249 results match your criteria: "Gandaki Medical College[Affiliation]"

Backgrounds: Problem-based learning (PBL) is a learner-centered pedagogical approach in which a person learns about a subject by working in groups to solve an open-ended problem. The objective of the present study was to assess students' perceptions and attitudes toward Problem-based learning and the role of tutors in Problem-based learning.

Methods: This quantitative study was conducted among second-year medical and dental undergraduate students from November 2022 to November 2023.

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  • A study conducted in January 2022 assessed internet addiction prevalence among 280 secondary students (aged 15-19) in Waling Municipality, Nepal, using a structured questionnaire and an Internet Addiction scale with 20 questions.
  • Results revealed that 30.7% of students had mild and 15.4% had moderate internet addiction, with higher likelihoods linked to factors like excessive use (over 2 hours), preferred access methods, friends' encouragement, family living arrangements, and gender.
  • The study's conclusion emphasizes the need for public awareness campaigns to promote positive internet use while reducing negative impacts, given that nearly half of the adolescents showed signs of internet addiction.
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Diabetic foot ulcers are characterized by disturbances in the epidermis and/or a portion of the dermis in patients with the disease. With over a million amputations performed annually, it has also emerged as one of the primary causes of lower limb amputation globally. To better understand the severity and anatomical distribution of ulcerated areas in patients with type II diabetes mellitus, this study aimed to identify the factors associated with diabetic foot ulcers (DFUs).

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  • * A case study involving a 79-year-old man with metastatic melanoma showed he experienced severe muscle weakness and elevated creatine kinase (CK) levels after treatment with ICIs, despite not presenting with muscle pain initially.
  • * The patient's symptoms improved significantly after being treated with prednisone, which indicated that his condition was likely immune-related myositis triggered by the ICI therapy.
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Introduction Bronchiolitis is a leading cause of respiratory distress and hospitalizations among infants and young children worldwide. Despite its prevalence, predicting the severity and outcomes of bronchiolitis remains challenging. Standardized criteria for severity assessment are essential for improving patient care and resource allocation.

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This report presents a 14-year-old male with seizures and facial port-wine stains, who upon further evaluation was found to have SWS. Early diagnosis and consistent treatment of Sturge-Weber syndrome in children are essential to prevent seizures and improve quality of life. Anti-seizure medications play a crucial role in preventing and controlling seizures.

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  • Acute gastric volvulus is a rare and serious condition that can be hard to diagnose because it shows unusual symptoms.
  • A unique case involved a 38-year-old male with a nonincarcerated organo-axial gastric volvulus linked to a para-esophageal hiatus hernia, diagnosed primarily through CT imaging.
  • Successful open surgery treated this complex case, underscoring the need for a better understanding and customized management strategies to improve patient outcomes.
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  • - This study, conducted at a medical college in Western Nepal, aimed to evaluate the prevalence of tobacco use, exposure to secondhand smoke (SHS), and knowledge about SHS and third-hand smoke (THS) among undergraduate medical students from July to August 2023.
  • - Out of 617 students surveyed, the response rate was 96.43%, revealing a 16.30% prevalence of tobacco use, with 45.45% reporting recent SHS exposure; clinical students showed significantly higher knowledge about SHS and THS compared to preclinical students.
  • - Despite the low tobacco use rates and high awareness of SHS harms (over 95% favored a public smoking ban), nearly half of the participants still
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Introduction And Importance: Ileal perforation is a rare but serious condition that can arise from accidental ingestion of foreign objects. This report discusses an unusual case of ileal perforation peritonitis caused by ingestion of a chicken bone.

Case Presentation: A 60-year-old male presented with acute generalized abdominal pain, fever, nausea, and vomiting for three days.

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. This article details the development and use of a low-cost, custom RMST device for a patient with long COVID who had received positive airway flow support during ICU treatment. By sharing our successful management of respiratory muscle weakness in a severe COVID-19 patient, we aim to contribute to the broader conversation around effective long COVID management.

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Introduction And Importance: Rhino-orbital-cerebral mucormycosis is an opportunistic infection caused by fungus species Rhizopus and Mucor. Early recognition and aggressive management is crucial for favorable outcomes. A delay in diagnosis and treatment is fatal.

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  • * A total of 147 editors participated, revealing high awareness of plagiarism and tools like Turnitin and iThenticate, with a mean knowledge score of 5.32 out of 6, but some admitted to problematic practices like copying without acknowledgment.
  • * The results highlighted a gap in using plagiarism detection software, with less than half of the journals reportedly employing such tools, and a significant number of editors suspected cases of plagiarism in submitted manuscripts.
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Introduction: Giant urinary bladder stones are rare phenomenon which is associated with chronic urinary infections, intravesical foreign bodies, urethral strictures, bladder diverticula etc. CASE REPORT: A 52-year-old man presented with complaints of severe dysuria, urgency, frequency, suprapubic pain, and pollakuria for the last ten years. Physical examination revealed a palpable suprapubic mass with no obvious flank masses.

