Journal of Gandaki Medical College-Nepal最新文献_第8页

Bacteriological profile of surgical site infections in a tertiary care hospital of western Nepal 尼泊尔西部一家三级医院手术部位感染的细菌学分析

Journal of Gandaki Medical College-Nepal Pub Date : 2021-07-03 DOI: 10.3126/jgmcn.v14i1.32703

D. R. Bhatta, A. Adhikari, Jampa Lhamo Gurung, N. Amatya, N. Nayak, S. Gokhale

{"title":"Bacteriological profile of surgical site infections in a tertiary care hospital of western Nepal","authors":"D. R. Bhatta, A. Adhikari, Jampa Lhamo Gurung, N. Amatya, N. Nayak, S. Gokhale","doi":"10.3126/jgmcn.v14i1.32703","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i1.32703","url":null,"abstract":"Introduction: Surgical site infections are one of the most commonly reported nosocomial infections resulting into significant morbidity and mortality. Hospital admission and surgical procedures increase the risk of infection with multidrug resistant pathogens. This study was aimed to determine the bacterial agents associated with surgical site infections and antibiotic resistance patterns of the isolates. \u0000Methods: A total of 161 specimens from patients with surgical site infections were included in this study. Isolation, identification and antibiotic susceptibility testing of the isolates was performed by standard microbiological techniques. \u0000Results: Out of 161 samples, 94 bacterial isolates were recovered. Gram positive bacteria were isolated in 57.4% (54/94) cases and Staphylococcus aureus was the most common organism (49/54) with 65.3% (32/49) methicillin resistant Staphylococcus aureus isolates. All S. aureus isolates were susceptible to vancomycin. Gram negative bacteria constituted 42.6% (40/94) of total isolates and Escherichia coli was the commonest organism (13/40). Majority of Gram negative isolates were susceptible to amikacin, imipenem and piperacillin-tazobactam. Resistance to imipenem was detected among isolates of E coli, Pseudomonas and Acinetobacter species. \u0000Conclusion: Gram positive isolates were more commonly associated with surgical site infections. High percentage of MRSA was detected among the S. aureus isolates but no vancomycin resistant S. aureus. High percentage of Gram negative isolates was susceptible to imipenem, piperacillin-tazobactam, amikacin and gentimicin.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"402 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116389053","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

Impact of COVID-19 awareness on health-related behavior among adolescents in Nepal COVID-19意识对尼泊尔青少年健康相关行为的影响

Journal of Gandaki Medical College-Nepal Pub Date : 2021-07-03 DOI: 10.3126/jgmcn.v14i1.35124

B. Banstola, Durga Dhungana

{"title":"Impact of COVID-19 awareness on health-related behavior among adolescents in Nepal","authors":"B. Banstola, Durga Dhungana","doi":"10.3126/jgmcn.v14i1.35124","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i1.35124","url":null,"abstract":"Introduction: With occurrence of COVID-19, many countries have initiated lockdown in an effort to control the pandemic. These measures can only be effective when the people co-operate. The awareness and health-related behavior have a major role in determining society’s response. Meanwhile adolescents are at the risk of deviating from disciplined health-related behaviors due to turbulence arising from their hormones despite of their awareness. This study aims to study COVID-19 awareness and its impact on health-related behavior of adolescents. \u0000Methods: A descriptive cross-sectional web-based online study of 299 adolescents enrolled in various educational programs, between ages 13 to 19 years was conducted between June 18, 2020 and July 11, 2020 in Nepal. The questionnaire consisted of demographic characteristics, 16 items on knowledge and 40 items on behavior. Descriptive statistics, chi-square tests and binary logistic regression were conducted in Statistical Package for the Social Sciences. \u0000Results: A total of 299 adolescents were enrolled in the study. Majority (92.6%) of the adolescents had adequate awareness. Positive health-related behavior was seen in 72% of the adolescents. Spiritual behavior was the most affected in comparison to physical, social and psychological behavior. Adolescents with adequate awareness on COVID-19 were 10.67 times more likely to perform positive health related behavior (P=0.005; 95% CI=2.01-56.47). \u0000Conclusion: Majority of the adolescents had adequate awareness. Significant percentage of adolescents had positive health-related behavior. Positive behaviour was not proportionately in level with adequate awareness. Effective health programs and policies are needed to transform adequate awareness into positive health-related behaviour for effective control of disease.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132385040","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

