IP International Journal of Medical Paediatrics and Oncology最新文献

{"title":"Evaluation for cause of hematuria: Cracking the mystery","authors":"Aditi Sharma, S. Kalra, Somali Pattanayak","doi":"10.18231/j.ijmpo.2021.022","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2021.022","url":null,"abstract":"Gross hematuria, besides being a serious renal disorder, is quite worrisome for the patients. It merits evaluationto determine the underlying cause and initiate timely management in order to prevent long term complications as well as permanent renal damage in some cases. Anatomical abnormalities causing gross hematuria are rare and often asymptomatic, hence not diagnosed routinely. Here we present two cases of gross hematuria with underlying anatomical abnormality known as the Nut Cracker Syndrome (NCS).","PeriodicalId":128335,"journal":{"name":"IP International Journal of Medical Paediatrics and Oncology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122401692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New viral hepatitis caused by covid-19 virus- A case report","authors":"R. Gobbur, Ranjima M, Aravind S Akki","doi":"10.18231/j.ijmpo.2021.019","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2021.019","url":null,"abstract":"During the current COVID-19 pandemic, the assessment, and management of patients are challenging. The clinical features of COVID-19 are heterogeneous and subtle in many cases. Although diffuse alveolar damage and acute respiratory failure are the main features of COVID-19, the impairment of other organs are also seen. Gastrointestinal symptoms are common in pediatric patients with COVID-19 as SARS-CoV-2 is able to enter gastrointestinal epithelial cells. However, these complaints can also be caused by a COVID-19-independent concomitant abdominal pathology. Therefore, patients with fever with acute abdominal pain, anorexia, nausea, vomiting and diarrhea need to be assessed very thoroughly. Previous studies reported that COVID-19 was likely to result in liver injury. Based on clinical cases, we present our approach of management of children with symptoms and signs of viral hepatitis and concomitant suspicion of ­COVID-19.","PeriodicalId":128335,"journal":{"name":"IP International Journal of Medical Paediatrics and Oncology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125875966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To study the immunization status of children aged 1-5 years admitted to department of pediatrics, Lala Lajpat Rai & Associated Hospitals, GSVM Medical College, Kanpur","authors":"Neeta Singh","doi":"10.18231/j.ijmpo.2021.013","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2021.013","url":null,"abstract":"The Present study was conducted in the Department of Pediatrics of Lala Lajpat Rai & Associated Hospital GSVM Medical College, Kanpur. All the children aged between 1-5 years, admitted in Department of Pediatrics were asked to participate in this study. Information regarding vaccination, socio-demographic factors was collected from their parents and care takers. Accuracy and validity of information were confirmed by immunization card in possible situation and inspection for BCG scar. Hospital based descriptive cross-sectional study.In upper class, 100% of children were completely immunized. In upper middle class, 80.8% children had complete and 19.1% partial immunization status. No one remained unimmunized in upper middle class. In lower middle class, 33.9% of children were completely immunized, 59.6% partially immunized and 6.4% remained unimmunized.Children who were 1stin birth order, had maximum immunization coverage (44.8%). Minimum immunization coverage was in birth order >4 (3.2%). P value is <0.001, indicates the significant relation between birth order and immunization status. As birth order increased, immunization coverage decreased. In this present hospital based descriptive cross –sectional study, we found that 51.2% children were fully immunized, 45.6% were partially immunized and 3.2% children were unimmunized as per National immunization schedule. Children belonging to upper class were 100% completely immunized. In upper middle class 80.8% children in lower middle class 33.9%, in upper lower class 55.7% and in lower class 50.9% children were completely immunized respectively. In lower class immunization coverage was higher than lower middle class. Droprate for BCG to pentavalent 1 was 10.64%, similarly dropout from BCG to measles was 12.7%. Dropout rate of pentavalent 1 to pentavalent 2 was 1.4%, pentavalent2 to pentavalent3 was 2.6%. It indicates that system is not able to hold the child once registered. Steps for improvement should focus on reducing the drop rate from BCG to pentavalent and measles.","PeriodicalId":128335,"journal":{"name":"IP International Journal of Medical Paediatrics and Oncology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127972137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A prospective study on etiological factors and clinical indicators in term and near term neonates admitted with hyperbilirubinemia in nicu in a tertiary care hospital in Hyderabad, India","authors":"Syed Adnan Ali, C. Lakshmi, U. N. Reddy, Farhana Nazneen, Muzammil","doi":"10.18231/j.ijmpo.2021.011","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2021.011","url":null,"abstract":"1.To study the etiology and risk factors of neonatal hyperbilirubinemia in term and near-term infants. 