Sameer Timilsina - Academia.edu (original) (raw)

Papers by Sameer Timilsina

CoDAS, 2014

PURPOSE: To study the absolute latencies of waves I , III and V and interpeak I-III , III-V and I... more PURPOSE: To study the absolute latencies of waves I , III and V and interpeak I-III , III-V and I-V of Auditory brainstem responses obtained in preterm newborns in relation to post-conceptual age, term newborns and six months of age infants, establishing reference values for each age group. METHODS: Retrospective study realized through the analysis of tests performed on 80 infants divided into four groups, being the group one composed per newborns assessed between 35 and 36 weeks post-conceptual age; group two by newborns assessed between 37 and 38 weeks; group three with newborns reviewed between 39 to 40 weeks; and group four with infants evaluated with six months. RESULTS: The wave I absolute latency in the group one was 1.81 ms, decreasing to 1.79 ms in groups two and three, and to 1.70 ms in group four. The wave III latency in group one was 4.74 ms, decreasing to 4.62 ms in group two, to 4.56 ms in the group three and to 4.37 ms in the group four. The wave V latency in group on...

Journal of Chitwan Medical College, Jun 19, 2021

Journal of Chitwan Medical College, Dec 16, 2020

Journal of College of Medical Sciences-Nepal, 2020

Background: Anemia is a public health concern with adverse health consequences. The vast nature o... more Background: Anemia is a public health concern with adverse health consequences. The vast nature of medical curriculum demands rigorous efforts and stress putting health science students at risk of anemia. In the present study, we aim to estimate the hemoglobin level of undergraduate health science students at Chitwan Medical College. Methods: This cross-sectional study included all 386 year I and II undergraduate health science students enrolled at Chitwan Medical College. An informed consent was obtained from all the participants and hemoglobin values were obtained using Sahli’s hemoglobinometry at Physiology laboratory of basic science complex during March to August 2019. Ethical approval was obtained from CMC-IRC (Ref: CMC-IRC/075/076-125). Chi-squared test was done to seek the association of various demographic factors with hemoglobin values. Results: Anemia was found among 37.8% undergraduate health science students as per World Health Organization (WHO) criteria. A total of 44...

Background Effective physician-patient communication is integral to building confidence, improvin... more Background Effective physician-patient communication is integral to building confidence, improving compliance, satisfaction and avoiding mishaps and malpractice suits. Communication-skills (CS) training is an internationally accepted essential component of medical education. This study aims to assess the communication-skills knowledge of pre-clinical undergraduate medical students pre- and post- CS course. We expect an improvement in CS knowledge post-intervention. Methods Between March and September 2019, 100 first year pre-clinical undergraduate medical students at Chitwan Medical College were enrolled in CS course. Attitude towards learning CS using communication skills attitude scale (CSAS) and assessment on knowledge of CS was conducted pre- and post-intervention. The intervention included 10 team-based learning (TBL) sessions on selective study areas based on Calgary-Cambridge model. Additionally, students’ demographic profile was collected at the start of the intervention. Re...

Journal of Chitwan Medical College, 2020

Background: Several teaching-learning methods are widely used in medical schools all over the wor... more Background: Several teaching-learning methods are widely used in medical schools all over the world. Optimizing and promoting active student learning has been the fundamental goal of these strategies. Team-Based Learning (TBL) is a structured form of small-group learning which is a relatively new pedagogy in medical education. We aimed to introduce TBL in place of traditional lectures to teach physiology general concepts and evaluate its perception among undergraduate medical students at Chitwan Medical College. Methods: This was a cross-sectional descriptive study conducted among all 100 (95/100 respondents) year I undergraduate medical students. We requested the students to complete a Team- Based Learning- Students Assessment Instrument (TBL-SAI) to study the preference towards TBL after completing 12 weeks of TBL. Results: The study included 67 males and 28 females. Students reported agreement in TBL-SAI statements complementing and enjoying this newly introduced method. The ov...

