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  • Chitwan Medical College  (5)
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  • Chitwan Medical College  (5)
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  • 1
    Online Resource
    Online Resource
    Prevalence of microalbuminuria and its association with glycemic control in type 2 diabetic patients: a cross sectional study at Kathmandu Medical College
    Chitwan Medical College ; 2019
    In:  Journal of Chitwan Medical College Vol. 9, No. 1 ( 2019-03-31), p. 2-7
    Details
    In: Journal of Chitwan Medical College, Chitwan Medical College, Vol. 9, No. 1 ( 2019-03-31), p. 2-7
    Abstract: Background: Diabetes mellitus has become one of the biggest health problems of this era. The resultant microvascular and macrovascular complications add to significant amount of morbidity and mortality. Urine microalbumin is considered as an early marker for microvascular compli­cations among diabetic patients. The aim of this study was to find out the prevalence of microalbuminuria among type 2 diabetic patients attending Kathmandu Medical College and its relation with glycemic control, age, sex, duration of diabetes. Methods: A total of 208 previously diagnosed type 2 diabetic patients at­tending medical outpatient department of Kathmandu Medical College, Sinamangal were included in the study over a period of 1 year (October 2017 - September 2018). Fasting and 2-hour postprandial venous blood for blood glucose and HbA1c measurement and early morning urine sam­ple (after overnight fast) was collected for detection of microalbuminuria. Statistical analysis was done using SPSS version 23. Results: The prevalence of microalbuminuria among the study population (mean age: 54.22 ± 11.76 years, mean HbA1c: 7.62 ± 1.53 %) was 42.8%. Microalbuminuria had significant correlation with HbA1c and duration of diabetes (p 〈 0.001), but not with age, sex and type of medication. There was positive correlation between urine microalbumin and fasting and post-prandial blood glucose. Conclusions: Our present study found high prevalence of microalbumin­uria among diabetic patients with poor glycemic control. It is suggested that tighter glycemic control with regular urine microalbumin testing should be integral part of diabetic management plan to prevent long term complications such as diabetic nephropathy
    Type of Medium: Online Resource
    ISSN: 2091-2889 , 2091-2412
    URL: Article
    DOI: 10.3126/jcmc.v9i1.23775
    Language: Unknown
    Publisher: Chitwan Medical College
    Publication Date: 2019
    detail.hit.zdb_id: 2895123-2
    Location Call Number Limitation Availability
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    Online Resource
  • 2
    Online Resource
    Online Resource
    Knowledge, attitude and practice of self-medication among medical students during exam time
    Chitwan Medical College ; 2020
    In:  Journal of Chitwan Medical College Vol. 10, No. 3 ( 2020-10-13), p. 25-28
    Details
    In: Journal of Chitwan Medical College, Chitwan Medical College, Vol. 10, No. 3 ( 2020-10-13), p. 25-28
    Abstract: Background: Medical education is one of the toughest education systems where the stu­dents are under intense physical and mental pressure especially during the exam time. They have information of different drugs that can cope with their medical conditions and also aware of different cognitive enhancers. Self-medication results in wastage of resource, ad­verse effects, drug dependence and increase chances of resistance of pathogens. Hence, this study was undertaken to determine the knowledge, attitude and practice of irrational drug use among the medical students during the exam time. Methods: This was descriptive cross-sectional using semi-structured questionnaire in the one of the medical school located inside Kathmandu Valley. A total of 90 students participated in the study. The data was analyzed with SPSS version 20, by using descriptive statistics. Results: Among the total respondents,20 (17.7%) were practicing self-medication during the exam time. Of the participants who practiced the self-medication, most common drug used was NDAIDs. Most of the respondents 87(96.7%) were aware of the possible adverse consequences. About 75(83.3%) participants thought the self-medication practice during the exam time is acceptable while 15(16.7%) regarded this as unacceptable. Conclusions: Although low incidence of self-medication was found among students during exam time, the false prerogative of being medical students can lead to meager practice and awful con­sequences.
