Indian pediatrics最新文献

{"title":"Enhancing Newborn Screening for Critical Congenital Heart Disease: Updated Guidelines by AAP.","authors":"Md Ehtesham Ansari, Sarthak Das","doi":"10.1007/s13312-025-00071-z","DOIUrl":"10.1007/s13312-025-00071-z","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"394-395"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735789","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}

{"title":"One Miligram vs Two Miligram IM Vitamin K to Prevent Late Onset HDN in Infants: Our Take.","authors":"Aditya Bhatt, Somashekhar Nimbalkar","doi":"10.1007/s13312-025-00065-x","DOIUrl":"10.1007/s13312-025-00065-x","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"396"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752404","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}

{"title":"Does Selenium Supplementation have Any Benefit in Children with Lower Respiratory Infection?","authors":"Joseph L Mathew","doi":"10.1007/s13312-025-00033-5","DOIUrl":"https://doi.org/10.1007/s13312-025-00033-5","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":"62 5","pages":"349-350"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977077","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}

{"title":"Prevention and Management of Growth Failure During the First 6 Months of Life: Recommendations by the Joint Committee of the Pediatric and Adolescent Nutrition Society and the IAP Infant and Young Child Feeding Chapter.","authors":"Praveen Kumar, Preeti Singh, Pooja Dewan, Jayant Shah, G V Basavaraja, Sanjay Prabhu, Anju Seth, Srikanta Basu, Jai Singh, Yogesh N Parikh, Simin Irani, Nidhi Bedi, Ajay Gaur, K E Elizabeth, Jagdish Chandra, Ashok Kumar Rawat, Piyush Gupta, Vasant M Khalatkar","doi":"10.1007/s13312-025-00060-2","DOIUrl":"https://doi.org/10.1007/s13312-025-00060-2","url":null,"abstract":"<p><strong>Objective: </strong>To develop evidence-based guidelines for the prevention, identification, and management of growth failure in infants under 6 months (U6M), ensuring early detection and intervention to improve health outcomes.</p><p><strong>Justification: </strong>Growth failure in the first 6 months of life significantly increases the risk of acute malnutrition and stunting in later childhood. Unlike older children, management in this age group prioritizes establishing exclusive breastfeeding and addressing feeding challenges. There are no standardized guidelines for identifying and managing growth failure in this vulnerable population.</p><p><strong>Process: </strong>A national consultative committee of experts was convened to formulate these guidelines. The committee conducted extensive discussions, dividing key areas among six working groups. The process included four virtual and one in-person meeting between August and October 2024. A draft guideline was developed, reviewed, and approved by all committee members.</p><p><strong>Recommendations: </strong>Early growth failure is a significant public health concern. Timely identification of at-risk infants through mother-infant dyad assessments during routine health visits is essential. Weight-for-age is the most reliable anthropometric indicator for recognizing at-risk infants U6M. The term \"infant at risk of poor growth and development\" is recommended to identify at-risk infants needing intensified support. Community-based interventions should support at-risk infants without medical complications, while those with complications need facility-based care with skilled lactation support. Severely wasted infants require close monitoring for hypothermia, hypoglycemia, and sepsis. Establishing exclusive breastfeeding should be prioritized in all cases, and when not feasible, F-100D (Catch-up D) should be used to ensure safe nutritional rehabilitation while minimizing renal solute load.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":"62 5","pages":"329-346"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008649","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}

{"title":"Perception of Pediatric Resident Physicians on Self-Directed Learning: A Multi-institutional Survey.","authors":"Ayesha Ahmad, Bhavna Dhingra, Kunal Kumar, Jaya Shankar Kaushik, Aashima Dabas, Devendra Mishra","doi":"10.1007/s13312-025-00048-y","DOIUrl":"10.1007/s13312-025-00048-y","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the opportunities and limitations of self-directed learning (SDL) among pediatric postgraduate trainees.</p><p><strong>Methods: </strong>A semi-structured anonymized questionnaire was administered to pediatric postgraduate trainees to assess their readiness towards SDL, current practices, opportunities and limitations of SDL. Closed ended questions were scored using a five-point Likert scale. Thematic analysis of responses was conducted followed by focus-group discussion to ascertain the barriers and enablers of SDL.</p><p><strong>Results: </strong>One hundred ten trainees responded; majority (67.7%) were aged 26-30 years. The median (IQR) scores for different components of SDL were- identifying own learning needs 4 (3.5, 4), formulating own learning goals 4 (3, 4), identifying learning resources 3 (3, 4), choosing and implementing learning strategy 3 (2, 4), evaluating learning outcomes 3 (2, 4), and willingness to drive one's own learning 3.5 (3, 4). The majority (95%) used online resources for knowledge domain; 64.5% (71/110) practiced peer-assisted learning. The skill training was chiefly through simulation and hands-on experience (97%). Lack of time was the commonest limitation reported by 75% students.</p><p><strong>Conclusions: </strong>The SDL practice was not forthcoming among pediatric postgraduates.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"361-365"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811417","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}

{"title":"Profile of Injuries Among Under-Five Children in Rural Areas of Khordha District, Odisha-A Community-Based Cross-Sectional Study.","authors":"Mythry Ravichandran, Arvind Kumar Singh, Prajna Paramita Giri, Priyamadhaba Behera, Binod Kumar Patro","doi":"10.1007/s13312-025-00036-2","DOIUrl":"10.1007/s13312-025-00036-2","url":null,"abstract":"<p><strong>Objectives: </strong>To estimate the prevalence, patterns, and risk factors for injury among under-five children.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted in the rural areas of Khordha district among 600 under-five children. A multistage sampling technique was used to assess the prevalence, patterns, and factors associated with injuries using a semi-structured questionnaire, followed by an environmental hazard assessment of the built environment of the selected participants.</p><p><strong>Results: </strong>Childhood injury prevalence was 44.6% (95% CI 40.6, 48.7). Falls were the commonest injuries; 87% falls occurred at home. Only 19% of the major injuries received formal healthcare. The child's age, parental awareness, and environmental hazard risk were associated with the occurrence of injuries.</p><p><strong>Conclusion: </strong>The built environment plays a significant role in childhood injuries in the rural areas of Odisha. Public health measures such as a safe built environment for households and neighborhoods should be promoted.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"356-360"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811420","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}

