Showing papers in "Indian Journal of Pediatrics in 1974"
TL;DR: Six children with primary haemorrhagic disease of the newborn with main presentation was gastrointestinal bleeding and after vitamin K administration, further episodes of bleeding did not occur in any of them.
Abstract: Six children with primary haemorrhagic disease of the newborn” are described. Their main presentation was gastrointestinal bleeding. After vitamin K administration, further episodes of bleeding did not occur in any of them. Three prematures expired; in 2 the probable cause of death was intracranial bleeding and the third had aspiration pneumonia.
24 citations
TL;DR: This study shows that drooling can be corrected by converting the anterior overflow into swallowing, and the posterior submucosal tube extension of the parotid duct considerably improved the results.
Abstract: Drooling is a serious disability in cerebral palsy. Analysis of 50 such cases treated surgically has been reported. This study shows that drooling can be corrected by converting the anterior overflow into swallowing, and the posterior submucosal tube extension of the parotid duct considerably improved the results. In children under 3 years of age, or with minimal drooling or as a salvage, excision of the submandibular glands promises satisfactory results. Myotomy of the mylohyoid is indicated whenever open mouth deformity is present in such cases.
19 citations
TL;DR: Two hundred consecutive patients with congenital heart disease who attended the Kasturba General Hospital over a period of four years were studied, showing that 50% of the patients were in the paediatric age group and 27% were above 20 years of age.
Abstract: Two hundred consecutive patients with congenital heart disease who attended the Kasturba General Hospital over a period of four years were studied. The cases were studied by clinical, electro-cardiographic and radiological evaluation. In 20 cases, the diagnosis was confirmed at operation; in 7 cases at autopsy; and in 22 cases by special investigative procedures. There were 11 groups of G.H.D; of these 28% cases were cyanotic and 72% acyanotic. In this study V.S.D. headed the list. (29%) followed by V.S.D. with P.S. 17%, A.S.D. 12%, P.D.A. 11%, P.S. 7%. This study showed that 50% of the patients were in the paediatric age group and 27% were above 20 years of age. In the older age group, A.S.D. is the commonest lesion with V.S.D. following it.
17 citations
TL;DR: If one more point was allotted to marasmus the accuracy of the Kenneth Jones criteria for diagnosing tuberculosis in children increased to 95%.
Abstract: One hundred cases of tuberculosis in children were evaluated by the Kenneth Jones criteria. A score of seven points required for diagnosing tuberculosis could be obtained in 73% of cases only. If one more point was allotted to marasmus the accuracy increased to 95%. This additional point is suggested for use in developing countries like India.
15 citations
TL;DR: The study includes data of 80 cases of chemical poisoning in children under 12 years of age in which kerosene oil was the chief offender and males were predominantly affected.
Abstract: 1.
The study includes data of 80 cases of chemical poisoning in children under 12 years of age.
2.
78.7% of all the poisonings occurred between 0–3 years, of which the maximum incidence (59.7%) was encountered between 1–3 years.
3.
Males were predominantly affected.
4.
Household substances were responsible for the maximum number of cases (73.7%) in which kerosene oil was the chief offender (55%).
11 citations
TL;DR: An 11-year-old patient had E.C.G. changes of myocardial injury following electric shock, which returned to normal within three weeks and remained so during a follow-up of a further 6 months.
Abstract: An 11-year-old patient had E.C.G. changes of myocardial injury following electric shock. No abnormality of heart sounds or other evidence of cardiac inefficiency were noted. The abnormal E.C.G. pattern returned to normal within three weeks and remained so during a follow-up of a further 6 months.
7 citations
TL;DR: It was observed that the lower the social class, the higher was the incidence of nutritional disorders and that the maximum number of cases were seen in vegetarian families.
Abstract: 30.2 per cent of children examined had nutritional disorders and 80.3 per cent of these nutritional disorders were in the 6-months to 4-years age groups. Protein calorie malnutrition was found in 1.9 per cent of children. The common deficiency signs observed were pale conjunctiva (18.3 per cent), bleeding spongy gums (0.9 per cent) pigeon chest (0.9 per cent), Bitot’s spots (4.9 per cent); retarded growth and skin changes (1.9 per cent each). It was observed that the lower the social class, the higher was the incidence of nutritional disorders. The maximum number of cases (67.2 per cent) were seen in vegetarian families. 26.8 per cent cases had delayed milestones. Children of birth order III had the maximum incidence of nutritional disorders. 69.3 per cent of children were 15–30 pounds in weight and 64.3 per cent had a height of 18–30 inches. There was a highly positive correlation between height and weight of the children.
6 citations
TL;DR: Histologic findings in the present cases suggest that the origin of the tumour may be from the bile duct, which is a rare benign tumour seen mainly in infants under 2 years of age.
Abstract: Three cases of mesenchymal hamartoma of the liver diagnosed at the Medical College Hospital, Aurangabad, are reported. It is a rare benign tumour seen mainly in infants under 2 years of age. The origin of the tumour is not established. Histologic findings in the present cases suggest that the origin of the tumour may be from the bile duct.
