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Indian Pediatrics

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https://www.readbyqxmd.com/read/28368273/consensus-statement-of-the-indian-academy-of-pediatrics-on-evaluation-and-management-of-learning-disability
#1
M K C Nair, Chhaya Prasad, Jeeson Unni, Anjan Bhattacharya, S S Kamath, Samir Dalwai
JUSTIFICATION: Learning Disability (LD) in children is a well-recognized developmental disorder, which has profound academic and psychosocial consequences. Due to the complex nature of LD and multiple disadvantages posed to the child due to LD, a multidisciplinary approach towards intervention is warranted. Given the paucity of evidence-based standardized treatment approaches, consensus guidelines for management of LD are needed. PROCESS: The meeting on formulation of national consensus guidelines on neurodevelopmental disorders was organized by Indian Academy of Pediatrics in Mumbai, on 18th and 19th December, 2015...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28368272/consensus-statement-of-the-indian-academy-of-pediatrics-on-evaluation-and-management-of-autism-spectrum-disorder
#2
Samir Dalwai, Shabina Ahmed, Vrajesh Udani, Nandini Mundkur, S S Kamath, M K C Nair
JUSTIFICATION: Autism Spectrum Disorder (ASD) is a clinically heterogenous condition with a wide range of etiological factors and causing significant public health burden. ASD poses a serious developmental disadvantage to the child in the form of poor schooling, social function and adult productivity. Thus, framing evidence-based national guidelines is a pressing need. PROCESS: The meeting on formulation of national consensus guidelines on neurodevelopmental disorders was organized by Indian Academy of Paediatrics in Mumbai on 18th and 19th December 2015...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28368271/consensus-statement-of-the-indian-academy-of-pediatrics-on-evaluation-and-management-of-attention-deficit-hyperactivity-disorder
#3
Samir Dalwai, Jeeson Unni, Veena Kalra, Pratibha Singhi, Leena Shrivastava, M K C Nair
JUSTIFICATION: Attention-Deficit/Hyperactivity Disorder (ADHD) is a highly prevalent in children worldwide. Management of ADHD requires a systematic, multidisciplinary approach and thereby, evidence-based, standardized national guidelines are essential. PROCESS: A meeting for formulation of national consensus guidelines on neurodevelopmental disorders was organized by Indian Academy of Pediatrics in Mumbai, on 18th and 19th December, 2015. The invited experts included Pediatricians, Developmental Pediatricians, Pediatric Neurologists, Psychiatrists, Remedial Educators and Clinical Psychologists...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28368270/lack-of-research-amongst-undergraduate-medical-students-in-india-it-s-time-to-act-and-act-now
#4
Rajesh Garg, Shobha Goyal, Kamaljit Singh
Participation in research is important in producing doctors with an understanding of evidence-based medicine. Though a mandatory part in post-graduation medical course, research has largely been invisible from the under graduation medical course in India. Very few opportunities are available at under graduate level. The reason behind this is lack of encouragement, lack of basic infrastructure, facilities and structured mentorship programs, no extra incentives to researchers and the long journey to get academic acclaim...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28368269/probiotics-for-feed-tolerance-in-very-low-birth-weight-neonates-a-randomized-controlled-trial
#5
A Shashidhar, P N Suman Rao, Saudamini Nesargi, Swarnarekha Bhat, B S Chandrakala
OBJECTIVE: To measure the efficacy of a probiotic formulation on time to reach full enteral feeds in VLBW (very low birth weight) newborns. DESIGN: A blinded randomized control trial. SETTING: A tertiary care neonatal intensive care unit (NICU) in Southern India between August 2012 to November 2013. PARTICIPANTS: 104 newborns with a birth weight of 750-1499 g on enteral feeds. INTERVENTION: Probiotic group (n=52) received a multicomponent probiotic formulation of Lactobacillus acidophilus, Lactobacillus rhamnosus, Bifidobacterium longum and Saccharomyces boulardii once a day at a dose of 1...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28368268/candida-blood-stream-infection-in-neonates-experience-from-a-tertiary-care-teaching-hospital-of-central-india
#6
Sriparna Basu Alam, Rajesh Kumar Mahfuz, Ragini Tilak Munirul Islam, Ashok Kumar Mondal
