Pub Date : 2021-12-31DOI: 10.3126/mjmms.v1i1.42996
N. Yadav, Rudra Narayan Thakur, R. Yadav
INTRODUCTION: Considering the importance of urinary tract infection (UTI) in pregnant women which is responsible for several complications, its diagnosis and treatment are essential to maintain the health of mother and baby.The purpose of the present study was to evaluate the isolation and identification of Escherichia coli from the UTI suspected pregnant women visiting at provincial Hospital Janakpur. MATERIALS AND METHODS: A total of 200 mid-stream urine samples were collected from UTI suspected pregnant women of 18 to 45 years visiting antenetal OPD in Provincial Hospital Janakpur in between February 2021 to April 2021. The collected urine samples were processed in the microbiology department of the Model Multiple College, Janakpur. Standard Microbiological procedures were followed. RESULTS: The Escherichia coli were predominant identified as 17 (35.41%). Patients aged between 25-30 years were mostly infected 35 (72.9%). The majority of bacteria isolated were more sensitive to Cephalexin and nitrofurantoin. CONCLUSIONS: Escherichia coli is one of the most important pathogen for UTI in pregnant women. The majority of bacteria isolated in the present study were more sensitive to Cephalexin and nitrofurantoin.
{"title":"Prevalence of Bacteriuria in Pregnant Women Visiting Provincial Hospital, Janakpurdham, Nepal","authors":"N. Yadav, Rudra Narayan Thakur, R. Yadav","doi":"10.3126/mjmms.v1i1.42996","DOIUrl":"https://doi.org/10.3126/mjmms.v1i1.42996","url":null,"abstract":"INTRODUCTION: Considering the importance of urinary tract infection (UTI) in pregnant women which is responsible for several complications, its diagnosis and treatment are essential to maintain the health of mother and baby.The purpose of the present study was to evaluate the isolation and identification of Escherichia coli from the UTI suspected pregnant women visiting at provincial Hospital Janakpur. \u0000MATERIALS AND METHODS: A total of 200 mid-stream urine samples were collected from UTI suspected pregnant women of 18 to 45 years visiting antenetal OPD in Provincial Hospital Janakpur in between February 2021 to April 2021. The collected urine samples were processed in the microbiology department of the Model Multiple College, Janakpur. Standard Microbiological procedures were followed. \u0000RESULTS: The Escherichia coli were predominant identified as 17 (35.41%). Patients aged between 25-30 years were mostly infected 35 (72.9%). The majority of bacteria isolated were more sensitive to Cephalexin and nitrofurantoin. \u0000CONCLUSIONS: Escherichia coli is one of the most important pathogen for UTI in pregnant women. The majority of bacteria isolated in the present study were more sensitive to Cephalexin and nitrofurantoin.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126312038","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 : 2021-12-31DOI: 10.3126/mjmms.v1i2.46373
Fuleshwar Mandal, Dilip Kc, K. Adhikari
INTRODUCTION: Rheumatoid Arthritis (RA) is a common, chronic inflammatory multisystem autoimmune disorder of undetermined aetiology involving primarily the synovial membranes and articular structures of many joints. Rheumatoid factor (RF) is most frequently used serum biomarkers for the diagnosis of RA; however, these antibodies are detectable in many other pathological conditions and even in 5% in healthy population. Anti-Cyclic Citrullinated Peptide (Anti-CCP) antibodies is another serological biomarker having high sensitivity and specificity than RF which present in pre-clinical stage and seronegative rheumatoid arthritis patients. MATERIALS AND METHODS: This is a cross-sectional study conducted among the confirmed RA patients visiting orthopaedic OPD. Anti-CCP antibody was determined quantitively by CLIA on Siemen ADVIA Centaur CP immunoassay system and RA-factor were determined quantitively by Nephelometry assay on MISPA I3 and comparison was done between two serological tests, i.e., Anti-CCP and RF. RESULTS: Out of 112 clinically diagnosed RA patients, 23 (20.5%) were males and 89(79.5%) were females with the ratio of 1:3.9 and the mean age ± SD of the patients was 50 ± 14.56. Out of 112 clinically diagnosed RA patients, 55 patients, i.e., 49.1% were RF antibodies positive and 57 patients, i.e., 50.9% were RF antibodies negative. Among RF positive, 32 (58.2%) patients were positive for anti-CCP antibody and among RF negative, 10 (17.5%) patients were positive for anti-CCP antibody and the differences between Anti-CCP and RF groups was statistically highly significant (p<0.001). CONCLUSIONS: Females are at high risk of developing Rheumatoid arthritis than males because male to female ratio is found to be 1:3.9. This study also showed that Anti-CCP antibody is more beneficial and better marker than RF for the diagnosis of Rheumatoid arthritis.
