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Browsing by Author "Pathak, Anil"

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    Finding and Maintaining Motivation in Medical School
    (Nepal Medical Association, 2022) Shrestha, Rit; Bohaju, Anjana; K.C., Sarjan; Pathak, Anil
    Abstract Medicine is a line of work in which expectations run high, having a competitive spirit is considered a virtue and relentless hard work is deemed a reward in itself. Yet, in a strenuous environment such as this, communication about the struggles medical students face is found to be almost non-existent. This leads to medical students feeling burnt out, lost and inadequate, bringing about a drop in performance quality and/or quantity, which breeds further insecurity. This acts as a vicious cycle that is further perpetuated by the lack of effective communication, which becomes a bedrock for the deficit in support from peer groups, educators and authorities. There are different theories of motivation and these form the basis for exploring the different ways in which it can be increased. These methods, which contribute to enhancing productivity and curtailing stress, are detailed in the article.
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    Hypertensive Retinopathy among Hypertensive Patients in a Tertiary Care Centre: A Descriptive Cross-sectional Study
    (Nepal Medical Association, 2024) Basnet, Anjila; Rai, Nilshan; Sahani, Shambhu Kumar; Pathak, Anil; Nepali, Bishal
    Abstract Introduction: Hypertension manifests in the eyes as retinopathy, choroidopathy, and optic neuropathy of which retinopathy can be used as a predictor for systemic morbidities and mortalities. The study aims to determine the prevalence of hypertensive retinopathy among hypertensive patients visiting the outpatient Department of Ophthalmology in a tertiary care center. Methods: A descriptive cross-sectional study was conducted among hypertensive patients from 4th April to 19th November 2023 after obtaining ethical approval from the Institutional Review Committee (Reference number: 2079/80/96). A Convenience sampling method was used. The Point estimate was calculated at a 95% Confidence Interval. Results: Among 161 hypertensive patients, hypertensive retinopathy was present in 70 (43.48%) (35.82-51.14, 95% Confidence Interval). Grade I hypertensive retinopathy accounted for 35 (50%) followed by Grade II HR in 17 (24.29%), Grade III HR in 14 (20%) and Grade IV HR in 4 (5.71%) in the study participants. Conclusions: The prevalence of hypertensive retinopathy was found to be higher than other studies done in similar settings.
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    Lissencephaly with Congenital Hypothyroidism: A Case Report
    (Nepal Medical Association, 2022) Sahani, Shambhu Kumar; Pathak, Anil; Nepali, Bishal; Rai, Nilshan
    Abstract Lissencephaly is a malformation of cortical development associated with deficient neuronal migration and abnormal formation of cerebral convolutions or gyri. The lissencephaly spectrum consists of agyria, pachygyria, and subcortical band heterotopia. At least 19 genes have been identified in the causation of lissencephaly and related syndrome. Lissencephaly is associated with many other congenital disorders but the association of lissencephaly with congenital hypothyroidism is rarely reported. We report a case of a 10-year-old girl having lissencephaly with congenital hypothyroidism. Early diagnosis of lissencephaly and genetic counselling can be made in suspected cases and further possible interventions can be taken. Also, regular follow-up, monitoring, and better conservative management lead to a better prognosis.
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    Overweight among Medical Students in a Medical College
    (Nepal Medical Association, 2023) Rai, Nilshan; Bhattarai, Binita; Rai, Paruhangma; Pathak, Anil; Sahani, Shambhu Kumar; Gurung, Pabitra
    Abstract Introduction: Overweight is defined as a condition in which abnormal accumulation of fat directly affects an individual personality and health leading to a marked increase in morbidity and mortality. It has a direct impact on both the psychological aspects of an individual's personality and their overall health. The objective of this study was to find out the prevalence of overweight among medical students in a medical college. Methods: A descriptive cross-sectional study was done among first and second-year medical students in a medical college between 20 February 2023 to 3 March 2023 after receiving ethical approval from the Institutional Review Committee. Students studying Bachelor of Medicine, Bachelor of Surgery and Bachelor of Dental Surgery during the study period who gave consent were included and those students with a recent medical history of fever, typhoid, diarrhoea, thyroid disorder, metabolic disorders, or any other relevant medical condition within the preceding 1 month, potentially influencing body weight, were excluded. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 164 students, the prevalence of overweight was 43 (26.22%) (19.49-32.95, 95% Confidence Interval). The mean age was 20.65±1.08 years. Conclusions: The prevalence of overweight among medical students was higher than in other studies done in similar settings.

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