OBJECTIVE: To assess the epidemiology of neonatal Candida blood stream infection. METHODS: Medical records of neonates with Candida blood stream infection over five years (September 2010 to August 2015) were reviewed. Clinical details, species distribution and antifungal susceptibility were noted. RESULTS: 114 neonates developed Candida blood stream infection. Commonly isolated Candida species were C. tropicalis, C. albicans and C. parapsilosis...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28368267/contextual-factors-for-stunting-among-children-of-age-6-to-24-months-in-an-under-privileged-community-of-dhaka-bangladesh
#7
Md Ashraful Alam, Mustafa Mahfuz, M Munirul Islam, Dinesh Mondal, Ams Ahmed, Rashidul Haque, Tahmeed Ahmed, Md Iqbal Hossain
OBJECTIVE: To determine factors associated with stunting among children aged 6 to 24 months in a slum of Dhaka, Bangladesh. METHODS: We conducted this case control study during November 2009 to December 2012. Children were classified as case if length-for-age Z-score (LAZ) was <-2 and as control if LAZ was >-1 SD. The logistic regression model was used to find the factors associated with stunting. RESULTS: The significant risk factors for stunting were: child's age >12 months, maternal undernutrition, mother's education <5 years, consumption of untreated drinking water and monthly family income <100 USD...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28368266/growth-failure-in-hereditary-spherocytosis-and-the-effect-of-splenectomy
#8
Anirban Das, Deepak Bansal, Amita Trehan, Reena Das
OBJECTIVE: To analyze growth-failureand improvement, if any, following splenectomy in children with hereditary spherocytosis. METHODS: Data collection from case-records (n=82) over 27-years(1985-2011). RESULTS: Prevalence of stunting was 26%; 32% were underweight. Stunted children were older in age (P=0.006) and presented late (P=0.003). Splenectomy (n=26) improved anemia (P<0.001). However, height-for-age did not improve at 1-year, or 4...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28368265/neurodevelopmental-outcome-of-children-with-congenital-hypothyroidism-diagnosed-in-a-national-screening-program-in-turkey
#9
Bahar Toklu Baysal, Bora Baysal, Ferah Genel, Baris Erdur, Erhan Ozbek, Korcan Demir, Behzat Ozkan
OBJECTIVE: To study the factors affecting a neurodevelopmental status of children with congenital hypothyroidism, diagnosed on national screening program. METHODS: The study was performed in the Pediatric Endocrinology Department of Dr. Behcet Uz Children's Hospital between May 2012 and May 2013. Children with congenital hypothyroidism, aged between 24 and 36 months, diagnosed by national screening program were included in the study group. Healthy subjects at the same age group consisted of the control group...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28368264/validating-neck-circumference-and-waist-circumference-as-anthropometric-measures-of-overweight-obesity-in-adolescents
#10
Lipilekha Patnaik, Sumitra Pattnaik, E Venkata Rao, Trilochan Sahu
OBJECTIVE: To measure neck circumference and waist circumference, to compare it between normal and overweight/obese adolescents, and to validate these with body mass index. METHODS: This crosssectional study was conducted in 1800 school-going adolescents. Body mass index, waist circumference and neck circumference were measured. Independent samples t-test and Pearson's correlation were used as tests of significance to analyze quantitative data. RESULTS: Positive correlation of neck circumference and waist circumference with body mass index was observed...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28368263/transcutaneous-bilirubin-nomogram-for-healthy-term-and-late-preterm-neonates-in-first-96-hours-of-life
#11
Pareshkumar Thakkar, Hardas Chavda, Vikas Doshi
OBJECTIVE: To develop nomogram of Transcutaneous Bilirubin among healthy term and late-preterm neonates during first 96 hours of age. OBJECTIVE: HASH(0x37c3918) DESIGN: Prospective longitudinal study. SETTING: Neonatal unit of a tertiary care Hospital of Central Gujarat, India. PARTICIPANTS: 1075 healthy term and late preterm neonates (≥35weeks). INTERVENTION: Six-hourly transcutaneous bilirubin was obtained from birth to 96 hour of life using Drager JM 103 Transcutaneous Bilirubinometer...
March 29, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159955/respiratory-morbidity-following-pediatric-orthotopic-liver-transplantation
#12
Shahzad Alam, Anilkumar Sapare, Sanjay Rao, Rajiv Aggarwal, Ashley L D'cruz
We evaluated the pulmonary complications following orthotopic liver transplantation in children (age <18 y). Twenty-two patients (49%) developed respiratory complications. Pediatric end-stage liver disease(PELD) score >25 and positive fluid balance were independent risk factors. Patients with respiratory complication had significantly higher mortality and intensive care unit stay.
