Indian Journal Of Clinical Practice
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Autism Spectrum Disorder: Primary Care Principles
Get PDFAutism spectrum disorder is characterized by difficulty with social communication and restricted, repetitive patterns ofbehavior, interest, or activities. The Diagnostic and Statistical Manual of Mental Disorders, 5th ed., created an umbrella diagnosisthat includes several previously separate conditions: autistic disorder, Asperger syndrome, childhood disintegrative disorder,and pervasive developmental disorder not otherwise specified. There is insufficient evidence to recommend screening forautism spectrum disorder in children 18 to 30 months of age in whom the disorder is not suspected; however, there is agrowing body of evidence that early intensive behavioral intervention based on applied behavior analysis improves cognitiveability, language, and adaptive skills. Therefore, early identification of autism spectrum disorder is important, and expertsrecommend the use of a validated screening tool at 18- and 24-month well-child visits. Medications can be used as adjunctivetreatment for maladaptive behaviors and comorbid psychiatric conditions, but there is no single medical therapy that iseffective for all symptoms of autism spectrum disorder. Prognosis is heavily affected by the severity of diagnosis and thepresence of intellectual disability. Children with optimal outcomes receive earlier, more intensive behavioral interventionsand less pharmacologic treatment
Pseudo-Ventricular Tachycardia in Parkinson’s Disease
Get PDFWe report herein a patient with Parkinson’s disease whose electrocardiogram mimicked ventricular tachycardia due toParkinson’s tremors
Micronutrient Bridge in Infectious Diseases and Its Immunological Role
Get PDFNutrition plays an important role in child health. Nutrition is an exogenous factor which plays a vital role in metabolismand growth. Micronutrients are the nutrients, which help promote the immunological function and help in maturation andproliferation of T-cells and B-cells. Here, we review the role of micronutrients in infectious diseases and their essentialitytowards the concept of immunology
Comparing the Incidence of Hearing Impairment in Normal to High-risk Newborns
Get PDFScreening by otoacoustic emission (OAE), to study the incidence of hearing impairment in newborns; 2) tocompare the incidence of hearing impairment in normal to high-risk newborns and 3) to study if the risk of hearing impairmentincreases as the number of risk factors increase. Material and methods: This was a prospective nonrandomized observationalcohort study from November 2011 to December 2013. All newborns born in the hospital were included. Detailed history(pre- and postnatal) of each newborn pertaining to risk factors for hearing loss was taken and a detailed examination wasdone. Relevant serological tests were done. Newborns were screened for hearing impairment by OAEs and the result of the testwas noted as PASS/REFER (FAIL). Results: Overall incidence of hearing impairment in newborns: 1.8%, incidence of hearingimpairment in normal newborns: 0.7% and hearing impairment in high-risk newborns: 6.3%. Incidence of hearing impairmentwas significantly higher in high-risk newborns compared to normal newborns (p < 0.01). Conclusion: Though, the incidenceof hearing impairment is significantly higher in high-risk newborns, targeted screening of high-risk newborns will result inmissing a significant number of normal newborns with hearing impairment. Hence, there is a necessity for universal newbornhearing screening program
