scholarly journals Right Ventricular Dimensions and Tricuspid Annular Plane Systolic Excursion among Medical Students of Tertiary Care Hospital: A Descriptive Cross-sectional Study

2020 ◽  
Vol 58 (229) ◽  
Author(s):  
Nimesh Poudel ◽  
Mahesh Bhattarai ◽  
Laxmi Raj Bhatt ◽  
Dambar Bahadur Karki
Keyword(s):  
Medical Students ◽  
Right Ventricle ◽  
Right Ventricular ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
The Right ◽  
Axis View

Introduction: The change in morphology and functions of the right ventricle is an important predictor of heart and lung disease. There is limited data on the normal dimension of the right ventricle. The study aimed to find the right ventricular diameter, its thickness, and tricuspid annular plane systolic excursion in healthy male medical students of a tertiary care hospital. Methods: It is a descriptive cross-sectional study conducted in healthy medical students of Kathmandu Medical College and Teaching Hospital, from February-April, 2019. Ethical approval was taken from the institutional review committee (reference number 120720193). Convenient sampling method was used. We measured various dimensions of the right ventricle in different views. The data was analyzed in the Statistical Package for the Social Sciences. Results: In the 96 male students included in the study, the mean right ventricular basal diameter was 36.45±3.49 mm, right ventricular mid cavity diameter was 29±3.63 mm, right ventricular longitudinal dimension was 65.72±7.52 mm, right ventricular outflow tract in parasternal long-axis view was 27.07±2.12 mm, proximal and distal right ventricular outflow in parasternal short-axis view was 25.33±2.57 mm and 20.08±1.99 mm, right ventricular thickness was 4.20±0.54 mm, and tricuspid annular plane systolic excursion was 23.02±3.54 mm. Conclusions: The study found that the values of right ventricular dimensions and the right ventricle's tricuspid annular plane systolic excursion among male medical students of a tertiary care hospital to be in accordance with the guidelines by the American Society of Echocardiography. The upper limits of the normal values of the right ventricle could be very helpful in clinical practice in determining the right ventricle dimension.

scholarly journals Depression, Anxiety, and Stress among First-year Medical Students in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (236) ◽  
Author(s):  
Priyanka Shah ◽  
Alisha Sapkota ◽  
Anjeel Chhetri
Keyword(s):  
Medical Students ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Early Years ◽  
First Year ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
First Year Medical Students

Introduction: Medical students are prone to develop stress, anxiety and depression owing to vastness of curriculum, hectic lifestyle, economic burden, and competitiveness of medical field. The study aims to find out the prevalence of depression, anxiety, and stress among first-year medical students. Methods: A descriptive cross-sectional study was conducted among 91 first-year students of Bachelor of Medicine and Bachelor of Surgery enrolled in a tertiary care hospital using depression, anxiety, and stress-42 scale along with a questionnaire regarding sociodemographic and stressors for their problems. Whole sampling was done and the study was conducted between June and July 2018 after taking ethical approval from the Research and Institutional Review Committee (Reference Number: 57-074/075). Results: The highest prevalence among undergraduate medical students was found to be anxiety 54 (59.3%), followed by stress 41 (45.1%) and depression 40 (44%). Conclusions: Almost half of the first-year medical students reported some level of depression, anxiety, or stress. It is important to implement programs in the early years of the medical school from the administrative level to help and identify students suffering from depression, anxiety, and stress.

scholarly journals Knowledge and practice of nurses regarding standard precautions in a tertiary care public hospital, North India

2021 ◽  
Vol 8 (11) ◽  
pp. 5376
Author(s):  
Rakesh Sharma ◽  
Rajesh Kumar ◽  
Priya Sharma ◽  
Divya Verma ◽  
Mahesh Kumar Sharma ◽  
...  
Keyword(s):  
Work Experience ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
North India ◽  
Care Hospital ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
The Right

Background: Hospital-acquired infections could occur as a result of lapses in accepted standards of practice on the part of health care personnel (HCP). All individuals, particularly HCPs, are potentially at high risk of infection due to their frequent exposure. This study aimed to assess the knowledge and practices of nurses regarding standard precautions at a tertiary care hospital, North India.Methods: A cross-sectional study was conducted in a tertiary care hospital, Uttarakhand enrolling 134 nurses purposively from different units of the institute. Data was collected using a pre-structured self-administered questionnaire to seek information on participants’ knowledge and practices regarding standard precautions. SPSS version-23 was used to analyse the findings. Descriptive statistics were applied for the analysis of the results.Results: The mean age of the participants was 27.52±2.93 years, with more than half of the respondents were males (58.21%), and (41.79%) were females. Almost 60.45% had three or fewer years of work experience. Most respondents preferred hand hygiene (97.01%) and the use of PPE (88.06%). Almost 94.03% of participants favored disinfection of frequently touched surfaces. Regarding the practices, 95.52% answered that the right hand-washing is before wearing gloves, after removing the gloves, and after leaving the patient’s care area. About 98.51% of them answered that bio-medical waste should be discarded in the right type of color-coded bins.Conclusions: Findings suggested adequate knowledge and compliance among nurses regarding standard precautions. However, specific training programs may be conducted to attain full adherence to standard precautions. These programs can enhance their awareness and can work as a vital tool to achieve the desired improvement in knowledge and practices of standard precautions.