{"title":"Anti-CCP Antibody and Rheumatoid Factor among Clinically Diagnosed Rheumatoid Arthritis Patients Attending a Tertiary Hospital at Chitwan, Nepal","authors":"Fuleshwar Mandal, Dilip Kc, K. Adhikari","doi":"10.3126/mjmms.v1i2.46373","DOIUrl":"https://doi.org/10.3126/mjmms.v1i2.46373","url":null,"abstract":"INTRODUCTION: Rheumatoid Arthritis (RA) is a common, chronic inflammatory multisystem autoimmune disorder of undetermined aetiology involving primarily the synovial membranes and articular structures of many joints. Rheumatoid factor (RF) is most frequently used serum biomarkers for the diagnosis of RA; however, these antibodies are detectable in many other pathological conditions and even in 5% in healthy population. Anti-Cyclic Citrullinated Peptide (Anti-CCP) antibodies is another serological biomarker having high sensitivity and specificity than RF which present in pre-clinical stage and seronegative rheumatoid arthritis patients.\u0000MATERIALS AND METHODS: This is a cross-sectional study conducted among the confirmed RA patients visiting orthopaedic OPD. Anti-CCP antibody was determined quantitively by CLIA on Siemen ADVIA Centaur CP immunoassay system and RA-factor were determined quantitively by Nephelometry assay on MISPA I3 and comparison was done between two serological tests, i.e., Anti-CCP and RF.\u0000RESULTS: Out of 112 clinically diagnosed RA patients, 23 (20.5%) were males and 89(79.5%) were females with the ratio of 1:3.9 and the mean age ± SD of the patients was 50 ± 14.56. Out of 112 clinically diagnosed RA patients, 55 patients, i.e., 49.1% were RF antibodies positive and 57 patients, i.e., 50.9% were RF antibodies negative. Among RF positive, 32 (58.2%) patients were positive for anti-CCP antibody and among RF negative, 10 (17.5%) patients were positive for anti-CCP antibody and the differences between Anti-CCP and RF groups was statistically highly significant (p<0.001).\u0000CONCLUSIONS: Females are at high risk of developing Rheumatoid arthritis than males because male to female ratio is found to be 1:3.9. This study also showed that Anti-CCP antibody is more beneficial and better marker than RF for the diagnosis of Rheumatoid arthritis.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132526480","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 : 2021-12-31DOI: 10.3126/mjmms.v1i1.42960
Y. Sharma
INTRODUCTION: Arts are creative things that provide aesthetic pleasure to the readers, viewers and audience. The joy can be experienced by listening to music, reading novels, watching drama and film, viewing paintings, sculptures and architecture. Such experiences add colors to life, transforms us from inside ourselves and then we derive pleasure from within, being independent of the external world. The involvement of an individual in the creation and appreciation of arts, heals their wounds from inside. The objective of this research paper was to trace the healing properties of arts. MATERIALS AND METHODS: This study used qualitative method for exploration of the research area. Artworks were primary sources whereas books and articles on arts and aesthetics were the secondary sources. RESULTS: Arts enhance the quality of life. Moreover, they have the capacity of healing mental and emotional wounds. When individuals have frustration, dilemma and confusion, they resort to music, fictions and films. Arts have rescued many from anxiety and depression. Practicing and appreciating arts like music, drama, dance, painting, sculpture or poetry provides rhythmic flow of imagination and allows one to forget the painful moments of life. These creative aspects of arts have healing properties. CONCLUSIONS: The creation and appreciation of art is one of the easiest, safest and most accessible means of healing ourselves from pain and suffering in the world. There is a need of application of art in healing patients.
