Browsing by Author "Chandrashekhar, TS"
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Publication Cephalic index of Gurung community of Nepal - An anthropometric study(Kathmandu Unversity, 2005) Lobo, SW; Chandrashekhar, TS; Kumar, SCephalic Index (CI) is useful in differentiation of racial and sexual differences. There is no published literature about CI of Gurung community in Nepal. Hence, we under took this study to document the cephalometric characteristics and gender differences in CI of a Gurung community. Head length, head breadth and CI were determined for 267 subjects of Gurung village. The mean CI for male was 83.1 and for female 84.6 which was statistically significant. On comparison with the existing literature the Gurung community can be categorized as brachycephalic and the data presented can be useful for experts in forensic science. Key words: Cephalic Index, Gurung Community, BrachiocephalicPublication Early pregnancy termination with a simplified mifepristone - medical abortion outpatient regimen(Kathmandu University, 2009) Chuni, N; Chandrashekhar, TSAbstract Background: An estimated 30 million abortions are performed worldwide every year. Many women do not have access to abortion and die of complications after illegal abortions. Medical abortion could provide greater access to safe abortion services; availability of the procedure is, therefore, of global public health importance. Aim: The aim was to study the efficacy of lowered dose of Mifepristone in medical abortion. Materials and methods: One hundred and twelve cases with a pregnancy of 63 days duration or less were enrolled in a prospective study using a lowered dose of 200mg Mifepristone followed, 48 hours later, by home administration of 400μg Misoprostol orally. At the second visit, on day 15, outcome and adverse effects were analysed. Women who failed to undergo a complete abortion were further managed by surgical evacuation of uterus. Results: The mean gestational age was 50.6 days. The rates of complete abortion were 92.8%, 83 % and 80 % in the ≤49 days group, 50 to 56 days and 57 to 63 days group respectively. Vaginal bleeding emerged as the biggest reason for medically indicated termination. Nulliparous women had a greater frequency of side effects, though values did not reach statistical significance. Conclusion: This regimen of a lower dose of 200mg Mifepristone, followed by home administration of 400μg oral Misoprostol 48 hours later is safe and highly effective especially in pregnancies of up to 49 days duration. Key words: Mifepristone, Medical termination of pregnancy (MTP)Publication Infant feeding practices of mothers in an urban area in Nepal(Kathmandu University, 2007) Subba, SH; Chandrashekhar, TS; Binu, VS; Joshi, HS; Rana, MS; Dixit, SBBackground: Child health in developing countries including Nepal is a matter of serious concern as the prevalence of malnutrition among children continues to be high with 48.6% of children under five in Nepal being underweight. Since infant feeding practices adopted by mothers play a major role in influencing health of these children, there is a need to study the infant feeding practices prevalent in different areas in order to have pragmatic approaches to solve this problem. Materials and methods: A cross sectional study was conducted among mothers who attended the immunization clinics of 18 wards of Pokhara municipality area. They were interviewed with a semi-structured questionnaire on various aspects of infant feeding. Result: A total of 168 mothers were interviewed and prevalence of breastfeeding was 99.4% (167). Only 43.5% of the mothers initiated breastfeeding within one hour of birth and 60.5% were practicing exclusive breastfeeding at 5 months. Almost 40% of the mothers started complementary feeding before the recommended age of 6 months and 22.5 % delayed introduction of complementary feeding beyond the recommended age. Conclusion: Breast feeding practices adopted by mothers of Pokhara urban area are still lacking in terms of late initiation of and early starting of complementary feeding. There is a need to educate the mothers regarding proper infant feeding practices. Key words: infant feeding, breastfeeding, weaning