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Indian Pediatrics

Rahul Sharma
Some of the facets of the Kuppuswamy's socioeconomic status scale sometimes create confusion and require explanation on how to classify, and need some minor updates to bring the scale up-to-date. This article provides a revised scale that allows for the real-time update of the scale.
August 26, 2017: Indian Pediatrics
Sudhir Mishra, Kanya Mukhopadhyay, Satish Tiwari, Rajendra Bangal, Balraj S Yadav, Anupam Sachdeva, Vishesh Kumar
JUSTIFICATION: The right to life has been accepted as one of the fundamental rights in our constitution. Resuscitation is a procedure performed for all patients suffering from cardiac or respiratory arrest irrespective of the clinical condition. There are no legal guidelines defining process to be adopted in situations where resuscitation is unlikely to be useful. There are no guidelines on withdrawal of care or end of life (EOL) decisions, accepted by the Government, judiciary, professionals, academicians or the community...
August 24, 2017: Indian Pediatrics
Shahid Akhtar Siddiqui, Manisha Maurya, D K Singh, Anubha Srivastava, Ruchi Rai
OBJECTIVE: To compare the efficacy of double dose (20 μg) with standard dose (10 μg) of hepatitis B vaccine in HIV-infected children. METHODS: Unvaccinated HIV-infected children were randomized to receive 3 doses of double dose (N=27) or standard dose (N=28) of recombinant Hepatitis B vaccine. Anti HBs antibody titres were measured 3 mo after the last dose. An antibody titre ≥ 10 mIU/mL was considered as serporotection. RESULTS: Seroprotection was achieved by 17 (60...
August 24, 2017: Indian Pediatrics
K Jagadish Kumar, Karen Saldanha, K Sushma, D Srinivasa Murthy, Prashanth Vishwanath
OBJECTIVE: To study the serum Homocysteine levels in children and its relation with body mass index(BMI), lipid profile and plasma glucose. METHODS: 138 children (age 5-15 y) were enrolled and categorized into normal, overweight and obese group. Blood homocysteine, lipid profile and plasma glucose were estimated. RESULTS: Out of 138 children, 46 (33%) were normal, 40 (29%) were overweight and 52 (38%) were obese. Hyper-homocysteinemia was found in 34 (24...
August 24, 2017: Indian Pediatrics
Vaishali R Deshmukh, Aditi A Kulkarni
OBJECTIVE: To evaluate association of body mass index with perception and attitude towards body weight, shape and body image among adolescents. METHODS: This cross sectional study was done on 1811 adolescents. Attitude towards body image was assessed by using a self-administered Multidimensional Body-Self Relations Questionnaire. Perceived body shape was measured using the Stunkard scale. RESULTS: Adolescents showed significant difference (P<0...
August 24, 2017: Indian Pediatrics
Vidhya Marimuthu, Sriram Krishnamurthy, Medha Rajappa
OBJECTIVE: To evaluate the frequency of non-autoimmune subclinical and overt hypothyroidism in children with idiopathic steroid-resistant nephrotic syndrome (SRNS). METHODS: This cross-sectional study recruited 30 children (age 1-18 y) with idiopathic SRNS; and 30 healthy controls. Serum T3, T4 and TSH were performed in cases as well as controls. Anti-thyroid peroxidase and anti-thyroglobulin antibody tests were performed in all cases. RESULTS: Non-autoimmune subclinical or overt hypothyroidism was detected in 10 out of 30 children with idiopathic SRNS; 2 had overt hypothyroidism, while 8 patients had subclinical hypothyroidism...
August 24, 2017: Indian Pediatrics
Shailesh Atmaram Chauthankar, Padmaja Anil Marathe, Anirudha Vyankatesh Potey, Ruchi Nimish Nanavati
OBJECTIVE: To study prescription pattern (using applicable WHO indicators), cost analysis and off-label use of drugs in neonatal intensive care unit of a tertiary care hospital. METHODS: The prescriptions of 460 neonates admitted to a NICU during July 2014-March 2015 were studied prospectively. RESULTS: Of 460 neonates, 54.8% were preterm and 73% were low birth weight (LBW). The mean (SD) prescription items per neonate were 5.7 (3.6). Overall off-label use was 12...