{"title":"Aesthetic Pleasure: The Arts of Healing","authors":"Y. Sharma","doi":"10.3126/mjmms.v1i1.42960","DOIUrl":"https://doi.org/10.3126/mjmms.v1i1.42960","url":null,"abstract":"INTRODUCTION: Arts are creative things that provide aesthetic pleasure to the readers, viewers and audience. The joy can be experienced by listening to music, reading novels, watching drama and film, viewing paintings, sculptures and architecture. Such experiences add colors to life, transforms us from inside ourselves and then we derive pleasure from within, being independent of the external world. The involvement of an individual in the creation and appreciation of arts, heals their wounds from inside. The objective of this research paper was to trace the healing properties of arts. \u0000MATERIALS AND METHODS: This study used qualitative method for exploration of the research area. Artworks were primary sources whereas books and articles on arts and aesthetics were the secondary sources. \u0000RESULTS: Arts enhance the quality of life. Moreover, they have the capacity of healing mental and emotional wounds. When individuals have frustration, dilemma and confusion, they resort to music, fictions and films. Arts have rescued many from anxiety and depression. Practicing and appreciating arts like music, drama, dance, painting, sculpture or poetry provides rhythmic flow of imagination and allows one to forget the painful moments of life. These creative aspects of arts have healing properties. \u0000CONCLUSIONS: The creation and appreciation of art is one of the easiest, safest and most accessible means of healing ourselves from pain and suffering in the world. There is a need of application of art in healing patients.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128431330","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 : 2021-12-31DOI: 10.3126/mjmms.v1i1.42917
K. Jha, D. Regmi
INTRODUCTION: Anaemia is a very common problem in developing country like Nepal among children’s and young females. It is necessary to detect haemoglobin at early stage to know about anaemia. Anaemia in female causes dizziness and loss of concentration, which may lead to fall down and cause severe injury. In pregnant woman anaemia leads to developmental delay in children. In anaemic pregnant females, loss of blood during delivery can cause complications and even death of mother and foetus. In children iron deficiency anaemia may cause loss of concentration, developmental delay and delay in maturity of brain. MATERIALS AND METHODS: This prospective, cross-sectional study was carried out at Rapti Academy of Health Sciences from 1st March 2019 to 1st April 2019. A total of 1000 samples which came in central laboratory on regular basis were taken and Mindray 5 part hematology analyzer was used to evaluate the samples. In samples with low haemoglobin count, peripheral smear examination was done to determine the type of anaemia. RESULTS: Patient blood samples were taken irrespective of age and sex. Out of the total 1000 cases from various Outpatient departments of Rapti Academy of Health Sciences, 240 (24%) patients were anaemic. CONCLUSIONS: Anaemia is a major problem worldwide and the most common anaemia is microcytic hypochromic anaemia, especially iron deficiency anaemia followed by megaloblatic anaemia and hemolytic anaemia. Thus, it is necessary to do haemoglobin count and stool examination of woman in hilly regions on a regular basis, which will be helpful to avoid further anaemia related complications.
{"title":"Prevalence of Anaemia among Patients attending Central Laboratory at a Tertiary Care Centre in Nepal","authors":"K. Jha, D. Regmi","doi":"10.3126/mjmms.v1i1.42917","DOIUrl":"https://doi.org/10.3126/mjmms.v1i1.42917","url":null,"abstract":"INTRODUCTION: Anaemia is a very common problem in developing country like Nepal among children’s and young females. It is necessary to detect haemoglobin at early stage to know about anaemia. Anaemia in female causes dizziness and loss of concentration, which may lead to fall down and cause severe injury. In pregnant woman anaemia leads to developmental delay in children. In anaemic pregnant females, loss of blood during delivery can cause complications and even death of mother and foetus. In children iron deficiency anaemia may cause loss of concentration, developmental delay and delay in maturity of brain. \u0000MATERIALS AND METHODS: This prospective, cross-sectional study was carried out at Rapti Academy of Health Sciences from 1st March 2019 to 1st April 2019. A total of 1000 samples which came in central laboratory on regular basis were taken and Mindray 5 part hematology analyzer was used to evaluate the samples. In samples with low haemoglobin count, peripheral smear examination was done to determine the type of anaemia. \u0000RESULTS: Patient blood samples were taken irrespective of age and sex. Out of the total 1000 cases from various Outpatient departments of Rapti Academy of Health Sciences, 240 (24%) patients were anaemic. \u0000CONCLUSIONS: Anaemia is a major problem worldwide and the most common anaemia is microcytic hypochromic anaemia, especially iron deficiency anaemia followed by megaloblatic anaemia and hemolytic anaemia. Thus, it is necessary to do haemoglobin count and stool examination of woman in hilly regions on a regular basis, which will be helpful to avoid further anaemia related complications.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116723432","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 : 2021-12-31DOI: 10.3126/mjmms.v1i2.46487
S. Gautam, Sumitra Nakarmi, D. Yadav
INTRODUCTION: Domestic violence has been a challenging issue throughout the globe that leads to the serious health problems and geriatric populations being more vulnerable as they are dependent on family or caregiver. The study aims to identify prevalence of domestic violence and its predictors among geriatric population of Baglung district, Nepal. MATERIALS AND METHODS: A community based cross sectional study was conducted at 2 urban municipalities and 2 rural municipalities of Baglung district, Province number 4, Nepal. A sample of 535 geriatric populations was selected using multi stage cluster sampling. Multivariable logistic regression model was adapted to explore predictors of domestic violence among geriatric population RESULTS: Among 535 geriatric people, the prevalence of domestic violence was 3.5%. Geriatric people belong to dalit ethnicity (aOR=12.7; 95% CI: 2.8-56.3) living with others than spouses (aOR=10.2; 95% CI: 1.2-86.9) and the geriatric who need helper for daily activity (aOR=2.8; 95% CI: 1.0-8.7) were more likely to have experience of DV than their counterparts. CONCLUSIONS: The prevalence of Domestic Violence among geriatric population was very low. However, ethnicity, living other than spouses and assistance needed for daily activities were important predictors of DV among geriatric population. Therefore, Community awareness program regarding consequences of violence targeting elders as well as caregivers could be a public health priority to improve the status of elderly by reducing the elder violence.
