Journal of Patan Academy of Health Sciences最新文献_第3页

Challenges of evidence based medicine in clinical practice 循证医学在临床实践中的挑战

Journal of Patan Academy of Health Sciences Pub Date : 2023-05-16 DOI: 10.3126/jpahs.v10i1.54987

N. Pradhan

引用次数: 0

Workplace violence among nurses of a teaching hospital 某教学医院护士的工作场所暴力

Journal of Patan Academy of Health Sciences Pub Date : 2023-05-16 DOI: 10.3126/jpahs.v10i1.52816

Sadhana Paudel

{"title":"Workplace violence among nurses of a teaching hospital","authors":"Sadhana Paudel","doi":"10.3126/jpahs.v10i1.52816","DOIUrl":"https://doi.org/10.3126/jpahs.v10i1.52816","url":null,"abstract":"Introduction: Workplace violence is a significant issue in the health sector with high prevalence. Workplace violence among nurses is an alarming and fundamental human rights issue with its negative impacts on nurses as well as organizational achievement. This study aimed to explore workplace violence among nurses. \u0000Method: Cross-sectional study design with a total enumerative sampling technique was used to find out the prevalence of workplace violence among 402 nurses of a teaching hospital in Lalitpur, Nepal. Data was collected by using “Workplace Violence in the Health Sector country case studies research Instruments” from September 2019 to November 2019. Collected data were analyzed based on objectives using Statistical Package for Social Science version 16. Descriptive statistics were used to find out the prevalence, types of violence, perpetrators, and socio-demographic information. \u0000Result: The prevalence of workplace violence was 227( among which verbal abuse was 215(94.5%), physical violence 40(17.6%), and sexual harassment 9(4%). Among the perpetrators, 107(40.53%) of workplace violence was done by patients’ relatives, 77(29.16%) by patients, 64(24.24%) by staff, and 16(6.06%) by management. \u0000Conclusion: The prevalence of workplace violence is high. Verbal abuse is the dominant type of violence, followed by physical violence and sexual harassment. The main perpetrators of workplace violence were patients’ relatives. Management was also found to be the perpetrator in a small fraction of violence.","PeriodicalId":123833,"journal":{"name":"Journal of Patan Academy of Health Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128973639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of knowledge of diabetes mellitus among female community health volunteers (FCHV) of Jiri, Nepal 尼泊尔吉里市女性社区卫生志愿者糖尿病知识的评估

Journal of Patan Academy of Health Sciences Pub Date : 2023-05-16 DOI: 10.3126/jpahs.v10i1.54892

S. Shrestha, D. Joshi

{"title":"Assessment of knowledge of diabetes mellitus among female community health volunteers (FCHV) of Jiri, Nepal","authors":"S. Shrestha, D. Joshi","doi":"10.3126/jpahs.v10i1.54892","DOIUrl":"https://doi.org/10.3126/jpahs.v10i1.54892","url":null,"abstract":"Introduction: Type 2 diabetes mellitus (DM) has become a global epidemic with significant disability and premature death. Identification of the level of knowledge related to diabetes among the health workers is important in strategies for prevention of diabetes mellitus.\u0000Method: This study was conducted as a community based study in Jiri Hospital in Dolakha district. All the FCHV working in the Dolakha district were selected for this study. Data was collected using Diabetes Knowledge Questionnaire (DKQ). Data was analysed using SPSS programme version 16.0.\u0000Result: A total of 90 participants were included in the study. Average score obtained was 15 out of 24. There was not significant association found between educational background and score (p-value=0.8835) No significant difference between the age groups and scores was found (p-value=0.5485). No FCHV’s had received training on diabetes mellitus. Having a family member with diabetes did not impact the obtained score (p-value= 0.9511).\u0000Conclusion: This study did not show any relation on knowledge with age, educational background or having a family member with diabetes.","PeriodicalId":123833,"journal":{"name":"Journal of Patan Academy of Health Sciences","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132851164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Groin hit death due to femoral vein rupture in a drug abuser 吸毒者股静脉破裂导致腹股沟被击中致死

