Indian pediatrics最新文献_第2页

Children Discharged Against Medical Advice and Their Outcome in a Public Hospital in India: A Prospective Cohort Study. 印度一家公立医院不遵医嘱出院的儿童及其预后：一项前瞻性队列研究

IF 1.5 4区医学

Indian pediatrics Pub Date : 2025-10-01 Epub Date: 2025-06-04 DOI: 10.1007/s13312-025-00108-3

Shilpi Jha, Devendra Mishra, Anurag Agarwal

{"title":"Children Discharged Against Medical Advice and Their Outcome in a Public Hospital in India: A Prospective Cohort Study.","authors":"Shilpi Jha, Devendra Mishra, Anurag Agarwal","doi":"10.1007/s13312-025-00108-3","DOIUrl":"10.1007/s13312-025-00108-3","url":null,"abstract":"Objectives: To determine the factors associated with discharge against medical advice (DAMA), and the readmission and mortality rate at one-month follow-up among these children.Methodology: This prospective cohort study enrolled consecutive children (6 months-12 years) from one designated inpatient ward. Clinical and demographic data, and information about reasons for DAMA were collected using a structured interview. Outcome of DAMA patients was assessed telephonically at one month after discharge.Results: Out of 538 children, 28 (5.2%) obtained DAMA. Predictors of DAMA on multivariate analysis were partial/unimmunized status, underlying chronic disease, and higher Pediatric Early Warning Score (PEWS) at admission. The most common contributors to DAMA included hospital-related reasons (n = 17, 60.7%), disease-related reasons (n = 9, 32.1%), and sociodemographic reasons (n = 7, 25%). A total of 25 children could be followed up at one month; of these 10 were readmitted at another hospital, and 5 died.Conclusions: The high rates of readmission and mortality among these children emphasize the need for targeted interventions to address the underlying causes of DAMA.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"742-746"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144215619","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

Childhood Poisoning: Accidental Ingestion to Intentional Exposures. 儿童中毒：意外摄入到有意暴露。

IF 1.5 4区医学

Indian pediatrics Pub Date : 2025-10-01 DOI: 10.1007/s13312-025-00204-4

Anil Kumar Goel

引用次数: 0

Clinical Spectrum of Ocular Manifestations of Mumps in Children: A Cross-Sectional Study. 儿童流行性腮腺炎眼部表现的临床谱：一项横断面研究。

IF 1.5 4区医学

Indian pediatrics Pub Date : 2025-10-01 Epub Date: 2025-05-05 DOI: 10.1007/s13312-025-00079-5

Sheetal Madalagi, Kalyani Malasane, Deepti Joshi, R Krishnaprasad

{"title":"Clinical Spectrum of Ocular Manifestations of Mumps in Children: A Cross-Sectional Study.","authors":"Sheetal Madalagi, Kalyani Malasane, Deepti Joshi, R Krishnaprasad","doi":"10.1007/s13312-025-00079-5","DOIUrl":"10.1007/s13312-025-00079-5","url":null,"abstract":"Objective: This study aimed to describe the ophthalmological and neuro-ophthalmological manifestations of mumps in children.Methods: This cross-sectional study included 41 children aged < 18 years who were clinically diagnosed with mumps by a pediatrician and referred to a tertiary eye hospital. Comprehensive ophthalmic evaluation included visual acuity testing, slit-lamp biomicroscopy, fundus examination, ocular movement assessment, and squint measurement.Results: The mean time from onset of parotitis to ocular symptoms was 7 days. Out of 41 children, 15 (36.85%) had follicular conjunctivitis. Other ophthalmic findings included acute non-granulomatous uveitis (17.07%), acute acquired esotropia (17.07%), optic neuritis (9.75%), sixth nerve palsy (9.75%), encephalitis (4.87%), dacryoadenitis (2.43%), myasthenia gravis (2.43%), and accommodative insufficiency (2.43%).Conclusion: Apart from causing systemic involvement, mumps causes varied ocular manifestations which highlight the importance of a unified role of pediatricians and ophthalmologists in managing children with mumps.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"747-751"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012601","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

Are Nasal CPAP Interfaces Optimal for Indian Neonates? A Call for Anthropometry-Based Design. 鼻CPAP接口是否适合印度新生儿？呼吁基于人体测量学的设计。

