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Indian Pediatrics

K Jagadishkumar, Naresh Yerraguntla, Manjunath Gopalakrishna Vaddambal
The mean (SD) serum hepcidin levels in 40 thalassemia children [15.8 (2.9) ng/mL] were comparable to those seen in 40 healthy controls [15.1 (3.0 ng/mL] (P=0.3). The hepcidin/ferritin ration in thalassemia children was significantly lower (P<0.001) suggesting that hepcidin levels were not increased in proportion to the iron overload.
June 13, 2018: Indian Pediatrics
Payal Malhotra, Gauri Kapoor, Sandeep Jain, Bhawna Garg
OBJECTIVE: To determine the incidence of hypertension among children during the induction and re-induction phases of acute lymphoblastic leukemia (ALL) therapy and association with possible risk factors. METHODS: A retrospective analysis of 208 consecutive pediatric (age <18 y) ALL patients, treated per BFM-95 protocol from January 2009 and December 2013. Demographics, disease, treatment and toxicity data were abstracted from medical records and were analyzed to determine the incidence of hypertension and risk factors for its development...
June 13, 2018: Indian Pediatrics
J Murugu Sarasu, Manish Narang, Dheeraj Shah
CONTEXT: Infantile colic is self-limiting condition but it can be a cause of anxiety for parents and challenge for doctors. The challenge for the doctors lies in correct identification of the condition and appropriate management. The objective of this review article is to summarize the pathophysiology, treatment options and outcome in infantile colic so that clinicians can have a fair idea about the condition, recent updates and future prospective. EVIDENCE: A search of The Cochrane Library, PubMed, Google Scholar was made using the key words "Infant colic", Infantile colic", "excessive crying in infants"...
June 13, 2018: Indian Pediatrics
Anirban Das, Amita Trehan, Deepak Bansal
OBJECTIVE: To analyse the risk factors for microbiologically documented infection, mortality and hospital stay >5 days in children with febrile neutropenia. Design: Prospective, cohort study (July 2013-September 2014). SETTING: Government-run, tertiary-care, university hospital in Chandigarh, Northern India. PARTICIPANTS: 414 episodes in 264 children aged <12 years, not undergoing stem-cell transplantation. OUTCOME MEASURES: Predictors for 'high-risk' febrile neutropenia...
June 13, 2018: Indian Pediatrics
Ramesh Babu, Binu Ninan, Venkata Sai
AIMS: To audit the extent of evaluation of neonates with antenatal hydronephrosis. METHODS: Records of all neonates with antenatal hydronephrosis between January 2013 and December 2016 were audited to look for patient factors and investigation results. RESULTS: 290 records were evaluated, 93 (32%) of which had abnormalities detected on voiding cystourethrogram. In the presence of hydroureter, 65% had an abnormality while in the absence of only 11% were abnormal...
June 13, 2018: Indian Pediatrics
Surender Kumar Yachha, Anshu Srivastava, Neelam Mohan, Lalit Bharadia, Moinak Sen Sarma
JUSTIFICATION: Management practices of functional constipation are far from satisfactory in developing countries like India; available guidelines do not comprehensively address the problems pertinent to our country. PROCESS: A questionnaire-based survey was conducted among selected practising pediatricians and pediatric gastroenterologists in India, and the respondents agreed on the need for an Indian guideline on the topic. A group of experts were invited to present the published literature under 12 different headings, and a consensus was developed to formulate the practice guidelines, keeping in view the needs in Indian children...
June 13, 2018: Indian Pediatrics
Ramaswamy Ganesh, Natarajan Suresh, Lalitha Janakiraman
OBJECTIVE: To study the bone mineral content and density in children with congenital adrenal hyperplasia. METHODS: 35 children with congenital adrenal hyperplasia and 35 healthy controls were enrolled. Bone mineral content and density were studied by Dual Energy X-ray absorptiometry. RESULTS: The mean (SD) of lumbar spine bone mineral density (g/cm2) in children with congenital adrenal hyperplasia was 0.590 (0.100), and in controls it was 0...
June 13, 2018: Indian Pediatrics
Bicheng Yang, Wenyan Tang
No abstract text is available yet for this article.
