Pub Date : 2022-12-31DOI: 10.3126/mjmms.v2i4.53716
R. Sinha, Lokeshwar Chaurasia, R. C. Shah, Smita Singh, Mina Jha, Sunil Adhikari
INTRODUCTION: Self-medication is one of the major emerging health problems. It may lead to many health hazards as well as resistance to antimicrobial agents. Lack of enough report on self-medication in medical students has encouraged to conduct this study. The study aims to find out the pattern, perception and reasons for self-medication in undergraduate medical students. MATERIALS AND METHODS: This descriptive crosssectional study was conducted among undergraduate medical students at Janaki Medical College and Teaching Hospital (JMCTH) from February 2022 to April 2022. A pre-validated questionnaire was used for data collection and was analyzed using SPSS. RESULTS: Total of 134 students participated in this study, with mean age of21.70±1.66 years. 90.3% of students practiced self-medication in last 6 months. Mild nature of disease was the most common reason for self-medication. Fever (65.67%) was the most common cause of self-medication, whereas NSAIDS (45.9%) was most commonly used drugs for self-medication. Pharmacist (52.9%) were the most common source of drug information. Nausea/vomiting (32.09%) was the most common adverse effect experienced by participants. 80.6% thought that selfmedication was a part of self-care. More than one-third had opinion that self-medication was recommended by WHO. CONCLUSIONS: Majority of students practiced self-medication. More than half of them prescribed medication to others. Medical students should be made aware of the harmful effects of self-medication.
{"title":"Pattern of Self-medication among Undergraduate Medical Students: A Cross-sectional Study","authors":"R. Sinha, Lokeshwar Chaurasia, R. C. Shah, Smita Singh, Mina Jha, Sunil Adhikari","doi":"10.3126/mjmms.v2i4.53716","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53716","url":null,"abstract":"INTRODUCTION: Self-medication is one of the major emerging health problems. It may lead to many health hazards as well as resistance to antimicrobial agents. Lack of enough report on self-medication in medical students has encouraged to conduct this study. The study aims to find out the pattern, perception and reasons for self-medication in undergraduate medical students. MATERIALS AND METHODS: This descriptive crosssectional study was conducted among undergraduate medical students at Janaki Medical College and Teaching Hospital (JMCTH) from February 2022 to April 2022. A pre-validated questionnaire was used for data collection and was analyzed using SPSS. RESULTS: Total of 134 students participated in this study, with mean age of21.70±1.66 years. 90.3% of students practiced self-medication in last 6 months. Mild nature of disease was the most common reason for self-medication. Fever (65.67%) was the most common cause of self-medication, whereas NSAIDS (45.9%) was most commonly used drugs for self-medication. Pharmacist (52.9%) were the most common source of drug information. Nausea/vomiting (32.09%) was the most common adverse effect experienced by participants. 80.6% thought that selfmedication was a part of self-care. More than one-third had opinion that self-medication was recommended by WHO. CONCLUSIONS: Majority of students practiced self-medication. More than half of them prescribed medication to others. Medical students should be made aware of the harmful effects of self-medication.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130927002","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}
Pub Date : 2022-12-31DOI: 10.3126/mjmms.v2i4.53679
B. P. Magar, Jharendra Bahadur Oli, Sagun Adhikari, E. Rana, D. B. Pun
INTRODUCTION: The ABO and Rhesus-D blood group systems are important and widely used in humans for transfusion of blood and blood components for various medical conditions. The purpose of this study was to determine the distribution of ABO and Rhesus D blood groups among blood donors at Karnali Academy of Health Sciences, Teaching Hospital, Jumla, Nepal. MATERIALS AND METHODS: From July 2019 to January 2022, a retrospective cross-sectional study among 800 blood donors was conducted using medical records from blood donors who donated blood in a Teaching Hospital of Jumla, Nepal. Microsoft Excel was used to analyze thedata, and the results were presented as frequency and percentage. RESULTS: The most common blood group was ‘A’ (30.6%) and the least common was ‘AB’ (14.5%) with a majority of male blood donors (84.6%). Only 2.2% of blood donors was Rhesus-negative, while 97.7% were Rhesus-positive. Considering ABO and Rhesus blood groups altogether, blood group ‘A’ Rhesuspositive (30.1%) was the most common and blood group ‘AB’ Rhesus-negative (0.1%) was the least common. CONCLUSIONS: Blood group ‘A’ was the most common, followed by blood groups ‘B’, ‘O’, and ‘AB’. The majority of the blood donors were Rhesus-positive, with blood group ‘AB’ Rhesus-negative being the most uncommon. This information would be helpful to the hospital’s blood bank in this rural hilly region, particularly in the hospital’s planning for blood transfusion services.
