Intussusception: Single Center Experience of 10 Years

Objective: To analyze the association between the clinical presentation, clinical course,management and outcome in intussusception with emphasis on safety of saline hydrostaticreduction. Methods: This retrospective study included 375 patients of intussusceptiondiagnosed between March 2007 to February 2017. Symptoms at presentation, mode ofreduction of intussusception and associated complications were recorded. Results: 336(89.6%) patients were aged below 3 years. Classical triad of abdominal pain, vomiting andred stools was present in 111 (29.6%) patients. While 64 (17.1 %) patients had spontaneousresolution, hydrostatic reduction and surgery cured 283 (75.5 %) and 28 (7.4 %) patients,respectively; overall recurrence rate was 13.1%. Among the patients who underwentoperative reduction, blood in stools was present in 15 (53.6%) patients. Conclusion:Hydrostatic reduction of intussusception is effective irrespective of duration of symptoms andnumber of recurrences

Airway Diseases Education and Expertise (ADEX ) in Pediatrics: Adaptation for Clinical Practice in India.

Justification: Asthma and allergic rhinitis together are part of the concept of ‘one airway, one disease’ or ‘united airway disease’. The management of allergic airway diseases should address this united concept and manage the issue by educating the patients and their parents and health care providers, along with environmental control measures, pharmacotherapy and immunotherapy. Here, we present recommendations from the module of ‘Airway Diseases Education and Expertise’ (ADEX) that focused on allergic rhinitis, asthma and sleep disorder breathing as a single entity or Allergic Airway Disease. Process: A working committee was formed by the collaboration of Pediatric Allergy Association of India (PAAI) and Indian Academy of Pediatrics (IAP) Allergy and Applied Immunology chapter to develop a training module on united airway disease. Objectives: To increase awareness, understanding and acceptance of the concept of "United Airway disease" and to educate the primary health care providers for children and public health officials, in the management of united airway diseases. Recommendations: Recommendations for diagnosis, management and follow-up of Allergic airway disease are presented in this document. A better compliance by linking education of child, parent, grandparents and other health care providers, and scientific progress by collaboration between practitioners, academicians, researchers and pharmaceutical companies is suggested.