Journal Issue: Volume: 25, No. 3 & 4 (2003)
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Volume
Number
Issue Date
2003
Journal Title
Journal ISSN
ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
Journal Volume
Articles
Validation of the Nepali version of beck anxiety inventory
(Institute of Medicine, 2003) Kohrt, BA; Koirala, NR; Sharma, VD; Nepal, MK
Abstract
This study validates a Nepali version of the Beck Anxiety Inventory (BAI). The instrument was compared against a gold standard diagnosis of generalized anxiety. The diagnosis of Generalized Anxiety Disorder (GAD) was made according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. GAD subjects were selected both from outpatients at Tribhuvan University Teaching Hospital and a rural sample from Jumla. Healthy (non-psychiatric diagnosis) cases were taken from a community sample in Jumla; their “healthy” status was obtained by achieving a score less than 2 on the Nepali General Health Questionnaire-12. This study identifies acceptable sensitivity and specificity ranges for the measure. A cut-off of 13/14 for the BAI provides sensitivity of 0.91 and specificity of 0.89. Reliability for the BAI is comparable to most studies in Western countries (0.89). A factor analysis of the BAI evokes four factors. A number of items reduce the validity and internal
reliability of this measure. Somatic items poorly distinguish psychiatric cases; this may be due to high burden of physical illness in rural Nepal. Overall, the BAI appears to be a good instrument for clinical and research use in Nepal.
Keywords: Validation, Nepali, Beck, Anxiety, TUTH
Behavioural medicine: an integration of psychology and health
(Institute of Medicine, 2003) Sinha, UK; Nepal, MK
Abstract
The process of evolution in health sciences has followed a similar path from being analytical to synthesized or holistic. Multidisciplinary approach has taken over the specialized approach in the area of health care delivery that follows bio-psycho-social paradigm in the understanding and management of health problems in the general hospital setting. Emergene of Behavioural Medicine is the result of such evolutionary process. Behavioural Medicine is the interdisciplinary field concerned with the development and integration of behavioural and biomedical sciences, knowledge, and techniques relevant to health and illness and the application of this knowledge and these techniques to prevention, diagnosis, treatment, and rehabilitation. The present article reviews the historical aspects of the emergence of Behavioural Medicine on the background of biopsychosocial model and impact of life-style factors on health along with the clinical application and role of
Behavioural Medicine in the primary prevention. Relevance of Behavioural Medicine in the context of Nepal, and the contribution of clinical psychologists in the health care system of the country along with the need for accepting them in the mainstream of health professionals are highlighted.
Keywords: Behavioural Medicine, biopsychosocial model, primary prevention, diagnosis, treatment, rehabilitation
Acute Retinal Necrosis Syndrome: A case report
(Institute of Medicine, 2003) Shrestha, JK; Tsering, N
Surgical Management of Recurrent Herniated Lumbar Disc at TU Teaching Hospital
(Institute of Medicine, 2003) Shilpakar, SK; Sigdel, A; Sharma, MR
Abstract
Over the duration of eight and half years, we had performed over 158 cases of hernitated lumbar disc surgeries at Tribhuvan University Teaching Hospital. Among them, there were altogether 6 cases with recurrent herniated disc at the same or the adjacent level. The demographic profile, clinical pictures, surgical management and the outcome are presented. Our limited experience and technical recommendation for the surgical mangement of such recurrent lumbar disc pathologies are also discussed in detail.
Keywords: Recurrent herniated lumbar disc, Surgical outcome
Neuropathic Arthropathy of the Shoulder - Case report of two cases with Review of the Literature
(Institute of Medicine, 2003) Garg, M; Singh, S
Abstract
Two cases of neuropathic arthropathy of the shouldder secondary to syringomyelia are presented. Radiographs revealed resorption of the humoral head in both patients. Magnetic resonance images revealed a syrinx of the central cord in both patients.
Keywords: Neuropathic arthropathy, Shoulder, Syringomyelia