Indian pediatrics最新文献

Telemedicine as an Adjunct to Follow-Up of Low-Risk Neonates: A Prospective Cohort Study. 远程医疗作为低风险新生儿随访的辅助：一项前瞻性队列研究。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-06-01 Epub Date: 2025-04-03 DOI: 10.1007/s13312-025-00053-1

Remya Rajkumar, Nabagata Roy, Femitha Pournami, Ajai Kumar Prithvi, Naveen Jain

引用次数: 0

Effectiveness of Bubble Continuous Positive Airway Pressure for Treatment of Children Aged 1-59 Months with Severe Pneumonia and Hypoxemia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. 气泡持续气道正压治疗1-59月龄儿童重症肺炎和低氧血症的有效性：随机对照试验的系统评价和荟萃分析

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-06-01 Epub Date: 2025-04-29 DOI: 10.1007/s13312-025-00081-x

Mohammad Tanashat, AlMothana Manasrah, Omar Abdullah Bataineh, Ahmad Abdelrazek, Mohamed Abouzid

{"title":"Effectiveness of Bubble Continuous Positive Airway Pressure for Treatment of Children Aged 1-59 Months with Severe Pneumonia and Hypoxemia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Mohammad Tanashat, AlMothana Manasrah, Omar Abdullah Bataineh, Ahmad Abdelrazek, Mohamed Abouzid","doi":"10.1007/s13312-025-00081-x","DOIUrl":"10.1007/s13312-025-00081-x","url":null,"abstract":"Objective: Continuous positive airway pressure (CPAP) is a standard treatment for children with moderate to severe respiratory distress; however, ventilators are often unavailable in developing countries. Bubble CPAP (bCPAP) is considered a simple, cost effective and less invasive alternative to CPAP, however, its efficacy has not been assessed for children with pneumonia until recently. This meta-analysis aims to compare the effectiveness of bCPAP with low-flow oxygen for treating severe pneumonia and hypoxemia in children.Methods: PubMed, EMBASE, Cochrane Library, Web of Science, and CENTRAL were searched to identify eligible randomized controlled trials reported up to March 23, 2024. Outcomes were reported as risk ratios (RRs) or mean difference (MD) and confidence intervals (CIs) using Review Manager software. P value < 0.05 was considered statistically significant.Results: Three studies with 2030 patients were included and revealed no significant difference between bCPAP and control in overall mortality [RR (95% CI) 0.46 (0.09, 2.32); P = 0.348], death during hospital stay [0.48 (0.02, 9.09), P = 0.619], composite primary outcome [0.48 (0.12, 1.97), P = 0.301], pneumothorax [1.94 (0.16, 23.11), P = 0.601], leaving hospital against medical advice [0.63 (0.16, 2.39), P = 0.489], and length of hospital stay [MD (95%CI) 0.15 days (- 0.66, 0.96), P = 0.706]. Children on bCPAP had significantly fewer events of severe hypoxemia [RR (95% CI) 0.22 (0.10, 0.49), P < 0.001], and less requirement for mechanical ventilation [RR (95% CI) 0.38 (0.15, 0.99), P = 0.048].Conclusion: bCPAP is not superior to low-flow oxygen for improving survival and reducing hospital stay in children with pneumonia, albeit the need for mechanical ventilation decreases.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"440-450"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965000","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}

引用次数: 0

Recurrent Paroxysmal Torticollis as a Presenting Feature of Stress-Induced Childhood-Onset Neurodegeneration with Variable Ataxia and Seizures (CONDSIAS). 复发性阵发性斜颈是应激性儿童期神经变性伴变异性共济失调和癫痫发作（CONDSIAS）的一个表现特征。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-06-01 Epub Date: 2025-05-14 DOI: 10.1007/s13312-025-00083-9

Anita Modage, Virendra Gaonkar, Myla Isha Pereira

引用次数: 0

Role of Proton Pump Inhibitor as Stress Ulcer Prophylaxis in Sick Children: A Randomized Controlled Trial. 质子泵抑制剂在儿童应激性溃疡预防中的作用：一项随机对照试验。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-06-01 Epub Date: 2025-04-11 DOI: 10.1007/s13312-025-00035-3

