Background: Acute respiratory infections (ARI) and Malnutrition in children have tremendous burden on the health care sector of developing nations including India. The intensity with which these conditions are holding grip in the community is indeed a matter of concern and hence developing nations should develop an insight to assess the severity of it has become a necessity.Methods: A hospital based cross sectional study was carried out in children aged 0-14 years. Children were clinically assessed and diagnosis was made as URTI or LRTI Also anthropometry was performed and accordingly children were divided into categories of no malnutrition (NM), severe acute malnutrition (SAM) and moderate acute malnutrition (MAM) in ‘under 5’ years age children according to WHO guidelines, whereas children aged ‘above 5’ years were categorized as per the IAP guidelines.Results: It was observed that most of the mothers of children were illiterate with inadequate or absent ventilation and use of biomass fuels (chulha) for cooking purpose in households of rural children. The proportion of malnutrition was found to be equal in Under 5 children. In ‘above 5 years’ age study subjects, 52.4% of urban study subjects were normal as compared to 16.7% of rural study subjects.Conclusions: Our study implies that ARI and Malnutrition definitely is more prevalent in the pediatric population. Prevalence of URTI was found to be on a higher side in the rural population and LRTI prevalence was found to be higher in the urban population. Similarly, the prevalence of malnutrition was almost similar in ‘Under 5’ aged children, whereas the prevalence of malnutrition in ‘Above 5’ aged children was higher in the rural population than urban population.
Tuberculosis is one of the most commonly occurring infectious disorders in the developing countries like India, which literally can affect any organ and system. Primary tuberculous myositis is used to describe the clinical situation in which the most prominent lesion in the course of haematogenous tuberculosis involves the muscle and not the fact that the infection occurred primarily in the muscle. Tubercular pyomyositis is the least frequent extra spinal musculoskeletal tuberculosis reported in literature. We came across a 15 year old female without any known primary pulmonary or lymphoid foci who presented with a swelling and pain over right forearm since 3 months. After running all the radiological investigations and nerve conduction studies and taking under consideration the various differentials of the swelling, finally the swelling was excised and histopathology of the excised specimen was performed which suggested that the swelling was due to primary tuberculosis of the muscle and the underlying subcutaneous tissue and after that patient received anti tuberculosis regimen for 9 months and no recurrence of the disease was noted till date. This rare case is presented with review of literature.
Background: In developing countries like India and many, some of the most commonly seen and prevalent conditions are the Acute Respiratory Infections (ARI) and Malnutrition in the pediatric age group. It is indeed a necessity of the time to understand the clinic-epidemiological aspects of it and develop an insight, which can help us to assess the ill effects on the child health and strengthen our policy. Methods: A hospital based cross sectional study was carried out in children aged 0-14 years. Children were clinically assessed and diagnosis was made as URTI or LRTI Also anthropometry was performed and accordingly children were divided into categories of No Malnutrition (NM), Severe Acute Malnutrition (SAM) and Moderate Acute Malnutrition (MAM) in 'under 5' years age children according to WHO guidelines, whereas children aged 'above 5' years were categorized as per the IAP guidelines. Results: On comparing the various socio-demographic aspects and environmental factors the incidence of Acute Respiratory Infections was found to be more or less equal in both male and female study subjects. The Anthropometric parameters were also similar and the difference was statistically insignificant. In Under 5 Age group study subjects incidence of SAM was 42.5% in male children as compared to 33.33% female children. In Above 5 age group study subjects 50% female study subjects were normal as compared to 42.10% male children. The incidence of overcrowding was 54.23% in male study subjects as compared to 70.73% female study subjects and the difference was found to be statistically significant as (P=0.04). Conclusions: When comparing male and female study subjects the incidence and association of various sociodemographic and environmental factors is more or less similar without any statistically significant difference. However incidence of SAM is slightly higher in males whereas incidence of MAM is slightly higher in females. Also females having overcrowding in their houses are more prone to pneumonia (LRTI) than males.
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