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Article: Peritraumatic distress and perceived mental healthcare needs among residents of a community housing during COVID-19

Journal of Patan Academy of Health Sciences

Abstract: Introduction: The consequences of lockdown, quarantine, and uncertainties of COVID-19 pandemic has not only caused physical sufferings but affected the mental health of the people around the globe Peritraumatic distress is a strong predictor of ... ...

Abstract	Introduction: The consequences of lockdown, quarantine, and uncertainties of COVID-19 pandemic has not only caused physical sufferings but affected the mental health of the people around the globe Peritraumatic distress is a strong predictor of posttraumatic stress disorder that may further lead to depression and suicidal risk Thus, the aim of this study was to assess peritraumatic distress and perceived mental healthcare needs among the residents of a gated community in Kathmandu Valley Method: This was a quantitative online cross-sectional study conducted during June 2020 among adult residents of a gated community in Kathmandu Valley, Nepal COVID-19 peritraumatic distress index and perceived mental healthcare questionnaire were used to find out peritraumatic distress and mental healthcare needs of the residents Ethical approval was obtained Statistical analysis of data was done using SPSS Results: A total of 45 residents returned the completed forms Male were 62 2%, 53 3% belonged to 36 to 55 years and 46 7% had at least one comorbidity Mild to moderate peritraumatic distress was found among 17 82% Fisher’s exact test showed no association between age, gender, presence of comorbidity and peritraumatic distress (p > 0 05) Perceived mental healthcare needs were felt by more than 91% of the participants Conclusion: One sixth of the participants had mild to moderate level of peritraumatic distress Almost all the participants felt they have mental healthcare needs Study highlights the need for counseling for distress and mental health during COVID-19 pandemic
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #926876
Database	COVID19

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Article ; Online: Peritraumatic distress and perceived mental healthcare needs among residents of a community housing during COVID-19

Samson, Priscilla / Shah, Jay Narayan

Journal of Patan Academy of Health Sciences; Vol 7 No; 14-22 ; 2091-2757 ; 2091-2749

2020 Volume 2

Abstract: Introduction: The consequences of lockdown, quarantine, and uncertainties of COVID-19 pandemic has not only caused physical sufferings but affected the mental health of the people around the globe. Peritraumatic distress is a strong predictor of ... ...

Abstract	Introduction: The consequences of lockdown, quarantine, and uncertainties of COVID-19 pandemic has not only caused physical sufferings but affected the mental health of the people around the globe. Peritraumatic distress is a strong predictor of posttraumatic stress disorder that may further lead to depression and suicidal risk. Thus, the aim of this study was to assess peritraumatic distress and perceived mental healthcare needs among the residents of a gated community in Kathmandu Valley. Method: This was a quantitative online cross-sectional study conducted during June 2020 among adult residents of a gated community in Kathmandu Valley, Nepal. COVID-19 peritraumatic distress index and perceived mental healthcare questionnaire were used to find out peritraumatic distress and mental healthcare needs of the residents. Ethical approval was obtained. Statistical analysis of data was done using SPSS. Result: A total of 45 residents returned the completed forms. Male were 62.2%, 53.3% belonged to 36 to 55 years and 46.7% had at least one comorbidity. Mild to moderate peritraumatic distress was found among 17.82%. Fisher’s exact test showed no association between age, gender, presence of comorbidity and peritraumatic distress (p > 0.05). Perceived mental healthcare needs were felt by more than 91% of the participants. Conclusion: One sixth of the participants had mild to moderate level of peritraumatic distress. Almost all the participants felt they have mental healthcare needs. Study highlights the need for counseling for distress and mental health during COVID-19 pandemic.
Keywords	covid19
Subject code	150
Language	English
Publishing date	2020-08-30
Publisher	Patan Academy of Health Sciences
Publishing country	np
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Nepal's Response to Contain COVID-19 Infection.

Piryani, Rano Mal / Piryani, Suneel / Shah, Jay Narayan

Journal of Nepal Health Research Council

2020 Volume 18, Issue 1, Page(s) 128–134

Abstract: Nepal is a landlocked country bordering two most populous countries, India and China. Nepal shares open border with India from three sides, east, south and west. And, in north with China, where the novel coronavirus infection (CVOVID-19) began in late ... ...