Journal of College of Medical Sciences-Nepal, Mar 31, 2020

Background: Renal arteries are two large blood vessels branching laterally from the abdominal aor... more Background: Renal arteries are two large blood vessels branching laterally from the abdominal aorta just below the superior mesenteric artery. The arteries vary in their level of origin and caliber, obliquity and precise relations. Each renal artery is about 6-8mm diameter. There is a varying characteristic of these arteries owing to their different course. The aim of the study was to study the variation in the formation of renal artery with its branching pattern using CT Angiography. Methods: The cross sectional study was conducted in the department of Radiology at Chitwan Medical College. CT Angiogram was studied in 17 individuals who attended radiology department for angiography for different suspected abdominal and renal pathology. Results: Analyzing the result of the angiography, we found the usual branching pattern of renal artery in 70.58% of the individual, with variations in remaining 29.42%. On studying the number of arteries supplying kidney, artery draining directly to hilum i.e. accessory renal artery was 2.95%. We found the average length of right renal artery ranged between 3.5cm to 6.0cm. Conclusions: The variations on this large lateral branch of abdominal aorta are common. Surgeons should exclude the possibility of presence of accessory and aberrant renal arteries obstruction prior to the surgical procedure. The awareness about the presence of such variations is important from the academic, surgical and radiological aspect.

Advances in Medical Education and Practice, 2019

Background and purpose: The success story of a modern-day physician centers substantially on the ... more Background and purpose: The success story of a modern-day physician centers substantially on the knowledge of proper communication-skills with patients and their bedside relatives. Therefore, it has become extremely important to start a communication-skills course early on in undergraduate medical study, but to date, this has been given relatively little or no emphasis. In the present study, an attempt was made to assess the attitude of undergraduate medical newbies towards learning communication-skills, and the association between attitude and various student characteristics. Patients and methods: A total of 99 recently admitted undergraduate medical students at Chitwan Medical College were included in the study, and their attitude towards communication-skills training was measured using the Communication Skills Attitude Scale (CSAS). Results: A positive learning attitude was found in over 50% of participants. The idea of a requirement of communication-skills curriculum was associated with a positive learning attitude. Gender, age, and past educational institute were not associated with communication skills learning attitude. Conclusion: This study provides perceptions of newly admitted undergraduate medical students towards communication-skills learning. We suggest the integration of communication-skills curriculum into the undergraduate medical syllabus, with an acceptable, focused, and interesting teaching module.

Introduction Increasing smartphone use among adolescents in todays’ world has made this handy dev... more Introduction Increasing smartphone use among adolescents in todays’ world has made this handy device an indispensable electronic tool, however, it comes at a price of problematic overuse or addiction. We aimed to investigate the prevalence of smartphone addiction among undergraduate medical students and explore its association with various demographic and personal factors.Methods A pool of 250 undergraduate students enrolled at Chitwan Medical College were included in this cross-sectional study conducted between August to November 2018. A preformed demographic porforma along with 10-point Smartphone Addiction Scale-Short Version was used to collect participant information.Results Smartphone addiction among medical students was estimated at around 36.8% with higher percentage of male smartphone addicts. Prevalence rates of smartphone related tolerance was reported in 42.8% participants, 37.6% reported phubbing and 60.8% participants reported overuse. Statistically significant associa...

BMC Palliative Care, 2019

Journal of College of Medical Sciences-Nepal, 2019

Background: The application of pulmonary function testing is increasing in many areas of clinical... more Background: The application of pulmonary function testing is increasing in many areas of clinical medicine, including assessment of airflow limitation, diagnosis of airflow obstruction and lung restriction, evaluation of pulmonary impairment, preoperative assessment as well as public health screening. In this study, attempt has been made to evaluate Pulmonary Function Test (PFT) of healthy Nepalese young adults and compare their values with healthy Indian and Sri Lankan counterparts. Further, it tries to shed light on the correlation of these data with anthropometric parameters. Methods: A total of 133 pre-clinical medical students of Manipal College of Medical Sciences were included in the study. PFT was done using a computerized automatic spirometer. Results: All the pulmonary parameters showed significant gender differences. All mean value of PFT parameters were higher in males. The comparisons of different parameters of PFT according to gender between three countries namely Nepa...

