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International Journal of Contemporary Pediatrics
Number of Followers: 2  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2349-3283 - ISSN (Online) 2349-3291
Published by Medip Academy Homepage  [12 journals]
  • Evaluation of risk factors and clinical presentation of adenoid
           hypertrophy among children attending the pediatric outpatient department
           of tertiary care hospital in Dhaka division

    • Authors: Morshed Alam, M. Abdur Razzak, S. M. Azizur Rahman, Sofiqul Islam, Shaheen Akter
      Pages: 1136 - 1140
      Abstract: Background: Adenoid hypertrophy (AH), also known as enlarged adenoid, refers to the unusual growth of the adenoids. AH and its consequences are common in the entire childhood period. The adenoids are small masses of lymphatic tissue located in the upper airway, between the nose and the back of the throat.Methods: This cross-sectional study was conducted from January 2021 to December 2021 over a period of 12 months. All the children aged 1-18 years attending the pediatric outpatient department (OPD) who had known risk factors or sign-symptoms of AH underwent a lateral nasopharyngeal x-ray to confirm the presence of an enlarged adenoid. Those children who had enlarged adenoids were analyzed in this study.Results: A total of 1289 children aged 1-18 years attended the pediatric OPD over 1 year of the study period, out of them, 118 had evidence of enlarged adenoid on lateral nasopharyngeal x-ray, giving a prevalence of 2.3%. Among the 118 radiologically proved AH cases, 112 (95%) were symptomatic and 6 (5%) were asymptomatic having risk factors only. The peak age of diagnosis of AH in this study was between 12-72 months (43.4%).  The mean age of presentation was 100.6±58 months. There was a male predominance with male to female ratio of 1.6:1. AH may be presented without symptoms in 5% of cases or may be presented with complications such as OSA (27%), adenoid facies (14%), and otitis media with effusion with or without hearing impairment (13%).Conclusions: The prevalence of AH among children attending the pediatric outpatient department was 2%, of them 18% had an indication for adenoidectomy. The most common two clinical presentations were mouth breathing and nasal obstruction and the most common complication was obstructive sleep apnea.  
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223058
      Issue No: Vol. 9, No. 12 (2022)
       
  • Evaluation of foetal tricuspid annular plane systolic excursion with
           conventional m-mode ultrasound in normal pregnancy

    • Authors: Peter Chibuzor Oriji, Enefia Kelvin Kiridi, Datonye Christopher Briggs, Johnpatrick Uchenna Ugwoegbu, Akaninyene Eseme Ubom, Addah Abegnigo Ojanerohan, Isaac Joel Abasi, Bosrotsi Panebi, Chioma Okechukwu, Adesina Adedotun Daniel
      Pages: 1141 - 1148
      Abstract: Background: Foetal tricuspid annular plane systolic excursion (fTAPSE) in-utero helps in the evaluation of the right foetal cardiac function, which is key in the early diagnosis of congenital heart defects and abnormalities. Objectives of the study was to assess foetal TAPSE in the second half of normal pregnancy, establish reference ranges for this measurement in our environment, and to determine the relationship of foetal TAPSE with gestational age and estimated foetal weight.Methods: This descriptive cross-sectional study was conducted between March 2022 and August 2022 at the Obstetric Units and Radiology Departments of the two tertiary facilities, one secondary facility and one radiodiagnostic facility in Bayelsa State, Nigeria. Consenting pregnant women presenting to the antenatal clinic during the second half of pregnancy were consecutively included. An obstetric ultrasound scan was performed transabdominally. Data were analysed using SPSS version 25.Results: There was a very strong, positive and significant relationship between fTAPSE and gestational age (ɼ=0.81; p=0.001); and between fTAPSE and estimated foetal weight (ɼ=0.79; p=0.001). The mean fTAPSE and standard deviation from the 20th to the 23rd week of gestation were 2.10±1.11 mm, 2.43±0.95, 2.74±0.84 mm and 2.94±0.70 mm, showing a gradual increase in mean fTAPSE as gestational age increases.Conclusions: Our study revealed that there was a significant relationship between fTAPSE and gestational age; and between fTAPSE and estimated foetal weight, which correlates with published data around the globe.  
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223059
      Issue No: Vol. 9, No. 12 (2022)
       
