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Bhardwar, Vaneeta
- Rare Variant of Truncus Arteriosus with Intact Ventricular Septum and Hypoplastic Left Heart - A Case Report
Abstract Views :355 |
PDF Views:0
Authors
Affiliations
1 Department of Pathology, Punjab Institute of Medical sciences Jalandhar, Punjab, IN
2 Department of Paediatrics Punjab Institute of Medical sciences Jalandhar, Punjab, IN
3 Department of Pathology, Dayanand Medical College & Hospital, Ludhiana,Punjab
4 Department of Anatomy, Dayanand Medical College & Hospital, Ludhiana,Punjab, IN
1 Department of Pathology, Punjab Institute of Medical sciences Jalandhar, Punjab, IN
2 Department of Paediatrics Punjab Institute of Medical sciences Jalandhar, Punjab, IN
3 Department of Pathology, Dayanand Medical College & Hospital, Ludhiana,Punjab
4 Department of Anatomy, Dayanand Medical College & Hospital, Ludhiana,Punjab, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 2 (2013), Pagination: 176-181Abstract
Persistent Truncus Arteriosus is a relatively uncommon heart malformation involving the ventriculoarterial connection in which a single outlet is present. The malformation is variable in its components. In this report we describe an unusual variant in which the common trunk arose exclusively from the right ventricle, the ventricular septum was intact and left heart was hypoplastic.Keywords
Persistent Truncus Arteriosus (PTA), Hypoplastic Left Heart
References
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- TW Sadler; Cardiovascular system In Langman’s Medical embryology .10th edition. Philadelphia. Lippincott Williams & Wilkins 2006:159-194.
- Joseph R Siebert. Perinatal, fetal and embryonal autopsy In: Barness EG, Kapur RP, Oligny LL, Siebert JR (eds): Potter’s pathology of Fetus, infant & child .2nd edition. Philadelphia: Elsevier; 2007: 695-739.
- Ceballos R, Soto B, Kirklin JW, Bargeron LMl .Truncus arteriosus .An anatomical – angiographic study .Br Heart J .1983; 49:589-99.
- Collette R, Edwards J. Persistent truncus arteriosus; a classification according to anatomic types. Surg Clin North Am. 1949; 1245-70.
- Bharati S, Rosenquist GC, McAllister HA ,Miller RA, Tatooles CJ,Lev M .The surgical anatomy of truncus arteriosus communis . J Thoracic cardiovasc Surg 1974 ; 67 : 501-510.
- Carr I,Bharati S, Kusnoor VS, Lev M .Truncus arteriosus communis with intact ventricular septum .Br Heart J 1979;42:97-102.
- Thiene G, Bortolotti U, Gallucci V, Terribile V, Pellegrino PA. Anatomical study of the truncus arteriosus communis with embryological and surgical considerations.Br Heart J 1976; 38, 1109-1123.
- Robert MF, Michael DB, Leland NB: Hypoplastic left heart syndrome In: Hugh DA, Howard PG, Edward BC (Eds). Moss & Adams Heart diseases in infants, children and adolescents including the fetus and young adults. 6th edition, Philadelphia .Lippincott Williams & Wilkins, 2001: p1011-1026.
- Rice MJ, Andrilenas K, Reller MD, McDonald RW. Truncus arteriosus associated with mitral atresia and a Hypoplastic left ventricle. Pediatr Cardiol.1991; 12(2):128-30.
- Alves PM, Ferrari AH .Common arterial trunk arising exclusively from the right ventricle with hypoplastic left ventricle and intact ventricular septum .Int J Cardiol .1987; 16(1):99-102.
- Fuglestad SJ, Puga FJ, Dasnielson GK. Surgical pathology of the truncal valve: a study of 12 cases .Am J Cardiovasc Pathol.1988; 2: 39.