Abstract	Nepal is a landlocked country bordering two most populous countries, India and China. Nepal shares open border with India from three sides, east, south and west. And, in north with China, where the novel coronavirus infection (CVOVID-19) began in late December 2019. The first confirmed imported case in Nepal was reported in 2nd week of January 2020. The initial response of Nepal to COVID-19 were comparably slow but country geared efforts after it was declared a 'global pandemic' by WHO on 11 March, 2020. Government of Nepal's steps from 18 March, 2020 led to partial lock down and countrywide lockdown imposed on 24 March, 2020. Government devised comprehensive plan on 27 March, 2020 for quarantine for peoples who arrived in Nepal from COVID-19 affected countries. This article covers summary of global status, South Asian Association of Regional Cooperation (SAARC) status, and Nepal's response to contain COVID-19 infection discussed under three headings: Steps taken before and after WHO declared COVID-19 a global pandemic and lab services regarding detection of COVID-19. Nepal has documented five confirmed cases of COVID-19 till the end of March 2020, first in second week of 15 January, 2020 and 2nd case 8-weeks thereafter and 3rd case two days later, 4th on 27 March and 5th on 28 March. Four more cases detected during first week of April. Non-Pharmacological interventions like social distancing and excellent personal habits are widely practiced. Country has to enhance testing and strengthen tracing, isolation and quarantine mechanism and care of COVID-19 patients as Nepal is in risk zone because of comparably weak health system and porous borders with India. The time will tell regarding further outbreak and how it will be tackled. Keywords: COVID-19; lockdown; Nepal; pandemic; response.
MeSH term(s)	Adult ; Aged ; Betacoronavirus ; COVID-19 ; Coronavirus ; Coronavirus Infections/epidemiology ; Coronavirus Infections/transmission ; Disease Outbreaks/prevention & control ; Humans ; Middle Aged ; Nepal/epidemiology ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/transmission ; Quarantine ; SARS-CoV-2 ; Young Adult
Keywords	covid19
Language	English
Publishing date	2020-04-20
Publishing country	Nepal
Document type	Journal Article
ZDB-ID	2551251-1
ISSN	1999-6217 ; 1727-5482
ISSN (online)	1999-6217
ISSN	1727-5482
DOI	10.33314/jnhrc.v18i1.2608
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Competency Based Post Graduate Residency Program at Patan Academy of Health Sciences, Nepal.

Shrestha, Shrijana / Shrestha, Ashis / Shah, Jay Narayan / Gongal, Rajesh Nath

Journal of Nepal Health Research Council

2021 Volume 19, Issue 1, Page(s) 189–195

Abstract: Competency-based medical education has evolved as an alternative approach in the residency training program. It shows potential to align educational programs with health system priorities through defining the competencies of graduating doctors. Designing ...

Abstract	Competency-based medical education has evolved as an alternative approach in the residency training program. It shows potential to align educational programs with health system priorities through defining the competencies of graduating doctors. Designing and implementing Competency Based Post Graduate (CBPG) training in a resource-limited setting, where most of the trainings are still run in a conventional approach, is a big challenge. Patan Academy of Health Sciences, School of Medicine has taken the competency-based approach in the postgraduate residency training. Defining core competencies and connecting those to teaching methodology and assessment system are important initial steps in implementing the competency-based approach. The institution has implemented Entrustable Professional Activity (EPA), which is a unit of professional practice and helps to measure the trainees' achievements in the form of milestones. This paper describes the process of piloting and implementing the CBPG program at this school. The school launched the CBPG training in 2018 and so far, three batches of residents have been enrolled in nine different subjects/disciplines. The first batch of trainee, having the PAHS Core competencies and the pre-defined discipline-specific EPAs certified, will be completing their training soon. The program is time and resource consuming. Continuous faculty development, commitment, supportive leadership and faculty readiness to adapt to newer approaches are the key to the program's successful implementation. Keywords: Competency based medical education; Nepal; patan academy of health sciences; post graduate training; residency program.
MeSH term(s)	Clinical Competence ; Humans ; Internship and Residency ; Leadership ; Medicine ; Nepal
Language	English
Publishing date	2021-04-23
Publishing country	Nepal
Document type	Journal Article
ZDB-ID	2551251-1
ISSN	1999-6217 ; 1999-6217
ISSN (online)	1999-6217
ISSN	1999-6217
DOI	10.33314/jnhrc.v19i1.3263
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Nepal's Response to Contain COVID-19 Infection

