Oral lesions in neonates represent a wide range of diseases often creating apprehension and anxiety among parents. Early examination and prompt diagnosis can aid in prudent management and serve as baseline against the future course of the disease. The present review aims to enlist and describe the diagnostic features of commonly encountered oral lesions in neonates.How to cite this article: Patil S, Rao RS, Majumdar B, Jafer M, Maralingannavar M, Sukumaran A. Oral Lesions in Neonates. Int J Clin Pediatr Dent 2016;9(2):131-138.
The authors, key functionaries in the Kerala state public health system, review the communicable disease scenario of the state for the past 4 years, and in the background of the One Health concept, opines that the re-emerged discipline is perfectly in tune with the current challenges of the state. The unique model of Kerala state is witnessing newer challenges in its public health arena: The rapidly increasing migrant workforce from relatively poorer states of India, rapid urbanization and its consequent stress on public health, unsolved issues of urban waste disposal, reemergence of many communicable diseases like malaria, more so, the falciparum type, emergence of many zoonotic diseases like Lyme disease, scrub typhus, and Kyasanur forest disease etc. Conventional zoonotic infections such as anthrax and brucellosis remain potential threat for human health as well. Rabies continued to cause major concern from mortality point of view, as well as major drainer of state's budget every year. Leptospirosis has remained major burden among the communicable disease for the past 10 years, and the annual incidence ranged from 2 to 7 per 100,000 population. Having a large section of its people working in various agriculture and animal rearing occupations, the state has all risk factors for propagation of Leptospirosis, but lacks interdisciplinary collaboration in its control and prevention area, the author highlights major avenues for collaboration. Japanese encephalitis appeared as an epidemic in 2011 in two of the southern districts in Kerala, one of the districts being famous tourist spot for both humans, as well as migrant birds. There is ample scope for collaborative research on the source of the virus, and in the subsequent years, the disease had been detected in more districts. Lyme disease was reported for the first time in India, from one of the districts in Kerala, promptly investigated by a joint team from Human Public Health and Veterinary Public Health institutions in 2013, reiterating the role of interdisciplinary collaboration in outbreak investigations. Influenza had been evolving rapidly in the state from the seasonal type earlier, to H1N1 since past few years, now poised for an emergence of MERS Corona and still expected are the more fatal and highly pathogenic types. The migratory bird-pig-domestic birds-human interface being a well-knit network in the state is most suitable for all new variants of influenza virus evolution. Outbreaks of these infectious diseases need investigations by combined teams from departments such as Human Health, Animal Health, and Wild Life. The One Health concept thus becomes appropriate to address such an eventuality. The authors have concluded by identifying the probable avenues for collaborative works in addressing the public health challenges of Kerala state, India.
Background: Malnutrition can be divided into two broad groups, undernutrition and overweight or obesity. Malnutrition in early childhood and adolescence can lead to a large number of complications in later life. This study is intended to nd out the prevalence of underweight, overweight and obesity among school going children aged 13-17 years in a southern district in Kerala and to assess the factors associated with malnutrition among the study population. Methods: A cross sectional study was carried out among 340 school going children in the age group of 13-17 years in Thiruvananthapuram district, Kerala during October to November 2019. The children were interviewed using a semi-structured questionnaire including sociodemographic details, questions on dietary habits, pattern of physical activity, self-awareness and family history. Anthropometric measurements such as height and weight of the students were taken and BMI was calculated. Data was entered in Microsoft Excel and analysed by SPSS software version 21. Results And Conclusion: 53.8% of the study participants were underweight, 5.9% were overweight and 2.1% belonged to the obese category. The factors such as grade of the student (p value:0.004), mother's occupation (p value:0.001), practice of skipping breakfast (p value:0.008), physical inactivity (p value:0.033), use of online food delivery facilities (p value:0.022), lack of awareness on self-health (p value:0.018), family history of obesity (p value:<0.001) and family history of non-communicable diseases (p value:0.002) were found to have a statistically signicant association with malnutrition. Therefore, it is important to take initiatives to tackle the problem of malnutrition among adolescents to bring up a healthy future generation.
