ABSTRACT
Introduction :Severe Acute Malnutrition (SAM) is a major public health concern that is linked to a high mortality rate in children under the age of five. Government of Gujarat has expanded treatment network from government facilities to private institutions and non-governmental organizations through various initiative in an effort to address the issue of SAM. To assess the treatment outcome among SAMObjective: children (0-5 years) admitted at Niramay Bal Poshan Kendra, Jam Khambhalia, Devbhumi Dwarka District of Gujarat. A longitudinal study was conducted among SAM children admitted at he Niramay BalMethod: t Poshan Kendra (Public Private Partnership model under Bal Poshan Yojana) which is a day care center providing treatment to SAM children for 14 days according to the protocol of NRC (Nutrition Rehabilitation Centre). Under Bal Poshan Yojana, RBSK medical officers screen children for SAM and refer them for treatment at empanelled NGO/Private institution. Total 1557 under five children were screened by them between 6 September 2021 and 5 February 2022. Out of them 121 SAM children were identified, 95th th children could be mobilized at the study site (Niramay Bal Poshan Kendra). Out of 95 children, 76 SAM children completed the treatment along with all three follow up at the study site. The data of these 76 Children was analyzed. Among 76 children, average weight gain was 566 grams at the time ofResults: discharge and 1000 grams at the time of third follow-up. An average weight gain for the cohort is 5.2 gram/kg/day. At the end of treatment, 92% children moved out of the SAM category at the completion of three follow-up, 55% moved to Moderate Acute Malnutrition and 37% to normal weight category. Conclusion: An average weight gain among the study population was satisfactory. Day care treatment model provides advantage of improved treatment completion rate and higher follow-up com
ABSTRACT
Aim: Prospecutive evaluation of 30 cases of minimally invasive retinal detachment surgery(MIDS) in primary retinal detachment with respect to vision and fundus over a period of one year after surgery irrespective of age, sex and etiology. Method: 30 patients with primary rhegmatogenous retinal detachment were evaluated completely with respect to vision, anterior segment and posterior segment .All underwent external retinal detachment surgery with application of cryotheraphy around eak followed by application of radial or circumferential sponge to the eak.Patients were observed daily in ward by indirect ophthalmoscopy for 7 days and then were followed up regularly in opd after 1 week,3 week,6 week and 3 month. Case in which retina was not settled was termed as failed case. Result: Out of 30 patients ,23 patients has successful anatomical retinal reattachment while 7 required revision surgery in the form of sclera buckling with suetinal fluid drainage. Of the 7 patients who needed revision surgery 6 cases were due to a missed eak or non localization of eak, while 1 case had an inferior tractional band which was treated with vitrectomy and silicon oil. All 7 patients settled after second surgery. Conclusion: MIDS surgery is treatment of choice in uncomplicated rhegmatogenous retinal detachments in which retinal eaks or a hole is the only cause of detachment. The success of this surgery lies largely with accurate preoperative localization of eak, the number, position and size of eak. Also absence of drainage puncture decreases the frequency of intra and postoperative associated complication.