{"title":"Distribution of ABO and Rhesus Blood Groups among the Blood Donors in a Teaching Hospital of Hilly Region, Nepal: A Cross-sectional Study","authors":"B. P. Magar, Jharendra Bahadur Oli, Sagun Adhikari, E. Rana, D. B. Pun","doi":"10.3126/mjmms.v2i4.53679","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53679","url":null,"abstract":"INTRODUCTION: The ABO and Rhesus-D blood group systems are important and widely used in humans for transfusion of blood and blood components for various medical conditions. The purpose of this study was to determine the distribution of ABO and Rhesus D blood groups among blood donors at Karnali Academy of Health Sciences, Teaching Hospital, Jumla, Nepal. MATERIALS AND METHODS: From July 2019 to January 2022, a retrospective cross-sectional study among 800 blood donors was conducted using medical records from blood donors who donated blood in a Teaching Hospital of Jumla, Nepal. Microsoft Excel was used to analyze thedata, and the results were presented as frequency and percentage. RESULTS: The most common blood group was ‘A’ (30.6%) and the least common was ‘AB’ (14.5%) with a majority of male blood donors (84.6%). Only 2.2% of blood donors was Rhesus-negative, while 97.7% were Rhesus-positive. Considering ABO and Rhesus blood groups altogether, blood group ‘A’ Rhesuspositive (30.1%) was the most common and blood group ‘AB’ Rhesus-negative (0.1%) was the least common. CONCLUSIONS: Blood group ‘A’ was the most common, followed by blood groups ‘B’, ‘O’, and ‘AB’. The majority of the blood donors were Rhesus-positive, with blood group ‘AB’ Rhesus-negative being the most uncommon. This information would be helpful to the hospital’s blood bank in this rural hilly region, particularly in the hospital’s planning for blood transfusion services.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122322304","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}
Pub Date : 2022-12-31DOI: 10.3126/mjmms.v2i4.53555
Ahmed Abdinasir Abdulle, Ibrahim Yasin Khalif, Aisha Hussein Hashi, Sakawe Farah Warsame, Mahendra Giri
INTRODUCTION: Around the world, HIV/AIDS infects nearly half of all victims of AIDS-related illnesses. In Somalia, 10,500 persons are thought to be living with HIV/AIDS. A 500-person estimate of children who are HIV-positive is also available. According to estimates, only 35% of HIV-positive persons go to ART centres for their medicine due to lack of awareness. Therefore, this study was designed to assess level of awareness about HIV/AIDS among people living in Galmudug, Somalia. MATERIALS AND METHODS: A cross-sectional design was used to assess the degree of HIV and AIDS awareness among residents of Galmudug, Somalia. The study population consisted of reproductive-aged males and females (15 to 45 years old), and respondents were drawn using a purposive sampling technique. The structured questionnaire was developed to collect the information by interview method. A descriptive and inferential statistical analysis was performed using IBM SPSS version 25 software. RESULTS: This study found that most Somalians had moderate-to-adequate knowledge about HIV/AIDS (57.8%), whereas 42.2% had poor knowledge. A total of 274 (78.3%) of the samples showed a poor attitude toward HIV/AIDS, while 76 (21.7%) displayed a positive attitude toward the disease. An association was also found between marital status (χ2 = 10.07, p< 0.05) and education level (χ2 = 29.55, p< 0.05) and knowledge of HIV/AIDS. In relation to attitude towards awareness of HIV/AIDS, demographic variables (marital status, age, occupation, and education) were significantly associated. CONCLUSIONS: The community needs to provide factual and precise knowledge of HIV/AIDS through aggressive awareness and door-to-door campaigns on the prevalence of the virus.
