Your browser doesn't support javascript.
loading
Montrer: 20 | 50 | 100
Résultats 1 - 20 de 27
Filtre
1.
3.
Article | IMSEAR | ID: sea-186583

Résumé

Background: Nearly half of all deaths in children under 5 are attributable to under nutrition. Under nutrition puts children at greater risk of dying from common infections, increases the frequency and severity of such infections, and contributes to delayed recovery. The WHO recommends the use of Z scores or standard deviation score (SDS) for evaluating anthropometry, so as to accurately classify individuals with indices below the extreme percentile. In India most paediatricians use IAP classification to classify malnutrition. The aim of the study is to assess the nutritional status of children between 6 months to 5 years of age attending tertiary rural hospital according to WHO criteria and to compare the result of this study with IAP classification for grading malnutrition. The objectives of the study is to assess the knowledge of mothers regarding feeding practices among these children particularly below 2 years of age and to observe associated clinical problems and state of other nutrient deficiencies. Materials and methods: A cross sectional and observational study of 200 children admitted in pediatric ward and NRC (nutritional rehabilitation centre) of Dhiraj Hospital were taken for the study, Piparia, Waghodia, Vadodara. Study was carried for a period of 18 months from April 2015 to September 2016 to assess the nutritional status of children according to WHO criteria and to compare it with IAP classification. Assessment of the nutritional status was done by clinical examination and anthropometry. Interrogation was done with children’s mothers in the language they understood regarding young children feeding practices and accordingly their knowledge was assessed. Data was compiled, categorized and analyzed by appropriate statistical method in consultation with a statistician. Pathak S, Yadav T, Joshi C, Sharma N, Gulabani S, Gandhi D. Study of nutritional assessment of children between 6 months to 5 years. IAIM, 2017; 4(2): 42-52. Page 43 Results: Total 200 patients were taken in the study. Result shows that out of 200 patients 108(54%) were males and 92(46%) were females. The distribution of patients was more in age group between 13 and 36 months with 86(43%), of which distribution of males more than females were. Distribution of patients according to SAM and MAM (WHO classification) shows 127(63.5 %) fall under SAM and73 (36.5%) fall under MAM. Distribution of patients according to SAM and MAM (WHO classification) was studied. Result shows that out of 200 children taken in the study 127(63.5 %) fall under SAM and73 (36.5%) fall under MAM according to WHO classification. Distribution of children according to IAP classification in the present study interprets that 103 (51.5%) of the total children came under grade II of IAP classification. WHO classification detected more children with malnutrition than IAP classification, which was true for both boys and girls. Comparison of MUAC (WHO) with WHO (SAM and MAM) of children taken in the present study interprets that 67 (33.5%) had SAM and 95 (47.5%) had MAM according to MUAC criteria, remaining 19% did not fall under SAM and MAM. Comparison of MUAC (SAM) with WHO (SAM) of children in present study interprets that only 67 (52.75%) children came under SAM according to MUAC criteria out of the 127 children of SAM according to WHO classification. Comparison of MUAC (WHO) and IAP classification of children in the present shows that 67 children had MUAC <11.5 cm, out of 67 children (with SAM according to MUAC criteria) 28 (41.79%) came under grade II and 21 (31.3 %) came under grade III of IAP classification. Out of 95 children (MUAC between 11.5 cm and 12.5 cm) 18 (18.94%) came under grade I and 58 (61.05%) came under grade II of IAP classification. Associated co morbidities among children in the present study shows that among 200 patient 152 (76%) had anaemia, 44 (22%) had diarrhoea, 14 (7%) had pedal oedema, 12 (6%) had vitamin A deficiency, 44 (22%) had URTI and 24 (12%) had LRTI. Knowledge Aptitude and Practice study was done among 50 mothers and the result shows that mothers had less knowledge regarding what to be given in complementary feed, importance of immunization, birth spacing interval, and danger signs indicating illness. Conclusion: The present study shows that WHO classification detected more children with malnutrition than IAP classification, which was true for both boys and girls. There was also disparity among results of WHO criteria IAP classification and MUAC classification. Single criteria can’t be justified in assessing malnutrition. KAP study reveals that mother’s knowledge is important in combating malnutrition

4.
Indian Pediatr ; 2012 September; 49(9): 750-752
Article Dans Anglais | IMSEAR | ID: sea-169467

Résumé

Methotrexate, the mainstay of treatment in Juvenile idiopathic arthritis, might not be effective in a few patients of polyarticular and systemic onset juvenile idiopathic arthritis. Use of biologicals like TNF-α blockers, the next line of preferred drugs is constrained by the high cost. We successfully used leflunomide in four patients.

5.
Indian Pediatr ; 2011 October; 48(10): 807-808
Article Dans Anglais | IMSEAR | ID: sea-168991

Résumé

This case report describes transfusion related acute lung injury with the use of intravenous immunoglobulin in a child with Guillain barre syndrome.

