Journal of KIST Medical College最新文献

Prevalence of Burnout among Healthcare Workers in a Tertiary Care Hospital, its Contributing Factor, and Strategies to Overcome Challenges during the Covid-19 Pandemic 一家三甲医院医护人员的职业倦怠发生率、诱因以及在 Covid-19 大流行期间克服挑战的策略

Journal of KIST Medical College Pub Date : 2024-02-10 DOI: 10.61122/jkistmc269

Samjhana Basnet, Roshan Kasti, Rahul Shrestha, P. Koju, Y. Shakya, Shreeya Shrestha, Shikha Pathak, Saharsa Joshi, Dipesh Tamrakar

{"title":"Prevalence of Burnout among Healthcare Workers in a Tertiary Care Hospital, its Contributing Factor, and Strategies to Overcome Challenges during the Covid-19 Pandemic","authors":"Samjhana Basnet, Roshan Kasti, Rahul Shrestha, P. Koju, Y. Shakya, Shreeya Shrestha, Shikha Pathak, Saharsa Joshi, Dipesh Tamrakar","doi":"10.61122/jkistmc269","DOIUrl":"https://doi.org/10.61122/jkistmc269","url":null,"abstract":"Introduction: Globally, burnout on healthcare workers leads to negative impact on the individual and organizational levels, which ultimately affects patient care. This study aims to identify the prevalence, contributing factors, and mitigation of burnout among healthcare workers during the Covid-19 pandemic.\u0000Method: This is a web-based cross-sectional study conducted among 177 healthcare workers during Covid-19 pandemic in Dhulikhel Hospital, Kathmandu University Hospital, Nepal, from June to December 2021. The participants were selected using a convenience sampling technique. The Copenhagen Burnout Inventory scale (>50) was used to assess the level of burnout among healthcare workers during this crisis, along with contributing factors and mitigation strategies to overcome the Covid-19 pandemic. The descriptive statistics, bivariate analysis and post-hoc test were utilized\u0000Result: The prevalence of burnout for healthcare workers was 125 (70.6%). Nurses and healthcare workers, who have previously worked in covid-19 management were having significantly higher level of personal burnout (H= 13.34, p= 0.004) and work related burnout (H=9.78, p=0.02) score. The main concerns were fear of infecting the family members (80.79%), followed by a lack of resources such as oxygen, personal protective equipment (64.97%). The major mitigation strategies were the provision of incentives (77.97%), good hospital management (74.01%), and training for healthcare professionals (67.8%).\u0000Conclusion: Healthcare workers have higher burnout scores in covid -19 pandemic. The study indicated the necessity of employing effective strategies at the individual and institutional level to overcome Covid-19 crises.\u0000 ","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"41 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139846633","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

Associated Factors with Premenstrual Dysphoric Disorder among Undergraduate Medical Students of a Teaching Hospital 一家教学医院医科本科生经前期焦虑症的相关因素

Journal of KIST Medical College Pub Date : 2024-02-10 DOI: 10.61122/jkistmc280

Sunita Bhandari, Heera Tuladhar

{"title":"Associated Factors with Premenstrual Dysphoric Disorder among Undergraduate Medical Students of a Teaching Hospital","authors":"Sunita Bhandari, Heera Tuladhar","doi":"10.61122/jkistmc280","DOIUrl":"https://doi.org/10.61122/jkistmc280","url":null,"abstract":"Introduction: Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome in women which adversely affects social, academic, or work performance. The mechanisms underlying PMDD are still insufficiently known, the findings indicate a multifactorial genesis. Prevalence data of PMDD and its potential associated risk factors is sparse in Nepal. This study aimed to determine the associated factors with PMDD among undergraduate medical students of a teaching hospital in Nepal.\u0000Methods: This was a cross sectional study conducted among unmarried female medical students at KIST medical college and teaching hospital from 1st June to 30th July, 2023. Students were assigned from each of the four MBBS years (First, Second, Third, and Final) through random sampling till the desired sample size was achieved. Questionnaires about socio-demographic, menstrual, lifestyle variables and questionnaire for diagnosis of PMDD were administered. PMDD was diagnosed from the Diagnostic and Statistical Manual – fifth edition (DSM-5) of the American Psychiatric Association (APA). Data Analysis was performed using SPSS version 16. Data calculated as frequencies, mean, standard deviation and chi square test, independent t test with p-value of < 0.05 was considered as statistically significant.\u0000Results: The prevalence of PMDD according to DSM-V criteria was 41 (36.28%). PMDD was significantly associated with dysmenorrhea (P=0.030) and with intake of caffeinated beverages (P=0.034).\u0000Conclusion: PMDD is prevalent among medical students in Nepal. The potential associated risk factors are dysmenorrhea and intake of caffeinated beverages.","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":" 995","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139786982","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