6 citations
6 citations
TL;DR: A majority of the cases of diphtheritic paralysis occurred between the age of 2 to 5 years and there were more children from the rural than from the urban areas.
Abstract: Eightysix children with neurological complications of diphtheria are reported. The disease accounted for nearly 20.9% of the treated cases in the S.C.B. Medical College Hospital, Cuttack. A majority of the cases of diphtheritic paralysis occurred between the age of 2 to 5 years and there were more children from the rural than from the urban areas. Palatal paralysis was a very common neurological complication which occurred alone or in association with other types of paralyses. The different neurological manifestations did not follow any definite order or pattern. The mortaiity was more in diaphragmatic and palatal paralysis. Those who recovered did not show any residual damage.
6 citations
TL;DR: Of the various types of disabilities in the lower limbs, those due to poliomyelitis and rickets were the commonest and both are preventable diseases.
Abstract: A house to house survey of 20,000 houses in the urban and rural areas around Nagpur covered about 50,000 population in each area. The child population accounted for about 36,000. Of the various types of disabilities in the lower limbs, those due to poliomyelitis and rickets were the commonest. Both are preventable diseases.
TL;DR: This study of 2000 apparently normal Indian children will help in the assessment of significant changes in various congenital disorders and may also be an important clinical sign in diagnosing these disorders.
Abstract: The various dermatoglyphic patterns and their variations as found in finger prints and ridge count, palm prints, axial triradii and ‘atd’ angle and sole and toe prints are described. This study of 2000 apparently normal Indian children, will help in the assessment of significant changes in various congenital disorders and may also be an important clinical sign in diagnosing these disorders.
TL;DR: Stool samples from children under the age of 10 years were seen in a five-year period 1969–1973 and the commonest parasite wasscaris lumbncoides followed by Anky-lostoma duodenale, and anaemia was frequently associated.
Abstract: A total of 3200 stool samples from children under the age of 10 years were seen in a five-year period 1969–1973. Of these 575 stool samples were positive for parasites giving an incidence rate of 18.0 per cent.
TL;DR: In this article, the common causes of hepatomegaly were found to be infective hepatitis cirrhosis of the liver and tuberculer granulomatous hepatitis, and liver biopsy was the most conclusive evidence of the cause.
Abstract: Thirty children with hepatomegaly of varying etiology were studied with a view to evaluate the degree of derangement of hepatic function. The common causes of hepatomegaly were found to be infective hepatitis cirrhosis of the liver and tuberculer granulomatous hepatitis. There was a graded pattern in the alterations of liver function tests in these three etiological groups, from the practical point of view it appears that a single determination of the albumin-globulin ratio and zinc sulphate turbidity would give adequate information. Liver biopsy was the most conclusive evidence of the cause. Any child who comes with an enlarged liver of more than 3 cm. in infancy and more than 2 cm. in childhood must be investigated fully to arrive at an etiological diagnosis.
TL;DR: Almost all of them presented with symptoms of irritability, restlessness, grinding of teeth and most of them had cephalgia, convulsions and a stuporous state simulating encephalitis or meningitis justifying the term “Ascaris encephalopathy” of toxic/allergic type.
Abstract: 25 cases having nervous system manifestations complicating ascariasis were encountered during a short period of 6 months. Almost all of them presented with symptoms of irritability, restlessness, grinding of teeth and most of them had cephalgia, convulsions and a stuporous state simulating encephalitis or meningitis justifying the term “Ascaris encephalopathy” of toxic/allergic type. The hypotheses of its pathogenesis have been discussed. The presenting symptoms and signs, relevant laboratory investigations, and treatment have been discussed.
TL;DR: One hundred and twenty cases of polyradiculoneuropathy (Landry-Guillain-Barré-Strohl syndrome between the ages of 1 and 17 years have been studied and forty patients were found to be suffering from ascariasis.
Abstract: One hundred and twenty cases of polyradiculoneuropathy (Landry-Guillain-Barre-Strohl syndrome between the ages of 1 and 17 years have been studied. The maximum number of cases (46 cases or 38.33 per cent) occurred in the age group of 3 to under 6 years. Males were more frequently affected than females., The pattern of involvement was predominantly ascending in nature. The distal group of muscles were observed to be more frequently affected than the proximal muscles. The protein content of the C.S.F. ranged between 60 and 620 mg. per cent in this series. Ninety two patients have recovered fully so far. Of them 80 patients recovered within one year. Forty patients were found to be suffering from ascariasis as well and a further probe on the possible role of ascariasis seems desirable.
TL;DR: Two cases of Ollier’s disease, one with extensive bilateral involvement of the metaphysis of most of the long bones of the extremities, and the other with monomelic distribution affectingMost of the short tubular bones ofThe left hand, are described.
Abstract: Two cases of Ollier’s disease, one with extensive bilateral involvement of the metaphysis of most of the long bones of the extremities, and the other with monomelic distribution affecting most of the short tubular bones of the left hand, are described.