7.
Indian J Cancer ; 2009 Jan-Mar; 46(1): 61-3
Article Dans Anglais | IMSEAR | ID: sea-50151

Résumé

Epitheloid hemangioendothelioma (EHE) is a rare neoplasm of vascular origin known to arise in soft tissue, liver and lung. We describe a case of coexistent hepatic and pulmonary epitheloid hemangioendothelioma, proven on autopsy, and review the histological and radiological features of epitheloid hemangioendothelioma. The coexistence of hepatic with pulmonary EHE has been reported in only a few cases. Large confluent masses, peripheral location with capsular retraction, hypertrophy of uninvolved liver, invasion of portal and hepatic veins, enhancing margins and delayed enhancement and dense calcification are the typical features which provide a clue to diagnosis of hepatic EHE. In patients with both hepatic and pulmonary EHE it is difficult to say whether the tumor arose primarily in the lung or liver, or began simultaneously in both organs.


Sujets)
Sujet âgé , Autopsie , Diagnostic différentiel , Issue fatale , Femelle , Hémangioendothéliome/complications , Hémangioendothéliome/diagnostic , Humains , Tumeurs du foie/complications , Tumeurs du foie/diagnostic , Tumeurs du poumon/complications , Tumeurs du poumon/diagnostic , Tomodensitométrie
8.
Article Dans Anglais | IMSEAR | ID: sea-124485

Résumé

The application of pancreas sparing duodenectomy (PSD) in extensive duodenal trauma has not been fully explored. We report 3 caes of duodenal trauma in whom PSD was performed successfully and with good results.


Sujets)
Traumatismes de l'abdomen/chirurgie , Accidents , Adulte , Procédures de chirurgie digestive/méthodes , Duodénum/traumatismes , Femelle , Humains , Mâle , Pancréas/chirurgie
9.
Indian J Pathol Microbiol ; 2003 Jul; 46(3): 477-9
Article Dans Anglais | IMSEAR | ID: sea-74042

Résumé

Primary splenic angiosarcomas are rare neoplasms. They have aggressive behavior that frequently present with hematological abnormalities and metastatic disease. The diagnosis can only be made at surgery. Prognosis of this disease is poor. We present a rare case of primary splenic angiosarcoma with metastases in liver.


Sujets)
Hémangiosarcome/anatomopathologie , Humains , Tumeurs du foie/anatomopathologie , Mâle , Adulte d'âge moyen , Tumeurs spléniques/anatomopathologie
10.
Article Dans Anglais | IMSEAR | ID: sea-124926

Résumé

The case of a 22-year-old male who underwent spleen preserving distal pancreatectomy (SPDP) for pancreatic trauma is briefly reported. SPDP was performed by preserving the splenic vessels to maintain a reliable splenic blood flow post-operatively. Although technically demanding, this procedure can be performed safely and easily in the emergency, and avoids splenectomy-related problems in the post-operative period.


Sujets)
Traumatismes de l'abdomen/chirurgie , Accidents de la route , Adulte , Humains , Mâle , Pancréas/traumatismes , Pancréatectomie/méthodes , Rate/vascularisation , Plaies non pénétrantes/chirurgie
11.
Article Dans Anglais | IMSEAR | ID: sea-124512

Résumé

The use of a pedicle patch of diaphragm to reinforce the primary closure of a large, iatrogenic oesophageal perforation in a patient of achalasia cardia is reported.


Sujets)
Muscle diaphragme/chirurgie , Perforation de l'oesophage/étiologie , Humains , Maladie iatrogène , Mâle , Adulte d'âge moyen , Lambeaux chirurgicaux
12.
Article Dans Anglais | IMSEAR | ID: sea-124123

Résumé

Intestinal obstruction is a fairly common surgical emergency in India, but there is little data available regarding the spectrum of intestinal obstruction in India, or its related complications. This paper represents a retrospective review of 97 patients who underwent surgery for intestinal obstruction at Government Medical College and Hospital, Chandigarh, India, over four years (1997-2000). The case files of all these patients were reviewed and analysed for patient particulars, pre-operative clinical examination and investigations, intraoperative findings, final diagnosis, post-operative morbidity, and mortality. The mean age of our patients was 39.46 years, with an overall male to female ratio of 2.46:1. Most of the patients were in the age group of 17 to 60 years (62.89%). A total of 107 causes for the obstruction could be identified at surgery, with intra-abdominal adhesions and bands (27.10%) being the commonest followed by obstructed herniae (22.43%). Strangulation was present in 21 patients at the time of surgery. This group of patients had a significantly higher post-operative morbidity than patients with simple obstruction, although no statistically significant difference was seen in between the mortality rates in these two groups.


Sujets)
Adulte , Femelle , Humains , Inde/épidémiologie , Occlusion intestinale/épidémiologie , Mâle , Adulte d'âge moyen , Études rétrospectives , Adhérences tissulaires/complications
13.
Article Dans Anglais | IMSEAR | ID: sea-124708

Résumé

Colonic lipomas are rare, benign tumours that rarely produce symptoms. Presented here is a case where a sigmoid lipoma acted as lead point to produce intussusception.


Sujets)
Sujet âgé , Sulfate de baryum/diagnostic , Colectomie/méthodes , Maladies du côlon/étiologie , Lavement (produit) , Études de suivi , Humains , Intussusception/étiologie , Lipome/complications , Mâle , Tumeurs du sigmoïde/complications , Tomodensitométrie , Résultat thérapeutique
16.
20.
SÉLECTION CITATIONS
Détails de la recherche