Indian pediatrics最新文献_第3页

Psychological Assessment of Mothers of Indian Children with Differences of Sex Development. 印度儿童性发育差异母亲的心理评估。

IF 1.7 4区医学

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

Rajat Sagar, Sayan Banerjee, Jaivinder Yadav, Rakesh Kumar, Akhilesh Sharma, Rajni Sharma, Devi Dayal

{"title":"Psychological Assessment of Mothers of Indian Children with Differences of Sex Development.","authors":"Rajat Sagar, Sayan Banerjee, Jaivinder Yadav, Rakesh Kumar, Akhilesh Sharma, Rajni Sharma, Devi Dayal","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To assess the parental stress, coping mechanism and quality of life of caregivers of children with Differences of Sex Development (DSD).Methods: Mothers of children (6 months - 12 years) with DSD were enrolled after excluding mothers of children with syndromic diagnosis, developmental delay, cognitive impairments, chronic diseases, or if the duration of DSD diagnosis was less than six months, and mothers with psychiatric illnesses (n = 35). Mothers of age and gender-matched children with congenital hypothyroidism served as controls (n = 35). Psychological assessments were performed using structured questionnaires: the Parent Stress Scale, PRIME MD PHQ-9 Scale, and Ways of Coping Questionnaire.Results: Mothers of children with DSD exhibited significantly higher mean (SD) stress levels [24.34 (4.25) vs 19.57 (1.89); P < 0.001]. Prevalence of depression prevalence was higher in mothers in the DSD group than in the hypothyroidism group (71% vs 42.9%, P < 0.001). Mothers of children with DSD also had poorer quality of life, and both high negative coping behavior and low positive coping behavior (P < 0.001) compared to controls, and stigma related to social exclusion was more pronounced.Conclusion: Beyond medical interventions, addressing family members' psychological well-being is essential in effectively managing DSD in the Indian context.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1039-1042"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080145","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

Latent Iron Deficiency in Neonates With and Without Risk Factors for Poor In-Utero Iron Status. 有无胎儿铁状况不良风险因素的新生儿潜伏铁缺乏症

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-11-15 Epub Date: 2024-09-10

Puneeth Amaresh Babu, Ajoy Kumar Garg, Saroj Kumar Patnaik

{"title":"Latent Iron Deficiency in Neonates With and Without Risk Factors for Poor In-Utero Iron Status.","authors":"Puneeth Amaresh Babu, Ajoy Kumar Garg, Saroj Kumar Patnaik","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine the proportion of latent iron deficiency (LID) in neonates delivered at more than 34 weeks gestation with and without risk factors for in-utero iron deficiency.Method: This observational study enrolled neonates delivered at more than 34 weeks gestation. Maternal antenatal history, risk factors for placental insufficiency, hemoglobin, and serum ferritin levels were collected upon admission for confinement. Neonates were categorized based on the presence of risk factors, and further categorized based on ferritin concentrations (cord blood or venous blood < 72 hours) into those with ferritin > 75 ng/mL (normal iron status) and those with ferritin between 11-75 ng/mL (LID).Results: Among 559 neonates, 295 had underlying risk factors for poor in-utero iron status. Overall, 45 (9.8%) neonates had LID with an incidence of 10.5% in those with risk factors and 5.3% in those without risk factors [Odds Ratio (95% CI) 2.09 (1.08, 4.03); P value = 0.02]. Maternal anemia and gestational hypertension were found to be significant independent risk factors for LID.Conclusion: This study highlights the higher LID in at-risk neonates, emphasizing the need for targeted interventions to prevent iron deficiency.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1034-1038"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142286081","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

Comparison of UVC with PICC Line for Reducing Central Line Associated Blood Stream Infections in Preterm Neonates with Birth Weight < 1250g: An Open-Label Randomized Controlled Trial. 在出生体重小于 1250g 的早产新生儿中，比较 UVC 和 PICC 管路以减少中心管路相关血流感染：一项开放标签随机对照试验。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-11-15 Epub Date: 2024-09-24

Subhash Arun, Srinivas Murki, Venkateshwarlu Vardhelli, Saikiran Deshabhotla, Shravani Maram, Praveen Rao Vadije, Tejo Pratap Oleti

