Browsing by Author "Gyawali, Jeevan"
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Publication Job Satisfaction among Medical Doctors in Nepal: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Gyawali, Jeevan; Mishra, Kritika; Chauhan, Bhim; Dahal, Agnimshwor; Lamichhane, Binita; Shrestha, Bijaya; Rijal, Nejina; Sapkota, Bishrut; Sah, Ajit Kumar; Shah, Sneha; Subedi, MadhusudanAbstract Introduction: Job satisfaction is an attitudinal variable representing the extent to which people like or dislike their jobs. It is a critical factor influencing healthcare quality, patient outcomes, and overall well-being in medical professionals. This study aimed to determine Job Satisfaction among medical doctors in Nepal. Methods: A descriptive cross-sectional study was conducted among medical doctors of Nepal between June 2023 and August 2023 after obtaining ethical approval from the Ethical Review Board of Nepal Health Research Council. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 380 participants, 63 (16.58%) (12.84-20.32 at 95% Confidence Interval) expressed satisfaction. The number of satisfied participants above 40 years were 10 (16%) and less than 40 years were 53 (84%). Out of 63, 46 (73.02%) were male and 17 (26.98%) were females. Conclusions: Job satisfaction among doctors practicing in Nepal was found to be lower than the studies conducted in similar settings.Publication Nimesulide-induced Erythema Multiforme Major: A Case Report(Nepal Medical Association, 2024) Dahal, Agnimshwor; Dhungel, Prakash; Thapa, Astha; Gyawali, Jeevan; Shah, Amin; Khadgi, Pujan; Chauhan, Bhim; Karki, Prashanna Dip; Shahi, NisthaAbstract Erythema Multiforme Major (EMM) is a rare hypersensitivity reaction that primarily affects the skin and mucosa, typically self-limiting. This case discusses a patient who developed severe EMM lesions after consuming nimesulide, a non-steroidal anti-inflammatory drug (NSAID), for abdominal discomfort. Patient was admitted to the hospital, the drug was discontinued, and supportive measures such as pain management and fluid replacement were initiated. This case, being the first to identify nimesulide as a possible trigger for EMM, aims to contribute to the growing body of knowledge on this topic. It emphasizes the need for vigilance and swift intervention for unusual drug reactions.Publication Screening and Management of Perinatal Depression in Nepal: The Need for Urgent Action(Nepal Health Research Council, 2026) Pudasainee-Kapri, Sangita; Wunnenberg, Mary; Shrestha, Tumla; Chapagai, Manisha; Chapagain, Ram Hari; Gyawali, JeevanAbstract: Perinatal depression is one of the most neglected public health concerns among reproductive-age women in resource-limited countries, such as Nepal. Currently, there is a lack of standardized protocols to screen and treat women for depression during pregnancy and the postpartum period in Nepal. Additionally, healthcare providers are often not adequately trained to identify and treat perinatal depression. This, coupled with the stigma related to mental health issues and a lack of community resources, can delay the identification and treatment of perinatal depression among women. The purpose of this paper is to highlight the need for routine screening and management guidelines for perinatal depression utilizing standardized and validated instruments and the establishment of community resources to enhance the outcomes of mothers and infants. Perinatal depression is the most common mental health issue among women of reproductive age. Collaborative efforts among healthcare workers and policymakers are essential to enhance maternal and child well-being. Fostering a comprehensive and culturally sensitive program Nepal can take a significant step toward reducing the burden of perinatal depression and improving the quality of life for women and their families. Routine screening for perinatal depression at different time points during pregnancy and postpartum for one year following childbirth as well as implementation of standardized screening and treatment guidelines to improve outcomes for women and their families. Keywords: Infants; perinatal depression; postpartum; pregnancy; screening.