Pub Date : 2022-12-31DOI: 10.3126/mjmms.v2i4.53560
Dikshya Nepal, S. Pandit, Mahendra Giri
INTRODUCTION: There seems health impact both physical and mental health of mid – adolescent student due to online education due to untested way of implementation of remote mode of education. The aim of the study was to observe the health impact due to online education during covid-19 pandemic 2nd wave. MATERIALS AND METHODS: This cross sectional study was carried out among 338 mid-adolescent students of selected schools of Kathmandu valley through convenient sampling technique. Physical health was assessed through semi-structured questionnaire, anxiety was assessed by GAD-7 scale and perceived stress was assessed by PSS-10 scale with validated and pretested questionnaire. Data were entered in SPSS version 23 and Chi–square test was applied to identify the association of Health impacts with different independent variables. RESULTS: Mental problem like anxiety was found as mild anxiety in 26.3%, moderate anxiety in 21.9%, and severe anxiety in 8% of respondents. Regarding stress, low stress was found in 10.9%, moderate stress in 83.4%, and high stress in 5.6% of the respondents. The association was observed with perceived feelings of loneliness and isolation during online education with anxiety (p<0.0001) and stress(p<0.0001); body ache (p=0.032) and headache (p=0.047) in-relation with type of gadget used, neck pain (p=0.02) and headache (p=0.045) in-relation with duration of online classes per day, backache (p=0.037) in-relation with physical activities, eye problem(p=0.016) inrelation with sitting arrangement during online education. CONCLUSIONS: More than half of the student have seen either kind of physical health issues and among four in five respondents have seen moderate perceived stress. The association of health impact was seen with type of gadget used, duration of online class, physical activity and weight gain.
导读:由于远程教育模式的实施方式未经检验，网络教育似乎对青少年中学生的身心健康都有影响。本研究的目的是观察在线教育在covid-19第二次大流行期间对健康的影响。材料与方法:采用方便抽样方法，对加德满都谷地选定学校的338名青少年中期学生进行横断面研究。采用半结构化问卷对身体健康进行评估，采用GAD-7量表对焦虑进行评估，采用PSS-10量表对感知压力进行评估。数据输入SPSS version 23，采用卡方检验确定不同自变量对健康影响的相关性。结果:焦虑等精神问题为轻度焦虑占26.3%，中度焦虑占21.9%，重度焦虑占8%。在压力方面，低压力占10.9%，中等压力占83.4%，高压力占5.6%。在线教育中孤独感和孤立感与焦虑(p<0.0001)和压力(p<0.0001)存在关联;身体疼痛(p=0.032)和头痛(p=0.047)与使用的电子设备类型有关，颈部疼痛(p=0.02)和头痛(p=0.045)与每天在线课程的时长有关，背部疼痛(p=0.037)与体育活动有关，眼部问题(p=0.016)与在线教育时的坐姿有关。结论:超过一半的学生有任何一种身体健康问题，五分之四的受访者有中度感知压力。对健康的影响与使用的电子设备类型、在线课程的持续时间、体育活动和体重增加有关。
{"title":"Health Impact due to Online Education in Mid-adolescent School Students at Kathmandu Valley during 2nd Wave of COVID-19 Pandemic","authors":"Dikshya Nepal, S. Pandit, Mahendra Giri","doi":"10.3126/mjmms.v2i4.53560","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53560","url":null,"abstract":"INTRODUCTION: There seems health impact both physical and mental health of mid – adolescent student due to online education due to untested way of implementation of remote mode of education. The aim of the study was to observe the health impact due to online education during covid-19 pandemic 2nd wave. MATERIALS AND METHODS: This cross sectional study was carried out among 338 mid-adolescent students of selected schools of Kathmandu valley through convenient sampling technique. Physical health was assessed through semi-structured questionnaire, anxiety was assessed by GAD-7 scale and perceived stress was assessed by PSS-10 scale with validated and pretested questionnaire. Data were entered in SPSS version 23 and Chi–square test was applied to identify the association of Health impacts with different independent variables. RESULTS: Mental problem like anxiety was found as mild anxiety in 26.3%, moderate anxiety in 21.9%, and severe anxiety in 8% of respondents. Regarding stress, low stress was found in 10.9%, moderate stress in 83.4%, and high stress in 5.6% of the respondents. The association was observed with perceived feelings of loneliness and isolation during online education with anxiety (p<0.0001) and stress(p<0.0001); body ache (p=0.032) and headache (p=0.047) in-relation with type of gadget used, neck pain (p=0.02) and headache (p=0.045) in-relation with duration of online classes per day, backache (p=0.037) in-relation with physical activities, eye problem(p=0.016) inrelation with sitting arrangement during online education. CONCLUSIONS: More than half of the student have seen either kind of physical health issues and among four in five respondents have seen moderate perceived stress. The association of health impact was seen with type of gadget used, duration of online class, physical activity and weight gain. ","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"166 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":"123437687","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.v2i4.53720
