Oral morphine is extracted from a naturally occurring opium plant. It has been reviewed as a potent analgesic and according to the World Health Organization (WHO) its use is recommended as the drug of choice for the treatment of severe pain, including cancer pains and various other types of pains. However, a large proportion of doctors are hesitant to prescribe morphine because of the unfounded fear of addiction. The main aim of this study was to assess the morphine prescribing pattern of doctors in conformity with the international guidelines. Material and Methods: The present study was a descriptive analysis of oral morphine prescriptions made within a 6 months period, between 2016 and 2017. All the prescriptions for the patients with pain under oral morphine in the hospital records were reviewed. Results: The results showed that (53.6%) of all morphine prescriptions were from the Oncology Department/OPD, while the newly created Day Care Unit accounted for 43.9% of the prescriptions. Almost nil prescriptions were seen from the Labour ward. Only 1.2% of all the prescriptions conformed to international guideline Conclusion: The results reflected that there was a need for more education and advocacy programmes to increase awareness among doctors about morphine prescriptions. The cancer study revealed the useful information related to epidemiology of cancer among both the genders in Nepal which will prove to be useful in health planning and future research.
Background: The chronic and progressive nature of Diabetes Mellitus often leads people to use complementary and alternative medicines (CAMs) which may be defined as a group of medical and health care systems, practices and products that are not considered to be part of conventional medicine.
Methods: This descriptive cross-sectional study was done in a tertiary care hospital in Eastern Nepal from 15th June 2018 to 15th September 2019 to determine proportion of type 2 diabetic patients who have tried complementary and alternative medicines (CAMs) exclusively prior to presentation to endocrine OPD (Outpatient department). Consecutive sampling was done after informed verbal consent.
Results: Out of 401 participants, 60.6 percent were male and 39.4 percent were female. Mean age of participants was 52.21 ± 11.42 years. Regarding use of CAMs, 11 percent sad tried some form of CAMs exclusively without any allopathic antidiabetic medicines for some period in their lifetime prior to presentation to endocrine OPD. More specifically, 10.3 percent had tried products under brand of ayurvedic medicines from local practitioners. Similarly, 0.2 percent had tried medicine from Homeopathic Practitioner and rest (0.5 percent) had tried homemade herbal remedies like garlic, fenugreek, aloe vera and bitter melon.
Conclusion: A significant proportion of type 2 diabetics in our community are still using CAMs. The associated factors behind this and long term effects of such products in diabetic patients need to be explored further in details.
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.
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