Indian pediatricsPub Date : 2025-05-01Epub Date: 2025-04-14DOI: 10.1007/s13312-025-00067-9
Amala Srilatha Natarajan, C G Delhikumar
{"title":"Effect of One Milligram Versus Two Milligram Intramuscular Vitamin K to Prevent Late-Onset Hemorrhagic Disease in Young Infants.","authors":"Amala Srilatha Natarajan, C G Delhikumar","doi":"10.1007/s13312-025-00067-9","DOIUrl":"https://doi.org/10.1007/s13312-025-00067-9","url":null,"abstract":"","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":"62 5","pages":"397-398"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003622","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}
Indian pediatricsPub Date : 2025-05-01Epub Date: 2025-04-15DOI: 10.1007/s13312-025-00050-4
Aman Elwadhi, Hemasree Kandraju, Suvasini Sharma
{"title":"Advances in Neonatal Seizures (2024): An Update for Pediatricians.","authors":"Aman Elwadhi, Hemasree Kandraju, Suvasini Sharma","doi":"10.1007/s13312-025-00050-4","DOIUrl":"https://doi.org/10.1007/s13312-025-00050-4","url":null,"abstract":"<p><strong>Purpose: </strong>The diagnosis and management of seizures and epilepsy syndromes with onset in neonates has undergone several changes following the Internation League against Epilepsy (ILAE) guidelines. To update the Pediatricians regarding the recent advances, this update was planned.</p><p><strong>Methods: </strong>Recently published revised guidelines for neonatal seizures (up to 2024) by ILAE were reviewed and synthesized.</p><p><strong>Results: </strong>Video-EEG recording is considered gold standard for diagnosis, with less emphasis on clinical semiology. In resource limited settings, levels of diagnostic certainties may be used. One must be aware of the mandatory, alerts and exclusion criteria for various neonatal-onset epilepsy syndromes. Early neuroimaging facilitates diagnosis. Treatment primarily involves phenobarbitone (PHB) with other drugs to be used in certain special conditions, with universal early stoppage of drugs. Precision therapy is available for some metabolic and genetic etiologies.</p><p><strong>Conclusions: </strong>EEG monitoring in high-risk neonates is the standard of care. PHB still remains the first choice. Early cessation of anti-seizure medications in acute symptomatic seizures is the norm.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":"62 5","pages":"386-390"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998573","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}
Indian pediatricsPub Date : 2025-05-01Epub Date: 2025-03-31DOI: 10.1007/s13312-025-00065-x
Aditya Bhatt, Somashekhar Nimbalkar
{"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}
Indian pediatricsPub Date : 2025-05-01Epub Date: 2025-04-22DOI: 10.1007/s13312-025-00033-5
Joseph L Mathew
{"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}
Indian pediatricsPub Date : 2025-05-01Epub Date: 2025-04-11DOI: 10.1007/s13312-025-00060-2
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
{"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}