R. Piryani, A. G. Soomro, Shahzad Ahmadani, Razia Asif, Asiya Parveen Shaikh
Electives supplement to the core curriculum of undergraduate health professions education, thereby enriches personal and professional development of undergraduates in diverse areas. Electives provide an opportunity for transformative learning. This paper describes the implementation of electives at newly established Bilwal Medical College for Boys, a constituent college of Liaquat University of Medical Health Sciences, Jamshoro, Sindh, Pakistan. Firstly, concrete policy for electives was developed by health professions educationist. Then Committee for the implementation of electives was constituted. Subsequently, feasible and achievable implementation plan was formulated focusing on the activities to be done before, during and after the placement of students for electives in different departments and process of implementation. The first batch of students studying in fourth year of MBBS attended the electives. With keen involvement of all stakeholders such as, students, faculty, administration, parents and collaborating departments and their faculty, the program was successfully implemented. Thorough supervision and monitoring during placement contributed toward the success of program.
{"title":"Our Experiences in Initiating Implementation of Electives at a Bilawal Medical College, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh Pakistan","authors":"R. Piryani, A. G. Soomro, Shahzad Ahmadani, Razia Asif, Asiya Parveen Shaikh","doi":"10.3126/mjmms.v2i4.53720","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53720","url":null,"abstract":"Electives supplement to the core curriculum of undergraduate health professions education, thereby enriches personal and professional development of undergraduates in diverse areas. Electives provide an opportunity for transformative learning. This paper describes the implementation of electives at newly established Bilwal Medical College for Boys, a constituent college of Liaquat University of Medical Health Sciences, Jamshoro, Sindh, Pakistan. Firstly, concrete policy for electives was developed by health professions educationist. Then Committee for the implementation of electives was constituted. Subsequently, feasible and achievable implementation plan was formulated focusing on the activities to be done before, during and after the placement of students for electives in different departments and process of implementation. The first batch of students studying in fourth year of MBBS attended the electives. With keen involvement of all stakeholders such as, students, faculty, administration, parents and collaborating departments and their faculty, the program was successfully implemented. Thorough supervision and monitoring during placement contributed toward the success of program.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"51 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":"127686830","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}
INTRODUCTION: The inter-incisal distance at maximum mouth opening has been referred to as normal mouth opening. Variations in the inter-incisal distance exists among different age groups, sex, gender, race and ethnicity. The mean inter-incisal distance is required during the treatment of maxillofacial fractures, temporomandibular joint disorders, oral malignancies, reconstructed mouth anomalies, and craniofacial syndromes. The aim of this study was to determine the maximal inter-incisal distance among bachelor level students of tertiary care center of Nepal. MATERIALS AND METHODS: A descriptive cross-sectional study was conducted among the 320 bachelor level students of Chitwan Medical College. Convenience sampling method was used. Sex and ethnicity of the patient were recorded. Inter-incisal distance was measured in all the participants with the help of tongue depressor. The data were entered in Microsoft Excel 2019 and later transported to Statistical Package for Social Science (SPSS) version 16 for the statistical analysis. Descriptive statistical analysis was done. RESULTS: In this study among the 320 participants 131 (40.9 %) were male and 189 (59.1 %) were female. The mean age was 22.34 ± 2.02 years. The mean inter-incisal distance of male and female was 48.69 ± 6.92 mm and 46.51 ± 6.24 mm respectively. The mean inter-incisal distance was maximum in Muslims who had inter-incisal length ie.51.24± 3.54 mm, followed by Buddhists 48.86± 5.89 mm. CONCLUSIONS: This study concluded that the mean inter-incisal distance of male was more than that of female. On the basis of religion, Muslim students had maximum inter-incisal length followed by Buddhists, Hindus and Christians. On basis of ethnicity this study documented the maximum inter incisal distance in Chhetris and minimum in Newars.
