Papers by JAIPRAKASH NARAYAN
Journal of Comprehensive Pediatrics
Background: We measure the umbilical cord thickness of newborn just after delivery with digital V... more Background: We measure the umbilical cord thickness of newborn just after delivery with digital Vernier caliper and correlate the association with antenatal maternal risk factors. This helps the pediatricians to predict which newborn need close monitoring. Objectives: The aim of indexed study to evaluate the umbilical cord thickness, maternal antenatal risk factors and determines the association between umbilical cord thickness and antenatal maternal risk factors. Methods: This is a cross sectional prospective study conducted between 2020 and 2021 at Rajkiya Mahila Chikitsalaya, J L N Medical College, Ajmer, India. Total 303 newborn subjected for this study. Out of these 189 newborn enrolled as control group for this study. Enrolment of sample was simple as our convenience during the study period. Results: Mean umbilical cord diameter was found smaller in newborns which associated with antenatal risk factors as compared to controls without antenatal risk factors (cases: 9.89 ± 2.53 ...
International Journal of TROPICAL DISEASE & Health, 2021
Background: There are a number of syndromes with a combination of pigmentary abnormalities, heari... more Background: There are a number of syndromes with a combination of pigmentary abnormalities, hearing abnormalities and other defects. One among these pigmentary syndromes is waardenburg syndrome, which is further classified into four types. All these types show marked variability even within pedigrees. Case-Report: We are reporting a case of Waardenburg syndrome type 2, with an unusual presentation of atrial septal defect and rocker bottom foot. Conclusion: All clinicians on noticing, any child with white forelock of hair or heterochromia iris should get the child’s hearing tested and further systemic evaluation, at the first instance, because an early intervention for hearing impairment and other defects can improve the outcome of child. Family counselling is at-most important for these children with syndromes. We describe a unique case of Waardenburg syndrome type 2 with an unusual presentation of atrial septal defect and rocker bottom foot.
Clostridium perfringens (CP), an anaerobic Gram-positive bacillus, is found among the normal huma... more Clostridium perfringens (CP), an anaerobic Gram-positive bacillus, is found among the normal human intestinal and vaginal flora in approximately 1 to 27% of healthy women so ascending infection from the vagina to uterus may occur [1,2]. It is also found in 10 to 27% of patient undergoing elective abortion [2]. Clostridium infection resulted from septic abortion, with a reported incidence between 0.5 and 1.0 % [3] it is often associated with caesarean sections and incomplete pregnancies. Injured and necrotic tissue in the uterus after delivery permits bacterial incubation and overgrowth of bacterial colonies [1]. Occasionally, CP infection can progress to gas gangrene, a form of tissue death, and may eventually lead to sepsis [3]. Most reported cases of intrauterine Clostridium infection resulted from septic abortion, with a reported incidence between 0.5 and 1.0% [2,3]. Infections due to CP show evidence of tissue necrosis, bacteremia, emphysematous cholecystitis, and gas gangrene, ...
Indian journal of applied research, 2016
Background and objectives : Labour is a simple natural process; which can take a turn producing i... more Background and objectives : Labour is a simple natural process; which can take a turn producing it 'lethal' and most dangerous for any patient. Partograph serves as a simple and inexpensive tool to monitor labour and provide early recognition of any deviation from normal progress of labour. The objective of this study is to recognize at an early stage, the abnormal labour and to assess management option for different abnormal labours detected to reduce perinatal morbidity and to study utility of alert and action lines.
Indian journal of applied research, 2018
Aims: To study the effect of zinc therapy in different dosage and duration on stool frequency, to... more Aims: To study the effect of zinc therapy in different dosage and duration on stool frequency, total duration of diarrhoea and recurrence of acute diarrhoea. Settings and Design: This study is Prospective hospital based study done in the Department of Pediatrics, JLN medical college and hospital, Ajmer from January 2015 to September 2015(9 months) after ethical committee permission. Methods and Material: Patients of acute diarrhoea admitted in children ward of age group between 6 months to 5 years were included in the study. Patients with Chronic diarrhoea, Persistent diarrhoea, Dysentery and Diarrhoea with any associated co-morbidity like fever and respiratory distress were excluded from study. All cases enrolled in study were divided in five groups randomly from group A to E and all groups received low Osmolarity ORS. Group A have been given zinc 20 mg per day for 14 days, Group B zinc 20 mg per day for 10 days, Group C 10 mg for 14 days, Group D 10 mg per day for 10 days and Gro...
International journal of scientific research, 2020
Volume 6, Issue 5, May 2019, 2019
Introduction: Central nervous system (CNS) tuberculosis (TB), particularly tuberculous meningitis... more Introduction: Central nervous system (CNS) tuberculosis (TB), particularly tuberculous meningitis, is the severest form of Mycobacterium tuberculosis (MTB) infection causing severe neurological defects or even death. The recent introduction of cartridgebased nucleic acid amplification test (CBNAAT) has significantly transformed the diagnostics of TB in adults, but its application for the diagnosis of pediatric TB is under evaluation. Objective: This study was conducted by for cerebrospinal fluid (CSF) examination in the detection of MTB by the culture and sensitivity and CBNAAT in the diagnosis of childhood CNS TB. Methods: A prospective hospitalbased study was conducted from July 2017 to June 2018 in the pediatric department of a tertiary care unit. A total of 65 randomly selected patients, suspected of CNS TB, were included in this study. CSF was tested for CBNAAT and culture and sensitivity other routine investigations such as specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated for both CBNAAT and culture and sensitivity. Mantoux test was also performed, and the statistical analysis was performed using Chi-square test. p=0.05 was considered to be statistically significant. Results: Culture positive TB was found in 26 out of the 65 children. The sensitivity, specificity, PPV, and NPV for CBNAAT and culture and sensitivity were 65.71%, 90.00%, 88.46%, and 69.23%, respectively. CBNAAT was detected to be more in 12 TB cases and was more sensitive than culture and sensitivity. Positive history of contact (p=0.04), reactive Mantoux test (p<0.005), presence of Bacillus Calmette Guerin (BCG) scar (p=0.02), and low socioeconomic status were independently associated with a positive CBNAAT result. Conclusion: Analysis of CSF sample with CBNAAT is a sensitive and specific method for rapid diagnosis of CNS TB in children. Compared to culture and sensitivity, CBNAAT offers better sensitivity and its scale-up will improve access to CNS TB diagnostics in children. Although a negative CBNAAT does not rule out TB!
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2021
Background - Aplasia cutis congenita is a congenital absence of skin in new born. It can be anywh... more Background - Aplasia cutis congenita is a congenital absence of skin in new born. It can be anywhere over body. Aplasia cutis congenita is a rare congenital disorder of skin. We are presenting a case of aplasia cutis congeni Case report – ta in female child associated with pyomeningitis. Conclusion - Aplasia cutis congenita, its rarity and unknown etiology is the reason of reporting. It is rarely reported a case of Aplasia cutis congenita with association of pyomeningitis.
Indian pediatrics, 2011
Wiedemann Rautenstauch (WR) syndrome is a rare autosomal recessive neonatal progeroid syndrome wi... more Wiedemann Rautenstauch (WR) syndrome is a rare autosomal recessive neonatal progeroid syndrome with only few published case reports. We describe a neonate showing clinical features of WR syndrome with peeling of skin, and presented with weak cry and breathing difficulty since birth.
The Indian Journal of Pediatrics, 2013
Volume 6, Issue 6, June 2019
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Papers by JAIPRAKASH NARAYAN