Browsing by Author "Shakya, B"
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Publication Hysterosalpingography Vs Hysteroscopy in the Dection of Infrauterine Pathology in Infertility(Nepal Health Research Council, 2009-04) Shakya, BPublication Intestinal Parasitosis(Institute of Medicine, 2009) Shakya, B; Bhargava, D; Shrestha, S; Rijal, BPAbstract Introduction :Intestinal parasitosis is highly prevalent among general population and hospital patients in Nepal. The study aimed to assess the prevalence of intestinal parasitosis among patients in a hospital of Nepal. Methods: A retrospective study was done by analyzing the findings of stool examined from April 2006 to March 2008 at Department of Microbiology of the hospital. χ 2_test was used for analytical assessment. Results: Out of 2221 fecal samples, 20.7% were positive, the positivity being 23.9% and 15.8%, respectively in first and second year (P<0.05). Overall infection rate was nearly equal in male and female (20.2% vs. 21.2%). The infection rate was highest among patients of >60 years (25.3%) followed by those of <15 years (21.2%) and 15-59 years (20.1%) ( P>0.05). Ascaris lumbricoides (31.8%) and Entamoeba histolytica (38.0%) were the commonest helminth and protozoa, respectively. Other parasites were Hookworm (18.3%), Hymenolepis nana (2.6%), Taenia solium (2.6%), Strongyloides stercoralis (1.3%) and Giardia lamblia (5.5%). Conclusions: Though, the prevalence of intestinal parasitosis among hospital visiting patients is declining, high detection of A. lumbricoides and E. histolytica signifies the need of public awareness regarding latrine use, water source protection from fecal contamination, proper sanitation and hygienic behavior. Keywords: Ascaris lumbricoides, Entamoeba histolytica, intestinal parasitesPublication Patient Satisfaction with Outpatient Physiotherapy Services in Dhulikhel Hospital, Kathmandu University Hospital, Nepal(Kathmandu University, 2019) Shakya, NR; Shakya, BABSTRACT Background The quality of care provided to recipients of health services is measured by the satisfaction of patient. Patient satisfaction is the extent to which patient feels that their needs and expectations have been met on behalf of their expenses made to get quality health services. Satisfied patients adhere to the treatment plan, seek for further services and provide feedback. Therefore, such study in Nepal would be important and first of its kind to assess the quality of physiotherapy services. Objective To evaluate the level of satisfaction of patient receiving outpatient Physiotherapy services and the relationship between the items within the questionnaire. Method The MedRisk Instrument for Measuring Patient Satisfaction (MRPS) with Physical Therapy Care was administered to 256 patients to identify the level of patient satisfaction. Result There was a high level of satisfaction of patient receiving Outpatient physiotherapy services using MRPS (Mean = 4.18; SD = 0.39). The relationships between individual item scores and Global satisfaction (Item 11) were explored with bivariate correlation analysis. The Internal factors correlated most strongly with the global satisfaction whereas the external factors had the lowest correlation with the global satisfaction. Conclusion Patient satisfaction is an important aspect of the measurement of quality of care. Thus, it must be evaluated timely to provide quality services to the patients. There was high level of satisfaction reported by patient receiving outpatient physiotherapy services in the Dhulikhel Hospital. KEY WORDS Outpatient physiotherapy services, Patient satisfaction, Quality care, The MedRisk Instrument