scholarly journals Association between Swallowing-Related Questionnaire Responses and Pathological Signs on Videofluoroscopy in Children

Children ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. 1109
Author(s):  
Jana Jančíková ◽  
Denisa Bezděková ◽  
Petra Urbanová ◽  
Lucie Dohnalová ◽  
Petr Jabandžiev ◽  
...  
Keyword(s):  
Neurological Disorder ◽  
Respiratory Infections ◽  
Subjective Evaluation ◽  
Tertiary Care ◽  
Tertiary Care Centre ◽  
Laryngeal Penetration ◽  
Swallowing Problems ◽  
Neonates And Infants ◽  
Management Of Dysphagia ◽  
Specific Symptoms

The aim of this study was to identify relationships in children between responses to specific questions of interest in a clinical questionnaire concerning swallowing-related difficulties and pathological signs on a videofluoroscopic swallowing study (VFSS). A prospective data analysis was made of children evaluated with swallowing disorder between January 2018 and April 2021 at a tertiary care centre. Each child enrolled in the study underwent a subjective evaluation (targeted questions) and instrumental examination (VFSS). In total, 51 children suffering from swallowing problems (32 with a neurological disorder and 19 without neurological disorder) were included into the study. Our results showed there was a correlation between the occurrence of specific symptoms (wet voice, wet breathing, recurrent respiratory infections, chronic mucus) and other pathological signs on a VFSS (laryngeal penetration, residua, nasal regurgitation). The evaluation of these specific questions is a reliable and useful method for the management of dysphagia in neonates and infants. It can help us in selecting those patients for which it is appropriate to perform a VFSS.

Skin Colonization by Malassezia spp. in Hospitalized Neonates and Infants in a Tertiary Care Centre in North India

2014 ◽  
Vol 178 (3-4) ◽  
pp. 267-272 ◽  
Author(s):  
Prerna Gupta ◽  
Arunaloke Chakrabarti ◽  
Sunit Singhi ◽  
Praveen Kumar ◽  
Prasanna Honnavar ◽  
...  
Keyword(s):  
Tertiary Care ◽  
North India ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Skin Colonization ◽  
Malassezia Spp ◽  
Neonates And Infants

scholarly journals Risk factors for septic arthritis of hip in neonates and infants

2017 ◽  
Vol 3 (3) ◽  
pp. 508
Author(s):  
Nitin Chaudhari ◽  
Sharvil Gajjar ◽  
Hari Menon ◽  
Yatin Patel
Keyword(s):  
Risk Factors ◽  
Septic Arthritis ◽  
Tertiary Care ◽  
Data Entry ◽  
Tertiary Care Centre ◽  
Study Population ◽  
Laboratory Investigations ◽  
Nicu Admission ◽  
One Year ◽  
Neonates And Infants

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Suppurative arthritis of hip is pyogenic inflammation of synovial membrane of the hip, usually due to bacterial infection. The main aim of early diagnosis and treatment of septic arthritis of hip is to prevent damage to articular cartilage and growth plate, give stable and painless hip and to resume normal development and prevent sequelae.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Pro</span><span lang="EN-IN">spective interventional study consisted of 34 patients with 36 Hips septic arthritis of hip less than one year of age carried out at Department of Orthopedics of a tertiary care centre during August 2011 to December 2013. Risk factors and related laboratory investigations were carried out. Data entry and analysis was done by MS Excel 3.0</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">In our study more than 70% patients presented after one week. Left sided hip involvement (59%) was more common followed by right hip (35%). Sex ratio of the study population was   M: F-4:6.  NICU admission was present in 94% cases.  In many of our patients there were more than one risk factors like septicemia, low birth weight, jaundice and ventilator support. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">All NICU neonates should be handled with strict aseptic precaution.</span></p>

Profile of secondary bacterial respiratory infections in H1N1 patients admitted in a tertiary care centre – A four-year retrospective study

