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Journal of Society of Surgeons of Nepal, 2021

Introduction: Penile fracture is a rare surgical emergency. It usually occurs as a single rupture... more Introduction: Penile fracture is a rare surgical emergency. It usually occurs as a single rupture of the tunica albuginea in one of the two corpora cavernosa; a rupture of both masses is an uncommon finding. We conducted this study to determine the etiology, clinical presentation and to review the causes and management of penile fracture. Methods: The retrospective study was carried out on 17 patients, admitted in the department of Urosurgery from January 2017 to December 2020 with penile fracture in a tertiary care teaching hospital in Kathmandu. Patient demographic profile, etiology, clinical presentation, time interval from injury to presentation, investigation done, treatment given and intraoperative findings were analyzed. Results: The main cause of penile fractures was sexual intercourse (82.35%) followed by manual manipulation (17.65%). Crackling sound (100%) followed by penile hematoma and pain were the most common presenting symptoms among the patients. Surgical exploratio...

International Journal of Surgery Case Reports

International Journal of Surgery Case Reports

In blunt abdominal trauma, lesions of the mesentery are often underdiagnosed, they represent the ... more In blunt abdominal trauma, lesions of the mesentery are often underdiagnosed, they represent the third most injured organ, with increasing morbidity and mortality. Mesenteric hematoma can be managed conservatively in the event that there is no associated active mesenteric hemorrhage however, must be clinically distinguished from spontaneous mesenteric intraperitoneal hemorrhage.

Journal of Surgical Case Reports

Novel coronavirus disease 2019 (COVID-19) pandemic was originated in Wuhan, China, in December 20... more Novel coronavirus disease 2019 (COVID-19) pandemic was originated in Wuhan, China, in December 2019. So far, more than 4 million people worldwide have been infected with the virus. Various manifestations of coronavirus have been reported since the pandemic began. Among them, acute abdomen is one of the manifestations of COVID-19. Some studies have reported acute pancreatitis in several patient due to COVID-19 infection. In this study, we report a rare case in whom SARS-CoV-2 caused acute severe hemorrhagic necrotizing pancreatitis.

Medical Journal of Shree Birendra Hospital

Introduction: Catheter Acquired Urinary Tract Infection (CAUTI) is one of the most common Health ... more Introduction: Catheter Acquired Urinary Tract Infection (CAUTI) is one of the most common Health Care Acquired Infections (HCAI); most of these infections are attributable to use of an indwelling urethral catheter. The aim of this study was to investigate patients with catheter-associated urinary tract infection over three years at a single hospital’s Intensive Care Unit (ICU) and to identify meaningful risk factors and causative organisms. Methods: A retrograde analysis was performed on patients with indwelling catheters in ICU of Armed Forces Medical College, Pune, India. CAUTI was defined as isolated bacterial growth of 100,000 colony-forming units or more either 48 hours after transfer to the ICU if a urinary catheter was placed before the transfer or 48 hours after insertion if the catheter was inserted in the ICU. Only the patients whose culture results were negative before ICU admission were included. Result: Among 350 samples collected in medical and surgical ICU, 38 patien...

International Journal of Indian Psychology

BACKGROUND: There are various barriers to donating blood that influence the behavior of people to... more BACKGROUND: There are various barriers to donating blood that influence the behavior of people towards blood donation such as cultural beliefs in some ethnic groups, socio-economic factors, their knowledge or lack of knowledge with regards to blood donation and other issues AIM & OBJECTIVE: To establish motivational and socio-demographic factors for the development of a long-term commitment as a blood donor. METHODOLOGY: Questionnaire-based study collected from 310 participants containing 22 items, including socio-demographic information, donors’ evaluation of blood bank service and 23 statements on motivation. Data on motivation was analyzed using factor analysis. RESULTS: Representation of males (85.4%) for donation was much higher compared to females (14.6%).Unemployed individuals were found to be under-represented. The single, most important, recruitment channel was the influence of active blood donors. CONCLUSION: Most donors were recruited by other donors. Their continued invo...

International Journal of Research Foundation of Hospital and Healthcare Administration

Approximately 35% of annual hospitals budget is spent on buying materials and supplies, including... more Approximately 35% of annual hospitals budget is spent on buying materials and supplies, including medicines. The medical store is one of the most extensively used facilities of the hospital and hence it is essential that health managers use scientific methods to achieve efficient management and patient satisfaction. Aims and objectives: To apply selective inventory control techniques for the drugs used in intensive care unit of tertiary care teaching hospital. Aims and objectives To apply selective inventory control techniques for the drugs used in intensive care unit of tertiary care teaching hospital. Materials and methods The annual consumption and expenditure incurred on each item of controlled drugs in medical intensive care unit (ICU) for the years 2013 to 2014 was analyzed, and inventory control techniques, i.e. ABC, VED and ABC-VED matrix analysis, were applied. Results It was observed that 13 medicines (43.33%) out of 30 were classified in the category1 (AV + BV + CV + AE +...