Journal of Patan Academy of Health Sciences Pub Date : 2022-12-31 DOI: 10.3126/jpahs.v9i3.52273

Kaschev Shrestha, Bipin Poudel, Pradeep Ghimire, Aastha Parajuli

引用次数: 0

Prevalence of long COVID-19 syndrome among health care workers of Patan Academy of Health Sciences 帕坦卫生科学院医护人员COVID-19长期综合征流行情况

Journal of Patan Academy of Health Sciences Pub Date : 2022-12-30 DOI: 10.3126/jpahs.v9i3.52270

B. Pandey, Sanjeev Gautam, S. Karki, M. Lama, K. Sigdel, N. Hirachan

{"title":"Prevalence of long COVID-19 syndrome among health care workers of Patan Academy of Health Sciences","authors":"B. Pandey, Sanjeev Gautam, S. Karki, M. Lama, K. Sigdel, N. Hirachan","doi":"10.3126/jpahs.v9i3.52270","DOIUrl":"https://doi.org/10.3126/jpahs.v9i3.52270","url":null,"abstract":"Introduction: Any symptoms acquired after COVID-19 infection that persists beyond 12 weeks period and not explained by any other disease either already present or acquired after COVID-19 infection is termed as long COVID 19 by World Health Organisation. We tried to find out the prevalence of long COVID 19 in healthcare workers. \u0000Method: Questionnaire was made in google form based on COVID-19 Yorkshire Rehabilitation Screening Tool (COVID YRS Tool). Ethical approval was taken from IRC-PAHS. Data collected from all health care workers of PAHS from 2022/05/20 to 2022/07/20. Difference in Precovid and Postcovid status in different domains were compared by statistical tests. \u0000Result: The median age of our participants was 29 years. Prevalence of Long COVID 19 was 68.1%. 19 55.3% ha mild, 10.4% had moderate, 2.4% had severe symptoms. The most common symptom was fatigue (44%), anxiety (41%) and shortness of breath (36%). The COVID YRS Tool overall score was statically significant with p value <0.001. Pre COVID 19 and Post COVID 19, patients had statically significant in breathlessness, fatigue, nutrition, anxiety, usual activity, pain, anxiety and depression. Only 6% of our patients had severe COVID 19. \u0000Conclusion: People are still experiencing various symptoms after COVID 19 infection. Long COVID 19 has now been a health care problem. Long COVID 19 patients have multisystem involvement and multi-speciality team is needed for their management and rehabilitation.","PeriodicalId":123833,"journal":{"name":"Journal of Patan Academy of Health Sciences","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133570917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Prevalence of suicide risk and its associated factors in patients presenting in antenatal clinic 产前门诊患者自杀风险患病率及其相关因素

Journal of Patan Academy of Health Sciences Pub Date : 2022-12-30 DOI: 10.3126/jpahs.v9i3.52267

