Browsing by Author "Sharma, Kalpana"
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Publication A Study on Pattern of Growth in Height Among Children of Dhulikhel Municipality(Nepal Paediatric Society (JNPS), 2015) Mansur, Dil Islam; Shrestha, Anupama; Sharma, Kalpana; Mehta, Dilip Kumar; Shakya, Rojina; Timalsina, BinodAbstract: Introduction: Growth reference charts are essential to assess appropriate growth of individual children. The height of an individual is the most widely accepted method for the evaluation of growth of the children. The child's height is primarily determined by the length of his/her bones, and thus the children become tall because their bones grow in length. The purpose of the present study was to develop the mean height reference charts for school going children residing in Dhulikhel and to evolve an easily applied formula to assess the height of the children at different age groups. Material and Methods: The present study consisted of 1726 healthy school going children (945 boys and 781 girls) aged 3-16 years, from different Schools of Dhulikhel Municipality during July – December 2015. Age was recorded in year and height of each child was measured cross-sectionally in centimeter and statistical analysis was done. Results: It has been observed that there was a progressively increasing trend in the mean values of the height with advancement of age in both sexes. The study revealed that the adolescent growth spurt or highest peak velocity of girls (11-12 years) was attained earlier by one year than boys (12-13 years). Conclusions: If a child’s height is consistently or substantially different from the height of other children of the same age and gender, it indicates that the child may have a medical problem and requires monitoring or treatment. The trend of physical growth as observed in height may be expected to serve as the growth standards of Dhulikhel’s children.Publication Admitted Cases of Dengue Fever among Dengue Positive Cases in a Tertiary Care Hospital: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Poudyal, Sunita; Subba, Hem Kumari; Sharma, KalpanaAbstract: Introduction: Dengue fever, a mosquito-borne disease, is one of the emerging tropical diseases that appear primarily in rainy seasons. The number of dengue cases was increased in recent years in Nepal. Chitwan is one of the risky areas of dengue. This aim of the study is to find out the prevalence of hospital admission among the dengue positive cases. Methods: The descriptive cross-sectional study was carried out among 323 serologically confirmed dengue fever positive patient admitted in Medicine Inpatients Department of Chitwan Medical College Teaching Hospital. Ethical approval was taken from the Institutional Review Committee (Reference number. 076/077-121 dated August 30, 2019). Data were collected from 1st September 2019 to 31st December 2019 using a structured interview schedule and record review. Convenience sampling was done. Data was analysed using Statistical Package for Social Sciences version 11. Point estimate at 95% Confidence Interval was calculated, with frequency and percentage. Results: Among 1206 patient with dengue fever, 323 (26.78%) (24.29-29.27 at 95% confidence Interval) were admitted in the tertiary care hospital. Study findings revealed that out of 323 admitted patients with dengue fever, 182 (56.3%) patients were between 20-40 years of age and 179 (55.4%) were males. The highest number of patients were admitted in the months of September 192 (59.4%) and October 101 (31.2%). Conclusions: Admission rate among dengue positive cases are comparable to other studies of the similar settings. Dengue fever is common among community people especially in young adult and males. Hence, screening of dengue fever in febrile illness is necessary for the early diagnosis and prompt treatment.Publication Prevalence of Underweight, Stunting and Thinness Among Adolescent Girls in Kavre District(Nepal Paediatric Society (JNPS), 2015) Mansur, Dil Islam; Haque, Mohammad Khurshidul; Sharma, Kalpana; Mehta, Dilip Kumar; Shakya, RojinaAbstract: Introduction: Poor nutritional status during adolescence is an important determinant of health outcome. The adolescents have different needs and have diverse problems. Nutritional assessments among adolescents are important as they are the future parents and constitute a potentially susceptible group. The present study is an attempt to evaluate the prevalence of underweight, stunting and thinness including overweight among adolescent girls from rural community. Material and Methods: A cross-sectional study was conducted among school going adolescent girls, 9-16 years studying in various schools in rural area of Kavre district, Nepal during 15thMarch to 15th September 2014. The weight and height were recorded from each participant in kilogram and centimetre respectively, and nutritional status of the adolescent girls was assessed through the Z-scores of underweight (weight for age), stunting (height for age) and thinness (BMI for age) according to WHO criteria. Data was entered and analyzed by using SPSS 19.0. Results: The overall prevalence of underweight, stunting and thinness was 31.98%, 21.08% and 14.94% respectively. It was concluded that highest (49.5%) prevalence of underweight was among 11 years of adolescent girls and the lowest (20.7%) was found in the age group of 13 years. Stunting was highest in age group of 9 years (37.34%) and the lowest prevalence of stunting was 10.7% in the age group of 14 years. The highest prevalence (24.2%) of thinness was found in 9 years and lowest prevalence (11.0%) was found in 10 years adolescent girls. Conclusion: It is concluded that there is a high prevalence of under nutrition among studied adolescent girls in the rural areas of Kavre district. Health education and nutrition interventions are needed on priority basis.Publication Self-Care Practice among Patients with Chronic Obstructive Pulmonary Diseases(Nepal Health Research Council, 2024) Sharma, Kalpana; Subba, Hem Kumari; Poudyal, Sunita; Adhikari, ShitalBackground: Self-management behaviour is crucial for halting the progression of the disease and preventing exacerbations and hospitalizations in patients with chronic obstructive pulmonary diseases. Hence, this study aimed to assess self-care practice among patients with chronic obstructive pulmonary diseases attending at a teaching hospital. Methods: Cross-sectional study was carried out among 106 patients who were diagnosed to have Chronic Obstructive Pulmonary Diseases and attending at respiratory and critical care medicine department of Chitwan Medical College Teaching Hospital. Convenience sampling technique was used to select 106 samples for the study. Structured interview schedule and observation checklist were used to collect the data. Data analysis was performed in SPSS version 23 for window using descriptive and inferential statistics. Results: The finding of this study revealed that 50.0% of patients with Chronic Obstructive Pulmonary Diseases had high and 50.0% had low self-care practice. Only 5.7% were using inhaler correctly whereas 94.3% of patients were using inhaler incorrectly, Furthermore, marital status, ethnicity and level of depression were found to be the significant factors associated with self-care practice of the patients. Conclusions: Half of the patients with chronic obstructive pulmonary diseases have low self-care practice whereas almost all are using inhaler incorrectly. Hence, self-management intervention program is needed for the patients with chronic obstructive pulmonary diseases to enhance their knowledge and skill on self-care practice including inhaler use. Keywords: Chronic obstructive pulmonary diseases; patients; self-care practice.