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  1. Article ; Online: COVID-19

    Sanjib Pandit

    Journal of Karnali Academy of Health Sciences, Vol

    A Psychological Pandemic amongst Health Workers and General Population

    2020  Volume 3

    Abstract: It has been apparent that majority of population has been hit across the globe by this pandemic, both at the physical and mental level. As with the WHO’s declaration of corona virus outbreak to be pandemic starting march 2020, it has led to a situation ... ...

    Abstract It has been apparent that majority of population has been hit across the globe by this pandemic, both at the physical and mental level. As with the WHO’s declaration of corona virus outbreak to be pandemic starting march 2020, it has led to a situation of psychological pandemic as well. Looking to our context what have been apparent is that Health Workers and front-liners among others are facing the outbreaks with very limited resource while the country in itself is rumbled in the conflicts of politics and persistently poor health delivery system. Hence, the damage to the tolerance level whether be at psychological or at emotional level can be expected. Then this work of “vicarious traumatization” was found to be fascinating for the time being.1 The term was initially referred to as the mental symptoms experienced by psychotherapist by the psychological trauma owing to long interview and consultations with mentally ill persons.2 However, now it can be broadly used to define the distress and trauma following the cruel and post disastrous situation like this corona pandemic. Symptoms suggested as in the vicarious traumatization such as decreased appetite, sleep difficulties, fatigue, irritation, and fear have been reported by a majority of individuals.
    Keywords COVID-19 ; Vicarious Traumatization ; Health Workers ; General Population ; Medicine (General) ; R5-920
    Subject code 150
    Language English
    Publishing date 2020-09-01T00:00:00Z
    Publisher Karnali Academy of Health Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Topiramate Adjunctive Therapy for Olanzapine Induced Weight Gain in Patients with Schizophrenia

    Sanjib Pandit / Asha Sharma

    Journal of Karnali Academy of Health Sciences, Vol 2, Iss

    2019  Volume 2

    Abstract: In recent days, the prevailing use of second-generation antipsychotics (SGA) or atypical antipsychotics over conventional antipsychotics have shifted the concern of physician from extrapyramidal side effects to the weight gain in the patients receiving ... ...

    Abstract In recent days, the prevailing use of second-generation antipsychotics (SGA) or atypical antipsychotics over conventional antipsychotics have shifted the concern of physician from extrapyramidal side effects to the weight gain in the patients receiving treatment for schizophrenia. Among others atypical anti-psychotics, the phenomenology of Olanzapine related weight gain is highly recognized in the clinical practice. However, the exact mechanism by which Olanzapine exerts weight gain effect is largely not understood and is very likely to be multi-factorial. Among other several risk factors, factors such as 5HT2c polymorphisms and H1 receptor affinity have also been purposed. Similarly, various neuro-endocrinal factors related in maintaining energy homeostasis have also been observed to be affected by Olanzapine treatment. However, no consistent findings are available to clearly explain the underlying psychopathology of disease spectrum in schizophrenia. However, though, recent finding from a clinical trial carried out in healthy male volunteers have suggested that the low baseline TSH profile predicts Olanzapine related weight gain and also interestingly relief by Topiramate adjuvant therapy. However, no such investigations were found in a schizophrenic patient. Keywords: Topiramate, Olanzapine, Weight Gain, Schizophrenia DOI: http://doi.org/10.3126/jkahs.v2i2.25183
    Keywords Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2019-08-01T00:00:00Z
    Publisher Karnali Academy of Health Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Delusion of Pregnancy and Pseudocyesis

    Kamal Ghimire / Sanjib Pandit / Dil Sahi Roka

    Journal of Karnali Academy of Health Sciences, Vol 3, Iss

    A Diagnostic Dilemma

    2021  Volume 3

    Abstract: Delusion of pregnancy and pseudocyesis are found to be relatively common in the developing world but the reported cases regarding the former is rare in the context of Nepal. The present article is a case report regarding delusion of pregnancy. ... ...

    Abstract Delusion of pregnancy and pseudocyesis are found to be relatively common in the developing world but the reported cases regarding the former is rare in the context of Nepal. The present article is a case report regarding delusion of pregnancy. Considering its rarity and familiarity with other pregnancy mimicking conditions like pseudocyesis, the article aims to highlight the possibility of delusion of pregnancy in a case where the delusion is the only presenting feature without other psychotic symptoms. In addition, the obstetricians are more inclined towards diagnosing pseudocyesis being more familiar with the condition. It's even more important to differentiate between two conditions considering the difference of their management, though the demarcation based on the presentation is blurred.
    Keywords delusion of pregnancy ; pseudocyesis ; Medicine (General) ; R5-920
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Karnali Academy of Health Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Delusion of Pregnancy and Pseudocyesis

    Kamal Ghimire / Sanjib Pandit / Dil Sahi Roka

    Journal of Karnali Academy of Health Sciences, Vol 3, Iss

    A Diagnostic Dilemma

    2021  Volume 3

    Abstract: Delusion of pregnancy and pseudocyesis are found to be relatively common in the developing world but the reported cases regarding the former is rare in the context of Nepal. The present article is a case report regarding delusion of pregnancy. ... ...

