Résumé
Serum zinc was estimated in the cord blood of 60 neonates of different gestational age and birth weight, and their mothers. Mean serum zinc levels in neonates FTGA, PTAGA and term SGA were 128.88 +/- 14.37, 94.32 +/- 17.79 and 111.8 +/- 9.2 ug/dl respectively. The maternal serum zinc levels in corresponding groups was 96.28 +/- 19.48, 115.44 +/- 15.41 and 93.8 +/- 7.62 ug/dl. Thus mean serum zinc level in cord blood of FT AGA newborns was significantly higher than that in PT AGA and FT SGA. Mean serum zinc level in mothers of FT AGA was significantly lower than that in mothers of PT AGA. However, there was no significant difference between the maternal serum zinc levels of FT AGA and FT SGAs. There was positive correlation between gestational age and serum zinc level in cord blood of AGAs while correlation was negative in case of their mothers. There was positive correlation between weight (keeping gestational age constant) and serum zinc level in case of neonates while corresponding maternal zinc levels did not vary. (FT AGA and FT SGA).
Sujets)
Poids de naissance , Femelle , Sang foetal/composition chimique , Âge gestationnel , Humains , Nouveau-né , Nourrisson petit pour son âge gestationnel , Grossesse , Zinc/sangRésumé
Clinical and laboratory findings in 41 cases of urolithiasis in children are presented. Males were more than females (9.25:1). Five patients had family history of urolithiasis. Clinical presentation was highly variable. Most of the stones were of mixed variety composed of calcium, phosphates and oxalates.
Sujets)
Enfant , Enfant d'âge préscolaire , Femelle , Humains , Inde/épidémiologie , Nourrisson , Mâle , Facteurs sexuels , Calculs urinaires/sangRésumé
High vaginal swabs (HVS) of 1792 expectant mothers were sent for culture at the time of delivery, prior to first vaginal examination. The newborns were followed-up for development of superficial or deep infections. Appropriate cultures of the babies who developed infections were sent. Bacterial growth of predominantly gram-ve organisms was obtained in 1026 (57%) HVS. Infection developed in 48 (27%) babies in 1st 72 hours of life, of which 28 had deep infection while the rest had superficial infection. Vertical transmission of organisms was documented in 24 (1.3%) mother-baby dyads and the same was 72% in newborns who were at risk of developing sepsis by septicemia scoring, showing a significantly higher incidence of vertical transmission and subsequent sepsis in high risk newborns.
Sujets)
Infections bactériennes/transmission , Accouchement (procédure) , Pays en voie de développement , Femelle , Infections bactériennes à Gram négatif/transmission , Infections bactériennes à Gram positif/transmission , Humains , Inde , Nouveau-né , Grossesse , Complications infectieuses de la grossesse , Facteurs de risque , Vagin/microbiologieRésumé
In 353 neonates, foot length were recorded along with birth weight, crown heel length and head circumference. Foot length correlated well with all three indices (p less than .01). Highest correlation in preterm babies was with crown heel length and weight, and in term babies with head circumference. The formula, length = footlength x 6.5 +/- 20 mm could be correctly used in 95% of babies. When it is difficult to weigh or measure the length accurately, foot length can serve as a useful measurement to assess a baby quickly.
Sujets)
Anthropométrie/méthodes , Poids de naissance , Taille , Céphalométrie , Pied/anatomie et histologie , Humains , Nouveau-né/physiologie , Prématuré/physiologie , Nourrisson petit pour son âge gestationnel/physiologieSujets)
Enfant , Maladie chronique , Humains , Immunoglobuline M/analyse , Splénomégalie/sang , SyndromeRésumé
A clinical study and follow up of 20 children with cardiomyopathies upto age of 16 years are presented. The DCM was most common variety followed by RCM and HCM in pediatric age group. SHMD presenting with cardiomyopathy were common in infancy and early childhood. Cardiomyopathies presented most frequently between 2-5 years and 10-16 years age group with DCM having almost equal distribution. Clinical presentation of various types is described, despite of vigorous decongestive and vasodilator treatment in advanced cases, course was rapidly downhill and prognosis is poor in general.
Sujets)
Adolescent , Cardiomyopathies/diagnostic , Cardiomyopathie dilatée/diagnostic , Cardiomyopathie hypertrophique/diagnostic , Cardiomyopathie restrictive/diagnostic , Enfant , Enfant d'âge préscolaire , Femelle , Études de suivi , Humains , Inde , Nourrisson , Nouveau-né , MâleRésumé
A KAP evaluation of urban educated parents revealed suboptimal, superficial transfer of immunization knowledge. Poorer dose-related knowledge as compared to vaccine awareness contributed to partial immunization. Non-availability of vaccine contributed to 18.7% unprotected children, and therefore all logistics must be overcome to remedy service default. The unacceptable level of knowledge found in final year nursing and medical students, points out the need to restructure immunization related teaching in our hospitals. Incorporation of immunization based knowledge in high school curriculum is also recommended. It is important that areas of relevant information and education must be delineated time to time with increasing vaccination coverage.