简介:最大开口时的切牙间距离称为正常开口。不同年龄组、性别、性别、种族和民族之间的内切距离存在差异。在治疗颌面骨折、颞下颌关节疾病、口腔恶性肿瘤、重建口畸形和颅面综合征时，需要平均切间距离。本研究的目的是确定尼泊尔三级医疗中心本科学生的最大内切距离。材料与方法:对奇旺医学院320名本科学生进行描述性横断面研究。采用方便抽样方法。记录患者的性别和种族。在压舌板的帮助下测量所有参与者的切牙间距离。将数据输入到Microsoft Excel 2019中，然后传输到SPSS (Statistical Package for Social Science) 16版中进行统计分析。进行描述性统计分析。结果:在本研究的320名参与者中，男性131人(40.9%)，女性189人(59.1%)。平均年龄22.34±2.02岁。男性和女性的平均切间距离分别为48.69±6.92 mm和46.51±6.24 mm。穆斯林的平均切间距离最大，切间长度为。51.24±3.54 mm，佛教徒次之，为48.86±5.89 mm。结论:男性的平均切间距离大于女性。从宗教上看，穆斯林学生的内径最长，其次是佛教徒、印度教徒和基督教徒。根据种族，本研究记录了切特里斯的最大内切距离和纽瓦尔的最小内切距离。
{"title":"Assessment of Inter-Incisal Distance among the Bachelor Level Students of a Tertiary Care Centre of Nepal","authors":"R. Chaulagain, Sujata Baral, Shila Kandel, Alisha Agrawal, Ajeevan Gautam, Sanjeeb Chaudhary","doi":"10.3126/mjmms.v2i4.53510","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53510","url":null,"abstract":"INTRODUCTION: The inter-incisal distance at maximum mouth opening has been referred to as normal mouth opening. Variations in the inter-incisal distance exists among different age groups, sex, gender, race and ethnicity. The mean inter-incisal distance is required during the treatment of maxillofacial fractures, temporomandibular joint disorders, oral malignancies, reconstructed mouth anomalies, and craniofacial syndromes. The aim of this study was to determine the maximal inter-incisal distance among bachelor level students of tertiary care center of Nepal. MATERIALS AND METHODS: A descriptive cross-sectional study was conducted among the 320 bachelor level students of Chitwan Medical College. Convenience sampling method was used. Sex and ethnicity of the patient were recorded. Inter-incisal distance was measured in all the participants with the help of tongue depressor. The data were entered in Microsoft Excel 2019 and later transported to Statistical Package for Social Science (SPSS) version 16 for the statistical analysis. Descriptive statistical analysis was done. RESULTS: In this study among the 320 participants 131 (40.9 %) were male and 189 (59.1 %) were female. The mean age was 22.34 ± 2.02 years. The mean inter-incisal distance of male and female was 48.69 ± 6.92 mm and 46.51 ± 6.24 mm respectively. The mean inter-incisal distance was maximum in Muslims who had inter-incisal length ie.51.24± 3.54 mm, followed by Buddhists 48.86± 5.89 mm. CONCLUSIONS: This study concluded that the mean inter-incisal distance of male was more than that of female. On the basis of religion, Muslim students had maximum inter-incisal length followed by Buddhists, Hindus and Christians. On basis of ethnicity this study documented the maximum inter incisal distance in Chhetris and minimum in Newars.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"87 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":"115728150","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.v2i4.53467
B. Jha, J. Singh
No abstract available.
