Browsing by Author "Chapagai, Manisha"
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Publication Anorectal Autoeroticism: A Case Report(Institute of Medicine, 2019) Tulachan, Pratikchya; Shrestha, Kenison; Chapagai, Manisha; Dhungana, Saraswati; Pant, Sagun B; Lama, Pratik; Bhandari, Ramesh SABSTRACT Introduction Anorectal autoeroticism is one kind of paraphilia where individual attains sexual pleasure through self inserting objects into ones rectum. We present here a case of 40 years old man presented in Surgery department with retention of steel glass into his rectum which he had inserted himself to achieve sexual satisfaction. Keywords: Anorectal autoeroticism, biopsychosocial factors, paraphiliaPublication Changes in the Quality of Life of Outpatients in Methadone Maintenance Treatment Clinics in Kathmandu Valley(Institute of Medicine, 2019) Sapkota, Basanta; Tulachan, Pratikchya; Ojha, Saroj P; Chapagai, Manisha; Dhungana, SaraswatiABSTRACT Introduction: Methadone maintenance treatment (MMT) is widely accepted treatment option for the opioid dependent individuals. The evaluation of the quality of life represents the assessment of the effectiveness of the treatment program. The study aimed to explore the impact of MMT program on clients’ quality of life in the first 6 months of treatment. Methods:A total of 63 patients were recruited from the 5 different methadone clinics of Kathmandu valley. A prospective follow-up design was used. The semi-structured pro forma was filled up. To assess quality of life, WHO Quality of Life questionnaire (WHOQOL-BREF, 26-item version) was used. The tool was used to assess the quality of life at the baseline and after 6 months of enrollment in MMT program. Results: Following 6 months of methadone maintenance treatment of opioid dependent individuals, significant improvements (P<0.001) were observed in all measured domains of quality of life i.e. physical, psychological, environmental and social. The least improvement was noted in the social domain. Conclusion: Methadone maintenance treatment is helpful in improving the quality of the life of the opioid dependent individuals in MMT clinics. Keywords: Kathmandu valley, methadone, methadone maintenance treatment, quality of lifePublication Internet Addiction among Undergraduate Medical Students and its Association with Sensation-Seeking Traits(Institute of Medicine, Tribhuvan University, 2025) Sawant, Sandesh; Thakuri, Amit Chand; Gupta, Pramanand Prasad; Karki, Isha; Mahseth, Pritika; Chapagai, ManishaAbstract: Introduction: Easy access to the internet has raised concerns about internet addiction among medical students. This study aimed to assess the prevalence of internet addiction and its relationship with sensation-seeking traits. Methods: A cross-sectional study was conducted at National Medical College, Birgunj, Nepal, from January to June 2023. Ethical approval was obtained from the Institutional Review Committee (Ref. No: F-NMC/620/079-080). Undergraduate medical students were selected through convenience sampling. The Internet Addiction Test (IAT) and Arnett Sensation Seeking Scale were used for data collection, and data were analyzed using SPSS 21 with descriptive statistics, t-test, and Pearson correlation. Results: The study included 155 undergraduate medical students (Mean age: 21.22 ± 1.649 years). Most were fourth-year (n=58, 37.4%), followed by first-year (n=42, 27.1%), second-year (n=29, 18.7%), and third-year (n=26, 16.8%) students. Internet addiction was found in 86 students (55.5%), with 84 (54.2%) showing problematic and 2 (1.3%) severe use. High sensation-seeking traits were observed in 47 (30.3%). Weak negative correlations were found between internet addiction and sensation-seeking (r = -0.143 to -0.126, p > 0.05). Gender differences were observed in sensation-seeking (p = 0.022) and intensity (p < 0.001), but not in internet addiction or novelty (p > 0.05). Conclusion: The study found a high prevalence of internet addiction, with weak negative correlations to sensation-seeking traits, highlighting the need for awareness and interventions on healthy internet use.