scholarly journals Visitor’s perspective of Patan Hospital, Patan Academy of Health Sciences, Nepal

2018 ◽  
Vol 5 (1) ◽  
pp. 61-62
Author(s):  
Aditya S Pawar ◽  
Baljeet Brar

A local man sits on the pavement in Patan Durbar Square at one am. A taxi driver calls a cell phone number I handed to him that belongs to the guesthouse I am staying at. Both of them are strangers to me, but go out of the way to make sure I reach home safe. It struck a chord, nice warm people and very hospitable. The next morning begins with meeting Mr. Shakya, the person in charge of visitors at Patan hospital, touring the hospital, including the outpatient department, emergency room, wards, auditorium, and medical school. I’m greeted with Namaste, and introduced as “tyo America ma doctor ho”. This is followed by a most important visit to the cafeteria. We go over the menu. I am told the most popular options and also advice to not order ‘jawanoko jhol” (for nursing females only, helps let down), I am told this will be explained soon in private. Curiosity grew. This hospital tour has surprised me because what I had in mind was a hospital with few rooms with barely any equipment. On the contrary, Patan hospital is fairly well equipped and organized with a CT scanner, multiple wards, and the medical school has an extensive public health department. Meanwhile I am offered a tea and biscuit everywhere. My first few hours of touring showed me that this is going to be a fun experience. This is followed by a stop at the Intensive Care Unit (ICU) where I will be on rotation for the next few weeks. Another cup of tea and biscuit follows, fourth of the day already. Day one starts in ICU with meeting medical officers, staff, patients and nurses. Talking to patients helps me learn their perspective. It is quick mixing up with medical officers through lunch strolls, breaks. Our lunch discussions are very interesting, sharing our knowledge and experiences about our culture and educational system. What struck me then is I read and hear so much about what visitors have to say and how extraordinarily helpful this experience has been in shaping their career.1 But I wonder what it’s like for the local officers, what’s the impact on the medical officers, residents and students. Is it helpful? Do they feel they learn something, positive or negative impact? Or is it a source of brain drain?

2020 ◽  
Author(s):  
Xinxi Cao ◽  
Yangyang Cheng ◽  
Chenjie Xu ◽  
Yabing Hou ◽  
Hongxi Yang ◽  
...  

BACKGROUND Cell phone use brought convenience to people, but using phones for a long period of time or in the wrong way and with a wrong posture might cause damage to the human body. OBJECTIVE To assess the impact of improper cell phone use on transport and chronic injuries. METHODS Studies were systematically searched in PubMed, EMBASE, Cochrane, and Web of Science up to April 4, 2019 and relevant reviews were searched to identify additional studies. A random-effects model was used to estimate the overall pooled estimates. RESULTS Cell phone users were at a higher risk for transport injuries (RR: 1.37, 95%CI: 1.221.55), long-term use of cell phones increased the transport injury risk to non-use or short-term use (RR: 2.10, 95% CI: 1.632.70). Neoplasm risk caused by cell phone use was 1.07 times that of non-use (95% CI: 1.011.14); Compared with non-use, cell phone use had a higher risk of eye disease, with a risk of 2.03 (95% CI: 1.273.23), the risk of mental disease was 1.26 (95% CI: 1.171.35), the risk of neurological disorder was 1.16 (95% CI: 1.021.32), and a pooled risk of other chronic injuries was 1.20 (95% CI: 0.981.59). CONCLUSIONS Cell phone use at inappropriate situations has a negative impact on the human body. Therefore, it is necessary to use cell phones correctly and reasonably.


2020 ◽  
Author(s):  
Xinxi Cao ◽  
Chenjie Xu ◽  
Yabing Hou ◽  
Hongxi Yang ◽  
Shu Li ◽  
...  

Abstract Background Cell phone use brought convenience to people, but using phones for a long period of time or in the wrong way and with a wrong posture might cause damage to the human body. This study was designed to assess the impact of cell phone use on transport and chronic injuries.Methods Studies were systematically searched in four database and relevant reviews were searched to identify additional studies. A total of 41 studies met the inclusion criteria.Results Cell phone users were at a higher risk for transport injuries (RR: 1.37, 95%CI: 1.22−1.55), long-term use of cell phones increased the transport injury risk to non-use or short-term use (RR: 2.10, 95% CI: 1.63−2.70). Neoplasm risk caused by cell phone use was 1.07 times that of non-use (95% CI: 1.01−1.14); Compared with non-use, cell phone use had a higher risk of eye disease, with a risk of 2.03 (95% CI: 1.27−3.23), the risk of mental disease was 1.26 (95% CI: 1.17−1.35), the risk of neurological disorder was 1.16 (95% CI: 1.02−1.32), and a pooled risk of other chronic injuries, was 1.20 (95% CI: 0.98−1.59). Subgroup analyses found that motor crashes had significantly increased (OR: 1.25; 95%CI: 1.18−1.32), as well as the risk for hearing problems (OR: 4.54; 95%CI: 3.29−5.80), headaches (OR: 1.25; 95%CI: 1.18−1.32), and abnormal biochemical indicators (OR: 0.51; 95%CI: 0.04−0.99).Conclusions Cell phone use at inappropriate situations has a negative impact on the human body. Therefore, it is necessary to use cell phones correctly and reasonably.