Prevalence of Burnout among Healthcare Workers in a Tertiary Care Hospital, its Contributing Factor, and Strategies to Overcome Challenges during the Covid-19 Pandemic 一家三甲医院医护人员的职业倦怠发生率、诱因以及在 Covid-19 大流行期间克服挑战的策略

Journal of KIST Medical College Pub Date : 2024-02-10 DOI: 10.61122/jkistmc269

Samjhana Basnet, Roshan Kasti, Rahul Shrestha, P. Koju, Y. Shakya, Shreeya Shrestha, Shikha Pathak, Saharsa Joshi, Dipesh Tamrakar

{"title":"Prevalence of Burnout among Healthcare Workers in a Tertiary Care Hospital, its Contributing Factor, and Strategies to Overcome Challenges during the Covid-19 Pandemic","authors":"Samjhana Basnet, Roshan Kasti, Rahul Shrestha, P. Koju, Y. Shakya, Shreeya Shrestha, Shikha Pathak, Saharsa Joshi, Dipesh Tamrakar","doi":"10.61122/jkistmc269","DOIUrl":"https://doi.org/10.61122/jkistmc269","url":null,"abstract":"Introduction: Globally, burnout on healthcare workers leads to negative impact on the individual and organizational levels, which ultimately affects patient care. This study aims to identify the prevalence, contributing factors, and mitigation of burnout among healthcare workers during the Covid-19 pandemic.\u0000Method: This is a web-based cross-sectional study conducted among 177 healthcare workers during Covid-19 pandemic in Dhulikhel Hospital, Kathmandu University Hospital, Nepal, from June to December 2021. The participants were selected using a convenience sampling technique. The Copenhagen Burnout Inventory scale (>50) was used to assess the level of burnout among healthcare workers during this crisis, along with contributing factors and mitigation strategies to overcome the Covid-19 pandemic. The descriptive statistics, bivariate analysis and post-hoc test were utilized\u0000Result: The prevalence of burnout for healthcare workers was 125 (70.6%). Nurses and healthcare workers, who have previously worked in covid-19 management were having significantly higher level of personal burnout (H= 13.34, p= 0.004) and work related burnout (H=9.78, p=0.02) score. The main concerns were fear of infecting the family members (80.79%), followed by a lack of resources such as oxygen, personal protective equipment (64.97%). The major mitigation strategies were the provision of incentives (77.97%), good hospital management (74.01%), and training for healthcare professionals (67.8%).\u0000Conclusion: Healthcare workers have higher burnout scores in covid -19 pandemic. The study indicated the necessity of employing effective strategies at the individual and institutional level to overcome Covid-19 crises.\u0000 ","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139786717","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

Associated Factors with Premenstrual Dysphoric Disorder among Undergraduate Medical Students of a Teaching Hospital 一家教学医院医科本科生经前期焦虑症的相关因素

Journal of KIST Medical College Pub Date : 2024-02-10 DOI: 10.61122/jkistmc280

Sunita Bhandari, Heera Tuladhar

{"title":"Associated Factors with Premenstrual Dysphoric Disorder among Undergraduate Medical Students of a Teaching Hospital","authors":"Sunita Bhandari, Heera Tuladhar","doi":"10.61122/jkistmc280","DOIUrl":"https://doi.org/10.61122/jkistmc280","url":null,"abstract":"Introduction: Premenstrual Dysphoric Disorder (PMDD) is a severe form of premenstrual syndrome in women which adversely affects social, academic, or work performance. The mechanisms underlying PMDD are still insufficiently known, the findings indicate a multifactorial genesis. Prevalence data of PMDD and its potential associated risk factors is sparse in Nepal. This study aimed to determine the associated factors with PMDD among undergraduate medical students of a teaching hospital in Nepal.\u0000Methods: This was a cross sectional study conducted among unmarried female medical students at KIST medical college and teaching hospital from 1st June to 30th July, 2023. Students were assigned from each of the four MBBS years (First, Second, Third, and Final) through random sampling till the desired sample size was achieved. Questionnaires about socio-demographic, menstrual, lifestyle variables and questionnaire for diagnosis of PMDD were administered. PMDD was diagnosed from the Diagnostic and Statistical Manual – fifth edition (DSM-5) of the American Psychiatric Association (APA). Data Analysis was performed using SPSS version 16. Data calculated as frequencies, mean, standard deviation and chi square test, independent t test with p-value of < 0.05 was considered as statistically significant.\u0000Results: The prevalence of PMDD according to DSM-V criteria was 41 (36.28%). PMDD was significantly associated with dysmenorrhea (P=0.030) and with intake of caffeinated beverages (P=0.034).\u0000Conclusion: PMDD is prevalent among medical students in Nepal. The potential associated risk factors are dysmenorrhea and intake of caffeinated beverages.","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"3 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139846846","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

