Journal of Gandaki Medical College-Nepal最新文献_第6页

Psychological distress and its associated factors in health workers during COVID-19 pandemic in Nepal: An online survey 尼泊尔COVID-19大流行期间卫生工作者的心理困扰及其相关因素:一项在线调查

Journal of Gandaki Medical College-Nepal Pub Date : 2021-12-31 DOI: 10.3126/jgmcn.v14i2.37158

N. Shrestha, N. Gurung, S. Banstola, S. Sah, Sharad Koirala, B. Sharma

{"title":"Psychological distress and its associated factors in health workers during COVID-19 pandemic in Nepal: An online survey","authors":"N. Shrestha, N. Gurung, S. Banstola, S. Sah, Sharad Koirala, B. Sharma","doi":"10.3126/jgmcn.v14i2.37158","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i2.37158","url":null,"abstract":"Introduction: Psychological distress among healthcare workers amidst COVID-19 pandemic has emerged as a serious health problem. Understanding its magnitude is crucial to guide policies and interventions to improve their psychological wellbeing. This study assessed the psychological distress and its associated factors among health care workers in Nepal during the COVID-19 pandemic.\u0000Methods: A cross-sectional online survey was carried out among 427 health workers currently working in Nepal from April 25 to June 10, 2020. Psychological distress was measured using “The Kessler Psychological Distress Scale” (K10). Descriptive statistics and inferential statistics were computed at a 5% level of significance. Ethical approval was taken from Nepal Health Research Council.\u0000Results: A total of 427 healthcare workers participated in the study. Out of the total participants, 50.4% were males. Nearly half of the participants were medical doctors (48%) followed by nurses (22.2%), health assistants (12.2%) and 61% were non-government employees. The healthcare workers who experienced symptoms of psychological distress were 28.9%. Out of 123 respondents who had symptoms of psychological distress, 19% had mild, 7.3% had moderate and 2.6% had severe psychological distress. Female healthcare workers were more likely to have psychological distress than males [AOR: 1.75, CI: 1.05-2.92].\u0000Conclusions: Psychological distress in healthcare workers during the COVID-19 pandemic is a matter of serious health concern. This issue demands urgent comprehensive intervention embracing the provision of a supportive environment and protective equipment, screening psychological outcomes and psychological counseling especially targeting female healthcare workers. ","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128272984","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

Cernea's classification of the External Branch of the Superior Laryngeal Nerve during Microscopic Thyroidectomy at Gandaki Medical College, Pokhara 博卡拉Gandaki医学院显微甲状腺切除术中喉上神经外支的Cernea分类

Journal of Gandaki Medical College-Nepal Pub Date : 2021-12-31 DOI: 10.3126/jgmcn.v14i2.35893

T. Dubey, Brihaspati Sigdel, R. Nepali, N. Kc

{"title":"Cernea's classification of the External Branch of the Superior Laryngeal Nerve during Microscopic Thyroidectomy at Gandaki Medical College, Pokhara","authors":"T. Dubey, Brihaspati Sigdel, R. Nepali, N. Kc","doi":"10.3126/jgmcn.v14i2.35893","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i2.35893","url":null,"abstract":"Background: Preservation of the external branch of the superior laryngeal nerve (EBSLN) during thyroidectomy is important because its injury may lead to frequent occurrence of vocal fatigue and the inability to perform phonation. The objective of the study was to identify and classify the nerve as per Cernea's classification using operating microscope during thyroidectomy\u0000Method: Between January 2017 to December 2019, we evaluated 50 patients for the position of external branch of superior laryngeal nerve, who underwent microscopic thyroid surgeries in the department of ENT- head and neck surgery at Gandaki Medical College.\u0000Results: In our study, we dissected a total 59 superior poles of thyroid from 50 patients and identified the nerve in all the cases. Of the total superior poles, 36 (61.01%) had type IIa EBSLN among which 24 was on the right side and 12 on the left followed by 19 (32.20%) patients with type IIb EBSLN among which 8 on right and 11 on left side. There were only 4 poles (6.77%) of type I with 3 on the right and 1 on the left side.\u0000Conclusion: The EBSLN can be very efficaciously identified during a microscope assisted thyroidectomy. Cernea type 2a and 2b EBSLNs are in position to be at high risk of injury during ligation of the superior vascular pedicle, which can be avoided by prompt identification through a microscope and a meticulous extra capsular dissection technique.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125700339","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