R. Shrestha, Pawan Sharma, Laxmi Rc, Padma Gurung, S. Malla, Sushma Lama, Anagha Pradhan Malla, Aastha Ghimire

{"title":"Prevalence of suicide risk and its associated factors in patients presenting in antenatal clinic","authors":"R. Shrestha, Pawan Sharma, Laxmi Rc, Padma Gurung, S. Malla, Sushma Lama, Anagha Pradhan Malla, Aastha Ghimire","doi":"10.3126/jpahs.v9i3.52267","DOIUrl":"https://doi.org/10.3126/jpahs.v9i3.52267","url":null,"abstract":"Introduction: Suicide during the antenatal period is one of the major indirect causes of maternal death. This study aims to determine the prevalence of suicidal risk and its related factors among the patients attending the antenatal clinic of a tertiary care center. \u0000Method: This is a cross-sectional study conducted in the antenatal clinic Patan Hospital, Lalitpur, Nepal among 124 pregnant patients using purposive sampling and face-to-face interviews applying a semi-structured proforma and P4 suicide screener. Ethical approval was obtained. The percentage of patients with suicide risk was calculated and stratified into minimal, lower, and higher risk of suicide. The association between suicide risk and different sociodemographic and clinical variables was done using the Chi-square test. A p-values ≤0.05 was considered statistically significant. \u0000Result: The prevalence of suicide risk was 32 out of 124 patients (25.8%). When risk stratification was done a maximum of 22(17.7%) had a higher risk for suicide. The risk was associated the employment status (p=0.039), history of previous suicide attempts (p=0.04), and diagnosed mental disorder (p=0.027). \u0000Conclusion: Our study shows the suicide risk among antenatal females was 25.8% reaffirming the need for proper screening and referral.","PeriodicalId":123833,"journal":{"name":"Journal of Patan Academy of Health Sciences","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125362470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Antenatal visits and obstetric outcomes during nationwide COVID-19 lock down period in a tertiary hospital of Nepal 尼泊尔一家三级医院在全国COVID-19封锁期间的产前检查和产科结果

Journal of Patan Academy of Health Sciences Pub Date : 2022-12-30 DOI: 10.3126/jpahs.v9i3.52266

Padma Gurung

{"title":"Antenatal visits and obstetric outcomes during nationwide COVID-19 lock down period in a tertiary hospital of Nepal","authors":"Padma Gurung","doi":"10.3126/jpahs.v9i3.52266","DOIUrl":"https://doi.org/10.3126/jpahs.v9i3.52266","url":null,"abstract":"Introduction: Maternity services were disrupted during nationwide COVID-19 lock down period. This study aimed to evaluate the impact of nationwide COVID-19 lock down on antenatal visits and obstetric outcomes in a tertiary hospital of Nepal. \u0000Method: A study was conducted at Patan hospital, Nepal with regard to antenatal visits and obstetric outcomes during COVID-19 lockdown period (24th March to 14th June 2020) and was compared to non COVID-19 period (24th March to 14th June 2019). A Chi-square test was used to determine the association between the outcome variables. The data was taken as statistically significant when the p-value was <0.05. \u0000Result: A total of 4,157pregnant women visited antenatal clinic (ANC) during nationwide COVID-19 lock down period while 7,029 patients visited during same period a y back (non COVID-19 period) which is a 40.86 percentage decline. There was significant reduction in deliveries during COVID-19 lock down period (1604 during non COVID-19 and 1140 deliveries during COVID-19 lockdown period respectively) but mode of delivery was similar. Maternal complications like postpartum hemorrhage (PPH), intensive care stay (ICU), sepsis and cesarean hysterectomy were similar during both the period. \u0000There was a significant reduction in preterm deliveries during COVID-19 lock down period (13 during non COVID-19and 8.7 percentage during COVID-19 period respectively). However, early neonatal sepsis (EONS) was significantly higher during COVID-19 lock down period. \u0000Conclusion: While, there was a significant reduction in preterm births and increase in early neonatal sepsis during COVID-19 lockdown period, there was no difference in maternal outcome.","PeriodicalId":123833,"journal":{"name":"Journal of Patan Academy of Health Sciences","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123920998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anatomic variation of celiac axis and hepatic artery as evidenced in multidetector computed tomography in patients at tertiary care center in Nepal 尼泊尔三级保健中心患者的多探测器计算机断层扫描显示腹腔轴和肝动脉的解剖变异

Journal of Patan Academy of Health Sciences Pub Date : 2022-12-30 DOI: 10.3126/jpahs.v9i3.52224

