scholarly journals Nutritional Status of Under-Five Children in Western Nepal

2014 ◽  
Vol 34 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Bandana Shrestha
Keyword(s):  
Who Classification ◽  
College Teaching ◽  
Standard Technique ◽  
Tertiary Hospital ◽  
Major Health Problem ◽  
Under Five ◽  
Under Five Children ◽  
Medical College ◽  
High Prevalence ◽  
A Prospective Study

Introduction: Undernutrition is a major health problem in developing countries which may have adverse effects on growth and development of an individual. The objectives of this study were to assess the prevalence and grades of malnutrition in children below 60 months of age, attending outpatient department at Gandaki Medical College teaching hospital.Materials and Methods: A prospective study was conducted among 556 children below 60 months of age from August to December 2013. Weight and length/height were measured using standard technique and were plotted on WHO centiles curves and severity determined based on WHO classification. The prevalence of underweight, stunting and wasting were determined by anthropometry.Results: Based on WHO classification, out of 556 children, 20.2% were underweight, 34% were stunted and 15.1% were wasted respectively. Of them, severe underweight were 4.7%, severe stunted were 14.1% and severe wasted were 7.2% respectively.Conclusion: A high prevalence of undernutrition exists in under- five children attending a tertiary hospital in a western region of Nepal.DOI: http://dx.doi.org/10.3126/jnps.v34i2.10566J Nepal Paediatr Soc 2014;34(2):119-124      

scholarly journals Confirmed malaria cases among under five children with fever and history of fever in Masogo sub-county, Kisumu county-Kenya

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Silas Onyango Awuor ◽  
◽  
Omwenga O Eric ◽  
Stanslaus Musyoki ◽  
Ibrahim I Daud ◽  
...  
Keyword(s):  
Hospital Setting ◽  
World Health ◽  
Under Five ◽  
Under Five Children ◽  
Parasitological Diagnosis ◽  
High Prevalence ◽  
History Of ◽  
Reporting Tool ◽  
Health Organization ◽  
Or History

Background: The World Health Organization recommends that malaria treatment should begin with parasitological diagnosis. This will help to regulate misuse of anti-malarial drugs in areas with high transmission. Aim: Aim was to assess the prevalence of parasitological confirmed malaria among under five years children presenting with fever or history of fever attending medication at Masogo sub-county hospital. Setting: The study was conducted in Masogo Sub County, Kisumu County, Kenya. Data and methodology: The study used 2020 dataset from the laboratory MOH 706 reporting tool with a total number of 6787 children under five years old tested in the lab. Result: Of the 6787 test performed in the year 2020, 2225 (32.8%) turn positive to malaria parasite where there was high prevalence in female children at 1141 (51.3%) than male children 1084 (48.7%) of the total positive examined. Prevalence of the malaria among the age group bracket was high at 48-59 months old at 625 (28.1%) followed by 36-47 months 620 (27.9%), 24-35 months 450 (20.2%), 12-23 months 410 (18.4%) and lastly 0-11 months old at 120 (5.4%). Conclusions: Reasons for the increased of the prevalence as the age increased among the under five children need to be further explored and addressed, there is enough evidence that immediate action is needed to address the unique needs of this population. Such factors could include lack of net used and separation of the mother and the child from sleeping together or early birth after the child. Keywords: malaria; under five children; fever.

scholarly journals STUDY OF COMPLICATIONS OF MALARIA IN ADULTS PATIENTS: A PROSPECTIVE STUDY FROM BHOPAL

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Nikhil Gupta ◽  
RS Maniram ◽  
Garima Vijayvergiya
Keyword(s):  
Leukocyte Count ◽  
Severe Anemia ◽  
Major Health Problem ◽  
Major Health ◽  
Medical College ◽  
Major Complications ◽  
Gandhi Medical College ◽  
A Prospective Study ◽  
Time Of Admission ◽  
Poor Population

