Browsing by Author "Kayastha, Pawana"
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Publication Feeding Intolerance among Preterm Neonates Admitted to the Neonatal Intensive Care Unit at a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Kayastha, Pawana; Shrestha, Sabina; Subba, AshishAbstract Introduction: Premature infants frequently suffer from feeding intolerance related to prematurity and are highly associated with morbidity and mortality. Breast milk is fundamental to the improvement of the infant’s immature vulnerable framework and decreases child mortality. The aim of this study was to find out the prevalence of feeding intolerance in premature neonates admitted to the neonatal intensive care unit of a tertiary care centre. Methods: This descriptive cross-sectional study was carried out among premature infants admitted to the Neonatal Intensive Care Unit of a tertiary care hospital, from 15 December 2021 to 15 May 2022 after receiving ethical approval from the Institutional Review Committee (Reference number: 2211202103). Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among the 55 preterm neonates, the prevalence of feeding intolerance was 21 (38.18%) (25.34-51.02, 95% Confidence Interval). Conclusions: The study showed that the prevalence of feeding intolerance among neonates was higher than in studies conducted in similar settings.Publication Prevalence of Vitamin D Deficiency and its Awareness and Knowledge Among Parents(Nepal Paediatric Society (JNPS), 2021) Kayastha, Pawana; Chaudhary, Robin Kumar; Basnet, SubashAbstract: Introduction: Role of vitamin D in bone related diseases has a long history but mounting scientific evidences now show serious consequences on overall health of children. Despite the close link of vitamin D with child’s health, its inadequacy is not widely recognised as a problem in our population. This study is aimed to find out the prevalence of vitamin D deficiency in children and its awareness among parents. Methods: It is a prospective, cross-sectional study conducted in paediatric outpatient department of Kathmandu Medical College and Hospital from January to May 2020. Children of one to 15 years were included and 295 samples were taken. A pre-designed questionnaire was given to all participants.Vitamin D3 levels were tested with Chemiluminiscence Immuno Assay (CLIA) technique. The status of vitamin D was defined as deficient if vitamin D3 level less than 50 nmol/l. Results: Vitamin D deficiency were observed in 76.9% and among which 21%, 44.7% and 11.2% were mild, moderate and severe vitamin D deficiency respectively. Vitamin D level was observed significantly higher in males, younger children, those with presence of knowledge of vitamin D and those with adequate sun exposure. On the other hand factors like skin colour, time of exposure and exposed body parts to sun did not influence vitamin D level. Conclusions: This study shows high prevalence of vitamin D deficiency among children but awareness among parents regarding vitamin D and its deficiency was low.