2. To study the clinical course of these infants during NICU stayThe present study was conducted at NICU, Department of Pediatrics, Princess Esra hospital, Deccan Medical College, Hyderabad, India, from October 2019 to October 2020. Term and late preterm infants admitted in NICU with Serum Bilirubin levels more than 12mg/dl were included in the study. The risk factors, etiology and clinical profile of these infants during NICU stay were studied. 210 neonates were admitted in NICU with hyperbilirubinemia (Serum Bilirubin >12mg/dl) during the study period, out of which 118 were male (56.20%) and 92 were female (43.80%). Neonates were further distributed based on gestational age, in which 46 (21.90%) were late pre-terms i.e. between 34-37 weeks and 164 neonates (78.10%) were full term i.e. greater than 37 weeks. The neonates were also classified based on their birth weight, with neonates between 2500-3000 grams having the highest incidence (46.19%). Lastly, the etiological and risk factors were assessed and quantified, with physiological jaundice occurring as the major cause and late prematurity as the most common risk factor associated with neonatal hyperbilirubinemia. The average duration of phototherapy was 2.50 days and 3 babies required Double Volume Exchange Transfusion (DVET) for significant hyperbilirubinemia.None of the babies requiring DVET had clinical features of Bilirubin Induced Neurological Dysfunction (BIND) during NICU stay. 1. Most common cause of neonatal hyperbilirubinemia was found to be Physiological followed by Septicemia and Idiopathic etiologies. Blood group incompatibilities were less common causes. 2. Phototherapy is a cheap and effective way to reduce bilirubin levels in neonatal jaundice. 3. Exchange transfusion is a safe procedure and should be considered when indicated, to decrease the incidence of BIND. All cases requiring DVET were due to blood group incompatibility.","PeriodicalId":128335,"journal":{"name":"IP International Journal of Medical Paediatrics and Oncology","volume":"381 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116058676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intermittent clobazam therapy and febrile seizure recurrence – A follow up study","authors":"S. Daniel, C. Rozario, Anzy N Saleem","doi":"10.18231/J.IJMPO.2021.006","DOIUrl":"https://doi.org/10.18231/J.IJMPO.2021.006","url":null,"abstract":"Objectives: To identify the proportion of children on intermittent clobazam therapy developing febrile seizure recurrence and to assess the risk factors of febrile seizure recurrence in children. Design: Descriptive follow up study. Study setting: Children between 6 months to 5 years admitted in Govt.TDMCH for seizures associated with fever. Materials and Methods: Children presenting with acute febrile seizures are started on intermittent clobazam therapy. The risk factors were assessed and study group is followed up for a period of one year. Data were analyzed using computer software SPSS. Data are expressed in its frequency and percentage as well as mean and standard deviation. To elucidate the associations and comparisons between different parameters, Chi square(X2) test was used as non-parametric test. Results: Out of the 80 children followed up 28 children developed recurrence. Those who took clobazam had considerable reduction in recurrence (8.3% in clobazam group compared to 56.8% in those who were not on intermittent clobazam therapy. Complex febrile seizures (Odds ratio of 16.5 and p value <.01) and history of febrile seizures in the first degree relatives (Odds ratio of 3.81 and p value of <.01) had increased chance of recurrence. Conclusion: Intermittent clobazam therapy has definite role in preventing febrile seizure recurrence. The risk factors for considering intermittent prophylaxis from this study are family history of febrile seizure and complex febrile seizure. © This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.","PeriodicalId":128335,"journal":{"name":"IP International Journal of Medical Paediatrics and Oncology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128535895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary raynaud’s phenomenon in a newborn: A case report","authors":"Latika Sahni Uppal, Arun Kumar","doi":"10.18231/J.IJMPO.2021.010","DOIUrl":"https://doi.org/10.18231/J.IJMPO.2021.010","url":null,"abstract":"Raynaud’s syndrome