Pub Date : 2024-01-25DOI: 10.18203/2349-3291.ijcp20240096
Madhava Vijayakumar, Ajitha Balakrishnan, S. Pillai
Background: Objective of the research was to study metabolic syndrome (MS) in children with overweight and obesity. Methods: 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. Results: 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. Conclusions: 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.
{"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}
Pub Date : 2024-01-25DOI: 10.18203/2349-3291.ijcp20240086
Gurudutt Joshi, Manila Singhvi
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). Methods: 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. Results: 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). Conclusions: 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.
{"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}
Pub Date : 2024-01-25DOI: 10.18203/2349-3291.ijcp20240091
Divya Gopalan, Palak T. Hapani
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. Methods: 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. Results: 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. Conclusions: 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.
背景：急性肾损伤是新生儿死亡和发病的一个重要原因。早产新生儿尤其是易感人群，因为他们存在各种风险因素，容易造成多器官损伤。印度有关早产新生儿 AKI 的数据十分有限。包括风险因素、人口统计学特征以及与其他并发症的关联在内的一些空白点仍未得到解答。本研究的目的是研究早产新生儿 AKI 的临床概况、结果和各种相关风险因素：这是一项前瞻性观察研究，在印度古吉拉特邦拉杰科特一家政府医学院附属医院的新生儿重症监护室进行。研究选取了 300 名患有 AKI 的早产新生儿，并对其人口统计学细节、与 AKI 相关的风险因素和预后进行了研究：研究发现，在接受研究的 300 名新生儿中，82% 为男性，92% 患有败血症，65% 患有呼吸窘迫综合征，32% 患有出生窒息，29% 患有休克，30% 接触过肾毒性药物，54% 需要机械通气，94% 的患者出院，6% 的患者死亡：与 AKI 相关的最常见风险因素是败血症。结论：与 AKI 相关的最常见风险因素是败血症，其他重要风险因素包括出生窒息、呼吸窘迫综合征和休克。监测血清肌酐有助于早期发现急性肾损伤。
{"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}
Pub Date : 2024-01-25DOI: 10.18203/2349-3291.ijcp20240100
Om Prakash Shukla, Nikunj Rathwa, Lokesh Naik Mude
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. Methods: 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. Results: 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. Conclusions: 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.
背景：据世界卫生组织估计，急性呼吸道感染（主要以 CAP 的形式出现）是导致五岁以下儿童死亡的主要原因，每年造成 200 多万儿童死亡。本研究采用了 PEWS 评分和 PIDS 严重程度标准，以了解肺炎患者的临床和影像学特征，并根据 PEWS 评分和 PIDS 标准对这些患者进行分类，以重新定义其严重程度并评估管理和治疗效果：方法： 对年龄在 0-5 岁之间、主诉咳嗽和呼吸困难的患者进行评估。入住重症监护室的标准是存在两个以上次要标准或一个主要标准。PIDS 的 CAP 标准建议 ED 儿童入住 ICU 或接受持续监测：一项前瞻性观察研究纳入了 104 名 CAP 儿童，并采用 PIDS 标准对他们的肺炎进行了评估。根据 PIDS 标准对患者进行了肺炎分类。32.69%的患儿被归类为重症 CAP（P 值=0.02）。非重症肺炎和重症肺炎之间的这一差异被认为在将患者归类为重症 CAP 方面具有显著的统计学意义。 结论根据 PIDS 标准对患者进行了肺炎分类。32.69%的儿童被归类为重症 CAP（P 值=0.02）。非重症肺炎和重症肺炎之间的这一差异被认为具有显著的统计学意义，其中被归类为重症肺炎的患者需要在急诊科接受严格的治疗，然后在重症监护室接受治疗。
{"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}
Pub Date : 2024-01-25DOI: 10.18203/2349-3291.ijcp20240087
R. Ramanathan, M. Mahalakshmi
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. Methods: 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. Results: 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. Conclusions: 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.
{"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}
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. Methods: 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. Results: 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. Conclusions: This initiative underscores the need of such screening programs in aspirational districts to manage and prevent these disorders effectively.
背景：早期筛查、诊断和管理计划有助于减轻遗传性疾病给脆弱地区带来的负担，这些疾病可能导致新生儿早期死亡或长期残疾。 UMMID（遗传性疾病的独特管理和治疗方法）和 NIDAN（国家遗传性疾病管理局）旨在制定社区一级的需求评估计划，并评估在高风险人群中对一些遗传/内分泌疾病进行基本筛查的可行性：方法：在贾坎德邦兰契的理想地区开展为期 3 年（2019-2022 年）的 UMMID，对 T 基因携带者中最常见的突变进行新生儿筛查（NBS）：这一举措凸显了在有抱负的地区开展此类筛查项目以有效管理和预防这些疾病的必要性。
{"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}
Pub Date : 2024-01-25DOI: 10.18203/2349-3291.ijcp20240088
Vallabh Deshpande, Tanuja Deshpande
Background: Baby massage is an ancient tradition of providing nurturing touch as a way of communicating and bonding with baby. The present research was based on preparation and evaluation of herbal baby massage oil which is FDA approved product named as ‘Matruj Baby Massage oil’. Methods: The Matruj baby massage oil was prepared by ancient ayurvedic method and further evaluated by different parameters. Results: The Matruj baby massage oil was appeared as transparent with intense orange colour and having pleasant odour. It doesn’t cause any irritation on baby’s skin surface. Its pH value is close to healthy baby skin surface. Acid value was found to be 2.24%. Viscosity, saponification value, specific gravity observed 0.01652 Pa.s, 135.76, 1.08662 kg/m3 respectively. Conclusions: Matruj baby massage oil is herbal based product which increases the strength, nourishes body, improves skin texture and accelerates the healthy growth and development of baby. Increased weight gain, reduced pain, enhanced attentiveness, and enhanced immune function.
