International Journal of Contemporary Pediatrics最新文献_第6页

Metabolic syndrome in children with overweight and obesity: a hospital based cross sectional study 超重和肥胖儿童的代谢综合征：一项基于医院的横断面研究

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240096

Madhava Vijayakumar, Ajitha Balakrishnan, S. Pillai

{"title":"Metabolic syndrome in children with overweight and obesity: a hospital based cross sectional study","authors":"Madhava Vijayakumar, Ajitha Balakrishnan, S. Pillai","doi":"10.18203/2349-3291.ijcp20240096","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240096","url":null,"abstract":"Background: Objective of the research was to study metabolic syndrome (MS) in children with overweight and obesity.\u0000Methods: A cross sectional descriptive study was carried out on 264 children aged 3-16 years with overweight and obesity attending the endocrinology clinic of a tertiary care hospital in South India from January 2016 to March 2018. Children with and without MS were compared.\u0000Results: Out of 264 children with overweight or obesity, 80 had MS (30.3%). Among children with obesity, proportion of patients with MS (40.5% versus 24.2%, p=0.012), hypertriglyceridemia (54.8% versus 37.5%, p=0.013), low high density lipoprotein cholesterol (HDL-C) (42.9% versus 28.1%, p=0.027) and dyslipidemia (78.6% versus 59.4%, p=0.004) were higher among girls versus boys. Proportion of patients with elevated systolic blood pressure (BP) (18.8% versus 4.3%, p<0.0001), elevated diastolic BP (34.5% versus 5.4%, p<0.0001), impaired fasting glucose (16.2% versus 7.6%, p=0.033), hypertriglyceridemia (85% versus 26.6%, p<0.0001), low HDL-C (75% versus 15.2%, p<0.0001) and dyslipidemia (97.5% versus 57.1%, p<0.0001) were higher in those with MS versus those without.\u0000Conclusions: MS noted in younger children with overweight and obesity in the current study is concerning as these children are at increased risk for hypertension, type 2 diabetes and cardiovascular disease in early adulthood leading to huge economic burden on the country. It is therefore of utmost importance to take necessary steps to identify these children, manage obesity effectively before MS sets in and initiate preventive measures thereby ensuring a healthy young generation in the coming years.\u0000 ","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"6 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139596415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 pain during heel prick in preterm neonates receiving only expressed breast milk and expressed breast milk with kangaroo mother care 只接受母乳喂养和接受母乳喂养加袋鼠妈妈护理的早产新生儿足跟刺痛的比较

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240086

Gurudutt Joshi, Manila Singhvi

{"title":"Comparison of pain during heel prick in preterm neonates receiving only expressed breast milk and expressed breast milk with kangaroo mother care","authors":"Gurudutt Joshi, Manila Singhvi","doi":"10.18203/2349-3291.ijcp20240086","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240086","url":null,"abstract":"Background: Newborns' heels are sampled for blood, which is crucial in the identification of genetic and metabolic illnesses. Repeated painful stimulation impairs the future development of their normal motor and cognitive functions. Hence it is necessary to find out suitable remedy to alleviate the pain. The aim of this study was to observe the premature newborns' response to pain (Heel prick) by giving either single (EBM) or combined (EBM and KMC).\u0000Methods: The analytical cross-sectional study was conducted in NICU of SMIMER. hospital, Surat from March 2022 to February 2023. The study included 56 premature newborns, divided into three groups. Group A received only EBM, Group B received EBM and KMC (15 minutes), and Group C received EBM and KMC (30 minutes) before the heal prick. The pain was assessed by PIPP score in all three groups at the end of 30,60 and 120 seconds after the procedure. Data were analyzed using SPSS 24 and a one-way ANOVA test was applied.\u0000Results: The PIPP score after 60 seconds between Group A with B and A with C was statistically significant (p<0.05) whereas Group B with C was insignificant (p>0.05). The score after 60 seconds between Group A with B and A with C was statistically significant (p<0.05) whereas Group B with C was insignificant (p>0.05).\u0000Conclusions: EBM with KMC (15 minutes) duration had an effective impact on pain relief as compared to EBM with KMC (30 minutes) duration at the interval of 60 seconds.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"55 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139597713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 outcome of acute kidney injury in preterm neonates in a level three neonatal intensive care unit 三级新生儿重症监护病房早产新生儿急性肾损伤的临床概况和预后

