Browsing by Author "SC, Sharma"
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Publication A Study of the First 350 Cases Referred for EEG in Kathmandu Medical College Teaching Hospital(Kathmandu University, 2004) R, Shrestha; SN, Pradhan; SC, Sharma; KN, Shakya; DB, Karki; BBS, Rana; LN, JoshiElectroencephalography or EEG is a neurological test that uses an electronic monitoring device to measure and record electrical activity in the brain. Epilepsy is defined as a recurrent tendency to unprovoked seizure. About 0.5% to 2% of the population has epilepsy. Material and Methods This is a retrospective study of the first 350 odd cases referred for EEG at Kathmandu Medical College Teaching Hospital, Kathmandu during period November 2002- September 2002 (Mangsir 2058- Bhadra 2059). Results Most patients fall in the age group of 11-20 years and more than 50% referred cases fall in the prime of life, i.e., 11- 30 years. 16% of patients with the history of seizure did not use any AED and 32 % who though had no history of seizures were actually using AED. It is seen that out of 149 reported normal, 57 (38%) had history of seizure; but out of 208 reported abnormal in EEG only 92 (42%) had history of seizure. Discussion EEG is not a very sensitive or a specific tool; however, in our study it was seen to be more sensitive than specific. It is till very useful in classifying seizure types, in locating epileptic focus prior to surgery or in some confusing situation when movement disorder may simulate seizure disorder or vice versa. Conclusion Although EEG is not a very sensitive or specific investigation, it is more sensitive than specific.Publication Entry knowledge and situational feedback of MBBS students(Kathmandu University, 2005) SC, Sharma; S, MaharjanIntroduction: A need has been felt to acquire knowledge of students at Kathmandu Medical College (KMC) who have decided to take up a medical career and have enrolled at KMC after completing two years of basic sciences. Objective: The intent was to (i) find out the entering status with regard to general knowledge, (ii) get feedback from the students about the facilities provided by the management both at basic sciences complex at Duwakot and clinical sciences at Sinamangal and (iii) get feedback regarding the teaching learning activities provided by various departments in KMC. This attempt at getting their point of view was for trying to improve upon the facilities by taking up their suggestions and doing away with the weaknesses. Preference was given to hostel students as they would be able to comment on living conditions. Methodology: A total of 150 students from three consecutive batches from basic and clinical sciences were included in the study. Survey questionnaires were distributed and all the forms were returned. The obtained data was analyzed using SPSS 11.5 version for Windows. Results: It was found that the entry knowledge on general issue was better in 6 th batch of students (87.08±17.41) than 5 th batch (82.19±17.43) and 7 th batch (78.93±20.60), but not significant (p=0.164>0.05). The students in different batches differed in their rating of various facilities provided by KMCTH. The most liked departments in terms of teaching learning activities were departments of Anatomy and Pathology. Discussion: Entry knowledge of the students of three batches was found to differ but not significant, correlating with the amount of teaching and learning received at KMC. The facilities provided by KMC were perceived as more satisfactory by the students who enrolled at KMC in later years. The earlier students had to cope with more difficulties as KMC was trying to improve on various facilities it provided to its students. Conclusion: Level of entry knowledge got better as the students attained more and more years of teaching and learning activities. It was also seen that the student’s perception of the quality of facilities provided by KMC got better overtime. Key words: Student, Knowledge, Aptitude, facilities, KMC, feedback, coursePublication Generalized anxiety disorder and personality traits(Kathmandu University, 2003) SC, SharmaThere are an increasing number of studies which show that certain personality traits predispose an individual to develop psychiatric disorders. The current study tried to examine whether neuroticism is more associated to generalized anxiety disorder. Methodology: A sample of 28 cases of Generalized Anxiety Disorder (GAD) was selected in the study and the degree of neuroticism was measured using Eysenck’s Personality Questionnaire (EPQ). Result: It was found that neuroticism correlated significantly with GAD than other parameters of EPQ. Conclusion: Neuroticism and its inherent traits were more prevalent in patients suffering from GAD. Keywords: EPQ, BAI, Anxiety, GAD