Bhutan Health Journal最新文献_第2页

Medication errors and associated factors as perceived by nurses working at the national referral hospital in Bhutan 不丹国家转诊医院护士认为的用药错误及相关因素

Bhutan Health Journal Pub Date : 2022-11-30 DOI: 10.47811/bhj.144

Tshering Dema, Kencho Zangmo, Pema Dorji, Tshering Zangmo, Kezang Namgay, K. Wangdi, S. Jamtsho

{"title":"Medication errors and associated factors as perceived by nurses working at the national referral hospital in Bhutan","authors":"Tshering Dema, Kencho Zangmo, Pema Dorji, Tshering Zangmo, Kezang Namgay, K. Wangdi, S. Jamtsho","doi":"10.47811/bhj.144","DOIUrl":"https://doi.org/10.47811/bhj.144","url":null,"abstract":"Introduction: A common patient safety issue is medication error and this has remained a serious problem in hospital settings. Medication error occurs at any point of medication process: prescription, transcription, dispensing, and administration. Administration error is the most common type of error occurring among nurses; although nurses play a vital role in preventing harms of prescription and dispensing errors from reaching the patient. Therefore, this study was aimed at assessing medication errors and associated factors as perceived by nurses.\u0000Methods: The study was conducted at a tertiary hospital in Bhutan and 225 nurses participated through self-reported questionnaire. Data were double entered and validated in Epidata and analyzed using descriptive commands of statistical software STATA.\u0000Results: Among total participants of N = 225, 62.7% reported to have experienced medication error in past six months. Common type of error experienced were omission of dose; wrong time; wrong dose, and administering drugs without physician’s order. Nurses in intensive care units and those caring for pediatric patients reported experiencing more errors. The perceived factors were look-alike drugs, many patients with similar medicines, more medicines to single patient, and oral instructions and acronyms in prescription.\u0000Conclusions: The nurses reported to have experienced quite a high rate of medication error. The results may be used by relevant stakeholders in preventing and reducing medication errors, the biggest challenge of patient safety in hospital settings.\u0000 ","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114471163","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 case of Coats Disease presenting with Retinal Detachment in Bhutan 科茨病在不丹表现为视网膜脱离1例

Bhutan Health Journal Pub Date : 2022-11-30 DOI: 10.47811/bhj.146

Phuntsho Dorji, Deki Deki, Mendu Drukpa

引用次数: 0

Intracerebral hemorrhage (ICH)-a rare complication of Pre-eclampsia: a case report 脑出血——子痫前期罕见并发症1例

Bhutan Health Journal Pub Date : 2022-08-15 DOI: 10.47811/bhj.141

S. Gyamtsho, Kesang Namgyel, S. Jamtsho, Karma Lhaden

引用次数: 0

Impact of COVID-19 pandemic on the burden of dog bite cases at the National Referral Hospital in Bhutan COVID-19大流行对不丹国家转诊医院狗咬伤病例负担的影响

Bhutan Health Journal Pub Date : 2022-08-15 DOI: 10.47811/bhj.139

Dr Chhabi Lal Adhikari, Lila Adhikari, Sunita Pradhan

{"title":"Impact of COVID-19 pandemic on the burden of dog bite cases at the National Referral Hospital in Bhutan","authors":"Dr Chhabi Lal Adhikari, Lila Adhikari, Sunita Pradhan","doi":"10.47811/bhj.139","DOIUrl":"https://doi.org/10.47811/bhj.139","url":null,"abstract":"Introduction: Dog bite is a public health problem in Bhutan incurring huge cost of treatment. The general objective of the study was to see the impact of COVID-19 pandemic on the burden of dog bite cases and the profile of patients, comparing with that of the year before the COVID-19 pandemic started (2019) at the National Referral Hospital.\u0000Methods: This is a retrospective record review of the dog bite cases in the year 2019 and 2020. The target population of the study were people living in Thimphu city. The dog bites that occurred outside Thimphu were excluded from the study. Proportion of dog bite according to demographic and clinical variables were calculated. Univariate and multivariate analysis were done to look for risk factors responsible for dog bite in 2020 compared to 2019. A statistically significant level was set at <0.01.\u0000Results: The dog bite cases in the year 2019 and 2020 were recorded at 3.3% and 2.4% respectively There was male predominance and highest incidence of the dog bite was in age group of 20-59 years. The commonest site of bite were lower limbs and stray dog bites were highest risk exposure.\u0000Conclusion: less dog bite cases reported in 2020 which may be due to the impact of pandemic. Majority of the cases were stray dog bites and high incidence of dog bites can be a major concern for health, social and economic wellbeing of the nation which needs urgent intervention.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123992541","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