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240091

Divya Gopalan, Palak T. Hapani

{"title":"Clinical profile and outcome of acute kidney injury in preterm neonates in a level three neonatal intensive care unit","authors":"Divya Gopalan, Palak T. Hapani","doi":"10.18203/2349-3291.ijcp20240091","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240091","url":null,"abstract":"Background: Acute kidney injury is an important cause of neonatal mortality and morbidity. Preterm neonates, in particular are a vulnerable population as they are associated with various risk factors, predisposing them to multi-organ injury. Data on AKI in preterm neonates in India are limited. There are several gaps including the risk factors, demographic profile and associations with other comorbidities which remain unanswered. The objectives of this study were to study the clinical profile, outcomes and various associated risk factors of AKI in preterm neonates.\u0000Methods: It is a prospective observational study conducted in neonatal intensive care unit of a government medical college hospital in Rajkot, Gujarat, India. 300 preterm neonates with AKI were selected and demographic details, risk factors associated with AKI and outcomes were studied.\u0000Results: It was found that among 300 newborns under study, 82% were males, 92% had sepsis, 65% had respiratory distress syndrome, 32% had birth asphyxia, 29% had shock, 30% had exposure to nephrotoxic drugs, 54% had requirement for mechanical ventilation, 94% patients were discharged and 6% patients expired.\u0000Conclusions: The most common risk factor associated with AKI was sepsis. The other important risk factors are birth asphyxia, respiratory distress syndrome, and shock. Monitoring of serum creatinine can help in early detection of acute kidney injury.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"52 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139598937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of severity of community acquired pneumonia by paediatric infectious diseases society and clinical and radiological profile in 0-5 year age group 儿科传染病学会对 0-5 岁儿童社区获得性肺炎严重程度的评估以及临床和放射学概况

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240100

Om Prakash Shukla, Nikunj Rathwa, Lokesh Naik Mude

{"title":"Assessment of severity of community acquired pneumonia by paediatric infectious diseases society and clinical and radiological profile in 0-5 year age group","authors":"Om Prakash Shukla, Nikunj Rathwa, Lokesh Naik Mude","doi":"10.18203/2349-3291.ijcp20240100","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240100","url":null,"abstract":"Background: The WHO estimates that ARI, mostly in the form of CAP, is the leading cause of death in children under five, killing over 2 million children annually. The present study's PEWS score and PIDS severity criteria were undertaken to know the clinical and radiological profile of patients with Pneumonia and to categorize these patients with PEWS score and PIDS criteria to redefine their severity and assess the management and outcomes.\u0000Methods: Patients aged between 0 to 5 years who presented with cough complaints and respiration difficulty were assessed. The criteria for ICU admission is the presence of more than 2 minor criteria or one of the major criteria. PIDS criteria for CAP recommends ICU admission or continuous monitoring for children in ED.\u0000Results: A prospective observational study of 104 children with CAP was included, and their pneumonia was evaluated using PIDS criteria. The patients were categorized for pneumonia according to PIDS criteria. 32.69% of children were classified as severe CAP (p value=0.02). This difference between non-severe and severe Pneumonia is considered to be statistically significant in which patients classified as severe CAP. \u0000Conclusions: The patients were categorized for Pneumonia according to PIDS criteria. 32.69% of children were classified as severe CAP (p value=0.02). This difference between non-severe and severe Pneumonia is considered to be statistically significant in which patients classified as severe CAP needed vigorous management in emergency department followed by ICU management.\u0000 ","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"19 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139597431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Magnitude, risk factors and immediate outcome of external congenital anomalies in neonates in government Cuddalore medical college and hospital: an observational study 政府卡达洛尔医学院和医院新生儿体外先天畸形的严重程度、风险因素和直接后果：一项观察研究

