three (49%) asphyxiated babies had antenatal risk factors and all 47 babies had intrapartum risk factors leading to asphyxia. Conclusions: Prevalence of perinatal asphyxia was lower compared to that of other similar tertiary care hospitals. Perinatal asphyxia remains a major cause of neonatal morbidity and mortality.

scholarly journals Knowledge, Attitude and Practice of Ear care among Pre clinical Medical students at Birat Medical College Teaching Hospital.

2020 ◽  
Vol 5 (3) ◽  
pp. 1236-1240
Author(s):  
Bipin Koirala ◽  
Sriti Manandhar ◽  
Rajeev Kumar Shah
Keyword(s):  
Medical Students ◽  
Teaching Hospital ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Cross Sectional ◽  
Medical College ◽  
Attitude And Practice ◽  
Knowledge And Attitude ◽  
Knowledge Attitude And Practice

Introduction: Ear care is a part of social cleanliness. It may not demand much care but proper and adequate care is essential to protect the optimal functions. The knowledge and awareness of ear care practice however is still lacking. Non –hygienic individual behaviors and habits like penetrating foreign objects, exposure to loud noise may affect the human ear. Lack of proper ear care may lead to many diseases and its complications.. Objectives : To assess the knowledge attitude and practice of ear care of pre clinical medical students attending Birat Medical College. To correlate the knowledge, attitude and practice of ear care of pre clinical medical students. Methodology: A descriptive cross sectional study was done in 151 students of pre clinical sciences of Birat Medical College for a period of two months from 15th Sept 2020 to 15 November, 2020. After the ethical clearance a specifically designed semi structured questionnaire containing yes and no questions was prepared in goggle form and distributed among all the pre clinical medical students of Birat Medical College Teaching Hospital students and then their response was evaluated.  Result: Students of pre clinical sciences had good knowledge, attitude and practice of ear care. Significant correlation was seen between knowledge and practice and also between knowledge and attitude. However there was no significant correlation between attitude and practice. Conclusion: Overall knowledge, attitude and practice of preclinical medical students of Birat Medical College was good. Surprisingly students showed poor knowledge, attitude and practice in few individual questionnaires which was hoped that the medical students know more than lay individual in the society

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 Laparoscopic Management of Ovarian Dermoid Cysts in Birat Medical College, Teaching Hospital

2018 ◽  
Vol 2 (3) ◽  
pp. 273-276
Author(s):  
Bhanubhakta Neupane ◽  
Gyanendra Man Singh Karki ◽  
Prerana Dahal ◽  
Sambhu Bahadur Karki
Keyword(s):  
Dermoid Cyst ◽  
Teaching Hospital ◽  
Peritoneal Cavity ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Physiological Solution ◽  
Cross Sectional ◽  
Medical College ◽  
Laparoscopic Cystectomy ◽  
Chemical Peritonitis

Introduction: Spillage of contents of the dermoid cyst during surgery may cause chemical peritonitis and spillage is more likely to occur during laparoscopic surgery for the removal of the ovarian dermoid cyst. Thorough washing of peritoneal cavity with physiological solution greatly reduces the incidence of chemical peritonitis.Objective: To study the outcome of laparoscopic treatment of ovarian dermoid cysts.Methodology: This is a hospital based cross-sectional study conducted at Birat Medical College and Teaching Hospital from 2012 April to 2016 April. All patients being operated by laparoscopy for ovarian dermoid cysts were enrolled in the study. Occurrence of spillage of dermoid contents during surgery and development of symptoms and signs of chemical peritonitis in postoperative period were main outcome measures. The collected data was entered in Microsoft Excel and analyzed by SPSS software version17.Results: Eighty nine ovarian dermoid cysts from 82 patients were managed by laparoscopy. Among 89 cysts, 54(60.76%) cysts were removed by laparoscopic cystectomy, 21(23.59%) cysts were removed by laparoscopic salpingo-ophorectomy and 14(15.73%) cysts were removed by salpingo-ophorectomy with hysterectomy. Spillage of dermoid content occurred in 50 (56.17%) cysts removal. There was no conversion to laparotomy and no case of chemical peritonitis.Conclusion: The risk of chemical peritonitis is negligible with spillage of dermoid content during laparoscopic procedure when peritoneal cavity is washed thoroughly. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 273-276 

scholarly journals “Depression, Anxiety and Stress among Nurses during Corona Lockdown in a Selected Teaching Hospital, Kaski, Nepal"