- To Compare the Efficacy and Complication of Nasal Prongs vs Nasal Mask CPAP in Neonates
Abstract Views :232 |
PDF Views:123
Authors
Affiliations
1 Punjab Institute of Medical Sciences, Jalandhar, Punjab, IN
2 Department of Neonatology, Punjab Institute of Medical Sciences, Jalandhar, Punjab, IN
1 Punjab Institute of Medical Sciences, Jalandhar, Punjab, IN
2 Department of Neonatology, Punjab Institute of Medical Sciences, Jalandhar, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 6, No 1 (2017), Pagination: 1392-1397Abstract
Background: CPAP refers to the application of positive pressure to the airway of a spontaneously breathing infant throughout the respiratory cycle.
Objectives: To study the clinical pattern of CPAP in neonate
Method: Total 75 patient were enrolled in the study, 38 in the nasal mask and 37 were in the nasal prongs group. The result of the study was analysed by using Fisher exact test and unpaired t test for continuous variable.
Results: The base line characteristics such as birth weight, male and female, match in both the groups. The babies who were < 32wks and < 1500gm birth weight had more frequent trauma in both the groups. The severity of trauma was more as the duration of CPAP was increasing in both the groups. There was no difference of co morbidities like PDA, ROP, IVH in both the groups.
Conclusion: The of duration of CPAP was less in nasal prongs than nasal mask which is statistically significant, but there were no statistically significance of nasal trauma in comparison of both the groups
Keywords
Cpap, Continuous Pressure, Nasal Trauma, Respiratory Distress, Ventilatory Support.Full Text
References
- Goldsmith JP, Karotkin EH. Continuous distending pressure in Assisted Ventilation of the Neonate. JB Saunders: Philadelphia;1996.p.151-65.
- Cartlidge P. The epidermal barrier. Semin Neonatol 2000;5:273–80.
- Kopelman AE, Holbert D. Use of oxygen cannulas in extremely low birthweight infants is associated with mucosal trauma and bleeding, and possibly with coagulasenegative staphylococcal sepsis. J Perinatol 2003;23:94–7.
- DeRowe A, Landsberg R, Fishman G. Neonatal iatrogenic nasal obstruction. Int J Pediatr Otorhinolaryngol 2004;68:613–7.
- Smith LP, Roy S. Treatment strategy for iatrogenic nasal vestibular stenosis in young children. Int J Pediatr Otorhinolaryngol 2006;70:1369–73.
- Khalaf MN, Brodsky N, Hurley J, Bhandari V. A prospective randomized, controlled trial comparing synchronized nasal intermittent positive pressure ventilation versus nasal continuous positive airway pressure as modes of extubation. Pediatrics 2001;108:13–7.
- Shanmugananda K, Rawal J. Nasal trauma due to nasal continuous positive airway pressure in newborns. Arch Dis Child Fetal Neonatal Ed 2007;92:F18.
- Yong SC, Chen SJ, Boo NY. Incidence of nasal trauma associated with nasal prong versus nasal mask during continuous positive airway pressure treatment in very low birth weight infants: a randomised control study. Arch Dis Child Fetal Neonatal Ed 2005;90:F480–3.
- Conner J, De Klerk R. Care of the Infant on nCPAP. The Vermont Oxford Network Delivery Room Management Clinical Trial, 2008. Available at: http://www.vtoxford.org
- McCoskey L. Nursing Care Guidelines for prevention of nasal breakdown in neonates receiving nasal CPAP. Adv Neonatal Care 2008;8:116–24.
- Squires AJ, Hyndman M. Prevention of nasal injuries secondary to NCPAP application in the ELBW infant. Neonatal Netw 2009;28:13–27.
- Chernick V. Continuous distending pressure in hyaline membrane disease: of devices, disadvantages, and a daring study. Pediatrics 1973;52:114–5.
- Kattwinkel J, Fleming D, Cha C., A device for administration of continuous positive airway pressure by the nasal route. Pediatrics 1973;52:131.