  • Oral hygiene practices, dental experiences and dietary habits in school
           going children

    • Authors: Amit ., Ribhu Hooja, Prachi Mital, Mitakshra Nirwan
      Pages: 1149 - 1155
      Abstract: Background: Prevalence of oral diseases is increasing with growing urbanization and changes in living conditions. Increasing consumption of sugary snacks, chocolates, sugary or aerated drinks are making children prone to develop dental problems. Regular toothbrushing, rinsing mouth with water, use of mouthwashes and inter dental brush or dental floss, a balanced diet and regular visits to dentist are associated with a decreased risk of dental diseases. Objective was to determine the oral hygiene practices, dietary habits and dental experience among children of 3-15 years.Methods: This was a cross-sectional study carried out at a tertiary care center and dental college. Questionnaire was used to determine the dental health practices, dietary habit and dental experiences. Responses of 100 duly filled forms were included and statistically analyzed.Results: 100% of the students brushed their teeth daily with toothpaste. About 53% brushed at least twice daily. 85% children rinsed mouth with water after brushing, 42% rinsed mouth with water after every meal. Adult help required for brushing and habit of eating in between meals snacks were significantly more in children of primary section compared to children of 6th standard onwards. Only 16% children were using mouthwash regularly. 47% children visited dentist for various reason out of which 46.8% visited for routine check-up.Conclusions: In our study 100% children were brushing their teeth at least once a day, 42% were rinsing mouth after every meal. Efforts should be made to promote good oral hygiene habits among children through various educational programs.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20222973
      Issue No: Vol. 9, No. 12 (2022)
       
  • Clinical profile and outcome of Guillain Barre syndrome in a tertiary care
           hospital

    • Authors: Sravya Sree Sreekantham, Sudha Rudrappa, Thanuja Basauanagowsa
      Pages: 1156 - 1158
      Abstract: Background: Guillain Barre syndrome (GBS) is a progressive symmetric muscular weakness with absent or depressed deep tendon reflexes. Wide spectrum of disease severity can be seen ranging from a mild disease to quadriparesis, cranial nerve involvement and autonomic instability. Methods: Hospital based observational study is planned for GBS patients admitted to Cheluvamba hospital, a tertiary care hospital in South India, for a period of 2.5 years from Jan 2020 to August 2022.Results: 30 patients (12 males; 18 females; mean age of 7.7 years) were enrolled in this study. Among which 11 were in age group of 0-5 (36%), 10 were in the age group of 6-10 (33%), 7 were in age group of 10-15 (23%), 2 were in age group 16 and above (6.6%). Type of paralysis was paraparesis in 14 (46%) children quadriparesis in 15 (50%) children and one child had no limb involvement. In associated dysfunctions, autonomic dysfunction was seen in 1 (4.5%), bulbar palsy in 3 (13.6%). One child presented with features of Miller Fischer variant of GBS which are ophthalmoplegia and ataxia. Among 30 children 22 were recovered and discharged, 3 children died, and 5 children left against medical advice.Conclusions: The clinical characteristics, subtype of GBS, and outcome vary according to geographic area. This study is directed to find the clinical pattern and outcome of the same in tertiary care hospital in south India.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223060
      Issue No: Vol. 9, No. 12 (2022)
       
  • Height velocity and its relation with serum ferritin and pretransfusion
           haemoglobin in thalassemia patients: results from a tertiary center in
           Northeast India

    • Authors: Bikashita Mahanta, Ananta Kumar Nath, Pranabjit Biswanath
      Pages: 1159 - 1162
      Abstract: Background: ẞ-thalassemia syndromes are the commonest single gene disorders in the Indian population and growth failure remains a major concern among these patients.Methods: We studied the relation of height velocity with serum ferritin and pretransfusion hemoglobin in 30 transfusion dependent thalassemia patients aged 1-12 years attending our centre. The height measurements were taken every 6 months for one year. Serum ferritin was measured 3 monthly and pretransfusion hemoglobin was measured at each visit.Results: The prevalence of impaired height velocity in transfusion dependent thalassemics in our study was 56.67%. The mean pretransfusion hemoglobin was 7.8±1.065 g/dl and the mean serum ferritin level in our study was 2426±872 ng/ml. In thalassemia patients with height velocity < 3rd percentile mean serum ferritin level was 2637±892.84 ng/ml while the mean serum ferritin level in patients with height velocity >3rd percentile was 1875±564.007 ng/ml with a statistically significant relation (p=0.012). Although the mean pretransfusion hemoglobin in children with height velocity <3rd percentile was found to be lower compared to their counterparts with height velocity >3rd percentile (7.42±0.879 g/dl vs. 7.96±0.998 g/dl), this relation was found to be statistically insignificant (p value=0.127).Conclusions: Our study highlights that even though regular blood transfusions are essential in thalassemic patients, maintaining an optimal ferritin level is equally essential in influencing growth in these children. 
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223061
      Issue No: Vol. 9, No. 12 (2022)
       