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240087

R. Ramanathan, M. Mahalakshmi

{"title":"Magnitude, risk factors and immediate outcome of external congenital anomalies in neonates in government Cuddalore medical college and hospital: an observational study","authors":"R. Ramanathan, M. Mahalakshmi","doi":"10.18203/2349-3291.ijcp20240087","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240087","url":null,"abstract":"Background: Despite the enormous incidence of congenital malformations in developing countries, there are presently few thorough data on these disorders because there are no birth defect registries. This study was conducted with objectives to determine the magnitude, risk factors and outcomes of external congenital anomalies in neonates born in government Cuddalore medical college and hospital.\u0000Methods: The present study is an observational study. All the neonates born during the study period were included in our study and risk factors and outcome of 201 babies born with external congenital anomalies were analyzed in detail.\u0000Results: The incidence of external congenital anomalies is 5.68% with 33% having major and 63% having minor anomalies. Among the major anomalies cleft lip and/or palate is the most common anomaly (5%) in our study. Overall sacral dimple is the most commonly observed external congenital anomaly (9.50%). Four-fifths of the newborns with external congenital anomalies were discharged. About 13% of the newborns with congenital anomalies expired.\u0000Conclusions: A comprehensive package that includes preventive services, diagnostic, surgical or medical intervention, financial assistance, counselling, and psychosocial support, as well as follow-up treatments like rehabilitation, is required in combating the incidence of congenital anomalies.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"2 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139598592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Basic new born and antenatal screening for aspirational districts: unique methods of management and treatment of inherited disorders 理想地区的新生儿和产前基本筛查：管理和治疗遗传性疾病的独特方法

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240092

Komal Uppal, Chandrika Joshi, S. Polipalli, Somesh Kumar, Ankur Jindal, Sangeeta Gupta, Amar Verma, Seema Kapoor

{"title":"Basic new born and antenatal screening for aspirational districts: unique methods of management and treatment of inherited disorders","authors":"Komal Uppal, Chandrika Joshi, S. Polipalli, Somesh Kumar, Ankur Jindal, Sangeeta Gupta, Amar Verma, Seema Kapoor","doi":"10.18203/2349-3291.ijcp20240092","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240092","url":null,"abstract":"Background: Early screening, diagnosis and management program can contribute in reducing the burden of genetic disorders which can lead to early neonatal death or long-term disability in the vulnerable areas. UMMID (Unique Methods of Management and treatment of Inherited Disorders) and NIDAN (National Inherited Diseases Administration), aimed at developing a community level program for need assessment and to evaluate the feasibility of basic screening for some genetic/endocrine disorders in high-risk population.\u0000Methods: UMMID was carried out at the aspirational district Ranchi, Jharkhand for 3 years (2019-2022) to perform newborn screening (NBS) in <7 days old newborn babies for 5 metabolic disorders and to screen antenatal mothers for prevention of thalassemia and other hemoglobinopathies.\u0000Results: G6PD deficiency being more prevalent in Ranchi district out of five metabolic disorders screened. 13.6% of screen positive cases were confirmed positive for hemoglobinopathies. c.20 A>T is the most common mutation found among carriers.\u0000Conclusions: This initiative underscores the need of such screening programs in aspirational districts to manage and prevent these disorders effectively.\u0000 ","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"11 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139595761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Matruj baby massage oil: an herbal skincare massage oil for healthy growth of baby Matruj 婴儿按摩油：促进婴儿健康成长的草本护肤按摩油

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240088

Vallabh Deshpande, Tanuja Deshpande

引用次数: 0

Management of natal tooth of a 2 months old infant: a case report 2 个月大婴儿乳牙的处理：病例报告