Evaluation of antimicrobial efficacy of different hand sanitizers available in Thimphu, Bhutan 评价不丹廷布市提供的不同洗手液的抗菌效果

Bhutan Health Journal Pub Date : 2022-08-15 DOI: 10.47811/bhj.138

Vishal Chhetri, S. Jamtsho, Kelzang Wangdi, Sonam Gyeltshen, T. Dorji, Amin Ngawang Tashi

{"title":"Evaluation of antimicrobial efficacy of different hand sanitizers available in Thimphu, Bhutan","authors":"Vishal Chhetri, S. Jamtsho, Kelzang Wangdi, Sonam Gyeltshen, T. Dorji, Amin Ngawang Tashi","doi":"10.47811/bhj.138","DOIUrl":"https://doi.org/10.47811/bhj.138","url":null,"abstract":"Introduction: Hand washing and the use of alcohol based hand-rub are two effective hand-hygiene procedures. Though the compliance to hand washing was relatively low, the COVID-19 pandemic situation has drastically increased the use of hand sanitizers. Thus, many hand sanitizer brands have entered the market and this study was taken up to assess the microbial efficacy of different types of hand sanitizers available in Thimphu.\u0000Methods: Ten gel based and ten liquid hand sanitizers were collected from various retail pharmacy shops in Thimphu during first quarter of 2020. Laboratory based experiment was performed using standard organism; Gram Negative Bacteria (GNB) Escherichia coli (American Type Culture Collection 25922) and Pseudomonas aurigenosa (American Type Culture Collection 27853), Gram Positive Bacteria (GPB) Staphylococcus aureus (American Type Culture Collection 25923) and a cocktail of GNB and GPC. The efficacy of hand sanitizer was assessed with the size of the Zone of Inhibition (ZoI).\u0000Results: The hand sanitizers were found to be effective against all strains of micro organism but with differentsize of ZoI. The maximum size of Zone of Inhibition was observed by sample N and Q (ZoI diameter 33.0±0.14mm) for American Type Culture Collection 25923. The Zone of Inhibition of liquid base hand sanitizers was significantly higher than that of gel base (p<0.05).\u0000Conclusions: The study presents that liquid base alcohol based hand sanitizer is more efficient than the gel form.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132138170","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

Poor Lung Function of Industrial Workers of Bhutan: a retrospective study 不丹产业工人肺功能差的回顾性研究

Bhutan Health Journal Pub Date : 2022-08-15 DOI: 10.47811/bhj.140

Phurpa, Sonam Chhoden, K. Wangdi, Chador Wangdi

{"title":"Poor Lung Function of Industrial Workers of Bhutan: a retrospective study","authors":"Phurpa, Sonam Chhoden, K. Wangdi, Chador Wangdi","doi":"10.47811/bhj.140","DOIUrl":"https://doi.org/10.47811/bhj.140","url":null,"abstract":"Introduction: Occupational lung diseases are some of the common causes of lung function impairment. Spirometry is a gold standard to determine lung function and, to diagnose obstructive and restrictive lung diseases. Therefore, this study aimed to determine the prevalence of abnormal lung function among employees of different industries of Bhutan.\u0000Methods: This retrospective study was carried out by retrieving all the spirometry findings and demographic variables of employees of different industries of Bhutan from the Spirometry Software of Respiratory Laboratory at the Center for Research in Respiratory and Neuroscience (CRRN), Khesar Gyalpo University of Medical Sciences of Bhutan (KGUSMB) . All these retrieved data were saved in Microsoft Excel and simple descriptive statistics were used to analyze the data and were expressed in numbers, percentages, mean and standard deviation.\u0000Results: Spirometry and demographic results of 3508 industrial employees were obtained. The mean age was 33.8years and mean BMI was 24.95 Kg/m2. Non-smokers comprised 79.9% (2804) of the total industrial employees. Abnormal forced expiratory volume between 25% and 75% of vital capacity (FEF25%-75%), a marker of small airway disease, constituted 24.1% (846) of the total industrial employees. Furthermore, 1.1% (39) had abnormal forced vital capacity (FVC), 1.3% (46) presented abnormal forced expiratory volume in 1 second (FEV1 ) and 1.5% (53) showed reduced FEV1 /FVC.\u0000Conclusions: Small airway impairment is common among industrial workers of Bhutan indicating presence of high prevalence of occupational lung diseases in its early stage which may potentially become clinically apparent after long latency.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133597108","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

Ruptured primary abdominal ectopic pregnancy- management in a resource-low setting 原发性腹部异位妊娠破裂-在资源不足的情况下的处理

Bhutan Health Journal Pub Date : 2022-05-31 DOI: 10.47811/bhj.136

N. Dorji, Sangay Tshering, Prabhat Pradhan, J. Wangchuk

引用次数: 1

Multimodal imaging in Angioid streaks with Pseudoxanthoma elasticum : a case report 血管样条纹伴弹性假黄色瘤的多模态成像1例

