1
|
Pradhanang AB, Shrestha DK, Rajbhandari B, Sedain G, Sharma MR, Shilpakar SK, Wohns R. Virtual Pedagogy in Neurosurgery During the COVID-19 Pandemic: Perspectives from University Hospital in Nepal. Interdiscip Neurosurg 2022; 30:101590. [PMID: 35600841 PMCID: PMC9113955 DOI: 10.1016/j.inat.2022.101590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 03/24/2022] [Accepted: 05/15/2022] [Indexed: 11/22/2022] Open
Abstract
Objectives Since the onset of the COVID-19 pandemic many large institutions have turned towards virtual education. Neurosurgery in our institute, recognizing its benefits, readily embraced the virtual learning experience using Zoom Inc (San Jose, California) beginning on May 21, 2020. The result of this form of educational experience may not be apparent readily. Hence, nearing the end of one year of monthly Zoom meetings, an effort was undertaken to assess the feasibility and the barriers of effective virtual teaching learning activity in neurosurgery among the participants. Methods The participants consisted of neurosurgeons and trainees from department of neurosurgery Tribhuvan University Teaching Hospital in Nepal, neurosurgeons based in Seattle, United States of America and neurosurgeons based in Sweden, who have been regularly attending the monthly virtual education organized by Dr. Wohns. At the end of one-year experience of monthly Zoom teaching and learning activities between the participants a questionnaire comprising objective questions related to their experience of virtual education in neurosurgery was distributed to the participants and answers were collected and analyzed. Results A total of 18 persons out of 25 responded to the questionnaire. Majority of participants responded favorably to virtual education. A few responders faced disturbance in internet connectivity affecting the quality of video and sound during the presentations. None of the participants faced inconvenience due to time difference. Most responders preferred to continue virtual education even after the pandemic. Conclusions Overall most participants responded favorably to virtual education which has helped them increase their participation and hence broaden their knowledge in the field. Most participants look forward to continuing this form of education even in future. Thus, this form of education may be incorporated at least in part in the future of neurosurgical training.
Collapse
Affiliation(s)
- A B Pradhanang
- Department of Neurosurgery, Tribhuvan University Teaching Hospital, Nepal
| | | | - B Rajbhandari
- Department of Neurosurgery, Tribhuvan University Teaching Hospital, Nepal
| | - G Sedain
- Department of Neurosurgery, Tribhuvan University Teaching Hospital, Nepal
| | - M R Sharma
- Department of Neurosurgery, Tribhuvan University Teaching Hospital, Nepal
| | - S K Shilpakar
- Department of Neurosurgery, Tribhuvan University Teaching Hospital, Nepal
| | - R Wohns
- Department of Neurosurgery, Tribhuvan University Teaching Hospital, Nepal
| |
Collapse
|
2
|
Uprety A, Kobashi Y, Ozaki A, Shrestha D, Ghimire B, Sedain G, Sigdel S, Higuchi A, Tsubokura M, Singh YP. Displaced Intra-Articular Calcaneal Fractures: Evaluation of Clinical and Radiological Outcome Following Open Reduction and Internal Fixation with Locking Branched Calcaneal Plate. Kathmandu Univ Med J (KUMJ) 2021; 19:29-34. [PMID: 34812154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
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.
