Indian pediatrics最新文献

{"title":"Erratum: Lifestyle Medicine and the Role of the Pediatrician.","authors":"Mahima Gulati, Suneela Garg","doi":"10.1007/s13312-025-00125-2","DOIUrl":"10.1007/s13312-025-00125-2","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gynecomastia in Adolescents: Impact on Mental Health and Body Image.","authors":"Rıza Taner Baran, Gamze Çelmeli, Ceyhun Tıkız, Arif Önder, Özge Gizli Çoban","doi":"10.1007/s13312-025-00113-6","DOIUrl":"https://doi.org/10.1007/s13312-025-00113-6","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore depression, anxiety, and body image issues in adolescents with gynecomastia.</p><p><strong>Methods: </strong>Forty adolescents aged 12-18 years diagnosed with gynecomastia and 40 age-matched volunteer healthy adolescent boys were enrolled. Mental health issues were assessed using Beck Anxiety Inventory (BAI), Social Appearance Anxiety Scale (SAAS), the Children's Depression Inventory (CDI), Body Cathexis Scale (BCS), and the Brief Fear of Negative Evaluation Scale (BFNE).</p><p><strong>Results: </strong>The mean (SD) BFNE [29.82 (10.08) vs. 24.62 (9.96); P = 0.023] and the SAAS [42.27 (18.15) vs. 31.32 (14.71); P = 0.004] scales were significantly higher in the patient group compared to controls. A significant negative correlation was observed between age and SAAS (r =  - 0.349), and age and BFNE (r =  - 0.522). A significant positive correlation was seen between SAAS and the grade of gynecomastia (r = 0.479).</p><p><strong>Conclusion: </strong>Early psychological support is needed to reduce distress in adolescents with gynecomastia.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public Health Impact of Kawasaki Disease in India: Projections for 2030.","authors":"Jyoti Dixit, Rakesh Kumar Pilania, Ruby Nimesh, Surjit Singh, Shankar Prinja","doi":"10.1007/s13312-025-00121-6","DOIUrl":"https://doi.org/10.1007/s13312-025-00121-6","url":null,"abstract":"<p><p>Kawasaki disease (KD) is a systemic vasculitis that usually affects children below 5 years and has now become the leading cause of acquired heart disease in children, surpassing acute rheumatic fever. Incidence data from Chandigarh, India, between 1994 and 2019 shows a monthly increase of 0.002 cases/100,000 children aged < 5 years and 0.0165 cases/100,000 children aged < 15 years. Projections for 2020-2030 suggest a sustained monthly rise of 0.0177 cases/100,000 children aged < 15 years. This trend mirrors global patterns of rising incidence of KD. This can pose significant public health challenges due to serious cardiovascular complications such as coronary artery aneurysms, myocardial ischemia, and sudden cardiac death associated with KD. Limited awareness, delayed diagnosis, and high treatment costs exacerbate the disease's clinical and economic burden. Early diagnosis and appropriate management remain critical for reducing the long-term morbidity. Predictive modelling highlights the urgency of allocating resources to address this emerging public health challenge.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sugar Boards: Encouraging Children Towards A Healthy Lifestyle.","authors":"Vasant Khalatkar","doi":"10.1007/s13312-025-00123-4","DOIUrl":"https://doi.org/10.1007/s13312-025-00123-4","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Cardiology.","authors":"Amber Kumar","doi":"10.1007/s13312-025-00124-3","DOIUrl":"https://doi.org/10.1007/s13312-025-00124-3","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consensus Guidelines of the Indian Academy of Pediatrics (IAP)-Neurodevelopmental Pediatrics Chapter on Developmentally Supportive Follow-Up for High-Risk Infants.","authors":"Zafar Mahmood Meenai, M K C Nair, Samir Dalwai, Lal D V Nair, Sheffali Gulati, Sharmila B Mukherjee, Naveen Jain, Deepak Dwivedi, Kawaljit S Multani, Shambhavi Seth, Vivek V Singh, Atanu Bhadra, Vasant Khalatkar, Santhosh K Kraleti, Monica Juneja, Leena Deshpande, Anjan Bhattacharya, Lalan Kumar Bharti, Yogesh Parikh, Leena Srivastava, Sitaraman Sadasivan, Jeeson C Unni, Manmeet K Sodhi, Shyamal Kumar, Deepa Bhaskaran, Adarsh Eregowda, Indu Surana, Abraham K Paul, Ashok Rai, Sanjay Shivanna, Khurshid Wani, Lata Bhat, Shabina Ahmed, Nimmy K Joseph","doi":"10.1007/s13312-025-00110-9","DOIUrl":"10.1007/s13312-025-00110-9","url":null,"abstract":"<p><strong>Justification: </strong>With increasing neonatal survival, there is a need for trained staff for timely identification and intervention for high-risk infants. Since the foundation of neurodevelopment is laid in the first three years of life, addressing the lacunae of a robust guidelines for extended follow-up of high-risk infants needs to be formulated to avoid remediation or rehabilitation later on.</p><p><strong>Objectives: </strong>To develop comprehensive evidence-based consensus guidelines for developmentally supportive care and follow-up of high-risk infants in the Indian context with the aim of reducing the need for future rehabilitative services.