https://hdl.handle.net/20.500.14356/1011 Mon, 30 Mar 2026 21:25:00 GMT 2026-03-30T21:25:00Z https://hdl.handle.net/20.500.14356/1231 Title: Post COVID-19 vaccine Guillain-Barré syndrome Authors: khadka, Bikash; Khanal, Kishor Abstract: Abstract Guillain-Barré syndrome is an acute generalized polyneuropathy which usually follows infection with a virus or bacteria, although rarely vaccination may be associated with it. We present a case of a 44-year-man who presented with progressive weakness of both lower limbs since 6?days, neurological examination findings were consistent with flaccid-type paraplegia and investigation findings including lumbar puncture and nerve conduction studies were consistent with the diagnosis of Guillain-Barré syndrome. He had received the Johnson and Johnson corona virus disease-19 vaccine intramuscularly 15 days before his presentation. Only potential triggering factor in this case was positive finding of Jansen Vaccine. Keywords: Guillain-Barré syndrome; immunoglobulin; jansen vaccine; polyneuropathy. Description: Case Report Fri, 01 Jan 2021 00:00:00 GMT https://hdl.handle.net/20.500.14356/1231 2021-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/1227 Title: Rare Presentation of Giant Ovarian Cyst Authors: Prajapati, Sristee Shrestha; Shrestha, Anisha; Shrestha, Usha Bade Abstract: Abstract A 32-year-old unmarried female on an atypical antipsychotic presented with massive abdominal distension and progressive difficulty in breathing and ambulation. Imaging revealed a giant ovarian mass originating on the right side. A fertility sparing laparotomy was carried out, without complication. Histopathological evaluation revealed a seromucinous cystadenoma. Giant ovarian cysts are seldom encountered in current medical practice secondary to easy availability of imaging modalities and treatment facilities. In spite of their considerable size, such tumors are usually benign and have a good prognosis. Keywords: Fertility sparing laparotomy; giant ovarian cysts; Seromucinous cystadenomas. Description: Case Report Fri, 01 Jan 2021 00:00:00 GMT https://hdl.handle.net/20.500.14356/1227 2021-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/1224 Title: Does Inclusion of Mental Agility Test in Admission Exam Help Better Student Selection in the Health Professions Education Programs? Authors: Maharjan, Babu Raja; Bhandary, Shital; Shrestha, Shrijana; Gongal, Rajesh Abstract: Abstract Academic ability test has been used predominantly in student selection of medical and allied health profession education programs in Nepal. But the use of academic performance as the single selection criterion puts the students from low socioeconomic background at greater disadvantage despite equal suitability due to the lack of adequate guidance and support during their schooling. To address this limitation, use of aptitude test i.e. both the general cognitive and non-cognitive ability tests that measures fluid intelligence and personality traits respectively has been practiced. The measurement of non-cognitive traits has been found to predict the clinical examination score. In Nepal, for the first time, Patan Academy of Health Sciences implemented the assessment of aptitude test (both cognitive and non-cognitive ability test) for the student selection in the undergraduate medical program. Since the inception, Medical Education Commission in Nepal embraced Mental Agility Test, a component of an aptitude test, along with the academic ability test for the nationwide common entrance test in all the undergraduate Health Professions Education Programs. This indeed is an innovative approach in student selection, but in the context of Nepal whether the use of these tools is appropriate in the entrance exam requires psychometric evaluation and further validation through graduates’ performance after their enrolment. Keywords: Health professions education; mental agility test; student selection Description: Medical Education Fri, 01 Jan 2021 00:00:00 GMT https://hdl.handle.net/20.500.14356/1224 2021-01-01T00:00:00Z https://hdl.handle.net/20.500.14356/1223 Title: Correlation of Body Mass Index on Semen Parameters Authors: Maskey, Suvana; Rijal, Hima Abstract: Abstract Background: Studies done to determine relation of increase in Body mass index and semen parameters have shown conflicting results, some showing negative correlation others showing none. This study aimed to find out if there is any association between them in our population. Methods: A cross-sectional study was performed in an infertility clinic in 2018/19 reviewing records from which Body mass index of male partner and results of semen analysis noted. Participants were grouped according to Body mass index; normal: 18.5–24.99 kg/m2, overweight: 25–29.99 kg/m2 and obese: >30 kg/m2. Different semen parameters such as volume, total count, concentration and motility were compared between different Body mass index groups to determine if there is any association between them. Results: Total 249 participants enrolled with mean Body mass index of 25.1 + 3.4 years. Semen volume decreased with increase in Body mass index (p value 0.063) and sperm count was lower in overweight and obese group compared to normal Body mass index group (p value 0.449) suggesting insignificant negative correlation of Body mass index with semen volume and sperm count. However there was insignificant weak positive correlation of Body mass index with sperm concentration and progressive motility (p value 0.668 and 0.973 respectively). Overweight persons were 3.14 times likely to have hypovolemia (OR:3.14; 95%CI: 1.51-6.53) and obese persons were 1.19 times likely to have oligospermia (OR:1.19 95% CI: 0.42-3.36) compared to persons with normal Body mass index. Conclusions: Body mass index has insignificant negative correlation with semen volume and total sperm count and persons with higher Body mass index were more likely to have hypovolemia and oligospermia compared to person with normal Body mass index. Keywords: Asthenospermia; body mass index; hypovolemeia; oligospermia; semen parameters. Description: Original Article Fri, 01 Jan 2021 00:00:00 GMT https://hdl.handle.net/20.500.14356/1223 2021-01-01T00:00:00Z