Impacted Foreign body of Porcupine spine in Neck- a case report 颈部豪猪脊椎异物撞击--病例报告

Journal of KIST Medical College Pub Date : 2024-02-07 DOI: 10.61122/jkistmc255

Alina Acharya, Bikram Budhathoki, Prakash Basel, Benzene Gautam

引用次数: 0

Impacted Foreign body of Porcupine spine in Neck- a case report 颈部豪猪脊椎异物撞击--病例报告

Journal of KIST Medical College Pub Date : 2024-02-07 DOI: 10.61122/jkistmc255

Alina Acharya, Bikram Budhathoki, Prakash Basel, Benzene Gautam

引用次数: 0

Epidemiological and Clinical Profiles of Cases of Appendicitis Managed At a Tertiary Hospital in Nepal 尼泊尔一家三级医院收治的阑尾炎病例的流行病学和临床概况

Journal of KIST Medical College Pub Date : 2024-02-07 DOI: 10.61122/jkistmc290

Y. Shakya

{"title":"Epidemiological and Clinical Profiles of Cases of Appendicitis Managed At a Tertiary Hospital in Nepal","authors":"Y. Shakya","doi":"10.61122/jkistmc290","DOIUrl":"https://doi.org/10.61122/jkistmc290","url":null,"abstract":"\u0000 \u0000ABSTRACT \u0000Introduction: Appendicitis is worldwide the most common surgical emergency that affects both genders and all ages. \u0000Methods: This study aimed to assess the epidemiology and clinical profiles of cases of appendicitis in Nepal and compare it with the existing literature. A cross-sectional descriptive study was done on 756 patients attending Dhulikhel hospital a tertiary health care center in Dhulikhel Nepal. All the patients clinically diagnosed with appendicitis were included in this study. The required information was coded, and entered in a Microsoft Excel spreadsheet and analysis was done using SPSS version 22. The epidemiological and clinical findings were analyzed. \u0000Results: Mean age of patients was 29.13 ± 16 years. Out of 756 patients, 458 (60.9 %) of patients were male and 298 (39.4%) were females. The majority 42.7% of patients were from Brahmin/Chhetri ethnicity. The most common procedure for the management of appendicitis was laparoscopic appendectomy (61.24%) followed by Open appendectomy (30.6%). The mean duration of postoperative hospital stay was highest among conservative (5.2 days) and lowest among laparoscopic appendectomies (2.2 days). Most of the cases were acute inflammation (47.8%). \u0000Conclusion: Appendicitis is more common among males than females, and between 20- 30 yrs of age. The most common surgical procedure was laparoscopic appendectomy, and it has been recorded those minimum days of postoperative hospital stay was also found among laparoscopic appendectomy. Most cases are acute inflammation. \u0000 \u0000 ","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"54 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139798048","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

Epidemiological and Clinical Profiles of Cases of Appendicitis Managed At a Tertiary Hospital in Nepal 尼泊尔一家三级医院收治的阑尾炎病例的流行病学和临床概况

Journal of KIST Medical College Pub Date : 2024-02-07 DOI: 10.61122/jkistmc290

Y. Shakya

{"title":"Epidemiological and Clinical Profiles of Cases of Appendicitis Managed At a Tertiary Hospital in Nepal","authors":"Y. Shakya","doi":"10.61122/jkistmc290","DOIUrl":"https://doi.org/10.61122/jkistmc290","url":null,"abstract":"\u0000 \u0000ABSTRACT \u0000Introduction: Appendicitis is worldwide the most common surgical emergency that affects both genders and all ages. \u0000Methods: This study aimed to assess the epidemiology and clinical profiles of cases of appendicitis in Nepal and compare it with the existing literature. A cross-sectional descriptive study was done on 756 patients attending Dhulikhel hospital a tertiary health care center in Dhulikhel Nepal. All the patients clinically diagnosed with appendicitis were included in this study. The required information was coded, and entered in a Microsoft Excel spreadsheet and analysis was done using SPSS version 22. The epidemiological and clinical findings were analyzed. \u0000Results: Mean age of patients was 29.13 ± 16 years. Out of 756 patients, 458 (60.9 %) of patients were male and 298 (39.4%) were females. The majority 42.7% of patients were from Brahmin/Chhetri ethnicity. The most common procedure for the management of appendicitis was laparoscopic appendectomy (61.24%) followed by Open appendectomy (30.6%). The mean duration of postoperative hospital stay was highest among conservative (5.2 days) and lowest among laparoscopic appendectomies (2.2 days). Most of the cases were acute inflammation (47.8%). \u0000Conclusion: Appendicitis is more common among males than females, and between 20- 30 yrs of age. The most common surgical procedure was laparoscopic appendectomy, and it has been recorded those minimum days of postoperative hospital stay was also found among laparoscopic appendectomy. Most cases are acute inflammation. \u0000 \u0000 ","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"103 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139857896","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