The MERS-CoV Outbreak: Challenges Facing the Dental ProfessionAlmost a decade after the devastating SARS epidemic, which infected more than 8,000 patients and causing more than 900 deaths, the outbreak of a novel coronavirus in the middle east poses a major threat to human health. 1 The middle east respiratory syndrome coronavirus (MERS-CoV) belongs to the genus Betacoronavirus, which was first isolated form Saudi Arabia in September 2012, in two patients with severe pneumonia.The exceptionally high fatality rate (>50%) subsequent to MERS-CoV infection coupled with the behavioral uncertainties of this novel virus have understandably caused major concerns. The actual risk posed by the MERS-CoV on public health is not yet entirely known to the scientific community. The continued outbreak of new cases, the ongoing risk of transmission to humans, the recent reports of nosocomial outbreaks with transmission to healthcare personnel, and the increasing reports of cases imported outside Saudi Arabia raises a public concern. 2,3 The MERS-CoV appears to replicate efficiently in human respiratory tissues targeting alveolar epithelial cells and the endothelium of blood vessels in the lung, indicating a potential for disseminating beyond the respiratory tract. 4 The most common symptoms of MERS-CoV infection were fever, cough and shortness of breath. Subsequently, the patients succumb to severe pneumonia and renal failure. 5 The syndrome has been so far clustered in the Arabian Peninsula with Saudi Arabia leading the bandwagon followed by United Arab Emirates (UAE), Qatar, Oman, Jordan, Kuwait, Yemen and Lebanon. Isolated cases have been reported from America, Europe (France, Italy and Greece) and Asia (Malaysia and Philippines), mainly with a history of travel to the Arabian region. As of June 2014, in Saudi Arabia alone, a total of 720 cases have been diagnosed with a death toll of 214, including several healthcare providers. 6,7 According to the ECDC, the global MERS total has reached 842 cases, 322 of them are fatal.With the emergence of MERS-CoV, the threat of airborne disease as a potential occupational hazard to the dental professional resurfaces again. The question that arises here is that, should we allow such diseases to reach pandemic proportions before reassessing the existing infection control measures. With the shrinking list of antibiotics due to drug resistance and vaccines which were once hailed as the 'magic bullets', one must consider alternative ways to control such diseases at earlier stages. 8 The high fatality rate of 60% with comorbidities as stated by the world health organization (WHO) should ring an alarming bell to the dental professionals. 9 Since the modes of transfer and infectivity have not been completely understood specially at its prodromal and convalescent stages of the disease, the dental professional stands at the higher risk of exposure. Various reports have suggested its spread through aerosol and droplet transmission which is particularly a cause of concern for the dental care provider...
Introduction: Mental health and well-being is as important as physical health during pregnancy. But the Coronavirus Disease 2019 (COVID-19) pandemic has caused more anxiety and stress among pregnant women. The augmented levels of anxiety and stress may have detrimental effects on antenatal women. Anxiety and depression in pregnancy can lead to adverse pregnancy outcomes like increased risk of abortions, preterm labour and even foetal deaths. Aim: To assess the anxiety and stress levels among pregnant women attending a tertiary care hospital in Thiruvananthapuram, Kerala during the COVID-19 pandemic and to determine the associated factors. Materials and Methods: A cross-sectional study was conducted among 348 pregnant women attending a tertiary care teaching hospital in Thiruvananthapuram District in Kerala during the period October and November 2020 using a validated tool, Pandemic Anxiety Stress Scale for pregnant women. Higher scores indicating higher perceived anxiety stress with a maximum score of 60, categorised as normal, mild, moderate and severe with score between 0-14, 15-29, 30-44, and 45-60, respectively. Qualitative variables were expressed in frequency and percentage. Multivariate logistic regression was done to determine the factors associated with anxiety and stress. The p-value <0.05 was considered significant. Results: Mild anxiety and stress were seen in 160 (45.98%) pregnant women, 89 (25.57%) had moderate and 7 (2.01%) had severe anxiety and stress, 92 women had no anxiety. A total of 145 (41.67%) pregnant women were scared of vertical transmission to their baby. Multivariate logistic regression revealed that residents in urban area and pregnant women with other co-morbidities associated with pregnancy were the two significant factors (p<0.05) associated with anxiety-stress. Conclusion: About one-fourth of pregnant women had moderate or severe level of anxiety and stress. Antenatal women with pregnancy related diseases and those living in urban area had more anxiety and stress during pandemic. Measures need to be taken by health system to address the mental health of pregnant women.
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