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Sonawane, Ravindra
- To Study the Role of Zinc Supplementation on Growth of Low Birth Weight Infants
Abstract Views :241 |
PDF Views:93
Authors
Affiliations
1 Dr. Vasantrao Pawar Medical College Hospital and Research Center, Nashik, IN
1 Dr. Vasantrao Pawar Medical College Hospital and Research Center, Nashik, IN
Source
MVP Journal of Medical Sciences, Vol 1, No 1 (2014), Pagination: 25–29Abstract
This was a randomized controlled trial undertaken to study the role of zinc supplementation on growth of low birth weight infants (b.wt≤2500 gm). Out of 120 LBW infants, 23 were excluded due to loss of follow up. The remaining 97 LBW eligible neonates were randomized in to 2 group (zinc & control group), zinc group were given zinc supplementation at a dose of 2 mg/kg/day for 8 weeks from enrollment. They were then followed up every 4 weeks up to 8 weeks. At each visit, detail anthropometry including e weight, length, and head circumference were recorded at each visit. The infants in the zinc group had significantly higher weight gain (p<0.000), length gain (p<0.000), linear growth velocity and head circumference at 8 weeks. We concluded that zinc supplementation at 2 mg/kg/day for 8 weeks in LBW infants improves their growth during infancy.Keywords
LBW (Low Birth Weight Babies), Zinc, Supplements to Infants, Growth of Infants- Role of Synbiotics in Improvement of Feed Tolerance and Weight Gain in the Newborns
Abstract Views :253 |
PDF Views:89
Methods: This prospective interventional trial included 50 newborns treated with a dietary supplement containing Synbiotics in addition to the routine treatment and 48 newborns served as control without Synbiotics supplement. The primary outcome was weight gain and feed tolerance. Results: Newborns in the Synbiotics group reached the full feeds earlier as compared to those in Control group (7.5 ± 4.26 days Vs 14.02 ± 7.88 days p=0.532) along with better weight gain(14.61 ± 9.6 grams per day Vs 2.97 ± 3.81 grams per day p=0.0000001).
Conclusions: Newborns receiving Synbiotics are more likely to reach full feeds earlier and show better weight gain.
Authors
Affiliations
1 Department of Pediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Center, Nashik, IN
2 Department of Paediatrics, Dr. Vasantrao Pawar Medical College and Research Centre, Nasik, IN
1 Department of Pediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Center, Nashik, IN
2 Department of Paediatrics, Dr. Vasantrao Pawar Medical College and Research Centre, Nasik, IN
Source
MVP Journal of Medical Sciences, Vol 1, No 2 (2014), Pagination: 61-66Abstract
Objective: To study the effect of Synbiotics on weight gain and feed tolerance of newborns.Methods: This prospective interventional trial included 50 newborns treated with a dietary supplement containing Synbiotics in addition to the routine treatment and 48 newborns served as control without Synbiotics supplement. The primary outcome was weight gain and feed tolerance. Results: Newborns in the Synbiotics group reached the full feeds earlier as compared to those in Control group (7.5 ± 4.26 days Vs 14.02 ± 7.88 days p=0.532) along with better weight gain(14.61 ± 9.6 grams per day Vs 2.97 ± 3.81 grams per day p=0.0000001).
Conclusions: Newborns receiving Synbiotics are more likely to reach full feeds earlier and show better weight gain.
Keywords
Newborns, Probiotics, Prebiotics, Synbiotics, Feed Tolerance, Weight Gain- Outcome of LBW Babies Admitted in the N.I.C.U. – A Hospital based Study
Abstract Views :263 |
PDF Views:93
Material and Methods: The study was conducted in the N.I.C.U. of a Tertiary Health Care Centre, in Department of Pediatrics. 106 neonates with birth weight less than 2500 grams from among the neonates admitted in the NICU were included in the study. Results: There were 48 deaths out of 106 cases studied thus making the mortality rate of 45.28% and the survival rate of 54.72% (58/106 cases). Respiratory distress contributed maximum to mortality, followed by Septicemia/Sepsis. Neonatal Hyperbilirubinemia followed septicemia in prevalence. Among the spectrum of Respiratory distress, Hyaline Membrane Disease (HMD) contributed maximum to mortality.