- Rego MA, Martinez FE. Clinical and laboratorial repercussions of the nasal CPAP in preterm newborns 2000 Sep-Oct;76(5):339-48.
- Knowledge, Attitude and Practice Towards Exclusive Breastfeeding among Lactating Mothers:Descriptive Cross Sectional Study
Abstract Views :318 |
PDF Views:213
Authors
Affiliations
1 Punjab Institute of Medical Sciences, Jalandhar, Punjab, IN
1 Punjab Institute of Medical Sciences, Jalandhar, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 7, No 1 (2018), Pagination: 1586-1593Abstract
Background: Exclusive breastfeeding (EBF) is the best nutrition for children during the first six months of life. However EBF remains a challenge.
Objective: The aim of the study was to assess Knowledge, Attitude and Practice towards EBF among lactating mothers.
Methods: A community based cross-sectional study was conducted among 350 mothers using a structured interviewer-administered questionnaire using 'recall since birth' method. Systematic random sampling was used to select the study participants and descriptive statistics were conducted.
Results: Out of 350 lactating women, maximum women belonged to the age group of 26 to 30 years (31.4%). Maximum of them were from nuclear family (71.7%). 320 lactating mother (91.4%) of study participants had information about EBF.
Conclusion: The majority of mothers knew about EBF and had a positive attitude towards EBF but did not know the recommended duration or that EBF is sufficient for six months. Breastfeeding counselling and health education on nutrition to the mother by health workers should be promoted.
Keywords
Lactating, Breastfeeding, Malnutrition, Deaths, Infants.Full Text
References
- Chandra RK. Immunological aspects of human milk. Nutrition Reviews 1978;36(9):265-72.
- Garg M, Marriyah H, Deeksha K. Infant and Young Child Feeding (IYCF) practices in Udupi district, Karnataka. Journal of Nutrition Research 2015;3(1):38-44.
- WHO. Indicators for assessing infant and young child feeding practices part WHO, Geneva. 2010
- Infant and Young Child Feeding (IYCF) National Plan of Action 2009-2011: Institute of Public Health Nutrition (IPHN), Directorate General of Health Services, Ministry of Health and Family Welfare;2009.
- UNICEF. The State of the World's Children: Maternal and Newborn Health. New York, USA. 2008.
- American Academy of Pediatrics. Breastfeeding and the Use of Human Milk. Journal of Pediatrics. 2005;115(2):496-506.
- World Health Organization. Nutrition: Exclusive Breastfeeding. http://www.who.int/nutrition/topics/exclusive_breastfeeding/en/index.html. 2010.
- Begna Z, Kefale B, Geletaw A, Abdella A, Chinasho B, Alemayehu A, et al. Knowledge and practice of mothers towards exclusive breastfeeding and its associated factors in Ambo Woreda West Shoa Zone Oromia Region, Ethiopia. Int J Res Dev Pharm Life Sci 2015;4(3):175-82.
- Mbada CE, Olowookere AE, Faronbi JO, Oyinlola-Aromolaran FC, Faremi FA, Ogundele AO, et al. Knowledge, attitude and techniques of breastfeeding among Nigerian mothers from a semi-urban community. BMC Res Notes 2013;6:552.
- Laroia N, Sharma D. The religious and cultural bases for breastfeeding practices among the Hindus. Breastfeeding Medicine 2006;1(2): 94-8.
- Mitiku M, Damte M, Kebede Z. Factors associated with exclusive breastfeeding practices in Debre Berhan District, Central Ethiopia: a cross sectional community based study. Int Breastfeed J 2015;10:23. doi: 10.1186/s13006-015-0049-2.
- Chandhiok N, Singh KJ, Sahu D, Singh L, Pandey A. Changes in exclusive breastfeeding practices and its determinants in India, 1992– 2006: analysis of national survey data. International breastfeeding journal 2015 dec;10(1):1.
