Browsing by Author "Shrestha, Manoranjan"
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Publication Status of Thyroid Disorder among the Thyroid Function Test Samples Received in a Laboratory among Postmenopausal Women: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Shrestha, Manoranjan; Shrestha, ReshmiAbstract: Introduction: Thyroid dysfunction prevalence is high in females worldwide which increases with age. Postmenopausal and elderly women are particularly at risk of developing comorbidities and mortality related to thyroid dysfunction. We aimed to study the prevalence of thyroid dysfunction in postmenopausal women in the National Reference Laboratory of Nepal. Methods: A descriptive cross-sectional study was conducted in National Reference Laboratory from January 2019 to June 2019 including postmenopausal females, ≥49 years. The database of thyroid function test result was used for statistical analysis and proportion of thyroid dysfunction was calculated. The data was collected after approval from the institutional review committee. Statistical Package for Social Sciences version 21 was used to study descriptive data. Results: Out of a total of 160 postmenopausal females with thyroid function tests, 71 (44.4%) had thyroid dysfunction. Subclinical hypothyroidism was the frequently occurring thyroid dysfunction 51 (32%) followed by subclinical hyperthyroidism 13 (8%), hypothyroidism 3 (2%) and hyperthyroidism 3 (2%). In our study population, thyroid dysfunction peaked at 49 to 58 years of age interval 53 (33.1%) and subclinical hypothyroidism was the most frequent form 38 (23.7%). Conclusions: Subclinical hypothyroidism was the common thyroid dysfunction in postmenopausal age which peaked at 49 to 58 years of age group. Early postmenopausal females are predisposed to increased risk of comorbidities (cardiovascular disease, osteoporosis with high fracture, depression) which could be exacerbated with thyroid dysfunction; therefore awareness of thyroid dysfunction prevalence and thyroid screening for early management seems appropriate in Nepalese postmenopausal women.Publication Status of Thyroid Disorder among the Thyroid Function Test Samples Received in a Laboratory among Postmenopausal Women: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Shrestha, Manoranjan; Shrestha, ReshmiAbstract: Introduction: Thyroid dysfunction prevalence is high in females worldwide which increases with age. Postmenopausal and elderly women are particularly at risk of developing comorbidities and mortality related to thyroid dysfunction. We aimed to study the prevalence of thyroid dysfunction in postmenopausal women in the National Reference Laboratory of Nepal. Methods: A descriptive cross-sectional study was conducted in National Reference Laboratory from January 2019 to June 2019 including postmenopausal females, ≥49 years. The database of thyroid function test result was used for statistical analysis and proportion of thyroid dysfunction was calculated. The data was collected after approval from the institutional review committee. Statistical Package for Social Sciences version 21 was used to study descriptive data. Results: Out of a total of 160 postmenopausal females with thyroid function tests, 71 (44.4%) had thyroid dysfunction. Subclinical hypothyroidism was the frequently occurring thyroid dysfunction 51 (32%) followed by subclinical hyperthyroidism 13 (8%), hypothyroidism 3 (2%) and hyperthyroidism 3 (2%). In our study population, thyroid dysfunction peaked at 49 to 58 years of age interval 53 (33.1%) and subclinical hypothyroidism was the most frequent form 38 (23.7%). Conclusions: Subclinical hypothyroidism was the common thyroid dysfunction in postmenopausal age which peaked at 49 to 58 years of age group. Early postmenopausal females are predisposed to increased risk of comorbidities (cardiovascular disease, osteoporosis with high fracture, depression) which could be exacerbated with thyroid dysfunction; therefore awareness of thyroid dysfunction prevalence and thyroid screening for early management seems appropriate in Nepalese postmenopausal women.Publication Undergraduate Medical Science Students' Positive Attitude towards Online Classes during COVID-19 Pandemic in a Medical College: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Chalise, Gita Dhakal; Bharati, Mamata; Bajracharya, Jayendra; KC, Ambu; Pradhan, Subhadra; Adhikari, Bibhav; Shrestha, ManoranjanAbstract: Introduction: The outbreak of COVID-19 led to lockdown, which in turn led to the closure of schools and colleges. This situation created an opportunity to transform the conventional learning methods into an online or virtual method using various digital platforms. Nepalese Army Institute of Health Sciences started online classes as an alternative way to resume education during this pandemic. Therefore, this study aims to identify the prevalence of medical science students with a positive attitude towards online classes during the COVID-19 pandemic in a medical college of Kathmandu, Nepal. Methods: The study was conducted among 513 students using descriptive cross-sectional study design who were currently studying Bachelor of Medicine, Bachelor of Surgery, Proficiency Certificate Level Nursing, Bachelor of Science in Nursing, and Bachelor of Nursing Science under the Nepalese Army Institute of Health Sciences. Data was collected from June-July 2020 through an online self-administered questionnaire using Google forms. The results were presented through frequency, percentage, mean, and standard deviation. Results: In this study, 112 (87.5%) Bachelor of Science in Nursing, 189 (83.6%) Bachelor of Medicine, Bachelor of Surgery, and 63 (82.9%) Bachelor of Science in Nursing students had a positive attitude towards online classes, while 51 (61.5%) of Proficiency Certificate Level Nursing students had a negative attitude towards it. Conclusions: Most bachelor-level students had a positive attitude towards online classes. With a positive attitude, students’ participation and adaptability in online classes will be high, resulting in better academic performance.