Authors
Affiliations
1 Department of Pediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik, IN
1 Department of Pediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik, IN
Source
MVP Journal of Medical Sciences, Vol 1, No 2 (2014), Pagination: 71-74Abstract
Background&Objective: More than 20 million infants worldwide, representing 15.5 per cent of all births are born with low birth weight. More than 95 percent of them are born in developing countries. The incidence of low birth weight in developing countries (16.5 per cent) is more than double the incidence in developed regions (7 per cent). In India, nearly 8 million babies are born with a Low Birth Weight every year. In India, we are still struggling to get minimum care facilities for our neonates. The neonatal mortality rate in India is still 5 to 6 times higher compared to that in developed countries. Because of their susceptibility to complications, low birth weight neonates require specialized and expert care during the neonatal period. This study was undertaken to study the role of various morbidities in the mortality of LBW neonates admitted in the N.I.C.U.Material and Methods: The study was conducted in the N.I.C.U. of a Tertiary Health Care Centre, in Department of Pediatrics. 106 neonates with birth weight less than 2500 grams from among the neonates admitted in the NICU were included in the study. Results: There were 48 deaths out of 106 cases studied thus making the mortality rate of 45.28% and the survival rate of 54.72% (58/106 cases). Respiratory distress contributed maximum to mortality, followed by Septicemia/Sepsis. Neonatal Hyperbilirubinemia followed septicemia in prevalence. Among the spectrum of Respiratory distress, Hyaline Membrane Disease (HMD) contributed maximum to mortality.
Keywords
LBW, Low Birth Weight, Mortality, Neonatal Mortality- Congenital Hernia of Morgagni - A Case Report
Abstract Views :301 |
PDF Views:101
Authors
Sagar Sonawane
1,
M. K. Tolani
1,
Ravindra Sonawane
1,
Nilesh Ahire
2,
Suhas Patil
2,
Sandip Patil
2
Affiliations
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik, IN
2 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik, IN
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik, IN
2 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik, IN
Source
MVP Journal of Medical Sciences, Vol 2, No 1 (2015), Pagination: 61-64Abstract
Congenital Diaphragmatic Hernia of Morgagni occurs through the foramen of Morgagni, is rare in children. It is usually asymptomatic and detected accidentally. If symptomatic, then symptoms are variable and nonspecific making diagnosis difficult . Our patient presented with signs and symptoms suggestive of congenital heart disease, gastroesophageal reflux disease and recurrent pneumonia.Keywords
Foramen of Morgagni, Hernia of Morgagni.- Study of Eosinophil Count in Nasal and Blood Smear in Allergic Respiratory Diseases
Abstract Views :250 |
PDF Views:86
Authors
Affiliations
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
2 Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
2 Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 3, No 1 (2016), Pagination: 44-51Abstract
Introduction: Allergic rhinitis and asthma are two very common allergic diseases of respiratory tract in pediatric patients. In this geographical area, where the prevalence of allergens exists, the role of allergens as the etiological factor is higher in allergic respiratory disorders. Confirmation of allergen as etiologic agent is cumbersome in a small setup, where IgE estimation and allergy tests are not accessible. In this study, the simple test of peripheral smear and nasal smear eosinophil count as a reliable diagnosis to solve the above problem and establishing allergy as etiological agent has been tried. Material and Methods: For the present study which was conducted over 2 years in children between 2 to 12 years who visited tertiary health care center, Nashik. The allergic respiratory cases based on typical history and clinical features were included in the study and investigated for nasal and blood eosinophilia. Children with TB, recurrent and chronic pneumonia, malnutrition, malignancy, collagen vascular disorders and those who are on steroid therapy were excluded from the study. The clinical profile of allergic rhinitis with or without asthma and nasal and blood eosinophils are studied. Result: Out of 100 patients, there was male predominance and incidence was increasing as age increases. Dust is the most common risk factor for allergic rhinitis followed by weather changes, whereas in allergic rhinitis with bronchial asthma, weather change is common risk factor followed by dust and family history. In children with allergic rhinitis with or without bronchial asthma, there is positive relation between nasal and peripheral smear eosinophil count. Conclusion: So, nasal eosinophil count which is simple, non-invasive, economical and reliable can be used as an alternative to invasive peripheral smear eosinophil count as both are equally efficacious in diagnosing allergic respiratory diseases.Keywords
Allergic Rhinitis, Bronchial Asthma, Eosinophilia.References
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- Cosmes E L , Canadillas FG, Martin TS, et al. Value of eosinophilia in blood and nasal exudate in the diagnosis of different types of rhinitis. Allergologia et Immuno pathologia. 1984; 12(4):283–8.
