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Dengue and viral hepatitis A are extensively endemic diseases in India. Coinfection of these infections is uncommon and poses difficulty for physicians to diagnose as their clinical features are quite similar and overlapping. This article presents with 8 paediatric age group cases reporting Dengue fever which occurred concomitantly with Hepatitis A virus infection. Usually these infections are self-limiting but complications of coinfection are described in this article
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Background: The proportion of caesarean sections at the population level is a measure of the level of access to and use of this intervention. Over the last few years, governments and clinicians have expressed concern about the rise in the numbers of caesarean section births and the potential negative consequences for maternal and infant health. There is a lack of a reliable and internationally accepted classi?cation system to produce standardized data, enabling comparisons across populations and providing a tool to investigate drivers of the upward trend in caesarean section. Among the existing systems used to classify caesarean sections, the 10-group classi?cation (also known as the 'Robson classi?cation') has become widely used in many countries in recent years,thereby allowing a comparison of caesarean section rates with fewer confounding factors. In the present study, all cases delivered by cesarean section Methods: during the period of six months were recorded and classi?ed according to Robson's 10 group classi?cation system. Results: Overall, CS rate calculated for our hospital in this speci?ed period was 36.6%, There was a trend of increased percentage of cesarean section in group 5 and 8 respectively in present study. Even though the overall CS rate in the study is not Conclusions: high as compared to other Indian or International studies, it is important that efforts to reduce the overall CS rate should focus on reducing the primary CS rate. More analytical studies based on Robson's 10-group classi?cation are needed locally, to evaluate the indications of CS within each group.
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Background: Hypertension seen in childhood can progress into adulthood thereby increasing morbidity and mortality due to cardiovascular diseases in adulthood. Younger the age of onset of hypertension, the greater is the reduction of life expectancy if left untreated. With increase in incidence of elevated blood pressure and hypertension in children; it is important to measure and record blood pressure along with weight and height at least once a year as recommended by National Institute of Health (NIH) task force of USA. Aims and objectives was to determine the prevalence of pre-hypertension and hypertension and to identify the associated risk factors for them in school going adolescents.Methods: An observational/cross-sectional study conducted among adolescents studying between Std 5th to Std 9th. A total 507 students belonging to the age group of 10-17 years were examined. Anthropometric measurements were taken to calculate Body Mass Index (BMI) and Blood pressure was measured by using mercury sphygmomanometer. Gender, age and height were considered for determining hypertension.Results: Amongst the 507 children, prevalence of pre-hypertension was 15.4% and that of hypertension was 10.85%. The study also revealed statistically significant higher prevalence of hypertension in males than in females. Family history of hypertension and dietary habits, obesity were positively correlated with higher prevalence of hypertension. A higher prevalence of pre-hypertension and hypertension was seen in the present study group compared to the similar studies in the state.Conclusions: The prevalence of pre-hypertension and hypertension among adolescent school children was 15.38% and 10.8% respectively. Possible risk factors for this current trend may be the increasing sedentary life style, faulty eating habits, and increased fat/salt contents of diet. The results suggest the need for more public awareness and prevention programs for childhood obesity and hypertension.
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Background: The care of the critically ill children remains one of the most demanding and challenging aspects in the field of paediatrics. The main purpose of Paediatric Intensive care unit is to prevent mortality by intensively monitoring and treating critically ill children who are considered at high risk of mortality. In the developing countries, there is a scarce data on paediatric critical care. Evaluation of the outcome of medical interventions can assess the efficacy of treatment. This helps in better decision making, improving the quality of care and modifying the future of management if required. This study will also help to study the causes of morbidity and mortality among paediatric age group in our hospital. Aims and Objectives of the study is to evaluate the morbidity pattern and outcome of admissions in the PICU of a rural teaching hospital, and to take measures to prevent morbidity and mortality by improving critical care facilities.Methods: This was a retrospective study, the cases admitted in paediatric ICU in our teaching hospital in last two and a half considering the estimated sample size. Data will be collected from PICU and Medical record Department. Details will be studied with the help of medical record and will be analysed and interpreted according to the medical record details.Results: During a period of 30 months of the study, total of 417 patients were admitted in our PICU. Of the total cases studied, Maximum i.e. 180(43.2%) had age below 1 year. The minimum ' maximum range of age was between 1 day to 18 years. About 228(54.7%) cases were males and 189(45.3%) were females. The most common diagnosis was LRTI which was observed in 61(14.7%) of cases. The most common system involved was respiratory system which was observed in 101(21.8%) cases. Of total cases studied, 357(85.6%) were discharged, 36(8.6%) had DAMA (discharge against medical advice) and 24(5.8%) expired.Conclusions: Mortality was low in our PICU. We conclude based on the present study that in our rural set up PICU, with better treatment protocols, skilled expertise/ Paediatric Intensivist we have chances to facilitate the care of critically ill patients giving desirable outcome.