  • Pathological jaundice in late preterm neonates admitted in a tertiary
           hospital, Imphal: a prospective COHORT study

    • Authors: Manisha Sharma, Lalrinkimi Khiangte, Punyo Beti, T. Kambiakdik, C. Shyamsunder Singh
      Pages: 1163 - 1167
      Abstract: Background: Approximately 85% of all term and most preterms develop clinical jaundice. Hyperbilirubinrmia is defined as a total bilirubin (TB) >95th percentile on the hour-specific Bhutani normogram. Pathological jaundice implies the onset of jaundice before 24 hours of age, rate of rise in TSB of >0.2 mg/dl/hour and jaundice persisting after 14 days in term and 21 days in late-preterms. The aim of this study was to determine the incidence, progression and the predictors of pathological jaundice among the late preterm infants admitted in Paediatrics ward of a tertiary care centre, Imphal.Methods: A hospital based prospective cohort study was carried out in paediatrics department, RIMS during a period of 2 years (September 2019 to August 2022) with approval from research ethics board. Sample size was 100 based on consecutive sampling.Results: Pathological jaundice developed among 65.0% (95% CI: 54.7-74.1%) neonates. The median duration of onset was 47.0 hours. The mean bilirubin at the time of diagnosis of jaundice was 15.5 mg/dl. Three neonates underwent exchange transfusion. Of these 3, one had pre-exchange bilirubin encephalopathy. Male gender, breast feeding, sepsis, infants blood group (B +ve), jaundice among the siblings and birth trauma (birth asphyxia/cephalhematoma) were significantly associated with the development of neonatal hyperbilirubinemia.Conclusions: Jaundice is condition that is often present and constitutes one of the major risks for neurodevelopmental issues in later life and the risk is further compounded by prematurity. Hence further studies with a larger sample size on a multicentric level could add robustness to our study thereby helping in better understanding and management of the condition.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223062
      Issue No: Vol. 9, No. 12 (2022)
       
  • The electrolyte abnormalities and duration of hospitalisation in children
           with gastroenteritis

    • Authors: Vaseefat Ul Zehra, Naseer Yousuf Mir, Elmira Haji Esmail Memar, Aakifa Fayaz
      Pages: 1168 - 1172
      Abstract: Background: Diarrhoea remains one of the major causes of death among infants significantly in Asia, Africa and Latin America. The major contributing factors for higher incidence and mortality rates are improper sanitation, unsafe drinking water, physiological conditions like malnutrition, weak immune system.Rotavirus is the major causative agent of diarrhoea in young children in developed and undeveloped countries. Electrolyte abnormalities is the leading causes of morbidity and mortality in younger children with acute gastroenteritis and increased mortality is seen in malnourished children. The common abnormalities associated with acute gastroenteritis are hyponatremia and hypokalaemia. The average duration of hospital stay is 2.5 days.Methods: This is a descriptive cross-sectional study which studied 173 patients of acute gastroenteritis which have been admitted to the CMC, Tehran in 1 year. (June 2021-May2022).Results: In this study 173 patients were studied. 101 patients (58.4%) were infants, 55 patients (31.8%) were preschool children and 17 patients (9.8%) were older children. 70 patients (40.5%) were females and 103 patients (59.5%) were males. The most common electrolyte abnormality that was encountered in this study is hyponatremia (51.4%) >hypokalaemia (11.6%) >hypernatremia (6.9%) >hyperkalaemia (1.2%).Conclusions: The order of electrolyte abnormalities seen: Hyponatremia (51.4%), hypokalaemia (11.6%), hypernatremia (6.9%), hyperkalaemia (1.2%). Duration of hospitalisation is 1 day for majority of the patients and is high for patients with hyponatremia.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223063
      Issue No: Vol. 9, No. 12 (2022)
       