- Crobach M, Hermans I, Kaptein A, et al. Nasal smear eosinophilia for the diagnosis of allergic rhinitis and eosinophilic non-allergic rhinitis. Sc and J Primary Health Care. 1996; 14(2):116–21.
- Lans DM, Alfeno N, Rocklin R. Nasal eosinophilia in allergic and non-allergic rhinitis: Usefulness of the nasal smear in the diagnosis of allergic rhinitis. Allergy Proceedings. 1989; 10(4):275–80.
- Sanil A, Aydin S, Ates G, Eken M, Celebi O. Comparison of nasal smear eosinophilia with skin prick test positivity in patients with allergic rhinitis. Kulak Burun Bogaz Ihtis Derg. 2006; 16(2):60–3.
- Miller RE, Paradise JL, Fridat GA, et al. The nasal smear for eosinophils: Its value in children with seasonal allergic rhinitis. Am J Diseases of Children. 1982; 136(11):1009– 111.
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- Study of Correlation of Cord Blood Bilirubin with Neonatal Hyperbilirubinemia
Abstract Views :316 |
PDF Views:84
Authors
Affiliations
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422203, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 3, No 1 (2016), Pagination: 60–66Abstract
Introduction: Neonatal Hyperbilirubinemia (NH) is a universal problem affecting nearly 60% of term and 80% of preterm neonates during first week of life. Early discharge of healthy term newborns is a common practice because of medical, social and economic constraints. Insignificant number (6.5%) of babies, NH is a cause for readmission. The present study was conducted to correlate the Cord Blood Bilirubin (CBB) level with subsequent NH. Methods: Study was performed at the Department of Pediatrics in a Medical College Hospital and Research Centre. Intramurally delivered, 113 Healthy full-term newborns during 1-year period were prospectively enrolled. CBB was estimated. Serum Bilirubin estimation was done at 48 hours and 5 day of age and later if required. Results: Significant NH in our study is 3.5%. Mean total bilirubin on second postnatal day was 10.58 mg/dl and on fifth post natal day was 10.81 mg/dl. Using CBB level of ≥3 mg/dl as a cut-off, NH can be predicted with sensitivity of 100%, specificity of 98.17%, positive predictive value of 66.67% and negative predictive value of 100%. Conclusion: A 100% Negative Predictive Value in the present study suggests that in Healthy Term babies (without RH and ABO incompatibility with Cord Blood Bilirubin ≤3mg/dl) cord serum bilirubin can help to identify those newborns who are unlikely to require further evaluation and intervention. These newborns can be discharged with assurance to Parents. Babies with CBB level ≥3mg/dl should be followed more frequently.Keywords
Cord Bilirubin, Hyperbilirubinemia, Newborns, Neonate.References
- Piazza AJ, Stoll BJ. Jaundice and Hyperbilirubinemia in the Newborn. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, editors. Nelson text book of Pediatrics: 19 th Ed. New Delhi; Saunders Elsevier, 2012; 1:603–12.