{"title":"Level of Awareness about HIV/AIDS among People Living in Galmudug, Somalia: A Cross-Sectional Study","authors":"Ahmed Abdinasir Abdulle, Ibrahim Yasin Khalif, Aisha Hussein Hashi, Sakawe Farah Warsame, Mahendra Giri","doi":"10.3126/mjmms.v2i4.53555","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53555","url":null,"abstract":"INTRODUCTION: Around the world, HIV/AIDS infects nearly half of all victims of AIDS-related illnesses. In Somalia, 10,500 persons are thought to be living with HIV/AIDS. A 500-person estimate of children who are HIV-positive is also available. According to estimates, only 35% of HIV-positive persons go to ART centres for their medicine due to lack of awareness. Therefore, this study was designed to assess level of awareness about HIV/AIDS among people living in Galmudug, Somalia. MATERIALS AND METHODS: A cross-sectional design was used to assess the degree of HIV and AIDS awareness among residents of Galmudug, Somalia. The study population consisted of reproductive-aged males and females (15 to 45 years old), and respondents were drawn using a purposive sampling technique. The structured questionnaire was developed to collect the information by interview method. A descriptive and inferential statistical analysis was performed using IBM SPSS version 25 software. RESULTS: This study found that most Somalians had moderate-to-adequate knowledge about HIV/AIDS (57.8%), whereas 42.2% had poor knowledge. A total of 274 (78.3%) of the samples showed a poor attitude toward HIV/AIDS, while 76 (21.7%) displayed a positive attitude toward the disease. An association was also found between marital status (χ2 = 10.07, p< 0.05) and education level (χ2 = 29.55, p< 0.05) and knowledge of HIV/AIDS. In relation to attitude towards awareness of HIV/AIDS, demographic variables (marital status, age, occupation, and education) were significantly associated. CONCLUSIONS: The community needs to provide factual and precise knowledge of HIV/AIDS through aggressive awareness and door-to-door campaigns on the prevalence of the virus.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127567826","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}
Pub Date : 2022-12-31DOI: 10.3126/mjmms.v2i4.53529
B. R. Pokhrel, Samjhana Kc, A. Jayan, Jharana Shrestha, B. Tamang, N. Gautam, A. Jha, R. K. Dubey
INTRODUCTION: Pan Masala Tobacco (PMT), consumed in smoke and smokeless form, contains various carcinogenic chemicals and free radicals. Bilirubin and uric acid are said to have both pro- and anti-oxidant activities. In this context, we aimed to compare the serum levels of bilirubin and uric acid between PMT users and non-users. We also wanted to observe the pattern of PMT consumption among the users. MATERIALS AND METHODS: A total of 204 participants were enrolled in this community-based comparative cross-sectional study. The study was conducted in the Ranigaun community, Rupandehi, Nepal, from March 2020 to December 2020 AD for ten months. Serum bilirubin (total, conjugated and unconjugated) and uric acid levels of both PMT users (n = 103) and non-users (n = 101) were measured. MannWhitney U test and Chi-squared analysis were performed. A p-value of < 0.05 was considered statistically significant. RESULTS: The majority of PMT users were male (n= 90; 87.3%). Most of them consumed smokeless forms of PMT (n = 64; 62.1%), with tobacco being the most preferred product (n = 42; 40.8%). The average age of PMT users was significantly higher (44 years) than the non-users (38 years). The serum uric acid and bilirubin levels were not significantly different among the PMT users and non-users. CONCLUSIONS: Male consumed more PMT than females. Smokeless tobacco was the most preferred product in the studied area. Serum bilirubin and uric acid levels did not vary significantly between PMT users and non-users.