International Journal of Basic and Clinical Pharmacology, 2015

A prescription is a health care program implemented by a physician or other medical doctors in th... more A prescription is a health care program implemented by a physician or other medical doctors in the form of instructions that govern the plan of care for an individual patient. Prescriptions may include orders to be performed ABSTRACT Background: The goal of drug therapy is the achievement of defined therapeutic outcomes that improve a patient's quality of life while minimizing patient risk. Medication error is an important cause of morbidity and mortality, yet it can be a confusing and under-appreciated concept. Methods: A total of 3000 prescriptions were selected using Systematic Random Sampling, and prescription errors were stratified according to nuisance they may cause by dispensation followed by identification of Root Causes of the errors. Results: Out of a total of 3000 prescriptions, 2394 prescriptions (70.61%) were found to have one or more errors. The total number of errors were 3390 as many prescriptions had more than one error. The most common type of errors was Type D and was found in 70.61% prescriptions. Conclusions: Learning more about medication errors may enhance health care professionals' ability to provide safe care to their patients. Hence, A focus on easyto-use and inexpensive techniques for medication error reduction should be used to have the greatest impact.

International Journal of Basic and Clinical Pharmacology, 2015

A prescription is a health care program implemented by a physician or other medical doctors in th... more A prescription is a health care program implemented by a physician or other medical doctors in the form of instructions that govern the plan of care for an individual patient. Prescriptions may include orders to be performed ABSTRACT Background: The goal of drug therapy is the achievement of defined therapeutic outcomes that improve a patient's quality of life while minimizing patient risk. Medication error is an important cause of morbidity and mortality, yet it can be a confusing and under-appreciated concept. Methods: A total of 3000 prescriptions were selected using Systematic Random Sampling, and prescription errors were stratified according to nuisance they may cause by dispensation followed by identification of Root Causes of the errors. Results: Out of a total of 3000 prescriptions, 2394 prescriptions (70.61%) were found to have one or more errors. The total number of errors were 3390 as many prescriptions had more than one error. The most common type of errors was Type D and was found in 70.61% prescriptions. Conclusions: Learning more about medication errors may enhance health care professionals' ability to provide safe care to their patients. Hence, A focus on easyto-use and inexpensive techniques for medication error reduction should be used to have the greatest impact.

Journal of Society of Surgeons of Nepal, 2021

Introduction: Penile fracture is a rare surgical emergency. It usually occurs as a single rupture... more Introduction: Penile fracture is a rare surgical emergency. It usually occurs as a single rupture of the tunica albuginea in one of the two corpora cavernosa; a rupture of both masses is an uncommon finding. We conducted this study to determine the etiology, clinical presentation and to review the causes and management of penile fracture. Methods: The retrospective study was carried out on 17 patients, admitted in the department of Urosurgery from January 2017 to December 2020 with penile fracture in a tertiary care teaching hospital in Kathmandu. Patient demographic profile, etiology, clinical presentation, time interval from injury to presentation, investigation done, treatment given and intraoperative findings were analyzed. Results: The main cause of penile fractures was sexual intercourse (82.35%) followed by manual manipulation (17.65%). Crackling sound (100%) followed by penile hematoma and pain were the most common presenting symptoms among the patients. Surgical exploratio...

International Journal of Surgery Case Reports

International Journal of Surgery Case Reports

In blunt abdominal trauma, lesions of the mesentery are often underdiagnosed, they represent the ... more In blunt abdominal trauma, lesions of the mesentery are often underdiagnosed, they represent the third most injured organ, with increasing morbidity and mortality. Mesenteric hematoma can be managed conservatively in the event that there is no associated active mesenteric hemorrhage however, must be clinically distinguished from spontaneous mesenteric intraperitoneal hemorrhage.

Journal of Surgical Case Reports

Novel coronavirus disease 2019 (COVID-19) pandemic was originated in Wuhan, China, in December 20... more Novel coronavirus disease 2019 (COVID-19) pandemic was originated in Wuhan, China, in December 2019. So far, more than 4 million people worldwide have been infected with the virus. Various manifestations of coronavirus have been reported since the pandemic began. Among them, acute abdomen is one of the manifestations of COVID-19. Some studies have reported acute pancreatitis in several patient due to COVID-19 infection. In this study, we report a rare case in whom SARS-CoV-2 caused acute severe hemorrhagic necrotizing pancreatitis.