2020 ◽  
pp. 109019812096419
Author(s):  
Joshua P. Mersky ◽  
Colleen E. Janczewski ◽  
ChienTi Plummer Lee ◽  
Ross M. Gilbert ◽  
Cali McAtee ◽  
...  

Background Research suggests that home visiting interventions can promote breastfeeding initiation, though their effects on breastfeeding continuation are unclear. No known studies have assessed the impact of home visiting on bedsharing. Aims To test the effects of home visiting on breastfeeding and bedsharing in a low-income, urban sample in the United States. Methods During a field trial conducted in Milwaukee, Wisconsin, from April 2014 to March 2017, referrals to a public health department were randomized to a Healthy Families America (HFA) program or a prenatal care and coordination (PNCC) program. Of the 204 women who accepted services, 139 consented to the study and were allocated to the two treatment groups, which were compared with each other and a third quasi-experimental group of 100 women who did not accept services. Data were collected at four time points up to 12 months postpartum. Results Breastfeeding initiation was higher among 72 HFA participants (88.4%; odds ratio [OR] = 2.7) and 67 PNCC participants (88.5%; OR = 2.2) than 100 comparison participants (76.5%). Similar results emerged for breastfeeding duration, though group differences were not statistically significant. Unexpectedly, bedsharing prevalence was higher among HFA participants (56.5%) than PNCC participants (31.1%; OR = 2.9) and comparison group participants (38.8%; OR = 2.0). Discussion Home visiting was linked to increased breastfeeding, while effects on bedsharing varied by program. Progress toward precision home visiting will be advanced by identifying program components that promote breastfeeding and safe sleep. Conclusion Further research is needed to examine whether home visiting reduces disparities in breastfeeding and safe sleep practices.


2021 ◽  
Vol 9 (E) ◽  
pp. 665-669
Author(s):  
Akerke Chayakova ◽  
Marjan Dauletyarova ◽  
Daulet Aldyngurov ◽  
Aiman Mussina ◽  
Roza Suleimenova ◽  
...  

BACKGROUND: The new coronavirus infection (coronavirus disease [COVID]-19) has become a serious obstacle on the health-care systems in Kazakhstan, as well as throughout the world. Certainly, the extent of emergency medical services (EMSs) use at some stage within the COVID-19 pandemic has been increased. However, the impact on the use of EMS in Kazakhstan during the COVID-19 pandemic has not been studied. AIM: The aim of this study was to analyze the dynamics of changes in the number of emergency medical calls during the COVID-19 pandemic, depending on the time of year, day of the week, and the causes for the calls. METHODS: This study retrospectively evaluated the Nur-Sultan (capital of Kazakhstan) EMS data for the period after the pandemic was first seen in Kazakhstan. The necessary permissions for the study were obtained from the Nur-Sultan City Public Health Department. EMS data for the same time interval (February 1–May 1) in the past 3 years (2018, 2019, and 2020) were compared. The data were taken from the database of the automated control system “Komek 103,” which is used in the ambulance station since the end of 2019, and the automated dispatch information systems “ADIS” used by the ambulance station in Nur-Sultan. RESULTS: During the COVID-19 pandemic, EMS call rates had been maximum common on Mondays and Thursdays by 13, 75%. The evaluation suggests that the quantity of male sufferers extended by 14, 05% in the course of the pandemic length, as compared to the pre-pandemic length. The quantity of patients with inside the 65+ age group in the course of the pandemic length has extended by 31.5%. During the pandemic, the signs and symptoms of fever enlarged significantly by 83%. Moreover, suicides elevated by 61% during the pandemic period. During the COVID‐19 pandemic, using EMS particularly for time touchy illnesses, which include hypertension (−31%), surgical emergencies (acute abdomen) (−40%), cerebrovascular illnesses (−11%), and other heart illnesses (−29%) decreased. CONCLUSIONS: During the pandemic period, there was an increase in the calls from male patients, compared to the pre-pandemic period. Moreover, during the COVID-19 pandemic, EMS call rates had been increased on Mondays and Thursdays. We found an alteration with inside the sample of obtained calls. Furthermore, the quantity of patients with inside the 65+ age group in the course of the pandemic length has extended.