{"title":"Serum Bilirubin and Uric Acid Levels in Pan Masala Tobacco Users as Compared to Non-Users","authors":"B. R. Pokhrel, Samjhana Kc, A. Jayan, Jharana Shrestha, B. Tamang, N. Gautam, A. Jha, R. K. Dubey","doi":"10.3126/mjmms.v2i4.53529","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53529","url":null,"abstract":"INTRODUCTION: Pan Masala Tobacco (PMT), consumed in smoke and smokeless form, contains various carcinogenic chemicals and free radicals. Bilirubin and uric acid are said to have both pro- and anti-oxidant activities. In this context, we aimed to compare the serum levels of bilirubin and uric acid between PMT users and non-users. We also wanted to observe the pattern of PMT consumption among the users. MATERIALS AND METHODS: A total of 204 participants were enrolled in this community-based comparative cross-sectional study. The study was conducted in the Ranigaun community, Rupandehi, Nepal, from March 2020 to December 2020 AD for ten months. Serum bilirubin (total, conjugated and unconjugated) and uric acid levels of both PMT users (n = 103) and non-users (n = 101) were measured. MannWhitney U test and Chi-squared analysis were performed. A p-value of < 0.05 was considered statistically significant. RESULTS: The majority of PMT users were male (n= 90; 87.3%). Most of them consumed smokeless forms of PMT (n = 64; 62.1%), with tobacco being the most preferred product (n = 42; 40.8%). The average age of PMT users was significantly higher (44 years) than the non-users (38 years). The serum uric acid and bilirubin levels were not significantly different among the PMT users and non-users. CONCLUSIONS: Male consumed more PMT than females. Smokeless tobacco was the most preferred product in the studied area. Serum bilirubin and uric acid levels did not vary significantly between PMT users and non-users.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131990388","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}
Pub Date : 2022-12-31DOI: 10.3126/mjmms.v2i4.53550
Jharana Shrestha, M. Yadav, B. R. Pokhrel, B. Tamang, N. Gautam, Anjan Palikhey, Jigyasa Subedi, Goody Jha
INTRODUCTION: Dyslipidemia is a modifiable risk factor for cardiovascular diseases (CVDs). Menopause-related hormonal alterations are responsible for dyslipidemia. Early identification of such risk factors aids in the prevention and prompt management of CVDs. The current study was done to evaluate the prevalence of dyslipidemia in post-menopausal women and compare the lipid profiles between pre-menopausal and post-menopausal women. MATERIALS AND METHODS: This community-based comparative crosssectional study was conducted among the female population of the Siyari rural community, Rupandehi from January 2022 to April 2022. After obtaining verbal and written consent, a total of 322 fasting samples were collected from healthy women based on the questionnaire strategy. Among them 160 were pre-menopausal and 162 were post-menopausal. Serum lipids for Total Cholesterol (TC), Triglycerides (TG), and High Density Lipoprotein (HDL) were estimated by automated Humalyzer 600. Low Density Lipoprotein (LDL), Very Low Density Lipoprotein (VLDL), and lipid ratios were calculated. RESULTS: The prevalence of dyslipidemia was high among post-menopausal women (73.5%). TG, TC, VLDL, LDL, TC/HDL, TG/HDL, and LDL/HDL were significantly increased in post-menopausal women compared to pre-menopausal women (p < 0.001), whereas serum HDL was significantly decreased (p = 0.032). CONCLUSIONS: Higher serum lipids and lipid ratios in postmenopausal women could lead to increased CVD risks and other related complications in the long term.
{"title":"Dyslipidemia in Post-menopausal Women of Western Nepal: A Community-Based Comparative Study","authors":"Jharana Shrestha, M. Yadav, B. R. Pokhrel, B. Tamang, N. Gautam, Anjan Palikhey, Jigyasa Subedi, Goody Jha","doi":"10.3126/mjmms.v2i4.53550","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53550","url":null,"abstract":"INTRODUCTION: Dyslipidemia is a modifiable risk factor for cardiovascular diseases (CVDs). Menopause-related hormonal alterations are responsible for dyslipidemia. Early identification of such risk factors aids in the prevention and prompt management of CVDs. The current study was done to evaluate the prevalence of dyslipidemia in post-menopausal women and compare the lipid profiles between pre-menopausal and post-menopausal women. MATERIALS AND METHODS: This community-based comparative crosssectional study was conducted among the female population of the Siyari rural community, Rupandehi from January 2022 to April 2022. After obtaining verbal and written consent, a total of 322 fasting samples were collected from healthy women based on the questionnaire strategy. Among them 160 were pre-menopausal and 162 were post-menopausal. Serum lipids for Total Cholesterol (TC), Triglycerides (TG), and High Density Lipoprotein (HDL) were estimated by automated Humalyzer 600. Low Density Lipoprotein (LDL), Very Low Density Lipoprotein (VLDL), and lipid ratios were calculated. RESULTS: The prevalence of dyslipidemia was high among post-menopausal women (73.5%). TG, TC, VLDL, LDL, TC/HDL, TG/HDL, and LDL/HDL were significantly increased in post-menopausal women compared to pre-menopausal women (p < 0.001), whereas serum HDL was significantly decreased (p = 0.032). CONCLUSIONS: Higher serum lipids and lipid ratios in postmenopausal women could lead to increased CVD risks and other related complications in the long term.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117116471","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}
Pub Date : 2022-12-31DOI: 10.3126/mjmms.v2i4.53521
Saurabh Roy, Pritam Raj, Karnika Yadav