{"title":"Circulating Intercellular Adhesion Molecule as a Novel Marker of Pulmonary Hypertension in Newborn.","authors":"Antoine Fakhry AbdelMassih, Sherif ElAnwary, Nourhan Taha, Noha Radwan, Mahmoud Othman AbouDeif","doi":"10.1007/s13312-025-00037-1","DOIUrl":"https://doi.org/10.1007/s13312-025-00037-1","url":null,"abstract":"<p><strong>Background: </strong>IntercellularAQ1 adhesion molecules (ICAMs) are released from the endothelium in response to shear stress. Their role in persistent pulmonary hypertension (PPHN) remains un-investigated.</p><p><strong>Methodology: </strong>Sixty neonates (30 PPHN, 30 controls) underwent serum ICAM testing and echocardiography.</p><p><strong>Results: </strong>Right and left ventricular function was depressed in PPHN cases. Tricuspid annular plane systolic excursion was reduced (Cases 8±1 vs. Controls 11±3.5). ICAM was elevated in cases (332±96 vs. 208 ±36).</p><p><strong>Conclusion: </strong>ICAM is a sensitive PPHN marker. Elevated ICAM may result from endothelial damage or contribute to PPHN pathogenesis. Further studies are needed to confirm these results and explore this relationship.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984607","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}

{"title":"Profile of Musculoskeletal Anomalies in Indian Children with Down Syndrome.","authors":"Deepshikha, Devendra Mishra, Sumit Sural, Seema Kapoor","doi":"10.1007/s13312-025-00059-9","DOIUrl":"https://doi.org/10.1007/s13312-025-00059-9","url":null,"abstract":"<p><strong>Objectives: </strong>This hospital-based study evaluated the magnitude and characteristics of musculoskeletal anomalies in children with Down syndrome.</p><p><strong>Methods: </strong>Children aged 3 months to 14 years, diagnosed to have Down syndrome by karyotyping, were evaluated for musculoskeletal anomalies. We excluded children diagnosed with another chronic condition affecting musculoskeletal health (e.g., cerebral palsy, muscular diseases); and those with any acute illness, which is likely to affect evaluation for musculoskeletal anomalies. A detailed history was taken, and clinical examination was performed by a pediatrician and an orthopedic surgeon. Detailed joint examination was done using pGALS (pediatric Gait Arms Legs and Spine), and Beighton Hypermobility Score was used to assess hypermobility in those aged 6 year or more. X-ray cervical spine (lateral view in neutral, flexion and extension) was done for all children to determine atlantoaxial instability. Additionally, in children with any suspected musculoskeletal anomaly on clinical examination, relevant radiological investigations were performed under the guidance of an orthopedic surgeon.</p><p><strong>Results: </strong>The median (IQR) age of the study population (n = 75) was 5 (2.5, 8) years with 56% boys. Musculoskeletal anomalies were identified in 86.6% (n = 65). Hypotonia and joint laxity (77.3% each) were common in the whole group; pes planus (82%) and orthopedic abnormalities (69.3%) were prevalent among ambulatory children. Occurrence of genu valgum was found to increase with increasing body mass index (P = 0.045).</p><p><strong>Conclusions: </strong>Musculoskeletal problems were common in children with Down syndrome, and this information may guide health professionals in early identification of musculoskeletal problems in children with Down syndrome.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795389","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}

{"title":"Utility of Fecal Biomarkers to Predict Invasive Nature of Acute Infectious Diarrhea in Indian Children.","authors":"Prabhav Aggarwal, Raghvendra Singh, Masoom Nathani, Sonal Saxena, Oves Siddiqui","doi":"10.1007/s13312-025-00030-8","DOIUrl":"https://doi.org/10.1007/s13312-025-00030-8","url":null,"abstract":"<p><strong>Objective: </strong>To determine role of fecal calprotectin (FC) and fecal lactoferrin (FL) in diagnosis of invasive diarrhea.</p><p><strong>Methods: </strong>Stool samples from 75 children (≤ 12 years) with acute diarrhea were analysed using wet mount microscopy, culture, multiplex polymerase chain reaction, rapid tests for Rotavirus/ Adenovirus and quantitative ELISA for FC and FL.</p><p><strong>Results: </strong>The mean (SD) FC levels (μg/g) [774 (626.59) vs. 213 (251.48), P < 0.001] and FL levels (μg/g) [7.95 (4.72) vs. 4.22 (3.91), P = 0.004] were significantly higher in children with invasive diarrhea (n = 38) compared to those with non-invasive diarrhea (n = 37). Cut-off values of FC > 243 μg/g (sensitivity 81.57%, specificity 67.56%, AUC 0.813) and for FL > 6.02 μg/g (sensitivity 71.05%, specificity 81.08%, AUC 0.732) have diagnostic potential.</p><p><strong>Conclusions: </strong>FC and FL can aid diagnosis of acute invasive diarrhea.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779901","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}

{"title":"Reforming Medical Education to Address the Challenge of Professional Identity for Medical Students.","authors":"Hongnan Ye","doi":"10.1007/s13312-025-00054-0","DOIUrl":"10.1007/s13312-025-00054-0","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"318-319"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143735723","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}