Browsing by Author "Shahi, Dinesh"
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Publication Epidemiological Profile and Seasonal Variation of Acute Appendicitis(Rapti Academy of Health Sciences (RAHS), 2024) Panthi, Janardan; Shahi, Dinesh; Pokhrel, Dr. BishalAbstract: Introduction: Acute appendicitis is a common surgical condition, typically treated by appendectomy, though conservative management is possible. Understanding its epidemiology and seasonal variation aids in recognizing disease patterns and improving management. This study aims to assess the disease burden and seasonal trends of acute appendicitis. Methods: This retrospective, observational, cross-sectional study was conducted at Rapti Academy of Health Sciences (RAHS) from April 2023 to March 2024, and included 472 patients diagnosed with acute appendicitis, appendicular lump, or abscess, who underwent appendectomy. Data were collected through record review using a preformed proforma. Results: The study found a nearly equal gender distribution, with males comprising 55.1% and females 44.9%. Most participants were aged 20-40 years (41.5%, mean age: 32.48 years). Acute appendicitis was the most common diagnosis (79.2%), and open appendectomy was the most frequently used treatment (72.5%). The highest number of cases occurred in June (10%), with a mean temperature of 33.17°C. No statistically significant correlation was found between environmental factors (temperature, humidity, sunshine) and appendicitis incidence. Conclusion: While none of the environmental factors showed a statistically significant association with the frequency of acute appendicitis, the condition was more common during the rainy season.Publication Unveiling the Volume and Outcomes of Upper Gastrointestinal Endoscopy at a Tertiary Care Center: A Descriptive Cross-Sectional Study(Rapti Academy of Health Sciences (RAHS), 2024) Menyangbo, Suryaman; Panthi, Janardan; Neupane, Ananda; Shahi, Dinesh; Kandel, RameshAbstract: Introduction: Endoscopy is a vital procedure for diagnosing and managing digestive diseases. The volume of upper gastrointestinal endoscopies performed at healthcare centers in Nepal is poorly documented. There is a knowledge gap regarding the volume of endoscopies performed, including whether they are overutilized or follow proper guidelines. With rising digestive disease cases in Nepal and global increases in digestive malignancies, endoscopies are crucial for accurate diagnosis and cancer detection. The aim of the study was to assess the volume of endoscopies performed and identify the spectrum of pathologies associated with these procedures. Methods: This descriptive, cross-sectional study was conducted at Rapti Academy of Health Sciences (RAHS) over a period of two years. After approval from the Institutional Review Committee of RAHS (IRC RAHS), data were collected using a structured proforma, which included variables such as age, gender, ethnicity, and visual endoscopic pathological findings. Patients under 14 years of age and those who were hospitalized were excluded from the study. Results: A total of 2,305 patients underwent upper gastrointestinal endoscopic procedures, with females comprising 68% (n=1,567). The mean age of participants was 43 years, with the majority (n=537; 23.30%) in the 30-39 age group. Gastritis was the primary finding in 1,243 (53.9%) participants, while 38 (1.64%) had significant suspicious malignant lesions. Conclusion: The volume of gastrointestinal endoscopies performed was higher compared to similar settings in other hospitals in Nepal. Gastritis was the most common finding, with a significant number of cases showing suspicious malignant lesions during endoscopy.