August 24, 2017: Indian Pediatrics
Neelam Mohan, Sakshi Karkra, Amit Rastogi, Maninder S Dhaliwal, Veena Raghunathan, Deepak Goyal, Sanjay Goja, Prashant Bhangui, Vijay Vohra, Tarun Piplani, Vivek Sharma, Dheeraj Gautam, S S Baijal, A S Soin
OBJECTIVE: To describe our experience of pediatric living donor liver transplantation from India over a period of 12 year. MATERIALS AND METHODS: A retrospective analysis of 200 living donor liver transplantation in children (18 years or younger) was done for demographic features, indications, donor and graft profile and outcome. RESULTS: Between September 2004 and July 2016, 200 liver transplants were performed on 197 children. Fifty transplants were done in initial 6 years and 150 in next 6 years...
August 24, 2017: Indian Pediatrics
Kapil Garg, Priyanka Agarwal, R K Gupta, S Sitaraman
OBJECTIVE: To determine early joint involvement as detected by ultrasonography in children with newly diagnosed celiac disease, and in children with celiac disease on gluten-free diet for more than 6 months. METHODS: Cross-sectional comparative study evaluating joint abnormalities by ultrasonography. RESULTS: Ultrasonography showed abnormalities in 19 out of 60 (31.7%) children with newly diagnosed celiac disease were as compared 2 (3.3%) out of 60 in those on a gluten-free diet for more than 6 months...
August 24, 2017: Indian Pediatrics
Sumant Prabhudesai, Mohanbabu Kasala, Nitin Manwani, Ravikumar Krupanandan, Bala Ramachandran
OBJECTIVE: To compare the frequency of transport-related adverse events in children during specialized, non-specialized or unassisted transports. METHODS: Patients were grouped based on transport team involved - specialized (Group-1); nonspecialized (Group-2); unassisted transport (Group-3). Demographics, events during transport and condition on arrival were recorded. RESULTS: Group-1 children had a lower incidence of adverse events compared to Group-2 and Group-3(4...
August 24, 2017: Indian Pediatrics
Shashi Chiplonkar, Neha Kajale, Veena Ekbote, Rubina Mandlik, Lavanya Parthasarathy, Vaman Khadilkar, Anuradha Khadilkar
OBJECTIVE: To validate body composition measurements by Bioelectric Impedance Analysis (BIA) against Dual-Energy X-ray Absorptiometry (DXA) as the reference method in healthy children and adolescents. DESIGN: Cross-sectional. SETTING: Schools in and around Pune city, India. PARTICIPANTS: A random sample of 210 (114 boys, 96 girls) apparently healthy Indian children and adolescents (5-18 y). METHODS: Weight, height, Tanner stage (TS) were recorded...
August 24, 2017: Indian Pediatrics
Ramalingam Sekar, Manoharan Mythreyee, Seetharaman Srivani, Dharmaraj Sivakumaran, Sivathanu Lallitha, Selvam Saranya
OBJECTIVE: To measure the frequency of antimicrobial resistance in pediatric blood culture isolates of Escherichia coli and Klebsiella spp. with focus on carbapenem resistance. METHODS: Over a period of three years, pediatric blood culture isolates were tested for antimicrobial susceptibility, including molecular investigations for carbapenem resistance. RESULTS: Amikacin, carbapenems, colistin and tigecycline had an antimicrobial efficacy of >70% (n=140)...
August 24, 2017: Indian Pediatrics
Yu Liu, Zhengmin Cui, Rongpeng Zhang
OBJECTIVE: To compare the efficacy and safety of laparoscopic appendectomy and open appendectomy for acute appendicitis in children. METHODS: This study was conducted in a retrospective comparison of hospital records compared postoperative complications, duration of operation, and postoperative length of stay between the children (age≤18y) who underwent laparoscopie or (n=190) open (n=199) appendectomy over a six-year period. Quality of life was evaluated immediately and 1 month postoperatively...
August 24, 2017: Indian Pediatrics
Evangeline Mary Kiruba Samuel, Sriram Krishnamurthy, Singanamalla Bhanudeep, Sravani Muske
OBJECTIVE: To evaluate the efficacy of levamisole in children with frequently relapsing nephrotic syndrome (FRNS) and steroid dependent nephrotic syndrome (SDNS) when administered on an alternate day ('initial therapy' in all cases) or daily basis ('rescue therapy' in whom alternate day therapy failed). METHODS: The records of 95 children (age 1-18y) with FRNS and SDNS, who were treated at the Pediatric nephrology clinic, and received levamisole therapy (maximum 2 years duration, between 2010-2013) with a follow-up period of minimum1 year, were included...
