{"title":"The impact of the exodus of professionals on Sri Lankan Paediatric Healthcare","authors":"B. J. C. Perera","doi":"10.4038/sljch.v53i2.11028","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.11028","url":null,"abstract":"No abstract","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141382143","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":"DPB1 variant rs9277534 frequency and dengue shock syndrome in Indochina: An observation on population genetic and clinical epidemiology association","authors":"Pathum Sookaromdee, V. Wiwanitkit","doi":"10.4038/sljch.v53i2.9430","DOIUrl":"https://doi.org/10.4038/sljch.v53i2.9430","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"58 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141384296","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":"GDF15 molecule is responsible for low body mass index in children with thalassaemia","authors":"S. Mettananda","doi":"10.4038/sljch.v53i1.10946","DOIUrl":"https://doi.org/10.4038/sljch.v53i1.10946","url":null,"abstract":"No abstract avaialble","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140263351","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}
D. S. G. Punchihewa, J. R. Fonseka, R. N. Jayarathne, K. Dayasiri, K. H. T. I. Sumanasekera, R. M. A. N. Dayarathna, M. V. D. Nawarathne
{"title":"Congenital central hypoventilation syndrome: A rare disorder in a neonate","authors":"D. S. G. Punchihewa, J. R. Fonseka, R. N. Jayarathne, K. Dayasiri, K. H. T. I. Sumanasekera, R. M. A. N. Dayarathna, M. V. D. Nawarathne","doi":"10.4038/sljch.v53i1.10612","DOIUrl":"https://doi.org/10.4038/sljch.v53i1.10612","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"41 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140263386","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}
Partha Pratim Halder, P. Ranjit, B. Das, Subhajit Dey Sarkar
{"title":"Spectrum of complications in blood culture positive enteric fever in children aged 1-15 years: A 10-year-experience from a tertiary care centre in Eastern India","authors":"Partha Pratim Halder, P. Ranjit, B. Das, Subhajit Dey Sarkar","doi":"10.4038/sljch.v53i1.10691","DOIUrl":"https://doi.org/10.4038/sljch.v53i1.10691","url":null,"abstract":"Background: Enteric fever is caused by Salmonella enterica serovar typhi and Paratyphi A, B and C. Blood culture is the gold standard for diagnosis, but is not always feasible due to logistical issues. This may delay definite diagnosis and treatment resulting in increased complications.Objectives: To document the spectrum of complications involving different organ systems in blood-culture positive enteric cases Method: This was a single centre retrospective observational study conducted in the Institute of Child Health (ICH), Kolkata, India. The study period was from January 2013 to December 2022. Children aged 6 months to 15 years, admitted in ICH, with a history of fever of any duration, whose blood culture revealed Salmonella species were included. Clinical symptoms, complications and the outcome of treatment were noted. Data were statistically analysed using SPSS software.Results: Around one third of the total study population presented with complications. Age group of 5-10 years was the most vulnerable for the infection and its complications. Central nervous system (CNS) involvement, hepato-biliary involvement and gastrointestinal (GI) involvement were the common complications.Conclusions: Enteric fever involved a broad spectrum of complications involving the CNS, hepato-biliary system and the GI system.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"20 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140264694","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}
B. T. Hettiarachchi, S. D. Ananda, T. Seevarathnam, M. F. M. Nasoor, Medha Weeresekera
{"title":"Congenital pulmonary airway malformation with spontaneous regression in an extremely preterm baby from Sri Lanka","authors":"B. T. Hettiarachchi, S. D. Ananda, T. Seevarathnam, M. F. M. Nasoor, Medha Weeresekera","doi":"10.4038/sljch.v53i1.10620","DOIUrl":"https://doi.org/10.4038/sljch.v53i1.10620","url":null,"abstract":"No abstract avialable","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"202 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140265461","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}
Gouri Chandrapalsing Rajput, Sara Subodh Dhanawade