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- Maisles MJ, Newman TB. Kernicterus in Otherwise Healthy Breast-fed Term Newborns. Pediatrics. 1995 Oct; 96:730– 33.
- Martin CR, Cloherty JP. Neonatal Hyperbilirubinemia. In: Cloherty JP, Eichenwald EC, Stark AR, editors. Manual of neonatal care: 6th Ed. New Delhi: Wolters Kluwer, 2008; 304–39.
- Bahl L, Sharma R, Sharma J. Etiology of Neonatal Jaundice in Shimla. Indian Pediatr. 1994 Oct; 31:1275–78.
- Murki S, Majumudhar S, Marwaha N. Risk factors of Kernicterus in term babies with Non haemolytic Jaundice. Indian Pediatr. 2001 Jul; 38(7):757–62.
- Moyer VA, Ahn C, Sneed S. Accuracy of clinical judgment in neonatal jaundice. Arch Pediatr Adolesc Med. 2000; 154:391–4.
- Seidman DS, Stevenson DK, Ergaz Z. Hospital readmission due to neonatal hyperbilirubinemia. Pediatrics. 1996; 96:727–9.
- American Academy of Pediatrics Clinical Practice Guideline and Subcommittee on Hyperbilirubinemia. Management of hyperbilirubinemia in the newborn Infant 35 or more weeks of Gestation. Pediatrics. 2004 Jul 1; 114:297–316.
- Bernaldo AJN. Bilirubin dosage in cord blood: could it predict neonatal hyperbilirubinemia? Sao Paulo Med J. 2004 May 6; 122(3):99–103.
- Knupfer M, Pulzer F, Gebauer C, Robel-Tillig E, Vogtmann C. Predictive value of umbilical cord blood bilirubin for postnatal hyperbilirubinaemia. Acta Paediatr. 2005 May; 94(5):581–7.
- Awasthi S, Rehman H. Early prediction of neonatal hyperbilirubinemia. Indian J Pediatr. 1998; 65:131–39.
- Alpay F, Sarici SU, Tosuncuk HD, Serdar MA, Inanc N, Gokcay E. The Value of First Day Bilirubin Measurement in Predicting the Development of Significant Hyperbilirubinemia in Healthy Term Newborns. Pediatrics. 2000 Aug; 106(2):p.e16.
- Agarwal R, Deorari AK. Unconjucated Hyperbilirubinemia in Newborn. Indian Pediatr. 2002 Aug 17; 39:30–42.
- Randev S, Grower N. Predicting neonatal hyperbilirubinemia using first day serum bilirubin levels. Indian J Pediatr. 2010 Feb; 77:147–50.
- Bhutani VK, Johson L, Sivieri EM. Predictive ability of a predischarge hour specific serum bilirubin for subsequent significant hyperbilirubinemia in healthy term and near term newborns. Pediatrics. 1999 Jan; 103:6–14.
- Gupta PC, Kumari S, Mullick DN. Icterometer; useful screening tool for neonatal jaundice. Indian Pediatr. 1991 May; 28(5):473–6.
- Leite MG, GranatoVde A, Facchini FP, Marba ST. Comparison of transcutaneous and plasma bilirubin measurement. J Pediatr (Rio J). 2007 May-Jun; 83(3):283–6. Epub2007 May 16.
