IP international journal of medical paediatrics and oncology最新文献

{"title":"A study of asymptpmatic hypoglycemia in at risk newborn babies admitted at a tertiary care hospital","authors":"R. Kamat, Razin Shaikhjiwala, Gobinath Shanmugam, Panna Bulsara","doi":"10.18231/j.ijmpo.2024.004","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2024.004","url":null,"abstract":": Babies often have blood glucose levels that are 70% of their mothers at birth. Within an hour, it reaches its lowest point, which can be as low as 20 to 25 mg/dl. All healthy newborns experience this low point and have lower than average blood glucose levels. These are just temporary, and they gradually increase in the first few days of a newborn's life. : To determine the proportion of asymptomatic hypoglycemia in at risk newborn babies. To study plasma sugar level at various time, point during first 48hr of life and the effect of risk factor associated with asymptomatic hypoglycemia. : A Hospital-based longitudinal observational study was conducted among 303 patients at Department of Pediatrics of tertiary care Hospital during June 2021 – July 2021. : Total 159 were males and 154 were females. Among the study participants, 203(83%) cases were from Urban area, while 50(17%) were from Rural area. No. of 114(37.6%) babies had asymptomatic hypoglycemia, identified by routine screening. In total various risk factors was found in which among 29% cases had LGA, 41% had preterm and 30% had weight less than 2 kg. : Screening of at risk newborn helps in the early detection of asymptomatic hypoglycemia which will help in the prevention of adverse neurodevelopmental outcome. Routine screening helped to decrease morbidity and mortality due to hypoglycemia. The first 24 hours of life is a crucial part, at - risk babies are more prone to hypoglycemia hence routine screening is recommended in high-risk babies.","PeriodicalId":472741,"journal":{"name":"IP international journal of medical paediatrics and oncology","volume":"136 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140976893","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":"Unveiling the future of pediatric research in IndiaConfronting challenges, unlocking opportunities","authors":"V. B. Ballambattu, T. Babu","doi":"10.18231/j.ijmpo.2024.007","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2024.007","url":null,"abstract":"","PeriodicalId":472741,"journal":{"name":"IP international journal of medical paediatrics and oncology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140974417","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":"Optimizing ventilatory support in ARDS: A comprehensive guide for ICU nurses on patient care","authors":"Sharun Nv","doi":"10.18231/j.ijmpo.2024.002","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2024.002","url":null,"abstract":"The emergence of COVID-19 as a global pandemic has placed an unprecedented strain on healthcare systems worldwide, highlighting a critical shortage of trained healthcare professionals equipped to manage such a crisis. This deficit poses a significant challenge to the delivery of healthcare services, particularly in the context of intensive care units (ICUs) where the use of advanced medical technologies, such as ventilators, is paramount. For nurses with limited experience in ICU settings, navigating the complexities of invasive positive pressure ventilation (IPPV), a principal method of mechanical ventilation for critically ill patients can be daunting. This article aims to serve as a comprehensive guide for nurses less familiar with the intricacies of managing patients on IPPV, offering insights and strategies to enhance their competence and confidence in this critical aspect of patient care.","PeriodicalId":472741,"journal":{"name":"IP international journal of medical paediatrics and oncology","volume":"135 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140977178","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":"Diagnosis of pneumonia in paediatric age group by comparing two modalities chest x-ray versus ultrasonography at tertiary care hospital","authors":"Vidit Chawda, Pinakin Tollawala, Shailendra Khasavat, Kriti Suthar, Neel Shah, Rutvi Pandya","doi":"10.18231/j.ijmpo.2024.005","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2024.005","url":null,"abstract":": Up to 20 million cases of pneumonia in children ages 0 to 5 years require hospitalization each year, from total 150 million cases of pneumonia. The most common cause of death in children worldwide is pneumonia. Due to the general non-specificity of the signs and symptoms, clinical history and physical examination cannot reliably distinguish between the causes of respiratory cases. As a result, accurate diagnosis frequently requires medical imaging, but two-thirds of the world's population lack access to diagnostic imaging, which lead to increasing the consequences of respiratory illnesses. : To know the characteristic of pneumonia in x-ray and ultrasonography. To compare X-ray chest and USG for early diagnosis. : A Prospective observational study was conducted among 100 paediatric patients diagnosed with pneumonia and admitted in paediatric ward, at New Civil Hospital, Surat. : Out of total, 52.7% and 47.3% patients were Males and Females, respectively. 