Browsing by Author "Kayastha, Jyoti"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Compliance with Social Distancing, Facial Mask, Sanitizer/Hand Washing against COVID-19(Institute of Medicine, Tribhuvan University, 2024) Kayastha, Jyoti; Kayastha, Prakash; Nepali, Rabin; Kayastha, UshaAbstract: Introduction: At the end of 2019, a novel coronavirus spread rapidly, resulting in a global pandemic. Many countries have employed various nonpharmaceutical interventions, including social distancing, mask use, and sanitizer/hand hygiene measures (SMS). Previous studies have reported that compliance with these preventive measures varied widely. So, this study was conducted to assess the compliance with social distancing, mask use, and sanitizer/soap use measures in Biratnagar. Methods : This was a descriptive cross-sectional study conducted from September to November 2021 among 310 individuals at a hospital, supermarket, and vegetable market in Biratnagar. Using convenience sampling, mask use, social distancing, and hand hygiene was observed. Individuals not following SMS measures were asked about their reasons for non-compliance. Results : Among 310 individuals, 84.19% used masks, but only 86.97% of them wore them correctly. Surgical masks were used by 93.1%, while 6.9% used cloth masks. Social distancing was followed by 20.96%, and 31.29% used hand sanitizer. Common reasons for noncompliance included discomfort with masks, cost of sanitizer, lack of handwashing facilities, absence of social distancing markings, and poor adherence by others. Conclusion : Compliance of face mask was relatively high, while compliance with social distancing and sanitizer use was low highlighting the need for improved public awareness, better infrastructure, and stricter enforcement. In low-resource settings like Nepal, the continued promotion of SMS measures is essential for managing current health threats and preventing future outbreaks of respiratory illnesses.Publication Deciphering Obstructive Sleep Apnoea Syndrome: A Clinical Profile Analysis of Patients in a Tertiary Care Hospital in Eastern Nepal(Nepalese Respiratory Society, 2025) Bhatta, Karuna; Ghimire, RamHari; Kayastha, Jyoti; Kumar Mishra, Navin; Shrestha, Saree; Chand, HemaAbstract; Background: Obstructive Sleep Apnoea Syndrome (OSAS) is a common disorder comprising repeated events of partial or complete obstruction of the upper airway during sleep, thereby disturbing sleep and other physiological events and leading to long-term consequences. The condition is often left underdiagnosed, particularly in regions like Eastern Nepal, where awareness and access to diagnostic tools are limited. Objective: This paper will examine the clinical profile of OSA in the eastern region of Nepal, focusing on its risk factors and associated comorbidities. Methods: This study was conducted as a hospital-based descriptive cross-sectional study at Nobel Medical College and Teaching Hospital from November 2023 to November 2024. A sample of thirty adults diagnosed with OSA by polysomnography (PSG) according to American Academy of Sleep Medicine diagnostic criteria were included. Patients with untreated OSAS were included; those with respiratory failure, heart failure, shock, and recent ICU admission were excluded. Data regarding demographics, risk factors, co morbidities, spirometry, and PSG data were collected and analyzed with SPSS version 25. Results: A total of 30 OSA patients were enrolled in the study, comprising 20 males (66.7%) and 10 females (33.3%). The mean age was 54.07 years, with the 40–60 age group being the most common. Among the participants, 14 (46.7%) had mild OSA, 11 (36.7%) had moderate OSA, and 5 (16.7%) had severe OSA. Additionally, 7 patients (23.3%) had hypertension, and 4 (13.3%) had diabetes. Regarding spirometry findings, restrictive patterns (46.7%) were predominant among patients, followed by obstructive patterns (20%) and normal findings (33.3%). Conclusion: OSA is a complex, multifactorial disease with distinct phenotypes commonly prevalent among the Nepalese population, which needs early diagnosis and proper treatment. OSA evaluation should comprise both sleep-related complaints and nonspecific symptoms simultaneously.