Study on Assessment of the Diameter of Thoracic Aorta by Computed Tomography of Chest 通过胸部计算机断层扫描评估胸主动脉直径的研究

Journal of KIST Medical College Pub Date : 2024-01-31 DOI: 10.61122/jkistmc283

Sona Pokhrel, Rupesh Sharma

{"title":"Study on Assessment of the Diameter of Thoracic Aorta by Computed Tomography of Chest","authors":"Sona Pokhrel, Rupesh Sharma","doi":"10.61122/jkistmc283","DOIUrl":"https://doi.org/10.61122/jkistmc283","url":null,"abstract":"INTRODUCTION: Computed tomography (CT) is frequently used for the evaluation of different aortic diseases which is a good method of measuring the aortic diameter. Thus, knowledge of normal aortic diameters is very important in the assessment of aortic disease. \u0000METHODS: This was a prospective cross sectional study done on 105 patients who presented in department of Radiodiagnosis in Lumbini Medical College, Palpa, Nepal from February 5th 2022 to February 4th 2023. Plain helical scan was performed using Siemens Somatom 16 slice CT scanner. CT images were obtained in supine position with full inspiration. Diameters of the aorta was measured at the level of aortic valve sinus, ascending aorta, proximal to innominate artery, transverse aortic arch, distal transverse aortic arch, aortic isthmus and descending aorta at the level of diaphragm perpendicular to the axis of the aorta. \u0000RESULTS: Diameter of thoracic aorta was found to be maximum at ascending aorta with mean of 2.85 cm, followed by aortic valve sinus 2.80 cm, 2.68 cm at proximal to innominate artery, 2.57 cm at proximal transverse arch, 2.41 cm at distal transverse arch, 2.24 cm at isthmus and 2.03 cm at descending aorta at the level of diaphragm. There was smooth tapering of aortic diameter from ascending aorta onwards. There was a significant correlation of mean ascending aorta diameter with the age of the patients(r = 0.475, p< 0.05). \u0000CONCLUSION: Diameter of thoracic aorta was found to be maximum at the level of the ascending aorta and minimum at the level of diaphragm. The diameter of thoracic aorta had significant correlation with the age of patients.","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"57 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140476416","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

Clinical Profile and Outcome of Sub Acute Intestinal Obstruction. A Descriptive Cross-Sectional Study 亚急性肠梗阻的临床特征和预后。描述性横断面研究

Journal of KIST Medical College Pub Date : 2024-01-31 DOI: 10.61122/jkistmc288

G. Simkhada, R. Mukhia, Bibechan Thapa, Deepak Raj Singh, Abishek Thapa, T. P. Bohara

{"title":"Clinical Profile and Outcome of Sub Acute Intestinal Obstruction. A Descriptive Cross-Sectional Study","authors":"G. Simkhada, R. Mukhia, Bibechan Thapa, Deepak Raj Singh, Abishek Thapa, T. P. Bohara","doi":"10.61122/jkistmc288","DOIUrl":"https://doi.org/10.61122/jkistmc288","url":null,"abstract":"Introduction: Sub-acute intestinal obstruction (SAIO) is a partial blockage of the intestines causing abdominal pain, nausea, vomiting and obstipation. Diagnosing SAIO can be difficult, and CT scans are more accurate than plain X-rays. Treatment involves conservative measure initially, but surgery may be necessary if symptoms persist after 24-48 hours. This study aimed to assess the clinical profile and outcome of patients with SAIO.\u0000Methods: This was a descriptive cross-sectional study conducted in department of surgery at KIST Medical College and Teaching Hospital from 2022 to 2023 after getting ethical clearance. Fifty patients admitted with clinical feature suggestive of SAIO were enrolled for study. Predesigned proforma was used to record information that assessed demographic, clinical and treatment profile. SPSS version 26 was used for data analysis to generate descriptive statistical findings.\u0000 Results: Abdominal pain was the most prevalent symptom observed in 39 (78%) patients while exaggerated bowel sound was most common clinical findings that was observed in 31 (62%). Pervious abdominal surgeries were present among 30 (60%) patients. Plain X-Ray showed feature suggestive of SAIO in 49 (98%) patients. Majority patients 35 (70%) were managed successfully with conservative treatment. \u0000 Conclusion : In SAIO, abdominal pain was the most prevalent symptom while alteration in bowel sound is important clinical finding that is consistent with intestinal obstruction. Previous abdominal surgeries are an important risk factor to be considered for intestinal obstruction. Plain x-ray findings play important role to make diagnosis of intestinal obstruction. Conservative treatment resolves obstruction in majority of patients.\u0000 ","PeriodicalId":368125,"journal":{"name":"Journal of KIST Medical College","volume":"191 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140471706","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