Browsing by Author "Sharma, Mona"
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Publication Knowledge of Intravenous Cannulation among Interns of a Teaching Hospital: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Sharma, Mona; Paudel, Sushil; Shrestha, Ujma; Sitaula, BikashAbstract: Introduction: Health care professionals are expected to have a basic understanding of all procedures performed on the patient. Their knowledge has direct implications on patients’ morbidity. Interns perform intravenous cannulation during their clinical rotation, their awareness about the procedure are unknown. The aim of this study was to find the knowledge of intravenous cannulation among the interns of the teaching hospital. Methods: A descriptive cross-sectional study was conducted in a teaching hospital from November 2020 to October 2021 after clearance from the Institutional Review Committee (Reference number: 2611202002). A total of 151 interns were taken using the convenience sampling method. We prepared a structured questionnaire. This was distributed among interns who had completed 6 months of internship. Data entry and analysis was done using Microsoft Excel. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 151 interns, 84 (55.62%) (47.70-63.54 at 95% Confidence Interval) had knowledge about intravenous cannulation. Most of the interns 117 (77.48%) had knowledge about the appropriate place for cannulation. Awareness about serious complications of cannulation was poor; 106 (70.19%) had never heard of these terms. Handwashing was implied as important by 70 (46.36%). Conclusions: The knowledge about intravenous cannulation among interns of teaching hospitals was poor compared to the similar study done in a similar setting.Publication Manual Anesthesia Record Keeping at a Tertiary Care Center: A Descriptive Cross-sectional Study Authors(Nepal Medical Association, 2021) Sharma, Mona; Karki, Dikshya; Dhungel, Saurya; Gautam, RitikaAbstract: Introduction: Intraoperative record form is one of the cardinal parts of anesthesia practices. Ideally, it should contain complete information about patients under anesthesia and intraoperative events. It serves as valuable information for subsequent patient management, research, or during medicolegal conditions. The objective of this study was to assess the practice and completeness of manual intraoperative anesthesia record keeping. Methods: A descriptive cross-sectional study was conducted from May 1 to July 31, 2021, in the postoperative ward of Kathmandu Medical College, which is a multispecialty tertiary care center. Approval from the ethical committee of Kathmandu Medical College Teaching Hospital was obtained (Reference: 2603202105) before conducting the study. Convenience sampling was used. The data were entered in Microsoft Excel and statistical analysis was done using Statistical Package for the Social Sciences version 20. Point estimate was done at 95% Confidence Interval and data present in numbers and percentages. We devised forty-two variables, which included demographics, personal identifiers, intraoperative events, anesthesia and airway management, intraoperative parameters, monitoring and medication. Results: The overall completion rate was 202 (52.59%) (47.6-57.57 at 95% Confidence Interval). Out of 42 variables, the completion rate of 14 variables was less than 50%. Among those were important parameters such as known allergies 94 (24.4%), Body mass index 50 (13%), intraoperative saturation of oxygen 104 (27%), intraoperative electrocardiogram recording 107 (27.8%), total fluid volume administered 45 (11.7%), patient status on transfer 84 (21.8%) had poor completion rate. Conclusions: Our intraoperative record form shows poor completion rate, which was similar to other studies. many important variables were missing and had incomplete data.Publication Melatonin - A Cutaneous Perspective(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2021) Dhali, Tapan; Sharma, Mona; Hemrajani, PriyankaAbstract: Melatonin (MLT) is an endogenous hormone secreted from the pineal gland, located deep in the brain in the epithalamus associated with numerous biological activities. The primary function of melatonin is to regulate sleep-wake cycles. However, research over the last few years has enlightened a range of functions associated with this molecule, including anti-inflammatory, direct and indirect antioxidant activity, regenerative tissue benefits, and preservation of mitochondrial function. Melatonin’s anti-inflammatory and antioxidant support, coupled with its mitochondrial modulation, makes it a vital molecule to use for skin health homeostasis. The cutaneous