Background: Malaria is a major health problem all over the globe. WHO recorded that 228 million people suffered and 405000 died due to malaria in 2018. Severity of malaria is known to be the cause of serious morbidity and mortality in poor population. Understanding of its current symptoms and associated complication can help in early diagnosis. Aims and objectives: To study the malarial complications among the adult patients. Materials and Methods: Hundred malaria patients were studied at Gandhi Medical College and associated with Hamidia Hospital from Jan 2019 to Dec 2019. For all the subjects’ medical history, demographic details and medical complications were recorded. Results: Major symptoms at the time of admission were fever, nausea and headache. Major complications in SM patients were severe anemia, prostration, hyperpyrexia (9%) respiratory distress in (6%), thrombocytopenia (70%), low leukocyte count (21%), and cerebral malaria was recorded in 4%. No mortality was recorded during this study. Conclusion: Severe anemia, prostration, hyperpyrexia, ARDS, thrombocytopenia and low leukocyte count are the major complications of SM. Keywords: nausea, anemia, prostration, hyperpyrexia, thrombocytopenia

scholarly journals Seroprevalence and determinants of Helicobacter pylori infection among asymptomatic under-five children at a Tertiary Hospital in the South-Western region of Nigeria

2019 ◽  
Vol 19 (2) ◽  
pp. 2082
Author(s):  
Adefunke O Babatola ◽  
Felix O Akinbami ◽  
Olugbenga O Adeodu ◽  
Temitope O Ojo ◽  
Martins O Efere ◽  
...  
Keyword(s):  
Helicobacter Pylori ◽  
Tertiary Hospital ◽  
Helicobacter Pylori Infection ◽  
Western Region ◽  
The South ◽  
Under Five ◽  
Under Five Children

scholarly journals Assessment of deworming practice among mothers of under five children in Kancheepuram district

2018 ◽  
Vol 5 (6) ◽  
pp. 2580
Author(s):  
Dhanuraja V. ◽  
Vijayakarthikeyan M. ◽  
Krishnakumar J.
Keyword(s):  
Health Centre ◽  
Cross Sectional Study ◽  
Education Level ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Medical College ◽  
Worm Infestation ◽  
Micronutrient Malnutrition ◽  
Rural Mothers

Background: Worm infestation is a major problem in children from developing countries due to poor sanitary and hygienic conditions. As the worm infestation is highly associated with the anaemia in children and generalized malnutrition as well as micronutrient malnutrition it is important to assess the deworming practice among mothers of under five children. Thus this study was aimed to assess the deworming practice to their children among mothers of under five children in Kancheepuram district and to find out the association between education level of the mothers and deworming practice, residence (rural/urban) of the mothers and deworming practice.Methods: A cross- sectional study was conducted among 208 mothers of under five children in the field practice area urban and rural health centre of Sree Balaji Medical College for duration of four month using a pretested questionnaire.Results: Among 208 mothers 105 (50.5%) is from rural and 103 (49.5%) is from urban. Among them 40 (19.2%) were illiterate and 168 (80.8%) were literate. About deworming practice 40 (19.2%) mothers have never done deworming to their children, 32 (15.4%) mothers have done deworming to their children only after the worm infestation symptoms appears and 136 (65.4%) mothers have done deworming to their children regularly. Education level of the mothers (p=0.000) and the residence (rural/urban) of the mothers (p=0.000) are significantly related to the deworming practice.Conclusions: Deworming practice among rural mothers and illiterate mothers is low. Hence awareness should be created among them about the deworming practice in preventing the complication caused by the worm infestation and should promote the habit of regular deworming to their children.

scholarly journals Validity and accuracy of maternal tactile assessment for fever in under-five children in North Central Nigeria: a cross-sectional study

BMJ Open ◽  
2014 ◽  
Vol 4 (10) ◽  
pp. e005776 ◽  
Author(s):  
Mohammed Baba Abdulkadir ◽  
Wahab Babatunde Rotimi Johnson ◽  
Rasheedah Mobolaji Ibraheem
Keyword(s):  
Tertiary Hospital ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Secondary Outcome ◽  
Febrile Child ◽  
Cross Sectional ◽  
Predictive Values ◽  
North Central ◽  
Under Five ◽  
Under Five Children

ObjectivesThis study seeks to determine not only the reliability of parental touch in detecting fever as compared to rectal thermometry in under-five children, but also the sociodemographic factors that may predict its reliability.SettingThe study was carried out in the Emergency Paediatric Unit of a tertiary hospital in North Central Nigeria.Participants409 children aged less than 5 years with a history of fever in the 48 h prior to presentation and their mothers were recruited consecutively. All the children recruited completed the study. Children with clinical parameters suggestive of shock, and those who were too ill, were excluded from the study.Primary and secondary outcome measuresThe primary outcome was the proportion of mothers who could accurately predict if their child was febrile or not (defined by rectal temperature) using tactile assessment only. Secondary outcomes were the validity and accuracy of touch in detecting fever and factors related to its accuracy.ResultsAbout 85% of the children were febrile using rectal thermometry. The sensitivity, specificity, positive predictive and negative predictive values for touch as a screening tool were 63%, 54%, 88.3% and 21%, respectively. High maternal socioeconomic status and low maternal age influenced positively the accuracy of touch in correctly determining the presence or absence of fever.ConclusionsThis study has shown that tactile assessment of temperature is not reliable and that absence of fever in a previously febrile child should be confirmed by objective methods of temperature measurement.