2021 ◽  
Vol 20 ◽  
Author(s):  
Noorelle Karim Khan ◽  
Suchitra Shenoy M ◽  
Deepak Madi ◽  
Vaman Kulkarni
Keyword(s):  
Bacterial Infection ◽  
Bacterial Infections ◽  
Respiratory Infections ◽  
Indian Subcontinent ◽  
Tertiary Care ◽  
P Value ◽  
Case Report Form ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
Secondary Bacterial Infection

Background: H1N1 is known to cause periodic seasonal flu in the Indian subcontinent since 2009. The clinical course and the underlying immunity of the host contribute to the development of secondary bacterial infections in the infected patients. Objectives: This study aims at analyzing the secondary bacterial infections in confirmed H1N1 cases admitted in our hospital (from 2015 to 2018) with respect to the comorbidities, complications, associated bacteria with its antibiotic susceptibility pattern and the outcome of such episodes. Material and methods: Data of 164 patients admitted in a tertiary care hospital with H1N1 was extracted from medical records using a semi-structured case report form. Data was entered and analyzed with SPSS version 17. A p value of <0.05 was considered as statistically significant. Results: Most patients were aged above 40 years with female preponderance. In our study 42% of patients had comorbidities. Only 14 (8.53%) had secondary bacterial infection confirmed by culture. Klebsiella pneumoniae and Acinetobacter baumannii were the most common bacteria that were isolated. They were treated based on the culture reports. There was no mortality in patients with secondary bacterial infection. Conclusion: The early start of the antiviral agents and adherence to the antibiotic policy of the hospital contributed to lower secondary bacterial infections and zero mortality.

scholarly journals Study of risk factors of acute respiratory infections in children admitted in a tertiary care hospital of Southern Maharashtra

2017 ◽  
Vol 4 (9) ◽  
pp. 3129
Author(s):  
Alka C. Kaware ◽  
Nitin H. Kamble ◽  
S. K. Mangulikar
Keyword(s):  
Risk Factors ◽  
Respiratory Infections ◽  
Tertiary Care ◽  
High Morbidity ◽  
Acute Respiratory Infections ◽  
Care Hospital ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
History Of ◽  
Tract Infections

Background: Acute respiratory infections (ARI) is an important cause of mortality and morbidity in children. In India, it constitutes 15% of under five deaths. Various risk factors are responsible for ARI in children. Study of risk factors will help to reduce the high morbidity and mortality due to ARI. The objectives were to study risk factors responsible for acute respiratory infections in children and to find out case fatality rate &/ outcome of acute respiratory infections ARI in children.Methods: A hospital based cross sectional study was done in 2013-14 in a tertiary care centre to study the risk factors associated with ARI in children. All the pediatric patients between 0-12 years admitted in a tertiary care centre at Solapur were enrolled in the study.Results: Acute respiratory tract infections (ARI) were more common in 1-4 years age group i.e. 57.31% (196). It was more common in males i.e. 64.33% (220) than females i.e. 35.67% (122). ARI was more common in lower socio-economic classes i.e. class V (50.58%), class IV (22.52%); in patients whose mothers were illiterate 43.28% and who had history of parental smoking 84.21%. Maximum patients of ARI were having history of overcrowding 75.73%, inadequate cross-ventilation 81.87% and use of smoky chullah 78.65% in their home. Statistically significant association found between ARI cases and these socio-demographic factors. 46.78% (160) were incompletely immunized and 16.37% (56) were not immunized at all. Only 36.84% (126) were completely immunized for their age. Maximum cases of ARI (50.88%) occurred in winter season followed by rainy season (26.90%). Outcome showed that 91.52% (313) were cured, while 1.75% (6) patients died due to ARI.Conclusions: The present study has identified various socio-demographic, nutritional and environmental risk factors for ARI which can be prevented by effective health education and an appropriate initiative taken by the government.

scholarly journals Plastibell circumcision in neonates and infants at tertiary care centre

2018 ◽  
Vol 5 (4) ◽  
pp. 1488
Author(s):  
Nandkishor D. Shinde ◽  
Mohammad Moinuddin ◽  
A. N. M. Owais Danish
Keyword(s):  
Prospective Study ◽  
Surgical Procedure ◽  
Tertiary Care ◽  
Care Centre ◽  
Inclusion Criteria ◽  
Medical Sciences ◽  
Tertiary Care Centre ◽  
Surgical Time ◽  
The Mean ◽  
Neonates And Infants