melatoninergic system’s widespread expression and pleiotropic activity provides for a high level of cell-specific selectivity. Several skin cells, including normal and malignant keratinocytes, melanocytes, fibroblasts and hair follicles, express melatonin receptors. Melatonin also has receptor-independent effects that protect against oxidative stress and can reduce ultraviolet radiation-induced damage. Several functions of melatonin in the skin have been experimentally implicated such as hair growth cycling, fur pigmentation, melanoma control, suppression of ultraviolet-induced damage to the skin cell. Melatonin may play a role in treating several dermatoses e.g., atopic eczema, psoriasis, melasma, ulcer healing, and malignant melanoma. There is a plethora of functional melatonin properties, which still await to be fully appreciated by dermatologists. The current review emphasizes few of the established uses and few emerging potentialities that render melatonin a promising candidate for managing several diseases.Publication Perioperative Diagnosis and Anaesthetic Management of Idiopathic Intracranial Hypertension in Pregnancy: A Case Report(Nepal Medical Association, 2023) Subedi, Prabin; Sharma, Mona; Yogi, Prajwala; Giri, DrishtiAbstract Idiopathic intracranial hypertension is characterised by increased intracranial pressure of unknown aetiology. It is usually seen among obese women who are of childbearing age. With an incidence of 0.9 per 100,000 in women of childbearing age, the incidence in obese women is as high as 19.3 per 100,000. Here, we represent the case of a 31-year-old, non-obese primigravida with hypothyroidism which was diagnosed as idiopathic intracranial hypertension during pregnancy. This patient, was managed with multi-disciplinary considerations so as to avoid complications in perioperative period.Publication Postoperative Acute Submandibular Sialadenitis: A Case Report(Nepal Medical Association, 2023) Sharma, Mona; Bohara, Sandeep; Manandhar, Stuti; Manandhar, Lumu; Maharjan, Shyam KrishnaAbstract Acute postoperative sialadenitis is a rare complication usually after surgery involving extreme head and neck rotation, such as posterior fossa surgery. It is characterized by the development of swelling in the submandibular region, usually contralateral to the surgical side, either immediately or within hours post-operatively. We report a case of a 43-year-old woman who developed sialadenitis leading to upper airway obstruction in the postoperative period. Further, she developed bilateral neck and face swelling. Dexmedetomidine used as an infusion throughout the surgery could be an additional cause. Swelling without signs of inflammation is rapidly progressive and may cause airway obstruction. Therefore, awareness and recognition are important, as a delay in airway securement can cause a complete collapse of the airway.Publication Study of Correlation of Severity and Quality of Life in Patients with Congenital Ichthyosis(Society of Dermatologists, Venereologists and Leprologists of Nepal (SODVELON), 2022) Hemrajani, Priyanka; Sharma, Mona; Dhali, Tapan; B.C, Sharath KumarAbstract: Introduction: Congenital ichthyosis is a disorder of cornification of skin with various cutaneous symptoms. Quality of life is a subjective perception of patients regarding their disease status and treatment received. Dermatological disorders have poor quality of life associated with them as any other systemic disease. Objective : The present study was conducted to assess the quality of life among patients of congenital ichthyosis, so that suitable remedial measures may be devised based on the same. Materials and Methods: It was a hospital based cross-sectional study with total 120 patients enrolled for study duration of one year .Children’s Dermatology Quality Life Index (CDLQI) questionnaire was used to assess the quality of life among patients. Global disease severity scale and VAS scale for severity of ichthyosis was used along with recording of socio-demographic details. Results: With a response rate of 87%, the sample size comprised of 104 subjects, aged between 0-15 years. Females outnumbered the sample by more than 2/3rd. ‘Symptoms and feelings’ was the most affected domain in the CDLQI. Itching, female gender and presence of scales were significant predictors of poor quality of life scores. Conclusion: The present study shows the epidemiological correlation of patients with congenital ichthyosis and the predictors of poor quality of life score. Regular subjective assessment of quality of life among patients should be included in routine clinic visits, as counselling plays a very important role in these patients.