{"title":"The Effects of the Late COVID-19 Period on Breastfeeding Practices: A Cohort Study.","authors":"Chrysoula Kosmeri, Vasileios Giapros, Dimitrios Rallis, Eleni Maragoudaki, Dimitris Kotsis, Natalia Atzemoglou, Anthitsa Pappa, Aikaterini Drougia","doi":"10.1007/s12098-025-05671-y","DOIUrl":"10.1007/s12098-025-05671-y","url":null,"abstract":"","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":"1127"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659104","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":"Diagnostic Dilemma Between Autoimmune Encephalitis and SSPE: Case Report of Two Pediatric Patients - Correspondence.","authors":"Wen-Jing Chen, Sun-Yan Yan, Zhen-Zhen Wang","doi":"10.1007/s12098-025-05713-5","DOIUrl":"10.1007/s12098-025-05713-5","url":null,"abstract":"","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":"1139"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144804001","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}
Lavanya Ravichandran, Shriti Paul, A Rekha, Deny Varghese, R Parthiban, H S Asha, Sarah Mathai, Anna Simon, Sumita Danda, Nihal Thomas, Aaron Chapla
{"title":"Advocating Targeted Sequential Screening over Whole Exome Sequencing in 21-Hydroxylase Deficiency.","authors":"Lavanya Ravichandran, Shriti Paul, A Rekha, Deny Varghese, R Parthiban, H S Asha, Sarah Mathai, Anna Simon, Sumita Danda, Nihal Thomas, Aaron Chapla","doi":"10.1007/s12098-024-05249-0","DOIUrl":"10.1007/s12098-024-05249-0","url":null,"abstract":"<p><strong>Objectives: </strong>Whole exome sequencing (WES) has emerged as the preferred method for diagnosing a range of Mendelian disorders. Nonetheless, the applicability of WES in genetic diagnosis of 21-hydroxylase deficiency (21-OHD) remains uncertain due to the intricacies involved in molecular analysis of the CYP21A2 gene.</p><p><strong>Methods: </strong>In this case series, authors report the outcomes of couples or families who underwent WES followed by focused sequential strategy (FSS) targeting CYP21A2 gene hotspot mutations and targeted sequencing of genes associated with Congenital Adrenal Hyperplasia (CAH).</p><p><strong>Results: </strong>This analysis revealed that WES, when compared to FSS, resulted in six false-negative findings out of seven subjects and one false-positive result. These results were corroborated through validation using Multiplex Ligation-Dependent Probe Amplification (MLPA) and Sanger sequencing.</p><p><strong>Conclusions: </strong>One major limitation of exome sequencing lies in target enrichment, which often achieves less than 95% coverage of the regions of interest, potentially leading to false negatives. This challenge is particularly pronounced when deciphering the complex genetics of 21-OHD, characterized by intricate pseudogene-derived rearrangements and gene conversions. Additionally, next-generation sequencing (NGS) analysis of the CYP21A2 gene is not straightforward due to reads aligning to pseudogene regions, necessitating stringent computational pipelines with defined targets. However, simple genotyping assays have shown a high positive yield of pseudogene-derived mutations in over 80% of cases, while targeted NGS can be valuable in subjects with initially negative results. Therefore, WES is not recommended as the primary testing method for 21-OHD and may be better suited for rare forms of CAH once CYP21A2 mutations have been ruled out.</p>","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":"1056-1061"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142286052","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":"Ectopic Paragonimiasis Mimicking Orbital Cellulitis in a Child.","authors":"Qing Liu, Lin Chen, Junjie Xu, XuanXuan Xie","doi":"10.1007/s12098-025-05668-7","DOIUrl":"10.1007/s12098-025-05668-7","url":null,"abstract":"","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":"1130"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600268","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":"Open versus Closed Suctioning Among Mechanically Ventilated Pediatric Patients: A Randomised Control Trial - Authors' Reply-2.","authors":"Subhranshu Sekhar Dhal, Manaswinee Sahoo","doi":"10.1007/s12098-025-05732-2","DOIUrl":"10.1007/s12098-025-05732-2","url":null,"abstract":"","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":"1151"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952334","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":"Clinicodemographic and Biochemical Profile of Children with Dengue Infection.","authors":"Koyel Mukhuty, Mansi Arora, Sakshi Kapoor, Anju Aggarwal, Vikram Bhasker","doi":"10.1007/s12098-025-05788-0","DOIUrl":"10.1007/s12098-025-05788-0","url":null,"abstract":"","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199196","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":"Impact of Tele-Kangaroo Mother Care (KMC) Clinics on the Respiratory Outcomes of Newborns.","authors":"Nikita Agarwal, Rohit Anand, Atul Jindal, Rajesh Baghel, Rudra Kashyap, Geeta Nag, Jyoti Bharti, Gajendra Singh","doi":"10.1007/s12098-025-05528-4","DOIUrl":"10.1007/s12098-025-05528-4","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the respiratory outcomes of newborns receiving Kangaroo mother care (KMC) in remote units of Chhattisgarh, India by providing telementoring to medical staff and parents.</p><p><strong>Methods: </strong>In 2022, this comparative study was carried out at one SNCU in Chhattisgarh, India. The study consisted of gathering data before intervention and utilizing video call technology for remote mentoring to encourage KMC among both staff and parents. Quality improvement initiatives were executed under supervision. Subsequently, data on mortality and morbidity was collected and compared with pre-intervention data.</p><p><strong>Results: </strong>The KMC rate increased from 4.5% to 100% by the end of 2022 and remained consistent in 2023. The median latency for starting KMC decreased to 0 d. Long KMC for more than 8 h was seen in 61.4% of babies who received KMC. Oxygen usage dropped from 93.4% to 39.8%. The median days of respiratory support decreased from 3 d to 0 d. The incidence of apnea reduced from 30.3% to 13%. Total adverse outcomes [death, leave-against-medical-advice (LAMA) and referral] reduced from 35.8% (n = 95) to 18.3% (n = 62) (p < 0.05) [Relative Risk (RR): 0.51; 95% Confidence Interval (CI): 0.39-0.67] CONCLUSIONS: Using telemedicine technology for promotion and maintenance of KMC is an effective approach to decrease the mortality rate, morbidity rate, and overall cost of care for newborns who are admitted to SNCUs located remotely.</p>","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":"1092-1097"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977217","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}