A study on referral of patients in Department of Psychiatry at Lumbini Medical College and Teaching Hospital 蓝毗尼医学院与教学医院精神科患者转诊的研究

Journal of Gandaki Medical College-Nepal Pub Date : 2021-12-31 DOI: 10.3126/jgmcn.v14i2.36824

Ramakanta Lamichhane, B. Sharma, P. Neupane, N. Bhattarai, Sandipa Sharma

{"title":"A study on referral of patients in Department of Psychiatry at Lumbini Medical College and Teaching Hospital","authors":"Ramakanta Lamichhane, B. Sharma, P. Neupane, N. Bhattarai, Sandipa Sharma","doi":"10.3126/jgmcn.v14i2.36824","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i2.36824","url":null,"abstract":"Introduction: In a developing country like Nepal, where there is inadequate awareness but more social stigma towards psychiatric illnesses among people, there is an important role of referral psychiatry. Referral psychiatry has been considered to be an interface between psychiatric and non-psychiatric medicines as practiced in general hospital settings. This study analyses the psychiatric problems among patient referred to psychiatry department from other outpatient departments and emergency department in a tertiary care centre.\u0000Methods: This was a descriptive hospital-based study conducted among patients who were referred to psychiatry department from different outpatient departments of Lumbini Medical College and Teaching Hospital from November 1, 2019 to April 30, 2020. Ethical issues were considered strictly. Data were entered into Statistical Package for the Social Sciences version 21.0 and descriptive analysis was done.\u0000Results: A total of 781 patients were referred out of which more than half (n=487, 62.35%) were females and the most common age group was 41 to 50 years (n=175, 22.4%). Majority of patients (n=284, 36.4%) were referred from medicine department. The most common psychiatric illness diagnosed were those included under International Classification of Diseases 10th Revision F40-48 (Anxiety, Dissociative, Stress-related, Somatoform and other Non-Psychotic Mental Disorders).\u0000Conclusions: Referral psychiatry plays an important role to diagnose the undiagnosed psychiatric illnesses earlier and better and manage accordingly so it should be prioritized and practiced in health centers.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130297821","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

Histopathology of Polyps and Cancer of Colorectum: A ten years study from a tertiary care center 结直肠息肉和癌的组织病理学:一项来自三级保健中心的十年研究

Journal of Gandaki Medical College-Nepal Pub Date : 2021-12-31 DOI: 10.3126/jgmcn.v14i2.38385

B. Goyal

{"title":"Histopathology of Polyps and Cancer of Colorectum: A ten years study from a tertiary care center","authors":"B. Goyal","doi":"10.3126/jgmcn.v14i2.38385","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i2.38385","url":null,"abstract":"Introduction and objectives: Polyps and colorectal cancer have overlapping clinical presentation and may be difficult to diagnose on clinical grounds alone and close clinicopathological correlation is required for correct diagnosis and management. This study was aimed to see the spectrum of polyps and cancer in colorectum, see the percentage of colorectal cancer in younger individuals, see association between histologic grade and pathologic stage at presentation and compare site of tumor and pathologic stage at presentation in younger and older age group. \u0000Methods: This study was carried out on 138 consecutive cases of polyps and malignant lesions of colorectum during a time period of 10 years from January 2011 to December 2020. \u0000Results: Age of the patients ranged from 2 – 90 years with mean 45.1 years and a male female ratio 2:1. There were 58 (42.0%) cases of polyps and 80 (58.0%) cases of malignancies. 37 (46.3%) malignancy cases were seen in individuals ≤ 50 years of age. Most common site of involvement was rectum in 80 (58.0%) cases. Most common non-neoplastic polyp was retention polyp comprising 25 (67.6%) and most common neoplastic polyp was adenoma comprising of 18 (85.7%) cases. Most common malignancy was adenocarcinoma comprising 75 (93.8%) cases. \u0000Conclusion: Significant number of malignancies is seen in younger individuals stressing the need for suspicion and surveillance in this age group. Histologic grade is an important prognostic parameter and there is no difference in site of tumor and stage at presentation between younger and older age group.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116994341","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

