Bhutan Health Journal最新文献_第6页

Effect of use of direct observation of procedural skills for assessment for learning in Obstetrics and Gynaecology postgraduate students at Medical University, Bhutan: a prospective study 在不丹医科大学的妇产科研究生中使用直接观察程序技能评估学习的效果:一项前瞻性研究

Bhutan Health Journal Pub Date : 2019-05-15 DOI: 10.47811/bhj.73

K. Tenzin, S. Gyamtsho, Tshering Wangdon, Pema C. Buttia, Lalitha Chandan, N. Rege

{"title":"Effect of use of direct observation of procedural skills for assessment for learning in Obstetrics and Gynaecology postgraduate students at Medical University, Bhutan: a prospective study","authors":"K. Tenzin, S. Gyamtsho, Tshering Wangdon, Pema C. Buttia, Lalitha Chandan, N. Rege","doi":"10.47811/bhj.73","DOIUrl":"https://doi.org/10.47811/bhj.73","url":null,"abstract":"Introduction: Direct Observation of Procedural Skills (DOPS) is a valuable method to evaluate procedural skills. The aim of this study was to explore the effect of DOPS as an assessment method and its effect on their learning in Obstetrics and Gynecology Postgraduate students.\u0000Methods: Five residents and four faculty members from the department of Obstetrics and Gynecology, Khesar Gyalpo University of Medical Sciences of Bhutan participated in this study. A validated checklist was adopted, from which five core areas of DOPS were utilized for this study. The two skills selected for this study were Pap smear and Intra Uterine Contraceptive Device (IUCD) insertion. The acquired data were analyzed by descriptive statistics (frequency, percent and mean).\u0000Results: The results showed that student’s initial mean score was 4/9, which increased to nearly 8/9 in third attempt. Practically, all faculty members and students believed that DOPS was effective in facilitating students’ learning. Some of the students thought that repeated exposure to DOPS reduced their level of stress.\u0000Conclusions: It may be stated that DOPS is effective in facilitating students’ learning and clinical skills.\u0000Keywords: Assessment; DOPS; learning; Obstetrics and Gynecology; WPBA.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117305003","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: 7

Age of menarche and menstrual hygiene of pubertal female students in Bhutan: a cross-sectional survey, 2017 2017年不丹青春期女学生月经初潮年龄与经期卫生状况横断面调查

Bhutan Health Journal Pub Date : 2019-05-15 DOI: 10.47811/bhj.80

T. Dorji, Sangay Wangmo, K. Pongpirul

{"title":"Age of menarche and menstrual hygiene of pubertal female students in Bhutan: a cross-sectional survey, 2017","authors":"T. Dorji, Sangay Wangmo, K. Pongpirul","doi":"10.47811/bhj.80","DOIUrl":"https://doi.org/10.47811/bhj.80","url":null,"abstract":" Introduction: In Bhutan, pubertal and adolescent female students (10-19 years) make up 8.5% of the population. The need for menstrual hygiene management (MHM) is more urgent in post-menarcheal female students and in resource-poor settings. However, until recent time, there were strong socio-cultural barriers to discourses on menarche and MHM. This study was conducted to determine the age of menarche among Bhutanese female students to identify when to offer MHM support, their knowledge on menstruation and practices related to menstrual hygiene.\u0000Methods: This was a cross-sectional survey of female students studying in Grade 10 in Thimphu, Bhutan. A multistage clustered sampling was used. Data was collected using a self-administered questionnaire developed for the purpose of this study.\u0000Results: A total of 439 post-menarcheal female students were interviewed. The mean age of menarche was 12.8±1.1 years, and fear (38.3%) and confusion (25.1%) were the commonest responses. The mean score on knowledge on menstruation and MHM was 5.9±1.5 out of 9. The proportion of students with good knowledge was 36.7%. The common sources of information were the mother, teacher, and sister. The majority used commercial pads (92.5%) while some used clean cloths (5.7%) and tampons (1.6%). The proportion who stayed absent from school during menstruation in the month prior to data collection was 9.8%. Visiting religious places (67.6%) and participating in sports (4.3%) were common restrictions during menstruation.\u0000Conclusions: Female students experience difficulties in menstrual hygiene management in schools. Menstruation could lead to missing schools and other activities.\u0000 Keywords: Developing country; Health behaviour; Menstrual hygiene product; Standard of living.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114066084","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

