Browsing by Author "Mansur, Dil Islam"
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Publication A Sonographic Study of Kidney Dimensions Among Nepalese Children(Nepal Paediatric Society (JNPS), 2020) Mansur, Dil Islam; Karki, Subindra; Shrestha, Pragya; Maskey, SunimaAbstract: Introduction: Any variations in shape or size of either one or both kidneys may indicate sign of its pathology. The study was aimed to determine normal values for renal dimensions among Nepalese children. Methods: This was a cross-sectional study of the renal dimensions among 211 children. The length, breadth and thickness of kidneys were measured by computerised in built calliper in centimetre by using ultrasound and volume of the kidney was calculated. Results: The mean values of length, breadth, thickness and volume were 7.05 ± 1.80 cm, 2.95 ± 0.48 cm, 1.35 ± 0.15 cm and 15.09 ± 5.91 cc for right kidneys respectively; and 7.36 ± 1.89 cm, 2.98 ± 1.89 cm, 1.35 ± 0.18 cm and 15.98 ± 6.44 cc for left kidneys respectively. The mean values for length, breadth, thickness and volume of right kidney was 7.57 ± 1.99 cm, 3.11 ± 0.46 cm, 1.38 ± 0.14 cm and 17.38 ± 6.20 cc among boys respectively; and 6.50 ± 1.39 cm, 2.78 ± 0.44 cm, 1.31 ± 0.17 cm and 12.69 ± 4.43 cc among girls respectively. Similarly, these values for length, breadth, thickness and volume of left kidneys were 7.91 ± 2.04 cm, 3.13 ± 0.49 cm, 1.39 ± 0.18 cm and 18.46 ± 6.89 cc among boys respectively; and 6.78 ± 1.52 cm, 2.83 ± 0.45 cm, 1.31 ± 0.17 cm and 13.38 ± 4.73 cc among girls respectively. Conclusions: It was concluded that mean values for renal length and volume was found to be higher on left side than right side in all age groups. These values for renal breadth and thickness were observed almost same on both sides in all age groups. All measurements of renal dimensions were found significantly higher among boys than girls on both sides. This study has provided the reference values for renal sizes among Nepalese children.Publication A Study on Pattern of Growth in Height Among Children of Dhulikhel Municipality(Nepal Paediatric Society (JNPS), 2015) Mansur, Dil Islam; Shrestha, Anupama; Sharma, Kalpana; Mehta, Dilip Kumar; Shakya, Rojina; Timalsina, BinodAbstract: Introduction: Growth reference charts are essential to assess appropriate growth of individual children. The height of an individual is the most widely accepted method for the evaluation of growth of the children. The child's height is primarily determined by the length of his/her bones, and thus the children become tall because their bones grow in length. The purpose of the present study was to develop the mean height reference charts for school going children residing in Dhulikhel and to evolve an easily applied formula to assess the height of the children at different age groups. Material and Methods: The present study consisted of 1726 healthy school going children (945 boys and 781 girls) aged 3-16 years, from different Schools of Dhulikhel Municipality during July – December 2015. Age was recorded in year and height of each child was measured cross-sectionally in centimeter and statistical analysis was done. Results: It has been observed that there was a progressively increasing trend in the mean values of the height with advancement of age in both sexes. The study revealed that the adolescent growth spurt or highest peak velocity of girls (11-12 years) was attained earlier by one year than boys (12-13 years). Conclusions: If a child’s height is consistently or substantially different from the height of other children of the same age and gender, it indicates that the child may have a medical problem and requires monitoring or treatment. The trend of physical growth as observed in height may be expected to serve as the growth standards of Dhulikhel’s children.Publication Atypical Pattern of the Intrahepatic Biliary Duct on Magnetic Resonance Cholangiopancreatography in a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Shrestha, Pragya; Mansur, Dil Islam; Karki, Subindra; Shrestha, Sheprala; Maskey, Sunima; Chaudary, RoshanAbstract Introduction: The liver possesses different patterns of intrahepatic duct confluences. Even though the typical pattern of the intrahepatic biliary duct is common, atypical variations are also frequently witnessed. The knowledge of the atypical intrahepatic biliary confluences is inevitable during hepato-biliary surgery to reduce