A study of efficacy and feasibility of laparoscopic surgery in a tertiary care center, Pokhara, Nepal 尼泊尔博卡拉一家三级护理中心腹腔镜手术的疗效和可行性研究

Journal of Gandaki Medical College-Nepal Pub Date : 2021-12-31 DOI: 10.3126/jgmcn.v14i2.37371

A. Shrestha, S. M. Bijukchhe, A. Bhattarai, Bhojraj Neupane, Ketki Kaushal

{"title":"A study of efficacy and feasibility of laparoscopic surgery in a tertiary care center, Pokhara, Nepal","authors":"A. Shrestha, S. M. Bijukchhe, A. Bhattarai, Bhojraj Neupane, Ketki Kaushal","doi":"10.3126/jgmcn.v14i2.37371","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i2.37371","url":null,"abstract":"Introduction: Laparoscopic surgery is the gold standard technique for most of the gastrointestinal surgeries in developed countries. However, challenges in developing countries, apart from cost of instrumentation, include lack of awareness. Therefore, the aim of this study is to determine the efficacy and feasibility of laparoscopic surgeries in our part of the world.\u0000Methods: Retrospective, cross-sectional study was carried out from January 1, 2018 to June 30, 2019. Patient’s information on demographic details, type of laparoscopic surgery, operation time, length of hospital stay, reasons for conversion to open surgery, and intra-operative and post-operative complication details were retrieved from the operation log book and patient’s chart.\u0000Results: A total of 380 patients that underwent laparoscopic surgeries were included in the study. Out of 193 patients that underwent laparoscopic cholecystectomy, there were 144 (74.61%) females and 49 (25.38%) males with conversion rate of 4.66% and post-operative complication rate of 8.80%. Similarly, among 136 patients that underwent laparoscopic appendectomy, there were 68 (50%) females and 68 (50%) males with conversion rate of 4.41% and post-operative complication rate of 14.70%. Finally, amid 51 patients who underwent trans-abdominal pre-peritoneal approach, post-operative seroma collection was seen in three cases and port site hematoma formation was seen in two cases only.\u0000Conclusions: Our results were comparable with various literature demonstrating that laparoscopic surgeries are safe and effective. However, evolution of laparoscopic surgery in developing countries is still slow. Therefore, effective training and availability of required instruments is needed. ","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"232 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132824663","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

Functional outcome among patients treated by percutaneous cannulated screw with tension band for transverse patella fracture 经皮张力带空心螺钉治疗髌骨横骨折患者的功能结局

Journal of Gandaki Medical College-Nepal Pub Date : 2021-12-31 DOI: 10.3126/jgmcn.v14i2.38937

R. Dhakal, Rabindra Prasad Shrestha, B. Shrestha, Is Kandel, Karuna Acharya, Krishna bahadur Bista, Pravakar Parajuli

{"title":"Functional outcome among patients treated by percutaneous cannulated screw with tension band for transverse patella fracture","authors":"R. Dhakal, Rabindra Prasad Shrestha, B. Shrestha, Is Kandel, Karuna Acharya, Krishna bahadur Bista, Pravakar Parajuli","doi":"10.3126/jgmcn.v14i2.38937","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i2.38937","url":null,"abstract":"Introduction: Tension band wiring is the most commonly used treatment method for transverse patella fracture. Tension band construct can be achieved by various modifications. Percutaneous cannulated screw with tension band is a minimally invasive technique with stiffer fixation that follows tension band principle. This study aims to assess the clinical and radiological outcome using percutaneous cannulated screw with tension band for the management of transverse patella fracture.\u0000Methods: This was a prospective study among 30 adult patients who had closed displaced transverse patella fracture. Patients with polytrauma, comminuted fracture, neurovascular injury and prior injury to the limb were excluded from the study. Each patient was followed up at 2 weeks, 4 weeks, 3 months and 6 months postoperatively.\u0000Results: Among all surgically treated patients using this technique, Pain gradually decreased over time and was less than VAS score of 1 in all patients at 6 months follow-up with an average score of 0.3. The final range of motion at 6 months was: flexion ranging from 122 to 145 degrees and extension lag from of 0 to 8 degrees. There was significant improvement in range of motion of knee in each follow up. The mean duration for fracture union was 11.4±2.3 weeks. There were no cases of nonunion and hardware failure. The mean Lyshom score was 82.5 at final follow up.\u0000Conclusions: The percutaneous fixation of transverse patella fracture with cannulated screw and SS wire is safe and effective method which gives good functional outcome.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130556807","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