  • Clinical profile and immediate outcome of children admitted with foreign
           body aspiration: experience at Dr. Vaishampayan Memorial Government
           Medical College, Solapur, Maharashtra

    • Authors: Sujit B. Ghodke, Manasa D., Neelofar Bhori, Shakira V. Savaskar, Anant A. Takalkar
      Pages: 1173 - 1178
      Abstract: Background: Foreign body (FB) aspiration is an uncommon but potentially life-threatening situation that requires urgent intervention. It occurs more commonly among children than in adults. The clinical presentation varies depending on the location of FB in the airway. Patients may be asymptomatic, but when present, symptoms range from acute onset of cough, shortness of breath and at times, asphyxiation. Objective of the research was to study the clinical pattern and immediate outcome of children admitted with foreign body aspiration (FBA).Methods: Descriptive observational study was carried out at department of paediatrics at Dr. VMGMC Solapur during the study period of September 2019 to October 2021. Statistical analysis was done using statistical package for the social sciences (SPSS) 24.0 version.Results: Mean age of the study population was 4.16±2.74 years. Males were 26 (52%) and females were 24 (48%) in our study. Males were predominant in our study with male to female ratio as 1.08:1. Groundnut was commonest FB seen in 34%. Commonest location of FB was right nose in 18 (36%), left nose in 12 (24%). Commonly seen symptoms were irritability in 58%, fever in 40%, vomiting in 40% and cough in 38%. Mortality rate was 2% in our study.Conclusions: Commonly observed aspiration of suspected FB was groundnut in 34% and chana in 20% cases. Most common symptom after aspiration revealed that the irritability in 29 (58%), fever 20 (40%) and vomiting in 20 (40%) cases. Mortality rate was 2% in our study.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223064
      Issue No: Vol. 9, No. 12 (2022)
       
  • Clinico-etiological profile of children with seizures at a tertiary care
           centre in rural area in North India with special emphasis on “treatment
           gap”: a retrospective observational study

    • Authors: Namita Mishra, Amit Shukla
      Pages: 1179 - 1184
      Abstract: Background: Childhood seizures are common neurological disorder. There is paucity of studies on etiology of seizures with revised standard definitions and of studies highlighting the treatment gap, required to plan health care services in rural areas of developing countries with limited resources. Objectives were to study the clinical and etiological profile of children with seizures and treatment gap in outpatient department of tertiary care centre in rural area in Northern India.Methods: It was a retrospective observational study in which relevant data on clinical, etiological profile and treatment details collected from OPD records was analyzed,Results: Study population of 249 children with mean age 9.2 (4.6) years and 52% females was analyzed. Generalized seizure was most frequent seizure type (71.50%). Neurocysticercosis was most common etiology (45.8%). Neuroimaging was abnormal in 79% cases. There was treatment gap of 66% with 43% children not started on any antiepileptic drug. The 58% children were taken to local tantriks believing that seizure is due to evil spirit. Amongst children who were given antiepileptic drugs (AEDs) (n=142), 86.6% were on monotherapy of which carbamazepine was most frequently prescribed drug (41%).Conclusions: The results of study would help to streamline the limited resources available for treatment and prevention of childhood seizures in the rural community and conduct socio culturally acceptable health campaigns to educate people about seizure and bridge the treatment gap.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223065
      Issue No: Vol. 9, No. 12 (2022)
       
  • Growth in children aged 5 to 15 years with special reference to sexual
           maturity rating: cross-sectional study

