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Indian Pediatrics

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https://www.readbyqxmd.com/read/28159955/respiratory-morbidity-following-pediatric-orthotopic-liver-transplantation
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
https://www.readbyqxmd.com/read/28159946/lean-body-mass-in-urban-north-indian-adolescents-and-its-relation-with-bone-health
#10
Raman K Marwaha, M K Garg, Kuntal Bhadra, Namita Mahalle, Ambrish Mithal, Nikhil Tandon
OBJECTIVE: To prepare percentile charts of lean body mass (LBM) among Indian urban children and adolescents; and to evaluate gender differences in LBM, and its relation with pubertal status. DESIGN: Cross-sectional school-based survey. SETTING: School in city of Delhi, India. PARTICIPANTS: 1403 apparently healthy children and adolescents (826 boys) with mean (SD) age 13.2(2.7) years. OUTCOME MEASURES: Lean body mass assessed by dual energy absorptiometry in urban Indian adolescents according to age group and gender...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159945/simultaneous-two-site-blood-culture-in-diagnosis-of-neonatal-sepsis
#11
Priya Tomar, Amit Garg, Rashee Gupta, Abhishek Singh, Navratan Kumar Gupta, Amit Upadhyay
OBJECTIVE: To evaluate efficacy of two blood cultures taken simultaneously from two different sites as compared to standard practice of single blood culture in diagnosis of neonatal sepsis. Study. DESIGN: Prospective cohort study. SETTING: A tertiary care center of North India from August 2014-July 2015. PARTICIPANTS: 475 neonates admitted to our intensive care unit with suspected sepsis. INTERVENTION: Two blood cultures drawn from two different peripheral veins in patients with suspected neonatal sepsis...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159944/effect-of-recorded-maternal-voice-on-child-s-cooperation-during-cardiac-catheterization-a-randomized-controlled-trial
#12
Daliya Rajan, Gopichandran Lakshmanan, Saurabh Kumar Gupta, Ramakrishnan Sivasubramanian, Anita Saxena, Rajnish Juneja
OBJECTIVE: To assess the effect of recorded maternal voice on child's cooperation during cardiac catheterization. DESIGN: Randomized double-blind placebo controlled trial. SETTING: Cardiac catheterization laboratory at a tertiary care hospital. PARTICIPANTS: 90 children with congenital heart disease scheduled for cardiac catheterization between July 2014 and Dec 2014 were randomized to maternal voice group and placebo group...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159943/endotracheal-aspirate-microscopy-cultures-and-endotracheal-tube-tip-cultures-for-early-prediction-of-ventilator-associated-pneumonia-in-neonates
#13
Mehendra Kumar Gupta, Jayashree Mondkar, Anjali Swami, Deeparaj Hegde, Sorabh Goel
OBJECTIVE: To evaluate the utility of endotracheal aspirate microscopy, culture and endotracheal tube tip culture for early diagnosis of ventilator-associated pneumonia in neonates. METHODS: Inborn ventilated neonates were followed-up for ventilator-associated pneumonia using Center for Disease Control and prevention (CDC) criteria. Endotracheal aspirate microscopy, culture and endotracheal tube tip cultures were performed. RESULTS: Ventilator-associated pneumonia occurred in 28/68 (41%) neonates as per CDC criteria...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159942/dysmorphism-in-non-syndromic-autism-a-cross-sectional-study
#14
Susan Mary Zachariah, Samuel Philip Oommen, Caroline Sanjeev Padankatti, Hannah Grace, Lincy Glory
OBJECTIVE: To determine the effect of association of dysembryogenesis (manifested by presence of dysmorphic markers) on the developmental profile of autistic children. METHODS: 26 autistic children were classified into complex autism (if they had specific dysmorphic markers) or essential autism (in the absence of dysmorphic markers) using the Miles Autism Dysmorphology Measure (ADM). The developmental abilities (Griffith's Mental Development Scales) and the clinical severity (Childhood Autism Rating Scale) of both groups were compared...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28159941/outcome-of-biliary-atresia-after-kasai-s-portoenterostomy-a-15-year-experience
#15
Rajeev Redkar, Parag J Karkera, Vinod Raj, Anant Bangar, Varun Hathiramani, Janani Krishnan
OBJECTIVE: To study the outcome of Biliary atresia after Kasai's portoenterostomy and clinical and biochemical factors affecting the outcome. METHODS: This medical record review of patients of biliary atresia operated from January 2000 to December 2014. The following data were collected and analyzed - sex, age at surgery, liver function tests, associated congenital anomalies, and clearance of jaundice (at 3 months). Final outcome was classified as alive, dead, or jaundice-free at last follow-up (minimum 1 year)...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28285303/bartter-syndrome-with-nephrogenic-diabetes-insipidus-and-vitamin-d-resistant-rickets
#16
Sriram Krishnamurthy, Anbazhagan Jagadeesh
No abstract text is available yet for this article.
February 15, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28285302/need-for-revision-of-guidelines-for-management-of-dr-tb-in-children
#17
Manju Kumari, Ira Shah
No abstract text is available yet for this article.
February 15, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28285301/infant-feeding-in-hiv-and-gatroesophageal-reflux
#18
Shiv Sajan Saini, Vidushi Mahajan
No abstract text is available yet for this article.
February 15, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28285300/an-unusual-case-of-neonatal-methemoglobinemia
#19
Hasmukh Chapsi Gala, Amol Madave
No abstract text is available yet for this article.
February 15, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28285299/the-pips-probiotics-in-preterm-infants-study-trial-controlling-the-confounding-factor-of-cross-contamination-unveils-significant-benefits
#20
G Karthikeyan, B Vishnu Bhat
No abstract text is available yet for this article.
February 15, 2017: Indian Pediatrics
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