INTRODUCTION: Oral and pharyngeal cancer, grouped together, is the sixth most common cancer in the world. Oral cancer also has a significant impact on individual patient quality of life and substantial patient treatment costs, often due to late presentation when the disease is at an advanced stage. Primary prevention to increase awareness of risk factors and the early signs and symptoms for oral cancer is proposed. There is clear lack of awareness and attribution of oral malignancies and risk factors in general public. So, the study aims to assess public awareness in patients visiting a Tertiary Medical Center. MATERIALS AND METHODS: This descriptive cross sectional study was conducted in Outpatient department of Dental department at Nobel Medical College Teaching Hospital in Biratnagar, Nepal. A total of 120 participants both male and female above 18 years of age were participants in the study, consisting of smokers, non-smokers and former smokers. Data were analysed by descriptive statistics like mean and percentage. RESULTS: Out of total 120 participants, 60% belonged to age group of 18-29 years whereas 30% belonged to age group 30-40 years. 75% of the participants were married. 15% of the participants were uneducated and 40% had education upto high school. 70% of the participants had heard of oral cancer and the main source of information on oral cancer was television 45(45%) as compared to other sources of information. Out of total study subjects 75% were tobacco chewers, 55% were alcohol consumers while 75% of the study population had knowledge of early signs of oral cancer. CONCLUSIONS: This study highlights the inadequacy of knowledge about oral cancer in general population. It is highly recommended that mass media campaigns with government funded programs and private medical institutions should run oral cancer programs in timely intervals.
{"title":"Oral Cancer Awareness and Knowledge in Patients Visiting Tertiary Medical Center","authors":"Saurabh Roy, Pritam Raj, Karnika Yadav","doi":"10.3126/mjmms.v2i4.53521","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53521","url":null,"abstract":"INTRODUCTION: Oral and pharyngeal cancer, grouped together, is the sixth most common cancer in the world. Oral cancer also has a significant impact on individual patient quality of life and substantial patient treatment costs, often due to late presentation when the disease is at an advanced stage. Primary prevention to increase awareness of risk factors and the early signs and symptoms for oral cancer is proposed. There is clear lack of awareness and attribution of oral malignancies and risk factors in general public. So, the study aims to assess public awareness in patients visiting a Tertiary Medical Center. MATERIALS AND METHODS: This descriptive cross sectional study was conducted in Outpatient department of Dental department at Nobel Medical College Teaching Hospital in Biratnagar, Nepal. A total of 120 participants both male and female above 18 years of age were participants in the study, consisting of smokers, non-smokers and former smokers. Data were analysed by descriptive statistics like mean and percentage. RESULTS: Out of total 120 participants, 60% belonged to age group of 18-29 years whereas 30% belonged to age group 30-40 years. 75% of the participants were married. 15% of the participants were uneducated and 40% had education upto high school. 70% of the participants had heard of oral cancer and the main source of information on oral cancer was television 45(45%) as compared to other sources of information. Out of total study subjects 75% were tobacco chewers, 55% were alcohol consumers while 75% of the study population had knowledge of early signs of oral cancer. CONCLUSIONS: This study highlights the inadequacy of knowledge about oral cancer in general population. It is highly recommended that mass media campaigns with government funded programs and private medical institutions should run oral cancer programs in timely intervals.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123103130","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}
Pub Date : 2022-12-31DOI: 10.3126/mjmms.v2i4.53674
Radhika Kumari Sah, Mary Walton, Neethu Paul, A. Ross
INTRODUCTION: Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo. It’s considered to be the most common cause of vertigo among the elderly, since 30% of the people reported to have suffered from it at least once in their lifetime.Several studies have indicated that physical therapy, including rehabilitative exercises and physical maneuvers, is an effective treatment for BPPV. Therefore, the objectives of the study was designed to compare Brandt-Daroff exercise versus standardized technique on symptoms experienced by patients with Benign paroxysmal positional vertigo (BPPV) in a selected hospital of Bangalore, India. MATERIALS AND METHODS: The post-test only group design was adopted for this study. The setting was ENT OPD of St. John’s Medical College Hospital. A sample of 20 BPPV patients in each Group 1 and Group 2 were taken using purposive sampling technique. A dizziness handicap inventory scale, a visual analogue scale and a checklist was used to assess the symptoms of patients with BPPV. RESULTS: Median score of dizziness in group 1 was 37 and in group 2 was 16, the obtained Mann Whitney value was 13, which is statistically significant at p<0.001. Likewise, median score for nausea in group 1 was 3 and in group 2 was 0, the obtained Mann Whitney value was 108.5 which is statistically significant at p<0.0001. Further, finding depicts that there was no statistically significant difference of vomiting between group 1 and group 2. CONCLUSIONS: there was a substantial difference in the degree of nausea and dizziness between groups 1 and 2. Group 1 had higher median scores for nausea and dizziness when compared to group 2. However, the frequency of vomiting did not differ substantially between the two groups.