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240104

Vipul Sharma, Nivedita Saxena, Anant Gopal Nigam, Vritika Singh

引用次数: 0

Assessment of the emotional intelligence and its dimensions of medical interns 医学实习生的情商及其维度评估

International Journal of Contemporary Pediatrics Pub Date : 2024-01-25 DOI: 10.18203/2349-3291.ijcp20240093

H. Singh, I. Singh, R. K. Soni

{"title":"Assessment of the emotional intelligence and its dimensions of medical interns","authors":"H. Singh, I. Singh, R. K. Soni","doi":"10.18203/2349-3291.ijcp20240093","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240093","url":null,"abstract":"Background: Emotional intelligence (EI) is multidimensional and includes maturity, sensitivity and competency. It is the skill to identify and understand own and others’ emotions to respond appropriately. Medical interns are expected to have a high degree of EI to face their professional career challenges. During the medical professional training cognitive and clinical skills are evaluated but their EI and its dimensions are nor assessed; hence this study was planned to assess the EI and its dimensions in medical interns.\u0000Methods: Objectives were to assess the EI and its dimensions of 140 medical interns. Study design was a descriptive and cross-sectional study. Ethical approval from institutional ethics committee and informed written consent from participants was obtained; administered a questionnaire-based EI test. Data obtained was analysed by ANOVA.\u0000Results: Eighty (62.0%) participants were females and 49 (38.0%) males. The mean age of them was 23 years. The mean total EI score was 343.72. It was slightly higher (344.00) in the female interns than in males (343.27). Among the emotional dimensions majority (79.1%) of interns had significantly high (p=0.0001) percentile scores in competency. 67.4% were having significantly lower (p=0.0001) percentile scores in maturity dimension of EI. Sensitivity percentile score was high in 54.3% and low in 45.7% (p=0.7724).\u0000Conclusions: This study provides insight about the EI and its dimensions in the medical interns. The maturity and sensitivity are the weaker dimensions of EQ requiring improvement or further development.","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"21 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139597677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Screening of children attending well baby clinic for risk of autism using modified checklist for autism in toddlers in a pediatric tertiary care Centre in Chennai 在钦奈的一家儿科三级护理中心，使用修改后的幼儿自闭症检查表筛查婴儿健康门诊就诊儿童的自闭症风险

International Journal of Contemporary Pediatrics Pub Date : 2024-01-11 DOI: 10.18203/2349-3291.ijcp20240014

Savitha Arunachalam, R. Narayanan, Prahada Jagannathan

{"title":"Screening of children attending well baby clinic for risk of autism using modified checklist for autism in toddlers in a pediatric tertiary care Centre in Chennai","authors":"Savitha Arunachalam, R. Narayanan, Prahada Jagannathan","doi":"10.18203/2349-3291.ijcp20240014","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240014","url":null,"abstract":"Background: Autism spectrum disorder is a common neurodevelopmental disorder with core deficits in social communication, interaction, and restrictive/repetitive behavior. Early intervention provides opportunity for good functional outcome. The study aimed to screen children attending well baby clinic for risk of autism using modified checklist for autism in toddlers (MCHAT) questionnaire.\u0000Methods: This descriptive cross-sectional study was conducted on 302 children attending the pediatric well baby clinic. The children aged 16-30 months who met the inclusion criteria were screened for risk of autism using MCHAT.\u0000Results: 20 out of 302 children failed the MCHAT screening, 6.6% of the children were found to be at risk of autism. Boys: girls’ ratio was 2:1. Advanced parental age and higher socioeconomic status were found to have significant association with the risk of autism. 70% of children in the at-risk group were first born, 70% of children who failed the MCHAT screen were from a nuclear family.\u0000Conclusions: All toddlers attending the well-baby clinic should be screened for autism by pediatricians. MCHAT is a simple easy to use validated tool to screen for autism in a busy pediatric OPD. Timely referral for comprehensive assessment and intervention can help to improve the outcome in children with autism.\u0000","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"38 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139534037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0