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Abstract Background Improving screening and triage practices is essential for early severity assessments at the first point of contact and ensuring timely attention by healthcare workers (HCWs). The main objective of this study was to explore the triage process among febrile patients and HCWs in the emergency department (ED) of a tertiary care hospital in a resource-constrained setting. Methods This qualitative study was conducted from March to May 2023 at the ED of Tribhuvan University Teaching Hospital (TUTH), Nepal. The study included in-depth interviews with febrile patients (n = 15) and HCWs (n = 15). Additionally, direct observation notes (n = 20) were collected to document the triage process and patients’ experiences in the ED. Data underwent thematic analysis using the Interpretative Phenomenological Analysis (IPA) approach. Results The ED of TUTH offered comprehensive triage services with clear delineation for the severity of febrile patients in line with the World Health Organization (WHO) guidelines. Nonetheless, challenges and constraints were identified. In the ED, evenings were generally the busiest period, and the triage process was not thorough during night shifts. Perception of triage was limited among patients and variable among HCWs. Digitalizing recordings of patient information including payment was deemed necessary for effective management of patients’ waiting times at the triage station. High patient throughput added pressure on HCWs and had a potential influence on the delivery of services. Availability of medical equipment and space were also identified as challenges, with patients sometimes compelled to share beds. There were constraints related to waste disposal, hygiene, cleanliness, and the availability and maintenance of washrooms. Febrile patients experienced delays in receiving timely consultations and laboratory investigation reports, which affected their rapid diagnosis and discharge; nonetheless, patients were satisfied with the overall healthcare services received in the ED. Conclusions Improving current triage management requires resource organization, including optimizing the waiting time of patients through a digitalized system. Urgent priorities involve upgrading visitor facilities, patient consultations, laboratory investigations, hygiene, and sanitation. HCWs’ recommendations to resource the ED with more equipment, space, and beds and a dedicated triage officer to ensure 24-hour service, together with training and incentives, warrant further attention.

Introduction Issues with oral health (OH) are frequently overlooked until individuals feel pain or discomfort. Highlighting OH behaviours is important in creating successful interventions. Therefore, the study aimed to assess the status of knowledge, attitude and practice (KAP) and examine the association between sociodemographic factors and KAP regarding OH among secondary-level students in Kathmandu.Methods A cross-sectional descriptive study was conducted with 395 secondary-level students from five schools using a self-administered questionnaire. The study used a Chi-square test to examine the association between sociodemographic factors and KAP towards OH. Binary logistic regression was employed to analyse the relationship between dependent and independent variables.Results The study involved participants with an average age of 14.24 years, comprising 56.7% males and 43.3% females. While most students demonstrated good OH knowledge (77.2%) and positive attitudes (91.9%), there was reluctance towards dental visit. Additionally, only 41% practised adequate OH, with issues like suboptimal brushing technique, low floss use and high consumption of chocolates. Significant associations were discovered between knowledge and age group (p=0.02) and students’ grade (p

Introduction Excessive social media (SM) usage is the foremost factor contributing to anxiety. While these platforms facilitate connection and entertainment, their overuse can negatively impact adolescents' mental well-being. The study aimed to evaluate both SM usage and levels of anxiety while assessing potential associations between the two.Methods A cross-sectional descriptive study was conducted among 401 school-age adolescents (14–17 years) in grades 9 and 10 through self-administered questionnaires. Kruskal-Wallis test was used as a non-parametric test to compare the groups, and ordinal logistic regression was used to model the relationship between ordinal dependent and independent variables.Results The study reported high SM usage (43.6% spent 4–8 hours daily). Females and grade 9 students were more prone to severe anxiety (45.2% and 34.3%, respectively). Despite privacy concerns (93.3%), 37.9% shared their accounts. Severe anxiety was prevalent (35.4%), with males exhibiting less odds of severe anxiety compared with females (OR=0.37, p value