{"title":"Comparison of UVC with PICC Line for Reducing Central Line Associated Blood Stream Infections in Preterm Neonates with Birth Weight < 1250g: An Open-Label Randomized Controlled Trial.","authors":"Subhash Arun, Srinivas Murki, Venkateshwarlu Vardhelli, Saikiran Deshabhotla, Shravani Maram, Praveen Rao Vadije, Tejo Pratap Oleti","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To compare the incidence of central line associated blood stream infections (CLABSI) with the use of umbilical venous catheters (UVC) or peripherally inserted central cathethers (PICC) as primary vascular access in preterm neonates.Method: This was an open-label, two parallel-arm, randomized controlled trial which included hospitalized neonates with birth weight <1250g who required a central venous access on day 1 of life. The neonates were randomized to either UVC or PICC groups and evaluated for the incidence of CLABSI.Results: Of the total 238 eligible neonates, 128 and 110 neonates were randomized to the UVC and PICC groups, respectively. The baseline characteristics were comparable in both groups. There was no significant difference in the incidence of CLABSI among the UVC and PICC groups (21.1% vs 18.2%; P = 0.57). Neonates in the PICC group needed multiple attempts at insertion compared to those in the UVC group (43% vs 12%, P = 0.01); more time was needed for PICC line insertion [median (IQR) 20 (15, 40) vs 10 (5, 15) minutes], but had longer duration of the primary line [7 (4, 10) vs 5 (3, 7) days]. Early removal of the line for leakage was higher in the UVC group and local signs of inflammation were higher in the PICC group. The overall incidence of complications was similar between the groups (53% vs 45%, P = 1.00).Conclusion: In preterm infants with a birth weight of less than 1250g, the incidence of CLABSI was similar in the UVC and PICC groups when used as a primary central line. The overall complication rates were comparable in the UVC and PICC groups.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1017-1023"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345841","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

Developmental Therapy: Habilitation in Pediatric Care. 发育治疗：儿科护理中的适应训练。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-11-15

G V Basavaraja

引用次数: 0

Cardiopulmonary Exercise Testing in Children. 儿童心肺运动测试

IF 1.7 4区医学

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

Rajeev Bhatia

引用次数: 0

Insertion Site and Central-line Associated Infections in Neonates: A Choice Between Scylla and Charybdis! 新生儿插入部位和中央管路相关感染：Scylla 和 Charybdis 之间的抉择！

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-11-15

Manisha Komal, Umang Bhardwaj, M Jeeva Sankar

引用次数: 0

The ABC's of Inspiring Credible Professional Identity in Graduate Medical Education. 在医学研究生教育中激发可信职业认同的 ABC。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-11-15

Krishna Mohan Surapaneni

引用次数: 0

Clinical Profile and Short-Term Outcomes in Neonates with Respiratory Syncytial Virus Infection: A Single-Center Study. 呼吸道合胞病毒感染新生儿的临床概况和短期疗效：单中心研究

IF 1.7 4区医学

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

Vamshi Venkat M, Vijay Kumar Krishnegowda, Prathik Bandiya, B Anugna, Niranjan Shivanna

引用次数: 0

Psychiatric Comorbidities in Children With Epilepsy. 癫痫儿童的精神并发症。

IF 1.7 4区医学

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

V N V S J Sarat Chandra, Mahesh Kamate, Vinayak Koparde

引用次数: 0

Real-World Data on Childhood Relapsed Acute Lymphoblastic Leukemia: A Report on 100 Children Over two Decades From Southern India. 儿童复发性急性淋巴细胞白血病的真实世界数据：印度南部 100 名儿童二十年来的报告。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2024-10-15 Epub Date: 2024-08-06

Suresh Duraisamy, Kavitha Ganesan, Anupama Nair, Vijayshree Muthukumar, Venkateswaran Vellaichamy Swaminathan, Anuraag Reddy Nalla, Logesh Balakrishnan, Ramya Uppuluri, Revathi Raj

{"title":"Real-World Data on Childhood Relapsed Acute Lymphoblastic Leukemia: A Report on 100 Children Over two Decades From Southern India.","authors":"Suresh Duraisamy, Kavitha Ganesan, Anupama Nair, Vijayshree Muthukumar, Venkateswaran Vellaichamy Swaminathan, Anuraag Reddy Nalla, Logesh Balakrishnan, Ramya Uppuluri, Revathi Raj","doi":"","DOIUrl":"","url":null,"abstract":"Objective: The present study aims to provide outcome data in children with relapsed acute lymphoblastic leukemia (ALL) over two decades and variables that impact survival.Method: This retrospective study included children who were diagnosed with ALL and treated at our center and relapsed between March 2002 and March 2021.Results: A total of 100 children (64 boys, 36 girls) were included; 80 had B-ALL, 20 had T-ALL. 50 children had a very early relapse, while 25 each had an early and late relapse. The site of relapse was bone marrow in 57, isolated central nervous system (CNS) in 10, isolated testicular in 1, and combined bone marrow and CNS relapse in 32 children. Thirty-six families opted for the best supportive care; 23 of these had very early relapse. Among the 35 who were in remission following induction chemotherapy, 32 (91%) underwent hematopoietic stem cell transplantation (HSCT); 17/32 (53%) were alive and disease-free. Overall survival (OS) was 19 (19%) with a median follow-up of 23.5 months with a significantly improved survival post-measurable risk of disease (MRD) based risk stratification (4% vs 35%, P = 0.02). The OS with very early, early, and late relapses were 8%, 28%, and 32% (P = 0.018), and 15%, 12.5%, and 50% with bone marrow, combined and isolated CNS relapses (P = 0.008).Conclusion: Relapsed ALL remains a challenge, with OS of 19% and 53% among those who underwent HSCT. Abandonment after relapse continues to be prevalent, and we need to integrate social support for providing care and optimal treatment.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"947-952"},"PeriodicalIF":1.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141901594","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