Background: Small children have less control over their dietary intake and parents have a major role to play in it. The aim of our study was to determine parental child feeding practices and their association with the weight status and dietary intake of the child. Design and methods: A cross-sectional study was conducted among 138 parents and preschool children attending two private schools in Kathmandu Valley, Nepal using a structured questionnaire. Parents filled in a self-report questionnaire to assess child feeding practices, perceived activity level of the child, and dietary intake at home. Child’s height and weight was measured using a standard height scale and a digital weighing scale. A digital food scale was used for measuring dietary intake. Results: Eight percent of the children were overweight and another 8% were obese. On bivariate analysis, the BMI of parents had weak, positive, and significant correlation ( r =0.206, p =0.016 for fathers; r =0.307, p ≤0.001 for mothers) with child’s weight status. Similarly, concern about child’s overweight had a significant, positive correlation ( r =0.232, p =0.006) with the weight status of the child. Furthermore, these three independent variables were found to be significant predictors of a child’s weight status on multivariate analysis. None of the studied independent variables was associated with dietary intake. Conclusion: The study concludes that parental BMI and parental concern about the child being overweight is significantly associated with the weight status of the child.

Background: Anterior cruciate ligament injury (ACL) is a common injury in both sporting and non-sporting population. All patients with an ACL injury may not require surgery. The criteria for deciding whether a reconstruction should be performed are not absolute and the trend is to offer reconstruction to the sporting population as they require a stable knee to perform in their line of work. The non-sporting population also require a stable knee to perform their daily activities. Objectives: To assess functional outcome in the non-sporting patients following reconstruction. Methods: A prospective observational analytical study was conducted in the age group from 18 to 55 years, with symptomatic ACL injury who were not involved in sporting activities from July 2020 to December 2021. Fifty patients participated in the study. Convenience sampling technique was used. The IKDC and Lysholm scores were used preoperatively and six months post-operatively to assess the benefit of the treatment. Results: Out of 50 patients, four were lost to follow up. Out of total 46 patients, 29 (63.04%) patients were male and 17 (36.96%) patients were female. The mean age of patients was 31.61 ± 7.38 years. The IKDC and Lysholm scores measured preoperatively were 47.07 ± 7.51 and 52.17 ± 7.91 and the six-month post-operative scores were 86.73 ± 5.54 and 90.69 ± 4.63 respectively. Conclusion: The patients from the non-sporting population who underwent ACL reconstruction had significantly improved IKDC as well as Lysholm scores compared to their function prior to the procedure.

Deep Vein Thrombosis (DVT) is a serious life threatening event which might not be paid much attention in Psychiatric setting. In this paper, a case of DVT following the use of Olanzapine is presented. The patient was in good general physical health and had no personal or familial history of DVT. There were no known risk factors for DVT. The patient was not overweight (BMI < 25) but she suffered from DVT after initiating Olanzapine. Conclusion: Risk of DVT exists in patients under treatment with atypical antipsychotics in spite of no pre existing risk factor.DOI: http://dx.doi.org/10.3126/jpan.v3i1.11351 J Psychiatrists’ Association of Nepal Vol .3, No.1, 2014: 41-42

Accidental foreign body ingestion is commonly encountered in the pediatric population, with a peak incidence between the ages of six months and three years. Since the act may go unnoticed, the child may present late. Here, we report a case of an 11 year old boy who present at Lamjung District Hospital after 24 hours of ingestions of two rupee Indian coin. To the best of our knowledge this is the first time we describe a case report on coin removal at district hospital of Nepal.

Background: The pain and limitation of shoulder function can disrupt daily activities of patients for months to years. Adhesive capsulitis is considered a self-limiting disease but the duration remains uncertain. The brunt of the disease is focussed on the inflamed joint capsule. On this basis, use of corticosteroid injection is justified. However, injection method is not conclusive. Objectives: To compare clinical benefits of intra-articular injection alone versus combined intra-articular and subacromial injections in management of adhesive capsulitis. Methods: Fifty-nine patients with diagnostic criteria for adhesive capsulitis were included in the study from March 2019 to September 2020. Patients were divided into two groups; patients who underwent intra-articular (IA) injection alone (Group 1) and those who received both intra-articular and sub-acromial (IA+SA) injection (Group 2). The injections were landmark guided. Patients were followed up at three, six, and 12 weeks. Pain was recorded using visual analogue scale (VAS) and subjective function using Constant-Murley score. Results: Twenty-eight patients were included in Group 1 (IA) and 31 in Group 2 (IA+SA). Thirty-six patients were female (18 each in Group 1 and Group 2) and 23 patients were male (Group 1 = 13; Group 2 = 10). In the twelfth week, VAS score was reduced in both the groups. On comparing the mean value of Constant-Murley score between the two groups there is significant difference in value recorded at the sixth and twelfth week. Conclusion: The IA+SA injection provides significant reduction in pain and better function in the short term over the IA injection.