Pub Date : 2024-12-20DOI: 10.1007/s12098-024-05375-9
Zehra Aydin
{"title":"Lesch-Nyhan Syndrome with Neurological Symptoms and Nephrocalcinosis.","authors":"Zehra Aydin","doi":"10.1007/s12098-024-05375-9","DOIUrl":"https://doi.org/10.1007/s12098-024-05375-9","url":null,"abstract":"","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864144","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}
A pilot project was done to improve the quality of intravenous cannulation procedures at the pediatric high-dependency unit (PHDU) of a tertiary eye care hospital. In a nurses-led initiative, baseline data was collected, fishbone root cause analysis was done, and a custom checklist was prepared to test improvement. Plan Do Study Act (PDSA) cycles were done to test change ideas. Simple change ideas such as implementing a well-equipped designated IV trolley, hand hygiene, proper illumination, nursing assistance, reduced movement, and biomedical waste management at the point of care were implemented. The initiative improved the quality of IV procedures from a baseline of 25% to 79%. Healthcare teams used basic QI measures to rapidly improve patient quality of care at no extra cost.
{"title":"Improving the Quality of Intravenous Procedures in a Pediatric High Dependency Unit.","authors":"Yangchen Dolma, T Thuileiphy, Dulasi Durga, Vivek Parihar, Priyanka Gupta, Parijat Chandra","doi":"10.1007/s12098-024-05362-0","DOIUrl":"https://doi.org/10.1007/s12098-024-05362-0","url":null,"abstract":"<p><p>A pilot project was done to improve the quality of intravenous cannulation procedures at the pediatric high-dependency unit (PHDU) of a tertiary eye care hospital. In a nurses-led initiative, baseline data was collected, fishbone root cause analysis was done, and a custom checklist was prepared to test improvement. Plan Do Study Act (PDSA) cycles were done to test change ideas. Simple change ideas such as implementing a well-equipped designated IV trolley, hand hygiene, proper illumination, nursing assistance, reduced movement, and biomedical waste management at the point of care were implemented. The initiative improved the quality of IV procedures from a baseline of 25% to 79%. Healthcare teams used basic QI measures to rapidly improve patient quality of care at no extra cost.</p>","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853966","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":"Catatonia as the Presenting Feature of SSPE in a 10-year-old Child.","authors":"Vishnupriya Veeraraghavan, Shabnam Kalita, Gaurav Gupta, Murchana Khound, Jaya Shankar Kaushik","doi":"10.1007/s12098-024-05371-z","DOIUrl":"https://doi.org/10.1007/s12098-024-05371-z","url":null,"abstract":"","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853965","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}
Pub Date : 2024-12-18DOI: 10.1007/s12098-024-05367-9
Satya Prakash, Anu Thukral
{"title":"Neonatal Transport: A Path to Care, Both Ways.","authors":"Satya Prakash, Anu Thukral","doi":"10.1007/s12098-024-05367-9","DOIUrl":"https://doi.org/10.1007/s12098-024-05367-9","url":null,"abstract":"","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846598","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}
Pub Date : 2024-12-17DOI: 10.1007/s12098-024-05344-2
Sarvesh Ramanathan Rajakumar, S Subhaschandra Singh, Ch Shyamsunder Singh, Kavitha B, Sanjay Rai, Tamphasana Maimom, Gyanmar Taba
{"title":"Magnetic Resonance Spectroscopy in Assessment of Perinatal Hypoxic Ischemic Encephalopathy: A Case Control Study.","authors":"Sarvesh Ramanathan Rajakumar, S Subhaschandra Singh, Ch Shyamsunder Singh, Kavitha B, Sanjay Rai, Tamphasana Maimom, Gyanmar Taba","doi":"10.1007/s12098-024-05344-2","DOIUrl":"https://doi.org/10.1007/s12098-024-05344-2","url":null,"abstract":"","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835557","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}
Pub Date : 2024-12-17DOI: 10.1007/s12098-024-05358-w
Bharathi Balachander, Ballambattu Vishnu Bhat
{"title":"Protecting Vision for an Improved Quality of Life in Tiny Babies- Retinopathy of Prematurity.","authors":"Bharathi Balachander, Ballambattu Vishnu Bhat","doi":"10.1007/s12098-024-05358-w","DOIUrl":"https://doi.org/10.1007/s12098-024-05358-w","url":null,"abstract":"","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835561","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}