{"title":"Brandt-Daroff Exercise versus Standard Technique on Symptoms Experienced by Patients with Benign Paroxysmal Positional Vertigo in a tertiary Care hospital: A Comparative Study","authors":"Radhika Kumari Sah, Mary Walton, Neethu Paul, A. Ross","doi":"10.3126/mjmms.v2i4.53674","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53674","url":null,"abstract":"INTRODUCTION: Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo. It’s considered to be the most common cause of vertigo among the elderly, since 30% of the people reported to have suffered from it at least once in their lifetime.Several studies have indicated that physical therapy, including rehabilitative exercises and physical maneuvers, is an effective treatment for BPPV. Therefore, the objectives of the study was designed to compare Brandt-Daroff exercise versus standardized technique on symptoms experienced by patients with Benign paroxysmal positional vertigo (BPPV) in a selected hospital of Bangalore, India. MATERIALS AND METHODS: The post-test only group design was adopted for this study. The setting was ENT OPD of St. John’s Medical College Hospital. A sample of 20 BPPV patients in each Group 1 and Group 2 were taken using purposive sampling technique. A dizziness handicap inventory scale, a visual analogue scale and a checklist was used to assess the symptoms of patients with BPPV. RESULTS: Median score of dizziness in group 1 was 37 and in group 2 was 16, the obtained Mann Whitney value was 13, which is statistically significant at p<0.001. Likewise, median score for nausea in group 1 was 3 and in group 2 was 0, the obtained Mann Whitney value was 108.5 which is statistically significant at p<0.0001. Further, finding depicts that there was no statistically significant difference of vomiting between group 1 and group 2. CONCLUSIONS: there was a substantial difference in the degree of nausea and dizziness between groups 1 and 2. Group 1 had higher median scores for nausea and dizziness when compared to group 2. However, the frequency of vomiting did not differ substantially between the two groups.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127744078","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}
Pub Date : 2022-12-31DOI: 10.3126/mjmms.v2i4.53673
INTRODUCTION: The standard of end-of-life care has become an important indicator of a hospital's general care standards in modern times. Unfortunately, the present nursing standards and level of care provided to patients reaching the end of their lives fall short of what they had hoped for. As a consequence, it's crucial to look at how caregivers demonstrate care. Therefore, this observational study aims to assess the caring behavior towards death and dying among nursing personnels. MATERIALS AND METHODS: The research design adopted for the study was descriptive research design on 50 nursing personals working in the MICU, SICU, CCU, ITUs and wards working at SJMCH, Bangalore. Purposive sampling technique adopted to select nursing personals and participatory approach using observational rating scale during end of life care was used to assess the caring behaviour. The data was analysed using descriptive and inferential statistics. RESULTS: The result showed that caring behaviour of nursing personnel during end of life care found to be 58.0% with moderate caring behaviour, 38.0% with good caring behaviour and 4 % with poor caring behavior. There is no statistically significant association of caring behaviour of nursing personnel with the baseline variables like age of staff nurses and patients. CONCLUSIONS: It was found that there was no significant difference between demographic variables and caring behavior in nursing personnel. This study depicts that the caring behaviour of nursing personnel during end of life care was found as 58% with moderate caring behaviour, 38% with good caring behaviour and 4 % with poor caring behaviour.