没有摘要。
{"title":"Evolution of Laboratory Services in Nepal: A Historical Overview and Recent Developments","authors":"B. Jha, J. Singh","doi":"10.3126/mjmms.v2i4.53467","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53467","url":null,"abstract":"No abstract available.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"44 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":"115284137","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.v2i4.53562
Bijay Khatri, Manish Kayastha, Rajan Shrestha, Sangita Majhi, Anusha Lamsal, S. Upadhyay, M. Upadhyay, K. Kafle
INTRODUCTION: Diabetes is a pandemic of public health importance, and prediabetes has also emerged as a major public health concern. Unfortunately, one-third of individuals with diabetes are identified only after developing complications, and nearly three-fourths are unaware of their raised blood sugar status. Opportunistic screening at an earlier stage has good prognosis. The study aimed at an opportunistic screening of raised plasma glucose levels of outpatients and diagnosing prediabetes and diabetes among them. MATERIALS AND METHODS: This descriptive cross-sectional study was conducted among patients visiting an Eye ENT hospital in Bhaktapur, Nepal, between January to December 2019. Outpatients aged 40-79 years with unknown history of diabetes were invited for free hyperglycemia screening. Descriptive analysis was computed for patients participating in random plasma glucose (RPG) screening and patients coming for definitive tests for diabetes with elevated RPG levels. RESULTS: Amongst 6,913 outpatients, 14.9% had RPG levels of 140 mg/dL and higher. Among 159 patients with RPG levels 140 mg/dL and higher, 40.9% had prediabetes, and 32.7% had diabetes. CONCLUSIONS: Opportunistic screening in hospital OPD settings is feasible to identify people at risk of hyperglycemia. Timely detection of a silent killer - diabetes and prediabetes can be useful for early intervention and preventing complications.
{"title":"Opportunistic Screening for Raised Blood Sugar and Diagnosing Prediabetes and Diabetes among Patients Coming for Eye, ENT Consultation: A Descriptive Study","authors":"Bijay Khatri, Manish Kayastha, Rajan Shrestha, Sangita Majhi, Anusha Lamsal, S. Upadhyay, M. Upadhyay, K. Kafle","doi":"10.3126/mjmms.v2i4.53562","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53562","url":null,"abstract":"INTRODUCTION: Diabetes is a pandemic of public health importance, and prediabetes has also emerged as a major public health concern. Unfortunately, one-third of individuals with diabetes are identified only after developing complications, and nearly three-fourths are unaware of their raised blood sugar status. Opportunistic screening at an earlier stage has good prognosis. The study aimed at an opportunistic screening of raised plasma glucose levels of outpatients and diagnosing prediabetes and diabetes among them. MATERIALS AND METHODS: This descriptive cross-sectional study was conducted among patients visiting an Eye ENT hospital in Bhaktapur, Nepal, between January to December 2019. Outpatients aged 40-79 years with unknown history of diabetes were invited for free hyperglycemia screening. Descriptive analysis was computed for patients participating in random plasma glucose (RPG) screening and patients coming for definitive tests for diabetes with elevated RPG levels. RESULTS: Amongst 6,913 outpatients, 14.9% had RPG levels of 140 mg/dL and higher. Among 159 patients with RPG levels 140 mg/dL and higher, 40.9% had prediabetes, and 32.7% had diabetes. CONCLUSIONS: Opportunistic screening in hospital OPD settings is feasible to identify people at risk of hyperglycemia. Timely detection of a silent killer - diabetes and prediabetes can be useful for early intervention and preventing complications.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"56 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":"129729593","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.v2i4.53719
Bharat Ram Dhungana
INTRODUCTION: Social health insurance (SHI) is a risk-sharing method-based health care financing and administration. SHI combines the contributions of people, households, businesses, and the government with people's health hazards. As a result, it shields people from financial and physical hardship and is a generally equitable way to pay for medical care. This study aims to assess the status of social health insurance in Nepal. MATERIALS AND METHODS: The research is based on a review of empirical studies, reports, and data. The Google Scholar search engine was used to locate research publications on health insurance. The Google Scholar Open Database was applied to find the publications using the keywords "health insurance" or "social health insurance in Nepal." All papers that were published before July 2022 were checked for the