    • Authors: Carol Sara Cherian, Bibin Sajan
      Pages: 1185 - 1193
      Abstract: Background: Puberty is a critical period for children since hormonal changes impact directly on linear and sexual growth. This study aimed to assess the growth pattern of children aged 5-15 years with special reference to sexual maturity and to find association of sexual maturity rating (SMR) with body mass index (BMI) and socioeconomic scores.Methods: Cross sectional study was done in Pushpagiri Institute of Medical Sciences a tertiary care hospital. The 910 children in the age group of 5 to 15 years with consent /assent formed the study group via multistage sampling. Study period was for 18 months (March 2016 to September 2017). Physical examination included anthropometry and SMR by Tanner staging. Probit analysis was done to calculate the mean ages of attainment of SMR. Bivariate analysis and Pearson’s chi-square test were used to test the possible association between SMR and BMI/ socioeconomic status.Results:910 children were included in the study (M:F=1.25:1). The mean and 50th percentile values for height and weight were in close agreement in all age groups in both sexes. The maximum increase in height was noted between 11-12 years in girls and 14-15 years in boys. The mean age of onset of Gonadarche and Pubarche in boys was 11.4±0.99 years and 12.4±1.36 years respectively. The mean age of attainment of Thelarche, pubarche, and menarche was 10.4±1.38, 10.9±1.29, and 11.2±1.56 years respectively in girls. The time interval between Thelarche and Menarche was 10 months. The association of thelarche with SES was statistically significant (p<0.001). Overweight/obese girls showed 9.6 months earlier onset of thelarche when compared to the normal/thin subjects.Conclusions: The study yielded normative values for height, weight, and sexual maturation patterns in children of central Kerala. Obese/overweight female subjects tend to attain sexual maturation earlier compared to non-obese subjects.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223066
      Issue No: Vol. 9, No. 12 (2022)
       
  • Acalculous cholecystitis in the setting of immunoglobulin a vasculitis: a
           case report with literature review

    • Authors: Clayton Prakash Burruss, Ioana Bacus, Pooja Dushyant Utamsingh
      Pages: 1194 - 1197
      Abstract: Immunoglobulin A vasculitis (IgAV), also known as Henoch-Schönlein Purpura, is the most common childhood vasculitis which presents with a tetrad of symptoms: palpable purpura, abdominal pain, arthralgias, and renal involvement. Gastrointestinal involvement has been reported with findings including abdominal pain, pancreatitis, intussusception, ischemia, and gallbladder involvement. Our patient had the classical presentation of IgAV with additional gallbladder thickening found on imaging. He was managed conservatively for his symptoms and gallbladder thickening. This case adds to the six prior cases that we found in our literature search reported of gallbladder thickening alongside IgAV. However, this was the only case that was managed conservatively resulting in a complete resolution of symptoms.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223067
      Issue No: Vol. 9, No. 12 (2022)
       
  • Mulethi (licorice): real but unrecognised hazards of superstitions in
           mothers: a case report

    • Authors: Sham Lohiya, Chitturi V. S. Akhil, Shubhangi P. Ganvir, Jayant Vagha
      Pages: 1198 - 1200
      Abstract: Licorice extract has long been known as a natural sweetener and thirst reliever. Many people who take large amounts and are prone to complications overestimate its nutritional benefits. Glycyrrhetic acid, the active metabolite in licorice, inhibits 11-ß-hydroxysteroid dehydrogenase enzyme type 2 causing increased cortisol levels and hypernatremia, hypokalemia. In this case report, we ensure a holistic study of licorice, as well as the documented side effects of excessive consumption. The study emphasises the necessity of looking into dietary habits and herbal medicines that are utilised around the world based on cultural and habitual grounds rather than scientific data. Not many case reports are available on this particular aspect of licorice consumption and its unknown adverse effects. We anticipate that our review will serve as a deterrent to parents’s superstitious beliefs on the benefits of licorice consumption.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20222979
      Issue No: Vol. 9, No. 12 (2022)
       
  • Doppler alternans in pediatric emergency: correlation between clinical,
           Doppler waveforms and silent ventricular dysfunction by POCUS echo

    • Authors: Munesh Tomar, Maitri Chaudhuri, Hariraj Singh Tomar
      Pages: 1201 - 1203
      Abstract: Pulsus alternans (PA), reported in nineteenth century, is a subtle abnormality, often missed in emergency situations. However, the significance lies in its association with severe ventricular dysfunction. This case reports an 8-year-old child presenting with heart failure in emergency department. Abdominal aortic Doppler displayed pulsus/Doppler alternans. Step by step investigation of Doppler clue unearthed severe left ventricular dysfunction secondary to systemic arterial hypertension.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223068
      Issue No: Vol. 9, No. 12 (2022)
       
