Indian pediatrics最新文献

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Triceps Skin Fold Measurement and Risk of Metabolic Syndrome in Overweight and Obese Adolescents. 超重和肥胖青少年的肱三头肌皮肤褶皱测量与代谢综合征风险。
IF 1.7 4区 医学
Indian pediatrics Pub Date : 2024-11-15 Epub Date: 2024-08-06
Deepika Soundararajan, Premkumar Asokumar, Suresh Dhanam Venkatachalam, Mahesh Venkatesha, Santhanakrishnan Ramakrishnan
{"title":"Triceps Skin Fold Measurement and Risk of Metabolic Syndrome in Overweight and Obese Adolescents.","authors":"Deepika Soundararajan, Premkumar Asokumar, Suresh Dhanam Venkatachalam, Mahesh Venkatesha, Santhanakrishnan Ramakrishnan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The prevalence of childhood metabolic syndrome is rising with an increase in obesity. The current confirmatory diagnostic methods for metabolic syndrome are invasive. Triceps Skinfold Thickness (TSFT) measurement is a non-invasive alternative. This cross-sectional study evaluated the performance of TSFT for screening overweight and obese adolescents aged 10-16 years for metabolic syndrome. Out of 60 participants, 17 (28%) had metabolic syndrome. The mean (SD) TSFT measurements were significantly higher in adolescents with metabolic syndrome compared to those without metabolic syndrome [29.4 (6.0) vs. 24.3 (7.6); P = 0.018]. A cutoff of 26.7 mm for TSFT demonstrated 88% sensitivity and 72% specificity in predicting metabolic syndrome. TSFT was found as promising non-invasive screening tool for metabolic syndrome.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1047-1049"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141901595","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
A Rare Cause of Iron Deficiency Anemia. 缺铁性贫血的罕见病因。
IF 1.7 4区 医学
Indian pediatrics Pub Date : 2024-11-15 Epub Date: 2024-08-06
Sucheta Barnwal, Priyanka Aggarwal, Vineeta Gupta
{"title":"A Rare Cause of Iron Deficiency Anemia.","authors":"Sucheta Barnwal, Priyanka Aggarwal, Vineeta Gupta","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1052-1053"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141901591","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
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":"<p><strong>Objective: </strong>To assess the parental stress, coping mechanism and quality of life of caregivers of children with Differences of Sex Development (DSD).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Beyond medical interventions, addressing family members' psychological well-being is essential in effectively managing DSD in the Indian context.</p>","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":"<p><strong>Objective: </strong>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.</p><p><strong>Method: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>This study highlights the higher LID in at-risk neonates, emphasizing the need for targeted interventions to prevent iron deficiency.</p>","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":"<p><strong>Objectives: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","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
{"title":"Developmental Therapy: Habilitation in Pediatric Care.","authors":"G V Basavaraja","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":"61 11","pages":"1013-1014"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619363","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
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
{"title":"Cardiopulmonary Exercise Testing in Children.","authors":"Rajeev Bhatia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cardiopulmonary exercise testing (CPET) is a noninvasive test that provides a comprehensive assessment of the integrative exercise responses by measuring parameters calculated on a breath-by-breath basis. It can provide insight into the fitness level, cause of exercise limitation, and safe parameters for exercise prescription in children 6 years and older. Common indications for CPET include undiagnosed exercise-induced dyspnea, exercise intolerance in pediatric chronic conditions and for monitoring response after therapy/intervention. It can be utilized to assess the overall fitness, pre-operative risk, and prognosis in chronic conditions. CPET is accessible and dependable in pediatrics, yet challenges like a lack of standardized protocols are noted. With continued development and technological advancements in CPET, there is potential for revolutionizing pediatric diagnostic health care.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1070-1074"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499375","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
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
{"title":"Insertion Site and Central-line Associated Infections in Neonates: A Choice Between Scylla and Charybdis!","authors":"Manisha Komal, Umang Bhardwaj, M Jeeva Sankar","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":"61 11","pages":"1015-1016"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619364","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
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
{"title":"The ABC's of Inspiring Credible Professional Identity in Graduate Medical Education.","authors":"Krishna Mohan Surapaneni","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Graduate medical education is pivotal in shaping a physician's professional identity, an aspect that is often overshadowed by the emphasis on clinical skills. This manuscript addresses the critical role of medical educators as role models in developing professional identity among students using the ABC: Authenticity, Behavior, and Commitment. Authenticity demands consistency between personal beliefs and professional actions which fosters trust. Behavior involves consistently displaying professional and ethical conduct and providing a live curriculum that is professional. Commitment signifies a dedication to lifelong learning and patient care, demonstrating resilience and innovation. By embodying these principles, educators can significantly influence students, ensuring they acquire essential clinical skills and adopt core professional values, thereby preparing them for the ethical, interpersonal, and technical challenges in the medical field.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":"61 11","pages":"1065-1068"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619367","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
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
{"title":"Clinical Profile and Short-Term Outcomes in Neonates with Respiratory Syncytial Virus Infection: A Single-Center Study.","authors":"Vamshi Venkat M, Vijay Kumar Krishnegowda, Prathik Bandiya, B Anugna, Niranjan Shivanna","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To explore the clinical profile and outcomes in neonates hospitalized with respiratory syncytial virus (RSV) infection.</p><p><strong>Methods: </strong>Clinical features, respiratory support, pharmacological treatment, complications and outcomes of neonates admitted to the neonatal intensive care unit with RSV infection between January 2018 and March 2023 were recorded. Descriptive statistics were employed for analysis.</p><p><strong>Results: </strong>Thirty-seven neonates with RSV infection were analyzed. The most common presenting features were cough (n = 29, 74.4%), refusal to feed (n = 29, 74.4%) and apnea (n = 7, 17.9%). 19 (48.7%) neonates were mechanically ventilated, 28 (71.8%) required non-invasive respiratory support and 13 (35.1%) required bronchodilator therapy. All neonates were discharged after a median (IQR) duration of 14 (9, 23.5) days.</p><p><strong>Conclusion: </strong>Neonates with RSV infection requiring hospitalization have considerable respiratory morbidity requiring prolonged respiratory support and pharmacological therapy.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1024-1028"},"PeriodicalIF":1.7,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080142","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
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