Indian pediatrics最新文献_第8页

Profile of Injuries Among Under-Five Children in Rural Areas of Khordha District, Odisha-A Community-Based Cross-Sectional Study. 奥里萨邦科尔达县农村地区5岁以下儿童受伤概况——基于社区的横断面研究

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-05-01 Epub Date: 2025-04-09 DOI: 10.1007/s13312-025-00036-2

Mythry Ravichandran, Arvind Kumar Singh, Prajna Paramita Giri, Priyamadhaba Behera, Binod Kumar Patro

{"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":"Objectives: To estimate the prevalence, patterns, and risk factors for injury among under-five children.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

Circulating Intercellular Adhesion Molecule as a Novel Marker of Pulmonary Hypertension in Newborn. 循环细胞间粘附分子作为新生儿肺动脉高压的新标志物。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-04-15 DOI: 10.1007/s13312-025-00037-1

Antoine Fakhry AbdelMassih, Sherif ElAnwary, Nourhan Taha, Noha Radwan, Mahmoud Othman AbouDeif

引用次数: 0

Profile of Musculoskeletal Anomalies in Indian Children with Down Syndrome. 印度唐氏综合症儿童肌肉骨骼异常的概况。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-04-07 DOI: 10.1007/s13312-025-00059-9

Deepshikha, Devendra Mishra, Sumit Sural, Seema Kapoor

{"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":"Objectives: This hospital-based study evaluated the magnitude and characteristics of musculoskeletal anomalies in children with Down syndrome.Methods: 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.Results: 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).Conclusions: 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.","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}

引用次数: 0

Utility of Fecal Biomarkers to Predict Invasive Nature of Acute Infectious Diarrhea in Indian Children. 粪便生物标志物在预测印度儿童急性感染性腹泻侵袭性方面的实用性

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-04-04 DOI: 10.1007/s13312-025-00030-8

Prabhav Aggarwal, Raghvendra Singh, Masoom Nathani, Sonal Saxena, Oves Siddiqui

引用次数: 0

Reforming Medical Education to Address the Challenge of Professional Identity for Medical Students. 改革医学教育应对医学生职业认同的挑战。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-04-01 Epub Date: 2025-03-28 DOI: 10.1007/s13312-025-00054-0

Hongnan Ye

引用次数: 0

Congenital Chloride Diarrhea in Infancy: Unveiling a Rare Clinical Case. 婴儿先天性氯化物腹泻：揭示一个罕见的临床病例。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-04-01 Epub Date: 2025-04-03 DOI: 10.1007/s13312-025-00041-5

P N V Sneharika, Mukesh Kumar Jain, Sibabratta Patnaik, Parthasarathy Lall

引用次数: 0

Levofloxacin Preventive Therapy for Children Living with Adults with MDR-TB: Evidence-Based Medicine Viewpoint. 左氧氟沙星预防治疗与耐多药结核病成人一起生活的儿童：循证医学观点。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-04-01 DOI: 10.1007/s13312-025-00069-7

Joseph L Mathew

引用次数: 0

Simplifying Strategies to Enable Universal, Decentralized Cord Blood TSH Screening: Lessons from a Tertiary Care Center in North India. 简化策略以实现普遍、分散的脐带血TSH筛查：来自印度北部三级保健中心的经验教训。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-04-01 Epub Date: 2025-03-14 DOI: 10.1007/s13312-025-00003-x

Dhruv Singh Gaur, Varun Vij, Anju Virmani, Ganesh Jevalikar, Manish Malik

{"title":"Simplifying Strategies to Enable Universal, Decentralized Cord Blood TSH Screening: Lessons from a Tertiary Care Center in North India.","authors":"Dhruv Singh Gaur, Varun Vij, Anju Virmani, Ganesh Jevalikar, Manish Malik","doi":"10.1007/s13312-025-00003-x","DOIUrl":"10.1007/s13312-025-00003-x","url":null,"abstract":"Objective: To analyze the utility of cord blood thyroid stimulating hormone (CBTSH) for improving the universal newborn screening (UNBS) strategy, and to generate regional normative data.Methods: Data of UNBS using CBTSH and cord blood free thyroxine (CBfT4) over two years (01 April 2022 to 31 March 2024) in all inborn deliveries was analyzed using descriptive statistics.Results: Out of 2218 neonates delivered to 2094 mothers, data was available for 2116 newborns (54.4% males; 68.2% term gestation; 27%, 3.5%, and 0.9% late, early and extreme preemies, respectively; 61% appropriate-for-gestational age). The mean (SD) CBTSH was 7 (5.3) mIU/L (3rd-97th percentiles: 2.6-18.8 mIU/ml); higher in extreme preterms, extremely low birth weight (< 1000 g) and sick babies. Mean (SD) cord blood free thyroxine (CBfT4) was 0.99 (0.2) ng/dL (3rd-97th percentiles: 0.7-1.4 ng/dL), lower in extreme preterms. 58 newborns (recall rate 2.7%) had CBTSH > 20 mIU/L (all had normal CBfT4) and were recalled: 5 did not return, 52/53 were normal on retesting. Only 2/58 newborns had CBTSH > 40 mIU/L: one had confirmed CH. With CBTSH cutoff > 40 mIU/L, recall rate could have been reduced to 0.09%.Conclusion: We propose simplified screening strategies of \"retest and recall\", and using three CBTSH categories, i.e., (a) < 20 mIU/L: normal, discharge; (b) 20-40 mIU/L: test CBfT4, if < 0.7 ng/dL, do confirmatory venous TSH & fT4 at 72 h age (before discharge); (c) > 40 mIU/L: confirmatory venous TSH & fT4 at 72 h (before discharge): if venous TSH < 20 mIU/L: normal; TSH 20-40 mIU/L or fT4 < 0.7 ng/dL: recall and retest at 7-10 days age. If confirmatory venous TSH is high or fT4 is low, start replacement. This would improve decision-making and minimize burden of unnecessary recalls while ensuring early identification.","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"276-282"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700148","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

Breaking the Chains of Childhood Obesity. 打破儿童肥胖的枷锁。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-04-01 DOI: 10.1007/s13312-025-00070-0

Vasant Khalatkar

引用次数: 0

Erratum: Transcranial Doppler: The Bedside Window to Explore Cerebral Hemodynamics. 勘误：经颅多普勒：探索脑血流动力学的床边窗口。

IF 1.7 4区医学

Indian pediatrics Pub Date : 2025-04-01 DOI: 10.1007/s13312-025-00074-w

Muthu Chidambaram

引用次数: 0