Introduction: Kawasaki disease is an acute vasculitis of unknown etiology. The epidemiological data available for Nepal remains insufficient. In Nepal, Kawasaki disease has only been reported in cases of brief reports, leaving the true disease burden unknown. Many cases go undiagnosed and untreated due to a lack of knowledge regarding this entity. The objective of this study was to find the prevalence of Kawasaki disease in a tertiary care hospital. Methods: This descriptive cross-sectional study was carried out in a tertiary care hospital of Nepal from 2013 to 2018 after taking ethical approval from the Institutional Review Committee. The sample size was calculated and the consecutive sampling method was done. Data collection and entry was done in Microsoft Excel, point estimate at 99% Confidence Interval was calculated along with frequency and proportion for binary data. Results: The overall prevalence of Kawasaki disease was found to be 0.1% among 11,416 patients under the age of 5 years admitted in pediatrics ward. There were 4 (33.33%) cases of complete Kawasaki and 8 (66.67%) cases of incomplete Kawasaki. There were 9 (75%) males and 3 (25%) females and the male to female ratio was 3:1. There was a male preponderance. The age at diagnosis ranged between 4 and 60 months. The median age at diagnosis was 10.5 months. The most common presentation was fever, conjunctivitis, rash, and oral changes. Conclusions: Prevalence of Kawasaki disease was found to be lesser compared to other studies done in other countries. Knowledge of Kawasaki disease among Nepalese pediatricians should be enhanced to guarantee the appropriate diagnosis and treatment of this disease.

Coronavirus disease 2019 (COVID-19) has swept across the globe overwhelming health care systems and disrupting supply chain of personal protective equipment (PPE) like gloves, surgical face masks, goggles, face shields, N95 respirators and gowns. Surging demand, panic buying, hoarding, and misuse of PPE has led to substantial jump in its demand. Despite the terrible impact of COVID-19, if there’s any silver lining to this crisis, it is the rapidity at which communities are moving toward innovation in not just medicine and remote work but also in ways to mitigate the growing PPE shortages.

Introductions: Patient satisfaction surveys are essential in identifying gaps in providing health care to patients and developing an effective plan for its quality improvement. This study aimed to assess the level of patient’s satisfaction with doctors’ behavioral competencies in communication skills, interpersonal manner, confidentiality maintenance and general satisfaction. Methods: A cross-sectional study was conducted in admitted patients of Department of Surgery, Orthopaedics, Internal Medicine and Obstetrics Gynaecology between August 4, 2015 and August 28, 2015. Samples were selected by stratified random sampling technique. They were interviewed using a validated tool in 7-point Likert scale and collected data were analysed using SPSS. Results: Out of 101 respondents, percentage of patients who had very high, high, medium, low overall satisfaction (communication skills, interpersonal manner, confidentiality maintenance and general satisfaction) were 27.7% (28), 24.8% (25), 20.8% (21) and 26.7% (27) respectively. Pearson Chi-square test and Mann-Whitney U test showed level of satisfaction did not differ with age, gender and educational level of respondents. There was positive Spearman’s rank correlation of general satisfaction with communication skill, confidentiality maintained and interpersonal manners. Communication skill had the highest correlation coefficient (57.8%). Conclusions: The overall satisfaction (very high and high satisfaction) of the patient with the behavioral competencies of doctors at Patan Hospital is 52.5%. Communication skill had the highest degree of influence on the level of patient satisfaction. The level of satisfaction was not affected by age, gender and educational level of patients.

Introduction: Patient interaction is a vital aspect of medical education. Bedside teaching encounters involve clinicians, medical students, and patients, and comprise a formative and focused activity. Patients' willingness to cooperate and contribute to the education and training of medical students provide better teaching opportunities. The study aims to find the patients’ preference to bedside teaching encounters in four major wards in a tertiary care center in Nepal. Methods: This descriptive cross-sectional study was performed in four major wards in a tertary care centre from June 3, 2015 to July 3, 2015 after receiving ethical approval. Convenient sampling was done. Data was collected in Microsoft Excel and analyzed in Statistical Package for Social Sciences 13.0. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Subgroup analysis was done on the basis of demographic variables. Results: Seventy-eight (77.2%) patients preferred bedside teaching encounters among 101 participants (77.12-77.28 at 95% Confidence Interval). Among which, females, age ranging from 16 to 32 years, education below secondary school and with hospital stay<4 days were most common. Conclusions: The results showed that most of the patients preferred bedside teaching encounters which was congruent with the other national and international studies.