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| CASE REPORTS |
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| Klebsiella Endocarditis leading to brain abscess in a child with Tetralogy of Fallot.
October-December 2014, 3(4):187-187
Though congenital heart disease (CHD) predisposes to Infective endocarditis and brain abscess, endocarditis due to gram negative bacteria is uncommon. Among gram negative bacteria, Klebsiella species are very rare cause of bacterial endocarditis. Here we describe a case of a two and half years old male child with Tetralogy Of Fallot who developed Klebsiella Endocarditis and brain abscess.
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| 592 | 55 | - |
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| Alveolar proteinosis: An uncommon presentation of a not so common disease
October-December 2014, 3(4):199-199
We report a 14 month old child presenting with history of recurrent interstitial pneumonia, finally turned out to be Pulmonary Alveolar Proteinosis (PAP) secondary to Niemann Pick Disease, diagnosed on high index of suspicion and appropriate investigations. This is the first case of Secondary Alveolar Proteinosis due to niemann pick disease type C with NPC2 mutation to be reported from India, to the best of our knowledge.
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| 582 | 56 | - |
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| ORIGINAL RESEARCHS |
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| Breastfeeding practices among health care professionals
October-December 2014, 3(4):167-167
Breastfeeding is an unequalled way of providing ideal food for the adequate growth and development of infants. The objective of this study was to assess the breastfeeding practices followed by the health workers. Material and methods: a cross- sectional study was done on the female health workers and ANM's of Patna Medical College and Hospital. The study is based on a questionnaire related to breastfeeding practices, complimentary feeding and weight gain at one year of age. The significance in the differences was evaluated by using the Chi square test. Results: The prevalence of early initiation of breastfeeding was 16.6% and prevalence of exclusive breastfeeding was 66.4%. While the prevalence of exclusive breastfeeding for up to six months was only 18.5%. The association between exclusive breastfeeding for up to six months and weight gain at one year of age is considered to be very statistically significant. Conclusion: It came out by the study that majority of the health workers were not practicing the appropriate breastfeeding practices. So, we need to do awareness programme repeatedly and train the health care workers and other medical professionals regarding importance of counselling for breast feeding starting from pregnancy and optimum breastfeeding practices.
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| 542 | 71 | - |
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| Diagnostic value of gastric lavage and induced sputum in childhood pulmonary tuberculosis
October-December 2014, 3(4):172-172
50 children up-to 7 years of age, who were suspicious of having tuberculosis, were subjected to collection of gastric aspiration following over-night fast as well as induced sputum. 96% had cough, 76% low-grade fever, 52% breathlessness, 22% failure to thriv and 2% haemoptysis. Mantoux test positivity was found to be in 25 cases (50%). Among the study population, 2 children were found to be suffering from infection with HIV. 33 cases (66%)ngave positive contact history. The major radiological abnormalities were observed on chest x ray were consolidation in 20 cases (40%), Bronchopneumonia in 13 cases (26%), Consolidation with collapse in 7cases (14%), Cavitory lesion in 3 cases(6%), Intrathoracic lymphadenopathy in 2cases (4%), miscellaneous findings included 1 case of milary TB and 3 cases of pleural effusion. While 8 cases (16%) of GA showed AFB positivity, 6 (12%) were positive in induced sputum. On statistical analysis it was found that gastric lavage had no added advantage over induced sputum method for AFB detection. Rather both were complementary to each other.
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| 548 | 56 | - |
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| CASE REPORTS |
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| Congenital leukemia in a 23 day old neonate
October-December 2014, 3(4):196-196
Congenital leukemia constitutes a rare and poorly defined entity. It is usually associated with numbers of congenital anomalies. Clinically they present with non specific signs and symptoms. It is known to progress rapidly and paradoxically, may also remit spontaneously. We report this case of congenital leukemia, who presented with non specific symptoms and hyperleukocytosis with no congenital anomalies, to make the clinician aware and keep this possibility in neonates.
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| 534 | 52 | - |
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| Congenital giant melanocytic nevus
October-December 2014, 3(4):190-190
Congenital nevi are hyperpigmented macular lesions that are derivatives of the melanoblasts. They occur in less than 1% of the neonates in any site of the body. The giant congenital nevus is greater than 20 cm in size, pigmented and often hairy. Between 4% and 6% of these lesions develop into a maligant melanoma, early removal is recommended. We report a unique case of giant nevi along with a review of the literature .
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| 490 | 50 | - |
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| Research media watch
October-December 2014, 3(4):204-204 Full text not available [PDF] |
| 476 | 46 | - |
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| Systemic peripheral gangrene: A rare presentation of falciparum malaria
October-December 2014, 3(4):193-193
We report a ten year old girl ,suffering from falciparum malaria ,had symmetrical peripheral gangrene resulting in auto amputation.Once it is set in ,there is no known therapy to reverse the process or inhibiting the progress.
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| 452 | 60 | - |
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| REVIEW ARTICLES |
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| Latent tuberculosis
October-December 2014, 3(4):182-182 Full text not available [PDF] |
| 442 | 60 | - |
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| EDITORIAL |
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| Medical ethics: How relevant it is today?
October-December 2014, 3(4):163-163 Full text not available [PDF] |
| 406 | 46 | - |
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| REVIEW ARTICLES |
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| The unfolding of growth monitoring and growth charts
October-December 2014, 3(4):178-178 Full text not available [PDF] |
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