Barriers to self-injection of insulin among patients attending the diabetes clinics at the three referral hospitals in Bhutan: a cross-sectional study 在不丹三家转诊医院的糖尿病诊所就诊的患者自我注射胰岛素的障碍:一项横断面研究

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.61

T. Dorji, Pema Lhamo, Tshering Tshering, L. Zangmo, Kencho Choden, Deki Choden, Sangye Namgyal

{"title":"Barriers to self-injection of insulin among patients attending the diabetes clinics at the three referral hospitals in Bhutan: a cross-sectional study","authors":"T. Dorji, Pema Lhamo, Tshering Tshering, L. Zangmo, Kencho Choden, Deki Choden, Sangye Namgyal","doi":"10.47811/bhj.61","DOIUrl":"https://doi.org/10.47811/bhj.61","url":null,"abstract":"Introduction: Insulin, despite its increasing cost, is prescribed to selected cases of diabetes patients with an aim to achieve good glycaemic control. However, many on insulin do not achieve glycaemic control. We, therefore, studied the possible factors that may act as barriers to effective self-injection of insulin among diabetes patients at the three referral hospitals in Bhutan.\u0000Methods: This was a cross-sectional study, conducted from January-June 2017, involving all patients on insulin therapy for more than three months duration. Convenience sampling was used. Respondents’ basic details and self-reported barriers to insulin therapy under various domains were collected using an interviewer-administered questionnaire. Ethics approval was granted by the Research Ethics Board of Health, Bhutan.\u0000 Results: There were 207 respondents on insulin therapy. The mean age of the sample was 55 years (±13.8 years) and the mean duration of diabetes was 10.6 years (± 7.8 years). Injection dexterity was an issue in 77 respondents (37.2%) while 37 respondents (17.8%) reported that they would miss their insulin shots if their caregiver were unavailable. Insulin regimens were burdensome and interfered with their daily activities (80; 38.7%) and meal timings (64; 30.9%). Although the majority (179; 86.4%) knew why insulin was indicated for them, 149 (72.0%) found that the healthcare personnel’s demonstration on the use of insulin was inadequate and 50 respondents (24.2%) felt that they did not receive enough information on how to inject insulin.\u0000 Conclusions: Barriers to self-injection are common among insulin users and coordinated efforts are needed to overcome them.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115018695","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

Patients’ knowledge and practices on the drug regimens prescribed at the National Traditional Medicine Hospital: a call for a systematic approach to drug information services 病人对国家中医医院处方药物方案的了解和实践:呼吁对药物信息服务采取系统方法

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.65

Kinga Jamphel, Dorji Gyeltshen, Sherab Tenzin, T. Dorji

{"title":"Patients’ knowledge and practices on the drug regimens prescribed at the National Traditional Medicine Hospital: a call for a systematic approach to drug information services","authors":"Kinga Jamphel, Dorji Gyeltshen, Sherab Tenzin, T. Dorji","doi":"10.47811/bhj.65","DOIUrl":"https://doi.org/10.47811/bhj.65","url":null,"abstract":"Introduction: The World Health Organisation estimates that only half of all medicines dispensed are used appropriately. The Bhutanese Traditional Medicine (BTM) system is no exception. Objectives: We studied the patients’ knowledge on the usage of traditional medicine regimens prescribed to them, their medication adherence and possible adverse events. \u0000Methods: This was a cross-sectional study conducted using an interviewer-administered questionnaire at the National Traditional Medicine Hospital, Thimphu in 2017. A simple random sampling was used. Ethical approval was sought from Research Ethics Board of Health, Thimphu. \u0000 Results: A sample of 402 patients were studied. The mean age of the respondents was 45 years (±15 years) and 333 (82.8%) were old cases presenting to the hospital. The knowledge on the correct timing of the medicine, how to take the medicine and what to avoid while on those medicines were understood only by 62.7%, 34.6% and 22.9% respectively. Only 351 (87.3%) patients received verbal information on the usage of drugs from the dispensers, of which 119 (29.6%) said the information was not clear or not adequate. Failure to take medicines on time was reported by 224 (67.3%) among old cases. Undesirable events reported while using BTM were giddiness, vomiting, skin irritation, diarrhoea and fainting episodes. \u0000 Conclusions: The drug information system and monitoring of medication adherence and adverse drug events require adoption of more effective toolsand methods.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"249 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127655051","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 Centre for Research, Innovation and Training (MECRIT) 医学教育研究、创新和培训中心(MECRIT)

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.71

T. Norbu

引用次数: 0

Incidence and clinicopathological profile of gestational trophoblastic disease in tertiary care centre 三级保健中心妊娠滋养细胞疾病的发病率和临床病理特征