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159954/assessment-of-newborn-care-corner-in-public-health-facilities-from-ludhiana-district-of-india
#13
Samridhi Gulati, Sarit Sharma, Rajinder Gulati
In a cross-sectional Study of 15 public health facilities in Ludhiana District of India, we evaluated 22 delivery points for equipment and trained health personal available at Newborn Care Corner (NBCC) for neonatal resuscitation. NBCCs were established at all the delivery points except one, with radiant warmers in place including non-functional warmers at four (18%) delivery points. Self-inflating resuscitation bag was available at 20 delivery points but shoulder roll and masks of both sizes were available at only 4 (18%) and 5 (27%) delivery points, respectively...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159953/clinical-profile-of-dengue-infection-in-immune-compromised-children
#14
Amitabh Singh, Rachna Seth, Mohit Singla, S K Kabra, Rakesh Lodha
Review of records of children admitted with dengue infection was carried out to compare clinical and laboratory parameters, course of illness, and outcome between immune-compromised and immune competent patients. Statistically significant differences were found in days to platelet recovery (P=0.03), hepatic dysfunction (P= 0.04), and higher requirement of fluid (P= 0.01) in immunecompromised group.
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159952/profile-of-children-hospitalized-with-acute-poisoning-in-new-delhi
#15
Manas Pratim Roy, Ratan Gupta, Meenakshi Bhatt, Kailash Chander Aggarwal
195 cases of acute poisoning among children (age<12 y) in a tertiary hospital were identified over a period of one year. Two-thirds (63%) of them were males and 75% were below five years of age. Poisoning by medicines was most common (17%) followed by ingestion of corrosives/detergents (16%) and kerosene (14%).
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159951/the-accuracy-of-tactile-assessment-of-fever-in-children-by-caregivers-a-systematic-review-and-meta-analysis
#16
Yan-Wei Li, Le-Shan Zhou, Xing Li
CONTEXT: Fever is the most common complaint in the pediatric and emergency departments. Caregivers prefer to detect fever in their children by tactile assessment. OBJECTIVE: The purpose of this systematic review was to summarize the evidence on the accuracy of caregivers' tactile assessment for detecting fever in children. EVIDENCE-ACQUISITION: We performed a literature search of Cochrane Library, Pub Med, Web of Knowledge, EMBASE (ovid), EBSCO and Google Scholar, without restriction of publication date, to identify English articles assessing caregivers' ability of detecting fever in children by tactile assessment...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159950/implementation-of-a-mini-clinical-evaluation-exercise-mini-cex-program-to-assess-the-clinical-competencies-of-postgraduate-trainees-in-pediatrics
#17
Sumaira Khalil, Anurag Aggarwal, Devendra Mishra
OBJECTIVE: To implement Mini-CEX, a Workplace-based assessment tool, for formative assessment of clinical skills of final year pediatric post-graduate residents. METHODS: All final-year postgraduate residents at the Department of Pediatrics of a public medical college in India underwent mini-CEX assessment by rotation among six faculty members. Outcome was assessed by an anonymous questionnaire-based feedback from the participating students and faculty members collected after the completion of all the mini-CEX encounters...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159949/practice-based-learning-and-improvement-pbli-in-postgraduate-medical-training-milestones-instructional-and-assessment-strategies
#18
Rajiv Mahajan, - Anshu, Piyush Gupta, Tejinder Singh
Patient-safety and quality-improvement are high-priority issues. One of the ways by which this can be implemented is by training residents to gather and appraise scientific evidence, as well as to evaluate their own patient-care practices. This competency is called Practice-based Learning and Improvement (PBLI). Training in PBLI provides residents with skills and knowledge necessary to reflect on their own strengths and deficiencies, identify their own learning needs, and engage in learning for improvement...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159948/admission-to-undergraduate-and-postgraduate-medical-courses-looking-beyond-single-entrance-examinations
#19
Tejinder Singh, Jyoti Nath Modi, Vinay Kumar, Upreet Dhaliwal, Piyush Gupta, Rita Sood
In India, a single national level entrance examination for admission to undergraduate and postgraduate medical courses has been introduced. This is largely an effort towards alleviating financial corruption in admission process, improving logistics and ease of examination for students, and resource efficacy in conduction of examination. Unfortunately, the possible educational impact of such single high stakes examination has not been overtly discussed. A major handicap in doing so is the lack of documentation and analysis of our own experience with multiple entrance examinations over many years...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159947/producing-competent-doctors-the-art-and-science-of-teaching-clinical-skills
#20
Upreet Dhaliwal, Avinash Supe, Piyush Gupta, Tejinder Singh
For a doctor to provide medical care with competence, he must not only have knowledge but must also be able to translate that knowledge into action. It is his competence in clinical skills that will enable him to practice safely and effectively in the real world. To ensure acquisition of clinical skills, medical teachers must adopt teaching methods that prioritise observation, practice, feedback; and more practice. We try to elucidate the meaning of clinical skills, the challenges inherent in clinical skills training in India, training models that have shown success in practice and can be adopted in the Indian context, and various techniques to enhance skill-training, including the giving of feedback, which is a critically important component of skills development...
February 2, 2017: Indian Pediatrics
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