Browsing by Author "Shakya, Aman"
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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 Workplace Violence against Registered Doctors in Nepal(Nepal Health Research Council, 2025) Manandhar, Varsha; Upadhyaya, Baidehi; Shakya, Aman; Manandhar, Alisha; Maharjan, Jem; Bhurtel, Srijana; Shah, Saurav; Jha, Ayush; Sigdel, Brihaspati; Adhikari, MilanAbstract: Background: Workplace violence against health workers is rising globally. This study aimed to assess the nationwide prevalence and associated factors of workplace violence against Nepal Medical Council-registered Nepali doctors. Methods: A nationwide web-based study was conducted among 420 Nepal Medical Council-registered Nepali doctors using a Google form. Data was cleaned and coded in Ms Excel 2021 and then analyzed using IBM SPSS version 21.0. Frequencies and proportions were calculated for categorical variables. Chi-square test was used to assess the associations between different independent variables with presence of workplace violence, taking p-value of less than 0.05 as statistically significant. Significant variables from bivariate analysis were fitted in binomial logistic regression model to determine strength of association at 95% confidence interval. Results: Overall, 196 (46.67%) doctors experienced some form of workplace violence, with verbal abuse being the commonest (194; 46.19%). No action was taken against perpetrators in 11 (42.31%) physical violence, 125 (64.43%) verbal abuse and 15 (71.43%) racial harassment cases. Doctors working in more than two clinics/hospitals (AOR 4.09, p-value 0.007, 95% CI 1.50-11.48) and having zero vacations in the last six months (AOR 3.08, p-value 0.036, 95% CI 1.07-8.82) were found to be at higher risk of physical violence. Verbal abuse was more likely among those working in government hospitals (AOR 0.55, p-value 0.004, 95% CI 0.37-0.83) and working over 48 hours a week (AOR 1.89, p-value 0.003, 95% CI 1.25-2.86). Conclusions: The burden of workplace violence was notably high in Nepal (46.67%), mainly verbal abuse (46.19%). Long working hours, lack of rest and working in multiple clinics/hospitals were the contributing factors.