2020 ◽  
Vol 10 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Muna Silwal ◽  
Dipti Koirala ◽  
Sabita Koirala ◽  
Anju Lamichhane
Keyword(s):  
Mental Health ◽  
Teaching Hospital ◽  
Mental Health Problems ◽  
College Teaching ◽  
Well Being ◽  
Cross Sectional Study ◽  
Research Centre ◽  
Cross Sectional ◽  
Sample Mean ◽  
Medical College

Introduction: Mental health is as important as physical health to respond to COVID-19 pandemic. This pandemic has increased social isolation and fear regarding health and well-being as well as a dilemma which can lead to mental health problems among general people and health workers.Thus the main objective of this study was to assess the prevalence and factors associated with depression, anxiety and stress among nurses working in a hospital of Nepal during the period of Corona lockdown. Methods: A cross-sectional study was carried out among 152 nurses working at Gandaki Medical College Teaching Hospital and Research Centre of Kaski district of Nepal. Data were collected using a structured self-administered questionnaire consisting of socio-demographic items and Depression, Anxiety and Stress Scale (DASS-42) scale from 11 April to 18 April, 2020. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 22 applying descriptive statistics and inferential statistical method. Results: Respondent's mean age and SD was 24.09 + 3.19 years. The sample mean score of DASS-42 was 29.46 (SD 25.37). Depression, anxiety and stress were prevalent among 39.5%, 50% and 25.7% of the respondents respectively. There was significant association of depression with education level (χ2 =6.597; p=0.01) and working unit (χ2 =8.187; p=0.004). Anxiety was significantly associated with working unit (χ2 =6.973; p=0.008) and children status (χ2 =4.199; p=0.040). Stress was significantly associated with age (χ2 =4.906; p=0.027), working unit (χ2 =4.984; p=0.026) and children status (χ2 =5.653; p=0.017). Conclusion: Based on findings, it can be concluded that some degree of depression, anxiety and stress were prevalent among nurses during COVID-19 pandemic. Further assessment should be made to confirm the respective diagnoses. Stress and anxiety relieving sessions and psychological support programs may help for the nurses with higher than cut-offs.

scholarly journals Prevalence of metabolic syndrome in individuals undergoing comprehensive cardiac and general medical check-up at Kathmandu Medical College Teaching Hospital

2014 ◽  
Vol 2 (3) ◽  
pp. 112-116
Author(s):  
D B Karki ◽  
A Neopane ◽  
S Joshi ◽  
Subash Pant ◽  
Lucky Sharma ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Metabolic Syndrome ◽  
Teaching Hospital ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Obese People ◽  
Cross Sectional ◽  
Medical College ◽  
Artery Disease ◽  
Healthy Participants

Background: Metabolic syndrome represents a constellation of metabolic derangements including insulin resistance, diabetes mellitus, obesity, dyslipidaemia and cardiovascular disease. Since it is associated with higher risk of coronary artery disease and diabetes mellitus, timely detection is important. Objectives: The main objective of the study was to find out the prevalence of metabolic syndrome in individuals undergoing comprehensive cardiac and general medical check-up at Kathmandu Medical College Teaching Hospital. The other objectives were to find the gender and ethnic prevalence of this condition. Methods: This is a hospital based cross-sectional study conducted at Kathmandu Medical College Teaching Hospital among 389 healthy participants of both gender and above 20 years of age who underwent comprehensive cardiac and general medical check-up. Metabolic Syndrome was diagnosed using US National Cholesterol Education Program Adult Treatment Panel III. Results: Out of the 389 subjects, 56 persons were found to be having metabolic syndrome (14.40%). Metabolic syndrome was more common in female and obese people and the prevalence did not differ with ethnicity. Conclusion: The prevalence of metabolic syndrome in the present study has been found to be 14.40 %. It is important to diagnose this condition in time so that subsequent complications can be prevented.Journal of Kathmandu Medical College Vol. 2, No. 3, Issue 5, Jul.-Sep., 2013 Page: 112-116DOI: http://dx.doi.org/10.3126/jkmc.v2i3.9934Uploaded date : 2/28/2014

scholarly journals Laparoscopic Management of Ectopic Pregnancy at Birat Medical College & Teaching Hospital, Morang, Nepal

2017 ◽  
Vol 2 (1) ◽  
pp. 106-109
Author(s):  
Bhanubhakta Neupane ◽  
GMS Karki ◽  
P Dahal ◽  
SB Karki
Keyword(s):  
Ectopic Pregnancy ◽  
Teaching Hospital ◽  
College Teaching ◽  
First Trimester ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Laparoscopic Management ◽  
Medical College ◽  
Life Threatening ◽  
Ectopic Pregnancies