scholarly journals Burden and spectrum of neonatal surgical diseases in a tertiary hospital: a decade experience

2018 ◽  
Vol 5 (3) ◽  
pp. 798 ◽  
Author(s):  
Prashanth Madapura Virupakshappa ◽  
Nidhi Rajendra
Keyword(s):  
Neonatal Intensive Care ◽  
Hypertrophic Pyloric Stenosis ◽  
College Teaching ◽  
Anorectal Malformations ◽  
Tertiary Hospital ◽  
Newborn Period ◽  
Surgical Interventions ◽  
Medical College ◽  
Surgical Emergencies ◽  
Hospital Pediatric

Background: Surgical emergencies in the newborns are an important and integral part of neonatal admissions in any tertiary Neonatal intensive care units. Surgical emergencies in the newborn constitute congenital anomalies and acquired neonatal emergencies. It is necessary to know the burden of these illnesses and their spectrum by regular auditing the data available to understand the relative incidence and outcome of these neonatal emergencies. Aims and objective of the study is to determine the spectrum of the different neonatal surgical emergencies (congenital and acquired) admitted, operated and managed in a tertiary NICU from June 2001 to May 2011(10 yrs) in a medical college teaching hospital in South IndiaMethods: The data was collected by retrospectively auditing the hospital pediatric and neonatal admission registry, neonatal surgical registry, admission case sheets from June 2001 to June 2011 (10 yrs). Data was analysed. Only confirmed post-operative surgical diagnosis were considered for inclusion in the study.Results: Of the 13,118 newborns admitted in the NICU in 10 years, 601 cases (4.6%) were surgical neonates which were treated in the unit. 83.5% of surgical neonates were operated for congenital surgical disorders. Gastrointestinal anomalies (50%) were the leading causes of neonatal surgical emergencies. Anorectal malformations (18.5%), idiopathic hypertrophic pyloric stenosis (10.6%) and esophageal atresia with/without tracheo-esophageal fistula (8.7%) were the leading surgical causes which needed immediate surgical intervention in the newborn period. 28 different spectrum of cases were operated including 15 rarer once (<1% incidence each).Conclusions: Surgical new-borns comprises of an important and integral part of neonatal admissions (4.6/100 neonatal admissions). The incidence of the rarer diseases constitutes 8% of the total surgical cases. Gastrointestinal anomalies are the leading causes requiring surgical interventions in the immediate newborn period. It is worthy to understand the spectrum of illnesses in any tertiary unit by regularly auditing the data available.

scholarly journals Giant Euthyroid Goitre: Clinical Profile as Seen in Otorhinolaryngology Department of a Tertiary Health Institution, in Northwestern Nigeria

2019 ◽  
pp. 1-9
Author(s):  
Daniel Aliyu ◽  
Kufre Robert Iseh ◽  
Yikawe Stephen Semen ◽  
Stanley Baba Amutta ◽  
Joseph Hassan Solomon ◽  
...  
Keyword(s):  
Early Stage ◽  
Adult Population ◽  
Geographical Location ◽  
Tertiary Hospital ◽  
Recurrent Laryngeal Nerve Injury ◽  
Clinical Profile ◽  
Thyroid Function Tests ◽  
High Prevalence ◽  
A Prospective Study ◽  
Age Range

