RESUMO
Objectives: To report efficacy and outcome of mechanical thrombectomy for treatment ofpediatric acute ischemic stroke with large vessel occlusion using stent retrievers. Methods:Retrospective record review of institutional database for patients <18 years of age. Results:Five boys aged between 6 to 17 years received reperfusion therapy using mechanicalthrombectomy for acute ischemic stroke with large vessel occlusion (2 basilar, 2 middlecerebral and 1 internal carotid artery). Pediatric National Institute of Health Stroke Scale(PedNIHSS) at onset ranged from 12 to 21. Complete recanalization as defined by themodified Treatment In Cerebral Infarction scale (mTICI 3 or 2b) was achieved in all, usingstent retreivers. Favorable outcome as per the modified Rankin scale (mRS 0-1) wasachieved in all with no peri-procedural complications. Conclusions: Mechanicalthrombectomy using retrievable stents is a safe and effective therapy for pediatric ischemicstroke due to large vessel occlusion, and may be offered in carefully selected patients.
RESUMO
Background: Institutional delivery with appropriate delivery care is one of the key paths toward achieving maternal mortality ratio target of sustainable developmental goals-3. Delay in receiving timely and adequate care at health facility is deciding factor in reducing maternal mortality. Importance of closeness of health facility, cost at private hospitals, spiritual factors, social factors, etc., play a crucial role in deciding place of delivery. Important indicator of Reproductive, Maternal, Newborn Child plus Adolescent Health programme for antenatal care (ANC) is early registration of pregnancy, minimum three (upgraded to four) antenatal checkups, proportion of delivery conducted by skilled birth attendant, etc. Various demographic factors and ANC factors play a crucial role in selection of place of delivery. Objectives: The objectives of this study were to examine the demographic factors and ANC in determining place of delivery. Materials and Methods: This community-based cross-sectional retrospective study was conducted in eight Primary Health Centre areas of Jamnagar district of Gujarat during September 2015–August 2016. Multistage sampling was used and convenient samples of a total of 400 mothers who delivered during the past 6 months were taken as study participants. Chi-square test and Fisher’s exact test were used for analysis. Results: Among the study participant mothers, 384 (96%) had institutional delivery while 16 (4%) mothers were delivered at home. Statistically significant difference in place of deliveries was found among caste (P < 0.05), among different socioeconomic classes (P < 0.01), and among different education level of mothers (P < 0.01). Among 16 home deliveries, 10 (62.5%) were neither registered during antenatal period nor received Mamta Card. Conclusion: Increasing education level of females, 100% ANC registration, and minimum four ANC checkups are the key steps toward 100% institutional deliveries.
RESUMO
Reduction of premature mortality due to noncommunicable diseases through prevention and control forms the core issue of target 3.4 of sustainable development goals. Childhood obesity is an important public health challenge today. The current study was carried out in a large military station of North East India to find out prevalence of obesity among schoolchildren using World Health Organization body mass index-for-age charts for boys and girls. A total of 793 schoolchildren comprising of 328 girls and 465 boys between the age groups of 6 and 19 years were included. The prevalence of overweight and obesity among girls was 9.76% and 1.22%; and among boys, it was 10.97% and 3.23%, respectively. Overweight and obesity were more common among boys as compared to girls under the age of 13 years but trend changed afterwards. Lower prevalence of overweight and obesity found in our study could be because of availability of healthful environment in schools.