- Bhattathiry MM, Kumari S. A Study on the Infant and Young Child Feeding Practices among Mothers in a Selected Rural Area of Kollam, Kerala. Profession 2016 dec;3-6.
- Eshetu K, Wakgari N. Attitude and practice towards exclusive breastfeeding and its associated factors among HIV positive mothers in southern Ethiopia. Am J Health Res 2015 Mar;3:105-15.
- Mandal PK, Sardar JC, Chatterjee C, Lahiri SK, Ghosh PK. A study on breastfeeding practices among infants in a rural area of West Bengal. Indian J Prev Soc Med 2007;38(1-2):28-31.
- Primary Adenocarcinoma of Jejunum:A Case Report
Abstract Views :249 |
PDF Views:124
Authors
Affiliations
1 Department of Pathology, PIMS, Jalandhar – 144006, Punjab, IN
2 Department of Surgery, PIMS, Jalandhar – 144006, Punjab, IN
1 Department of Pathology, PIMS, Jalandhar – 144006, Punjab, IN
2 Department of Surgery, PIMS, Jalandhar – 144006, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 8, No 1 (2019), Pagination: 1706-1708Abstract
Malignancy of small intestine is a very rare entity. Duodenum is the most common site for intestinal malignancy. The lesions present with stricture mostly. Small intestinal strictures distal to the duodenum are relatively inaccessible by endoscopy. This leads to difficulty in definitive preoperative diagnosis. The symptoms in case of jejunal malignancy are very nonspecific and a high index of suspicion is required for diagnosis.Keywords
Adenocarcinoma, Jejunum, Small Intestine.Full Text
References
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- Bhansali SK, Sethna JR. Intestinal obstruction: A clinical analysis of 348 cases. Indian J Surg. 1970; 32:57–70.
- Dabaja BS, et al. Adenocarcinoma of the small bowel: presentation, prognostic factors, and outcome of 217 patients. Cancer. 2004; 101:518–526. https://doi.org/10.1002/cncr.20404 PMid:15274064
- Ouriel K, et al. Adenocarcinoma of the small intestine. Am J Surg. 1984; 147:66–71. https://doi.org/10.1016/00029610(84)90036-9
- Silberman H, et al. Neoplasms of the small bowel. Ann Surg. 1974; 180:157–61. https://doi.org/10.1097/00000658197408000-00005 PMid:4842978 PMCid:PMC1343631
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- Lowenfels AB. Why are small-bowel tumors so rare? Lancet. 1973:24–26. https://doi.org/10.1016/S0140-6736(73)91228-2
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- Prevalence of Exclusive Breastfeeding and Knowledge Related to Breastfeeding among Mothers Attending Vaccination Clinics and Paediatric OPD
Abstract Views :248 |
PDF Views:129
Authors
Jatinder Singh
1,
Vaneeta Bhardwar
2,
Harshdhawann Singh
3,
Isha Bhardwaj
3,
Sushmita Choudhary
3,
Alka Toora
3
Affiliations
1 Department of Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
2 Department of Pathology, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
3 Intern Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
1 Department of Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
2 Department of Pathology, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
3 Intern Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 9, No 1 (2020), Pagination: 1818-1822Abstract
Background: According to World Health Organization Exclusive Breastfeeding (EBF) is, giving baby only breast milk for 6 months without adding any additional food or water. Objectives: This Study was done to assess the prevalence of breastfeeding among mothers attending the vaccination clinic and Outpatient Department (OPD) in tertiary care centre and assessing the challenges faced by the mothers during breastfeeding. Materials and Methods: This is a cross-sectional study with two types questionnaire-used, one to assess the prevalence of EBF and second to assess the knowledge related to breast feeding. Questionnaires were prepared based on one-point survey. Sample size was calculated by Daniel’s formula: n = z. 500 mothers were assessed, participants divided into two groups based on whether they exclusive breastfeed their babies for 6 months or not. Chi square test for independence was done to assess the association. Results: A total of 500 mothers were given questionnaire who visited vaccination clinic and OPD out of these 66 mothers did not participate for questionnaire because of lack of unwillingness. Most of the mothers (250, 65.10%) said that breastfeeding was good for the baby, 230 (59.89%) mothers were aware that mother’s milk composition was different from cow’s milk and (72.91%) felt that prelacteals should not be given to the baby. Conclusions: Most of the mothers are aware that breast milk is beneficial for their baby; however, the biggest problem was anxiety regarding the amount of their breast milk. There is also a need of campaign related to harm done by prelacteals feed.Keywords
EBF, Prelacteal Feeds.Full Text
References
- Kramer MS, Kakuma R. The Optimal Duration of Exclusive Breastfeeding: A Systematic Review. Geneva: World Health Organization; 2002. https://doi.org/10.1002/14651858.CD 003517.
