Browsing by Author "Yadav, SK"
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Publication Ethnic Variations of Blood Groups in a Medical College of Eastern Nepal(Kathmandu University, 2018) Niroula, DR; Jha, MK; Limbu, P; Pokhre, I; Yadav, SK; Mukhopadhyay, SABSTRACT Background Red blood cells contain antigens in its membrane which are inherited according to Mendelian law. ABO and Rhesus blood group systems are considered the most important blood group systems for clinical procedures, blood transfusion, organ transplantation, anthropological study and medico-legal purposes. Determination of ABO and Rhesus blood groups and its frequency distribution in a multiethnic country like Nepal is important for effective management of blood banks, safe blood transfusion services. The trend of blood groups and its ethnic distributions in the eastern part of Nepal is still unknown. Objective To find the distribution of blood groups among the subjects of different ethnic groups of eastern Nepal. Method A cross-sectional perspective study was carried out among the subjects visited in the laboratory of Nobel Medical College, Biratnagar, Nepal for a period of one year from August 1, 2015 to July 30, 2016. Result The 11,960 subjects were included in the present study, among which 5012 were males and 6948 were females. The study revealed that in ABO system, blood group distribution was 34.80% O, 28.66% A, 27.66% B and 6.89% AB. With regard to Rh blood group system, Rhesus +ve was 96.79% and Rhesus –ve was 3.21%. O blood group dominant ethnic groups were Brahmin, Bhujel, Biswakarma, Shah, Gurung, Marwari, Magar, Mahato, Mandal, Newar, Sanyasi, Tamang, Terai Brahmin and Yadav. Similarly, blood group A dominant ethnic groups were Chhetri, Dhimal, Limbu, Rai and Muslim. Howerver, blood group B was dominant in ethnic groups, namely Biswakarma, Rajput, Satar and Tharu. Conclusion The frequency distribution pattern of ABO blood group was observed as O > A> B > AB and in Rhesus system, Rhesus +ve > Rhesus –ve. Variation in blood groups distribution was observed in various ethnic groups. KEY WORDS ABO system, Blood group, Eastern Nepal, Ethnic group, Rhesus systemPublication Evaluation of Effectiveness of Neonatal Resuscitation Programme (NRP) Course Among Paediatric Residents of BPKIHS(Nepal Paediatric Society (JNPS), 2015) Yadav, SK; Bhatta, NK; Yadav, SP; Kanodia, P; Moktan, DAbstract: Introduction: Neonatal resuscitation is an essential skill for neonatal care providers, especially for junior doctors who are often the first persons to attend to a newborn in need of resuscitation. The Neonatal Resuscitation Programme (NRP) training course offers a comprehensive and systematic training programme that has been adopted in 130 countries worldwide. Reports from different countries attributed the improvements in neonatal mortality and morbidity over the past two decades partly to the implementation of a systematic neonatal resuscitation training programme. The objective of this study was to evaluate the effectiveness of Neonatal Resuscitation Programme (NRP) in improving the knowledge of the paediatric resident doctors after completion of the course. Materials and Methods: This was a cross-sectional interventional study. The resident doctors who attended the NRP course were enrolled. The knowledge was evaluated by written 30-item questionnaire pre- and post- course score. Statistical analysis was done by descriptive statistics and paired t-test. p- value of <0.05 was taken as significant. Results: Data of 18 paediatric residents who attended the course were analyzed. There were four female and 14 male residents. Out of 18 residents, eight were from first year, seven were from second year and three were from third year. Their mean scores (out of 30) were 13.84 (SD 2.57) (pre-course) and 16.68 [(SD 3.15) (post-course) (p=0.001)]. Conclusions: NRP course produced a modest gain in residents’ knowledge on neonatal resuscitation at the end of their course. NRP training has the potential to substantially improve knowledge of neonatal resuscitation.Publication Strongyloides stercoralis hyperinfection syndrome in patient with non- proliferative glomerulopathy(Institute of Medicine, 2017) Bhujel, R; Yadav, SK; Shrestha, K; Sah, R; Kattel, H P; Shah, NP; Sharma, S; Parajuli, K; Mishra, SK; Sherchand, JBAbstract Strongyolides stercoralis commonly causes chronic, asymptomatic infection but can cause more disastrous type of infection in immunosuppressed patient. Out of many predisposing factors for Strongyloides hyperinfection, regular intake of corticosteroids is a major risk factor. We are presenting a case of Strongyloides hyperinfection syndrome in a 66 years old male patient, a known case of non-proliferative glomerulopathy, presented at Tribhuvan University Teaching Hospital, with swollen limbs, anemia and history of self-recovered diarrhea. His condition got exacerbated and required Intensive Care Unit stay. Despite all the efforts being made for his recovery, he died after 30 days of stay in the hospital. Keywords: Hyperinfection, non-prolifertative glomerulopathy, Strongyloides