NepMed Repository :: Browsing by Author "Sigdel, S"

Browsing by Author "Sigdel, S"

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Awareness and Knowledge of the Surgical Safety Checklist among Healthcare Professionals in University Teaching Hospital, Kathmandu, Nepal
(Kathmandu University, 2021) Uprety, A; Kobashi, Y; Ozaki, A; Shrestha, D; Ghimire, B; Sedain, G; Sigdel, S; Higuchi, A; Tsubokura, M; Singh YP
ABSTRACT Background An introduction of the World Health Organization Surgical Safety Checklist (WHO SSC) is essential to promote surgical safety. Objective To obtain country-specific information regarding the checklist in a leading medical institution in Nepal. Method The present research was a cross-sectional study with a survey conducted among healthcare professionals working in the operation theatre at the Tribhuvan University Teaching Hospital (TUTH) in Kathmandu, Nepal. A questionnaire was distributed to 150 healthcare professionals working in the operating theatre. Responses to the questionnaire were analysed descriptively and regression analyses used to identify factors associated with awareness of the checklist. Result In total, 127 healthcare professionals participated in the study, of whom 118 (92.9%) had been aware of the WHO SSC. A substantial proportion of participants (108, 91.5%) were not satisfied with the prevailing practice whereby the checklist was not routinely used during surgery. Lack of appropriate training was the most prevalent barrier to the checklist use (72, 67.9%), followed by unwillingness of staff to use the checklist (54, 50.9%), and lack of experience (42, 39.7%). The mean score on the survey was 6.0 out of 10. Regarding the results of the regression model on survey scores, surgeons had higher scores compared to nurses (unadjusted coefficient 0.80, 95% CI 0.20-1.40). Conclusion Most of the healthcare professionals were aware of the WHO SSC, however multiple barriers to the checklist use were identified. It is important to establish an effective use of WHO SSC in the operation theatre. KEY WORDS Surgical safety, WHO Surgical Safety Checklist, Workforce
Case Report of an 18 Year Old Girl with Solid Pseudo-papillary Tumor of Pancreas
(Kathmandu University, 2020) Sigdel, S; Niroula, S; Sapkota, G; Chang, LH; Mishra, R
ABSTRACT Solid Pseudo-papillary Tumor (SPT) of the pancreas is a rare tumor which typically affects young women without any significant clinical symptoms. Solid Pseudo- papillary Tumor usually shows an indolent behavior and only rare cases recur and/or metastasize after complete resection. Here is a case report of 18 years old girl who presented to our centre with complaints of severe epigastric pain and underwent pancreatic parenchyma saving surgery for a large pancreatic head mass. In conclusion, Solid Pseudo-papillary Tumor being a large tumor possess a low malignant potential in which R0 resection has excellent prognosis. KEY WORDS Enucleation, Frantz tumor, Solid pseudo-papillary tumor (SPT), Surgical resection
“South Asian Cocktail” – The Predominant Drug Use Pattern in Nepal and its Association with Spread of HIV
(Institute of Medicine, 2013) Ojha, S P; Sigdel, S; H-G, M; Verthein, U
Abstract Introduction: Central Bureau of Statistic of Nepal (2008) shows more than 46,000 illegal drugs users, out of which 61% are injecting drug users (IDU). An injecting mixture of medicines called “South Asian Cocktail” is prevalent in Nepal. This study was carried out to find out the knowledge on drug use behaviour and health status with a focus on HIV in “cocktail” drug users. Methods: A cross-sectional survey among opiate users in contact with the treatment system was performed. After an initial mapping of Kathmandu valley, 300 drug users, on a random basis, in contact of different treatment and counselling centres were interviewed. The research questionnaire was designed following Europ ASI and Maudsley Addiction Profile standards. Results: Ninety one percent of the respondents were male and 9% female. 95% are injecting drug users with an average 8.7 years of drug use history. 86% are injecting different “cocktails” usually made of buprenorphine, diazepam, Phenergan (promethazine) and/or other substances (30 day prevalence). Similarly, 48% use heroin whereas only 2% take cocaine/ crack. Amongst tested for HIV (N=223) 33% are positive (25% of sample population). Conclusion: The “South Asian Cocktail” users have a higher risk behaviour than heroin drug users which is associated with the spread of HIV. It needs to be considered which HIV prevention measures are needed related to the specific needs of cocktail users, since the available services (like needle syringe exchange) does not seem to cover their specific needs. Keywords: South Asian cocktail, Opiates, Opioid substitution treatment, HIV

Browsing by Author "Sigdel, S"

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