RESUMO
Background: Congenital heart disease (CHD) is very common disease and it is the major cause of childhood mortality and morbidity. Not much of Indian data are available particularly from the northern part of the country. It is important to mention that this part of India is unique with respect to its demographic and geographical location. There are needs to further explicate the spectrum and epidemiology of the CHD in this part of the country.Methods: A prospective hospital-based study carried out over a period of 24 months (January 2016 to January 2018) where all suspected children (<14 years) of CHD were subjected to echocardiographic study. The age, sex, clinical presentation and echo findings were well documented.Results: Out of total 3210 cases CHD was diagnosed in 2072 cases (64.54%). Most CHDs were diagnosed between 1 month and 6 years of age in both cyanotic and a cyanotic disease group. Incidence of a cyanotic CHD was n=1529 (47.6%) and cyanotic CHD was n=543 (17%) with the ratio of acyanotic to cyanotic 2.8:1. Ventricular septal defect was commonest CHD (35.85%) among acyanotic CHD and Tetralogy of Fallot was the commonest (12.2%) among cyanotic CHD.Conclusions: Burden of CHD is highly underestimated and unrecognised, especially in this part of the country. This study can provide observed data that can help in policy making in the health sector. The contrasting result with respect to complex CHD in present study indicates need for good and effective antenatal cardiac screening in high risk mothers.
RESUMO
Background: The measurement of body temperature is an important parameter in neonatal care as it is useful in the assessment of clinical state and necessary for the provision of appropriate nursing support. Hypothermia is one of the important risk factor in causing death in newborns of all weight and gestational age groups. Aim and objectives: To compare rectal, infra red tympanic and infra red skin temperature in term neonates and to assess the accuracy and effectiveness of these non invasive thermometers in term neonates. Materials and methods: It was a Hospital based prospective, non randomized study conducted at Department of Pediatrics in G.B Pant Hospital (neonatology section) an associated Hospital of GMC Srinagar. This study was conducted over a period of 1 year from April 2013 to march 2014. Results: Total of 300 term neonates between the age of 1- 29 days were included in the study. Mean temperature recorded with rectal thermometer was 36.58 0C, with Infra red tympanic thermometer was 36.47 0 C and with Infra red skin thermometer was 36.55 0C. Difference between means of rectal and Infra red tympanic thermometer was statistically significant (P=0.015) and difference between means of rectal and Infra red skin thermometer was statistically not significant (P = 0.18). Coefficient of correlation between rectal and tympanic was 0.772 and between rectal and skin was 0.955 which was statistically significant in both (P valve < 0.001). Conclusion: Non contact Infra red skin thermometer is a very simple, safe and reliable method for measurement of body temperature in neonates. It can be used in peripheral settings as it is user friendly as well as patient friendly