study. Fifty-seven research papers were discovered during the initial inquiry; five duplicate articles were eliminated, and seven were out of the norm. Finally, 45 research papers and reports were selected for evaluation with the study titled "The status of health insurance in Nepal." RESULTS: This study finds that Madhesh province has poor status (4.63%) of social health insurance and province one has the highest (33.02%) of insured persons in Nepal. Females (52%) insured are higher than males (48%). The population covered by health insurance is seven percent in Nepal. Likewise, the renewal status of social health insurance is poor in Karnali province (50%) and highest in Lumbini province (85%) for the fiscal year 2021/22. CONCLUSIONS: Social health insurance is an effective strategy for fair access to healthcare services. The penetration of social health insurance is low in Nepal. Since the social health insurance program is one of the effective tools for improving the health system in developing nations like Nepal, so the government should speed up its implementation to achieve the goal of universal health coverage and sustainable development goals.
{"title":"The Status of Social Health Insurance in Nepal","authors":"Bharat Ram Dhungana","doi":"10.3126/mjmms.v2i4.53719","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53719","url":null,"abstract":"INTRODUCTION: Social health insurance (SHI) is a risk-sharing method-based health care financing and administration. SHI combines the contributions of people, households, businesses, and the government with people's health hazards. As a result, it shields people from financial and physical hardship and is a generally equitable way to pay for medical care. This study aims to assess the status of social health insurance in Nepal. MATERIALS AND METHODS: The research is based on a review of empirical studies, reports, and data. The Google Scholar search engine was used to locate research publications on health insurance. The Google Scholar Open Database was applied to find the publications using the keywords \"health insurance\" or \"social health insurance in Nepal.\" All papers that were published before July 2022 were checked for the study. Fifty-seven research papers were discovered during the initial inquiry; five duplicate articles were eliminated, and seven were out of the norm. Finally, 45 research papers and reports were selected for evaluation with the study titled \"The status of health insurance in Nepal.\" RESULTS: This study finds that Madhesh province has poor status (4.63%) of social health insurance and province one has the highest (33.02%) of insured persons in Nepal. Females (52%) insured are higher than males (48%). The population covered by health insurance is seven percent in Nepal. Likewise, the renewal status of social health insurance is poor in Karnali province (50%) and highest in Lumbini province (85%) for the fiscal year 2021/22. CONCLUSIONS: Social health insurance is an effective strategy for fair access to healthcare services. The penetration of social health insurance is low in Nepal. Since the social health insurance program is one of the effective tools for improving the health system in developing nations like Nepal, so the government should speed up its implementation to achieve the goal of universal health coverage and sustainable development goals.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"57 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":"116931790","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.v2i4.53567
L. Shah, Arpana Kamati
INTRODUCTION: Attention deficit hyperactivity disorder (ADHD) is a neuro-developmental disorder that typically first manifest early in childhood and often persist into adulthood which can affect the academic achievement, well-being and social interactions of children. The objective of this study was to assess knowledge about ADHD among the government school teacher and to find the association between ADHD knowledge with their demographic variables. MATERIALS AND METHODS: A cross section descriptive research design was adopted. A total of 112 numbers of samples were selected from government schools of Janakpurdham, Nepal by use of purposive sampling. The information was collected through the use of the Knowledge Attention Deficit Disorder Scale (KADDS) tool, and subsequently, data were analyzed using Statistical Package for Social Sciences (SPSS). RESULTS: The result revealed that 43.8% demonstrated insufficient knowledge, while only 56.2% possessed adequate knowledge. There was significant association of gender and the ADHD knowledge among the government school teachers (p = 0.016). CONCLUSIONS: Insufficient knowledge about ADHD was noted among school teachers, indicating a need for the government to provide targeted training and in-service education in this field.