87.2% cases were fully immunized, while remaining were partially immunized. Sensitivity and specificity of chest X-ray is 83.4 % and 86.8 % respectively. Sensitivity and specificity of USG thorax is 96.8 % and 90.5 % respectively. Young children are at least four times more susceptible to radiation damage than adults.: In comparison to chest radiography, lung ultrasound has the potential advantages of being more sensitive and specific, radiation-free, subject to less regulatory constraints, relatively less expensive so it can be used in diagnosis in patients with pneumonia.","PeriodicalId":472741,"journal":{"name":"IP international journal of medical paediatrics and oncology","volume":"91 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140973486","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":"Acute pancreatitis as a manifestation of multisystem inflammatory syndrome among children (MIS-C): A rare case","authors":"V. C. Teja, Mohan Anantrao Patil, N. Patil, Kuruganti Vyshnavi Srividya, S. Kavthekar, Suhas Kulkarni","doi":"10.18231/j.ijmpo.2024.006","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2024.006","url":null,"abstract":"A multisystem inflammatory syndrome among children (MIS-C) has been linked to COVID-19, and it affects multiple organ systems in the body, including the gastrointestinal system. In present case report, a 14-year-old girl presented with clinico-laboratory and imaging evidence of acute pancreatitis but did not respond to the standard line of management for pancreatitis. Later, the laboratory investigations pointed to the diagnosis of MIS-C. She responded well to a pulse doses of methylprednisolone therapy. Acute pancreatitis as a lone manifestation of MIS-C poses a diagnostic challenge for paediatricians, and one should suspect MIS-C in acute non-responding pancreatitis.","PeriodicalId":472741,"journal":{"name":"IP international journal of medical paediatrics and oncology","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140976213","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 prospective study on the causes of hyperbilirubinemia and its clinical markers in term and near-term newborns admitted to a tertiary care hospital in Patna, India","authors":"Manisha Kumari, Pooja Mishra","doi":"10.18231/j.ijmpo.2024.003","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2024.003","url":null,"abstract":"This study aimed to investigate the root causes, prognostic factors, and therapeutic strategies for neonatal hyperbilirubinemia among term and near-term infants admitted to the Neonatal Intensive Care Unit (NICU) at IGIMS, Patna. Furthermore, the research aimed to analyze the clinical progression of these infants throughout their NICU stay.Conducted within the NICU at IGIMS, Patna, Bihar, this study encompassed term and late preterm infants admitted with serum bilirubin levels exceeding 12 mg/dl. The primary focus was on identifying risk factors, etiological factors, and the clinical profile of these infants during their NICU tenure.The study examined birth weight distribution and concurrent medical conditions. Parameters included the initiation of phototherapy based on bilirubin levels and treatment methodologies. Out of the 210 infants studied, 27.14% and 47.62% weighed between 2001 and 2500 grams. The most prevalent causes were physiological (129 cases), fetal prematurity (30 cases), birth asphyxia (7 cases), and prolonged labor (18 cases). Idiopathic causes were observed in 28 instances, ABO incompatibility in 7 cases, and Rh incompatibility in 7 cases. G6PD deficiency was identified once. At the commencement of phototherapy, 19.52% had bilirubin levels between 12 and 15 mg/dl, 58.57% between 15.1 and 18 mg/dl, 11.91% above 20 mg/dl, and 10% between 18.1 and 20 mg/dl.Physiological causes emerged as the most frequent contributors to neonatal hyperbilirubinemia, followed by septicemia and idiopathic factors. Infrequent causes included blood group incompatibility. Phototherapy was established as a cost-effective and efficient method for reducing bilirubin levels in neonatal jaundice. Exchange transfusion proved to be a safe therapeutic measure in cases of severe hyperbilirubinemia. Blood group incompatibility was the main determinant requiring exchange transfusion.","PeriodicalId":472741,"journal":{"name":"IP international journal of medical paediatrics and oncology","volume":"53 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140972113","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 society is judged by the way it handles it’s weakest and most defenceless: Status of pediatric cardiac services in India","authors":"Murtaza Kamal","doi":"10.18231/j.ijmpo.2024.001","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2024.001","url":null,"abstract":"","PeriodicalId":472741,"journal":{"name":"IP international journal of medical paediatrics and oncology","volume":"14 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140974268","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 study to evaluate the antenatal profile of mothers and the neonatal outcome in first 72 hours of life in VLBW babies at a tertiary care hospital","authors":"Chinmay Jitendra Desai, Yogesh N. Parikh, Praful Bambharoliya","doi":"10.18231/j.ijmpo.2023.027","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2023.027","url":null,"abstract":"Low birth weight (LBW) is well-defined as a birth weight of < 2500 g, as per the WHO. Internationally, it is predictable that 15–20% of all births, or >20 million children yearly, are low birth weight. In developing countries, explanation for an inconsistent encumbrance of LBW; over 95% of the Globally LBW newborns are intuitive in developing countries. Low birth weight is a foremost public health problem in developing countries including India.To know the antenatal profile of the mother (which includes mother's age, height, weight, body mass