indicates reversible, intermittent pallor or cyanosis or both, frequently affect fingers or toes, less often can affect the nose, ears, lips, nipples, or knees in response to cold or stress and is rare in childhood. Raynaud’s phenomenon (RP) is an extremely unusual finding in early newborn. In severe cases the ischemia may lead to areas of infarction in hands and feet. In this case we describe a one-day old male early newborn who presented with unilateral acrocyanosis over the tip of fingers of the right hand since birth. He was healthy otherwise. Although acrocyanosis in newborn is known to be a benign and self-limiting condition, typically. It is bilateral and symmetric with no other symptoms. The unilateral acrocyanosis was an atypical finding in this newborn. After the exclusion of all other diseases by investigations, he was diagnosed to have primary RD. Due to the rarity of RD in children, we have reviewed the pathophysiology, epidemiology and management of RD and also discuss the differential diagnosis of unilateral and bilateral acrocyanosis in newborn. © This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.","PeriodicalId":128335,"journal":{"name":"IP International Journal of Medical Paediatrics and Oncology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115816690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of urinary tract infection and antibiotic sensitivity pattern in children with severe acute malnutrition from 6 months to 5 years in a tertiary care centre","authors":"Mithlesh Dewangan, Prateek Sharma","doi":"10.18231/J.IJMPO.2020.035","DOIUrl":"https://doi.org/10.18231/J.IJMPO.2020.035","url":null,"abstract":"The aim of the study is to evaluate the post COVID-19 transition in dentist providing dental health care to children.A cross-sectional questionnaire based survey was conducted among the dentists to assess the transition post COVID-19 towards dental health care to children. The survey was carried out with a sample of 110 respondents.The results shows that the COVID-19 outbreak had definitely made the dentists uncomfortable in treating the patients and majority (55.4%) of them agree that even children can be asymptomatic carriers. Moreover, 83.7% of the dentists agreed that the PPE kit will definitely increase the fear and anxiety among the children, 75.5% dentists agreed that this will also lead to increase in the cost of the treatment. Even before the COVID-19 pandemic majority of the dentists never used the N2O for managing the pediatric patients and even after such scenario they are not planning to use N2O for pediatric behavior management. Dental professionals must be fully aware of 2019-nCoV spreading modalities, how to identify patients with this infection, and, most importantly, self-protection considerations. The aerosols and splatter generated during dental procedures have the potential to spread infection to dental personnel and other people in the dental office. Dentists can play a significant role in disrupting the transmission chain, thereby reducing the incidence of disease by simply postponing all non-emergency dental care for all patients.","PeriodicalId":128335,"journal":{"name":"IP International Journal of Medical Paediatrics and Oncology","volume":"152 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116399805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic effect of table salt on umbilical granuloma in infants- North Indian experience","authors":"R. Tripathi, P. Debnath, Shalu Shah, D. Tripathi, E. Debnath","doi":"10.18231/2581-4702.2018.0017","DOIUrl":"https://doi.org/10.18231/2581-4702.2018.0017","url":null,"abstract":"Introduction: Umbilical granuloma is one of the distressing problem to the patient’s and parents due it’s red fleshy look and continuous ooze of watery fluids. It is the most common umbilical problem in infant’s. Normally umbilical cord separates 7-10 days after birth and umbilical cicatrix gets epithelised thereafter. It has been found that table salt/common salt has therapeutic effect in curing umbilical granuloma. Materials and Methods: This prospective observational study was done at GSV medical College, Kanpur enrolling 126 infants of age 4 th to 20 weeks from Jan 2010 to July 2017. After excluding other umbilical problems, all granuloma patient’s mother were advised to apply common salt on it twice a day for one week. Patients were followed up on 1 st and 4 th week of starting treatment. Results: In our study out of 126 patients 121 showed excellent result. In this group 78 were male and 43 were female infants. Overall cure rate was 96.3% which is as per international standard by other study group. Discussion: It has been postulated that due to some infection the normal epithelisation of umbilical cicatrix does not happen and overgrowth of granulomatous tissue takes place. This granuloma is devoid of any nerve tissue. Spontaneous regression of this granuloma is unknown, so there