{"title":"Assessment of Knowledge Regarding Attention Deficit Hyperactivity Disorder among Teachers in Selected Government Schools: A Cross-sectional Study","authors":"L. Shah, Arpana Kamati","doi":"10.3126/mjmms.v2i4.53567","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53567","url":null,"abstract":"INTRODUCTION: Attention deficit hyperactivity disorder (ADHD) is a neuro-developmental disorder that typically first manifest early in childhood and often persist into adulthood which can affect the academic achievement, well-being and social interactions of children. The objective of this study was to assess knowledge about ADHD among the government school teacher and to find the association between ADHD knowledge with their demographic variables. MATERIALS AND METHODS: A cross section descriptive research design was adopted. A total of 112 numbers of samples were selected from government schools of Janakpurdham, Nepal by use of purposive sampling. The information was collected through the use of the Knowledge Attention Deficit Disorder Scale (KADDS) tool, and subsequently, data were analyzed using Statistical Package for Social Sciences (SPSS). RESULTS: The result revealed that 43.8% demonstrated insufficient knowledge, while only 56.2% possessed adequate knowledge. There was significant association of gender and the ADHD knowledge among the government school teachers (p = 0.016). CONCLUSIONS: Insufficient knowledge about ADHD was noted among school teachers, indicating a need for the government to provide targeted training and in-service education in this field.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"81 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":"131731022","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}
INTRODUCTION: The use of modern family planning methods varies by province in Nepal from a low of 37% in Province 4 to a high of 49% in Province 3 There is no previous study has documented on the factors associated with utilization of modern family planning methods among married women of Tharu community in Bardiya district of Nepal, so this study is expected to provide information on influencing factors and hindering factors for utilization of family planning methods and its prevalence. MATERIALS AND METHODS: A Community based cross-sectional to find out factors associated with utilization of modern family planning method among married women of Tharu community of Madhuwan Municipality in Bardiya district of Nepal. Multistage cluster sampling was adopted. Sample size was calculated as 383. Face-to-face interview technique was adopted to collect data. Chi-square test was applied. A p-value of <0.05 was considered statistically significant. RESULTS: Among all respondents (n=383), the current users of modern family planning methods were 72.3%. More than one fourth (28.7%) of the respondents were currently using sterilization family planning method. DMPA, OCP, Implant, Condom and IUCD current users were 17%, 10.7%, 8.6%, 4.4% and 2.9% respectively. CONCLUSIONS: Finding showed that most of the respondents were using female sterilization FP method which was only available at hospital or camp setting. So, the government should manage such an environment for family planning so that it is easily accessible to every desired couple.
{"title":"Factors Associated with Utilization of Modern Family Planning Methods among Married Women of Tharu Community of Madhuwan Municipality in Bardiya District of Nepal","authors":"Aitawari Chaudhari, Umesh Gautam, Bhuwan Dahit, Mahendra Giri","doi":"10.3126/mjmms.v2i4.53715","DOIUrl":"https://doi.org/10.3126/mjmms.v2i4.53715","url":null,"abstract":"INTRODUCTION: The use of modern family planning methods varies by province in Nepal from a low of 37% in Province 4 to a high of 49% in Province 3 There is no previous study has documented on the factors associated with utilization of modern family planning methods among married women of Tharu community in Bardiya district of Nepal, so this study is expected to provide information on influencing factors and hindering factors for utilization of family planning methods and its prevalence. MATERIALS AND METHODS: A Community based cross-sectional to find out factors associated with utilization of modern family planning method among married women of Tharu community of Madhuwan Municipality in Bardiya district of Nepal. Multistage cluster sampling was adopted. Sample size was calculated as 383. Face-to-face interview technique was adopted