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- A Comparative Study of Renal Parameters and Serum Calcium Levels in Birth Asphyxiated Neonates and Normal Neonates
Abstract Views :358 |
PDF Views:103
Authors
Affiliations
1 Department of Pediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Department of Pediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
1 Department of Pediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
2 Department of Pediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 4, No 2 (2017), Pagination: 97-101Abstract
Background and Objectives: Acute renal failure is a frequent clinical condition in neonatal intensive care units. The leading cause of neonatal acute renal failure is perinatal asphyxia. Early recognition of acute renal failure is particularly important in asphyxiated neonates, in whom a stable biochemical milieu is vital, because it facilitates the administration of appropriate fluid and electrolyte replacement. This study was done to determine the incidence of renal failure and its correlation with severity of asphyxia. Methods: 45 term neonates born with Apgar score of < 7 at 5 minutes after the birth are selected as cases and 45 term normal neonates as controls. All asphyxiated neonates (as per World Health Organization definition) with clinical features of Hypoxic ischemic encephalopathy are staged by Sarnat and Sarnat staging. The relevant blood and urine investigations done at 24, 48 and 72 hours of life and urine output was monitored. The babies were managed according to standard protocol. The renal indices were calculated after 48 and 72 hours. Results: The incidence of renal failure was significantly higher among cases (66.67%, 30 of 45 cases). All cases had non oliguric (100%) renal failure -11 (24.44%) cases had intrinsic renal failure. The renal parameters were higher among cases and correlated with the severity of asphyxia. Hyponatremia was seen in cases and its severity correlated with asphyxia severity. The serum calcium level was lower among cases and severity of hypocalcaemia correlated with severity of asphyxia. Fractional excretion of sodium (FeNa) was higher among cases and 11 cases had value more than 3. Renal failure Index was higher among cases and 12 cases had value more than 4. Interpretation and Conclusions: Perinatal asphyxia is an important cause of renal failure in the neonatal period. Acute renal failure in birth asphyxia is predominantly Pre renal failure and depends on the severity of asphyxia. Renal failure in birth asphyxia is predominantly non-oliguric, monitoring of urine output for renal failure alone does not help to identify renal failure. The renal parameters should be monitored and if possible the renal indices should be calculated to identify pre-renal and intrinsic renal failure.Keywords
Acute Renal Failure, Birth Asphyxia, Hypoxic Ischemic Encephalopathy, Neonate.References
- Hansen AR, Soul JS. Perinatal asphyxia and Hypoxic ischemic encephalopathy in Manual of neonatal care. 7th ed.India: Wolters Kluwer; 2011. p. 711-728; 350-376.
- Casey BM, McIntire DD, Leveno KJ. The continuing value of the Apgar score for the assessment of newborn infants. New Engl J Med. 2001; 344:467–71. https://doi.org/10.1056/ NEJM200102153440701 PMid:11172187
- Moster D, Lie RT, Irgens LM, Bjerkedal T, Markestad T. The association of Apgar score with subsequent death and cerebral palsy: A population based study in term infants. J Pediatr. 2001; 138:798–803. https://doi.org/10.1067/ mpd.2001.114694 PMid:11391319
- Gupta BD, Sharma P, Bagla J, Parakh M and Soni JP. Renal failure in asphyxiated neonates. Indian Pediatrics. 2005; 42:928–34. PMid:16208054
- Perlman JM, Tack ED, Martin T, Shackelford G, Amon E. Acute systemic organ injury in term infants after asphyxia. Am J Dis Child. 1989; 143:617–20. https://doi.org/10.1001/ archpedi.1989.02150170119037
- Singh M. Care of Newborn. 7th ed. Sagar Publications; 2010 p. 85–107. PMCid:PMC2873439
- Aggarwal A, Kumar P, Chowdhay G, Mazumdar S, Narang A. Evaluation of renal functions in asphyxiated newborns. J of Trop Pediatrics. 2005; 51(5):295–9. https://doi.org/10.1093/tropej/fmi017 PMid:16000344
- Jayashree G, Dutta AK, Sarna MS, Saili A. Acute renal failure in asphyxiated Newborns. Indian Pediatrics. 1991; 28:19–23. PMid:2055607
- Gupta BD, Sharma P, Bagla J, Parakh M, Soni JP. Renal failure in asphyxiated neonates. Indian Pediatrics. 2005; 42:928–34. PMid:16208054
- Misra PK, Kumar A, Natu SM, Kapoor RK, Srivatsava KL, Das K. Renal failure in symptomatic perinatal asphyxia. Indian Pediatrics. 1991; 28:1147–51. PMid:1797666
- Basu P, Som S, Das H, Chaudhuri N. Electrolyte status in birth asphyxia. Indian Journal of Pediatrics. 2010; 77:259–62. https://doi.org/10.1007/s12098-010-0034-0 PMid:20177828
- Asphyxia relation between hypoxic ischemic encephalopathy grading and development of acute renal failure in indoor term neonates at Chandka Medical College children hospital Larkhana. Medical Channel. 2009 Oct-Dec; 148–52.