Food safety, sanitation and hygiene practices among street food vendors in Pokhara, Kaski 卡斯基博卡拉街头食品摊贩的食品安全、环境卫生和个人卫生习惯

Journal of Gandaki Medical College-Nepal Pub Date : 2021-12-31 DOI: 10.3126/jgmcn.v14i2.36297

Nisha Bhandari, Babu Ram Bhusal

{"title":"Food safety, sanitation and hygiene practices among street food vendors in Pokhara, Kaski","authors":"Nisha Bhandari, Babu Ram Bhusal","doi":"10.3126/jgmcn.v14i2.36297","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i2.36297","url":null,"abstract":"Background: Street foods are unique and convenient urban food supply meanwhile it lacks the food hygiene and safety posing major public health risk. Thus, the study aims to identify the food safety, sanitation and hygiene practices of street food vendors.\u0000Method: The study is cross sectional including 70 vending units selected conveniently. Structured interview schedule and observation checklist was used as data collection tool.\u0000Result: The mean age of the respondent was 38.06 (±10.417) years with >1/2 being females (61.4%). Majority (77.1%) had formal education, 37.1% earns>40,000/month and 86 % had not taken any food hygiene training. Eighty percent of the respondents had fixed stall with about 83% sell freshly cooked food and 75% prepare it in market place. About 84% of the respondent revealed diarrhea as the most prevalent disease caused by poor hygiene. Very less (27%) have their health check-up regularly and about 68.6% prepare food when they are ill. Almost 50% heat food before serving, 58% wash dishes with tap water, 98.6% wash raw food before preparation and all of them wash cooking dishes daily. About half (48.6%) of the respondents re-use oil while cooking. Approximately in 77% refrigeration facility was available. The food vending was found to be good (>50) in 54.3% and sanitation was good (>50%) in 60%.\u0000Conclusion: Overall sanitary conditions of the vending sites were good but instead needs improvement in most of the aspect of sanitary condition.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115082754","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: 2

Prevalence of partial edentulism among the patients visiting a Tertiary Health Care Center in the Western Region, Nepal 在尼泊尔西部地区的三级保健中心访问的患者中，局部牙补症的流行

Journal of Gandaki Medical College-Nepal Pub Date : 2021-12-31 DOI: 10.3126/jgmcn.v14i2.38719

P. Manandhar, R. Ranjit, S. L. Tuladhar, A. Bhandari

{"title":"Prevalence of partial edentulism among the patients visiting a Tertiary Health Care Center in the Western Region, Nepal","authors":"P. Manandhar, R. Ranjit, S. L. Tuladhar, A. Bhandari","doi":"10.3126/jgmcn.v14i2.38719","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i2.38719","url":null,"abstract":"Introduction: Tooth loss causes impairment, functional limitation, physical, psychological, and social disability. Hence, the study of pattern of tooth loss can provide a rough information about the frequency, cause and magnitude of oral problems, its sequelae that eventually can act as mirror image of prosthodontic treatment needs. \u0000Objectives: To assess the prevalence of partial edentulism and its etiology, to determine its association with sociodemographic parameters, and to find out the motivational factor/s for replacement in willing patients. \u0000Methods: Total 417 patients with partial edentulism were examined intraorally on the basis of Kennedy’s classification with Applegate’s modification. The descriptive analysis was done using frequency distribution. Pearson Chi-square analysis test was used to determine the association between demographic variables and type of tooth loss where p-value ≤0.05 was considered statistically significant. \u0000Results: Partial edentulism was more prevalent in mandibular arch (41.7%) followed by both arches (30.9%). Kennedy’s Class III was the commonest and Kennedy’s class III modification 1 was second most common type of partial edentulism. Age and educational status had statistically significant association while gender had no association with various classes of partial edentulism. Dental caries (62.8%) followed by periodontitis (25.9%) were the major causes of tooth loss. Functional demand (46.8%) was the key motivational factor for the replacement among those who were willing (78.4%). \u0000Conclusions: This study can help in assessing the epidemiological features of partial edentulism of one community in a more classified form and can help gather information necessary to assess the treatment needs. \u0000 ","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133313531","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: 3