Piryani, Rano Mal / Piryani, Suneel / Shah, Jay Narayan

J Nepal Health Res Counc

Abstract	Nepal is a landlocked country bordering two most populous countries, India and China. Nepal shares open border with India from three sides, east, south and west. And, in north with China, where the novel coronavirus infection (CVOVID-19) began in late December 2019. The first confirmed imported case in Nepal was reported in 2nd week of January 2020. The initial response of Nepal to COVID-19 were comparably slow but country geared efforts after it was declared a 'global pandemic' by WHO on 11 March, 2020. Government of Nepal's steps from 18 March, 2020 led to partial lock down and countrywide lockdown imposed on 24 March, 2020. Government devised comprehensive plan on 27 March, 2020 for quarantine for peoples who arrived in Nepal from COVID-19 affected countries. This article covers summary of global status, South Asian Association of Regional Cooperation (SAARC) status, and Nepal's response to contain COVID-19 infection discussed under three headings: Steps taken before and after WHO declared COVID-19 a global pandemic and lab services regarding detection of COVID-19. Nepal has documented five confirmed cases of COVID-19 till the end of March 2020, first in second week of 15 January, 2020 and 2nd case 8-weeks thereafter and 3rd case two days later, 4th on 27 March and 5th on 28 March. Four more cases detected during first week of April. Non-Pharmacological interventions like social distancing and excellent personal habits are widely practiced. Country has to enhance testing and strengthen tracing, isolation and quarantine mechanism and care of COVID-19 patients as Nepal is in risk zone because of comparably weak health system and porous borders with India. The time will tell regarding further outbreak and how it will be tackled. Keywords: COVID-19; lockdown; Nepal; pandemic; response.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #127826
Database	COVID19

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Article ; Online: Use of mask in COVID-19 era

Piryani, Rano Mal / Piryani, Suneel / Shah, Jay Narayan

Journal of Patan Academy of Health Sciences; Vol 7 No; 89-90 ; 2091-2757 ; 2091-2749

absence of evidence is not evidence of absence

2020 Volume 1

Abstract: World Health Organization (WHO) in its interim guidance of 6 April 2020 advises policy makers on the use of masks for healthy people in community settings. The rationale for mask use by healthy person is prevention from COVID-19, when there is risk of ... ...

Abstract	World Health Organization (WHO) in its interim guidance of 6 April 2020 advises policy makers on the use of masks for healthy people in community settings. The rationale for mask use by healthy person is prevention from COVID-19, when there is risk of exposure, like working in close contact with public, people with comorbidities, where physical distancing cannot be maintained such as travelling in buses, staying in slum areas. Furthermore, WHO says the purpose and reason for mask use should be clear– whether it is to be used for source control (used by infected persons) or prevention of COVID-19 (used by healthy persons).1 Centers for Disease Control (CDC) United States of America (USA) updated its advisory on 4 Apr 2020, and recommended everyone (except some) should wear at least a cloth face covering when they have to go out in public. It will protect other people in case you are infected.2,3 This advisory of no strict demand on use of face masks could be possibly due to unavailability of disposable masks.
Keywords	covid19
Language	English
Publishing date	2020-04-30
Publisher	Patan Academy of Health Sciences
Publishing country	np
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Quarantine, isolation and lockdown

Shah, Jay Narayan / Shah, Jenifei / Shah, Jesifei Narayan

Journal of Patan Academy of Health Sciences; Vol 7 No; 48-57 ; 2091-2757 ; 2091-2749

in context of COVID-19

2020 Volume 1

Abstract: Quarantine and lockdown, combined with restriction to the movement of people, along with measures like universal use of masks, social distancing, tracking, testing, isolation and specialized centers to manage COVID-19 patients, have been successful in ... ...

Abstract	Quarantine and lockdown, combined with restriction to the movement of people, along with measures like universal use of masks, social distancing, tracking, testing, isolation and specialized centers to manage COVID-19 patients, have been successful in the control and spread of the virus in China and most Asian countries, unlike in Europe and America. This review is written to provide information on quarantine, isolation and lockdown in the context of COVID-19 management. The quarantine and lockdown from historical, socio-cultural, and its effect on special circumstances, for example, the internal and international migrants, daily wage workers, refugees, and the ways in which countries have managed this issue, including the measures taken by Nepal to manage the quarantine and lockdown is briefly presented in this review.
Keywords	covid19
Language	English
Publishing date	2020-04-30
Publisher	Patan Academy of Health Sciences
Publishing country	np
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Revisit the hospital policy in the era of COVID-19

Piryani, Rano Mal / Piryani, Suneel / Shah, Jay Narayan

Journal of Patan Academy of Health Sciences; Vol 7 No; 97-100 ; 2091-2757 ; 2091-2749

2020 Volume 1

Abstract: Patient with recent history of dry cough, fever and breathlessness (influenza-like or severe acute respiratory illness) without alternative explanation/diagnosis needs to be managed as COVID-19 unless proved otherwise. Suspected COVID-19 patient having ... ...