{"title":"Clinical profile and outcome of acute kidney injury in children admitted to paediatric intensive care unit: A prospective observational study","authors":"Gouri Chandrapalsing Rajput, Sara Subodh Dhanawade","doi":"10.4038/sljch.v53i1.10641","DOIUrl":"https://doi.org/10.4038/sljch.v53i1.10641","url":null,"abstract":"Introduction: Acute kidney injury (AKI) is a commonly encountered problem in the paediatric intensive care unit (PICU). There are limited reports on paediatric AKI from the Indian subcontinent. \u0000Objective: To determine the incidence, aetiology and outcome in paediatric AKI using Acute Kidney Injury Network (AKIN) criteria. \u0000Method: This prospective observational study was conducted in the PICU of a teaching hospital in Western Maharashtra, India, from July 2016 to June 2017 on patients aged 1 month to 17 years.\u0000Results: The incidence of AKI was 18.8% (80/426). The mean age was 70 ± 60 months. Most (66.3%) cases had stage I AKI and 54% developed AKI within 72 hours. Sepsis (35%), pneumonia (25%) and tropical febrile illnesses (18.7%) were the common aetiologies. Complete recovery (CR) was seen in 79% and partial recovery (PR) in 21%. CR was highest in stage I (91%) as compared to stages II and III (p=0.005). Mortality was 22% (18/80). Mortality significantly increased with the stage of AKI (p=0.003). Mechanical ventilation, inotrope support, shock and the stage of AKI had a significant association with mortality on bivariate analysis. Mechanical ventilation was found to be a significant independent predictor of mortality (p= 0.011). Renal replacement therapy was needed in 6 (8%) cases.\u0000Conclusions: About one-fifth of children admitted to ICU developed AKI and most experienced mild transient AKI. Moderate to severe AKI carried high mortality suggesting a dose-response effect. Infections remain the commonest cause and mechanical ventilation was an independent predictor of mortality. ","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"39 5-6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140263332","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}
K. Paul, Anindita Maiti, Susmita Chaudhuri, Mahuya Lahiri, Biswadip Chattopadhyay
{"title":"A hospital-based cross-sectional study on parental self‑medication among children in a tertiary care hospital in Kolkata","authors":"K. Paul, Anindita Maiti, Susmita Chaudhuri, Mahuya Lahiri, Biswadip Chattopadhyay","doi":"10.4038/sljch.v53i1.10682","DOIUrl":"https://doi.org/10.4038/sljch.v53i1.10682","url":null,"abstract":"Introduction: Self-medication/self-prescription, the practice of using measures to treat and handle diseases, without consulting appropriate authority, has been significantly inculcated in modern society. Parental self-medication is today a significant paediatric public health problem contributing to global rise of antimicrobial resistance.Objectives: To assess the magnitude and determinants of parental self-medication among children attending a tertiary care hospital in Kolkata. Method: This cross-sectional study was conducted on parents of 105 children attending the paediatric clinic of a tertiary care hospital in Kolkata. Universal sampling was employed. Parents were surveyed by face-to-face interview using a pre-tested semi-structured interview schedule validated by subject experts. Information on pattern, reasons, and perception of parental self-medication were elicited from the schedule. Microsoft Excel and STATA MP16 were used for statistical analysis. Results: Mean ages of the parents and their children were 31.79±5.6 years, and 5.3±2.9 years respectively. Prevalence of parental self-medication was 78.1% (95% CI: 69-85%). Analgesic-antipyretics were the most common type of medicine used during self-medication (77.1%), whereas prior experience in dealing with similar illness was the most common reason (42%) for practising self-medication. Higher educational levelof respondent parent and increased age of child (>3 years) were significantly associated with the practice of self-medication in bivariate analysis.Conclusions: Prevalence of parental self-medication was 78.1%. Analgesic-antipyretics were used during self-medication in 77.1% cases. Prior experience in dealing with similar illness was the reason for practising self-medication in 42% cases. Higher educational level of the respondent parent and increased age of child (>3 years) were significantly associated with the practice of self-medication.","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"4 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140263372","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}
H. Mittal, P. Jain, S. Biradar, T. Jhajhria, Sunaina, Arvind Ahujha
{"title":"Interesting aetiology in an adolescent male with pulmonary-renal manifestations: Granulomatosis with poliangiitis","authors":"H. Mittal, P. Jain, S. Biradar, T. Jhajhria, Sunaina, Arvind Ahujha","doi":"10.4038/sljch.v53i1.10736","DOIUrl":"https://doi.org/10.4038/sljch.v53i1.10736","url":null,"abstract":"No abstract available","PeriodicalId":38870,"journal":{"name":"Sri Lanka Journal of Child Health","volume":"128 43","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079030","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}