{"title":"Nursing Personnel's Caring Behaviors during End-of-Life Treatment in a Tertiary Care Hospital","authors":"","doi":"10.3126/mjmms.v2i4.53673","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53673","url":null,"abstract":"INTRODUCTION: The standard of end-of-life care has become an important indicator of a hospital's general care standards in modern times. Unfortunately, the present nursing standards and level of care provided to patients reaching the end of their lives fall short of what they had hoped for. As a consequence, it's crucial to look at how caregivers demonstrate care. Therefore, this observational study aims to assess the caring behavior towards death and dying among nursing personnels. MATERIALS AND METHODS: The research design adopted for the study was descriptive research design on 50 nursing personals working in the MICU, SICU, CCU, ITUs and wards working at SJMCH, Bangalore. Purposive sampling technique adopted to select nursing personals and participatory approach using observational rating scale during end of life care was used to assess the caring behaviour. The data was analysed using descriptive and inferential statistics. RESULTS: The result showed that caring behaviour of nursing personnel during end of life care found to be 58.0% with moderate caring behaviour, 38.0% with good caring behaviour and 4 % with poor caring behavior. There is no statistically significant association of caring behaviour of nursing personnel with the baseline variables like age of staff nurses and patients. CONCLUSIONS: It was found that there was no significant difference between demographic variables and caring behavior in nursing personnel. This study depicts that the caring behaviour of nursing personnel during end of life care was found as 58% with moderate caring behaviour, 38% with good caring behaviour and 4 % with poor caring behaviour. ","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132701965","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}
Pub Date : 2022-12-31DOI: 10.3126/mjmms.v2i4.53563
S. Ghimire, J. Singh, Soni Kc, S. Poudyal, R. Chaulagain
INTRODUCTION: Dentistry is a most stressful profession in the medical field. During the practicum period, most of the dental students feel stressed from internal and external environmental stressors. Therefore, this study was designed to assess the stress among dental students, this will provide applicable insights for further improvement. MATERIALS AND METHODS: A descriptive, cross-sectional research design was used with an online Structure questionnaire to assess stress among the students of dental colleges of Nepal by using dental environmental stress (DES) questionnaire, which was developed by Garbee et al. Probability Proportionate to the size sampling technique was used to collect the sample. The organized data will be entered by using IBM Statistical Package for Social Science (SPSS) version 20.0. The data will be further analyzed by using descriptive statistics (frequency, percentage, mean, median and standard deviation) and inferential statistics. RESULTS: Out of 756 students, 58.7% of the respondents were equal to or greater than 22 years of age. The median age was 22 years. Among them, 78.7% were female. Stress-related to domain, Professional and carrier-related stressor had higher, followed by academic performance and Clinic patient-related stress is mean percentage was 70.43, 69.17 and 61.09, respectively. About 50.3% had moderate levels and 15.3% of respondents had a severe level of stress. There was statically association between stress level with age (p=0.01), first choice of study (p=0.026), academic year (p=<0.001) and current residence (p=<0.001). CONCLUSIONS: Professional and carrier-related stressor, academic-related and patient-related stressors are higher in dental students. Severe Levels of stress increased over the academic year and peaked in 5th year. Stress affects student academic as well as professional carrier in the future so minimize the stressor by the institutional level.