Abstract	Patient with recent history of dry cough, fever and breathlessness (influenza-like or severe acute respiratory illness) without alternative explanation/diagnosis needs to be managed as COVID-19 unless proved otherwise. Suspected COVID-19 patient having fever and recent loss of taste and smell be tested for COVID-19. Patient with severe acute respiratory illness of unknown aetiology be tested for COVID-19. Patient with bilateral consolidation on chest X-ray or ground glass appearance on chest CT or interstitial oedema on chest ultrasound (not fully explained by volume overload) be tested for COVID-19 in moderate to high risk communities/countries. Suspected COVID-19 patients with lymphopenia, high ESR or rise in C-reactive protein and suspected of viral fevers be tested for COVID-19. Screening of pregnant women for COVID-19 with rapid testing preferably with Elisa in moderate to high risk communities/countries. Screening with rapid testing preferably with Elisa prior to invasive interventions, including operations, in moderate to high risk communities/countries. Limit the exposure of hospital staff who are susceptible to develop severe complications of COVID-19. Hospitals provide PPE to staff depending upon exposure as per international/national/local guidelines. Hospitals implement infection prevention control measures meticulously in context of COVID-19.
Keywords	covid19
Subject code	360
Language	English
Publishing date	2020-04-30
Publisher	Patan Academy of Health Sciences
Publishing country	np
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Book ; Online: Nepal's response to contain COVID-19 Infection

Piryani, Rano Mal / Piryani, Suneel / Shah, Jay Narayan

Community Health Sciences

2020

Abstract	Nepal is a landlocked country bordering two most populous countries, India and China. Nepal shares open border with India from three sides, east, south and west. And, in north with China, where the novel coronavirus infection (CVOVID-19) began in late December 2019. The first confirmed imported case in Nepal was reported in 2nd week of January 2020. The initial response of Nepal to COVID-19 were comparably slow but country geared efforts after it was declared a 'global pandemic' by WHO on 11 March, 2020. Government of Nepal's steps from 18 March, 2020 led to partial lock down and countrywide lockdown imposed on 24 March, 2020. Government devised comprehensive plan on 27 March, 2020 for quarantine for peoples who arrived in Nepal from COVID-19 affected countries. This article covers summary of global status, South Asian Association of Regional Cooperation (SAARC) status, and Nepal's response to contain COVID-19 infection discussed under three headings: Steps taken before and after WHO declared COVID-19 a global pandemic and lab services regarding detection of COVID-19. Nepal has documented five confirmed cases of COVID-19 till the end of March 2020, first in second week of 15 January, 2020 and 2nd case 8-weeks thereafter and 3rd case two days later, 4th on 27 March and 5th on 28 March. Four more cases detected during first week of April. Non-Pharmacological interventions like social distancing and excellent personal habits are widely practiced. Country has to enhance testing and strengthen tracing, isolation and quarantine mechanism and care of COVID-19 patients as Nepal is in risk zone because of comparably weak health system and porous borders with India. The time will tell regarding further outbreak and how it will be tackled. Keywords: COVID-19; lockdown; Nepal; pandemic; response.
Keywords	COVID-19 ; Nepal ; Infection ; Response ; Community Health and Preventive Medicine ; Epidemiology ; Public Health ; covid19
Subject code	950
Publishing date	2020-04-20T07:00:00Z
Publisher	eCommons@AKU
Publishing country	pk
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Clinical Profile of COVID-19 in Children and Research Progress on Angiotensin-converting Enzyme 2: A Mini-review.

Gao, Qian / Liu, Jing / Mu, Zhilong / Yan, Xianpeng / Shah, Jay Narayan / Jiao, Fuyong

JNMA; journal of the Nepal Medical Association

2020 Volume 58, Issue 230, Page(s) 813–819

Abstract: The cases of coronavirusdisease 2019 in children have been increasing with the ongoing pandemic.The finding suggests children have mild symptoms and a short course of the disease. Angiotensinconverting enzyme-2 mediates entry of the virus into the cell, ... ...

Abstract	The cases of coronavirusdisease 2019 in children have been increasing with the ongoing pandemic.The finding suggests children have mild symptoms and a short course of the disease. Angiotensinconverting enzyme-2 mediates entry of the virus into the cell, the combination of virus and ACE2 leads to an increase in activity of angiotensin II, resulting in acute injury to lungs, myocardium and other organs. The infection causes down-regulation of ACE2 expression. The ACE2 plays an important role in the infection progression and clinical characteristics of COVID-19. Works on ACE2 and virus spike protein have future prospects of strategic information on prevention, management as well as vaccine development. Keywords: children;Coronavirus Disease 2019(COVID-19);SARS-Cov-2;angiotensin-Converting Enzyme 2 (ACE2).
MeSH term(s)	Angiotensin-Converting Enzyme 2 ; COVID-19 ; Child ; Humans ; Pandemics ; Peptidyl-Dipeptidase A ; SARS-CoV-2
Chemical Substances	Peptidyl-Dipeptidase A (EC 3.4.15.1) ; Angiotensin-Converting Enzyme 2 (EC 3.4.17.23)
Language	English
Publishing date	2020-10-15
Publishing country	Nepal
Document type	Journal Article ; Review
ZDB-ID	2209910-4
ISSN	1815-672X ; 0028-2715
ISSN (online)	1815-672X
ISSN	0028-2715
DOI	10.31729/jnma.5436
Database	MEDical Literature Analysis and Retrieval System OnLINE

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