Background: Goiter refers to a diffuse enlargement of thyroid gland. It has a high prevalence in adult population in endemic areas where iodized salt is not part of the regular diet. Aim: We report the clinical profile of giant goiters seen in a tertiary hospital in Northwestern Nigeria. Methods: A prospective study of all surgically operated cases of goiter carried out in a tertiary health hospital in Northwestern Nigeria, over a period of 6 years between January 2011 and December 2016. Bio data, duration of goiter, symptoms, geographical location, thyroid function tests, radiological reports and treatment were recorded and analyzed. Results: Ninety-Seven patients were operated for goitre during the study period. Out of these 19 (19.6%) were giant goitres weighing between 900g-3200g. There were 13 (68.4%) females and 6 (31.6%) males with M: F ratio of 1:2.2. Age range was between 39 – 71 years with a mean age of 53.2 years. Prevalence was high in the 41-60 year age group. Duration of goiter in 13 (68.4%) of patients was between 11-20years. Retrosternal extension was observed in 7 (36.8%) patients. Tracheal deviation was the most common risk factor for respiratory complication in all the patients followed by tracheomalacia in 8(42.1%). Postoperative temporary Tracheostomy was carried out in 4(21.1%) of patients. Recurrent laryngeal nerve injury occurred in 2(10.5%). No mortality was recorded. Conclusion: Respiratory complications are commonly associated with giant goiters, a pathology that is entirely preventive if diagnosed and managed at an early stage.

scholarly journals Evaluation of risk of malignancy index in adnexal masses at a tertiary hospital: a prospective study

2020 ◽  
Vol 9 (3) ◽  
pp. 922
Author(s):  
Ritanjali Behera ◽  
Paramita Pradhan ◽  
Bharati Misra
Keyword(s):  
Prospective Study ◽  
Gold Standard ◽  
Surgical Planning ◽  
Tertiary Hospital ◽  
Adnexal Masses ◽  
Medical College ◽  
Risk Of Malignancy ◽  
Risk Of Malignancy Index ◽  
The Mean ◽  
A Prospective Study

Background: The discrimination between benign and malignant adnexal masses is important in deciding clinical management and optimal surgical planning. The aim of the study was to evaluate the effectiveness of risk of malignancy index (RMI) to identify cases with high potential of ovarian malignancy at a tertiary hospital.Methods: This prospective study was conducted over a period of two years from September 2017 to August 2019 at obstetrics and gynecology department of M. K. C. G. Medical College and Hospital, Berhampur. A total case of 130 patients with adnexal masses who underwent surgical treatment were included as histopathological report was taken as gold standard to calculate accuracy of RMI.Results: Of the total masses, 85 (65.4%) were benign and 45 (34.6%) were malignant. The mean age of patients was 41.03±14 years. The best cut off value for the RMI-3 was 225 with highest area under the ROC curve 87%, sensitivity of 75.55%, specificity of 98.82%, PPV of 97.14%, NPV of 88.42% and an accuracy of 90.76%.Conclusions: The present study demonstrated that RMI was a reliable method in detecting malignant ovarian tumors. The RMI is a simple and practically applicable tool in preoperative discrimination between benign and malignant adnexal masses in non-specialized gynecologic departments, particularly in developing countries.

scholarly journals Nutritional assessment of children at Nepal Medical College Teaching Hospital

1970 ◽  
Vol 9 (3) ◽  
pp. 184-188
Author(s):  
P Rijal ◽  
A Sharma ◽  
S Shrestha ◽  
S Upadhyay
Keyword(s):  
Teaching Hospital ◽  
Nutritional Assessment ◽  
Economic Status ◽  
College Teaching ◽  
Large Family ◽  
Standard Technique ◽  
World Health ◽  
Age Assessment ◽  
Medical College ◽  
Health Organization

Background: Child malnutrition is the single biggest contributor to under-five morbidity and mortality. Objectives: To assess the prevalence and types of malnutrition in children below 60 months of age, attending outpatient department at Nepal medical college teaching hospital in Attarkhel, Kathmandu, Nepal. Methods: A prospective study was carried out in five hundred and twelve children below 60 months of age from September 2010 to April 2011. Children detailed history, sex, weight were recorded and length/height were measured using standard technique. The length /height and weight were plotted on WHO centiles curves.1The malnutrition were graded according to WHO classification. Result: Out of 512 children, according to WHO based on weight for age assessment , 148 (28.9%) were undernourished .Subsequently, in weight for height analysis, 73 (14.2%) were wasted and in height for age assessment, 64 (12.5%) were stunted. The present study also shows , 59 (11.5%), 50 (9.80%) and 14 (2.7%) children with acute, chronic and acute on chronic malnutrition. Conclusion: This study revealed that a high prevalence of undernutrition exists in Nepalese children. Overall, 28.9% children were undernourished. Illiteracy, large family size, not exclusively breast feeding, delayed weaning and low socio- economic status are the major risk factors for malnutrition. Keywords: anthropometry; undernutrition; World Health Organization. DOI: http://dx.doi.org/10.3126/hren.v9i3.5588   HR 2011; 9(3): 184-188

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