{"title":"Stress among Students’ of Dental College in Nepal","authors":"S. Ghimire, J. Singh, Soni Kc, S. Poudyal, R. Chaulagain","doi":"10.3126/mjmms.v2i4.53563","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53563","url":null,"abstract":"INTRODUCTION: Dentistry is a most stressful profession in the medical field. During the practicum period, most of the dental students feel stressed from internal and external environmental stressors. Therefore, this study was designed to assess the stress among dental students, this will provide applicable insights for further improvement. MATERIALS AND METHODS: A descriptive, cross-sectional research design was used with an online Structure questionnaire to assess stress among the students of dental colleges of Nepal by using dental environmental stress (DES) questionnaire, which was developed by Garbee et al. Probability Proportionate to the size sampling technique was used to collect the sample. The organized data will be entered by using IBM Statistical Package for Social Science (SPSS) version 20.0. The data will be further analyzed by using descriptive statistics (frequency, percentage, mean, median and standard deviation) and inferential statistics. RESULTS: Out of 756 students, 58.7% of the respondents were equal to or greater than 22 years of age. The median age was 22 years. Among them, 78.7% were female. Stress-related to domain, Professional and carrier-related stressor had higher, followed by academic performance and Clinic patient-related stress is mean percentage was 70.43, 69.17 and 61.09, respectively. About 50.3% had moderate levels and 15.3% of respondents had a severe level of stress. There was statically association between stress level with age (p=0.01), first choice of study (p=0.026), academic year (p=<0.001) and current residence (p=<0.001). CONCLUSIONS: Professional and carrier-related stressor, academic-related and patient-related stressors are higher in dental students. Severe Levels of stress increased over the academic year and peaked in 5th year. Stress affects student academic as well as professional carrier in the future so minimize the stressor by the institutional level.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122580756","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}
Pub Date : 2022-12-31DOI: 10.3126/mjmms.v2i4.53507
D. Kafle, D. Mahato, Fuleshwor Mandal, Brishpati Rimal, S. Ranabhat
INTRODUCTION: Hypothyroidism is a clinical condition resulting from inadequate synthesis of the thyroid hormones. Thyroid hormone has an influence on renal hemodynamics, glomerular filtration, as well as the renin angiotensin aldosterone system and renal electrolyte handling. The aim of present study was to find out the serum concentration of electrolytes sodium and potassium in hypothyroid patients attending a tertiary care hospital. MATERIALS AND METHODS: A hospital-based descriptive cross-sectional study was conducted from 24th July 2019 to November 30th 2019 at Chitwan Medical College Teaching Hospital. A venous blood sample was collected and T3, T4 and TSH levels were measured by using chemiluminescence technology. Sodium and potassium levels in blood were investigated by ion selective electrode (ISE) method. Data were analyzed using IBM SPSS 21 software. RESULTS: In our study parameters (T3, T4 & TSH and Na+) were significant (P<0.05) in hypothyroidism subjects (group II) as compared to control subjects (group I) except for electrolyte potassium which was non-significant at P<0.05. T3 and T4 were found significantly decreased whereas TSH was found elevated in subjects of hypothyroidism (group II) as compared to controls. The level of potassium was within the normal range but it was found not significant as compared to healthy controls. CONCLUSIONS: The study concluded that there was increase in TSH with decrease in T3 and T4 in hypothyroid subjects but the electrolyte sodium was found to be statistically significant.
{"title":"Assessment of Serum Electrolyte in Hypothyroid Patients Attending Chitwan Medical College","authors":"D. Kafle, D. Mahato, Fuleshwor Mandal, Brishpati Rimal, S. Ranabhat","doi":"10.3126/mjmms.v2i4.53507","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53507","url":null,"abstract":"INTRODUCTION: Hypothyroidism is a clinical condition resulting from inadequate synthesis of the thyroid hormones. Thyroid hormone has an influence on renal hemodynamics, glomerular filtration, as well as the renin angiotensin aldosterone system and renal electrolyte handling. The aim of present study was to find out the serum concentration of electrolytes sodium and potassium in hypothyroid patients attending a tertiary care hospital. MATERIALS AND METHODS: A hospital-based descriptive cross-sectional study was conducted from 24th July 2019 to November 30th 2019 at Chitwan Medical College Teaching Hospital. A venous blood sample was collected and T3, T4 and TSH levels were measured by using chemiluminescence technology. Sodium and potassium levels in blood were investigated by ion selective electrode (ISE) method. Data were analyzed using IBM SPSS 21 software. RESULTS: In our study parameters (T3, T4 & TSH and Na+) were significant (P<0.05) in hypothyroidism subjects (group II) as compared to control subjects (group I) except for electrolyte potassium which was non-significant at P<0.05. T3 and T4 were found significantly decreased whereas TSH was found elevated in subjects of hypothyroidism (group II) as compared to controls. The level of potassium was within the normal range but it was found not significant as compared to healthy controls. CONCLUSIONS: The study concluded that there was increase in TSH with decrease in T3 and T4 in hypothyroid subjects but the electrolyte sodium was found to be statistically significant.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"308 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123327427","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}
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