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.64

Tshering Tamang, U. Tshomo

{"title":"Incidence and clinicopathological profile of gestational trophoblastic disease in tertiary care centre","authors":"Tshering Tamang, U. Tshomo","doi":"10.47811/bhj.64","DOIUrl":"https://doi.org/10.47811/bhj.64","url":null,"abstract":"Introduction: Gestational trophoblastic disease (GTD) arises from abnormal proliferation of placental trophoblastic tissue. The aim of this study was to determine the incidence and clinicopathological profiles with treatment outcome of gestational trophoblastic disease in Jigme Dorji Wangchuck National Referral Hospital, a tertiary hospital in Bhutan. \u0000 Method: A prospective and retrospective observational study was conducted over a period of 18 months. \u0000Results: A total of 121 cases of gestational trophoblastic disease were diagnosed with an incidence rate of 19.7 per 1000 deliveries. Majority comprised hydatidiform moles(115);of which, 30 (26.1%) were complete and 85(73.9%) partial moles. The mean gestational age at diagnosis of hydatidiform mole was 9.8± 1.6 weeks and the most common symptom being vaginal bleeding (72.8%). Nine (7.8%) of these progressed to gestational trophoblastic neoplasia and was strongly associated with high pre-evacuation beta-hCG level (> 100,000 mIU/ml) and larger uterine size (> 14 weeks). \u0000Conclusions: This study revealed a high incidence of gestational trophoblastic disease in national referral hospital. Further in-depth research and instituting a GTD registry can be useful to validate these findings and find the true incidence. A substantial number of molar pregnancies can progress to GTN, and thus requires strict follow-up.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131301384","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

Hypotension, bradycardia and reversible conduction defect induced by prescription of Bhutanese traditional medicines 不丹传统药物处方引起的低血压、心动过缓和可逆性传导缺陷

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.68

U. Tshering, Shankar LeVine, Melanie Watts

引用次数: 1

Quality in universal health coverage 全民健康覆盖的质量

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.60

J. Sharma

引用次数: 1

Estimation of serum creatinine in biochemistry department, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan 不丹廷布晋美多吉旺楚克国家转诊医院生化科血清肌酐测定

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.70

S. R, Kuenzang Chhezom, J. Tenzin

引用次数: 1

Taking action on prevention and control of noncommunicable diseases in Bhutan by strengthening gross national happiness 通过加强国民幸福总值，在不丹采取预防和控制非传染性疾病的行动

Bhutan Health Journal Pub Date : 2018-11-15 DOI: 10.47811/bhj.69

Gyambo Sithey, A. Thow, Jayendra Sharma, Karma Lhazin, Mu Li

{"title":"Taking action on prevention and control of noncommunicable diseases in Bhutan by strengthening gross national happiness","authors":"Gyambo Sithey, A. Thow, Jayendra Sharma, Karma Lhazin, Mu Li","doi":"10.47811/bhj.69","DOIUrl":"https://doi.org/10.47811/bhj.69","url":null,"abstract":"Noncommunicable diseases (NCDs) are major public health problem in Bhutan, accounting for 68% of total deaths. The growing epidemic of NCDs threatens the achievement of Gross National Happiness (GNH). NCDs are the results of complex interaction of social and economic risk factors and change in diet and lifestyle. Effective action to prevent and control these diseases requires a whole-of-government approach.In this paper we review new evidence to support political priority for NCDs in Bhutan. One third of the Bhutanese are overweight (33%) and hypertensive (35.7), and 6.4% are diabetic. The prevalence of modifiable risk factors is also very high. We also present the analysis of strategic policy opportunities for health sector to integrate the ‘Multisectoral national action plan for the prevention and control of NCDs, 2015-2020’ into policies across all relevant sectors. Our analysis has identified three specific opportunities for the health sector to engage strategically to strengthen action on NCDs and GNH, concurrently: 1) raising priority actions on NCDs within the existing GNH multisectoral committee, to achieve both health and happiness objectives; 2) identifying shared agenda between NCDs and GNH to achieve both health and happiness objectives; and 3) identifying shared GNH determinants between NCDs and GNH to enhance action on NCDs. Addressing NCDs aligns with the optimization of Gross National Happiness. It is imperative that the Government of Bhutan recognize that action on NCDs is an integral element for achieving GNH.","PeriodicalId":410038,"journal":{"name":"Bhutan Health Journal","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114664393","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: 4