IF 1.5 4区医学

Indian pediatrics Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI: 10.1007/s13312-025-00151-0

Satya Prakash, Ramesh Agarwal

引用次数: 0

An Update on WHO Recommendations on Childhood Pneumonia and Diarrhea (2024). 世卫组织关于儿童肺炎和腹泻建议的最新情况（2024年）。

IF 1.5 4区医学

Indian pediatrics Pub Date : 2025-10-01 Epub Date: 2025-08-21 DOI: 10.1007/s13312-025-00173-8

Soumi Kundu, Sarthak Das, R G Medhagopal

引用次数: 0

Development of a Disability Literacy Scale for Caregivers of Children with Chronic Neurodevelopmental Disabilities (DLS-C). 慢性神经发育障碍儿童护理人员残疾读写能力量表的编制。

IF 1.5 4区医学

Indian pediatrics Pub Date : 2025-10-01 Epub Date: 2025-06-10 DOI: 10.1007/s13312-025-00104-7

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

{"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":"Objective: To develop a disability literacy scale for caregivers of children with chronic neurodevelopmental disabilities.Methods: 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.Results: 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).Conclusions: 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.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"724-731"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","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}

引用次数: 0

Normal Values of Acid Steatocrit in Indian Children: A Prospective Analytical Study. 印度儿童酸性脂肪压积正常值：一项前瞻性分析研究。

IF 1.5 4区医学

Indian pediatrics Pub Date : 2025-10-01 Epub Date: 2025-07-22 DOI: 10.1007/s13312-025-00118-1

Pankaj Kumar, Vyom Aggarwal

引用次数: 0

Optimizing Influenza Vaccine Protection in India. 在印度优化流感疫苗保护。

IF 1.5 4区医学

Indian pediatrics Pub Date : 2025-10-01 Epub Date: 2025-07-22 DOI: 10.1007/s13312-025-00119-0

Vipin M Vashishtha, Puneet Kumar

引用次数: 0

Cocoon Vaccination Among Mothers of Very Preterm Infants. 极早产儿母亲接种蚕茧疫苗。

IF 1.5 4区医学

Indian pediatrics Pub Date : 2025-10-01 Epub Date: 2025-07-25 DOI: 10.1007/s13312-025-00131-4

Deepa James, Anju Joy, Femitha Pournami, Jyothi Prabhakar, Naveen Jain

{"title":"Cocoon Vaccination Among Mothers of Very Preterm Infants.","authors":"Deepa James, Anju Joy, Femitha Pournami, Jyothi Prabhakar, Naveen Jain","doi":"10.1007/s13312-025-00131-4","DOIUrl":"10.1007/s13312-025-00131-4","url":null,"abstract":"Objectives: Preterm survivors are at risk of acquiring communicable diseases post-discharge. Cocoon strategy is immunization of close contacts to prevent infections in such vulnerable individuals. This study assessed the coverage of cocoon vaccines among mothers of very preterm infants.Methods: This retrospective study analyzed the proportion of mothers of very preterm (< 30 weeks) infants who received the eligible cocoon vaccines [tetanus, diphtheria, and acellular pertussis (Tdap), influenza, and varicella] in the antenatal or postnatal period.Results: Seventy-five out of 159 (47.2%) mothers had received all three cocoon vaccines; the median postnatal age of receiving vaccines was 38 (23, 55) days. Influenza and Tdap vaccines were administered to 64.1% and 48.5% mothers, respectively, either antenatally or postnatally. Only 49.2% (34 out of 69) of the fathers were covered for cocoon vaccines.Conclusion: Less than 50% mothers were compliant with cocoon vaccination protocol. This calls for more intensive efforts towards improving vaccine coverage among close contacts of high-risk infants.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"738-741"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707339","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

Betel Leaf-Induced Contact Leukomelanosis in a Child. 槟榔叶诱发的儿童接触性白斑病。

IF 1.5 4区医学

Indian pediatrics Pub Date : 2025-10-01 Epub Date: 2025-07-31 DOI: 10.1007/s13312-025-00150-1

Kaliaperumal Karthikeyan, Vijayasankar Palaniappan

引用次数: 0