Wadia Journal of Women and Child Health最新文献

{"title":"Imaging in congenital proximal radioulnar synostosis","authors":"Ananya Jain, Foram Gala","doi":"10.25259/wjwch_47_2023","DOIUrl":"https://doi.org/10.25259/wjwch_47_2023","url":null,"abstract":"","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"87 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141267830","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}

{"title":"Proportion of hydatidiform molar gestations among patients undergoing uterine evacuation for missed abortions, associated demographics and risk factors -Experience at a single center over 18 months","authors":"G. Balsarkar, Sunil E. Tambvekar","doi":"10.25259/wjwch_14_2022","DOIUrl":"https://doi.org/10.25259/wjwch_14_2022","url":null,"abstract":"\u0000\u0000Gestational trophoblastic diseases represent a significant obstetric morbidity among women of reproductive age, with a potential to impact women’s health substantially. Molar pregnancies present as clinical aberrations in embryogenesis and placentation during the first trimester of pregnancy. Cases with missed abortions and spontaneous incomplete abortions requiring uterine evacuation, could be an opportunity to look for molar pregnancies through histopathology which otherwise could be missed. We aim to study the proportion of hydatidiform molar gestations among patients undergoing uterine evacuation in cases of missed abortion and to evaluate the demographic and risk factors associated with hydatidiform molar gestations.\u0000\u0000\u0000\u0000A prospective observational, descriptive study was conducted at the Department of Obstetrics and Gynecology of a tertiary care teaching hospital over a period of 18 months. Data was collected using a pre-tested study questionnaire which included the objectives, besides the inclusion and exclusion criteria. The abortus and uterine evacuated tissue was sent for histopathologic examination by a single histopathologist. Analysis of various epidemiological characteristics and risk factors was done using the Statistical Package for the Social Sciences software version 21.\u0000\u0000\u0000\u0000Out of 67 patients presenting with missed abortions or incomplete abortions during the study period, five had hydatidiform molar gestations; an incidence of 7.5%. Upon histological examination 3 (4.5%) patients had a complete mole, 2 (3%) had a partial mole while 62 (92.5%) had non-molar histopathology. Eleven (16.4%) of the study participants had a history of previous spontaneous pregnancy loss/recurrent pregnancy losses. Three among five cases detected to have molar gestations had a history of prior spontaneous abortions (60%), and the difference observed was statistically significant (P = 0.019; Odds Ratio [95% Confidence interval] 10.25 [1.459–70.257]). Hyperthyroidism and high levels of serum beta-human chorionic gonadotrophin (β-HCG) were associated with molar gestations and this was statistically significant.\u0000\u0000\u0000\u0000The risk of developing molar gestation is higher in patients who had previous first-trimester losses. Importantly, this should be a differential diagnosis in instances with elevated β-HCG and high thyroid hormone levels. Histopathological examination of products of conception should be considered as an essential assessment in all presentations of spontaneous abortions requiring uterine evacuation.\u0000","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"84 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141268076","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}

{"title":"Pyrexia of unknown origin with lymphadenopathy - An uncommon diagnosis","authors":"Suman Meena, Sumitra Venkatesh","doi":"10.25259/wjwch_22_2023","DOIUrl":"https://doi.org/10.25259/wjwch_22_2023","url":null,"abstract":"Kikuchi disease or histiocytic necrotizing lymphadenitis is a benign and self-limited disorder characterized by tender regional cervical lymphadenopathy. We report a case of a 4-year 5-month old female presenting with fever and lymphadenopathy for 2 months. All infective and inflammatory cause of pyrexia of unknown origin was negative. Lymph node histopathology showed features of Kikuchi’s disease.","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"8 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141267972","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}

{"title":"Weak left upper limb pulse! Could be anomalous origin of left subclavian artery","authors":"Deepali Bangalia, Hemant Kumar Nayak, Sudipta Bhattacharjya, Siddhartha Jayantkumar Joshi, Arnab Paul","doi":"10.25259/wjwch_6_2024","DOIUrl":"https://doi.org/10.25259/wjwch_6_2024","url":null,"abstract":"A rare but treatable condition of anomalous origin of the left subclavian artery (LSCA) from the left pulmonary artery (LPA) notoriously causes subclavian steal syndrome and pulmonary steal syndrome. We present two cases of anomalous origin of LSCA, from pulmonary artery, their modes of presentation, cardiac evaluation and management with a brief review of literature.","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"72 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141268206","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}

{"title":"Clinical and radiological profile of a neonate with craniofacial microsomia – A case snippet","authors":"R. Prashanth, Sruthi Nair, A. Haribalakrishna, Revati Tekwani","doi":"10.25259/wjwch_50_2023","DOIUrl":"https://doi.org/10.25259/wjwch_50_2023","url":null,"abstract":"Craniofacial microsomia (CFM) refers to a wide variety of phenotypic presentations resulting from underdevelopment of the mandible, maxilla, ear, orbit, facial soft tissue, and/or facial nerve. We report a case of CFM presenting with microtia, hemifacial microsomia, and limbal dermoid. In this case report, we describe the clinical course, investigations, and initial management of a neonate with CFM.","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"10 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141267341","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}

{"title":"Refractory or recurrent iron deficiency anemia: Explore before you prick","authors":"Ritika Khurana, P. Kanvinde, S. Mudaliar","doi":"10.25259/wjwch_49_2023","DOIUrl":"https://doi.org/10.25259/wjwch_49_2023","url":null,"abstract":"","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"15 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266892","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}

