Covid-19 illness is a pandemic infectious disease caused by a new coronavirus that originated in Wuhan, China. Nepal being a landlocked underdeveloped country is particularly vulnerable to the pandemic. Similarly, the dread of contracting the coronavirus is making people concerned about a global pandemic. It is vital to determine the impact of viral outbursts on mental health. Hence, this study aims to identify level of depression, stress and anxiety during lockdown among Nepalese residents. Cross-section web-based research design was undertaken at Bagmati province, Gandaki province and Lumbini province with four hundred twenty-two (n=422) (n=422) Nepalese residents by using a multistage proportionate stratified random sampling method. The Dass-21 tool was used to assess level of depression, stress and anxiety. Among 422 respondents only 5.9% had extremely severe level of anxiety, whereas 14.5% were moderately depressed, 77.5% did not have any stress during lockdown. There was statistically significant difference between depression and age (p=0.016), depression and sex (p=0.023). Also, there was a significant difference between stress and age (p=0.023), sex (p=0.0263) and education level (p=0.049).It is concluded that more than two-third of the respondentsere found to be in normal ranges for depression, stress and anxiety. Less than one-fourth of respondents had moderate to severe level of anxiety and depression.
The BPA Sepsis Risk Scoring System was created based on the SSC guidelines and guided by the Detecting and Treating Sepsis manual from Epic Systems. A score >2.5 meant that a patient met SIRS criteria, is potentially septic, and triggered the BPA. The definitive diagnosis of sepsis for ED SIRS visits was based upon final diagnostic related group (DRG) coding and further established by imaging modalities, urinalysis, and physical exam findings on chart review. BPAs' sensitivity, specificity, PPV, NPV was calculated and 95% confidence intervals (CI) established.Results: Over the course of the study period, 13,906 records were screened, 565 BPAs fired and 313 cases of sepsis were confirmed (2.3% prevalence). The BPAs' sensitivity and specificity was 74.5% (95% CI 69.2-79.1%) and 97.6% (95% CI 97.3-97.8%) respectively, with positive and negative predictive values of 41.2% (95% CI 37.2-45.4%) and 99.4% (95% CI 99.3-99.5%) respectively. The BPA's positive and negative likelihood ratios (LR) (weighted for prevalence) were 0.70 (95% CI 0.62-0.79) and 0.006 (95% CI 0.005-0.008). No significant changes were noted in the BPA sensitivity or specificity when confined to severe sepsis or septic shock.Conclusion: BPAs were an effective EHR-based tool that detected potentially septic patients with moderate sensitivity and high specificity in our ED. The test's high negative LR and negative predictive value make it valuable in excluding sepsis as differential diagnosis in a general ED population. Future directions for follow-up studies include cost analysis, morbidity/mortality studies, and multicenter comparisons of other quality metrics that can be improved by having a system such as BPA that reduces time to appropriate medical intervention.
Diabetes is a serious health problem that threatens the quality of life of with diabetes, the success of long term maintenance therapy for diabetes depends largely on the patient compliance with diet and exercise. Thus, this study aim to assess the compliance on Diet and Exercise among diabetic patient in a Referral Hospital of Morang District. Methodology: A cross sectional descriptive study was conducted among type 2 diabetic patient in medical OPD of Koshi Hospital through face to face interview Data were organized, verified and analyzed using the Statistical Package for Social Sciences, version 17. Results: A total of 141 participants were included in this study, of them 55.3% were males. The rate of compliance to diet and exercise was 48.2% and 22.7%, respectively. Compliance to diet was higher in people of age above 50 years (p=0.029) and those who are single (p=0.037), patient with duration of diagnosis less than 5 years (p=0.01) and those who had dietary counselling (p=0.007). The rate of compliance to exercise among type-2 diabetes patients in Morang district was low, and it could be attributed to a combination of several socio-demographic and clinical factors.
Introductions: Hospitalization of a child is stressful for mothers, affects child care and has long-term negative effects on both mother and child. This study aims in identify stress level and associated factors on mothers of a hospitalized child admitted through emergency department. Methods: A cross sectional analytical study was conducted in mothers of children admitted in pediatric ward through emergency department of Patan Hospital, Patan Academy of Health Sciences, Nepal, from April 2018 to February 2019. Purposive sampling was used to interview mothers using validated Nepali version Dass 21 to find out the stress level and related factors (child, hospital environment, economic burden and hospital staffs). The SPSS was used for data analysis. Results: Among 90 mothers, 42 (46.7%) showed extremely severe stress and 19 (21.1%) in severe stress. Uncertainty of future of child’s illness 72 (80%), facilities of hygienic drinking water 66 (73.3%) in hospital, cost of treatment 47 (52.2%), and inadequate explanation by nursing staffs about procedures 39 (40%) were related factors of stress. Mothers stress significantly and positively correlated with child related factor (r=0.562) and economic burden (r=0.253). Conclusions: Mothers of hospitalized children were stressed with child related factors of uncertainty of illness and economic burden of cost of treatment.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.