TL;DR: Results of crystallisation studies suggest that renal lithiasis is an entity separate from primary bladder stone disease with different mechanisms of stone formation, and that primary bladder stones disease is largely due to geographical and nutritional factors.
Abstract: Urinary crystallisation on a glass fibre and the 24-hour pyrophosphate and orthophosphate excretion were studied in 32 children, 15 normal and 17 with primary bladder stone disease.
TL;DR: The incidence of parasitic infestations is high, especially of ascaris, pinworms, giardia and amoebae and the problem of prevention needs to be given due consideration to promote health among the children of this locality.
Abstract: Morbidity pattern in relation to parasitic infestations in the out patient clinic of the B.S. Medical College, Hospital has been presented. The incidence is high, especially of ascaris, pinworms, giardia and amoebae and the problem of prevention needs to be given due consideration to promote health among the children of this locality.
TL;DR: Artificially fed infants were affected more often as compared to breast fed ones and diarrhoea among hospitalized children was seen during summer months.
Abstract: 200 cases of acute diarrhoea below 12 years of age were studied. Its incidence among hospitalized children was 26.5%. A majority of the cases was seen during summer months. Artificially fed infants were affected more often as compared to breast fed ones. 63% of cases had various grades of malnutrition. Dehydration of various degrees was seen in 93.5% of cases. Stool was positive for parasitic infestation in 17% of cases. Bacterial flora was increased in 68% of cases.
TL;DR: In this article, an unusual case of diphtheria was presented, where laryngeal stridor was present with a cutaneous lesion on the face, and a plea was made to keep in mind the possibility of the disease.
Abstract: An unusual case of diphtheria is presented. A plea is made that if laryngeal stridor is present with a cutaneous lesion on the face the possibility of diphtheria must be kept in mind.
TL;DR: There was a lower incidence of low birth weight infants as birth spacing increased up to 3 1/2 years and the morbidity and mortality were considerably lower when birth spacing was two- and- a-half to three-and-a-half years.
Abstract: The present study showed that two-thirds of the babies were born at birth spacing interval of less than 2 1/2 years. The mean birth weight of the infants showed a rise till a birth interval of 3 1/2 years. There was a lower incidence of low birth weight infants as birth spacing increased up to 3 1/2 years. The morbidity and mortality were considerably lower when birth spacing was two- and-a-half to three-and-a-half years.
TL;DR: There is an urgent need for establishing more cardiac diagnostic centres, particularly because rational therapy would then be possible and a large majority of these patients are potentially salvagable.
Abstract: The general profile of heart disease in children admitted to a large paediatric unit is presented.
TL;DR: In this paper, the authors described ten cases of congenital and hereditary lymphoedema (Milroy's disease) in a family of 19 members in 5 generations in five generations.
Abstract: Ten cases of congenital and hereditary lymphoedema (Milroy’s disease) in a family of 19 members in 5 generations have been described. The literature is briefly reviewed.
TL;DR: It is possible, as illustrated by the experience reported in this paper, to identify a group of cases with a remarkably similar clinical syndrome and natural history, similar E.E.G. features, and morphological changes detected by electronmicroscopy.
Abstract: There is no clear chemical pathologic feature or unique enzymopathy to unequivocally characterize the cerebroretinal “degenerative” disorder designated by several titles including the eponym ‘Batten’s type of late infantile amaurotic idiocy’. It is however, possible, as illustrated by our experience reported in this paper, to identify a group of cases with a remarkably similar clinical syndrome and natural history, similar E.E.G. features, and morphological changes detected by electronmicroscopy.
TL;DR: 24 cases of primary and 6 secondary staphylococcal pulmonary infection have been reviewed and there were 5 deaths.
Abstract: 24 cases of primary and 6 secondary staphylococcal pulmonary infection have been reviewed. There were 5 deaths. Late recognition, resistant organisms and inadequate treatment of various complications add to the mortality.
[...]
TL;DR: In this article, the pathogenesis of measles encephalitis and results of treatment with steroids are discussed and a case of thirty-eight cases of measles in the age range of 7 months to 9 years were studied.
Abstract: Thirty-eight cases of measles encephalitis in the age range of 7 months to 9 years were studied. All patients were treated with corticosteroids along with other supportive measures. The pathogenesis of measles encephalitis and results of treatment with steroids are discussed.
TL;DR: In this article, an immediate evaluation involving the recording of time elapsing between birth and the onset of self sustained spontaneous breathing was compared with recording of respiratory rate and cyanosis at regular periods for several hours following birth.
Abstract: An immediate evaluation involving the recording of time elapsing between birth and the onset of self sustained spontaneous breathing was compared with the recording of respiratory rate and cyanosis at regular periods for several hours following birth. It was helpful in evaluating prognosis especially in neonates with increased respiratory morbidity and mortality, in the premature and in those born by caeserian section. Neonates of respiratory group III needed more attention, especially the premature ones, as they have a higher risk of morbidity and mortality (9.1%).