Collapse
Affiliation(s)
- A Uprety
- Department of Anesthesiology, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | - Y Kobashi
- Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima City, Fukushima 960-1295, Japan. Department of Anesthesia, Jyoban Hospital of Tokiwa Foundation. Iwaki City, Fukushima, 972-8322, Japan. Medical Governance Research Institute, Minato-ku, Tokyo, 108-0074, Japan
| | - A Ozaki
- Medical Governance Research Institute, Minato-ku, Tokyo, 108-0074, Japan. Department of Breast Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki City, Fukushima, 972-8322, Japan
| | - D Shrestha
- Department of Neonatology, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | - B Ghimire
- Department of GI and General Surgery, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | - G Sedain
- Department of Neurosurgery, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | - S Sigdel
- Department of Cardiothoracic and Vascular Anesthesiology, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | - A Higuchi
- Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima City, Fukushima 960-1295, Japan. Medical Governance Research Institute, Minato-ku, Tokyo, 108-0074, Japan
| | - M Tsubokura
- Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima City, Fukushima 960-1295, Japan. Medical Governance Research Institute, Minato-ku, Tokyo, 108-0074, Japan
| | - Y P Singh
- Department of Gastrointestinal and General Surgery, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| |
Collapse
|
3
|
Abstract
Introduction: Hemiatrophy of the brain is the radiological finding, in the patients with seizure and/ or mental retardation and hemiparesis, usually due to insult to developing brain in fetal and early childhood. Other imaging feature is the compensatory osseous hyperplasia. This condition, also known as Dyke-Davidoff-Masson Syndrome is a rare entity and we report two such cases.JSSN 2015; 18 (1), Page: 26-28
Collapse
|
4
|
Poudyal BS, Shrestha GS, Tuladhar S, Gyawali B, Sedain G, Battajo R, Maskey P, Paudyal S, Regmi S, RC DR, Kouides P. Use of donated clotting factors for surgeries on haemophilic patients in a resource-constrained country: a kind donor, good outcome, change of practice and future directions. Haemophilia 2016; 22:e453-5. [DOI: 10.1111/hae.13017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2016] [Indexed: 11/29/2022]
Affiliation(s)
- B. S. Poudyal
- Haematology and bone marrow transplant unit; Civil service hospital and Alka hospital; Kathmandu Nepal
| | - G. S. Shrestha
- Department of Anaesthesiology; Tribhuvan University Teaching Hospital; Kathmandu Nepal
| | - S. Tuladhar
- Department of Pathology; Civil service hospital; Kathmandu Nepal
| | - B. Gyawali
- Department of Haematology and Oncology; Nobel Hospital; Kathmandu Nepal
| | - G. Sedain
- Department of Neurosurgery; Tribhuvan University Teaching Hospital; Kathmandu Nepal
| | - R. Battajo
- Department of Urosurgery; Alka Hospital; Kathmandu Nepal
| | - P. Maskey
- Department of Urosurgery; Alka Hospital; Kathmandu Nepal
| | - S. Paudyal
- Department of General surgery; Alka Hospital; Kathmandu Nepal
| | - S. Regmi
- Urosurgery Unit; Civil service Hospital; Kathmandu Nepal
| | - D. R. RC
- Department of Orthopedics; Civil service Hospital; Kathmandu Nepal
| | - P. Kouides
- Mary M Gooley hemophilia center; Rochester NY USA
| |
Collapse
|
5
|
Shrestha GS, Poudyal B, Bhattarai AS, Shrestha PS, Sedain G, Acharya N. Perioperative management of two cases of hemophilia with spontaneous intracerebral hemorrhage undergoing emergency craniotomy in resource constrained setup of Nepal. Indian J Crit Care Med 2014; 18:754-6. [PMID: 25425844 PMCID: PMC4238094 DOI: 10.4103/0972-5229.144023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Patients with hemophilia are prone to develop spontaneous intracranial hemorrhage. It carries a significant risk of morbidity and mortality. In this case series, we report two cases of hemophilia who suffered spontaneous intracerebral hemorrhage with features of raised intracranial pressure and were successfully managed perioperatively. The patients were managed with early intensive care unit management, measures to reduce intracranial pressure, perioperative clotting factor administration, airway management and surgery to decrease the raised intracranial pressure. Both patients improved following surgery and were discharged home. Perioperative multidisciplinary management of hemophilia is discussed in this series.
Collapse
Affiliation(s)
- G S Shrestha
- Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal ; Department of Anaesthesiology, Alka Hospital Pvt. Ltd., Jawalakhel, Lalitpur, Nepal
| | - B Poudyal
- Department of Internal Medicine, Civil Service Hospital, Kathmandu, Nepal
| | - A S Bhattarai
- Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | - P S Shrestha
- Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | - G Sedain
- Department of General Surgery, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
| | - N Acharya
- Department of Internal Medicine, Civil Service Hospital, Kathmandu, Nepal
| |
Collapse
|
6
|
Sedain G, Ali N, Bhattachan M, Sharma MS, Shilpakar SK. Giant Brain Abscess in a Neonate Managed with External Drainage. J Nepal Paedtr Soc 2013. [DOI: 10.3126/jnps.v33i1.7317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Brain abscesses in neonates are extremely rare and usually occur in patients with certain risk factors. A 26 days child presented to the emergency with fever, irritability and not sucking well. CT revealed a large left frontal lobe abscess which was managed with burr hole and a drainage tube with concurrent intravenous antibiotics. DOI: http://dx.doi.org/10.3126/jnps.v33i1.7317 J Nepal Paediatr Soc. 2013;33(1):55-56
Collapse
|