{"title":"Feeding modes and persistent diarrhea: A comparative case–control study in infants in Hodeida, Yemen","authors":"K. Alselwi, Mohamed Ahmed Suhail","doi":"10.25259/wjwch_43_2023","DOIUrl":"https://doi.org/10.25259/wjwch_43_2023","url":null,"abstract":"\u0000\u0000Diarrhea is a major cause of morbidity and mortality among infants globally. Infant feeding practices influence diarrhea risk, but its relationship requires further investigation, especially in Yemen. This study aims to identify associations between feeding modes (breastfeeding, mixed feeding, formula, and goat milk) and persistent diarrhea in Yemeni infants.\u0000\u0000\u0000\u0000A hospital-based case–control study was conducted from January to June 2020 in Hodeidah, Yemen. The cases were 240 infants aged 2–24 months with persistent diarrhea. Controls were 120 age-matched healthy infants. Caregiver interviews collected data on feeding practices. Odds ratios (OR) estimate relationships between exposures and persistent diarrhea.\u0000\u0000\u0000\u0000We observed a protective effect of breastfeeding against persistent diarrhea, with breastfed infants having a significantly lower risk of developing persistent diarrhea compared to non-breastfed infants (OR: 0.43, 95% confidence interval [CI]: 0.27–0.68, P = 0.037). In addition, we found a significant association between goat milk consumption and persistent diarrhea, with infants who consumed goat milk having a higher risk of persistent diarrhea (OR: 4.67, 95% CI: 1.15–19.01, P = 0.009). While mixed feeding showed a potential increased risk of persistent diarrhea compared to exclusive breastfeeding, the wide CI indicated that this association was not statistically significant and required further research (OR: 1.86, 95% CI: 1.09–3.18). In contrast, the association between formula feeding and persistent diarrhea was inconclusive and not statistically significant (P = 0.938; OR: 0.867, 95% CI: 0.353–2.128), suggesting no significant relationship. These results highlight the protective effect of breastfeeding and the potential risks of goat milk consumption, while relationships between mixed/formula feeding and persistent diarrhea require more evidence.\u0000\u0000\u0000\u0000Certain feeding practices increase the risk of persistent diarrhoea in Yemeni infants. Promoting exclusive breastfeeding and complementary feeding guidance alongside tailored behavior change strategies, especially in rural communities can help address these modifiable risk factors.\u0000","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"89 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141267775","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}

{"title":"Nutritional Vitamin D deficiency rickets in children – Challenges in diagnosis, management, and prevention","authors":"Aashima Dabas, Raja Padidela","doi":"10.25259/wjwch_39_2023","DOIUrl":"https://doi.org/10.25259/wjwch_39_2023","url":null,"abstract":"Nutritional rickets are characterized by under mineralization of the skeleton that leads to bone deformities and poor growth. The balance between Vitamin D and calcium intake is critical for the maintenance of bone health. A few risk factors that contribute to a high prevalence of rickets in India include poor maternal nutrition, poor dietary calcium, and Vitamin D intake and poor sunshine practices. Early features of rickets may be asymptomatic and may be missed without biochemical and radiological investigations. Severe rickets may be the first manifestation of an underlying non-nutritional rickets that may be misdiagnosed in the absence of a complete workup. The treatment of rickets requires Vitamin D therapy with adequate calcium supplementation. The schedule of treatment with Vitamin D is not standardized, but daily therapy is preferable compared to weekly/monthly stoss therapy. Both cholecalciferol and ergocalciferol may be used for treatment as they are efficacious and cost-effective instead of active Vitamin D preparations. Periodic monitoring for the resolution of biochemical deficiency and improvement in skeletal changes should be emphasized. Prolonged treatment with Vitamin D and calcium should be avoided for the risk of Vitamin D toxicity and nephrocalcinosis. An impetus is required toward the prevention of Vitamin D deficiency. At present, nutritional strategies should focus on a life-cycle approach during the antenatal period, early infancy, and childhood and adolescence. Food fortification is likely to be an effective option, but the efficacy and logistics of this in the Indian setting will require further research.","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"1 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266106","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}

{"title":"A rare case of polysplenia syndrome associated with atrioventricular canal defect and type four ileal atresia in a preterm neonate: A case report and literature review","authors":"R. Prashanth, S. Jyothi, A. Haribalakrishna","doi":"10.25259/wjwch_3_2024","DOIUrl":"https://doi.org/10.25259/wjwch_3_2024","url":null,"abstract":"Antenatal diagnosis of heterotaxy syndrome is only the tip of the iceberg. These neonates can have a myriad of multi-system anomalies, each of which requires anticipation and an individualized management plan. The spectrum of heterotaxy syndrome ranges from incidentally detected innocuous anomalies to major life-threatening congenital malformations such as atrioventricular canal defects and bowel atresia. Neonatal sepsis tends to be more fulminant and catastrophic in these neonates with complex anomalies and poor outcomes that necessitates better-informed antenatal counseling regarding the termination of such pregnancies.","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266202","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}

{"title":"Role of magnetic resonance angiography in moyamoya syndrome in a child with sickle cell anaemia","authors":"Nidhi Aggarwal, Foram Gala","doi":"10.25259/wjwch_46_2023","DOIUrl":"https://doi.org/10.25259/wjwch_46_2023","url":null,"abstract":"","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"14 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266903","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}