index, parity) and the immediate neonatal outcome in VLBW (999-1500 g) babies at a tertiary care hospital. To assess correlation between antenatal care profile of mother and weight of the baby.A Hospital-based descriptive ambispective longitudinal study was conducted among 120 patients at Department of Pediatrics of tertiary care Hospital during February 2021 – August 2021.Among the study participants, 109(90.8%) were admitted within first day of birth. Only 1.7% cases were admitted after 3 days of birth due to complications. Among the patients, 52% died, while 4% DOR. Out of total, 44% and 16% were Discharged and DAMA, respectively.Prevention of very low birth weight of a newborn is the best way of promoting better health for babies and it can be achieved by giving adequate care to the females since early childhood and adolescence by promoting better nutrition and health care.","PeriodicalId":472741,"journal":{"name":"IP international journal of medical paediatrics and oncology","volume":"106 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140456460","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 case report of cutanenous metastasis in locally advanced hypopharyngeal cancer","authors":"Romi Kant Grover, Poonam Sehar, Shubham Mittal, Pardeep Garg","doi":"10.18231/j.ijmpo.2023.030","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2023.030","url":null,"abstract":"Cutaneous metastasis from head and neck cancers are uncommon, accounting for less than 1% for distant metastasis in head and neck cancers. It can be single and discrete or it may present as multiple lesions at different anatomic sites. There is a correlation between the frequency of cutaneous metastasis and the type and prevalence of primary cancer. Head and neck squamous cell carcinomas are aggressive tumors with metastasis occurring in up to 15-20% cases. However, they rarely metastasize to skin and the reported incidence is about 0.8-1.3%. Very few cases of distant cutaneous head and neck SCC (HNSCC) metastases have been described and are usually multiple. Underreporting is likely in cases of simultaneous occurrence with lung, bone and brain metastases. Cutaneous distant metastases signify a poor prognosis and 1-year survival is 0%.","PeriodicalId":472741,"journal":{"name":"IP international journal of medical paediatrics and oncology","volume":"37 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455355","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":"Psychological impact and development of autistic traits in children during the COVID 19 Pandemic: A study through Guardian","authors":"Waseem Iqbal, Mudassir Hassan, Parveez Ahmed Mir, Syed Kaiser","doi":"10.18231/j.ijmpo.2023.028","DOIUrl":"https://doi.org/10.18231/j.ijmpo.2023.028","url":null,"abstract":"The COVID 19 pandemic has significantly affected people's lives worldwide. Although children may not experience severe physical symptoms of the disease, their psychological well-being can be greatly affected. The primary objective of this study was to examine the psychological impact of COVID-19 on children residing in the Kashmir valley in terms of evolution of autistic traits in them. Cross-sectional study was conducted amongst 300 family members of children aged between 4 to 16-years. Data was collected through an online questionnaire using Google Forms and purposive sampling technique was used to assess autism. The sample for the study consisted of children in the 4 year to 16-year age group. A self-designed validated questionnaire in Google Form was used to collect the information. Chidhood Autism Rating Scale-2 (CARS-2) was used in those with excessive mobile phone usage. The results of the study revealed that only 3% of the children were infected with COVID-19. 7% of the sample reported that a close family member of a child was infected. Furthermore, 76% of the sample reported that they discussed COVID-19 with their children. In terms of behavioral changes, 54% of the sample noticed a change in their child's behaviour during the COVID pandemic. Additionally, 51% reported a change in their children's learning patterns, and 48% reported that their child had become possessive about new things since the pandemic. Furthermore, 35% of the sample reported a change in their child's sleeping cycle, 22.7% reported a loss of appetite, and 56% reported that their child imagined and talked about COVID-19 with others. It was also found that 80.3% of the sample had adhered to COVID-19 precautions. Only 4.3% reported negative thoughts expressed by their children since the pandemic, while 88% reported that their children were ready to discuss in future COVID-19. In the 4 to 6 year age group, out of 12 children with excessive mobile phone use, it was found that two were having symptoms consistent with Autism Spectrum Disorder. Other common symptoms noticed in this age group were found to be clapping, single verbal sounds, inability to express needs, moderate abnormal listening response, echolalia and video dialoguing. Most families reported that their children were possessive about new things and most of them were not sitting at one place for a long time. A large percentage of families reported that they found changes in the sleep pattern and duration of sleep was more than 9 hours. It was also found that screen time during COVID-19 increased among school-going children.","PeriodicalId":472741,"journal":{"name":"IP international journal of medical paediatrics and oncology","volume":"175 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455706","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}