    Type of Medium: Online Resource
    ISSN: 2091-2889 , 2091-2412
    URL: Article
    DOI: 10.3126/jcmc.v10i3.32017
    Language: Unknown
    Publisher: Chitwan Medical College
    Publication Date: 2020
    detail.hit.zdb_id: 2895123-2
    Location Call Number Limitation Availability
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    Online Resource
  • 3
    Online Resource
    Online Resource
    PREVALENCE OF MICROALBUMINURIA AND ITS ASSOCIATION WITH GLYCEMIC CONTROL IN TYPE 2 DIABETIC PATIENTS: A CROSS SECTIONAL STUDY AT KATHMANDU MEDICAL COLLEGE
    Chitwan Medical College ; 2021
    In:  Journal of Chitwan Medical College Vol. 9, No. 1 ( 2021-03-09), p. 2-7
    Details
    In: Journal of Chitwan Medical College, Chitwan Medical College, Vol. 9, No. 1 ( 2021-03-09), p. 2-7
    Abstract: Background: Diabetes mellitus has become one of the biggest health problems of this era. The resultant microvascular and macrovascular complications add to significant amount of morbidity and mortality. Urine microalbumin is considered as an early marker for microvascular compli­cations among diabetic patients. The aim of this study was to find out the prevalence of microalbuminuria among type 2 diabetic patients attending Kathmandu Medical College and its relation with glycemic control, age, sex, duration of diabetes. Methods: A total of 208 previously diagnosed type 2 diabetic patients at­tending medical outpatient department of Kathmandu Medical College, Sinamangal were included in the study over a period of 1 year (October 2017 - September 2018). Fasting and 2-hour postprandial venous blood for blood glucose and HbA1c measurement and early morning urine sam­ple (after overnight fast) was collected for detection of microalbuminuria. Statistical analysis was done using SPSS version 23. Results: The prevalence of microalbuminuria among the study population (mean age: 54.22 ± 11.76 years, mean HbA1c: 7.62 ± 1.53 %) was 42.8%. Microalbuminuria had significant correlation with HbA1c and duration of diabetes (p 〈 0.001), but not with age, sex and type of medication. There was positive correlation between urine microalbumin and fasting and post-prandial blood glucose. Conclusions: Our present study found high prevalence of microalbumin­uria among diabetic patients with poor glycemic control. It is suggested that tighter glycemic control with regular urine microalbumin testing should be integral part of diabetic management plan to prevent long term complications such as diabetic nephropathy
    Type of Medium: Online Resource
    ISSN: 2091-2889 , 2091-2412
    URL: Article
    DOI: 10.54530/jcmc.383
    Language: Unknown
    Publisher: Chitwan Medical College
    Publication Date: 2021
    detail.hit.zdb_id: 2895123-2
    Location Call Number Limitation Availability
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    Online Resource
  • 4
    Online Resource
    Online Resource
    KNOWLEDGE, ATTITUDE AND PRACTICE OF SELF-MEDICATION AMONG MEDICAL STUDENTS DURING EXAM TIME
    Chitwan Medical College ; 2020
    In:  Journal of Chitwan Medical College Vol. 10, No. 3 ( 2020-09-27)
    Details
    In: Journal of Chitwan Medical College, Chitwan Medical College, Vol. 10, No. 3 ( 2020-09-27)
    Abstract: Background: Medical education is one of the toughest education systems where the stu­dents are under intense physical and mental pressure especially during the exam time. They have information of different drugs that can cope with their medical conditions and also aware of different cognitive enhancers. Self-medication results in wastage of resource, ad­verse effects, drug dependence and increase chances of resistance of pathogens. Hence, this study was undertaken to determine the knowledge, attitude and practice of irrational drug use among the medical students during the exam time. Methods: This was descriptive cross-sectional using semi-structured questionnaire in the one of the medical school located inside Kathmandu Valley. A total of 90 students participated in the study. The data was analyzed with SPSS version 20, by using descriptive statistics. Results: Among the total respondents,20 (17.7%) were practicing self-medication during the exam time. Of the participants who practiced the self-medication, most common drug used was NDAIDs. Most of the respondents 87(96.7%) were aware of the possible adverse consequences. About 75(83.3%) participants thought the self-medication practice during the exam time is acceptable while 15(16.7%) regarded this as unacceptable. Conclusions: Although low incidence of self-medication was found among students during exam time, the false prerogative of being medical students can lead to meager practice and awful con­sequences.
    Type of Medium: Online Resource
    ISSN: 2091-2889 , 2091-2412
    URL: Article
    DOI: 10.54530/jcmc.200
    Language: Unknown
    Publisher: Chitwan Medical College
    Publication Date: 2020
    detail.hit.zdb_id: 2895123-2
    Location Call Number Limitation Availability
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    Online Resource
  • 5
    Online Resource
    Online Resource
    ASSOCIATION BETWEEN SLEEP DURATION, SLEEP QUALITY AND BODY MASS INDEX IN MEDICAL STUDENTS
    Chitwan Medical College ; 2020
    In:  Journal of Chitwan Medical College Vol. 10, No. 4 ( 2020-12-16), p. 34-38
    Details
    In: Journal of Chitwan Medical College, Chitwan Medical College, Vol. 10, No. 4 ( 2020-12-16), p. 34-38
    Abstract: Background: Medical students are normally under extreme pressure due to the vast syllabus they have to cover within few years of their student life. The stress due to academic pressure and sudden change in lifestyle tend to affect their sleeping habits, which is considered as one of the potential risk factors for obesity. This study aimed to observe the association between sleep duration, sleep quality and body mass index in medical students. Methods: This is a cross-section study conducted among 269 medical students. Self-reported sleep duration was noted, sleep quality was assessed with Pittsburgh Sleep Quality Index (PSQI) ques­tionnaire. Height in cm and weight in kg was recorded and BMI was calculated. The data obtained was divided into different groups according to sleep duration, sleep quality and BMI. ANOVA and independent t-test was done using Statistical Package for the Social Sciences version 25 for statisti­cal analysis. p 〈 0.05 was considered statistically significant. Results: In general, 24 (8.9%) of students were underweight, 187 (69.5%) had normal weight, 51 (19%) were overweight and 7 (2.6%) were obese. 94 (34.9%) students reported to spent 〈 7 hours in bed and 98 (36.4%) students had poor sleep quality. Mean BMI was significantly higher in students with short sleep (p-value=0.001, ANOVA) and in students with poor sleep quality (p-value=0.000, independent t-test). Conclusions: Higher BMI was observed in the group of students having poor sleep quality and short sleep duration. Furthermore, poor sleep quality was more prominent in women than in men.
    Type of Medium: Online Resource
    ISSN: 2091-2889 , 2091-2412
    URL: Article
    DOI: 10.54530/jcmc.248
    Language: Unknown
    Publisher: Chitwan Medical College
    Publication Date: 2020
    detail.hit.zdb_id: 2895123-2
    Location Call Number Limitation Availability
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    Online Resource
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