There is a high prevalence of Celiac disease in SAM. Screening for Celiac disease (especially in presence of pain abdomen and abdominal distension) should be an essential part of work-up in all children with SAM.
Objectives: To know the prevalence of sickle cell disease in 0-15 years old children of tribal area and to study its clinical and hematological profile. Materials and Methods: This cross sectional study was conducted between May 2014 and December 2015 in children below 15 years of age from tribal area of Sirohi and Udaipur district in South Rajasthan. Results: A total of 1090 children in tribal area were screened for sickle cell disease. Prevalence of sickle cell disease was found to be 8.53% of which 0.77% children were suffering from sickle cell anemia (HbSS), whereas 7.7% were having sickle cell traits (HbAS). Common morbidities were anemia, pain, infection, and splenomegaly. Conclusion: Sickle cell disease is prevalent in this area. Screening for sickling in this area is suggested for early diagnosis and to promote preventive measures so as to decrease morbidity and mortality.
Background: Asthma is chronic inflammatory disorder associated with variable airflow obstruction and bronchial hyper responsiveness with different phenotypes. The objective of this study was to study the knowledge, attitude and practices among parents of Asthmatic children.Methods: It was a prospective observational study, conducted at Fortis Hospital Jaipur, from April 2016 to March 2018. All Asthmatic children fulfilling inclusion were included, 120 children were studied. A detailed interview of all the children/parents was conducted by pre-validated KAP questionnaire. Subjects were labelled as Bronchial Asthma in children above 5 years of age on the basis of symptoms and measurement of Peak Expiratory Flow (PEF) both baseline and post bronchodilator by PEF meter and in children less than 5 years of age by clinical symptoms, family history and response to bronchodilator according to GINA guidelines. Statistical analysis was done by one-way ANOVA test and Chi-square test.Results: In this study 26.4% parents were ignorant about etiology, 32% believed it to be allergy and 39.62% believed it to be hereditary. 1.9% had misconception of contagious. 68% parents know that their child have asthma while 32% parents did not know. Majority (52.1%) attributed it to cold air and rainy season followed by Dust mite and pollution in (42%).Conclusions: Knowledge about Asthma has improved over last few decades but still needs replenishment. Knowledge gap between recommended and actual practices, lack of adherence to aerosol therapy and fear of medication side-effects still persists. Parental education is important part of management of Asthma.
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