Browsing by Author "Tulachan, Pratikchya"
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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 Depression, Anxiety, and Stress among Vitiligo Patients and Healthy Controls at A Tertiary Hospital: A Comparative Cross-Sectional Study(Institute of Medicine, 2025) Mishra, Vilok; Khadka, Anupa; Tulachan, Pratikchya; Parajuli, SudipABSTRACT Introduction: Vitiligo is often associated with stigma, leading to emotional distress and increased vulnerability to mental health disorders such as depression, anxiety, and stress. This study aimed to compare the levels of these psychological issues between vitiligo patients and healthy controls, while also examining the impact of socio-demographic and clinical factors. Methods: This hospital-based cross-sectional study included 42 vitiligo patients and 42 healthy controls. The Vitiligo Area Scoring Index (VASI) was used to assess the severity of vitiligo, and the Depression Anxiety Stress Scale (DASS-21), comprising three subscales: Depression (DASS-D), Anxiety (DASS-A), and Stress (DASS-S), was used to evaluate depression, anxiety, and stress. Descriptive statistics and non-parametric tests were used for data analysis. Results: Among vitiligo patients, 50% (n=21) exhibited depressive symptoms [median DASS-D score 9 (IQR 1.5-18.0)], compared to 19% (n=8) of controls. Anxiety symptoms were present in 54.8% (n=23) of the vitiligo group [median DASS-A score 8 (IQR 2.0-16.5)], compared to 21.4% (n=9) of controls. Stress was reported in 31% (n=13) of the vitiligo group [median DASS-S score 11 (IQR 2.0-16.5)], compared to 7.1% (n=3) in controls. Significant differences were found in depression, anxiety, and stress between the two groups (p = 0.005, p = 0.003, p = 0.02). A negative correlation between vitiligo duration and anxiety/stress was observed (p=0.03, p=0.01). Positive correlations existed among the DASS-D, DASS-A, and DASS-S scores. Conclusion: Patients with vitiligo were more susceptible to psychological distress, including symptoms of depression, anxiety, and stress, and experienced these issues at significantly higher rates compared to healthy controls. Keywords: Anxiety; depression; stress; vitiligo seeking