Browsing by Author "Panthi, Janardan"
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Publication Assessment of Sleep Quality Amongst the Undergraduate Nursing Students at a Medical College in Ghorahi, Dang, Nepal: A Cross-Sectional Study(Rapti Academy of Health Sciences (RAHS), 2024) Manandhar, Nilu; Uprety, Saroj; Panthi, JanardanAbstract Introduction: Sleep disorders, affecting nearly one-tenth of adults globally, present in an exacerbated manner in nursing students due to stress, lifestyle, and shift work. Despite numerous studies on sleep quality, data on early-year undergraduate nursing students remain scarce. This study aims to evaluate the sleep quality and its sociodemographic determinants in the undergraduate nursing students. Methods: An observational, descriptive, cross-sectional study was conducted amongst the first and second-year undergraduate nursing students at the School of Nursing, Rapti Academy of Health Sciences. After obtaining ethical clearance, the sociodemographic profile of the participants was collected using a proforma, and sleep characteristics were assessed using the Pittsburgh Sleep Quality Index (PSQI). Prevalence of poor sleep (with 95% confidence intervals) was determined, and its distribution across various sociodemographic characteristics was described. Results: Among the total 62 participants, with the mean age of 22.2 ± 3.9 years, 98.4% were female. Most of the participants were from Lumbini Province (69.4%), enrolled in BSc Nursing (61.3%), and were in their first year (53.2%). Poor sleep quality (PSQI >5) was observed in 21.6% (95% CI: 11.7%–33.2%), with borderline sleep quality in 16.1%. Poor sleep quality was more prevalent among second-year students (27.6%) and those living at home (22.7%). Conclusion: Poor sleep quality in nursing students was found to be influenced by marital status, year of study, and living arrangements, stressing the need for targeted interventions to improve sleep hygiene and student well-being early on. Author Biography Janardan Panthi, Department of Surgery, Rapti Academy of Health Sciences, Ghorahi, Dang, Nepal Department of Surgery, Rapti Academy of Health Sciences, Ghorahi, Dang, NepalPublication Epidemiological Profile and Seasonal Variation of Acute Appendicitis(Rapti Academy of Health Sciences (RAHS), 2024) Panthi, Janardan; Shahi, Dinesh; Pokhrel, Dr. BishalAbstract: Introduction: Acute appendicitis is a common surgical condition, typically treated by appendectomy, though conservative management is possible. Understanding its epidemiology and seasonal variation aids in recognizing disease patterns and improving management. This study aims to assess the disease burden and seasonal trends of acute appendicitis. Methods: This retrospective, observational, cross-sectional study was conducted at Rapti Academy of Health Sciences (RAHS) from April 2023 to March 2024, and included 472 patients diagnosed with acute appendicitis, appendicular lump, or abscess, who underwent appendectomy. Data were collected through record review using a preformed proforma. Results: The study found a nearly equal gender distribution, with males comprising 55.1% and females 44.9%. Most participants were aged 20-40 years (41.5%, mean age: 32.48 years). Acute appendicitis was the most common diagnosis (79.2%), and open appendectomy was the most frequently used treatment (72.5%). The highest number of cases occurred in June (10%), with a mean temperature of 33.17°C. No statistically significant correlation was found between environmental factors (temperature, humidity, sunshine) and appendicitis incidence. Conclusion: While none of the environmental factors showed a statistically significant association with the frequency of acute appendicitis, the condition was more common during the rainy season.Publication Unveiling the Volume and Outcomes of Upper Gastrointestinal Endoscopy at a Tertiary Care Center: A Descriptive Cross-Sectional Study(Rapti Academy of Health Sciences (RAHS), 2024) Menyangbo, Suryaman; Panthi, Janardan; Neupane, Ananda; Shahi, Dinesh; Kandel, RameshAbstract: Introduction: Endoscopy is a vital procedure for diagnosing and managing digestive diseases. The volume of upper gastrointestinal endoscopies performed at healthcare centers in Nepal is poorly documented. There is a knowledge gap regarding the volume of endoscopies performed, including whether they are overutilized or follow proper guidelines. With rising digestive disease cases in Nepal and global increases in digestive malignancies, endoscopies are crucial for accurate diagnosis and cancer detection. The aim of the study was to assess the volume of endoscopies performed and identify the spectrum of pathologies associated with these procedures. Methods: This descriptive, cross-sectional study was conducted at Rapti Academy of Health Sciences (RAHS) over a period of two years. After approval from the Institutional Review Committee of RAHS (IRC RAHS), data were collected using a structured proforma, which included variables such as age, gender, ethnicity, and visual endoscopic pathological findings. Patients under 14 years of age and those who were hospitalized were excluded from the study. Results: A total of 2,305 patients underwent upper gastrointestinal endoscopic procedures, with females comprising 68% (n=1,567). The mean age of participants was 43 years, with the majority (n=537; 23.30%) in the 30-39 age group. Gastritis was the primary finding in 1,243 (53.9%) participants, while 38 (1.64%) had significant suspicious malignant lesions. Conclusion: The volume of gastrointestinal endoscopies performed was higher compared to similar settings in other hospitals in Nepal. Gastritis was the most common finding, with a significant number of cases showing suspicious malignant lesions during endoscopy.