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The Role of Cardiac MRI in Pulmonary Hypertension- Is it Still an Underutilized Tool.

Open Respir Med J

June 2024

Division of Pulmonary, Critical Care and Sleep Medicine, Adjunct Clinical Professor, Texas A & M University, Texas, USA.

Pulmonary hypertension (PH) is an intricate medical issue resulting from increased pressure in the pulmonary artery (PA). The current gold standard for diagnosis involves an invasive procedure known as right heart catheterization. Nevertheless, cardiac magnetic resonance imaging (cMRI) offers a non-invasive and valuable alternative for evaluating the function, structure, and blood flow through the pulmonary artery (PA) in both the left ventricle (LV) and right ventricle (RV).

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  • - Cardiovascular disease is a major global health issue, prompting the need for innovative diagnostic methods, particularly through the use of artificial intelligence (AI) in heart imaging techniques like CT, MRI, and nuclear imaging.
  • - AI, especially through machine learning and deep learning, improves cardiac diagnostics by predicting heart conditions and personalizing treatment without needing extensive programming.
  • - Despite the advancements, challenges such as standardizing data, validating algorithms, and addressing ethical issues remain. Collaboration among various stakeholders is crucial for effectively implementing AI in cardiac care.
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Foreign bodies such as bone with a sharp end can penetrate the esophageal wall and lie extramurally. When a foreign body is not found on rigid oesophagoscopy, reassessing with imaging is important. The transcervical approach is a better alternative for such patients to remove the foreign bodies.

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Background: Information regarding seropositivity and vaccine efficacy among medical students is scarce. This study aims to detect the status of SARS-CoV-2 neutralizing antibodies among the Sinopharm's Vero Cell (BBIBP-CorV) vaccinated medical students.

Materials And Methods: A prospective, cross-sectional study was carried out among medical students of Gandaki Medical College Teaching Hospital, Pokhara, Nepal from March through August 2022.

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  • A systematic review and meta-analysis were conducted to explore the risk of cardiac complications, like arrhythmias and heart failure, in patients with ischemic stroke (pwIS).
  • The analysis included data from 5 studies, involving over 106,000 participants, and found that pwIS are significantly more likely to experience arrhythmias (with a hazard ratio of 4.2) and heart failure (hazard ratio of 2.9).
  • The study concluded that pwIS have a higher risk of cardiac issues, but further research is needed to better understand the extent of these complications.
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Subarachnoid hemorrhage mimicking an acute migraine attack: A case report.

SAGE Open Med Case Rep

June 2024

Tribhuvan University, Institute of Medicine, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal.

Article Synopsis
  • - Subarachnoid hemorrhage is a serious neurological emergency where blood leaks into the space surrounding the brain, most often due to a ruptured cerebral aneurysm, with high mortality rates between 8% to 67%.
  • - It can be misdiagnosed as it may present similarly to chronic migraine, but distinct symptoms like sudden severe headache, neck stiffness, and nausea can help differentiate between the two.
  • - A case study highlighted a 37-year-old woman with a history of migraines who experienced a sudden, intense headache, and imaging revealed a ruptured aneurysm, underscoring the need for careful evaluation in patients with similar symptoms.
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Key Clinical Message: Immune checkpoint inhibitors can rarely lead to occurrence of myositis, myocarditis, and myasthenia gravis (MG). Early recognition and multidisciplinary management are crucial for optimal outcomes. Vigilance for overlapping toxicities is essential in patients receiving combination immunotherapy.

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Immersion pulmonary edema, also known as swimming-induced pulmonary edema (SIPE), manifests with cough, dyspnea, hemoptysis, and hypoxemia from flash pulmonary edema after surface swimming, often in healthy young individuals with no predisposing conditions. SIPE commonly resolves spontaneously within 24-48 hours but can be fatal. Post-mortem findings demonstrate heavy, edematous lungs and frothy airways.

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Key Clinical Message: Chronic ketamine use can lead to sphincter of oddi dysfunction (SOD), causing various hepatobiliary complications. Recognizing substance abuse history is vital for early detection. Timely intervention can prevent irreversible liver and pancreas damage.

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Retroperitoneal spindle cell neoplasms are diagnostically challenging. Malignant peripheral nerve sheath tumours (MPNSTs) can sometimes present as sporadic primary retroperitoneal tumours. MPNSTs are usually high-grade and highly aggressive tumours and are associated with a poor prognosis.

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