Screening of 1986 consecutive Dve births was done for evidence of Respiratory Distress by administering Downe's scoring in a prospective study at level n nursery of a medical coUege. A detaUed antenatal, natal and postnatal history along with detaUed examination supported by relevant investigations was carried out to arrive at the etiological diagnosis of Respiratory Distress Syndrome (RDS).Results: 48 newborns developed RDS during the observation period. The incidence of RDS was 2.42%. Out of these 40.4% were

Background: Effective breastfeeding (BF) is a function of proper positioning and attachment of a child to mother's breast. However, there is paucity of data on mothers' skills of positioning and attachment of baby and effectiveness of educating the same in the initial days of hospital stay. Objectives:To assess the effectiveness of educating the postnatal mothers who were feeding with incorrect positioning and attachment on the correct BF technique and to identify the mothers needing support and the factors affecting them. Method:A study was done in a tertiary care hospital attached to Mysore Medical College, India, from May to September 2015. Three hundred and fifty five mothers in postnatal wards were observed when they were feeding the babies for the BF technique as per Integrated Management of Neonatal and Childhood Illnesses guideline. All mothers who performed the technique wrongly were educated about the correct technique. These mothers were assessed again at the time of discharge by the same observer.Results: On initial observation, 67% mothers had correct positioning and 53% babies had correct attachment. However, only 43% mothers and babies had both correct positioning and attachment while BF. After the intervention, more than 97% of mothers were able to attach their babies well and 98% were able to position their babies correctly (p<0.0001). Infant's whole body not being well supported by mother was found to be one of the principal factors of incorrect positioning to the breast. Age, education and parity were significantly associated with mothers ___________________________________________

In this communication is reported a neonate with Yunis Varon syndrome, a rare autosomal recessive disorder, born to a consanguineously married couple who had microcephaly, wide cranial sutures, prominent eyes, hypertelorism, dysplastic ears, sparse hairs, cupid bow like upper lip with median pseudocleft and labio-gingival retraction. Bilateral hypoplasia of thumbs, absent great toes, short phalanges were other features. Additional features in this case included median pseudocleft unreported earlier and C.T. findings of underdeveloped gyri, ischemic changes in temperoparietal region and bilateral lacunar infarcts in middle cerebral artery territory.

It is the most common cardiovascular disorder, posing a major public health problem of the world and especially to the population in socioeconomic and epidemiological transition. [1] It is one of the major and independent risk factors for non-communicable diseases (NCD) such as cerebrovascular disease, coronary heart disease, and cardiac and renal failure. [2] The recent WHO report states that considering the prevalence of any diseases, hypertension ranks fourth in the world. [3] As it is hidden beneath an

Background: Diagnosis of dengue hemorrhagic fever (DHF) in children is based on clinical suspicion and prompting laboratory criteria.Methods: This prospective study in children (6 months-14 years) presenting with features of DHF aimed to identify symptoms and signs, laboratory parameters for in early detection and assessed the association between clinical, laboratory, immunological parameters and outcome.Results: Of 50 children, 26 were females, mean±SD age was 8.3±3.02 years; age group 8-12 years were affected the most (38.0%) and infants the least (4.0%). Fever (100%), followed by skin rash (56.0%), myalgia (52.0%) and head ache (48.0%) were the symptoms. Fever of 4-5 days (52.0%), high grade fever (84.0%) and of sudden onset (76.0%) were common. Ascitis was seen in nine. Peteche and malena (48.0%) were predominant manifestation of bleeding tendency (100%). Positive tourniquet test (48.0%) did not correlate with bleeding tendency. Lower levels of Hemoglobin (<12gms%, 100%), hematocrit (<40%, 98.0%), platelet count (<100000/mm3, 100%), serum albumin (76.0%), and abnormal liver enzymes (64.0%) along with prolonged prothrombin time (44.0%) and aPTT (18.05%) were noted. Ultrasound abdomen confirmed Pleural effusion (52.0%), ascitis (22.0%), Hepatomegaly (68.0%). Mean detection time was 4 days. Positive dengue IgM and IgG (60.0%), IgM (16%), and IgG (24%) were observed with increase of IgM in early phase.Conclusions: lower platelet count, raising haematocrit, increased liver enzymes with low serum albumin levels are early indicators. Prolonged PT and APTT are associated with severe bleeding manifestations. Apart from clinical expertise, chest X-ray, abdominal ultrasonogram are useful diagnostic tools.