  • Dyskeratosis congenita: a case report

    • Authors: Basab Bagchi
      Pages: 1204 - 1207
      Abstract: Dyskeratosis congenita is a rare hereditary disorder characterized by skin pigmentation, nail dystrophy and leukoplakia along with bone marrow failure and increased predisposition to malignant tumours. Here we describe a 7-year-old child who presented with classic triad of pigmentation, nail changes, leukoplakia along with manifestations of bone marrow failure. He was initially put on androgen therapy with plan for a possible matched related allogenic HSCT. A haematologist should be aware of the complications of therapy, bronchopulmonary complications, futility of IST and dangers of using myeloablative transplant in such a patient.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223069
      Issue No: Vol. 9, No. 12 (2022)
       
  • Inflammatory myofibroblastic tumour of an unusual site in an infant

    • Authors: Rahul Chidurala, Latha M. Sneha, Balaji Thiruvengadam Kothandan, Ravikumar Aruncahalam, Shivapriya Jeyabalakrishnan, Vasugi Gramani Arumugam, Gokulakrishnan Periyakaruppan
      Pages: 1208 - 1211
      Abstract: Inflammatory myofibroblastic tumors are rare mesenchymal tumors of intermediate malignant potential, usually seen in the first or second decades of life. They have a high local recurrence rate but rarely metastasize. The involvement of paranasal sinuses or the nasal cavity is relatively uncommon, especially in infants. In children, there is a predilection for the abdominal cavity and it is rare in infants. Complete surgical excision is the treatment of choice. We report a case of a 10-month-old girl with an inflammatory myofibroblastic tumor of the left nasal cavity and sinuses who was initially treated with chemotherapy in view of the complicated surgical process and later underwent near-total resection as she was not responding to chemotherapy. Knowledge of such tumors among physicians and ENT surgeons will improve the prognosis, as completely excised tumors have a very low recurrence rate and adjuvant therapy may not be needed.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223070
      Issue No: Vol. 9, No. 12 (2022)
       
  • Chiari malformations: not every disability is visible

    • Authors: Priyadarshi Prajjwal, Muhammad Farhan, Pugazhendi Inban, Spandana Mitra
      Pages: 1212 - 1217
      Abstract: In Chiari malformation (CM), portions of the brain or spinal cord is pushed down through the foramen magnum, which is located at the bottom of your skull. This causes a portion of the brain to be in contact with the part of the spinal column-usually the spinal cord. The cerebrospinal fluid, however, may be pushed up through the hole making it difficult to detect in this condition. These are a collection of malformations affecting the cerebellum, pons, and medulla oblongata in the posterior fossa and hindbrain. Problems caused by these malformations range from the lack of the cerebellum to the cerebellar tonsils protruding through the foramen magnum, with or without additional intracranial or extracranial anomalies such as hydrocephalus, encephalocele, syrinx, or spinal dysraphism. CMs can be of several types and are more common in females than in males and in children than in adults. This is because they are growing and developing at a rapid rate, which leads them to have a greater amount of skull growth. In this review article, we discuss the various types of CMs, their pathophysiology, clinical features, imaging characteristics, treatment, and why they form an important complex of rare disorders necessary to be diagnosed early.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223071
      Issue No: Vol. 9, No. 12 (2022)
       
  • Tomato flu-a tell-tale sign of another pandemic or just a benign
           manifestation of hand foot mouth disease

    • Authors: Rajan Kumar, Suman Kumar, Deepak Kumar
      Pages: 1218 - 1218
      Abstract: The world is still dealing with the COVID-19 pandemic, but of a gentle variant. In the midst of the global crisis, in God's own land (Kerala), media highlighted cases of febrile illness similar to flu with red round skin lesions that bear a resemblance to tomatoes that have emerged in children younger than 5 years, known as tomato flu or tomato fever. It could be an aftereffect of chikungunya or dengue, rather than a new viral illness. Numerous reports claim that the tomato flu is truly a viral HFMD variant. Hand, foot, and mouth disease (HFMD) is a common febrile illness characterised by a rash caused by enteroviruses, including Coxsackie A16 (CA16), EV A71, Coxsackie A6, Coxsackie B, and Echo viruses.
      PubDate: 2022-11-24
      DOI: 10.18203/2349-3291.ijcp20223072
      Issue No: Vol. 9, No. 12 (2022)
       
 
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