Browsing by Author "Regmi, Shanti"
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Publication Caffey Disease: A Diagnostic Dilemma(Nepal Paediatric Society (JNPS), 2021) Regmi, Shanti; Adhikari, Sudhir; Sitaula, Deekshanta; Regmi, Ananda Prasad; Neupane, Gaurav; Parajuli, Biraj; Poudel, SumitaAbstract Caffey disease is a rare, self limiting condition which usually presents in early infancy. The clinical features include fever, irritability, inflammatory swelling of soft tissue due to acute inflammation of the periosteum and subperiosteal new bone formation. Possible differential diagnoses are osteomyelitis, hypervitaminosis A, scurvy, bone tumours, prolonged use of Prostaglandin E1 (PGE1) and child abuse. Although self-limiting, it can cause diagnostic dilemma leading to delayed diagnosis and unnecessary investigations. Here, we report a case of two month old male infant presenting with painful left scapular mass.Publication Febrile Seizures among Children Admitted to the Department of Paediatrics of a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Poudel, Sumita; Adhikari, Sudhir; Thapa, Rohit; Parajuli, Biraj; Regmi, Shanti; Kunwar, PrajjwalAbstract: Introduction: Febrile seizure is the most common convulsive event in children younger than 60 months. Fever plays an important role in causing disturbances in fluid and electrolyte balance, also hyponatremia has been thought to enhance the susceptibility to seizures. The objective of this study is to find out the prevalence of febrile seizures among children admitted to the Department of Paediatrics of a tertiary care centre. Methods: A descriptive cross-sectional study among children admitted to the Department of Paediatrics was done at a tertiary care centre between December, 2020 to September, 2021. Ethical approval was taken from the Institutional Review Committee (Reference number: 077/078-098). A total of 1052 children were included in this study. A convenience sampling technique was used. Statistical Package for the Social Sciences version 25.0 was used for data analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Among 1052 children, the prevalence of febrile seizure was 100 (9.50%) (7.73-11.27 at 95% Confidence Interval). Among these 100 patients, 68 (68%) had simple febrile seizures while 32 (32%) had recurrent febrile seizures. Conclusions: The prevalence of febrile seizures was found to be higher than in other studies conducted in similar settings. This knowledge may be of practical value in advising parents or caregivers of the risk of a febrile seizure and its recurrencePublication Febrile Seizures among Children Admitted to the Department of Paediatrics of a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Poudel, Sumita; Adhikari, Sudhir; Thapa, Rohit; Parajuli, Biraj; Regmi, Shanti; Kunwar, PrajjwalAbstract Introduction: Febrile seizure is the most common convulsive event in children younger than 60 months. Fever plays an important role in causing disturbances in fluid and electrolyte balance, also hyponatremia has been thought to enhance the susceptibility to seizures. The objective of this study is to find out the prevalence of febrile seizures among children admitted to the Department of Paediatrics of a tertiary care centre. Methods: A descriptive cross-sectional study among children admitted to the Department of Paediatrics was done at a tertiary care centre between December, 2020 to September, 2021. Ethical approval was taken from the Institutional Review Committee (Reference number: 077/078-098). A total of 1052 children were included in this study. A convenience sampling technique was used. Statistical Package for the Social Sciences version 25.0 was used for data analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Among 1052 children, the prevalence of febrile seizure was 100 (9.50%) (7.73-11.27 at 95% Confidence Interval). Among these 100 patients, 68 (68%) had simple febrile seizures while 32 (32%) had recurrent febrile seizures. Conclusions: The prevalence of febrile seizures was found to be higher than in other studies conducted in similar settings. This knowledge may be of practical value in advising parents or caregivers of the risk of a febrile seizure and its recurrence.Publication Perceptions of MBBS Interns Regarding Internship Training in Nepal(Nepal Health Research Council, 2025) Dhakal, Ajaya Kumar; Shrestha, Devendra; Jha, Nisha; Thapa, Moon; Kafle, Raju; Poudel, Daman Raj; Regmi, Shanti; Jha, Anand Kumar; KC, Namrata; KC, DivyaAbstract: Background: Internship, an integral part of the MBBS course, includes mandatory clinical rotations during which interns apply knowledge, develop patient management skills, build competencies, and mould themselves into competent medical professionals. However, perceptions of competency achievement and overall internship experience may vary. This study assessed the perceptions of MBBS interns in Nepal regarding their internship training. Methods: This cross-sectional study was conducted between 20 November 2022 and 20 January 2023 among MBBS interns from various medical schools who had recently completed or were completing their internships. A semi-structured, self-administered questionnaire in English was distributed to the eligible interns using Google Forms. The questionnaire included a five-point Likert scale and closed- and open-ended questions on clinical skills, teamwork, conflict and stress management, postgraduate plans, internship satisfaction, and recommendations for improvement. Results: A total of 280 interns (male: 61.8%) responded to the questionnaire. Most interns (92%) reported enjoying their internships, while 57.5% felt that the MBBS curriculum adequately prepared them for training. High self-reported proficiency was observed in medical history-taking (86.5%), patient communication (75%), managing common health problems (67.5%), triaging (66.4%), and physical examinations (65.3%). Excessive duties or workload (55%) were the most common challenge, while learning professional skills was viewed as the most valuable aspect of the internship. Additionally, 59% believed that interns should be treated respectfully by medical teams, patients, and their relatives. Collaborative discussions (34%) were the primary conflict resolution strategy, while support from friends and family was the most common stress management method. Conclusions: MBBS interns reported positive perceptions of their internship experiences and expressed confidence in their professional competencies across most domains of their internship.