Browsing by Author "Rijal, P"
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Publication Review of Paediatrics In-Patient at Nepal Medical College and Teaching Hospital(Nepal Paediatric Society (JNPS), 2011) Upadhyay, S; Sharma, A; Rijal, P; Shrestha, SAbstract: Introduction: This retrospective study was undertaken to analyze the disease pattern in the Pediatric ward in a Medical College. After analyzing the data, our study would emphasize on the prevention and the management modality of the most prevalent diseases in the community. Methodology: This study was carried out retrospectively for one year from January 2008 - December 2008 on the basis of age and sex and the frequency of disease according to the system involved. Results: A total number of 453 patients were admitted during the study period. There were 267(59%) male and 186(41%) female children. Less than five years age group accounted for 180(39.7%) excluding the neonate. In the study period, respiratory tract infections were the commonest cause of admission in all age group 198(43.7%), gastrointestinal including diarrhoeal diseases were 112(24.7%), enteric fever comprised of 22(5%), and other disease comprised of about 143(31.5%) of the total admissions. CNS diseases comprised of 43(9%) of which 7(16%) were meningitis and meningoencephalitis, 26(60%) of the total CNS cases were due to febrile convulsion. Respiratory diseases were found to be the major cause of morbidity in children. Conclusion: Children under five years age being the most common age group amongst all, with infection being the most predominant cause of Pediatric morbidity, the WHO/UNICEF algorithm for Integrated Management of Childhood Illness (IMCI) is specifically suited for the developing country like ours.Publication Usefulness of Flexible Airway Endoscopy for the Diagnosis of Pulmonary Diseases in Children(Kathmandu University, 2017) Rijal, P; Giri, A; Kumar, PABSTRACT Background Flexible airway endoscopy is a highly valuable procedure for evaluating pediatric airway and pulmonary disorders. However, its use in our setup is limited. Objective The main objective of this study is to analyze indications for flexible airway endoscopy in our population, explore its diagnostic yield and highlight potential complications. Method Seventy flexible airway endoscopies performed in children at Nepal Medical College and Teaching Hospital from June, 2013 to May, 2015 were analyzed. Result Fifty six (80%) of airway endoscopy had a meaningful outcome. Diagnostic yield for individual indications ranged from 50 to 87.5%. Recurrent/persistent pneumonia was the most rewarding indication. Complications were minimal and easily reversible. Conclusion The overall diagnostic yield of flexible airway endoscopy in our study population was 80%. The procedure was safe with minimal complication. Hence, earlier intervention and utilization of bronchoscopy should be encouraged after a careful clinical consideration of patients who could potentially benefit from this procedure. KEY WORDS Bronchoscopy, Bronchoalveolar lavage, Flexible bronchoscope