June 15, 2018: Indian Pediatrics
Balasubramaniyan Muthuvel, Devi Dayal
No abstract text is available yet for this article.
June 15, 2018: Indian Pediatrics
Bicheng Yang, Feng Wang
No abstract text is available yet for this article.
June 15, 2018: Indian Pediatrics
Rachel Ranitha Peterson, Asha Kuruvilla
No abstract text is available yet for this article.
June 15, 2018: Indian Pediatrics
Sridevi A Naaraayan, Poovazhagi Varadharajan, Raghavan Velayutham Dhakshayani, Rema Chandramohan, Senthil Senniappan
Flash glucose monitoring using Free Style Libre Pro (FSLP) was undertaken among fifteen diabetic children. Data revealed high glycaemic variability, Time in Target Range (TIR) to be 27% and 12% of time in hypoglycaemia. Sensor insertion and retention were problematic in 33%. Though user friendly, sensors may need an additional adhesive plaster for retention.
June 15, 2018: Indian Pediatrics
Devesh Kumawat, Parijat Chandra, Ruchir Tewari
Retinopathy of prematurity (ROP) usually has symmetric presentation and progression between fellow eyes. In this retrospective review of records, asymmetric presentation was noted in 16 (3.9%) out of 410 babies over a period of one year. Management and final outcome differed in 10 and 11 infants respectively. ROP need not always be symmetric and may require variable management.
June 15, 2018: Indian Pediatrics
Sheeja Sugunan, A S Ajith Krishnan, V K Devakumar, A K Arif
BACKGROUND: Safety-pin ingestion causing cardiovascular complications are very rare with high risk for mortality. CASE CHARACTERISTICS: A 10-month-old child who presented with persistent irritability and intermittent fever of 1 month duration. The child had tachypnea and mild subcostal retractions. OBSERVATION: Investigations revealed open safety-pin in lower esophagus, and pericardial effusion that later progressed to cardiac tamponade during handling of the safety pin by endoscope...
June 15, 2018: Indian Pediatrics
J T Srikanta, S Swarna, D S Shylendra, Ravindra Mehta
BACKGROUND: Tissue diagnosis of Childhood interstitial lung diseases is of paramount importance to outline management. CASE CHARACTERISTICS: A 10-year-old boy with prolonged cough, and computed tomography of thorax with features suggestive of primary Langerhans's cell histiocytosis. INTERVENTION: Transbronchial cryobiopsy of lung using flexible cryoprobe, revealed a final diagnosis of Surfactant protein C/ABCA3 deficiency. MESSAGE: Transbronchial cryobiopsy of the lung can provide adequate lung tissue for a categorical diagnosis of interstitial lung diseases in children...
June 15, 2018: Indian Pediatrics
Shivani Deswal
No abstract text is available yet for this article.
June 15, 2018: Indian Pediatrics
Santosh Kumar Mittal
No abstract text is available yet for this article.
June 15, 2018: Indian Pediatrics
Joseph L Mathew
No abstract text is available yet for this article.
June 15, 2018: Indian Pediatrics
Kuldeep Singh, Rajiv Mahajan, Piyush Gupta, Tejinder Singh
Technological advances have created immense pressure on our younger generation to keep themselves abreast with the newer developments in medical sciences. Educators have to evolve innovative pedagogy to help prepare this generation for future challenges as the training periods are getting relatively shorter. Flipped classroom or Inverted classroom is one such innovation that can empower a learner to develop critical thinking skills and master ways to imbibe vast information by engaging students in active learning process...
June 15, 2018: Indian Pediatrics
Chandrakant Lahariya
India's National Health Policy 2017 (NHP-2017) has its goal fully aligned with the concept of Universal health coverage. The Ayushman Bharat Program announced in the Union budget 2018-19 of the Government of India, aims to carry NHP-2017 proposals forward. The Ayushman Bharat Program has two initiatives/components - Health and Wellness Centers, and National Health Protection Scheme - aiming for increased accessibility, availability and affordability of primary-, secondary- and tertiary-care health services in India...
June 15, 2018: Indian Pediatrics
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