{"title":"Prevalence and Predictors of Domestic Violence among Geriatric Population in a Hilly District of Nepal: A Cross-Sectional Study","authors":"S. Gautam, Sumitra Nakarmi, D. Yadav","doi":"10.3126/mjmms.v1i2.46487","DOIUrl":"https://doi.org/10.3126/mjmms.v1i2.46487","url":null,"abstract":"INTRODUCTION: Domestic violence has been a challenging issue throughout the globe that leads to the serious health problems and geriatric populations being more vulnerable as they are dependent on family or caregiver. The study aims to identify prevalence of domestic violence and its predictors among geriatric population of Baglung district, Nepal.\u0000MATERIALS AND METHODS: A community based cross sectional study was conducted at 2 urban municipalities and 2 rural municipalities of Baglung district, Province number 4, Nepal. A sample of 535 geriatric populations was selected using multi stage cluster sampling. Multivariable logistic regression model was adapted to explore predictors of domestic violence among geriatric population\u0000RESULTS: Among 535 geriatric people, the prevalence of domestic violence was 3.5%. Geriatric people belong to dalit ethnicity (aOR=12.7; 95% CI: 2.8-56.3) living with others than spouses (aOR=10.2; 95% CI: 1.2-86.9) and the geriatric who need helper for daily activity (aOR=2.8; 95% CI: 1.0-8.7) were more likely to have experience of DV than their counterparts.\u0000CONCLUSIONS: The prevalence of Domestic Violence among geriatric population was very low. However, ethnicity, living other than spouses and assistance needed for daily activities were important predictors of DV among geriatric population. Therefore, Community awareness program regarding consequences of violence targeting elders as well as caregivers could be a public health priority to improve the status of elderly by reducing the elder violence.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"198 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132687650","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: Nepal has changed its structure of governance from a centralized into decentralized system to improve its health service delivery to people. This paper aims to highlight the impact of this changed structure in health service delivery during this transition phase. Thus a cross sectional study was performed to study the impact, where semi-structured interviews in Nepali with officials of different health institutions under different tiers of government was conducted. MATERIALS AND METHODS: An input-process-output framework was applied to study the components of health service delivery. The data obtained was transcribed into English language and content analysis was executed under several headings. RESULTS: After analyzing the findings, mixed impact was observed with various challenges and opportunities in the way ahead for improving the health service delivery. A positive impact on the physical infrastructure was seen along with opportunities as well as challenges in human resource procurement. Management of budget as well as logistics have become difficult. Plan as suitable as possible are being made meanwhile, organizing the health system is becoming haphazard. Staff management along with training them and coordination among agencies have become more tedious. However a good outcome was present in aspects of service utilization and community participation. CONCLUSIONS: Nepal as a developing country has been making an effort in the way forward on improving its health service delivery and further research on this field is necessary. Also robust framework and policies to drive the country in delivering an improved health service is required.