2020 ◽  
Vol 86 (12) ◽  
pp. 40-45
Author(s):  
A. S. Ivanitsky ◽  
A. A. Kordo ◽  
L. I. Boyko

Cells with a micrometer screw are still used for testing solid dielectrics at frequencies from units to hundreds of megahertz despite the development of dielectric measurement technology. We present the results regarding elimination of the negative impact of successive stray inductances (Ln) and active resistance (rn) of such a cell on the accuracy of the dielectric loss tangent (tanδ) determination with allowance for the final value of the Q-factor (Qk) of the circuit inductor in resonant measurements. Tests with and without a dielectric sample were carried out under the condition of maintaining the cell capacity value. No information is available in the regulatory documents and technical literature about taking the aforementioned parameters into consideration. It is shown that the impact of Ln consists in the overestimation of measured tanδ values. To eliminate this effect, we proposed to introduce an additional factor which depends on Ln, frequency and capacity of the sample into existing formulas used for tanδ calculation. It is also shown that the tanδ error increases significantly with a decrease in the ratio of the dielectric loss characteristics of the measuring circuit with and without a sample which can be attributed to rn and Qk. The requirements for rn and circuit damping without a sample are formulated to ensure the desired accuracy. Conditions providing the possibility of assessing the suitability of a particular equipment for tanδ measurements are specified on basis of the developed requirements. The results experimentally proved in resonance measurements with a Q-meter can be used in high-frequency tanδ measurements to provide the required accuracy.


2018 ◽  
Vol 97 (8) ◽  
pp. 750-755
Author(s):  
I. E. Esaulenko ◽  
Tatyana N. Petrova ◽  
O. I. Gubina ◽  
A. Yu. Goncharov ◽  
Yu. V. Tatarkova

The purpose of this study was to investigate the status and main trends of the prevalence of diseases of the eye and its appendages in medical university students with the detection of priority risk factors of the educational environment. Materials and methods. The method of investigation included several stages. The general population was analyzed (official statistical data of the ophthalmologic service of the Voronezh Region Health Department (statistical forms No. 12, 14, 14 SD, 30)), and selective studies were conducted (based on the copying and analysis of data from outpatient charts and case histories). A total of 1500 study cards were filled out, the total number of visits amounted to 3200. In the second stage of the study, a sociological survey was conducted on a specially developed questionnaire consisting of 46 questions grouped into 5 blocks. In total, 1950 respondents were surveyed. Statistical processing is performed on the basis of statistical analysis software package and the Chart Wizard in Microsoft Excel 2010, as well as the STATISTICA 6.0 application package. Results. Our studies have made it possible to refine and supplement the current data on the prevalence of diseases of the eye and its appendages among students in the Voronezh region, which can be used as a basis for planning activities to improve specialized ophthalmic care for this population category. Eye diseases were shown to be a fairly common pathology among students, and those who study at the medical school have their own characteristics that require serious measures to improve the system of epidemiological surveillance of this pathology. The surveillance system should include monitoring the impact of various risk factors and timely elimination of adverse events. To this end, in educational institutions, it is important to observe ergonomic requirements for the organization of workplaces, to observe the time of providing breaks for rest during the school day, to establish their duration and arrange for these breaks taking into account the training course, load volume and hygienic characteristics of the classrooms, where classes are held. It should not be forgotten that the leading role in the prevention of the negative impact of non-favorable factors is assigned to the very contingent of students who must be able to take individual preventive measures and observe personal hygiene rules. In this regard, the educational organizations need to repeatedly increase the amount of work on hygiene education and the education of young people.


2020 ◽  
Author(s):  
Debora Cerqueira Calderaro ◽  
Barbara Stadler Kahlow ◽  
Gabriela Araújo Munhoz ◽  
Samuel Elias Basualto Dias ◽  
João Vitor Ziroldo Lopes ◽  
...  