Demographic and autopsy characteristics of drowning deaths in a major autopsy center of Gandaki province of Nepal 尼泊尔甘达基省一个主要尸检中心溺水死亡的人口统计学和尸检特征

Journal of Gandaki Medical College-Nepal Pub Date : 2021-07-03 DOI: 10.3126/jgmcn.v14i1.32661

M. Baral, N. Subedi

{"title":"Demographic and autopsy characteristics of drowning deaths in a major autopsy center of Gandaki province of Nepal","authors":"M. Baral, N. Subedi","doi":"10.3126/jgmcn.v14i1.32661","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i1.32661","url":null,"abstract":"Background: Autopsy examination is mandatory in all unnatural deaths as per law of Nepal and thus all deaths due to drowning are undergone medico legal autopsy. This study aims to analyze the demographic and autopsy characteristics of drowning deaths in cases brought for medico legal autopsy at a major autopsy center of Gandaki province of Nepal. \u0000Methods: This study was conducted based on review of database in a period of two years among 53 corpses of drowning related deaths. The demographic data and relevant information from the inquest and autopsy report of such cases were collected and presented. \u0000Result: The commonest age group involved in drowning deaths was <20 years, attributing to 22 (41.5%) cases, and with males (41, 77.4%) more common than females. Suicidal drowning (34, 64.2%) was the commonest manner. Maximum (19, 35.8%) deaths occurred in the rainy season and on lakes (34, 64.1%). \u0000Conclusion: Drowning deaths were more common among males of young age groups. Most of the drownings occurred during the rainy season, lakes were the common sites of drowning, and the commonest manner was suicidal.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126592204","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

HIV-Associated benign lymphoepithelial parotid cysts: a rare case report hiv相关良性淋巴上皮性腮腺囊肿1例报告

Journal of Gandaki Medical College-Nepal Pub Date : 2021-07-03 DOI: 10.3126/jgmcn.v14i1.30938

Brihaspati Sigdel, P. Acharya, R. Maharjan, Kusheswar Sah

引用次数: 0

Pattern of morbidity and mortality among neonates admitted to neonatal intensive care unit in tertiary care centre, western Nepal 尼泊尔西部三级保健中心新生儿重症监护病房收治的新生儿发病率和死亡率模式

Journal of Gandaki Medical College-Nepal Pub Date : 2021-07-03 DOI: 10.3126/jgmcn.v14i1.35130

Namrata K.C., B. Shrestha, A. Bhattarai, S. Paudel, N. Subedi

{"title":"Pattern of morbidity and mortality among neonates admitted to neonatal intensive care unit in tertiary care centre, western Nepal","authors":"Namrata K.C., B. Shrestha, A. Bhattarai, S. Paudel, N. Subedi","doi":"10.3126/jgmcn.v14i1.35130","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i1.35130","url":null,"abstract":"Background: The objective of this study was to determine the disease pattern and outcome of diseases in neonatal intensive care unit (NICU) as the common causes of mortality and morbidity in our region are preventable. \u0000Methods: The retrospective study was carried out in 1041 newborns admitted from 1st August 2019 to 30th July 2020 in Gandaki Medical College Teaching Hospital in Western Nepal. Age, sex, gestational age, diagnosis at admission, outcome of admitted newborns were the main variables under study. Data was entered and analyzed using SPSS 20 version. \u0000Result: Among 1041 newborns, 599 (57.54%) were male and 442(42.46%) were female. 1028(98.75%) were born in hospital while 8(0.77%) were born at home and 5(0.48%) in ambulance. The majority 610 newborns were admitted during the first 24 hours of life. Infection and hyperbilirubinemia were the main reasons for admission (44.96% and 23.15 % respectively), followed by prematurity (9.51%) and Birth Asphyxia (9.13%). A total of 831patients (79.83%) were improved and discharged, 79(7.59%) were discharged on request, 61(7.59%) left against medical advice, 34 (3.26) were referred and 36 (3.46%) expired. The major causes for neonatal mortality were prematurity (44.45%), Sepsis (27.78%), and Birth Asphyxia (13.89%) respectively. Among the expired neonates, 24(66.67%) were outborns and 12(33.33%) were inborns and majority 27(75%) expired at the age between 24-48 hours of life. \u0000Conclusions: Infection was the leading cause of morbidity and prematurity the leading cause of mortality in the neonatal care unit. This is preventable with antenatal care, training of manpower and procurement of necessary equipments.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130121613","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