{"title":"Impact of Change in Structure of Government on Health Service Delivery: A Case Study of Dang District of Nepal","authors":"Amrit Khanal, Bishal Kumar Bhandari, Pradish Poudel, Pravakar Dahal","doi":"10.3126/mjmms.v1i1.42961","DOIUrl":"https://doi.org/10.3126/mjmms.v1i1.42961","url":null,"abstract":"INTRODUCTION: Nepal has changed its structure of governance from a centralized into decentralized system to improve its health service delivery to people. This paper aims to highlight the impact of this changed structure in health service delivery during this transition phase. Thus a cross sectional study was performed to study the impact, where semi-structured interviews in Nepali with officials of different health institutions under different tiers of government was conducted. \u0000MATERIALS AND METHODS: An input-process-output framework was applied to study the components of health service delivery. The data obtained was transcribed into English language and content analysis was executed under several headings. \u0000RESULTS: After analyzing the findings, mixed impact was observed with various challenges and opportunities in the way ahead for improving the health service delivery. A positive impact on the physical infrastructure was seen along with opportunities as well as challenges in human resource procurement. Management of budget as well as logistics have become difficult. Plan as suitable as possible are being made meanwhile, organizing the health system is becoming haphazard. Staff management along with training them and coordination among agencies have become more tedious. However a good outcome was present in aspects of service utilization and community participation. \u0000CONCLUSIONS: Nepal as a developing country has been making an effort in the way forward on improving its health service delivery and further research on this field is necessary. Also robust framework and policies to drive the country in delivering an improved health service is required.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134007899","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 : 2021-12-31DOI: 10.3126/mjmms.v1i2.46495
Arpana Kamati, L. Shah, Teena Kanikara B.E.
INTRODUCTION: The alarming increase in the prevalence of autism has cause not only an increase in the number of cases of autism but also increased need for better awareness and understanding of the condition and its management for them who are in direct daily contact with someone with autism. The support for caregivers of autism spectrum disorder children is highly needed to minimize their experienced burden. The objective of this study was to assess the psychological burden among caregivers of children with autism spectrum disorder. MATERIALS AND METHODS: Quantitative non-experimental descriptive research design was adopted for the study. The data was collected from 70 samples with the Modified Zariet Burden Interview Scale. Collection of data was entered into Ms-excel and was analyzed and interpreted using SPSS Software. RESULTS: The present study revealed that majority (56%) sample has mild to moderate burden, (24%) has little or no burden, (19%) has moderate to severe burden and the least (1%) has severe burden. The demographic variables such as educational level, monthly income, training received regarding care of the child were directly associated with psychological burden of the caregivers. CONCLUSIONS: The study concluded that assessing the burden level of caregiver can help them to reduce their burden through proper counselling.
{"title":"Psychological Burden among Caregivers of Children with Autism Spectrum Disorder at Special Schools","authors":"Arpana Kamati, L. Shah, Teena Kanikara B.E.","doi":"10.3126/mjmms.v1i2.46495","DOIUrl":"https://doi.org/10.3126/mjmms.v1i2.46495","url":null,"abstract":"INTRODUCTION: The alarming increase in the prevalence of autism has cause not only an increase in the number of cases of autism but also increased need for better awareness and understanding of the condition and its management for them who are in direct daily contact with someone with autism. The support for caregivers of autism spectrum disorder children is highly needed to minimize their experienced burden. The objective of this study was to assess the psychological burden among caregivers of children with autism spectrum disorder.\u0000MATERIALS AND METHODS: Quantitative non-experimental descriptive research design was adopted for the study. The data was collected from 70 samples with the Modified Zariet Burden Interview Scale. Collection of data was entered into Ms-excel and was analyzed and interpreted using SPSS Software.\u0000RESULTS: The present study revealed that majority (56%) sample has mild to moderate burden, (24%) has little or no burden, (19%) has moderate to severe burden and the least (1%) has severe burden. The demographic variables such as educational level, monthly income, training received regarding care of the child were directly associated with psychological burden of the caregivers.\u0000CONCLUSIONS: The study concluded that assessing the burden level of caregiver can help them to reduce their burden through proper counselling.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130356739","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 : 2021-12-31DOI: 10.3126/mjmms.v1i1.42913
J. Singh, D. Acharya
No abstract available.