to collect data. Chi-square test was applied. A p-value of <0.05 was considered statistically significant. RESULTS: Among all respondents (n=383), the current users of modern family planning methods were 72.3%. More than one fourth (28.7%) of the respondents were currently using sterilization family planning method. DMPA, OCP, Implant, Condom and IUCD current users were 17%, 10.7%, 8.6%, 4.4% and 2.9% respectively. CONCLUSIONS: Finding showed that most of the respondents were using female sterilization FP method which was only available at hospital or camp setting. So, the government should manage such an environment for family planning so that it is easily accessible to every desired couple.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"19 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":"121969280","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 : 2022-08-20DOI: 10.3126/mjmms.v2i3.47749
Urica Sharma Marahatta, D. Koirala
INTRODUCTION: In the nursing profession, assertiveness and self-esteem are essential components for effective patient care and therapeutic relationships. Lack of these components have been found to be a major problem in the nursing profession today. The objective of the study was to find out the level of assertiveness and self-esteem among nurses working at Teaching Hospital, Bharatpur, Chitwan. MATERIALS AND METHODS: A descriptive cross-sectional study design was conducted among 155 nurses working at Chitwan Medical College, Teaching Hospital, Bharatpur, Chitwan. Stratified proportionate simple random sampling technique was used to select sample. Data was collected by using standardized self-administered tool {Simple Rathus Assertiveness Schedule (SRAS) and Rosenberg Self-esteem Scale (RSES)} from 2078-11-29 to 2078-12-11. Data were analyzed by using descriptive and inferential statistics. RESULTS: The study revealed that more than half of the nurses (51.0%) have high assertiveness and more than half of the nurses (54.8%) have high level of self-esteem. There was statistically significant association between assertiveness and age (p=0.004), ethnicity (p<0.001), area of residence (p=0.020), marital status (p=0.008), educational level (p=0.001) and work experiences (p=0.044) of the nurses. Similarly, there was statistically significant association between self-esteem and age (p=<0.001), educational level (p=0.010) and self-reported job satisfaction (p=<0.001). CONCLUSIONS: In conclusion, about half of the nurses have low level of assertiveness and low level of self-esteem. Thus, the organization need to plan and conduct different training programs on improving assertiveness and self-esteem for the nurses so that it will boost their confidence, and this will ultimately improve patient care.
{"title":"Assertiveness and Self-esteem among Nurses Working at a Teaching Hospital, Bharatpur, Chitwan","authors":"Urica Sharma Marahatta, D. Koirala","doi":"10.3126/mjmms.v2i3.47749","DOIUrl":"https://doi.org/10.3126/mjmms.v2i3.47749","url":null,"abstract":"INTRODUCTION: In the nursing profession, assertiveness and self-esteem are essential components for effective patient care and therapeutic relationships. Lack of these components have been found to be a major problem in the nursing profession today. The objective of the study was to find out the level of assertiveness and self-esteem among nurses working at Teaching Hospital, Bharatpur, Chitwan.\u0000MATERIALS AND METHODS: A descriptive cross-sectional study design was conducted among 155 nurses working at Chitwan Medical College, Teaching Hospital, Bharatpur, Chitwan. Stratified proportionate simple random sampling technique was used to select sample. Data was collected by using standardized self-administered tool {Simple Rathus Assertiveness Schedule (SRAS) and Rosenberg Self-esteem Scale (RSES)} from 2078-11-29 to 2078-12-11. Data were analyzed by using descriptive and inferential statistics.\u0000RESULTS: The study revealed that more than half of the nurses (51.0%) have high assertiveness and more than half of the nurses (54.8%) have high level of self-esteem. There was statistically significant association between assertiveness and age (p=0.004), ethnicity (p<0.001), area of residence (p=0.020), marital status (p=0.008), educational level (p=0.001) and work experiences (p=0.044) of the nurses. Similarly, there was statistically significant association between self-esteem and age (p=<0.001), educational level (p=0.010) and self-reported job satisfaction (p=<0.001).\u0000CONCLUSIONS: In conclusion, about half of the nurses have low level of assertiveness and low level of self-esteem. Thus, the organization need to plan and conduct different training programs on improving assertiveness and self-esteem for the nurses so that it will boost their confidence, and this will ultimately improve patient care. ","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126338421","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 : 2022-08-20DOI: 10.3126/mjmms.v2i3.47657
