Browsing by Author "Karki, Deepika"
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Publication Compliance of WHO Surgical Safety Checklist at a Pediatric Surgical Unit in a Tertiary Level Hospital: A Descriptive Cross-sectional Study Authors(Nepal Medical Association, 2021) Bajracharya, Jasmine; Shrestha, Ritesh; Karki, Deepika; Shrestha, AsimAbstract: Introduction: The Surgical safety checklist by World Health Organization has been used for the last two decades. There is every chance of unwanted expected disasters in Operating-Room in Pediatricsurgical cases. Our study is to observe the utilization of the safety checklist and evaluate occurrence of never-events in Tertiary Level Pediatric Surgery Unit in Nepal. Methods: A descriptive cross-sectional study was done at Nepal Medical College Teaching Hospital from January 2021-June 2021 with record-based data of children from 0-15 years operated in Pediatric Surgery unit from March 2017-July 2018. Ethical approval (Reference number: 049-077-078) was taken from the Institution review committee of the institute. Convenience sampling was done. Self-designed Pro-forma with demographic data along with World Health Organization-Surgical-safety-checklist used was collected and entered in Microsoft-Excel. Data were analyzed using Statistical-Package-for-the-Social-Sciences-version-25. Point estimate at 95% Confidence Interval was done along with frequency and proportion for binary data. Results: Out of 267 cases enrolled, 103 (38.6%) (35.6-41.6 at 95% Confidence Interval) were fully compliant with the checklist, 69 (25.8%) partially compliant. Among compliant cases, 148 (55.4%) Sign-in part, 128 (47.9%) cases -Time-out part and 152 (56.9%) cases Sign-out part were complete. Conclusions: Compliance with World Health Organization-Surgical-safety-checklist has a major role in preventing morbidity and mortality in Pediatric surgical cases. With proper use of the checklist, the unwanted never-events can be prevented with better surgical outcomes.Publication Psychiatric Disorders in Adolescents Attending Psychiatry Outpatient Department in a Tertiary Care Hospital: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Joshi, Neelam; Shrestha, Asim; Karki, Deepika; Singh, Pradip ManAbstract: Introduction: Adolescence is the time when most mental illness begins most of the time these problems are overlooked leading to increased morbidity and mortality. The study is undertaken to find out the prevalence of psychiatric disorders in adolescents attending psychiatry outpatient department in a tertiary hospital. Methods: A descriptive cross-sectional study was done from 1st December 2019 to 29th November 2020 at a tertiary care centre of Kathmandu. Ethical approval (Ref No.: 012-076/077) was taken from the Institution Review Committee. A semi-structured proforma was used for the socio-demographic profile of patients and International Classification of Diseases-10 was used to make the diagnosis. Data were analyzed using Statistical Package for the Social Sciences version 16. Results: A total of 174 adolescents were included in the study. Out of the total cases 141 (81.03%) (75.1-86.8 at 95% Confidence Interval) were diagnosed with psychiatric disorders, among them 73 (51.77%) were males and 68 (48.23%) were females. The common diagnoses were anxiety disorders 63 (36.20%), mood disorders 34 (19.54%), psychotic disorders 26 (14.94%), substance use disorders 8 (4.59%), non-organic sleep disorders 5 (2.87%), behavioral and emotional disorders 3 (1.72%) and mental retardation 2 (1.149%). Conclusions: Prevalence of psychiatric illnesses is high in the adolescent population compared to the similar studies.Publication Skin Tumors among Biopsy Samples in Patients Attending Dermatological Out Patient Department in a Tertiary Care Hospital of Nepal: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Shrestha, Shristi; Rana, Arnija; Karki, Deepika; Shrestha, AsimAbstract: Introduction: Skin tumors are on the rise in the Nepalese community. The different morphological pattern of skin tumors requires its meticulous categorization for understanding its effect on prognosis and treatment. Our study aimed at studying the prevalence of skin tumors among the skin biopsies performed in the dermatology outpatient department in a tertiary care hospital of Nepal. Methods: A descriptive cross-sectional study was done from skin biopsy samples from 1st January, 2017 to 31st December, 2019, at a tertiary care center. Ethical clearance was taken from the institutional review committee (IRC), Ref No: 056-077/078. Convenience sampling was done. A self-designed proforma containing questions on the patients' socio-demographic data and clinical details were used, and a biopsy of those clinically suspected to have skin tumors was done. Skin tumors were classified according to the World Health Organization 2018 classification of skin tumors. Data were analyzed using Statistical Package for the Social Sciences Version 16. Point estimate at 95% Confidence Interval was done, and frequency and proportion were calculated. Results: A total of 671 skin biopsies were done during this study, out of which 125 (18.63%) at 95% Confidence Interval (15.68-21.57) were diagnosed with skin tumors. Among them, 77 (61.6%) were female, and 48 (38.4%) were male. Among the diagnosed cases, 105 (84%) were benign, and 20 (16%) were malignant. Conclusions: The findings from our study show the increasing prevalence of skin tumors, and the results were comparable to other similar studies conducted in various parts of Nepal.Publication Type II Lip Pattern among Medical Students in a Medical College: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Katwal, Barshika; Karki, Deepika; Shrestha, AsimAbstract Introduction: The study of human identification is of great value in forensic medicine. Lip patterns have unique nature and individualism so can be used for human identification. The aim of this study was to find out the prevalence of Type II lip print patterns among medical students in a medical college. Methods: A descriptive cross-sectional study was conducted in a medical college from 5 March 2022 to 1 April 2022 after ethical approval from the Institution Review Committee (Reference number: 057-078/079). The lip print pattern was categorized according to Tsuchihanshi’s classification. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among 100 medical students, the Type II lip pattern was seen in 26 (26%) (17.40-34.60, 95% Confidence Interval) students. The largest number of participants was seen in 21 (80.76%) from the age group of 20-25 years. Conclusions: The prevalence of Type II lip pattern among medical students was similar to other studies done in similar settings.Publication Type II Lip Pattern among Medical Students in a Medical College: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Katwal, Barshika; Karki, Deepika; Shrestha, AsimAbstract Introduction: The study of human identification is of great value in forensic medicine. Lip patterns have unique nature and individualism so can be used for human identification. The aim of this study was to find out the prevalence of Type II lip print patterns among medical students in a medical college. Methods: A descriptive cross-sectional study was conducted in a medical college from 5 March 2022 to 1 April 2022 after ethical approval from the Institution Review Committee (Reference number: 057-078/079). The lip print pattern was categorized according to Tsuchihanshi’s classification. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among 100 medical students, the Type II lip pattern was seen in 26 (26%) (17.40-34.60, 95% Confidence Interval) students. The largest number of participants was seen in 21 (80.76%) from the age group of 20-25 years. Conclusions: The prevalence of Type II lip pattern among medical students was similar to other studies done in similar settings.