Browsing by Author "Yadav, SP"
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Publication Clinical Profile and Outcome of Acute Glomerulonephritis in a Tertiary Care Centre in the Eastern Nepal(Institute of Medicine, 2014) Shah, GS; Yadav, SPAbstract Introduction: Acute glomerulonephritis (AGN) generally presents as a constellation of findings that includes hematuria, edema, and often hypertension. The study aimed to determine the clinic-biochemical profile and outcome of acute glomerulonephritis in children at tertiary care centre in the Eastern Part of Nepal. Methods: A prospective study was conducted on all the cases found to have acute glomerulonephritis, and sample size constituted all children between 1 month to 15 year, attending the Renal Special OPD and those hospitalized in pediatric department of BPKIHS from Feb. 2012 to Jan.2013 with acute glomerulonephritis. Results: There were total of 94 cases of acute glomerulonephritis (AGN), which comprise 3.1% of annual pediatric admissions. 52.1% were female and male were 47.8%. Mean age of presentation was 9.2 yrs. ±3.1 SD. Aetiology of AGN was post infectious glomerulonephritis (PIGN) 84.0%, lupus nephritis 10.6%, mumps nephritis 3.1% and HSP nephritis 2.1%. ASO titer was raised in 34.0%. 47.8% had raised urea, 43.6% had raised creatinine level, >2+ proteinuria was present in 26.6% and pyuria in 34.0%. The common clinical findings at presentation were microscopic hematuria (95.7%), hypertension (86.2%), edema (85.1%), fever(63.8%), oliguria(22.3%), pain abdomen (21.3%) and others. History of sore throat and pyoderma was present in 25.5% and 19.1% respectively. Complications at presentation were hypertensive encephalopathy (9.5%), cardiac failure (9.5%) and acute kidney injury (6.3%). Of 94 cases, 92 cases (97.8%) improved and 2 cases (2.1%) expired due to acute kidney injury. Conclusion: Acute glomerulonephritis is a significant renal problem in children and is one of the common causes of hospital admission. Early identification and comprehensive monitoring and management is required to prevent morbidity and mortality. Keywords: Children, hematuria, Acute glomerulonephritisPublication 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.