51 results match your criteria: "Gandaki Medical College Teaching Hospital and Research Center[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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  • 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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. 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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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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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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  • An 81-year-old man diagnosed with rhabdoid renal cell carcinoma had a persistent cough and tumor thrombus extending into major blood vessels, making him too weak for surgery.
  • The prognosis for patients with renal cell carcinoma who don't undergo surgery is generally poor, especially when there’s thrombus formation in the renal vein or inferior vena cava.
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  • * A key sign of this disease is the presence of Kayser-Fleischer rings, which are deposits of copper around the cornea of the eye.
  • * These rings are crucial for diagnosing Wilson's disease and highlight the disease's relationship with copper buildup in the body.
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  • Cystic hygromas are congenital lymphatic anomalies mostly found in young children, but rare cases can appear in older kids and at unusual sites like the chest wall.
  • Two cases were discussed: a 14-year-old and a 1-year-old, both with atypical swellings that were diagnosed through thorough examinations and imaging; they both successfully underwent surgery with no complications.
  • A comprehensive approach combining patient history, clinical assessment, imaging, and pathology is key for diagnosing cystic hygromas, which should be considered when evaluating any childhood swelling, despite their rarity.
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Introduction And Importance: Outflow tract disorders are uncommon causes of primary amenorrhea. Transverse vaginal septum (TVS) is a rare cause of outflow tract obstruction.

Case Presentation: A 15-year-old female presented to us with severe abdominal pain.

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Cutaneous adverse drug reactions are known side effects of first-line antitubercular therapy, which ranges from mild pruritus to life-threatening toxic epidermal necrolysis. Severe cutaneous adverse drug reactions can lead to antitubercular therapy discontinuation and further complicates tuberculosis treatment. Here we present the case of a 49-year-old obese male who developed a generalized maculopapular rash within 24 hours of initiation of therapy followed by bullae over palms in 3 days.

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Introduction: Vaccination against coronavirus disease 2019 (COVID-19) is essential for controlling the ongoing cases of this disease. Citrobacter infections of the bones and joints are extremely uncommon. Thromboembolism and deep vein thrombosis (DVT) are very rare complications.

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Background: Minimally Invasive Tissue Sampling (MITS) has been successfully used to establish the cause of death in low- and middle-income countries, mostly in stillbirths and neonates. The objective of this study was to determine the causes of death among adults using MITS in the Gandaki province of Nepal and to find out the contribution of MITS to identify the causes of death.

Methods: A multicentric hospital-based pilot study was conducted to enroll 100 cases of adult deaths.

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Ondine's curse is a rare condition in which breathing is preserved while awake, but there is absence of autonomic control of ventilation. It is a potentially fatal complication that may result rarely from surgery in posterior fossa in area close to respiratory centers. We describe a patient with posterior fossa hemangioblastoma who underwent subtotal resection via telovelar approach and developed acquired Ondine's curse postoperatively.

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Parkinson's disease is a neurodegenerative disease resulting from the loss of dopamine-secreting neurons present in the substantia nigra of the brain. Parkinson's disease is classified as early-onset and late-onset disease based on the time of its presentation. Since young patients with Parkinson's disease have an atypical clinical presentation and have to deal with their careers, raising families, or both at the time of diagnosis and also have a higher risk of drug-related side effects, it poses unique challenges for the patient, clinical team, and community.

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Intestinal tuberculosis and Crohn's disease are chronic granulomatous diseases with similar clinical presentations and can mimic one another. Their treatment modalities are completely different; however, sometimes it is challenging to differentiate them. We report a case of a 51-year-old female presenting with abdominal pain and on-and-off diarrhea for 4 years with weight loss.

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Unlabelled: Kawasaki disease (KD) is the most common cause of childhood vasculitis affecting small- and medium-sized arteries. The cause of this disease is unknown with an overall prevalence of 0.10% making this a rare entity.

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Background: High screen time, high energy dense food and low fruits and vegetables are important risk factors among children. The study aimed to find out co-occurrence of screen-time and unhealthy eating behavior among young children aged 5 to 9 years in Pokhara Metropolitan.

Methods: A cross-sectional study was conducted among children.

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Skilled care during pregnancy, childbirth, and postpartum is essential to prevent adverse maternal health outcomes, yet utilization of care remains low in many resource-limited countries, including Nepal. Community health workers (CHWs) can mitigate health system challenges and geographical barriers to achieving universal health coverage. Gaps remain, however, in understanding whether evidence-based interventions delivered by CHWs, closely aligned with WHO recommendations, are effective in Nepal's context.

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Locally prepared liquor, which is not standardized or regulated, though cheap can contain various toxic ingredients and even may be fatal. We report a case series of four adult males who died within 18.5 h due to the effect of local liquor consumption in a hilly district of Gandaki Province of Nepal.

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Background: The females in the reproductive age group are vulnerable to injuries and diseases. There is no reliable evidence of the pattern of deaths in reproductive age group females from Nepal. This study was conducted to explore the patterns of deaths of females of the reproductive age group in Nepal.

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Introduction: Scrub Typhus (ST) is an acute febrile illness caused by obligate intracellular bacteria of the family Rickettsia. It is often unrecognized and neglected but prevalent in tropical regions of endemic areas. The tragedy behind this diagnostic dilemma is non-specific clinical signs and symptoms, limited awareness, unavailability of diagnostic facilities, and low index of suspicion among the physicians.

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Background: The effectiveness of online classes is always a concern, and it can be overcome by opting for active learning strategies like team-based learning (TBL). This study was conducted to find out the effectiveness of online TBL as an active learning strategy. We also aimed to explore the satisfaction and perception of students toward TBL.

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