Medical Journal of Shree Birendra Hospital

Introduction: Catheter Acquired Urinary Tract Infection (CAUTI) is one of the most common Health ... more Introduction: Catheter Acquired Urinary Tract Infection (CAUTI) is one of the most common Health Care Acquired Infections (HCAI); most of these infections are attributable to use of an indwelling urethral catheter. The aim of this study was to investigate patients with catheter-associated urinary tract infection over three years at a single hospital’s Intensive Care Unit (ICU) and to identify meaningful risk factors and causative organisms. Methods: A retrograde analysis was performed on patients with indwelling catheters in ICU of Armed Forces Medical College, Pune, India. CAUTI was defined as isolated bacterial growth of 100,000 colony-forming units or more either 48 hours after transfer to the ICU if a urinary catheter was placed before the transfer or 48 hours after insertion if the catheter was inserted in the ICU. Only the patients whose culture results were negative before ICU admission were included. Result: Among 350 samples collected in medical and surgical ICU, 38 patien...

International Journal of Indian Psychology

BACKGROUND: There are various barriers to donating blood that influence the behavior of people to... more BACKGROUND: There are various barriers to donating blood that influence the behavior of people towards blood donation such as cultural beliefs in some ethnic groups, socio-economic factors, their knowledge or lack of knowledge with regards to blood donation and other issues AIM & OBJECTIVE: To establish motivational and socio-demographic factors for the development of a long-term commitment as a blood donor. METHODOLOGY: Questionnaire-based study collected from 310 participants containing 22 items, including socio-demographic information, donors’ evaluation of blood bank service and 23 statements on motivation. Data on motivation was analyzed using factor analysis. RESULTS: Representation of males (85.4%) for donation was much higher compared to females (14.6%).Unemployed individuals were found to be under-represented. The single, most important, recruitment channel was the influence of active blood donors. CONCLUSION: Most donors were recruited by other donors. Their continued invo...

International Journal of Research Foundation of Hospital and Healthcare Administration

Approximately 35% of annual hospitals budget is spent on buying materials and supplies, including... more Approximately 35% of annual hospitals budget is spent on buying materials and supplies, including medicines. The medical store is one of the most extensively used facilities of the hospital and hence it is essential that health managers use scientific methods to achieve efficient management and patient satisfaction. Aims and objectives: To apply selective inventory control techniques for the drugs used in intensive care unit of tertiary care teaching hospital. Aims and objectives To apply selective inventory control techniques for the drugs used in intensive care unit of tertiary care teaching hospital. Materials and methods The annual consumption and expenditure incurred on each item of controlled drugs in medical intensive care unit (ICU) for the years 2013 to 2014 was analyzed, and inventory control techniques, i.e. ABC, VED and ABC-VED matrix analysis, were applied. Results It was observed that 13 medicines (43.33%) out of 30 were classified in the category1 (AV + BV + CV + AE +...

International Journal of Basic and Clinical Pharmacology, 2015

A prescription is a health care program implemented by a physician or other medical doctors in th... more A prescription is a health care program implemented by a physician or other medical doctors in the form of instructions that govern the plan of care for an individual patient. Prescriptions may include orders to be performed ABSTRACT Background: The goal of drug therapy is the achievement of defined therapeutic outcomes that improve a patient's quality of life while minimizing patient risk. Medication error is an important cause of morbidity and mortality, yet it can be a confusing and under-appreciated concept. Methods: A total of 3000 prescriptions were selected using Systematic Random Sampling, and prescription errors were stratified according to nuisance they may cause by dispensation followed by identification of Root Causes of the errors. Results: Out of a total of 3000 prescriptions, 2394 prescriptions (70.61%) were found to have one or more errors. The total number of errors were 3390 as many prescriptions had more than one error. The most common type of errors was Type D and was found in 70.61% prescriptions. Conclusions: Learning more about medication errors may enhance health care professionals' ability to provide safe care to their patients. Hence, A focus on easyto-use and inexpensive techniques for medication error reduction should be used to have the greatest impact.

International Journal of Basic and Clinical Pharmacology, 2015

A prescription is a health care program implemented by a physician or other medical doctors in th... more A prescription is a health care program implemented by a physician or other medical doctors in the form of instructions that govern the plan of care for an individual patient. Prescriptions may include orders to be performed ABSTRACT Background: The goal of drug therapy is the achievement of defined therapeutic outcomes that improve a patient's quality of life while minimizing patient risk. Medication error is an important cause of morbidity and mortality, yet it can be a confusing and under-appreciated concept. Methods: A total of 3000 prescriptions were selected using Systematic Random Sampling, and prescription errors were stratified according to nuisance they may cause by dispensation followed by identification of Root Causes of the errors. Results: Out of a total of 3000 prescriptions, 2394 prescriptions (70.61%) were found to have one or more errors. The total number of errors were 3390 as many prescriptions had more than one error. The most common type of errors was Type D and was found in 70.61% prescriptions. Conclusions: Learning more about medication errors may enhance health care professionals' ability to provide safe care to their patients. Hence, A focus on easyto-use and inexpensive techniques for medication error reduction should be used to have the greatest impact.