are different treatment modalities evolved for this problem. The desicant effect of common salt is the main mechanism of action of its curing property. Conclusion: Treatment of umbilical granuloma with table salt is very effective, easy and safe on out patient basis. Parents can directly involve here with great satisfaction as it is cost effective too.","PeriodicalId":128335,"journal":{"name":"IP International Journal of Medical Paediatrics and Oncology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124908220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinico epidemiological study of measles, pertussis, diphtheria and tetanus cases in a tertiary care hospital of western Rajasthan","authors":"S. K. Vishnoi, R. Jora, P. Chopra, B. Gupta","doi":"10.18231/2581-4702.2018.0013","DOIUrl":"https://doi.org/10.18231/2581-4702.2018.0013","url":null,"abstract":"Introduction: Vaccine preventable infectious diseases like measles, whooping cough, tetanus and diphtheria are very important causes of morbidity and mortality in the younger infants and children in developing countries. The present study was therefore planned to evaluate and elaborate the factors responsible for this scenario.\u0000Materials and Methods: The current study was carried out in the Department of Pediatrics, Umaid Hospital, Dr. S.N. Medical College, Jodhpur, over a period of 12 months. During this period admitted cases of measles, whooping cough, diphtheria and tetanus were included in the present study. The diagnosis of vaccine preventable disease was made on clinical ground and supportive laboratory evidence & complications of these diseases were also studied.\u0000Results: The incidence of vaccine preventable diseases was 1.63% amongst hospitalized cases during the study period. Incidences of measles, pertussis, tetanus and diphtheria were 0.85%, 0.47%, 0.15% and 0.14% respectively. Measles cases (52.40%) were highest in number amongst all vaccine preventable diseases. Pneumonia was the main respiratory complication in measles (82.44%) and pertussis cases (78.07%). The mortality rates of measles, pertussis & diphtheria were 6.8%, 2.73% and 13.63% respectively.\u0000Conclusion: There is still a very high incidence of vaccine preventable diseases despite multiple national programmes and ongoing stress on these and associated programmes. Reappraisal of immunization programs and strategies including effective control measures will ultimately help to eradicate the vaccine preventable diseases.\u0000\u0000Keywords: Infectious diseases, Preventable disease, Immunization and vaccination.","PeriodicalId":128335,"journal":{"name":"IP International Journal of Medical Paediatrics and Oncology","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124925414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study on clinical presentation and outcome of scorpion sting in children","authors":"Pazhanisamy S., M. J.","doi":"10.18231/2581-4702.2018.0023","DOIUrl":"https://doi.org/10.18231/2581-4702.2018.0023","url":null,"abstract":"Introduction and objectives: Scorpion sting is a frequent, life threatening medical emergency in children. They constitute a significant public health problem in many underdeveloped countries, including India. This study was done to analyse the clinical presentation and outcome of scorpion sting in children \u0000Material and Methods:This is an observational study of 141 cases of scorpion sting, admitted at Government Raja Mirasdar Hospital, Thanjavur. The clinical presentation and outcome were studied. \u0000Results:Scorpion sting is a common, pediatric emergency in our area. Rural male children, from lower socioeconomic groups, aged between 1-3 years (35%) and 7-12 years (34%) were most commonly affected. Pain at the site of sting (89%) and cold peripheries (77%) were the most common presenting symptom and sign respectively. Myocarditis (9%) and pulmonary edema (4%), were also frequently encountered. Complication were more common in younger children and in cases who received the first dose of prazosin late i.e. (After 6 hours). One case succumbed to the death (0.7%), but majority of the cases (99%), recovered without sequelae. \u0000Conclusion:Scorpion sting is a serious, potentially fatal emergency in our area. Peripheral circulatory failure is common. Cardiovascular manifestations are life threatening. Scorpion stings constitute a “occupational hazard” for children employed as agricultural labourers. Administration of prazosin, as early as possible, is probably, the single most effective intervention in preventing complication and mortality. \u0000 \u0000Keywords: Scorpion stings, Pulmonary edema, Clinical features, Envenomation, Prazosin","PeriodicalId":128335,"journal":{"name":"IP International Journal of Medical Paediatrics and Oncology","volume":"97 3-4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120915585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}