没有摘要。
{"title":"Partner Relationships and Sexual Desires: Has COVID-19 Impacted?","authors":"J. Singh, D. Acharya","doi":"10.3126/mjmms.v1i1.42913","DOIUrl":"https://doi.org/10.3126/mjmms.v1i1.42913","url":null,"abstract":"No abstract available.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115763433","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 : 2021-12-31DOI: 10.3126/mjmms.v1i1.42945
Rabindra Ghimire, S. Wagle
INTRODUCTION: The government supported SHI is the largest health insurance schemes ever launched in the country since 2016 by Health Insurance Board. Prior to UHI program, small scale community health insurance programs are running in fragmented structure The paper aims to examine the association between the potential policyholder's paying willingness for the social health insurance their characteristics, and tries to predict the willingness to pay for social health insurance schemes and their expected benefits from the SHI run by Government of Nepal. MATERIALS AND METHODS: The study was carried out during Jan-July 2018 in Pokhara Metropolitan city 29, Kaski District, Nepal. RESULTS: Among the 5,000 households residing in the study area 360 households who have not purchased social health insurance schemes till the survey period but interested to buy within one year were selected for the study. Respondents were selected with purposive sampling method. The association between respondents' characteristics and their willingness to pay for SHI and expected benefits from SHI has been explore using the chi square test and found that association is significant with the family size and education. The predictors variables are identified using the hierarchical regression model. The study reveals that among seven demographic characteristics of respondents (gender, age group, household head, family size, ethnicity, qualification, and occupation), family size and profession are good predictors for willingness to pay SHI and family size and family head are the good predictors for the expected benefits. CONCLUSIONS: The study concludes family size is most influential factors while deciding the premium and sum assured for social health insurance, however, family head influences expected benefits while profession influences amount of premium.
{"title":"Willingness to Pay and Expected Benefits for Social Health Insurance: A Cross-sectional Study at Pokhara Metropolitan City","authors":"Rabindra Ghimire, S. Wagle","doi":"10.3126/mjmms.v1i1.42945","DOIUrl":"https://doi.org/10.3126/mjmms.v1i1.42945","url":null,"abstract":"INTRODUCTION: The government supported SHI is the largest health insurance schemes ever launched in the country since 2016 by Health Insurance Board. Prior to UHI program, small scale community health insurance programs are running in fragmented structure The paper aims to examine the association between the potential policyholder's paying willingness for the social health insurance their characteristics, and tries to predict the willingness to pay for social health insurance schemes and their expected benefits from the SHI run by Government of Nepal. \u0000MATERIALS AND METHODS: The study was carried out during Jan-July 2018 in Pokhara Metropolitan city 29, Kaski District, Nepal. \u0000RESULTS: Among the 5,000 households residing in the study area 360 households who have not purchased social health insurance schemes till the survey period but interested to buy within one year were selected for the study. Respondents were selected with purposive sampling method. The association between respondents' characteristics and their willingness to pay for SHI and expected benefits from SHI has been explore using the chi square test and found that association is significant with the family size and education. The predictors variables are identified using the hierarchical regression model. The study reveals that among seven demographic characteristics of respondents (gender, age group, household head, family size, ethnicity, qualification, and occupation), family size and profession are good predictors for willingness to pay SHI and family size and family head are the good predictors for the expected benefits. \u0000CONCLUSIONS: The study concludes family size is most influential factors while deciding the premium and sum assured for social health insurance, however, family head influences expected benefits while profession influences amount of premium.","PeriodicalId":218847,"journal":{"name":"MedS Alliance Journal of Medicine and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129006857","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 : 2021-12-31DOI: 10.3126/mjmms.v1i2.46509
S. Giri, Bharat Ram Dhungana, Shristi Kumari Sah, Loknath Khanal, Radheshyam Giri, B. Yadav, L. Sharma
INTRODUCTION: Yoga practices have been increased around the world due to perceived benefits of meditation for stress management. It has a positive impact on stress level in yoga practitioners. Yoga activities provide a sense of well-being, which leads to an increase in self-esteem and relaxation. Banking personnel often have a high degree of stress due to work pressure they confront in their job. Stress lowers a person's ability and a healthy employee ensures productive outcome in the organization. MATERIALS AND METHODS: A cross sectional descriptive research design was used and this study was confined to employees of different banks situated at Janakpurdham, Nepal. The duration of the study was from August 2020 to September 2020. A total of 205 participants were randomly selected. Simple random sampling technique was used to select banks of Janakpurdham from the list papered for the purpose of data collection. RESULTS: There was strong association between demographic variables and perception of yoga, regarding mental and physical health among the bank employees. The perceived benefits of yoga on physical health as well as mental health for stress management was found to be associated with socioeconomic characteristics of the participants such as gender, religion, level of education, family income (p<0.05), except for age group and marital status (p>0.05). CONCLUSIONS: This study found that yoga keeps persons active for whole day, as well as yoga is beneficial for stress management too. Yoga is effective in lowering occupational stress, hence yoga awareness program among bank personnel is necessary.
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