BACKGROUND Background: The COVID-19 pandemic has provided social isolation with a potential negative impact on the educational routine, including the suspension of face-to-face appointments, and mental health of medical students. The Mario Pinotti II study (MPII) is a 24-week observational study with scheduled telephone calls every 2 weeks to verify the occurrence of the COVID-19 in rheumatic patients on hydroxychloroquine chronically (from 29th, March, 2020 to 30th, September, 2020). The effects of voluntary participation in a research project, which foresees interaction by telephone contact with patients, professors, rheumatologists, and colleagues on the daily life and mental health of medical students requires evaluation. OBJECTIVE Objectives: Considering that medical students are professionals in training with a high level of responsibility to handle emotional and physical aspects related to several diseases, this study has the aim of evaluating the impact of the COVID-19 pandemic and participation in the MPII study, on the educational routine and mental health of medical students. METHODS Methods: A web-based survey was carried out to perform a cross-sectional comparative assessment between medical students participating in the MPII study and other their colleagues who are not involved in this research project, matched to sex, age and medical school. The web questionnaire was developed by a panel composed of graduate medical students, rheumatologists, medical school professors, and a psychology professor and it included details on demographic and life habits data, as well as evaluation of participants' impression about the MPII study and the impact of the COVID-19 pandemic on their educational routine and medical training. In addition, the depressive, anxiety, and stress domains were evaluated using the DASS-21 (Depression, Anxiety and Stress Scale), Brazilian version, and, lately, the scores were grouped as low, moderate and high risk for mental distress. This project was approved by the Federal University of São Paulo Ethics Committee (CAAE: 30246120.3.1001.5505). RESULTS Results: Data collection was applied for all 2 medical student groups from July 20th to August 31st, 2020. Data extraction is ongoing. Analysis is scheduled to start after extraction is completed. CONCLUSIONS Conclusions: This study will bring light into the effects of participating in a research project on depressive, anxiety, and stress domains by using the DASS-21 (Depression, Anxiety and Stress Scale) in large sampling of medical students and the evaluation of the impact of the COVID-19 pandemic on students educational routine and medical training. CLINICALTRIAL This is not a clinical trial.


2016 ◽  
Vol 65 (31) ◽  
pp. 803-806 ◽  
Author(s):  
Jessica Kronstadt ◽  
Michael Meit ◽  
Alexa Siegfried ◽  
Teddi Nicolaus ◽  
Kaye Bender ◽  
...  

2015 ◽  
Vol 17 (4) ◽  
Author(s):  
Enny Enny

Enny, in this paper explain that many mobile phone users around the us, but only a portion of the concerned about the dangers of cell phones. This paper was compiled to determine the impact and solutions of cell phone radiation. Mobile phones emit electromagnetic waves which will affect the surrounding environment. Based on existing information, cell phone radiation is thought to cause cancer. Waves emitted from mobile phones over the air is causing electromagnetic radiation. Potential disrubtion of health consequences of radiation electromagnetic field has become an issue which examined till now, so found a variety of health disorders as a result of mobile phone users that includes the impact of mild and severe impact. Experts have discovered some efforts to minimize the effects of cell phone radiation on health of mobile phone users. Every user should know the dangers of mobile phone users. Radiation caused cell phone not only arise when used, but when putting a cell phone in your Pocket can also be exposed to any radiation. Therefore, mobile users need to know how to use a cell phone. Users should pay attention to the level of radiation caused by cell phones, so that the influence of electromagnetic radiation on health can be scaled down for mobile users. Keywords: side effects of cell phone use


2019 ◽  
Vol 7 (6) ◽  
pp. 25-29
Author(s):  
April Sabri ◽  
Wiryanto M S ◽  
Khairunnisa M

Objective: Drug management consists of planning, storing and distribution. It is one of the important duty of Public Health Department of North Sumatra Province. Poor drug management will give a negative impact on service quality. This research aimed to evaluate the management of drug programs for tuberculosis (TB) in 2017, 2018 and 2019 in the Public Health Department of North Sumatra Province. The research was conducted in July - September 2019. Method: This research was descriptive with quantitative data obtained retrospectively and concurrently. Qualitative data were obtained through observations and interviews with informants. The data obtained were analyzed using indicators and compared with the results of the research. Result: The result of the research showed that planning, storing and distributing drug for the TB program in the Public Health Department of North Sumatra Province had not fully met the indicator standards. This was indicated by the 6 indicators which had not met the standard, that were the accuracy of planning; planning deviations; level of drug supply; percentage of expired drug; Inventory Turn Over Ratio (ITOR); the average time of drug vacancies and the percentage of dead drug stock and 3 indicators had met the standards, which were the percentage of expired drugs, the structuring system of drugs and the matching of the number of real goods with stock. Conclusion: the conclusion of this research is drug planning of Public Health Department of North Sumatra Province uses consumption method of previous period. Storage of drugs uses the FIFO/FEFO system. Drug distribution in the North Sumatra Provincial Health Office is based on requests from the District/City.    


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