post-operative complications. The aim of the study was to find out the prevalence of the atypical pattern of intrahepatic biliary duct pattern on magnetic resonanace cholangiopancreatography in a tertiary care centre. Methods: This descriptive cross-sectional study was done in a tertiary care centre after receiveing ethical approval from the Institutional Review Committee [Reference number: KUSMS/IRC (248/2021)]. The branching patterns of the atypical intrahepatic biliary pattern were observed in Magnetic resonance cholangiopancreatography images and were classified. Convenience sampling was used. Point estimate and 95% Confidence Interval were calculated. Results: Among 199 magnetic resonance cholangiopancreatography images, the atypical intrahepatic biliary duct was observed in 48 (24.12%) (18.18-30.06, 95% Confidence Interval) of the images. Conclusions: The prevalence of the atypical intrahepatic biliary duct pattern is lower as compared to other studies done in similar settings.Publication Mean Atd Angle among Type 2 Diabetes Mellitus Patients Visiting a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2023) Shrestha, Sheprala; Mansur, Dil Islam; Tamrakar, Rajendra; Shrestha, Pragya; Maskey, SunimaAbstract Introduction: An atd angle is one of the dermatoglyphic patterns which is an indication of the degree of distal displacement of the axial triradius on the palm. This is one of the markers of diabetes mellitus that is used as a screening tool in order to reduce the risk of onset and initiate early treatment. The aim of this study is to find the mean atd angle among type 2 diabetes mellitus patients visiting a tertiary care centre. Methods: This descriptive cross-sectional study was done among diabetic patients in a tertiary centre from 9 June 2021 to 5 May 2022. Ethical approval was taken from Institutional Review Committee (Reference number: KUSMS/IRC 40/2021). Both palm prints of study subjects were taken and the atd angle was measured. Convenience sampling was done. Point estimate and 95% confidence interval were calculated. Results: Among 133 palm prints of diabetic patients, the mean atd angle was 42.13±4.73° (male: 41.90±4.75° and female: 42.35±4.70°). The right palms showed mean atd angle of 42.31±4.42° and that of left palms was 41.94±5.04°. Conclusions: The mean atd angle among type 2 diabetes mellitus patients is similar to other studies done in similar settings.Publication Prevalence of Underweight, Stunting and Thinness Among Adolescent Girls in Kavre District(Nepal Paediatric Society (JNPS), 2015) Mansur, Dil Islam; Haque, Mohammad Khurshidul; Sharma, Kalpana; Mehta, Dilip Kumar; Shakya, RojinaAbstract: Introduction: Poor nutritional status during adolescence is an important determinant of health outcome. The adolescents have different needs and have diverse problems. Nutritional assessments among adolescents are important as they are the future parents and constitute a potentially susceptible group. The present study is an attempt to evaluate the prevalence of underweight, stunting and thinness including overweight among adolescent girls from rural community. Material and Methods: A cross-sectional study was conducted among school going adolescent girls, 9-16 years studying in various schools in rural area of Kavre district, Nepal during 15thMarch to 15th September 2014. The weight and height were recorded from each participant in kilogram and centimetre respectively, and nutritional status of the adolescent girls was assessed through the Z-scores of underweight (weight for age), stunting (height for age) and thinness (BMI for age) according to WHO criteria. Data was entered and analyzed by using SPSS 19.0. Results: The overall prevalence of underweight, stunting and thinness was 31.98%, 21.08% and 14.94% respectively. It was concluded that highest (49.5%) prevalence of underweight was among 11 years of adolescent girls and the lowest (20.7%) was found in the age group of 13 years. Stunting was highest in age group of 9 years (37.34%) and the lowest prevalence of stunting was 10.7% in the age group of 14 years. The highest prevalence (24.2%) of thinness was found in 9 years and lowest prevalence (11.0%) was found in 10 years adolescent girls. Conclusion: It is concluded that there is a high prevalence of under nutrition among studied adolescent girls in the rural areas of Kavre district. Health education and nutrition interventions are needed on priority basis.