IntroductionEctopic pregnancy is the most life threatening emergency in first trimester of pregnancy. Laparoscopic methods for treating ectopic pregnancy have made it preferred surgical technique over laparotomy. Most of the ectopic pregnancies can now be treated by laparoscopy.ObjectiveTo study outcome of laparoscopic management of ectopic pregnancy. MethodologyA hospital based cross-sectional study was conducted at Birat Medical College and Teaching hospital from May 2013 to April 2016. The informed consent was taken from patients. The collected data was entered in Microsoft Excel and analyzed SPSS.ResultsAll 89 cases of ectopic pregnancies were managed by laparoscopy. All were tubal pregnancies. Salpingectomy was done in 88 cases and salpingostomy in one case without any significant postoperative complications. There was no maternal mortality and no conversion to laparotomy  ConclusionTreatment of ectopic pregnancy by laparoscopy is effective with decreased postoperative morbidity.Birat Journal of Health Sciences Vol.2/No.1/Issue 2/ Jan - April 2017, page: 106-109

scholarly journals Attitude of Interns towards Family Medicine as a Career in a Tertiary Care Hospital

2019 ◽  
Vol 57 (219) ◽  
Author(s):  
Anu Kushwaha ◽  
Anuj Raj Kadel
Keyword(s):  
Family Medicine ◽  
Social Services ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Time Period

Introduction: Family medicine is a relatively overlooked specialty in Nepalese medical education. It is unclear how many interns are actually interested in Family medicine as a career and how many non-medical individuals are aware of its existence. The aim of this study is to assess information, expectation and perception among interns regarding family medicine and its choice as a career. Methods: This is a descriptive-cross sectional study carried out in Kathmandu Medical College Teaching Hospital from July 2018 to December 2018. Whole sampling was done. All interns of Kathmandu Medical College Teaching Hospital posted in different departments during the time period was the inclusion criteria. Chronic absentees was the exclusion criteria. Factor like age, sex, their residency of choice, and whether they consider family medicine as a potential career were considered. Data was entered in with Statistical Package for Social Services version 16 and necessary calculations were done. Results: Thirty three interns preferred internal medicine as their career of choice, 20 preferred surgery while only three preferred in family medicine. Eighty eight interns, including the three who had family medicine as their career of choice, said that they could consider family medicine as a potential career. Eighty eight out of the 100 interns in the study mentioned that their family had knowledge that a specialty called family medicine existed. Conclusions: Despite being the career of choice of only a few, majority considered family medicine as a potential career for them. And the knowledge about existence of family medicine was high among families of interns.

scholarly journals Status of Vitamin D among People Visiting a Tertiary Care Center of Eastern Nepal: A Hospital-Based Study

2021 ◽  
Vol 10 (2) ◽  
pp. 38-42
Author(s):  
Chandra Prakash Gaire
Keyword(s):  
Vitamin D ◽  
Teaching Hospital ◽  
Care Center ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Vitamin D Insufficiency ◽  
Vitamin D Status ◽  
Cross Sectional ◽  
Medical College

Background: Vitamin D deficiency is a serious health-problem worldwide and the estimation of its plasma concentration is crucial. The study aims to determine the circulating levels of vitamin D in patients visiting Birat Medical College Teaching Hospital, one of the tertiary care centers of Eastern Nepal. Materials and Methods: It was descriptive cross-sectional study conducted in the Department of Biochemistry at Birat Medical College Teaching Hospital, Nepal. From the hospital registry, clinical data of 250 patients including their age, gender and serum 25-hydroxy vitamin D was retrieved for the four months of May – August, 2021. The vitamin D status was classified as deficiency (<10 ng/mL), insufficiency (10–30ng/mL), sufficiency ≥ 30ng/mL) and toxicity (≥ 100 ng/mL). Results: Out of total subjects (n=250), none of them showed toxic serum concentrations of vitamin D, 38% had sufficient, 57% had insufficient and 5% had deficient levels of this vitamin. Among affected individuals, vitamin D insufficiency had predominated in 41% population who were 41-60 years old. Gender-wise comparison of vitamin D status in the insufficiency group showed around 33% males and 67% females having insufficient levels of this vitamin. Conclusion: With the vitmain D inssufficieny present in more than half of the study population, it becomes paramount to further scrutinize the associated factors apart from the age and gender. To this end, further studies are needed.  

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