Pub Date : 2024-12-17DOI: 10.1007/s12098-024-05363-z
Opal Sekler, Orly Ben Moshe, Adi Kenoshi, Ortal Schaffer, Tzippora Shalem, Efrat Broide, Olga Shishkin, Asia Disin, Osnat Zmora
{"title":"Crohn's Disease in Children with Acute Abdominal Pain and the Role of Emergency Department Abdominal CT.","authors":"Opal Sekler, Orly Ben Moshe, Adi Kenoshi, Ortal Schaffer, Tzippora Shalem, Efrat Broide, Olga Shishkin, Asia Disin, Osnat Zmora","doi":"10.1007/s12098-024-05363-z","DOIUrl":"https://doi.org/10.1007/s12098-024-05363-z","url":null,"abstract":"","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835554","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}
Pub Date : 2024-12-17DOI: 10.1007/s12098-024-05321-9
Mahadevan Subramanian
The 48 y as a pediatrician, serving children and families was beyond attending to their presenting complaints. The combined roles as a child health doctor, medical teacher, researcher and administrator were interesting, nevertheless a tightrope walk. The lessons and wisdom that emerged from my learning journey, guided by my esteemed mentors, made me realise that the history and physical examination remain as the foundation of clinical assessment of a well or an ill child, even when we rely on technology to make a diagnosis. My mentors' photos are provided as Annexure (Supplementary File S1). The diagnosis of tuberculosis (TB), epigenetics of childhood TB, scorpion and snake envenomation and their timely recognition and treatment, organising pediatric accident and emergency and critical care services, training all concerned, advocacy against unnecessary injections in children, imparting perseverance and skills to care for developmentally challenged children engaged me in this journey- a mixed blessing in retrospect! It dawned on me at various stages that education of mothers should be given the high priority. This can be through personal contacts or digital enabling with useful academic information, providing parenting and personal support for Child Life Care. I find that an active pursuit of evidence-based practice, advocacy against harmful practices and beliefs, understanding the link with laboratory and nursing personnel became my approach in practice, thanks to my mentors, teachers and children whom I was able to take care of.
{"title":"Reflect, Revise, Respond and Remember: Recollections of Lessons from My Mentors Based on 17th Dr. K. C. Chaudhuri and Dr. Amala Chaudhuri Oration, on 6th October 2024.","authors":"Mahadevan Subramanian","doi":"10.1007/s12098-024-05321-9","DOIUrl":"https://doi.org/10.1007/s12098-024-05321-9","url":null,"abstract":"<p><p>The 48 y as a pediatrician, serving children and families was beyond attending to their presenting complaints. The combined roles as a child health doctor, medical teacher, researcher and administrator were interesting, nevertheless a tightrope walk. The lessons and wisdom that emerged from my learning journey, guided by my esteemed mentors, made me realise that the history and physical examination remain as the foundation of clinical assessment of a well or an ill child, even when we rely on technology to make a diagnosis. My mentors' photos are provided as Annexure (Supplementary File S1). The diagnosis of tuberculosis (TB), epigenetics of childhood TB, scorpion and snake envenomation and their timely recognition and treatment, organising pediatric accident and emergency and critical care services, training all concerned, advocacy against unnecessary injections in children, imparting perseverance and skills to care for developmentally challenged children engaged me in this journey- a mixed blessing in retrospect! It dawned on me at various stages that education of mothers should be given the high priority. This can be through personal contacts or digital enabling with useful academic information, providing parenting and personal support for Child Life Care. I find that an active pursuit of evidence-based practice, advocacy against harmful practices and beliefs, understanding the link with laboratory and nursing personnel became my approach in practice, thanks to my mentors, teachers and children whom I was able to take care of.</p>","PeriodicalId":13320,"journal":{"name":"Indian Journal of Pediatrics","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142835542","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}