Browsing by Author "Shakya, Dhana Ratna"
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Publication Cannabis Use and Abuse in Nepal: A Review of Studies(Nepal Medical Association, 2021) Shakya, Dhana Ratna; Upadhaya, Sandesh Raj; Thapa, MilanAbstract: Nepal is a geographically, ecologically, bio-culturally and ethnically diverse country. Cannabis has been a flora, used in various forms and ways and its effect has been variably a matter of concern in Nepal. Perception to its use has also been changing with time with the dynamics of various factors and trends around and in the world. The views of its proponents at times appear with relatively more powerful influence among people though the views of the opponents seem less, and relatively less influential. Proponents advocate for its legalization with highlights of its different uses and benefits whereas opponents, mainly mental health professionals point out sporadically its adverse consequences, mainly in psychological health. The purpose of this review is to explore the existing literature regarding cannabis use and abuse in Nepal. Search for articles for this review was performed in PubMed, Google Scholar, and Nepal Journal Online. We summarize and discuss about cannabis in various aspects in the Nepalese context. The overarching objective is to reflect upon the ongoing debate regarding its harm and benefits, thereby upon the issue of its legalization in Nepal.Publication Childhood Neurotic Traits(Nepal Paediatric Society (JNPS), 2008) Shakya, Dhana RatnaAbstract: ‘Child is the father of a man.’ As Wordsworth has rightly said, the behavior and nature of a man is largely the continuation of them over the life span though there is some variation in the degree. So, the psychiatric assessment of a person is never complete without assessment of childhood neurotic traits. Even though there is tendency to omit the personal history (including childhood neurotic traits) in busy settings like the OPD, the presenting problem at times may be related to childhood neurotic traits in one or other way. Here, an attempt will be made to review the literature regarding ‘childhood neurotic traits’.Publication Knowledge, Attitude, and Practice Regarding Media Reporting on Suicide among Media Persons of a Province(Nepal Medical Association, 2024) Basnet, Madhur; Thapa, Prekshya; Shakya, Dhana Ratna; Nepal, Suraj; Rai, Neena; Shrestha, Kailash KhakiAbstract Introduction: Suicide is a global public health problem. Sensible media reporting on suicide could be useful in suicide prevention. This study aimed to evaluate the knowledge, attitude, and practice regarding media reporting on suicide among media persons of a province. Methods: A qualitative study was done among media persons of the province after obtaining ethical approval from the Institutional Review Committee. Data was collected through online platform using Google form from 15 April 2022 and 15 January 2023. A convenience sampling method was used. Descriptive statistics were used for the data analysis. Results: Among 165 media persons, 54 (32%) of the participants either agreed to or were neutral about prominently reporting suicide news, and 47 (28.48%) were undecided or agreed about mentioning the details of the event. Only 50 (30.30%) thought that it is always possible to help a person with suicidal thoughts. A total of 48 (29.09%) always reported providing information about where to seek help in case one is suicidal. Conclusions: Media personnel were found to possess better knowledge about suicide reporting but exhibited inadequate practice in terms of providing method and site details and promoting support services, alongside maintaining an unfavorable attitude towards suicide. There is an urgent need to focus on coordination, standardisation, evidence generation and capacity building of media persons on suicide.Publication Psychiatric Morbidity Profiles of Child and Adolescent Psychiatry Out-Patients in a Tertiary-Care Hospital(Nepal Paediatric Society (JNPS), 2010) Shakya, Dhana RatnaAbstract Background: Psychiatric morbidity is ubiquitous, affecting children, adolescents and adults. Age factors play a great role in pattern of morbidity profile. Psychiatric morbidity profile of children and adolescents may indicate different needs and priorities. Objective: This study aims to sort out referral pattern, attitude about psychiatric referral and morbidity profile among child and adolescent psychiatric out-patients in a tertiary-care general hospital. Methodology: A total of 100 consecutive child and adolescent patients in psychiatry OPD coming into contact with investigator psychiatrist were enrolled during the study period. Diagnoses were made according to the ICD-10. Results: Fifty three of the subjects were female, majority of the cases (79) were of age between 13-18 years. Main ethnicity-caste groups seeking care were Mongol, Brahmin, Chhetri and indigenous Terai tribes. People from semi-urban and urban settings predominated in this study. Great majority (more than 80%) had reached this service in the 4th or in more than the 4th step of their help seeking. Most of the subjects were comfortable and happy about psychiatric referral. More than half had presented mainly with physical and somatic complaints. Major psychiatric diagnoses encountered were mood (affective), anxiety, seizure, dissociative conversion disorders and mental retardation. Four percent of subjects had suicidal behaviours and 17% migraine headache. Conclusion: Common psychiatric diagnoses among these child and adolescent out-patients are mood, anxiety, seizure, dissociative conversion disorders and mental retardation.