Association between emotional intelligence and academic performance among students in Gandaki Medical College, Pokhara 博卡拉甘达基医学院学生情绪智力与学业成绩的关系

Journal of Gandaki Medical College-Nepal Pub Date : 2021-07-03 DOI: 10.3126/jgmcn.v14i1.32622

R. Shrestha, N. Shrestha, S. Koju, Ratna Keshari Tako

{"title":"Association between emotional intelligence and academic performance among students in Gandaki Medical College, Pokhara","authors":"R. Shrestha, N. Shrestha, S. Koju, Ratna Keshari Tako","doi":"10.3126/jgmcn.v14i1.32622","DOIUrl":"https://doi.org/10.3126/jgmcn.v14i1.32622","url":null,"abstract":"Introduction: Recent studies in last few decades are revealing that Intelligence Quotient (IQ) alone is not a reliable factor of students’ academic achievement. It has been claimed that only 20% of a person’s success can be attributed to IQ and rest 80% to Emotional Quotient. Since, many researchers had claimed the influence of emotional intelligence on academic performance; the aims of this study were to find out the level of emotional intelligence and its relation with academic performance among Nepali undergraduate students. \u0000Methods: A cross sectional study was carried out in 280 medical students (120 male, 160 female). The data of this research was obtained through the use of a questionnaire which elicits information about their Emotional Intelligence level and academic performance. The obtained data was analyzed by SPSS. The degree of relationship between marks obtained and emotional intelligence were established by Correlation coefficient and Fischer exact test. The level of significance was set at p-value less than 0.05. \u0000Results: The mean level of emotional intelligence was high (5.055±0.798) among Nepalese medical students. The respondents were reported to have high level of emotional intelligence with (5.544±0.929) for Self- awareness, (5.035±1.01) for Social awareness, (5.394±1.11) for Social skill and moderate level of emotional intelligence (4.24±1.37) for Self-management. \u0000Conclusion: There was a positive and strong relationship between the respondents’ overall emotional intelligence and their academic achievement which means that the higher their level of emotional intelligence, the better they perform academically.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130035996","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

Medical education in Nepal during the COVID-19 pandemic: challenges and opportunities 2019冠状病毒病大流行期间尼泊尔的医学教育:挑战与机遇

Journal of Gandaki Medical College-Nepal Pub Date : 2020-12-25 DOI: 10.3126/jgmcn.v13i2.33168

N. Subedi, S. Paudel

引用次数: 1

Efficacy and cost-effectiveness analysis of steroid in treatment of Otitis Media with Effusion (OME) in children: A Randomized Trial 类固醇治疗儿童中耳炎积液(OME)的疗效和成本-效果分析:一项随机试验

Journal of Gandaki Medical College-Nepal Pub Date : 2020-12-25 DOI: 10.3126/jgmcn.v13i2.30198