- Rai S, Bhatiyani KK, Kaur S. Effect of birth asphyxia on serum calcium and glucose level: A prospective study. Int J Sci Stud. 2015; 3(7):3–6.
- A Study of Severe Anemia in Children in a Tertiary Care Institute
Abstract Views :247 |
PDF Views:85
Authors
Affiliations
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, IN
2 Department of Paediatrics, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati - 444603, IN
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, IN
2 Department of Paediatrics, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati - 444603, IN
Source
MVP Journal of Medical Sciences, Vol 5, No 1 (2018), Pagination: 33-38Abstract
Introduction: The present study was to emphasize the chief causative factors, clinical manifestations, various hematological and morphological types in children with severe anemia, admitted to the pediatric wards of a tertiary care hospital. Objectives: The primary objective was to study clinical profile of severe anemia in children with various risk factor and hematological parameters among children with severe anemia. Methods: This was an observational study conducted in a tertiary health care institute. Children with severe anemia satisfying eligibility criteria with Hb less than or equal to 7gm/dl in age group 6 Month to 59 months. Less than or equal to 8gm/dl in age group 5 years to 14 years were included. Associated complaints and Clinical features were studied. Complete blood cell count with RBC indices- MCV, MCH and MCHC peripheral smear examination, reticulocyte count, stool examination, urine examination and Mantoux test were done in all patients. Serum ferritin, Hb electrophoresis, bone marrow examination, liver function test and renal function test, and x ray, U.S.G. abdomen, CT scan in relevant cases were done. Result: In this series 59 patients were included. Incidence of severe anemia was more in < 3.5 years age group (50.85%). Male to female ratio was 1.45:1. Out of 59 cases studied, 47(79.66%) had varying degrees of malnutrition. Pallor is the most prominent and characteristic sign noted in 59 cases (100%). Nutritional anemia was most common in 32 cases (55.93%) out of which 28 were microcytic and 4 were dimorphic. Associated infections were noted in 35 cases (59.32%). Conclusion: Nutritional deficiency is the most common cause of severe anemia especially iron deficiency anemia. Most of the children were malnourished and had infection indicating that severe anemia is directly related to malnutrition and infection. Pallor is the most consistent clinical sign of severe anemia. Severe anemia is more common in children aged < 3.5 years.Keywords
Nutritional Deficiency Anemia, Pallor, Severe Anemia.References
- Kliegman, Stanton, St Geme, Schor. Nelson text book of Pediatrics. 1st South East Asia ed; Saunders Elsevier; 2015. p. 2309.
- Parthasarathy A, Nair MKC, Menon PSN, Gupta P., et al. IAP text book of Peadiatrics. 5th ed. Jaypee Brothers Medical Publishers (P) Ltd; 2013. p. 644–7. https://doi.org/10.5005/jp/books/11894
- Orkin S, Nathan D, Ginberg D, Look AT., et al. Nathan & Oski’s Hematology of infancy and childhood. 7th ed. Saunders Elsevier; 2009. p. 458–9.
- Saroja CN., et al. Cross sectional study of nutritional anaemia in Indian Paediatric population. Sch J App Med Sci. 2015 Aug; 3(5E):2106–110.
