No abstract

No abstract

No abstract

Severe hemolysis occurred in a one‐year‐old boy following partial coil occlusion of a patent ductus arteriosus with a small but high‐velocity residual shunt. Hemolysis abated rapidly and completely after placement of a second coil fully occluded the ductus. © 1996 Wiley‐Liss, Inc.

Child undernourishment is a major challenge in India even though the government has, since 1975, been running the Integrated Child Development Services (ICDS), one of the largest programmes of this type in the world. Ever since its inception, this scheme has been marred by various governance challenges: widespread corruption, absenteeism and targeting problems, more visible in states like Bihar than in others. The ruling dispensation in Bihar has instituted major reforms to tackle these problems. These include regular inspection of service delivery centres, strict monitoring of funds, swift disciplinary action and vigilance through community participation. While these reforms are generally accepted as good in theory, research‐based empirical evidence of their impact on the ground is scarce. This article tries to fill this gap through an in‐depth case study of ICDS in Bihar. The findings indicate that, contrary to conventional thinking about good governance, the vigilance‐focused reforms along with community‐based monitoring have not been successful in curbing systemic corruption. The study concludes that alternative approaches are required to resolve the governance problems in ICDS. These include tackling the problems of understaffing and heavy workloads, and providing stronger incentives to the frontline service providers.

Neonatal entero-viral sepsis is a rare but fulminant infection with multisystem involvement, often presenting with hepatitis, meningo-encephalitis, disseminated intravascular coagulation (DIC), and myocarditis. Neonatal myocarditis often proves fatal. We report here a case of neonatal enteroviral myocarditis with multisystem organ failure and ischemic cardiomyopathy that was managed medically.

Although coil occlusion of aortopulmonary collateral vessels or patent ductus arteriosi may produce intraaortic coil loops, endothelialization appears routine. No late complications associated with intraaortic coil loops were observed.

No abstract