Browsing by Author "Shrestha, Asim"
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Publication Compliance of WHO Surgical Safety Checklist at a Pediatric Surgical Unit in a Tertiary Level Hospital: A Descriptive Cross-sectional Study Authors(Nepal Medical Association, 2021) Bajracharya, Jasmine; Shrestha, Ritesh; Karki, Deepika; Shrestha, AsimAbstract: Introduction: The Surgical safety checklist by World Health Organization has been used for the last two decades. There is every chance of unwanted expected disasters in Operating-Room in Pediatricsurgical cases. Our study is to observe the utilization of the safety checklist and evaluate occurrence of never-events in Tertiary Level Pediatric Surgery Unit in Nepal. Methods: A descriptive cross-sectional study was done at Nepal Medical College Teaching Hospital from January 2021-June 2021 with record-based data of children from 0-15 years operated in Pediatric Surgery unit from March 2017-July 2018. Ethical approval (Reference number: 049-077-078) was taken from the Institution review committee of the institute. Convenience sampling was done. Self-designed Pro-forma with demographic data along with World Health Organization-Surgical-safety-checklist used was collected and entered in Microsoft-Excel. Data were analyzed using Statistical-Package-for-the-Social-Sciences-version-25. Point estimate at 95% Confidence Interval was done along with frequency and proportion for binary data. Results: Out of 267 cases enrolled, 103 (38.6%) (35.6-41.6 at 95% Confidence Interval) were fully compliant with the checklist, 69 (25.8%) partially compliant. Among compliant cases, 148 (55.4%) Sign-in part, 128 (47.9%) cases -Time-out part and 152 (56.9%) cases Sign-out part were complete. Conclusions: Compliance with World Health Organization-Surgical-safety-checklist has a major role in preventing morbidity and mortality in Pediatric surgical cases. With proper use of the checklist, the unwanted never-events can be prevented with better surgical outcomes.Publication Type II Lip Pattern among Medical Students in a Medical College: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Katwal, Barshika; Karki, Deepika; Shrestha, AsimAbstract Introduction: The study of human identification is of great value in forensic medicine. Lip patterns have unique nature and individualism so can be used for human identification. The aim of this study was to find out the prevalence of Type II lip print patterns among medical students in a medical college. Methods: A descriptive cross-sectional study was conducted in a medical college from 5 March 2022 to 1 April 2022 after ethical approval from the Institution Review Committee (Reference number: 057-078/079). The lip print pattern was categorized according to Tsuchihanshi’s classification. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among 100 medical students, the Type II lip pattern was seen in 26 (26%) (17.40-34.60, 95% Confidence Interval) students. The largest number of participants was seen in 21 (80.76%) from the age group of 20-25 years. Conclusions: The prevalence of Type II lip pattern among medical students was similar to other studies done in similar settings.Publication Type II Lip Pattern among Medical Students in a Medical College: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Katwal, Barshika; Karki, Deepika; Shrestha, AsimAbstract Introduction: The study of human identification is of great value in forensic medicine. Lip patterns have unique nature and individualism so can be used for human identification. The aim of this study was to find out the prevalence of Type II lip print patterns among medical students in a medical college. Methods: A descriptive cross-sectional study was conducted in a medical college from 5 March 2022 to 1 April 2022 after ethical approval from the Institution Review Committee (Reference number: 057-078/079). The lip print pattern was categorized according to Tsuchihanshi’s classification. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among 100 medical students, the Type II lip pattern was seen in 26 (26%) (17.40-34.60, 95% Confidence Interval) students. The largest number of participants was seen in 21 (80.76%) from the age group of 20-25 years. Conclusions: The prevalence of Type II lip pattern among medical students was similar to other studies done in similar settings.Publication Variations of Dermatological Findings in New-Borns of a Community Hospital in Nepal(Nepal Paediatric Society (JNPS), 2017) Shrestha, Asim; Shrestha, SmritiAbstract: Introduction: Skin manifestations are common in neonates. The prevalence of skin changes and their association with neonatal and maternal factors are not adequately documented in Nepal. It is important to differentiate common benign skin lesions from infrequent skin changes that cause morbidity, requiring medical management. The objectives of this study were to determine the pattern of skin lesions in new-borns and their association with maternal and neonatal variables. Material and Methods: This was a prospective, cross-sectional study conducted in obstetric unit of the hospital from December 2016 to May 2017. Outborn babies and babies shifted to NICU were excluded. Results: A total of 935 new-borns were examined. The commonest skin lesions were Mongolian spot (66.7%), Erythema toxicum (46.6%), Milia (44.4%), Epstein pearls (26.4%) and Salmon patch (11.9%). Mothers aged 35 years or older (63.6%) had statistically significant association with Erythema toxicum (p=0.01). Erythema toxicum was more in primiparity, term pregnancy and caesarean section delivery. Milia was associated with male babies. Salmon patch was seen more in term pregnancy. Congenital melanocytic nevus, haemangioma and port-wine stain were noted in three, two and one new-borns respectively, which alter morbidity and hence are important to diagnose in time. Conclusion: We found that 93.8% of neonates had at one or more skin lesions. The majority of skin lesions were benign and transient. Erythema toxicum was seen commonly in mothers aged 35 and more. Salmon patch was seen more in term pregnancy.