    Abstract Delusion of pregnancy and pseudocyesis are found to be relatively common in the developing world but the reported cases regarding the former is rare in the context of Nepal. The present article is a case report regarding delusion of pregnancy. Considering its rarity and familiarity with other pregnancy mimicking conditions like pseudocyesis, the article aims to highlight the possibility of delusion of pregnancy in a case where the delusion is the only presenting feature without other psychotic symptoms. In addition, the obstetricians are more inclined towards diagnosing pseudocyesis being more familiar with the condition. It's even more important to differentiate between two conditions considering the difference of their management, though the demarcation based on the presentation is blurred.
    Keywords delusion of pregnancy ; pseudocyesis ; Medicine (General) ; R5-920
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Karnali Academy of Health Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Anxiety among the General Population of Himalayan District during the COVID-19 Pandemic

    Sanjib Pandit / Niresh Thapa / Asha Sharma / Bishal Pokhrel / Gajendra Bham / Nandaraj Acharya

    Journal of Nepal Medical Association, Vol 60, Iss

    A Descriptive Cross-sectional Study

    2022  Volume 246

    Abstract: Introduction: COVID-19 pandemic and subsequent measures taken by the government to control the situation have imposed adverse impacts on the mental health and wellbeing of the general population. We conducted a study to determine the prevalence of ... ...

    Abstract Introduction: COVID-19 pandemic and subsequent measures taken by the government to control the situation have imposed adverse impacts on the mental health and wellbeing of the general population. We conducted a study to determine the prevalence of anxiety among general population of a Himalayan district during the COVID-19 pandemic. Methods: A descriptive cross-sectional study was conducted in rural communities of the Himalayan district during the early stage of the pandemic using the Hospital Anxiety and Depression Scale. Data was collected for a period of one month from 13th April 2020 to 13th May 2020. Ethical approval was sought from the Institutional Review Committee of Karnali Academy of Health Sciences (Reference number: 2076/2077/07). All the participants of age 18 or above were included in the study excluding those with known mental illness. Convenience sampling method was used. A total of 427 participants were included in the study. Data were analyzed using the Statistical Package for the Social Sciences version 20. Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. Results: The prevalence rate of anxiety was 196 (45.9%) (41.15-50.64 at 95% Confidence Interval). Anxiety was more prevalent among farmers, illiterate, widowed, and old aged. Conclusions: The study indicates a higher prevalence of anxiety amidst the COVID-19 pandemic compared to reported studies and highlights the need for a strategic intervention to promote awareness and wellbeing at mental health level.
    Keywords anxiety ; COVID-19 ; mental health ; pandemic ; Medicine (General) ; R5-920
    Subject code 360
    Language English
    Publishing date 2022-02-01T00:00:00Z
    Publisher Nepal Medical Association
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Anxiety among the General Population of Himalayan District during the COVID-19 Pandemic

    Sanjib Pandit / Niresh Thapa / Asha Sharma / Bishal Pokhrel / Gajendra Bham / Nandaraj Acharya

    Journal of Nepal Medical Association, Vol 60, Iss

    A Descriptive Cross-sectional Study

    2022  Volume 246

    Abstract: Introduction: COVID-19 pandemic and subsequent measures taken by the government to control the situation have imposed adverse impacts on the mental health and wellbeing of the general population. We conducted a study to determine the prevalence of ... ...

    Abstract Introduction: COVID-19 pandemic and subsequent measures taken by the government to control the situation have imposed adverse impacts on the mental health and wellbeing of the general population. We conducted a study to determine the prevalence of anxiety among general population of a Himalayan district during the COVID-19 pandemic. Methods: A descriptive cross-sectional study was conducted in rural communities of the Himalayan district during the early stage of the pandemic using the Hospital Anxiety and Depression Scale. Data was collected for a period of one month from 13th April 2020 to 13th May 2020. Ethical approval was sought from the Institutional Review Committee of Karnali Academy of Health Sciences (Reference number: 2076/2077/07). All the participants of age 18 or above were included in the study excluding those with known mental illness. Convenience sampling method was used. A total of 427 participants were included in the study. Data were analyzed using the Statistical Package for the Social Sciences version 20. Point estimate at 95% confidence interval was calculated along with frequency and proportion for binary data. Results: The prevalence rate of anxiety was 196 (45.9%) (41.15-50.64 at 95% Confidence Interval). Anxiety was more prevalent among farmers, illiterate, widowed, and old aged. Conclusions: The study indicates a higher prevalence of anxiety amidst the COVID-19 pandemic compared to reported studies and highlights the need for a strategic intervention to promote awareness and wellbeing at mental health level.
    Keywords anxiety ; COVID-19 ; mental health ; pandemic ; Medicine (General) ; R5-920
    Subject code 360
    Language English
    Publishing date 2022-02-01T00:00:00Z
    Publisher Nepal Medical Association
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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