</p><p><strong>Process: </strong>Scientific literature over the last 10 years was searched using database-specific controlled vocabularies like Emtree for Embase, MeSH terms for PubMed, Scopus, CINAHL headings for CINAHL databases, and the Cochrane Library. The available studies were analyzed based on their scientific credibility and strength of evidence. Data from meta-analysis, systematic reviews, and randomized controlled trials was extracted, and relevant statements were prepared. These were deliberated in two onsite Delphi rounds of discussion (February 19, 2023 and January 11, 2025) and one hybrid (online and onsite) Delphi round (February 6, 2025). The final draft was made under different headings and was circulated, followed by recommendations made with Grading of Recommendations Assessment, Development and Evaluation (GRADE) analysis. The final draft after incorporating all suggestions was circulated and accepted online on March 2, 2025.</p><p><strong>Statement: </strong>The recommendations propose using a color-coded system to monitor high-risk infants, risk stratification, promoting early stimulation, structured interventions, and parental involvement. Routine care should align with the infant's behavioral state and use validated screening tools and growth charts. Comprehensive follow-ups, including screening for retinopathy of prematurity, thyroid disorders, developmental dysplasia of hip, and hearing impairments, are essential, with specialized therapies provided as needed. Structured follow-up guidelines are likely to improve the selection of high-risk infants, plan follow-up, and guide pediatricians on screening, evaluation, early stimulation, intervention, and plan-specific definitive therapies with rehabilitation therapists which would ultimately decrease the childhood disability.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Disability Literacy Scale for Caregivers of Children with Chronic Neurodevelopmental Disabilities (DLS-C).","authors":"Urmila Dahake, Vedavati Bandyopadhyay, Jaya Prasad Tripathy, Meenakshi Girish, Pradeep Deshmukh, Sofia Azad, Gayatri Devi Chinnappa, Franzina Coutinho, Chitra Shah, Asis Kumar Ghosh, M C Hamsalekha, Devika Jain, Varidmala Jain, Dinesh Saroj, Shambhavi Seth, Navamani Venkatachalapathi","doi":"10.1007/s13312-025-00104-7","DOIUrl":"10.1007/s13312-025-00104-7","url":null,"abstract":"<p><strong>Objective: </strong>To develop a disability literacy scale for caregivers of children with chronic neurodevelopmental disabilities.</p><p><strong>Methods: </strong>A multicentric cross-sectional, facility-based study was conducted across ten sites in India in three phases. In the first phase, item generation and identification of core items for the scale were carried out through free listing and Smith's Salience Score. The second phase involved establishing content validity through Delphi rounds with experts, followed by identification of factors and reliability analysis in phase three by recruiting caregivers (n = 323) from each center through simple random sampling.</p><p><strong>Results: </strong>Of 83 items generated through free listing, 24 items were included in the final scale with an excellent reliability of 0.79. Exploratory factor analysis identified five factors explaining 31% variance: knowledge regarding treatment and support services (7 items), knowledge regarding activity and participation decisions (4 items), collaborative goal setting ability (4 items), lifespan concerns (6 items), and skills for self-help (3 items).</p><p><strong>Conclusions: </strong>A reliable, disability-specific literacy measurement tool has been developed for caregivers of children with chronic neurodevelopmental disabilities. The scale is available in five Indian languages and can be self-administered by caregivers.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measles Outbreak Investigation in Chandigarh in 2023: A Case Series.","authors":"Vidushi Mahajan, Mini P Singh, Anjali Sharma, Poonam Kanta, Shivani Gupta, Vishal Guglani","doi":"10.1007/s13312-025-00112-7","DOIUrl":"https://doi.org/10.1007/s13312-025-00112-7","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the measles virus (MeV) outbreak at a tertiary-care centre of northern India in 2023.</p><p><strong>Methods: </strong>Probable and confirmed cases of measles presenting to from a tertiary hospital in Chandigarh, India, between January 01, 2023, and September 30, 2023, were defined using the WHO measles outbreak toolbox. Laboratory confirmation was based on positive IgM serology for measles. Laboratory-confirmed cases were subjected to genotyping by real-time polymerase chain reaction as per the Centre for Disease Control protocol.</p><p><strong>Results: </strong>Out of 38 laboratory-confirmed cases, 18 (47%) were infants; 10 out of 18 infants were aged < 9 months. 60% cases were unvaccinated for MeV. Genotyping in 3 out of 5 cases revealed the D8 genotype, MeV strain MVs/Thiruvananthapuram. IND/18.12 in circulation.</p><p><strong>Conclusion: </strong>The 2023 outbreak underscores the critical impact of the immunization gap, need for sustained vaccination efforts and to consider early 2-dose schedule to prevent similar occurrences in the future.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Shorter (3-4 Days) Antibiotic Therapy Adequate Compared to Standard (5-7 Days) Duration in Neonates with Suspected (Culture Negative) Sepsis? No.","authors":"Suksham Jain","doi":"10.1007/s13312-025-00102-9","DOIUrl":"https://doi.org/10.1007/s13312-025-00102-9","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development in Pulmonary Function Tests Over Five Decades.","authors":"Prawin Kumar, Jagdish Prasad Goyal","doi":"10.1007/s13312-025-00117-2","DOIUrl":"https://doi.org/10.1007/s13312-025-00117-2","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}