Asian Journal of Pediatric Practice
Not a member yet
71 research outputs found
Sort by
Impact of Real-time Assessment on the Training of Trainers for the Introduction of Rotavirus Vaccine in India
Get PDFBackground and aim: The introduction of rotavirus vaccine (RVV) in the universal immunization program of India is a big feat as it became the first nation in the World Health Organization (WHO) Southeast Asia region to do so. The involvement of huge numbers of frontline workers in introducing new vaccines in India and the underlined deficits in skills and knowledge require efficient capacity building programs. In view of this, limited research is available on the effectiveness of capacitybuilding interventions for healthcare workers. There is a dearth of studies from India measuring the “on-spot” impact of immunization trainings on healthcare workers. This study aims to assess the effectiveness of training in RVV introduction in enhancing the knowledge of the participants. Methods: The study was conducted among the participants attending two training workshops for the introduction of RVV: a state workshop in Pune and a regional workshop in Guwahati. The participants who attended the workshops and participated in both the pre- and post-test were included in the study. Real-time data was collected via Google forms pre- and post-training sessions. Results: In both workshops, a comparison of pre- and post-test scores of all questions taken together showed a significant increase in the knowledge level of theparticipants (p < 0.05). In Guwahati, the knowledge of the participants regarding doses of RVV, inadequate dosing, vaccine vial monitor (VVM), open vial policy, operationalization of RVV and monetary incentive increased significantly. In Pune, the knowledge of the participants regarding doses of RVV, bundling approach, schedule and dose, storage temperature for RVV, VVM, open vial policy, vaccine delivery and operationalization of RVV increased significantly after the training. Conclusion: A pre-planned and well-designed knowledge assessment tool can be used to understand the impact of training workshops in enhancing the knowledge and practical skills of the participants prior to the introduction of a new vaccine. 
Septoplasty with Adenoidectomy: A Combined Procedure for Nasal Obstruction in Children
Get PDFNasal obstruction in children is caused by numerous and diverse factors but the symptoms are essentially snoring, mouth breathing, sleep disturbances and rhinorrhea. The commonest causes of nasal obstruction in children are septal deviation and adenoid hypertrophy. Nasal septal deviation in children is usually due to some form of injury. Performing septoplasty alone in this age group without addressing adenoid may lead to recurrence of symptom i.e., nasal obstruction may lead to failure of procedure so we combine both procedures in single sitting. So we have conducted a study of combined septoplasty with adenoidectomy for relief of nasal obstruction in children aged 9-15 years
Complex Regional Pain Syndrome Type 1 Treated with Vitamin C
Get PDFComplex regional pain syndrome, formerly reflex sympathetic dystrophy or causalgia, is a chronic progressive disease characterized by severe pain, swelling, and changes in the skin. It often affects an arm or a leg and may spread to another part of the body and is associated with dysregulation of the autonomic nervous system resulting in multiple functional loss, impairment, and disability. It occurs mostly in of adolescence. Though treatment is often unsatisfactory, we report a young girl treated satisfactorily with vitamin C
Paroxysmal Visual Phenomenon: A Rare and Confusing Manifestation of Occipital Neurocysticercosis in Children
Get PDFWe report a child with occipital inflammatory granuloma of neurocysticercosis who presented with paroxysmal visual phenomenon and discuss its differentiation from migraine aura. Occipital seizures due to neurocysticercosis must be considered in the differential diagnosis of visual hallucinations in children in endemic areas
A Rare Case of Disseminated Tuberculosis with Severe Reactive Thrombocytosis
Get PDFTuberculosis (TB) is a major public health problem in India. Hematological parameters are useful indicators of severity in TB infection. Here, we report a case of a 15-year-old female child who came to us with severe anemia and disseminated TB (pulmonary and abdominal) with severe reactive thrombocytosis. Antitubercular drugs and broad-spectrum antibiotics (for superadded infection) were added and steroid therapy was concurrently started in view of wet type of abdominal TB. Anemia was treated with blood transfusion and hematinics and steroid therapy was gradually tapered off and then withdrawn. Treatment was monitored, and within a duration of 2-3 weeks of treatment, platelet counts showed a falling trend. The child improved clinically and symptomatically. So, she was discharged and was on regular follow-up. We are reporting this case as in this child, there are two contributing factors (anemia and TB) for thrombocytosis. We would also like to stress upon the fact that thrombocytosis can be used as a marker in TB patients, which is already known. None of the cases reported till now have such high platelet count
I-Gel versus Proseal Laryngeal Mask Airway in Pediatric Airway Management: A Comparative Study
Get PDFAim: To compare the insertion characteristics of supraglottic airway devices I-Gel and Proseal laryngeal mask airway (PLMA) in pediatric airway management during elective surgeries under general anesthesia. Methodology: This prospective randomized comparative study was conducted in 60 pediatric patients divided into two groups of 30 each (Group I and Group P), aged 1 to 5 years and belonging to American Society of Anesthesiologists (ASA) Class 1 and 2 posted for elective surgeries under general anesthesia. In Group I, I-Gel was used and in Group P, PLMA was used. The primary outcome of the study was to assess proper placement of airway devices with adequate oropharyngeal sealing and the secondary outcomes were time taken for insertion, ease of insertion, number of attempts, hemodynamic changes associated with insertion of the device, ease of gastric tube passage and complications. Statistical analysis was done by SPSS version 25. Quantitative variables were analyzed through independent sample t-test and categorical variables were analyzed by Chi-square test. P value <0.05 was taken as statistically significant. Results: The demographic data, insertion time and number of attempts were comparable in both the groups. Placement of I-Gel was better in comparison with that of PLMA and was statistically significant (p - 0.010). Conclusion: I-Gel is a better supraglottic airway device when compared to PLMA in terms of ease of insertion and proper placement and there are no significant hemodynamic changes with insertion of both devices