scholarly journals Knowledge, Attitude, and Practices of Healthcare Personnel Regarding the Transmission of Pathogens via Fomites at a Tertiary Care Hospital in Karachi, Pakistan

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Hassaan Bin Aftab ◽  
Bushra Zia ◽  
Mohammad Faizan Zahid ◽  
Ahmed Raheem ◽  
Mohammad Asim Beg
Keyword(s):  
Medical Students ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Healthcare Personnel ◽  
Care Hospital ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Resident Physicians ◽  
Knowledge And Attitude

Abstract Background.  Fomites are objects that can become colonized and serve as vectors in the transmission of pathogenic microorganisms. Literature examining the knowledge of healthcare personnel about this method of spread of infection is lacking. We conducted a study to assess the knowledge, attitude, and practices of healthcare personnel across different areas of patient care regarding the spread of infections at a tertiary care hospital in Karachi, Pakistan. Methods.  A descriptive, cross-sectional study was conducted among healthcare personnel using a self-administered questionnaire. The questionnaire contained sections pertaining to demographic details and knowledge, attitude, and practices regarding fomites and their role in the transmission of pathogens. Results.  Three hundred and fifty-three participants completed the questionnaire: 168 were male and 185 were female. Laboratory coats, stethoscopes, and bedside curtains were most frequently identified as fomites by the participants. Medical students had significantly lower mean scores in the knowledge and attitude sections than consultant physicians, resident physicians, and nurses. Nurses scored higher than consultant physicians, resident physicians, and medical students regarding practices that minimize fomite-borne spread of infections. 95% of the participants scored above 50% on the knowledge component of the questionnaire, but only 32.3% scored above 50% in the practices section. Conclusions.  Our results show a large gap between the knowledge about fomites acting as vectors in the spread of pathogens and practices done to minimize this spread. Possessing adequate knowledge is ineffectual until and unless it is translated into the proper application of infection control practices. Incorporating awareness sessions and exercises into curricula are a reasonable way to raise awareness regarding this subject.

scholarly journals Role of sleep on alertness among medical students from a tertiary care hospital, Thrissur district, Kerala: cross-sectional study

2019 ◽  
Vol 6 (7) ◽  
pp. 2867
Author(s):  
Alisha Johnson ◽  
Sruthi M. Valsan
Keyword(s):  
Medical Students ◽  
Sleep Duration ◽  
Undergraduate Students ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Stanford Sleepiness Scale

Background: Alertness and ability to perform vary as functions of homeostatic factors such as sleep duration, sleep quality, and time awake. As far as medical students are concerned, alertness during the lectures is important due to their vast curriculum, and their alertness aids in the development of better doctors in their future. Though the importance of sleep is known, there is scarcity of studies on how adequate sleep among medical students affects their alertness during lecture classes. The aim was to study effect of sleep duration on alertness among medical students from a tertiary care hospital in Thrissur district, Kerala.Methods: A cross-sectional study was conducted among undergraduate medical students and alertness was assessed following afternoon lecture classes, using a Stanford sleepiness scale questionnaire. The sample size was calculated with a formula 4PQ/d2 and total 202 undergraduate students were included. The data regarding overnight sleep duration and post lunch nap was also collected using a semi-structured questionnaire.Results: Based on stanford sleepiness scale 66.3% of students were alert and responsive, 29.2% were not alert and only 4.5% of students were sleepy following afternoon lecture classes. Out of total 202 undergraduate students 43.6% of them had poor overnight sleep and only 32.7% had taken post lunch nap. There was a statistically significant association between alertness and post lunch nap (p=0.01).Conclusions: Those students who had good overnight sleep and post lunch nap had better alertness during lecture classes.

scholarly journals A study of profile of information sought through RTI act protocols in tertiary care hospital

2018 ◽  
Vol 5 (5) ◽  
pp. 1922
Author(s):  
Maruti R. Kore ◽  
Monika S. Masare ◽  
R. R. Shinde ◽  
Seema S. Bansode-Gokhe
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
The People ◽  
Right To Information ◽  
The Right ◽  
Method Analysis

Background: This article attempts to study the profile of information seeks through RTI (right to information act) protocols in a tertiary care hospital of a metropolitan city.Methods: This hospital record –based cross sectional study was carried out in a tertiary care hospital in Metropolitan city during the period of one year.Results: Total 819 applications were received in the study period of 3 years out of which 30% (273) of applications were randomly selected for study using simple random sampling method. Analysis matrix was designed as per content mentioned in RTI applications and was modified. Data was collected by scrutiny of application received and was analyzed. There were total 273 applications filed by various profile of applicants out of which 56.8% resolved within 30 days, 2.2% within 35 days, 1.1% within 40 days, 2.9% within 45 days while 30% were pending/unresolved and 7% withdrawal by applicant itself. Most of the queries were personal (35.5%) followed by demanding type (24.9%), social type (19.8%), information queries (18.7%), private type (0.7%) and lastly of grievances type (0.4%).Conclusions: Encouraging accessibility to information is one of the major changes for the people, as it may; significantly shift the act from the “official secrets act” mindset to the “right to information act” mindset.

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