Browsing by Author "Basnet, Sudha"
Now showing 1 - 4 of 4
Results Per Page
Sort Options
Publication Effectiveness of Kangaroo Mother Care in Early Weaning of Oxygen Therapy among Preterm Neonates in a Tertiary Care Center in Nepal: A Quasi-Experimental Study(Nepal APF Hospital, 2026) Karki, Rajani; Basnet, Sudha; Gupta, Pradeep Kumar; Thapa, June; Adhikari, Punam; Shah, Prakash ManAbstract: Introduction: Kangaroo Mother Care is a cost-effective intervention based on skin-to-skin contact and exclusive breastfeeding that improves survival in preterm and low birth weight infants. Early initiation of Kangaroo Mother Care during respiratory support has shown benefits in stabilizing vital parameters and improving oxygenation. The aim of this study was to find out the effectiveness of early Kangaroo Mother Care during oxygen therapy in preterm neonates. Methods: This was a quasi-experimental study conducted among 62 preterm neonates of less than 37 weeks of gestation who were on assisted respiratory support, admitted in neonatal ward and neonatal intensive care unit of Tribhuvan University Teaching Hospital from May 2023 to March 2024. Ethical approval was obtained from the Institutional Review Board of the Institute of Medicine (Reference no: 545(6-11) E2). The enrolled neonates were alternately assigned to the two groups interventional and conventional care group. Neonates in intervention group were started on KMC while still receiving oxygen therapy while the conventional care group received daily routine care. Data was collected in predesigned performa and was entered in Statistical Package for the Social Sciences version 26. Results: The duration of oxygen therapy was shorter in the Kangaroo Mother Care group than in the conventional group, with a mean difference of 29.30 h (95% CI 45.98 to 12.62; p=0.001). Hospital stay was shorter in the same group (6.47± 2.84 vs 7.55±3.74 days; p=0.215). Complications were also less frequent, and vital parameters improved significantly after one hour of Kangaroo Mother Care. Conclusions: Early Kangaroo Mother Care during oxygen therapy reduces duration of oxygen therapy, hospital stay and neonatal complications along with stabilization of vital parameters.Publication Efficacy of Hyoscine Butylbromide Versus Drotaverine in Relieving Acute Nonspecific Abdominal Pain in Children- A Non - Randomized Trial(Nepal Paediatric Society (JNPS), 2022) Paudel, Pradip Kumar; Basnet, Sudha; Shreshtha, MerinaAbstract: Introduction: Acute abdominal pain is a very common complaint for children presenting to the emergency department (ED). The purpose of this study was to compare efficacy of hyoscine and drotaverine for relieving acute nonspecific abdominal pain in children presenting to ED. Methods: Total of 52 children aged six years to 16 years were enrolled in a non-randomized trial at Paediatric ED of TUTH from Dec 2017 to June 2018, and randomly allocated to drotaverine or hyoscine groups; 26 in each group. Face pain score-revised tool was used to measure the efficacy of the drug. The primary outcome was to measure the reduction of face pain score (Self-reported) by at least 2 / 10 at 60 minutes after ingestion of study intervention. Other outcomes were requirement of rescue analgesia and adverse effects of drugs. Results: A total of 20 (77%) in hyoscine and 21 (81%) in drotaverine group responded to oral medication at the end of 60 minutes of oral administration and the difference was not statistically significant (p=0.808). Vomiting was only adverse event present in five (19%) in drotaverine and two (8%) in hyoscine groups, respectively. Conclusions: In this single center randomized controlled trial, both hyoscine and drotaverine were found to be equally efficacious for relieving acute non-specific abdominal pain in children.Publication Prevalence of Asthma, Eczema and Allergic Rhinitis Symptoms in School Children of Kathmandu Valley: Results of a Questionnaire Survey(Nepal Paediatric Society (JNPS), 2018) Sharma, Arun Kumar; Basnet, Sudha; Thapa, Surya BAbstract: Introduction: Asthma is the most common chronic disease in children. This study was performed to determine the prevalence of asthma, eczema and allergic rhino-conjunctivitis symptoms in school children of Kathmandu. Methods: This questionnaire-based survey was conducted from December 2009 to August 2010 in 13 schools of Kathmandu among children aged six to seven years and 13 to 14 years based on questions adapted from International Study on Asthma and Allergies in Children (ISAAC) and translated into Nepali. Data were analysed using SPSS and prevalence of self-reported asthma-like symptoms, eczema and allergic rhinitis were assessed. Results: The questionnaire was distributed to 8269 children with a response rate of 68.54%. About 7.5% replied positively for "ever wheezed” (8.1% in older and 6.4% in young children) and 5.2% reported, "current wheeze" (4.2% in younger and 5.8% in older children). Boys had more frequent wheezing than girls in both age groups (p < 0.05). More children had nocturnal cough not associated with cold or chest infection (16.0%) and exercise-induced symptoms (9.4%). The overall prevalence of eczema was 6.2%; younger children (7.2%) reporting symptoms more commonly than older children (5.6%). The reported prevalence of allergic rhinitis was 28.2% (31.2% in older as compared to 22.9% in younger children). Allergic symptoms like “current wheeze”, “eczema” and “allergic rhinitis” were frequently reported together. Conclusion: Asthma, eczema and allergic rhinitis are common in school children of Kathmandu. A multi-centre study across all ecological zones in both rural and urban settings including video questionnaire will more accurately estimate asthma prevalence and its trends in school children of Nepal.Publication Self-Assessment of Non-communicable Diseases related Competencies among Interns of a Medical Institute of Nepal(Institute of Medicine, 2022) Pradhan, Pranil MS; Adhikari, Bidur; Pant, Sagun B; Ranjit, Nirju; Rawal, Suniti; Basnet, SudhaABSTRACT Introduction: One of the essential strategies to tackle rising burden of non-communicable diseases (NCD) is development of competent local human resource. Assessing the level of competencies in pre-service curriculum is the first step towards building an NCD-ready health workforce. This study aimed to assess perception of competence in delivering World Health Organization Package of Essential Non-communicable diseases (WHO-PEN) interventions among interns of Maharajgunj Medical Campus of Institute of Medicine (IOM). Methods: A survey was conducted at Maharajgunj Medical Campus of Institute of Medicine among interns using online questionnaire. The questionnaire contained seven sections on different competencies to prevent and manage NCDs. Ethical approval was obtained from Institutional Review Committee of IOM. Descriptive analysis was done to identify the level of competencies. Statistical analysis was performed using Microsoft Excel and IBM SPSS version 20. Results: Majority of the interns expressed low to moderate confidence in managing patients with presenting complaints of major NCDs. Most interns could perform diagnostic procedures and screening related to NCDs and mental disorders under supervision only (56.9%-68.6%), and one third felt they were unable to perform spirometry and visual inspection of cervix with acetic acid. Most interns could provide counseling on major NCD risk factors, self-care and palliative care only under supervision. Majority could not identify key NCD service performance measures and their data sources. Conclusion: Skills of independently diagnosing and screening for NCDs, counselling on healthy lifestyle, alcohol and tobacco cessation and conduct motivational interviewing, self-care and palliative care were limited. Keywords: Competency based education, non-communicable disease, undergraduate medical education