Ananya Kavilapurapu, A V Lalitha, Santu Ghosh

{"title":"Role of Proton Pump Inhibitor as Stress Ulcer Prophylaxis in Sick Children: A Randomized Controlled Trial.","authors":"Ananya Kavilapurapu, A V Lalitha, Santu Ghosh","doi":"10.1007/s13312-025-00035-3","DOIUrl":"10.1007/s13312-025-00035-3","url":null,"abstract":"Objective: To evaluate the efficacy of intravenous pantoprazole as a stress ulcer prophylaxis in sick children to prevent gastrointestinal (GI) bleeding.Methods: A randomized controlled trial included children aged one-month to 18 years requiring intensive care. Participants were randomly assigned to receive intravenous pantoprazole or a placebo (normal saline) daily. The primary outcome was the incidence of GI bleeding (clinically significant or overt). Secondary outcomes were the median time of onset of GI bleeding, incidence of ventilator-associated pneumonia (VAP), duration of hospitalization, organ dysfunction scores, and all-cause mortality.Results: A total of 151 and 150 children were allocated to group A (pantoprazole) and group B (placebo), respectively. No significant difference was observed in the incidence of GI bleeding between the groups (group A: 21/151 vs group B: 19/150 [RR (95% CI) 1.03 (0.18, 5.82), P = 0.985]. Comparable results were observed for clinically significant GI bleeding (1.3% vs 0.6%; RR (95% CI) 0.54 (0.21, 1.28); P = 0.653 and overt GI bleeding [12.6% vs 12%; RR (95% CI) 0.98 (0.39, 2.23); P value = 0.313]. On multivariate analysis, there was a reduced incidence of GI bleeding in children with coagulopathy in pantoprazole group (n = 29) as compared to placebo (n = 25) [RR (95%CI) 0.52 (0.32, 0.87); P = 0.022].Conclusion: Among critically ill children, pantoprazole prophylaxis did not reduce the incidence of gastrointestinal bleeding, although, a notable decrease in gastrointestinal bleeding was observed in children with coagulopathy.Trials registry: Clinical Trials Registry of India, Ref no: CTRI/2021/08/035785, Date of registration:18th August 2021.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"407-413"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003506","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}

引用次数: 0

Mixed Type Atypical Rabies Encephalitis: A Case Report. 混合型非典型狂犬病脑炎1例报告。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-06-01 Epub Date: 2025-03-31 DOI: 10.1007/s13312-025-00043-3

Lukshay Bansal, Shibani Mehra

引用次数: 0

Idiopathic Localized Involutional Lipoatrophy. 特发性局部对偶性脂肪萎缩。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-06-01 Epub Date: 2025-03-31 DOI: 10.1007/s13312-025-00055-z

Febin Ashraf, Manish V Khandare

引用次数: 0

The Changing Landscape of Neonatal Infections: Evolution and Advances in Bacteriology. 新生儿感染的变化：细菌学的进化和进展。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-06-01 Epub Date: 2025-04-23 DOI: 10.1007/s13312-025-00078-6

Barnali Kakati, Ashok Kumar Deorari

引用次数: 0

Non-Invasive Blood Pressure Measurement in Extremely Preterm Neonates: Comparative Analysis of Different Methods. 极早产新生儿的无创血压测量：不同方法的比较分析。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-06-01 Epub Date: 2025-04-01 DOI: 10.1007/s13312-025-00040-6

Shalabh Garg, Adnan Zafar

{"title":"Non-Invasive Blood Pressure Measurement in Extremely Preterm Neonates: Comparative Analysis of Different Methods.","authors":"Shalabh Garg, Adnan Zafar","doi":"10.1007/s13312-025-00040-6","DOIUrl":"10.1007/s13312-025-00040-6","url":null,"abstract":"Objectives: To compare non-invasive (Doppler and Oscillometric) and invasive (indwelling umbilical arterial catheter, UAC) methods for measuring blood pressure in extremely preterm neonates.Methods: Neonates < 28 weeks gestation were recruited if UAC was inserted as part of their clinical care. Blood pressure measured 4-6 hourly by Oscillometric and Doppler methods was compared with invasive method (10-15 readings/baby).Results: 438 blood pressure recordings were taken from 11 neonates. Compared to invasive method, non-invasive methods underestimated (P = 0.630) and overestimated (P = 0.431 for > 10% overestimation, P = 0.960 for > 20% overestimation) blood pressure. The frequency of blood pressure being within 10% of UAC reading was higher with the Oscillometric method compared to Doppler (41% vs 17%).Conclusions: Compared to invasive arterial recording, non-invasive methods underestimated as well as overestimated blood pressure in extremely preterm neonates. Oscillometric methods are more reliable compared to Doppler methods.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"433-436"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752365","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}