- Bhutta ZA, Labbok M. Scaling up breastfeeding in developing countries. Lancet 2011; 378:378–80. https://doi.org/10.1016/S0140-6736(11)60897-0.
- National Fact Sheet, India 2015-16 National Family Health Survey (NFHS-4. Available from: http://www.rchiips.org/nfhs/pdf/NFHS4/India.pdf. [Last accessed on 2018 May 30.
- National Fact Sheet, India 2005-2006 National Family Health Survey (NFHS-3). Available from: http://www.nfhsindia.org/pdf/IN.pdf. [Last accessed on 2017 May 04.
- Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS; Bellagio Child Survival Study Group. How many child deaths can we prevent this year? Lancet 2003; 362:65–71. https://doi.org/10.1016/S0140-6736(03)13811-1
- UNICEF. Overview of Breastfeeding Patterns. Child Info. organization; February 2012 Available from: http://www.childinfo.org/breastfeeding_overview.html. [Last accessed on 2018 May 30].
- Tampah-Naah AM, Kumi-Kyereme A. Determinants of exclusive breastfeeding among mothers in Ghana: A crosssectional study. Int. Breastfeed J. 2013; 8:13. https://doi.org/10.1186/1746-4358-8-13.
- Kishore MS, Kumar P, Aggarwal AK. Breastfeeding knowledge and practices amongst mothers in a rural population of North India: A community-based study. J Trop Pediatr. 2009; 55:183– 8. https://doi.org/10.1093/tropej/fmn110.
- Diji AK, Bam V, Asante E, Lomotey AY, Yeboah S, Owusu HA. Challenges and predictors of exclusive breastfeeding among mothers attending the child welfare clinic at a regional hospital in Ghana: A descriptive cross-sectional study. Int. Breastfeed J. 2016; 12: 3. https://doi.org/10.1186/s13006-017-0104-2.
- Salariya EM, Easton PM, Cater JI. Duration of breast-feeding after early initiation and frequent feeding. Lancet 1978; 2:1141–3. https://doi.org/10.1016/S0140-6736(78)92289-4.
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- Haider R, Ashworth A, Kabir I, Huttly SR. Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: A randomised controlled trial [see comments]. Lancet 2000; 356:1643–7. https://doi.org/10.1016/S0140-6736(00)03159-7.
- Chezem J, Friesen C, Boettcher J. Breastfeeding knowledge, Breastfeeding confidence, and infant feeding plans: Effects on actual feeding practices. J Obstet Gynecol Neonatal Nurs. 2003; 32:40–7. https://doi.org/10.1177/0884217502239799.
