Browsing by Author "Pradhan, Sait"
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Publication Correlation of Body Mass Index with Handgrip Strength and Endurance of Dominant Hand in Medical Students(Institute of Medicine, 2020) Shrestha, Lava; Gurung, Sanyukta; Bhat, Neeti; Mahotra, Narayan B; Bajimaya, Mahesh M; Malla, Neha; Kandel, Sabita; Shakya, Aman; Aryal, Vibina; Gyawali, Bigyan R; Rayamajhi, Nirmala; Pradhan, SaitABSTRACT Introduction: Hand grip strength is used in evaluation of muscle strength and is also increasingly being used as an indicator for nutritional status. The maximum force applied voluntarily by the subject is called maximum handgrip strength, which is measured in kilograms. Muscular endurance is the ability of a muscle or muscle group to perform against a load for an extended period of time, measured in seconds. This study aims to correlate body mass index with handgrip strength and handgrip endurance in medical students. Methods:This is a cross sectional, observational study which included 74 undergraduate students of Maharajgunj Medical Campus by convenient sampling method. Body mass index was calculated by Quetelet’s formula. Camry digital hand dynamometer was used to measure handgrip strength in the dominant hand in kilograms. Participants were instructed to hold dynamometer with maintained pressure of 30% of maximum handgrip strength for as long as possible to determine the handgrip endurance. Statistical analyses were performed with SPSS Statistics software. Results: The handgrip strength was more in males than females with a mean of 43.09±3.72 kg, while handgrip endurance was more in females with a mean of 123.60±50.65 sec. Positive correlation was seen between body mass index and handgrip strength (r=0.23 and p=0.045). Body mass index and handgrip endurance also showed positive correlation (r=0.34 and p=0.003). Conclusion: Significant correlation of body mass index with handgrip strength and handgrip endurance was seen in medical students. Keywords: Body mass index, correlation, handgrip endurance, handgrip strength, medical studentsPublication Pattern of Blood Products Consumption in a Teaching Hospital(Nepal Health Research Council, 2024) Shrestha, Lava; Gurung, Numaya; Mahotra, Narayan Bahadur; Pradhan, Sait; Ghimire, Ananda; Pokhrel, Kailash Mani; Khanal, Kapil; Dhungana, Reechashree; Gautam, Naveen; Kandel, Sabita; Chaudhary, SonamBackground: Blood transfusions are lifesaving, but resource limitations and inadequate utilization patterns pose challenges in low- and middle-income countries. In Nepal, detailed analyses of blood use practices, are needed to inform resource allocation and policy decisions. The objective of this study was to study the overall and component-specific use, explore temporal trends in utilization of blood and blood products. Methods: We conducted an observational study analyzing data from Blood Bank of Tribhuvan University Teaching Hospital (TUTH), a tertiary hospital (January 1st - December 31st, 2019). Data included patient demographics, blood groups, blood products requested and transfused, and facility type. Data analysis was conducted with SPSS v20. Results: Patients from TUTH had substantially higher blood product requests, requesting 25,716 units compared to only 1855 units across other centers combined. Blood groups A positive (8089, 31.4%) and and O positive (7851, 30.6%) were the most requested blood groups. Whole blood (11358, 44.2%) and packed red blood cells (9565, 37.2%) were most frequently requested. We observed monthly fluctuations in demand with peak of 2742 requests in December with a trough in June (1947 units). Notably, only approximately 46% of blood products requested from patients admitted to TUTH were ultimately transfused. Conclusions: Whole blood and packed red blood cells were the most frequently requested blood products. Eventhough whole blood was the most frequently requested blood product, the most transfused one was packed red cells. Peak demand was observed in December. Our study provides valuable insights into blood utilization patterns, underscoring the need for specific strategies to improve blood transfusion management practices. Keywords: Blood banking; blood transfusion; blood utilization; LMICs. Nepal.