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Child undernutrition has been a prevailing issue in Nepal and the burden still remains unacceptably high. It is important to look at how infants and young children's feeding practices and nutritional status are affected by nutrition transitioning in rapidly urbanizing Nepal.A cross-sectional research design was employed with healthy children aged 6-23 months and their mothers visiting the hospital for regular immunization services as the study population. Data was collected from 305 children over six months from September 2019 to January 2020. Anthropometric measurements (weight and length) were collected of all children and their mothers'/care takers were interviewed on the Infant and Young Child Feeding practices. Data was analyzed using WHO Anthro Survey Analyzer, Microsoft Excel and STATA 15 Results: Early initiation of breastfeeding was 47.9% and use of bottle was 48.5%. Minimum dietary diversity, minimum meal frequency and minimum acceptable diet were 66.2%,79.1% and 54.4% respectively. Consumption of nutrient-poor packaged foods was 63.0%with biscuits being the most common type (52.1%) and 32.8% of the children were found to be drinking tea. Overall,13.8% of the children were stunted,3.9% were underweight and1.7% were wasted while 2.3% were overweight.Practices related to breast feeding and diets of young children in urban areas of Nepal are not optimal with only around half meeting the minimum standards recommended by the WHO. Therefore, there is a pressing need to wake up to the rapidly changing dietary patterns among young children through necessary urban nutrition policies and programmatic interventions.

Worldwide, stroke is the second leading cause of death and disability. The burden of stroke in countries like Nepal is increasing. The purpose of this study is to describe the epidemiology, clinical features, and functional outcomes of individuals with stroke in a rehabilitation hospital in Nepal.A prospective descriptive study was conducted among individuals with stroke presenting for inpatient rehabilitation to the Nepal's first interdisciplinary inpatient stroke rehabilitation unit over a one-year period; from 1 April 2018 - 30 March 2019.Twenty-four individuals were enrolled, with average age of 56.8 years (SD 11.9, range 38-79). Seventeen patients (71%) presented with ischemic stroke. Hypertension was the most common modifiable stroke risk factor observed, present in 21 (88%) of individuals. Median rehabilitation length of stay was 32.5 days (IQR 15.3 - 68.8). Median Modified Barthel Index at admission was 25.0 (IQR 8.5-57.0) and at discharge was 67.0 (IQR 46.0-88.0), a statistically significant improvement (Z = -3.408, p = 0.001). Median Modified Rankin Scale on admission was 5.0 (IQR 4.0-5.0) and at discharge was 4.0 (IQR 3.6-4.8; Z = -3.276, p = 0.001).Most individuals with stroke admitted for interdisciplinary stroke rehabilitation demonstrated "severe" levels of disability and dependency on admission, and "moderate" levels of disability and dependency at the time of discharge. Hypertension represents a strategic target for primary and secondary prevention of stroke. With the burden of stroke increasing in Nepal, it is imperative to improve long-term availability and access to comprehensive stroke care for all affected individuals.

Background: Child undernutrition has been a prevailing issue in country like Nepal. Though there has been progress over the decades, the burden of child undernutrition still remains unacceptably high. It is important to look at how infants and young children’s feeding practices and nutritional status are affected by nutrition transitioning in rapidly urbanizing Nepal Methods: This is a cross-sectional research design Children aged 6-23 months and their mothers visiting the hospital for regular immunization services constituted the study population. Data was collected from 305 children over four months from September 2019 to January 2020. Anthropometric measurements (weight and length) were collected of all children and their mothers/caretakers were interviewed on the IYCF practices via a semi-structured questionnaire Data was analyzed using WHO Anthro Survey Analyzer, Microsoft Excel and STATA 15.Results: Early initiation of breastfeeding was 47.9% and use of bottle was 48.5%. Minimum dietary diversity, minimum meal frequency and minimum acceptable diet were 66.2%, 79.1% and 54.4% respectively. Consumption of nutrient-poor packaged foods was 63.0% with biscuits being the most common type (52.1%) and 32.8% of the children were found to be drinking tea. Overall, 13.8% of the children were stunted, 3.9% were underweight and 1.7% were wasted while 2.3% were overweight.Conclusion: The practices related to breastfeeding and diets of young children in urban areas of Nepal are not optimal with only around half meeting the minimum standards recommended by the WHO. Therefore, there is a pressing need to wake up to the rapidly changing dietary patterns among young children through necessary urban nutrition policies and programmatic interventions, the rising adverse nutrition issues can be nipped in the bud before they get too pervasive.