Background: Circumcision is the most common surgical procedure in children worldwide. The aim of this study was to study the safety and complication of Plastibell circumcision in neonates and infants.Methods: This prospective study of 420 male children less than 1 years who underwent Plastibell circumcision for religious or cultural indication in the Department of Surgery at KBN Institute of Medical Sciences, Kalaburagi, during February 2016 to January 2018. Children were divided into two groups; neonates (0 to 4 weeks) and infants (5 weeks to1 year). Parents were given specific instructions on care of the device on discharge and followed up on day 3 and on day of separation of the Plastibell.Results: During the study period, 420 cases of Plastibell circumcision fulfilling the inclusion criteria were included and analyzed. Out of the total cases, 120 (28.57%) were neonates, whereas the remaining 300 (71.42%) were infants. Mean surgical time was 4±2 minutes. The mean number of days for Plastibell to separate was 6.2 days, Plastibell ring separation in neonates earlier (3 days to 7 days) as compared to infants (5 days to 12 days). Out of the total 420 cases 65 (15.47%) cases developed minor complications. In neonates, out of 120 cases only 05 (4.16%) developed complications. In infants, out of 300 cases, 60 (20%) developed complications.Conclusions: Neonates had shorter time for the Plastibell to separate and with fewer complications than infants. Though complications were present, they were few and could be managed easily. Plastibell circumcision is safe in neonates and infants.

scholarly journals A Clinical Study on Initial Experience of COVID-19 ARDS in Obstetric Patients at a Tertiary Care Centre in India

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Sheeba Marwah ◽  
Reenu Kanwar ◽  
Shahida Naghma ◽  
Anjali Dabral ◽  
Nitesh Gupta
Keyword(s):  
Clinical Presentation ◽  
Respiratory Infections ◽  
Tertiary Care ◽  
Case Series ◽  
Respiratory Illness ◽  
Response To Therapy ◽  
Care Hospital ◽  
Physiological Changes ◽  
Tertiary Care Centre ◽  
In Pregnancy

Coronavirus disease 2019 (COVID-19) is caused by a novel coronavirus (severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)) which causes severe viral pneumonia rapidly leading to acute respiratory distress syndrome (ARDS). Pregnant women are considered more vulnerable to severe viral respiratory infections owing to the physiological changes in pregnancy. In COVID-19, patient can present with a variety of symptoms of which dyspnoea is one that is also commonly seen in the late stages of pregnancy. The clinical presentation as well as response to therapy is highly variable, and since no conclusive proven treatment is available yet, prevention and symptomatic treatment remains the mainstay of management. Thus, we report a case series of four SARS-CoV-2-positive obstetric patients who presented with severe ARDS in a tertiary care hospital, posing diagnostic and therapeutic challenges to the clinician, and were managed with a holistic multidisciplinary stepwise approach. Through this, an effort has been made to sensitize the attending obstetrician on diverse presentation of COVID-19 disease and to emphasize the importance of prevention, early pick up, and timely optimal management of pneumonia in pregnant females with COVID-19. The clinical presentation of respiratory illness due to SARS-CoV-2 in pregnancy can be mistaken for exaggerated physiological changes of pregnancy leading to delay in seeking medical care. During the current pandemic, high suspicion for COVID-19 should be kept. If found symptomatic, immediate care should be sought in a designated facility and managed accordingly preferably with a multidisciplinary approach.

scholarly journals Endoscopic DCR with or without Stent in a Peripheral Tertiary Care Centre of West Bengal – Our Experience

2020 ◽  
Vol 7 (43) ◽  
pp. 2474-2478
Author(s):  
Kanishka Chowdhury ◽  
Atish Haldar ◽  
Md. Khurshid Pervej
Keyword(s):  
Success Rate ◽  
Large Scale ◽  
Subjective Evaluation ◽  
Symptom Relief ◽  
Tertiary Care ◽  
Stent Insertion ◽  
Stent Group ◽  
Tertiary Care Centre ◽  
Silicone Tube ◽  
Endoscopic Dcr