- Prevalence of Different Types of Anaemias in Patients Having Haemoglobin Below 8 gm%at a Tertiary Care Hospital in Jalandhar
Abstract Views :268 |
PDF Views:115
Authors
Affiliations
1 Department of Pathology, Punjab Institute of Medical Sciences (PIMS), Punjab Medical Council, Jalandhar – 144001, Punjab, IN
1 Department of Pathology, Punjab Institute of Medical Sciences (PIMS), Punjab Medical Council, Jalandhar – 144001, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 9, No 1 (2020), Pagination: 1830-1834Abstract
Background: Anemia is a condition in which the hemoglobin concentration in the blood is decreased, below the normal range. Peripheral blood smear examination and Bone marrow examinations are the two major tests done to evaluate anaemia. Materials and Methods: Study was conducted in Department of Pathology at PIMS Jalandhar. Total 100 patients having anemia (HB < 8gm%) was studied using PBF, Bone marrow aspiration and biopsy. A random and non-consecutive selection of 100 anemic patients was done amongst the anemic population to study the pattern and causes of anemia. Result: This study showed that females form the majority of patients suffering from anemia. It can be the result of various causes; nutritional deficiency forms the majority of those causes. Conclusion: The present study found out high prevalence of anemia in both males and females. Anemia can be the presenting sign of various disorders which can be evaluated by Bone marrow examination.
Keywords
Anemia, Bone Marrow, Hemoglobin, Prevalence.Full Text
References
- Worldwide prevalence of anaemia 1993-2005: WHO global database on anaemia/Edited by Bruno de Benoist, Erin McLean, Ines Egli and Mary Cogswell. Page1
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- Evaluation of Risk Factors for Retinopathy of Prematurity in Premature Born Infants in Tertiary Care Centre in Punjab
Abstract Views :240 |
PDF Views:125
Authors
Jatinder Singh
1,
Vaneeta Bhardwar
2,
Harshdhawann Singh
3,
Isha Bhardwaj
3,
Sushmita Choudhary
3,
Alka Toora
3
Affiliations
1 Department of Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
2 Department of Pathology, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
3 Intern Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
1 Department of Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
2 Department of Pathology, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
3 Intern Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 9, No 1 (2020), Pagination: 1859-1863Abstract
Background: Retinopathy of Prematurity (ROP) is a disease where development of abnormal retinal vessels occurs because of incomplete vascularization of the retinal tissue. With advancement in the field of neonatology now more premature babies and Very-Low-Birth-Weight (VLBW) infants surviving and incidence of retinopathy of prematurity is increasing. ROP screening should be done in all premature babies. Objectives: To Study the Risk Factors for Retinopathy of Prematurity in Premature Born infants at tertiary care centre. Methods: This study was done on 75 newborns infants and were included in study after satisfying the inclusion criteria. The following criteria were studied: gestational age≤34 weeks or BW≤1500 grams, along with neonates with more birth weight and higher gestational age having risk factors like : low Apgar score, duration of oxygen supplementation more than 10 days, sepsis, more than one blood transfusion, respiratory distress. Characteristics of newborns including risk factors, and pattern of severe ROP were assessed from Punjab region of India. Result: Total of 75 newborns included in the study, 53 were males (70.66%) and 22 were (29.33%) females. The analysis of gestational age showed that the mean age was 29.9±2.9 weeks, the youngest one was of 27 weeks and the oldest was 37 weeks of gestation. The average birth weight was 1350±510 grams, with lowest 675 gm and highest 3100 grams. Conclusion: The most common risk factors that are associated with development of ROP revealed gestational age, Apgar score in the first minute, birth weight, duration of oxygen therapy and the blood transfusion.Keywords
Apgar Score, Continuous Pressure, Oxygen Duration, Respiratory Distress, CPAP.Full Text
References
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- Enomoto H, Miki A, Matsumiya W, Honda S. Evaluation of Oxygen Supplementation Status as a Risk Factor Associated with the Development of Severe Retinopathy of Prematurity. Ophthalmologica. 2015; 234(3): 135–138. https://doi.org/10.1159/000433565
- Khalesi N, Shariat M, Fallahi M, Rostamian G. Evaluation of risk factors for retinopathy in preterm infant: a casecontrol study in a referral hospital in Iran. Minerva Pediatr. Jun 2015; 67(3): 231–237.