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 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 “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 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.

scholarly journals Sexual dysfunctions among patients in a psychiatric hospital

2020 ◽  
Vol 31 (2) ◽  
pp. 43-47
Author(s):  
AFM Riaz Rony ◽  
Md Faruq Alam ◽  
Muhammad Zillur Rahaman Khan
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Interest ◽  
Psychiatric Patients ◽  
Sexual Experience ◽  
Cross Sectional Study ◽  
Sexual Dysfunctions ◽  
Cross Sectional ◽  
Urban Group ◽  
Arousal Disorder ◽  
Demographic Questionnaire

Information regarding sexual dysfunctions in psychiatric patients is insufficient though it affects a patient’s quality of life in various ways. The objective of this study was to assess the proportion and pattern of sexual dysfunctions among patient’s attending at the National Institute of Mental Health (NIMH), Dhaka. It was a cross-sectional study conducted from 01 February 2015 to 30 June 2015. A total of 161 patients (of 18-50 years of age) selected purposively and were interviewed after getting informed written consent. A semi-structured socio-demographic questionnaire and a pre-tested (Bengali version of) Arizona Sexual Experience Scale (ASEX) were used for collecting data. Sexual dysfunctions were diagnosed by using the Diagnostic and Statistical Manual for Mental Disorders, 5th edition (DSM-5). Results showed that the mean age of the respondents was 35.12(± 8.22) years. Most of them (75%) were aged between 20-40 years. The proportion of sexual dysfunctions was 67% and it was found more among males (70.3%) than females (62.9%). Among males, Erectile Disorder (35.1%) in indoor and Premature Ejaculation (27.3%) in outdoor were more common. Among females, most common sexual dysfunction was Sexual Interest/Arousal Disorder, of which 34.9% was in indoor and 44.4% in outdoor respondents respectively. The proportion of sexual dysfunction was higher in the semi- urban group (75%), those who were educated up to primary level (79%) and belonging to age group 40-50 years (79%). As sexual dysfunction and it’s impact on psychiatric patients are tremendous, sexual functioning of every patient needs special attention, care and early interventions for reducing sufferings. Bang J Psychiatry December 2017; 31(2): 43-47

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.  

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. 

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 Study in the Quality of Clinical Documentation Practice in Chitwan Medical College Teaching Hospital, Nepal

2016 ◽  
Vol 12 (2) ◽  
pp. 11-16
Author(s):  
Upendra Pandit
Keyword(s):  
Teaching Hospital ◽  
Tertiary Care ◽  
College Teaching ◽  
Final Diagnosis ◽  
Pooled Analysis ◽  
Medical Documentation ◽  
Medical College ◽  
Patient Consent ◽  
One Year

Background: Primary documentation of a patient is crucial for making effective healthcare decision and improvements in the quality of care. The objective of this study was to assess the quality of current documentation practice in tertiary care hospitals. Materials and methods: This was an assessment of medical documentation practice of one year from the period of January 2010 to December 2010 in Chitwan Medical College, Teaching Hospital. Total 184 patients' discharge files were enrolled and reviewed. Documentation was reviewed in its quality such as completeness, Coherent, consistency and Legibility.Results: In overall pooled analysis, High omission rate was observed in final diagnosis, results (cure, improved, referral and death), hospital stay, and final case summary. Although, satisfactory performance was observed in complete set of forms (72.2%); Patient consent for treatment &release authorization forms (78.2%) and treatment chart (60.8%), the overall pooled performance in ten components showed50% performance gap. Study demonstrated that documentation and its legibility, coherent and consistency in all departments needs substantial improvements in the institution.JNGMC Vol. 12 No. 2 December 2014, Page: 11-16

scholarly journals Prevalence of Pulmonary Tuberculosis among the suspected patients visiting tertiary care hospital in Birgunj, Nepal

2013 ◽  
Vol 1 (1) ◽  
pp. 48-52
Author(s):  
S Shrestha ◽  
B Shakya ◽  
P Shrestha
Keyword(s):  
Pulmonary Tuberculosis ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
College Teaching ◽  
High Morbidity ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
National Medical College ◽  
Medical College ◽  
National Medical

Background and Objectives: Mycobacterial disease continues to cause high morbidity and mortality and is a major public health problem in Nepal. Bacteriological examination of sputum is the cornerstone in the diagnosis of pulmonary tuberculosis in the developing world. This prospective study was carried out with an objective to evaluate the prevalence of pulmonary tuberculosis among the patients visiting National Medical College Teaching Hospital by Ziehl- Neelsen (Zn) staining microscopy. Material and Methods: The study was cross-sectional study. Three consecutive early morning sputum collected from 626 patients were subjected to Zn staining and observed under oil immersion. Results: Among 626 patients, 85 (13.57%) were found to be Acid fast positive by Zn staining microscopy. Of total suspected patients,16.0% of male and 8.7% of female were infected, common among 41-60 years group (17.2%) followed by 21-40 years (12.6%) and multibacillary cases was 71.8%. Conclusion: The prevalence of pulmonary tuberculosis among National medical college teaching hospital was found to be higher than the Nation pulmonary tuberculosis detection rate, most commonly infecting males. DOI: http://dx.doi.org/10.3126/jmcjms.v1i1.7886 Janaki Medical College Journal of Medical Sciences (2013) Vol. 1 (1):48-52

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