{"title":"Matruj baby massage oil: an herbal skincare massage oil for healthy growth of baby","authors":"Vallabh Deshpande, Tanuja Deshpande","doi":"10.18203/2349-3291.ijcp20240088","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240088","url":null,"abstract":"Background: Baby massage is an ancient tradition of providing nurturing touch as a way of communicating and bonding with baby. The present research was based on preparation and evaluation of herbal baby massage oil which is FDA approved product named as ‘Matruj Baby Massage oil’.\u0000Methods: The Matruj baby massage oil was prepared by ancient ayurvedic method and further evaluated by different parameters.\u0000Results: The Matruj baby massage oil was appeared as transparent with intense orange colour and having pleasant odour. It doesn’t cause any irritation on baby’s skin surface. Its pH value is close to healthy baby skin surface. Acid value was found to be 2.24%. Viscosity, saponification value, specific gravity observed 0.01652 Pa.s, 135.76, 1.08662 kg/m3 respectively.\u0000Conclusions: Matruj baby massage oil is herbal based product which increases the strength, nourishes body, improves skin texture and accelerates the healthy growth and development of baby. Increased weight gain, reduced pain, enhanced attentiveness, and enhanced immune function.\u0000 ","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"9 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139596321","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}
Natal and neonatal teeth are the type of supernumerary tooth which have various myths and superstitions associated with it. Natal teeth are the teeth which appear at the time of the birth whereas neonatal teeth appear within one month of life. Presence of natal teeth often risks the aspiration of teeth by infant and the mother also has difficulty in breast feeding and comes with the complaint of the same. The present case report of 2-month-old infant describes the management of natal teeth present in mandibular arch with mobility. After the consent of parents, the extraction of the shell-like tooth was done immediately and hemostasis was achieved. The follow up was carried out after 1 week to examine the normal healing of extraction site.
{"title":"Management of natal tooth of a 2 months old infant: a case report","authors":"Vipul Sharma, Nivedita Saxena, Anant Gopal Nigam, Vritika Singh","doi":"10.18203/2349-3291.ijcp20240104","DOIUrl":"https://doi.org/10.18203/2349-3291.ijcp20240104","url":null,"abstract":"Natal and neonatal teeth are the type of supernumerary tooth which have various myths and superstitions associated with it. Natal teeth are the teeth which appear at the time of the birth whereas neonatal teeth appear within one month of life. Presence of natal teeth often risks the aspiration of teeth by infant and the mother also has difficulty in breast feeding and comes with the complaint of the same. The present case report of 2-month-old infant describes the management of natal teeth present in mandibular arch with mobility. After the consent of parents, the extraction of the shell-like tooth was done immediately and hemostasis was achieved. The follow up was carried out after 1 week to examine the normal healing of extraction site.\u0000 ","PeriodicalId":13870,"journal":{"name":"International Journal of Contemporary Pediatrics","volume":"114 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139596592","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}
Pub Date : 2024-01-25DOI: 10.18203/2349-3291.ijcp20240093
H. Singh, I. Singh, R. K. Soni
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. Methods: 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. Results: 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). Conclusions: 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.
背景：情商（EI）是多维的，包括成熟度、敏感度和能力。它是一种识别和理解自身及他人情绪并做出适当反应的技能。医学实习生应具备较高的情商，以应对职业生涯的挑战。因此，本研究计划评估医学实习生的 EI 及其维度：目标： 评估 140 名医学实习生的 EI 及其维度。研究设计为描述性横断面研究。获得了机构伦理委员会的伦理批准和参与者的知情书面同意；进行了基于问卷的 EI 测试。所得数据采用方差分析：80（62.0%）名参与者为女性，49（38.0%）名参与者为男性。他们的平均年龄为 23 岁。平均 EI 总分为 343.72 分。女性实习生的平均得分（344.00）略高于男性（343.27）。在情绪维度中，大多数实习生（79.1%）的能力百分位数得分明显较高（P=0.0001）。67.4%的实习生在成熟度方面的百分位数得分明显较低（p=0.0001）。54.3%的人敏感度百分位数得分较高，45.7%的人敏感度百分位数得分较低（p=0.7724）：本研究提供了有关医学实习生的 EI 及其维度的见解。成熟度和敏感度是情商的薄弱环节，需要改进或进一步发展。
{"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}
Pub Date : 2024-01-11DOI: 10.18203/2349-3291.ijcp20240014
Savitha Arunachalam, R. Narayanan, Prahada Jagannathan
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. Methods: 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. Results: 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. Conclusions: 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.
{"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}
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