July 11, 2017: Indian Pediatrics
Vandana Jain, Ajay Kumar, Anuja Agarwala, Naval Vikram, Lakshmy Ramakrishnan
OBJECTIVE: The aim of our study was to assess serum Adiponectin, Interleukin-6 (IL-6) and highsensitivity C-reactive protein (hsCRP) levels and their correlation with conventional risk factors for cardiovascular disease and diabetes in overweight/obese Indian children. METHODS: Body mass index (BMI), waist circumference, blood pressure, fasting serum adiponectin, IL-6, hsCRP, blood glucose, triglycerides, and total and high density lipoprotein cholesterol were measured in children aged 7-15 years with BMI >85th centile...
July 11, 2017: Indian Pediatrics
Shivalingam Ganji, Prashanth Gowda Parameshwara, Kallesh Hebbal, Rodney Aguiar
OBJECTIVE: To compare the demographic, clinical, and laboratory features of incomplete and complete presentations of Kawasaki disease. METHODS: A retrospective review of the electronic case records between January 2000 and December 2015 in a tertiary care referral center of Sohar, Oman. RESULTS: 31 out of 64 children (48.4%) had incomplete presentation. Children with incomplete presentation had higher incidence of skin rash, lymphadenopathy and conjunctivitis...
July 11, 2017: Indian Pediatrics
Harshil Anurag Patel, Jagdish Varma, Shail Shah, Ajay Phatak, Somashekhar Marutirao Nimbalkar
OBJECTIVE: To assess the prevalence of bullying, identifying bullies, victims and their associations. METHODS: Questionnaire having 'Peer Interaction in Primary Schools' and 'Strength and Difficulty Questionnaire' scales, and demographic information was administered to 7th, 8th and 9th graders (N=1106). RESULTS: Prevalence of bullying was 49%. Boys were more likely to be bullies (P=0.03), whereas students having less friends (P=0.001), overweight/obese (P=0...
July 11, 2017: Indian Pediatrics
Jun-Qi Shi, Wen-Xia Shen, Xiang-Zhi Wang, Ke Huang, Chao-Chun Zou
OBJECTIVE: To investigate the relationship between immune parameters and non-alcoholic fatty liver disease (NAFLD) in obese children. DESIGN: Case-control study. SETTING: Zhejiang Province, China on July to September 2015. PARTICIPANTS: A total of 117 obese children and 209 healthy non-obese children were studied as the obese and control groups. Depending on the severity of NAFLD, the obese group was divided into subgroups 1 (without NAFLD), 2 (with simple fatty liver) and 3 (with steatohepatitis)...
July 11, 2017: Indian Pediatrics
Fulva Kamit Can, Ayse Berna Anil, Murat Anil, Neslihan Zengin, Alkan Bal, Yuksel Bicilioglu, Gamze Gokalp, Fatih Durak, Gulberat Ince
OBJECTIVE: To analyze the change in quality indicators due to the use of high-flow nasal cannula therapy as a non-invasive ventilation method in children with respiratory distress/failure in a noninvasive ventilation device-free pediatric intensive care unit. METHODS: The study was a retrospective chart review of children with respiratory distress/failure admitted 1 year before (period before high-flow nasal cannula therapy) and 1 year after (period after high-flow nasal cannula therapy) the introduction of high-flow nasal cannula therapy...
July 11, 2017: Indian Pediatrics
Harshpal Singh Sachdev, Sikha Sinha, Neha Sareen, R M Pandey, Umesh Kapil
OBJECTIVE: To evaluate recovery and survival of severely wasted children without community management of acute malnutrition programme. DESIGN: Single time point follow-up (24th December 2013 - 2nd April, 2014) of severely wasted children identified in a community-based cross-sectional survey (September 2012 - October 2013). SETTING: Rural Meerut District, Uttar Pradesh, India. PARTICIPANTS: 409 severely wasted (WHO weight-for-height <-3Z), 6- to 59-month-old children...
July 11, 2017: Indian Pediatrics
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