Vectorial analysis of the electrocardiogram from conventional limb leads in healthy adult Nepalese females 尼泊尔健康成年女性常规肢体导联心电图的向量分析

Journal of Gandaki Medical College-Nepal Pub Date : 2021-12-31 DOI: 10.3126/jgmcn.v14i2.40656

R. Prajapati, Neebha Amatya, Rajab Rana Magar, Ripti Shrestha

{"title":"Vectorial analysis of the electrocardiogram from conventional limb leads in healthy adult Nepalese females","authors":"R. Prajapati, Neebha Amatya, Rajab Rana Magar, Ripti Shrestha","doi":"10.3126/jgmcn.v14i2.40656","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i2.40656","url":null,"abstract":"Introduction: ECG interpretation plays a vital role in the initial evaluation of patients presenting with cardiac complaints. Assessment of degree of cardiac vector is one of the important parameters to be studied in ECG.\u0000Methods: A prospective cross-sectional study was carried out among 84 female subjects, aged 18- 40 years of age, including students and staff of Gandaki Medical College Teaching hospital and Research Center, Pokhara, Nepal over a period of one month from 1st Oct to 1st Nov 2021. A Standard ECG machine was used and the ECG was recorded using the conventional limb leads. The individual mean electrical axis of the heart was plotted using the net voltage of QRS complex of Lead-I and Lead-III. The possible correlation between cardiac vector and physical measurements like height weight BSA and BMI were analyzed. The data were analyzed in SPSS version 27.\u0000Results: The normal mean electrical axis of the healthy female subjects was observed as 61.7±23.51°. There was a significant positive correlation of cardiac vector with height (p< 0.05), whereas a negative correlation was observed with weight and BMI (p< 0.01). However, there was no significant correlation with BSA. In our study, we observed the maximum left axis cardiac vector as -2° and right axis as 98° among 84 female subjects.\u0000Conclusion: Documentation of cardiac vector was made using standard bipolar limb leads in normal healthy female subjects. BMI is involved in the deviation of cardiac vector with a negative correlation. This observation could make it quite attractive for use in clinical practice.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"2 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114054758","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

Knowledge, attitude and practice of over-the-counter drug among undergraduate medical students-a cross sectional study 医科大学生非处方药知识、态度与行为的横断面调查

Journal of Gandaki Medical College-Nepal Pub Date : 2021-12-31 DOI: 10.3126/jgmcn.v14i2.39336

B. Malla, Deepti Kc

{"title":"Knowledge, attitude and practice of over-the-counter drug among undergraduate medical students-a cross sectional study","authors":"B. Malla, Deepti Kc","doi":"10.3126/jgmcn.v14i2.39336","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i2.39336","url":null,"abstract":"Background: Self-medication of the over-the-counter (OTC) drug is practice all over the world. Although appropriate self-medication practice can address minor illness and is time and cost-effective, it can promote irrational use of medicine; prolong the illness, drug dependency and abuse. Medical students are the future medical practitioners and play the crucial role in counseling the patients. Therefore, the present study was conducted to assess the knowledge, attitude and practice of self- medication among undergraduate students.\u0000Methods: An institution based descriptive, cross sectional study was conducted after ethical approval was taken from the Institutional ethical committee of Gandaki medical college teaching hospital and research center (GMCTHRC) and data was collected from May to July 2018. Descriptive and correlation analysis were done with the data. The results were expressed in percentages.\u0000Results: Among 115 respondents, 60.9 % (70) were female and 39.1% (45) were male students. Majority of respondents (94.8%) believed that instruction on the label of the drugs should be followed and 78.3% respondents agreed that OTC drugs could interact with other prescribed drugs. However, only 53.9% respondents knew that OTC drugs were Group Ga drugs in Nepal. Despite good knowledge and attitude only 37.4% students had good practice in the rational use of the OTC drugs. Moreover, Antipyretic and analgesic drugs were the most commonly used drugs. However, only 36.84% respondents (p<0.05) knew about the correct dose and duration to take the drugs.\u0000Conclusions: We concluded that first year medical and dental should be motivated to use their knowledge into practice.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130777740","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