D. Maharjan, N. Sherpa, Amrit Kharel, S. Gyawali

{"title":"Anatomic variation of celiac axis and hepatic artery as evidenced in multidetector computed tomography in patients at tertiary care center in Nepal","authors":"D. Maharjan, N. Sherpa, Amrit Kharel, S. Gyawali","doi":"10.3126/jpahs.v9i3.52224","DOIUrl":"https://doi.org/10.3126/jpahs.v9i3.52224","url":null,"abstract":"Introduction: There are many potential anatomic configurations of celiac axis and hepatic artery. Michel’s classified hepatic arterial variations in 10 categories. Knowledge about these variations in patient is invaluable before surgery. Multidetector computed tomography (MDCT) can accurately depict the vascular anatomy of celiac axis and hepatic artery non-invasively. The aim of this study was to find out the prevalence of different types of anatomical variation of celiac axis and hepatic artery in patients undergoing multiphase CT. \u0000Method: Cross-sectional, prospective study was done in Department of Radiology, Patan Hospital, Patan Academy of Health Sciences. MDCT of abdomen of 178 patients with arterial phase images done between December 2021 and March 2022 were evaluated for arterial anatomy of celiac axis and hepatic artery. Arterial anatomy was categorized according to Michel’s classification. Prevalence of each variant anatomy and gender wise prevalence were calculated. \u0000Results: CT scans of 178 patients were evaluated out of which 94 were male and 84 were female. Among these individuals 133 (74.7%) had normal anatomy (Type I) and 45 (25.3%) had some sort of variant anatomy. Type III was commonest type of variant anatomy seen in 18 (10.1%) individuals. We found 6(3.4%) individuals with the anatomy other than classified by Michel. \u0000Conclusion: There are multiple variation in of celiac axis and hepatic artery anatomy in our population. Knowledge of such anatomical variation will be of great importance for surgeon and interventional radiologist for planning of surgical or vascular procedures and to prevent vascular complication.","PeriodicalId":123833,"journal":{"name":"Journal of Patan Academy of Health Sciences","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127907747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Basic concept of healthy aging 健康老龄化的基本概念

Journal of Patan Academy of Health Sciences Pub Date : 2022-12-30 DOI: 10.3126/jpahs.v9i3.52221

H. Chalise

引用次数: 3

Analysis of cesarean section using Robson’s criteria in tertiary care center 三级保健中心应用罗布森标准剖宫产的分析

Journal of Patan Academy of Health Sciences Pub Date : 2022-12-30 DOI: 10.3126/jpahs.v9i3.52265

Padma Gurung, S. Malla, Sushma Lama, Anagha Pradhan Malla, Laxmi Rc

{"title":"Analysis of cesarean section using Robson’s criteria in tertiary care center","authors":"Padma Gurung, S. Malla, Sushma Lama, Anagha Pradhan Malla, Laxmi Rc","doi":"10.3126/jpahs.v9i3.52265","DOIUrl":"https://doi.org/10.3126/jpahs.v9i3.52265","url":null,"abstract":"Introduction: This study aims to analyze all the women delivering in our institute according to the Robson’s classification. Robson’s ten group classification system (TGCS) endorsed by WHO, is a global standard tool for assessing, monitoring and comparing cesarean section rates at all levels. \u0000Method: This cross sectional study was conducted in the department of obstetrics and gynecology, Patan hospital, Patan academy of health sciences (PAHS), Lalitpur, Nepal over 12 months’ period. All women who delivered during this period were classified according to the Robson’s classification (TGCS) into a specific group. Relative size and overall cesarean section rate of each group were calculated. \u0000Result: A total of 4,985 cases were analyzed. The cesarean section rate was 57.7%. Group 1+2 represented nearly half (49%) of the obstetric population served during the study period. Group 2A was found to be the highest contributor (27.4%) followed by Group 5 (22.8%) and Group 1 (13.0%). In terms of indication for cesarean section -Fetal distress and previous cesarean section were found to be the most common indications. Similarly, nulliparous women were three to four times more likely to be delivered by cesarean section when labor was induced. \u0000Conclusion: From this study, we can conclude that for an effective reduction in the overall high cesarean section rate in our Institution, we need to focus on a more stringent protocol for inducing labor especially among nulliparous women and to practice evidence based guidelines. Redefining failed induction needs to be considered critically as well.","PeriodicalId":123833,"journal":{"name":"Journal of Patan Academy of Health Sciences","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127028181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0