Background: The reported incidence of hypoglycemia varies with its definition. The clinical manifestations of hypoglycemia are nonspecific and similar to those of many disorders in newborn infants. Persistent hypoglycemia is more likely to be associated with possible neurologic sequelae. However, its definition, clinical significance, and management remain controversial. Methods: This prospective observational study was done over a period of 2 years. Babies admitted to Neonatal intensive care unit with whole blood sugar levels <40 mg/dl and fulfilling inclusion criteria were taken up for the study. These babies were subjected to detailed history taking, thorough clinical examination and investigations. The babies were observed for signs and symptoms of hypoglycemia. Results: Neonatal hypoglycemia constituted about 8.26%. Majority of hypoglycemic babies were preterm babies. Asymptomatic hypoglycemia was predominantly noticed in preterm babies (65.21%). Term babies (58.82%) showed more symptoms with hypoglycemia than preterm babies. The major clinical manifestations are jitteriness, lethargy, convulsions and apneic spells. PIH and prematurity are most associated risk factors. Significantly low Sugar levels (p value <0.005) were noticed in symptomatic hypoglycemic babies. Conclusion: Hypoglycemia in neonates can have variable presentations indicating the need for detailed and thorough examination for evidence of hypoglycemia. Identification of risk factors of hypoglycemia and proper monitoring blood glucose levels should be done to plan early treatment and prevent neurological damage.

Background: Poisoning in children is a global problem and no part of the world is exempt from this calamity. It is one of the commonest preventable emergencies encountered in pediatric practice. Methods: This prospective observational study was done from November 2015 to October 2016. Patients admitted with clear history of poisoning/bite were enrolled during the study period and were carefully monitored for the course, complications and outcome. Patient details like age, sex, socioeconomic status, symptoms, signs, type of poison/bite, mode, reason for poisoning, any prior treatment received and reasons for delayed treatment if any were collected during the hospital stay. Results: A total of 119 cases of poisoning/bite were enrolled. Organophosphorus (OP) poisoning outnumbered the poisoning agents and Snake bite out numbered in Bites and Stings. Majority of cases were in the age group of 13-18 years. Male to female ratio 1.2 : 1. Rural to urban incidence of poisoning was 2.7:1. Highest incidence was observed in children from lower socioeconomic nuclear families and parents with lower educational status. Accidental poisoning outnumbered the suicidal poisoning. Vomiting, Pain, bleeding, Swelling, cough, pain abdomen, drowsiness, nausea, diarrhea, breathlessness, excessive salivation, sweating were observed in majority of the cases. Average hospital stay was 3.5 days (2 to 7 days). There was no mortality in this study. Conclusions: Parental health education will decreases the occurrence of childhood poisoning. Along with the parents and teachers, media also should take active steps to educate the rural population about the preventive measures from bite, stings and handling of poisonous agents.