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.1 The 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.
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. Key words: Paediatric Inpatient; Morbidity; IMCI DOI: 10.3126/jnps.v31i1.3262J Nep Paedtr Soc 2010;31(1):25-29
Growth hormone is an anabolic hormone released in pulsatile manner in the circulation. It is one of the uncommon causes of short stature in children and is largely idiopathic. The case report is about a 12 years old boy who presented with short stature. He was diagnosed to have Growth hormone deficiency. Growth hormone was started after diagnosis was made.
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