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  • 1
    In: Current Psychology, Springer Science and Business Media LLC, Vol. 41, No. 11 ( 2022-11), p. 8112-8122
    Abstract: COVID appropriate behavioral measures need to be followed once school reopens. School teachers being in the forefront could substantiate the feasibility of suggested safety measures. This study aimed to assess teachers’ perceptions towards COVID appropriate behaviors for children with school reopening and compare their mean scores between public versus private schools and across school boards. We conducted an observational school-based study of teachers over two months. Perceptions were scored using a five-point Likert symmetric agree to disagree scale. Results were expressed as proportions and analyzed using an independent sample t-test. Of the 547 teachers surveyed, most ( 〉 90%) agreed to the suggested social distancing and hygiene measures. There was a significant difference in perception scores between private versus public schools and across boards regarding i) reducing the academic syllabus, ii) adopting a cloud-based system to integrate online-offline learning, and iii) conducting meetings online. In addition, measures such as i) teaching classes on alternate days with a limited number of children, ii) arranging benches/desks to maintain six feet distance between students, iii) dealing with psychological stress by counselors, and iv) arrangement with local hospitals for medical services were significant statistically across school boards. To conclude, most schoolteachers agreed with the need for social distancing and hygiene measures for children. There was a significant difference in perceptions between public versus private schools and across boards regarding academic syllabus, integration of online-offline student learning, number of children per class, the timing of classes, student seating arrangement, and medical/psychological guidance availability.
    Type of Medium: Online Resource
    ISSN: 1046-1310 , 1936-4733
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2021598-8
    SSG: 5,2
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  • 2
    Online Resource
    Online Resource
    Nepal Paediatric Society ; 2020
    In:  Journal of Nepal Paediatric Society Vol. 40, No. 3 ( 2020-12-15), p. 265-269
    In: Journal of Nepal Paediatric Society, Nepal Paediatric Society, Vol. 40, No. 3 ( 2020-12-15), p. 265-269
    Abstract: With the advent of antenatal ultrasonography (USG), detection of neonatal intra-abdominal cystic lesions is on the rise. We present a neonate who was detected antenatally to have a cystic lesion per abdomen and presented with features of intestinal obstruction on first postnatal day. Emergency exploratory laparotomy revealed a left torsed ovarian cyst compressing the ileoceacal junction. Left oophorectomy was done and ovarian torsion was confirmed by histopathology examination. The USG abdomen at six months follow up showed a well visualised right ovary.
    Type of Medium: Online Resource
    ISSN: 1990-7982 , 1990-7974
    Language: Unknown
    Publisher: Nepal Paediatric Society
    Publication Date: 2020
    detail.hit.zdb_id: 2485508-X
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  • 3
    Online Resource
    Online Resource
    Asociatia Pentru Cresterea Vizibilitatii Cercetarii Stiintifice (ACVCS) ; 2020
    In:  Germs Vol. 10, No. 2 ( 2020-6), p. 115-119
    In: Germs, Asociatia Pentru Cresterea Vizibilitatii Cercetarii Stiintifice (ACVCS), Vol. 10, No. 2 ( 2020-6), p. 115-119
    Type of Medium: Online Resource
    ISSN: 2248-2997
    Language: Unknown
    Publisher: Asociatia Pentru Cresterea Vizibilitatii Cercetarii Stiintifice (ACVCS)
    Publication Date: 2020
    detail.hit.zdb_id: 2649305-6
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  • 4
    Online Resource
    Online Resource
    Georg Thieme Verlag KG ; 2014
    In:  Journal of Health and Allied Sciences NU Vol. 04, No. 03 ( 2014-09), p. 121-123
    In: Journal of Health and Allied Sciences NU, Georg Thieme Verlag KG, Vol. 04, No. 03 ( 2014-09), p. 121-123
    Abstract: We report on a child with Marinesco-Sjögren Syndrome, a rare autosomal recessive disorder characterised by early onset cataract, psychomotor delay, cerebellar hypoplasia and myopathy. The presentation, neuro-imaging and muscle biopsy features are discussed.