BACKGROUND Dacryocystorhinostomy (DCR) operation is the gold standard treatment for management of chronic dacryocystitis due to nasolacrimal duct block. This operation directs the lacrimal flow into the nasal cavity creating an artificial opening made at the level of lacrimal bone, thus obtaining a low-pressure lacrimal bypass system which will relieve epiphora and dacryocystitis. But the commonest reason for failure of this surgery is closure of the rhinostomy (neo-ostium). To overcome this difficulty, silicone tube catheter stent insertion has been advocated. Here in this study, we wanted to compare the success rate of endoscopic DCR with or without silicone tube catheter (STC) stent. METHODS This study was a prospective study conducted among 50 patients divided in to two equal groups randomly. One group underwent Endoscopic DCR with silicone tube catheter stent and another group underwent DCR without stent. We compared outcomes of both groups subjectively with five-point scale and objectively examined patency of the stoma by syringing with water postoperatively after 3 months and results were compared. RESULTS During subjective evaluation, we used five-point scales to get the grade of epiphora relief. First three grades (grade 1 to grade 3) were considered as success. We got an overall success rate of 92 % in without stent group and we got 88 % success rate in silicone tube catheter stent group. CONCLUSIONS Surgical success for Endoscopic DCR surgery encompassed both anatomical patency and symptom relief. We found overall success rate of 92 % in without stent group and 88 % success rate in silicone tube catheter stent group which were closely comparable to other studies. We also found failure due to granulation tissue formation in STC stent group. So the role of stent is yet to be confirmed and further large scale trials are needed. KEYWORDS Endoscopic DCR, Silicone Tube Catheter (STC) Stent

scholarly journals A Clinical Profile of Typhoid Perforation of Bowel in a Tertiary Care Centre

2016 ◽  
Vol 3 (2) ◽  
pp. 83
Author(s):  
Sudhir Bhamre ◽  
Sushma S. Chandak
Keyword(s):  
Respiratory Infections ◽  
Enterocutaneous Fistula ◽  
Bowel Perforation ◽  
Tertiary Care ◽  
Wound Dehiscence ◽  
Salmonella Typhi ◽  
Clinical Profile ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Case Mortality

<strong>Background and Aims:</strong> Salmonella typhi causes an estimated 22 million cases of typhoid fever and 216000 deaths annually worldwide1 and in developing countries, typhoid bowel perforation is an important surgical problem. The surgeon is faced with number of challenges during the management of these patients. The aims of this study are 1. To study the clinical profile of typhoid perforation of bowel in a tertiary care centre. 2. To study post operative outcome in patients with typhoid ulcer perforation. <strong>Methods and Methodology:</strong> A total of 45 patients diagnosed as having typhoid bowel perforation were included for the study after fulfilling the inclusion/ exclusion criteria. <strong>Results:</strong> Majority of patients were in the 2<sup>nd</sup> and 3<sup>rd</sup> decades (57.7%) with age ranging from 18 to 68 years. There were 28 (63.63%) males and 17 (37.7%) females. Fever with abdominal pain were the symptoms in all subjects followed by vomiting, distension of abdomen and constipation respectively. Most of the patients presented during 2<sup>nd</sup> and 3<sup>rd</sup> week of illness. 5 patients presented early i.e. within 24 hours and 40 patients presented late i.e., after 24 hours. Widal test was positive in 35 (79.45%) cases. Majority of patients (66.6%) group showed leucocytosis, while 7% showed leucopenia and 17% had normal WBC counts. Single perforation was found in 27 patients (60%), 2 perforations in 14 patients (31.1%) and more than 2 perforations were found in 4 patients (8.8%). Gas under diaphragm was present in all the patients. The most commonly done procedure in 33 cases (73.33% ) was simple closure of the perforation and resection and end to end ileo ileal anastomosis was done in 10 patients whereas ileo transverse anastomosis with ileostomy was done in 2 patients with multiple perforations. The most common post-operative complication was surgical site infection followed by respiratory infections, wound dehiscence. Enterocutaneous fistula was present in one case Mortality rate of 6.6 % was seen.

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