Browsing by Author "Adhikari, Bidur"
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Publication Morphology and Morphometry of Thyroid Gland in Cadavers: A Descriptive Cross-Sectional Study(Institute of Medicine, Tribhuvan University, 2024) Phuyal, Navindra; Shrestha, Anusuya; Bhandari, Rosha; Adhikari, Bidur; Gautam, Jyoti; Dhungel, Deepesh; Gautam, Subina; Ranjit, NirjuAbstract: Introduction Variations in anatomy of thyroid gland include the occasional presence of a pyramidal lobe and a fibromuscular band called levator glandulae thyroideae. These variations affect the gland's morphometry and morphology. This study aimed to study morphometry and variation prevalence of thyroid gland. Methods This descriptive study examined adult cadavers from the Department of Forensic Medicine at Maharajgunj Medical Campus. Measurements of the length, breadth, and thickness of both lateral lobes and the isthmus were taken. The presence or absence of the isthmus, pyramidal lobe, and levator glandulae thyroideae was recorded, along with the origin and dimensions of the pyramidal lobe, if present. Results The mean dimensions of the right lobe were 43.88±6.88 mm (length), 23.93±4.76 mm (breadth), and 12.28±3.30 mm (thickness). For the left lobe, the measures were 40.47±7.26 mm, 21.95±4.22 mm, and 12.84±3.61 mm, respectively. The isthmus had mean dimensions of 18.12±5.52 mm, 16.65±5.51 mm, and 5.10±1.76 mm. The isthmus was absent in 7.2% of cases. The pyramidal lobe, present in 27.8% of cases, had mean dimensions of 19.17±8.26 mm, 11.64±3.47 mm, and 4.60±1.33 mm, typically originating from the center of the isthmus. The average weight of the thyroid gland was 16.19±5.22 g. Conclusion The thyroid gland's weight was higher in males and positively correlated with the individual's height. Also, thyroid gland's dimensions and weight were less than those described in standard texts. The relationship between body weight and thyroid gland weight warrants further investigation.Publication Perception and Willingness Regarding Organ Transplantation/donation among Medical Students of Maharajgunj Medical Campus: A Cross-sectional Study(Nepal Health Research Council, 2024) Bhattarai, Amit Sharma; Adhikari, Bidur; Joshi, Deepak Raj; Yadav, Alisha; Joshi, Pankaj; Parajuli, Bashu Dev; Koirala, Megha; Karki, Kushal Jung; Subedi, Krishna Prasad; Shrestha, Gentle Sunder; Shrestha, Anil; Singh, ShreejanaBackground: Organ transplant is the procedure of replacing a failing or damaged organ with a functioning one. Positive attitude and awareness about donation are a must for donor organs to be available. This study explored the level of knowledge, perception and willingness regarding organ donation among medical students in Nepal. Methods: A descriptive cross-sectional study was conducted with 180 medical students using a self-administered questionnaire. Descriptive statistics were used, and Pearson correlation was applied to examine the relationship between knowledge and perception of organ transplantation. Independent samples t-test and ANOVA was used to compare scores among year of study and gender. Results: Results indicated that 86.1% of participants were aware of the need for organ donation, and 83.3% knew that both living and deceased individuals could be donors. While 93.9% believed in the need for effective laws, 72.8% perceived risks for donors. However, only 74.4% were willing to donate their organs, though 91.7% expressed willingness to promote organ donation among friends and family. Participants showed a positive perception towards organ donation. Conclusions: Despite a high level of awareness and knowledge regarding organ donation, participants exhibited a lower level of willingness to donate organs. Perceived risks for donors and a lack of robust laws and regulations presented significant barriers. Nevertheless, an inclination to promote organ donation was observed. This underlines the need for enhanced education and policy reform to increase organ donation rates. Keywords: Awareness; knowledge; organ donation; organ transplantation; perception.