- Agarwal KN, Kapoor D, Kela K, Kaur I, Sharma S. Iron status of children aged 9-36 months in an urban slum Integrated child development services project in Delhi. Indian pediatrics. 2002; 39(2):136–44. PMid:11867843
- Madoori S., et al. Clinico hematological profile and outcome of anemia in children at tertiary care hospital, Karimnagar, Telangana, India. Int J Res Med Sci. 2015; 3:3567–71. https://doi.org/10.18203/2320-6012.ijrms20151400
- Clinical Profile of Respiratory Distress in Newborn
Abstract Views :181 |
PDF Views:127
Authors
Affiliations
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 5, No 2 (2018), Pagination: 151-155Abstract
Introduction: Pulmonary disorders represent one of the most common diagnoses in infants admitted to neonatal units. The clinical presentation of respiratory distress in the new born includes apnea, cyanosis, grunting, inspiratory stridor, nasal flaring, poor feeding, and tachypnea. Most cases are caused by transient tachypnea of the newborn, respiratory distress syndrome, or meconium aspiration syndrome, but various other causes are possible. Objectives: Study was performed to analyze clinical profile, risk factors and outcome in terms of mortality. Methods: Data was collected for 78 newborns included in the study with respiratory distress. General information, socioeconomic status, history and clinical examination were documented. Newborn with respiratory distress were shifted to NICU for further management. Time of onset of distress was documented and the severity of the distress was documented and the severity was assessed by using Silverman and Anderson clinical scoring. Duration of O2 therapy, intervention done in the form of surgical/ventilator/ surfactant therapy/treatment and mortality was documented to assess the clinical outcome against the final diagnosis. Results: It was seen that in 97.4% of the cases of newborn respiratory distress the cause was respiratory in origin. Majority of the newborns had severe respiratory distress (47.43%) and moderate respiratory distress (46.15%) compared to mild distress (6.4%). 100% of newborns with RDS was diagnosed with severe respiratory distress (5 out of 5) and 73.9% was with diagnosis of MAS (17 out of 23) had developed severe respiratory distress as compared to 29.8% of the neonates with respiratory distress with diagnosis of TTNB (14 out of 47). 55.5% of the newborns (30 out of 54) male babies developed severe respiratory distress compared to 33.3% (8 out of 24) female babies. Interpretation and Conclusions: Transient tachypnea of the newborn is the most common cause of respiratory distress in newborn. Almost 50% of newborn with respiratory distress develop severe respiratory distress which require intensive monitoring. Risk factors like high maternal age, primigravida mothers, Small for gestation age, birth weight less than 2.5Kg associated with severe respiratory distress in newborns.Keywords
Neonate, Respiratory Distress.References
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- Modifiable Risk Factor in Acute Lower Respiratory Tract Infection in under 5 Children
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1 Associate Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
2 Former PG Resident, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India., IN
3 Professor and Head, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
4 Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India, IN
5 Associate Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
1 Associate Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
2 Former PG Resident, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India., IN
3 Professor and Head, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
4 Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India, IN
5 Associate Professor, Department of Paediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik - 422003, Maharashtra, India ., IN
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MVP Journal of Medical Sciences, Vol 9, No 1 (2022), Pagination: 46 - 50Abstract
Objective: Acute lower respiratory tract infections are leading cause of morbidity and mortality in under five children in developing countries. Hence presence study was undertaken to study various modifiable risk factor for acute lower respiratory tract infection in under five children. Study Design: Data collected from a observational study of eighty Acute Lower Respiratory Tract Infection (ALRTI) cases of age group from 2 month to 5 year fulfilling WHO criteria of pneumonia to study various modifiable risk factor. Eighty healthy control of same age group also interrogated. Result: The significant modifiable risk factor were parental illiteracy, low socioeconomic status, overcrowding, partial immunization, pre lacteal feed, early weaning, malnutrition, parental smoking, history of respiratory infection in family and rickets. Conclusion: The present study has identified various modifiable risk factors for acute lower respiratory tract infection which can be tackled by effective education of community .Keywords
Acute Lower Respiratory Tract Infection, Children, Risk Factors, Socio DemographyReferences
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