Pediatric Education and Research

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Thrombocytopenia with absent radius (TAR) is a congenital syndrome characterized by severe thrombocytopenia with bilateral absent radii and may be associated with other skeletal abnormalities. We report a case who had bilateral micromelia of upper limb, radially curved forearms and bilateral absent of thumb at birth. A severe thrombocytopenia confirmed the clinical diagnosis of thrombocytopenia with absent radius syndrome in the neonate.

Keywords: Thrombocytopenia; Radius; Newborn.

Noonan’s syndrome is a complex familial syndrome with a large phenotypic overlap with the Turner syndrome. Individuals with this syndrome have small stature, broad or webbed neck, lymphedema, facial dysmorphism, mental retardation, skeletal abnormalities, and thrombocytopenia. In males there is undescended testes and sexual infantilism. Diagnosis is currently based on clinical presentation and a normal karyotype. Here we report a case of Noonan’s syndrome.

Keywords: Noonan syndrome; Pseudo Turner syndrome; Pulmonary stenosis.

Objectives : (1)To know the prevalence of hypertension in school children in Gulbarga city.(2)To know the relation of blood pressure with variable like sex, weight, height, socioeconomic status and family history.  Methods: Two readings of blood pressure were recorded and mean was calculated. The children were labelled as hypertensive, if the blood pressure was above 95th percentile for that age, height and sex. Results: The overall prevalence of hypertension was found to be 3.9%. Blood pressure found to increase with age, weight and Height. Conclusion: Children with risk factors should be followed up for modification of risk factors.

Keywords: Hypertension; School children; Larger weight; Socioeconomic status; Family history.

Objectives: To measure the prevalence of specific learning disabilities (SpLDs) such as Dyslexia, Dysgraphia, Dyscalculia among primary school children aged 8-10 years from 3rd and 4th standard in Gulbarga city. Materials and Methods: We have conducted a multi-school cross sectional study using stratified, randomized cluster sampling technique among primary school children aged 8-10 years from third and fourth standard in Gulbarga city. A six level progressive screening tests to measure scholastic backwardness, vision, hearing, physical handicap, IQ, reading, writing, mathematical disability were used to identify SpLDs.Results: 13.2% of primary school children are affected by one or more SpLDs where as 4.9% children had all three types of SpLDs. The prevalence of dyslexia is 11.0%, dysgraphia is 9.9% and dyscalculia is 9.0%. Conclusions: The SpLDs affect significant proportion of primary school children in Gulbarga. This study measured the prevalence of specific learning disabilities using simplified screening approach and tools, which minimizes the number and time of specialist requirement and spares the expensive investigation. This approach and tools are suitable for field situations and resource scarce settings. we conclude that there is need for more prevalence studies, remedial education and policy interventions to manage SpLDS at main stream educational system to improve the school performance in Indian children.

Keywords: Specific learning disability; Dyslexia; Dysgraphia; Dyscalculia; Prevalence; Scholastic backwardness.

Medication errors are one of the most common causes of patient harm and  prescribing accounts for a large proportion of medication errors. An observational, retrospective  cross sectional study was carried  out in the period between May 2013 and July 2013 and collected prescriptions were analyzed statistically using SPSS 13.0 software. The aim of the study was to identify various patterns of prescription writing by doctors and to detect common errors of prescription.  This study highlights the concerns regarding excessive use of antibiotics , irrational use and combinations of antibiotics with other drugs ,influence of marketing by pharmaceutical companies .  Certain measures are suggested to minimize the prescription errors and improvement in the same, thereby enhancing patient safety .

Keywords: Error; Irrational use; Prescription. 

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