Bhutan Health Journal Pub Date : 2022-05-31 DOI: 10.47811/bhj.135

Phuntsho Dorji, Sushma Jayanama, Sandip Tamang, Birendra Pradhan

引用次数: 0

Assessment of knowledge, attitude, and practice on preconception care among pregnant women at National Hospital, Thimphu, Bhutan 评估不丹廷布国立医院孕妇对孕前护理的知识、态度和做法

Bhutan Health Journal Pub Date : 2022-05-31 DOI: 10.47811/bhj.130

S. Gyamtsho, K. Tenzin, P. C. Bhutia, T. Tshomo, T. Choeda

{"title":"Assessment of knowledge, attitude, and practice on preconception care among pregnant women at National Hospital, Thimphu, Bhutan","authors":"S. Gyamtsho, K. Tenzin, P. C. Bhutia, T. Tshomo, T. Choeda","doi":"10.47811/bhj.130","DOIUrl":"https://doi.org/10.47811/bhj.130","url":null,"abstract":"Introduction: Preconception care provided before conception or between subsequent pregnancies aims to identify and modify risks to women`s health or pregnancy through prevention and management. For successful implementation and uptake of preconception care services, adequate level of knowledge and positive attitude of women is important. Therefore this study was undertaken to assess the knowledge, attitude and level of practice of preconception care by our women.Methods: This was a hospital based cross sectional study done from July 2021 to December 2021. All pregnant women visiting the Mother and Child Hospital for booking visit were considered for the study. Stringent inclusion and exclusion criteria were utilized during recruitment. Data was collected using an interviewer administered questionnaire.Results: A total of 340 pregnant women consented for the study. The mean age of the participants was 28.3 (SD±4.5) years, 57.6% of the pregnant women had higher education and 54.4% were employed. The overall mean knowledge score on assessment of preconception care was 6.96±2.4 and 217(63.8%) had good knowledge. Of the 340 women, 98.2% had positive attitude towards the preconception care with a median score of 27 (Min-Max: 10-30) but 78.2% had poor practice. A significant association was found between good practice of preconception care with their knowledge level (p=0.012) but not with positive attitude (p=0.346).Conclusions: The study found that despite having good knowledge with positive attitude, the practice of preconception care among the study participants was poor. Therefore, we recommend further detailed study on factors associated with poor practice of preconception care among pregnant women.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121514799","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

Pattern and short-term outcome of pediatric kidney disease at national referral hospital in Bhutan: an observational study 不丹国家转诊医院儿科肾病的模式和短期预后:一项观察性研究

Bhutan Health Journal Pub Date : 2022-05-31 DOI: 10.47811/bhj.133

Sonam, Tenzin Lhadon, Tashi Choden, Dorey A. Glenn

{"title":"Pattern and short-term outcome of pediatric kidney disease at national referral hospital in Bhutan: an observational study","authors":"Sonam, Tenzin Lhadon, Tashi Choden, Dorey A. Glenn","doi":"10.47811/bhj.133","DOIUrl":"https://doi.org/10.47811/bhj.133","url":null,"abstract":"Introduction: The epidemiology of kidney diseases in children can vary widely across geographic regions. The main purpose of this study was to determine the pattern and short-term outcome of kidney disease among children hospitalized at the national referral hospital in Bhutan.\u0000Methods: All admitted children aged one month to 12 years with kidney disease, from January to December 2018, were included in the study. Diagnostic criteria were applied to all the patients on admission to determine study eligibility and subsequent demographic and clinical data were collected using a structured interviewer administered pro forma.\u0000Results: A total of 128 (7.8%) children met diagnostic criteria for kidney disease among 1648 hospitalized children during the study period. The median age at presentation was 2.5 years (interquartile range 0 to 8). The commonest disease was acute kidney injury (48, 37.5%) followed by acute glomerulonephritis (37, 28.9%), urinary tract infection (37, 28.9%), congenital anomalies of kidney and urinary tract (11, 8.6%) and nephrotic syndrome (11, 8.6%). Median duration of hospital stay was 8 days (IQR 4 to 14.8). Four (3.1%) patients were referred to India for specialist care, 5 (3.9%) underwent dialysis and 28 (21.9%) died. Of the 28 patients who died, 26 (92.9%) had acute kidney injury and 2 (7.1%) had chronic kidney disease.\u0000Conclusions: Pediatric kidney diseases comprise a significant proportion of disease burden at the national referral hospital. Education of primary healthcare providers about the epidemiologic burden of pediatric kidney diseases is needed to reduce kidney-related morbidity and mortality.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125362865","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