Indian pediatrics最新文献_第2页

Sensing the Simmering Inflammation: Clues for Diagnosis of Underlying Rheumatic Disorder. 感知酝酿中的炎症：诊断潜在风湿病的线索

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-12-15 Epub Date: 2024-09-10

Chandrika S Bhat, Athimalaipet V Ramanan, Narendra Kumar Bagri

引用次数: 0

Appropriate Methodology for Studies on Normative Data: Correspondence. 规范数据研究的适当方法论：对应。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-12-15

Rajendra Prasad Anne, Sheila Samanta Mathai

引用次数: 0

Autonomic Disturbances in Children with Nutcracker Syndrome: A Case Control Study. 胡桃钳综合征患儿的自主神经紊乱：病例对照研究

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-12-15 Epub Date: 2024-09-10

Yasemin Nuran Dönmez, Adem Yasin Koksoy, Derya Bako, Dilek Giray, Serdar Epcacan

{"title":"Autonomic Disturbances in Children with Nutcracker Syndrome: A Case Control Study.","authors":"Yasemin Nuran Dönmez, Adem Yasin Koksoy, Derya Bako, Dilek Giray, Serdar Epcacan","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To describe the autonomic nervous system abnormalities including frequency of orthostatic symptoms, orthostatic response to the active standing test and analysis of heart rate variability (HRV) parameters in children with Nutcracker syndrome (NCS).Methods: A case-control study was conducted between May and November 2023. We included children with NCS and healthy age- and sex-matched healthy controls. Children were evaluated for autonomic system disturbances by history for orthostatic symptoms, performance in an active standing test, 24-hour holter monitoring to determine the heart rate variability (HRV), maximum and minimum heart rates, and the average heart rate and urine analysis for orthostatic proteinuria and hematuria.Results: 45 children with NCS and 47 age-matched healthy controls were included. Orthostatic symptoms were observed in 55.5% of the NCS patients, with dizziness being the predominant complaint (37%), followed by fatigue (20%), palpitations (13%), headache (11%), vision disturbances (11%), syncope (6%), chest discomfort (4%), and diaphoresis (2%). In the 24-h holter monitoring of 24 patients, a decrease in the standard deviation of the NN intervals (SDNN), root mean square of successive R-wave peak to R-wave peak (RR) interval differences (rMSSD) was observed. SDNN was significantly lower in NCS compared to the control group; 135.5 (42.3) vs 155.9 (35.2), P = 0.039. rMSDD was also significantly lower in the NCS compared to control group; 46.2 (19.7) vs 61.3 (26.6), P = 0.020. The mean (SD) maximum heart rate was higher in NCS compared to control group; 172.3 (28.4) vs 159.4 (14.6), P = 0.015.Conclusion: Autonomic nervous system dysfunction and orthostatic disturbances may be seen in children with NCS.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1114-1118"},"PeriodicalIF":1.7,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142286077","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

Plasma Copeptin as a Prognostic Marker in Children with Heart Failure. 血浆谷丙肽作为心力衰竭儿童的预后标志物

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-12-15 Epub Date: 2024-11-26

Alyaa Ahdy Abdelaziz, Ahmed Anwer Khattab, Mohammed Hossam Abdelmaksoud, Ramy Mohamed Ghazy, Ahmed Noaman

{"title":"Plasma Copeptin as a Prognostic Marker in Children with Heart Failure.","authors":"Alyaa Ahdy Abdelaziz, Ahmed Anwer Khattab, Mohammed Hossam Abdelmaksoud, Ramy Mohamed Ghazy, Ahmed Noaman","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To investigate the role of plasma copeptin in predicting mortality in children with heart failure (HF) in addition to poor outcomes, including sepsis, multiorgan dysfunction syndrome, need for mechanical ventilation, and duration of stay in the pediatric intensive care unit.Methods: This diagnostic study included 76 children aged 1 month to 16 years who were hospitalized with congenital or acquired heart disease with HF, and an age- and gender-matched control group of 65 healthy children. Plasma copeptin level was evaluated within 24 hours of admission. Patient with HF were classified into quartiles according to copeptin levels.Results: The median plasma copeptin level (pmol/L) was significantly higher in children with HF compared to the healthy children (16.8 vs 8.0; P = 0.001). Patients were classified into quartiles according to their plasma copeptin level as follows; Q1, plasma copeptin level < 7.60 pmol/L; Q2, plasma copeptin level 7.60-10.75 pmol/L; Q3, plasma copeptin level 10.76-17.70 pmol/L; Q4, plasma copeptin level >17.70 pmol/L. The Pediatric Risk of Mortality III (PRISM III) score and inotropic scores were significantly different among the quartiles of copeptin levels in HF (P = 0.001 and 0.003, respectively). A higher proportion of patients who developed sepsis and MODS were in the fourth quartile (P = 0.001 and 0.022, respectively). All mechanically ventilated children were also in the fourth quartile. Plasma copeptin level of 35.5 pmol/L had a sensitivity of 72% and a specificity of 92.5% to predict mortality in children with HF (AUC = 0.72, P = 0.046).Conclusion: Plasma copeptin is a novel biomarker for the early prediction of mortality and poor outcomes in children with HF.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1103-1108"},"PeriodicalIF":1.7,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142728181","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