A. Acharya, B. Pokharel, S. Pandit, Suman Bartaula

{"title":"Efficacy and cost-effectiveness analysis of steroid in treatment of Otitis Media with Effusion (OME) in children: A Randomized Trial","authors":"A. Acharya, B. Pokharel, S. Pandit, Suman Bartaula","doi":"10.3126/jgmcn.v13i2.30198","DOIUrl":"https://doi.org/10.3126/jgmcn.v13i2.30198","url":null,"abstract":"Background: Otitis media with effusion (OME) is a common disorder in children and lacks international consensus for its treatment. Out of various treatment options, few studies have show promising benefits of steroids for this condition. The objective of this study was to find the efficacy of steroid in treatment of OME and compare effectiveness of various modalities of treatment for OME. Also, we conducted their cost-effectiveness analysis. \u0000Methods: In this experimental study, 160 children between one and 12 years of age having OME between September 2018 and January 2020 were randomized into four parallel groups and were managed with antibiotics-antihistamines-decongestant combination, nasal steroid spray, oral steroid, and watchful observation respectively. They were re-evaluated in one-month period for improvement in OME and appearance of any adverse effects. Improvement was compared with Chi-square test. \u0000Results: A total of 160 participants were randomly divided into four groups by block randomization. The group treated with nasal steroid spray showed statistically significant improvement. The group treated with oral steroid showed improvement but was not statistically significant. Improvement was significantly lower in observation group. Cost of treatment was in the decreasing order in antibiotics-combination, nasal steroid spray, oral steroid and observation groups respectively. \u0000Conclusions: Topical nasal steroid was the only efficacious treatment among the four modalities for OME. Furthermore, steroids were safe and cheaper than antibiotics combination.","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126498839","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

Mesio-distal crown width in permanent dentition amongst adolescent population of Province II of Nepal 尼泊尔第二省青少年恒牙列中-远端冠宽

Journal of Gandaki Medical College-Nepal Pub Date : 2020-06-18 DOI: 10.3126/jgmcn.v13i1.28629

A. Jaiswal, U. Parajuli, M. Bajracharya, B. Singh

{"title":"Mesio-distal crown width in permanent dentition amongst adolescent population of Province II of Nepal","authors":"A. Jaiswal, U. Parajuli, M. Bajracharya, B. Singh","doi":"10.3126/jgmcn.v13i1.28629","DOIUrl":"https://doi.org/10.3126/jgmcn.v13i1.28629","url":null,"abstract":"Background: The purpose of this study was to gather normative data on the mesio-distal crown dimensions amongst adolescent population of Province II, Nepal, to make an accurate diagnosis and treatment planning in orthodontics. It will also be useful in various clinical disciplines of dentistry including basic dental and anthropological research. \u0000Materials and Methods: Samples were selected Full form OPD of M B Kedia Dental College, Birgunj, Nepal. Total numbers of participants were 120, out of which 60 males and 60 females were selected after initial examination aged between 11 to 23 years. Subjects with all permanent teeth erupted (except second and third molar) without any history of previous orthodontic treatment and with no dental anomalies were included in this study. The alginate impressions were made by the well trained dental surgeon. Digital vernier calliper providing measurements to ± 0.01millimeter(mm) was used to measure the mesio-distal dimension of all teeth. \u0000Results: The mean, range and standard deviation were calculated for the size of the teeth. Independent t-test was used to compare between male and female population. The significance level was set at p value <= 0.05. The population of Province II, Nepal shows greater sexual dimorphism in mesio-distal crown dimension which was exhibited by the maxillary molars (0.88 mm) followed by mandibular molars (0.38 mm). Similarly in anterior tooth segment the maxillary canines (0.29 mm) followed by the mandibular canines (0.27 mm). \u0000Conclusion: The mean mesio-distal crown dimensions of the permanent dentition of males were larger than that of females for each type of tooth except maxillary central and lateral incisor. ","PeriodicalId":177622,"journal":{"name":"Journal of Gandaki Medical College-Nepal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115495230","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

All about COVID-19 what do we know? 关于COVID-19，我们知道些什么?

Journal of Gandaki Medical College-Nepal Pub Date : 2020-06-18 DOI: 10.3126/jgmcn.v13i1.29232

D. Kandel

引用次数: 0