BMC pregnancy and childbirth, Mar 21, 2018

Complete blood count is one of the routinely advised blood investigation during pregnancy. It is ... more Complete blood count is one of the routinely advised blood investigation during pregnancy. It is also utilized as a diagnostic tool for neonatal anemia, sepsis and determining hemostatic status of the newborn. The present study aims at estimating the complete blood count of maternal and umbilical cord blood at the time of delivery and to establish its correlation. This cross sectional study included 114 mothers and their healthy neonates born through normal vaginal delivery. Complete blood count of umbilical cord blood and maternal blood was estimated using automatic hematology analyzer. The mean maternal and neonatal hemoglobin concentration was 11.14 ± 1.39 g/dL and 16.34 ± 2.01 g/dL respectively. A significant positive correlation was found between maternal and fetal hemoglobin concentration (p < 0.001 and Pearson R = 0.496). The correlation between maternal and fetal WBC, RBC and Platelet count was not statistically significant. A significant positive correlation was found be...

International Archives of BioMedical and Clinical Research, 2017

Radiation detection can provide a reliable means of detecting radiological material. Such capabil... more Radiation detection can provide a reliable means of detecting radiological material. Such capabilities can help to prevent nuclear and/or radiological attacks, but reliable detection in uncontrolled surroundings requires algorithms that account for environmental background radiation. The Berkeley Data Cloud (BDC) facilitates the development of such methods by providing a framework to capture, store, analyze and share data sets. In the era of big data, both the size and variety of data make it difficult to explore and find data sets of interest and manage the data. Thus, in the context of big data, visualization is critical for checking data consistency and validity, identifying gaps in data coverage, searching for data relevant to an analyst's use cases and choosing input parameters for analysis. Downloading the data and exploring it on an analyst's desktop using traditional tools is no longer feasible due to the size of the data. This paper describes the design and implementation of a visualization system that addresses the problems associated with data exploration within the context of the BDC. The visualization system is based on a JavaScript front-end communicating via REST with a back end web server.

Journal of Pain Management & Medicine, 2018

Introduction: Morphine has been the cornerstone of pain management in palliative care patients. T... more Introduction: Morphine has been the cornerstone of pain management in palliative care patients. The easy accessibility and availability of opioids at most tertiary care centers of Nepal have made possible, the once thought impossible fundamental right of palliative patients. The availability of morphine has not only eased the pain of palliative patients but health care providers equally. The mainstay of pain management has had its success but several subjective complaints of dry mouth, sedation, feeling of incomplete wellbeing and decreased immune function is often heard of. The present study aims at evaluating the effects of morphine on complete blood count profile in palliative care patients. Methods: Complete blood count of 114 palliative patients was estimated using an automatic hematology analyzer after 24-48 hours and 14 days of morphine administration. The data was recorded using a preformed proforma and analyzed using SPSS (20). Results: A statistically significant increase in total white blood cell count, neutrophil and platelet count was observed following morphine administration but there was a decrease in lymphocyte count (p<0.05). Also, neutrophil-lymphocyte ratio, a predictor of inflammation was found to increase (p<0.05). A non-significant increase was seen with the platelet-lymphocyte ratio (p>0.05). Conclusion: Morphine is found to influence the total white blood cells, neutrophils, and lymphocytes and NLR in palliative patients. However, withholding morphine in palliative patients is never an option. Furthermore, larger randomized controlled trials are necessary to analyze the predictive value of NLR and PLR in palliative patients.