Browsing by Author "Ghimire, Amrita"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Demographic Profile and Outcome of Pediatric Intensive Care Unit(Nepal Health Research Council, 2023) Bastola, Ramchandra; Shrestha, Shree krishna; Sigdel, Bhawana; Poudel, Drishti; Ghimire, Sunita; Ghimire, Amrita; Khadka, Khim Bahadur; Basnet, AnjaliAbstract Background: Pediatric intensive care provides better observation as well as an intensive treatment, which helps to cure, support, and provide better outcomes for sick children. This study aimed to describe the demographic profile and the outcome of PICU patients, and evaluate the relationship of diagnostic categories with treatment and outcome. Methods: This retrospective cross-sectional study was conducted in a six-bedded PICU from 1 March 2021 to 1 March 2022. Bivariate analysis was used to identify the association between dependent and independent variables. Results: The infants admitted below 6 months of age were 63 (22.3%) and had male predominance accounting for 64%. The main portal of entry of the admitted cases was emergency ward 214(75.6%). Most of the patients 153(54.1%) were admitted for intensive monitoring of their abnormal vitals along with critical care according to our PICU protocol. Respiratory illness 122(43.1%), neurosurgical illness 59(20.8%), and primary infectious disease 52(18.3%) were the common reason for PICU admission. Post-major surgery 2(66.7%), hematological illness 3(37.5%), and cardiac disorders 1(20%) had high mortality rates. Among the portal of admission, the majority of the children (80.0 %) who were admitted to the PICU through the emergency ward died before exiting from the PICU (p<0.0001). Conclusions: Respiratory illness was the most common cause of admission and post-major surgery had the highest mortality rate. Portal of entry was statistically associated with patient characteristics and had a significant relationship with the outcome. Similar studies in other health institutions are required to further analyze the demographic profile and outcome of pediatric critical care in Nepal. Keywords: Infants; Intensive care; Patients; PediatricPublication Feeding Practices of Infants and Young Children in Pokhara Metropolitan City(Nepal Health Research Council, 2024) Manandhar, Varsha; Upadhyaya, Baidehi; Manandhar, Smriti; Manandhar, Alisha; Ghimire, AmritaBackground: For children to grow and develop normally, appropriate feeding practices are essential, especially in the first two years of their lives. These practices can vary depending on the different sociodemographic factors. This study aims to study the feeding practices of infants and young children in different wards of Pokhara Metropolitan City. Methods: A community-based cross-sectional study was conducted and 280 mothers of infants and young children 0-23 months of age were interviewed using a semi-structured questionnaire. Data were entered and cleaned in Ms-Excel and then exported to SPSS version 21.0 for statistical analysis. Binary logistic regression analysis was used to find the association of feeding practices with different independent variables. Results: Only 32.3% of children 0-5 months of age were found to be appropriately breastfed, and 41.8% of children 6-23 months of age were found to have appropriate complementary feeding practices. Children delivered by normal vaginal delivery (AOR 18.118, p < 0.01, 95% CI 3.831 – 85.689) were more likely to have appropriate breastfeeding practices than those delivered by caesarean section. Children of birth order two or more (AOR 2.226, p = 0.016, 95% CI 1.171 – 4.620) and living in nuclear families (AOR 2.488, p = 0.013, 95% CI 1.120 – 5.116) were found to have appropriate complementary feeding practices. Conclusions: This study concludes that the feeding practices of the majority of the infants and young children in Pokhara are not adequate as per the WHO and UNICEF standards. Keywords: Breastfeeding; complementary feeding; IYCF; Pokhara.