D. Kafle, B. K. Gupta, S. Timalsina, Fuleshwar Mandal
INTRODUCTION: Gestational Diabetes Mellitus (GDM) is defined as glucose intolerance of variable severity in which spontaneous hyperglycemia develops during pregnancy. GDM is affecting approximately 14% of pregnancies worldwide, representing approximately 18 million births annually. GDM increases the risk of adverse maternal and perinatal outcome and also increases risk of future diabetes to the mother and their child. MATERIALS AND METHODS: The cross-sectional study was carried out over 8 months in 149 pregnant subjects of gestation period between 24 and 28 at Chitwan Medical College Teaching Hospital (CMCTH). All pregnant women were considered for 50gm Glucose Tolerance Test (GCT). Those pregnant subjects with GCT ≥ 140mg% only undergo 100 gm Oral Glucose Tolerance Test (OGTT) & plasma glucose were estimated at the interval of 0,1,2 and 3 hours respectively. The GDM was diagnosed after performing OGTT based on Carpenter-Coustan Criteria. RESULTS: In our study from 149 study population, the frequency of normal & abnormal GCT in pregnant women was 111(74.50%) & 38(25.50%) respectively. Out of 149 subjects only 38 pregnant women have abnormal GCT in which only 23 have done OGTT test. Among 23 subjects the presence of GDM was found in 9 subjects with 39.10% whereas GDM was not found in 14 subjects with 60.9%. The prevalence of GDM among 149 populations was found to be 9 which is 6.04%. CONCLUSIONS: The prevalence of GDM among 149 populations was found to be 6.04%. The real burden, risk factors, and potential preventative interventions of gestational diabetes mellitus must also be measured in large observational studies for finding the correlation to assess the severity of the disease.
{"title":"Prevalence of Gestational Diabetes Mellitus among Pregnant Women Undergoing Oral Glucose Tolerance Test (OGTT) at Chitwan Medical College and Teaching Hospital","authors":"D. Kafle, B. K. Gupta, S. Timalsina, Fuleshwar Mandal","doi":"10.3126/mjmms.v2i3.47657","DOIUrl":"https://doi.org/10.3126/mjmms.v2i3.47657","url":null,"abstract":"INTRODUCTION: Gestational Diabetes Mellitus (GDM) is defined as glucose intolerance of variable severity in which spontaneous hyperglycemia develops during pregnancy. GDM is affecting approximately 14% of pregnancies worldwide, representing approximately 18 million births annually. GDM increases the risk of adverse maternal and perinatal outcome and also increases risk of future diabetes to the mother and their child.\u0000MATERIALS AND METHODS: The cross-sectional study was carried out over 8 months in 149 pregnant subjects of gestation period between 24 and 28 at Chitwan Medical College Teaching Hospital (CMCTH). All pregnant women were considered for 50gm Glucose Tolerance Test (GCT). Those pregnant subjects with GCT ≥ 140mg% only undergo 100 gm Oral Glucose Tolerance Test (OGTT) & plasma glucose were estimated at the interval of 0,1,2 and 3 hours respectively. The GDM was diagnosed after performing OGTT based on Carpenter-Coustan Criteria.\u0000RESULTS: In our study from 149 study population, the frequency of normal & abnormal GCT in pregnant women was 111(74.50%) & 38(25.50%) respectively. Out of 149 subjects only 38 pregnant women have abnormal GCT in which only 23 have done OGTT test. Among 23 subjects the presence of GDM was found in 9 subjects with 39.10% whereas GDM was not found in 14 subjects with 60.9%. The prevalence of GDM among 149 populations was found to be 9 which is 6.04%.\u0000CONCLUSIONS: The prevalence of GDM among 149 populations was found to be 6.04%. The real burden, risk factors, and potential preventative interventions of gestational diabetes mellitus must also be measured in large observational studies for finding the correlation to assess the severity of the disease.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116416561","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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