引用次数: 0

School Teachers' Perspectives on National Iron Plus Initiative Implementation: A Qualitative Study. 学校教师对国家“铁+”倡议实施的看法：一项质的研究。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-06-01 Epub Date: 2025-04-02 DOI: 10.1007/s13312-025-00039-z

Kumar Guru Mishra, Nabnita Patnaik, Nihar Ranjan Pradhan

{"title":"School Teachers' Perspectives on National Iron Plus Initiative Implementation: A Qualitative Study.","authors":"Kumar Guru Mishra, Nabnita Patnaik, Nihar Ranjan Pradhan","doi":"10.1007/s13312-025-00039-z","DOIUrl":"10.1007/s13312-025-00039-z","url":null,"abstract":"Objective: To explore the school teachers' perspectives on factors affecting the implementation of National Iron Plus Initiative (NIPI).Methods: A qualitative participatory study was conducted in six schools in rural areas of Telangana, involving free listing, pile sorting, and force field analysis. Analysis included frequency calculations, multidimensional scaling, hierarchical cluster analysis, and thematic analysis.Results: Fifty four teachers participated; 25 barriers and 14 enablers were identified. Key barriers included lack of education and health literacy, negative attitudes, lack of faith in public services, and unhygienic practices. Major enablers were school-based anemia-related activities, government awareness programs, and programmatic interventions. Force field analysis revealed attitudes and awareness gaps as significant barriers, while school-based activities emerged as the primary enabler.Conclusion: School-based interventions, addressing attitudinal and educational barriers, and adopting a holistic approach are crucial for effective anemia prevention in rural settings.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"421-427"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763455","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}

引用次数: 0

Intramuscular Versus Oral Ondansetron for Management of Children with Acute Dehydrating Diarrhea and Vomiting: A Randomized Controlled Trial. 肌注与口服昂丹司琼治疗儿童急性脱水腹泻和呕吐：一项随机对照试验。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-06-01 Epub Date: 2025-04-02 DOI: 10.1007/s13312-025-00049-x

Shubham Satyesh, Rajesh Kumar Meena, Dheeraj Shah, Rumpa Saha, Piyush Gupta

{"title":"Intramuscular Versus Oral Ondansetron for Management of Children with Acute Dehydrating Diarrhea and Vomiting: A Randomized Controlled Trial.","authors":"Shubham Satyesh, Rajesh Kumar Meena, Dheeraj Shah, Rumpa Saha, Piyush Gupta","doi":"10.1007/s13312-025-00049-x","DOIUrl":"10.1007/s13312-025-00049-x","url":null,"abstract":"Objectives: To compare efficacy and safety of intramuscular (IM) ondansetron with oral ondansetron for improving utilization of Oral Rehydration Therapy (ORT) by controlling vomiting in children with acute diarrhea and some dehydration.Methods: We enrolled children aged 3 months to 12 years presenting with acute diarrhea (duration < 14 days) with some dehydration, and at least two episodes of vomiting within last 6 h in an open-label randomized controlled trial. Participants were randomized to receive single dose (0.2 mg/kg) of IM or oral ondansetron before starting ORT. Primary outcome was failure of ORT (persistence of some dehydration after 4 h of ORT or need for intravenous fluids). Secondary outcomes included need for unscheduled intravenous fluids, amount of Oral Rehydration Salt Solution (ORS) ingested after 4 h, frequency of vomiting episodes, adverse effects, and caregiver satisfaction.Results: We randomized 60 children (31 IM, 29 oral); 58 (29 per group) were followed-up for all outcomes. There were no significant differences between IM and oral routes in terms of ORT failure (31% vs. 24.1%; RR (95% CI) 1.3 (0.5, 3.0), P = 0.557), need for IV fluids during ORT (24.1% vs. 20.7%; P = 0.753), mean (SD) ORS ingested (mL) in 4 h [616.2 (429.7) vs. 645.5 (403.5); P = 0.79], mean (SD) frequency of vomiting [1.4 (2.0) vs. 2.3 (2.4); P = 0.107] or caregiver satisfaction. No adverse events attributable to the intervention were observed.Conclusion: Intramuscular ondansetron may not offer any advantage over oral use in management of children with acute diarrhea with vomiting and some dehydration.Trial registration: Clinical Trials Registry-India (CTRI/2020/01/023082) available at ctri.nic.in.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"414-420"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763389","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}

引用次数: 0