Introduction: Jaundice is an important problem in the neonatal period especially in the first week of life. Our objective of the study is to find out the immediate outcome of hyperbilirubinemic babies admitted in Kanti Children Hospital. Methodology: This is a retrospective study and carried out in tertiary care paediatric hospital. Results: Altogether 73 babies were enrolled in the study. Male babies outnumbered the female (72.6% vs. 27.4%).Only 2.4% babies were near-term. LBW babies constitute 19.2% of the study population.86.3% of babies also have clinical sepses as defined by WHO criteria. Almost half of the babies have mild hyperbilirubinemia (15-19.9 mg/dl). Most of the babies (94.5%) improved and the mortality was 5.5%. Conclusion: Healthy term babies with a serum bilirubin <17mg/dl should not be admitted for routinely as they do not need phototherapy. Phototherapy is effective in most of the time, but exchange transfusion should also be carried out when phototherapy fails. Causes of hyperbilirubinemia should be searched extensively especially to rule out haemolysis. Key words: hyperbilirubinemia, kernicterus, neonates, phototherapy DOI: 10.3126/jnps.v30i1.2457 Journal of Nepal Paediatric Society Vol.30(1) 2010 31-36

Introduction: Estimation of stature for the purpose of identification has a significant forensic importance. This technique is based on a principle that bones or human body parts correlate positively with the stature. Stature can be estimated from measurements of various body parts such as arm, leg, feet, finger, facial height, nasal height etc. The aim of study was to correlate Stature of Nepalese with Nasal height and estimate Stature from Nasal height.Methods: A cross-sectional study of 214 healthy adults comprising 110 males and 104 females in the age group of 25 to 35 years were carried out. Study was carried out in central Nepal where people from various parts of Nepal are migrated. Total body height and Nasal height were recorded with stadiometer and sliding caliper respectively.Results: The mean of total body height in the male and female was 160.4 (±6.80) cm and 151.8 (±4.88) cm respectively. The mean of nasal height in the male and female was 4.6 (±0.31) cm and 4.3 (±0.29) cm respectively. This study observed that in both male and female nasal height had positive partial correlation with stature; r = 0.18 for male and 0.19 for female. Stature in nepali population could be calculated as: Stature=148.22+3.02x nasal height in male where as Stature=133.01+3.12x nasal height in female.Conclusions: Both Nepali male and female nasal height had positive partial correlation with stature; r = 0.18 for male and 0.19 for female. Stature in Nepali population could be calculated as: Stature=148.22+3.02x nasal height in male where as Stature=133.01+3.12x nasal height in female.Keywords: estimation; stature; nasal height. | PubMed

Due to regular exercises, athletes tend to have an increase in pulmonary functions when compared to non exercising individuals, especially when the exercise is strenuous. Intensity and severity of sports engaged in by the athletes determines the extent of strengthening of the inspiratory muscles with a resultant increase in the lung volumes and capacities. Pulmonary parameters like tidal volume and forced vital capacity are significantly higher in athletes than in non athletes. A cross sectional comparative study was carried out in national sports council, Tribhuvan army club and institute of medicine, Kathmandu, Nepal. The athletes were footballers from Tribhuvan army club and sprinters from national sports council. The non-athletes were medical students from the institute of medicine, Kathmandu. Data were collected after performing spirometry and mean values were compared between athletes and non-athletes. Pulmonary functions were assessed based on forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) and peak expiratory flow rate (PEFR) expressed as percent predicted for the age, sex, height, weight and race. Spirometry was performed in 169 subjects, out of which 84 were athletes and 85 were non-athletes. Athletes had a significantly superior FVC (P =0.00) compared to non-athletes. FEV1 was also recorded significantly higher in athletes than in non-athletes (P=0.023). Athletes have better pulmonary function tests than non-athletes because exercise in athletes strengthens the muscles of respiration.

Introduction: Cardiovascular autonomic functions are affected by the negative influences of stress which bring about alterations in heart rate variability (HRV). Yoga based relaxation techniques like Yoga Nidra have been found to relieve stress as shown by improved HRV. This study was conducted to assess the immediate effects of a yoga based guided relaxation technique, Yoga Nidra on HRV parameters in young and healthy volunteers. Methods: This was an interventional study conducted in the Department of Clinical Physiology, Institute of Medicine, Maharajgunj. Fifty two male medical students were divided into supine rest group (n=26) and Yoga Nidra group (n=26). HRV indices were recorded before and after supine rest and Yoga Nidra. Intra-group and inter-group comparisons of the HRV parameters were done before and after the interventions. Results: In comparison to the supine rest, Yoga Nidra produced significant increase in values of HF (1460.72 Vs 3272.99; p=0.03) and HFnu (50.32 Vs 62.68; p=0.004); and significant reduction in the values of LFnu (49.68 Vs 37.32; p=0.004) and LF:HF ratio (0.99 Vs 0.59; p=0.004), which suggested that the parasympathetic modulating response of Yoga Nidra was better than that of supine rest. Conclusion: Yoga Nidra, a yoga based relaxation technique brings better relaxation response than supine rest as indicated by the significantly improved HRV indices.

Introduction: Controlled breathing not only keeps your mind and body functioning at their best, it can also lower blood pressure, promote feelings of calm and relaxation and help you de-stress. Many experts encourage using the yoga breathing exercises as a means of increasing awareness, mindfulness and reducing anxiety. Over-worked, under-slept, and feeling pressure may impair breathing pattern. There are some yoga breathing exercise techniques that improve ventilatory function.