Correlation Between Perfusion Index and Clinical Risk Index for Babies II Score in Preterm Sick Neonates: A Prospective Cohort Study. 早产病态新生儿灌注指数与婴儿临床风险指数 II 评分之间的相关性：一项前瞻性队列研究

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-12-15 Epub Date: 2024-09-24

Shambu S Angadi, Chaitra Angadi, H S Niranjan

{"title":"Correlation Between Perfusion Index and Clinical Risk Index for Babies II Score in Preterm Sick Neonates: A Prospective Cohort Study.","authors":"Shambu S Angadi, Chaitra Angadi, H S Niranjan","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: This study aims to investigate the correlation between perfusion index (PI) and Clinical Risk Index for Babies (CRIB) II score in sick preterm neonates < 37-week gestation admitted to neonatal intensive care unit (NICU).Method: This observational study was conducted over period of 18 months in a tertiary care centre. All eligible preterm neonates admitted to NICU were examined. The PI and CRIB II score for each neonate were documented. The primary outcome of the study was correlation between PI and CRIB II scores at admission.Results: 383 neonates were enrolled in the study. Mean gestation of neonates was 32 weeks. A strong correlation between PI and CRIB II scores at admission was noted (P = 0.01). We demonstrated a strong association between PI at admission and predischarge mortality of neonates with 92.9% sensitivity and 70% specificity. Lower PI was associated with need of inotropes and invasive ventilation and longer duration of hospital stay. Combined use of PI and CRIB II predicted mortality with 83.3% sensitivity and 80.5% specificity.Conclusion: The perfusion index is a potential bedside measure that correlated well with the CRIB II score, which is a validated tool to assess sick preterm neonates. Preductal PI at admission was associated with predischarge mortality, length of hospital stay, inotrope requirement and need for ventilator support in preterm neonates.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1097-1102"},"PeriodicalIF":1.7,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345842","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

Strengthening the fight against CLABSI: Insights from comparative study of UVC vs PICC line. 加强对CLABSI的防治：来自UVC与PICC系比较研究的启示。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-12-15

Rohan Modi, Dipen Vasudev Patel

引用次数: 0

Is Severe Dengue a Cytokine Storm Syndrome? 严重登革热是细胞因子风暴综合征吗？

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-11-15 Epub Date: 2024-10-22

Priyankar Pal, Jigna N Bathia, C Ravali Pratima Goud

引用次数: 0

Survey of Basic Neonatal Resuscitation Program (NRP) Participants in India. 印度新生儿复苏计划（NRP）基本参与者调查。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-11-15 Epub Date: 2024-08-26

Somashekhar M Nimbalkar, Purvi R Patel, Mayur K Shinde, Vikas Goyal

{"title":"Survey of Basic Neonatal Resuscitation Program (NRP) Participants in India.","authors":"Somashekhar M Nimbalkar, Purvi R Patel, Mayur K Shinde, Vikas Goyal","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To assess the effectiveness of the Basic Neonatal Resuscitation Program (NRP) course and to evaluate the perceived utility of the skills acquired during the course.Methods: This cross-sectional survey aimed to assess the perceptions of participants who attended the Basic NRP course, comprising online video modules and offline workshops, across India. Data were collected between October 2023 and November 2023 for the courses held from May 2022 to April 2023, using a semi-structured questionnaire distributed electronically or via telecommunication.Results: Out of 10,000 participants approached, 6,066 responded which included nurses (60.4%), pediatricians (20%), and medical officers (19.7%). Majority were females (76.4%), in private healthcare (62.1%), with the highest participation from West Bengal (14.72%) among the different states. Satisfaction with online videos was reported as very high by 48.5% and reasonable by 51.5% and one participant reported dissatisfaction. Compared to private healthcare settings, exposure to labor room experience was lesser in government facilities (48.8% vs. 42.5%, P < 0.001). The overall functional equipment was greater in government set-ups compared to private facilities (49.8% vs. 45.2%, P = 0.001).Conclusion: Participants reported improved neonatal resuscitation skills as well as opportunities and facilities to practice after Basic NRP course.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1029-1033"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080146","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

Update on the 2024 Guidelines by Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition (ISPGHAN) on the Diagnosis and Management of Pediatric Acute Liver Failure. 印度儿科胃肠病学、肝脏病学和营养学会（ISPGHAN）关于儿科急性肝衰竭诊断和管理的 2024 年指南更新。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-11-15 Epub Date: 2024-10-22

Bikrant Bihari Lal, Seema Alam

引用次数: 0

Novel Variant of 3M2 Syndrome in an Indian Patient: Expanding the Genotype. 一名印度患者的 3M2 综合征新变异：扩展基因型

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-11-15

Ankur Singh, Shikhar Garg

引用次数: 0