    Type of Medium: Online Resource
    ISSN: 2582-4287 , 2582-4953
    Language: English
    Publisher: Georg Thieme Verlag KG
    Publication Date: 2014
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  • 5
    Online Resource
    Online Resource
    Medknow ; 2024
    In:  Indian Journal of Community Medicine Vol. 49, No. Suppl 1 ( 2024-04), p. S13-S13
    In: Indian Journal of Community Medicine, Medknow, Vol. 49, No. Suppl 1 ( 2024-04), p. S13-S13
    Abstract: Analyzing preterm deaths is crucial due to the significant contribution of preterm babies to neonatal mortality rates. However, there is no universal perinatal death (PND) audit system in India Objective: To analyze the preterm deaths in two districts of Karnataka with study model of PND audit Methodology: Hospitals with maternal and child care facilities which met inclusion criteria in Dakshina Kannada (DK), high performing and Koppal (KPL),low performing districts were included after institutional ethics committee approval and permission from Mission Director, National Health Mission, Directorate of Heath and Family Welfare Services, Government of Karnataka. A PND audit system was designed. Personnel with training in medico-social history taking were utilized for data accumulation. Causal analysis of death as certified by independent expert panels and certifying physician was carried out and was compared for functionality. To determine optimality of care, facilities were categorized depending upon available levels of maternity and neonatal care. Preterm deaths during the one-year study period with complete data were analyzed. Results: 119 preterm deaths in DK and 97 preterm deaths in KPL were analyzed. In utero transfer was 81.5 % in DK and 11.3% in KPL. More preterm deliveries were documented in public hospitals in both districts. Deaths of preterm babies in private hospitals at KPLwas 41.2% against 27.8% private deliveries. In KPL 22.6% babies died at home despite delivering in hospitals. Risk factor documentation was poor in both districts. Expert committee review increased preventability assertion from 7.5 to 11.7% in DK, 2 to 62.8% in KPL. Conclusion: Auditing perinatal deaths and analysing preterm deaths resulted in identification of specific deficiencies in healthcare system. DK had reasonably good facilities but KPL had serious concerns. The study model enhanced the preventability assertion in preterm deaths
    Type of Medium: Online Resource
    ISSN: 0970-0218 , 1998-3581
    Language: English
    Publisher: Medknow
    Publication Date: 2024
    detail.hit.zdb_id: 2085330-0
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  • 6
    Online Resource
    Online Resource
    EManuscript Technologies ; 2018
    In:  International Journal of Medicine and Public Health Vol. 8, No. 4 ( 2018-12-10), p. 152-157
    In: International Journal of Medicine and Public Health, EManuscript Technologies, Vol. 8, No. 4 ( 2018-12-10), p. 152-157
    Type of Medium: Online Resource
    ISSN: 2230-8598
    URL: Issue
    Language: Unknown
    Publisher: EManuscript Technologies
    Publication Date: 2018
    detail.hit.zdb_id: 2649717-7
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  • 7
    In: Clinical Genetics, Wiley, Vol. 100, No. 5 ( 2021-11), p. 542-550
    Abstract: Genetic disorders with predominant central nervous system white matter abnormalities (CNS WMAs), also called leukodystrophies, are heterogeneous entities. We ascertained 117 individuals with CNS WMAs from 104 unrelated families. Targeted genetic testing was carried out in 16 families and 13 of them received a diagnosis. Chromosomal microarray (CMA) was performed for three families and one received a diagnosis. Mendeliome sequencing was used for testing 11 families and all received a diagnosis. Whole exome sequencing (WES) was performed in 80 families and was diagnostic in 52 (65%). Singleton WES was diagnostic for 50/75 (66.67%) families. Overall, genetic diagnoses were obtained in 77 families (74.03%). Twenty‐two of 47 distinct disorders observed in this cohort have not been reported in Indian individuals previously. Notably, disorders of nuclear mitochondrial pathology were most frequent (9 disorders in 20 families). Thirty‐seven of 75 (49.33%) disease‐causing variants are novel. To sum up, the present cohort describes the phenotypic and genotypic spectrum of genetic disorders with CNS WMAs in our population. It demonstrates WES, especially singleton WES, as an efficient tool in the diagnosis of these heterogeneous entities. It also highlights possible founder events and recurrent disease‐causing variants in our population and their implications on the testing strategy.
    Type of Medium: Online Resource
    ISSN: 0009-9163 , 1399-0004
    URL: Issue
    RVK:
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2004581-5
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  • 8
    Online Resource
    Online Resource
    Bangladesh Academy of Sciences ; 2016
    In:  Bangladesh Journal of Medicine Vol. 27, No. 1 ( 2016-06-05), p. 3-7
    In: Bangladesh Journal of Medicine, Bangladesh Academy of Sciences, Vol. 27, No. 1 ( 2016-06-05), p. 3-7
    Abstract: Context: Vincristine chemotherapy has dose dependent ototoxicity. Early detection of ototoxicity is better with otoacoustic emissions and high frequency audiometry than conventional pure tone audiometry. The study was done to see if vincristine treatment interferes with hearing sensitivity in children.Methods and Material: A prospective study was conducted on twenty-three children with acute lymphoblastic leukemia (ALL) on Multi Center Protocol (MCP 841).These were subjected to conventional audiometry, high frequency audiometry and distortion product otoacoustic emissions (DPOAEs) before starting chemotherapy. The follow up audiological evaluation after early intensive phase chemotherapy (approximately 6 months) was conducted in thirteen children, who received 12 doses of vincristine (1.4 mg/m2), cranial irradiation of 1800cGy ( 〉 3 years) as per protocol and antibiotics as per clinical demands.Results: Baseline audiological evaluation was normal. Follow-up evaluation DPOAEs showed a declining tendency, however changes did not reach statistical significance. Differences in median hearing thresholds prior and post treatment in higher frequency audiometry were also minimal which was not statistically significant. Conventional audiometric thresholds were not altered.Conclusions: The reduction in the signal noise ratio of DPOAE, and reduced hearing sensitivity in high frequencies in post chemotherapy in comparison with baseline measures cannot be ignored though it has failed to reach the level of statistical significance. children on vincristine should have a pre chemotherapy and follow up audiological evaluation with DPOAE The results of the present study needs to be strengthened by including larger sample and long term follow up.Bangladesh J Medicine Jan 2016; 27(1) : 3-7
    Type of Medium: Online Resource
    ISSN: 2408-8366 , 1023-1986
    Language: Unknown
    Publisher: Bangladesh Academy of Sciences
    Publication Date: 2016
    detail.hit.zdb_id: 2853118-8
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  • 9
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2022
    In:  Maternal and Child Health Journal Vol. 26, No. 9 ( 2022-09), p. 1891-1906
    In: Maternal and Child Health Journal, Springer Science and Business Media LLC, Vol. 26, No. 9 ( 2022-09), p. 1891-1906
    Abstract: Despite the implementation of essential newborn care (ENC) by the World Health Organization, knowledge gaps among postpartum women persist. Inappropriate breastfeeding practices and lack of knowledge regarding ENC among mothers has resulted in higher neonatal mortality. Purpose Our study focused on evaluating the effectiveness of flip-chart assisted postpartum maternal education in improving ENC knowledge and skills. Material and Methods A single blind parallel randomized controlled trial was carried out with 120 primigravidae. Participants were allocated to the intervention group (IG) or the control group (CG) by block randomization. A pretested validated questionnaire was administered to participants in both groups within 24 h post-delivery. Women in the IG were provided flip-chart assisted education regarding ENC approximately 24 h post-delivery. Women in both groups received verbal advice on ENC from the postnatal ward nurses, as per the existing hospital policy. ENC skills were observed in all participants in postnatal wards by independent observers. 6 months later, knowledge retention was assessed and analyzed in both groups. Results Antenatal education remained at 32% among all postnatal women. Postnatal flip-chart-assisted maternal education had a significant impact on ENC skills in the IG (p  〈  0.01) and precipitated higher knowledge scores at the end of 6 months (p  〈  0.01) in the IG. Conclusion for Practice Flip-chart assisted education soon after delivery had a sustained effect on ENC knowledge and practices that persisted for 6 months post-delivery.
    Type of Medium: Online Resource
    ISSN: 1092-7875 , 1573-6628
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2017901-7
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  • 10
    In: Indian Journal of Pediatrics, Springer Science and Business Media LLC, Vol. 89, No. 3 ( 2022-03), p. 233-242
    Abstract: To study the incidence, clinical manifestations, and genetic spectrum of primary immunodeficiency diseases (PID)/inborn errors of immunity (IEI) in a tertiary care hospital in Southern India. Methods A retrospective analysis of all patients with a clinical suspicion of PID/IEI seen at a tertiary care hospital was performed. All patients had at least one or more warning signs of PID. Serum immunoglobulin levels and other targeted investigations were performed as warranted by the clinical presentation. All families with suspected PID were counseled and offered genetic testing. Results A total of 225 children were evaluated for PID during the study period of 6 y. Fifty-six of them did not meet the European Society of Immunodeficiencies (ESID) criteria (working definition of clinical diagnosis) and were excluded. An IEI was found in 30/49 (61.2%) patients. The most frequent reason for referral was recurrent/unusual or serious infections (28%), or cytopenia (16%). Group IV diseases of immune dysregulation was the most common category (19%), followed by group III predominant antibody deficiencies in 23/163 (14%), as per the International Union of Immunological Societies (IUIS) classification. Conclusions This study highlights the heterogeneity of the present cohort, the underuse of genetic tests, and efforts to provide optimal care for children with possible IEI in this center.
    Type of Medium: Online Resource
    ISSN: 0019-5456 , 0973-7693
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2065273-2
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