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We report a case of chronic idiopathic urticaria associated with nodular goiter and Graves disease. The urticaria resolved with normalization of the thyroid function.

Background: Breastfeeding is an ancient social custom, an unparalleled and most determinant way of giving ideal and safest food for the optimum development of vulnerable infants which fulfills all nutritional needs. WHO proposes exclusive breastfeeding during the 1 st six months and introduction of safe complimentary feeds from 6 months onwards with continuation of breastfeeding till 2years of life. This study intends to give a better understanding of not only breastfeeding behaviors, but also of practices regarding formula feeding in 'upper middle class' population. Aims and Objective: To assess the knowledge, and practices of breastfeeding mothers with Children less than 2 years. Materials and Methods: The hospital based prospective study was conducted from between 15 January 2021 to 14 January 2022. The participants were selected through convenient non-random sampling. A semi-structured questionnaire including the participants' data, knowledge, and practices was used. Results: 130 postnatal mothers were included to assess their knowledge regarding breastfeeding. The study revealed that 73.8 % of the lactating mothers have moderate level of knowledge, 14.6% have high level of knowledge and 11.5% % of them low level of knowledge regarding breastfeeding. Conclusion: From this study, we came to the conclusion, that antenatal check-ups and antenatal breast-feeding counseling are the most important determinants for initiation, establishment and maintenance of successful breastfeeding knowledge and practice. [ABSTRACT FROM AUTHOR]

Background: Neonatal hyperbilirubinemia is a frequent illness that occurs in newborns during their first week of life. Due to social reasons, such as an early naming ceremony, the risk of nosocomial infections, and financial constraints, early discharge of healthy term neonates is a typical practice. Neonatal hyperbilirubinemia is the most frequent reason for readmission in a sizeable number of neonates. Early discharge of healthy term neonates is a worry because there have been reports of bilirubin-induced brain injury and its sequelae, like kernicterus. Early hyperbilirubinemia detection in neonates is crucial, for this reason. Aims and Objective: To study the efficacy of cord blood albumin as a predictor of neonatal jaundice and to study their association with significant hyperbilirubinemia requiring further intervention. Materials and methods: The prospective study conducted in Department of Pediatrics at Rajshree Medical & Research Institute, between 15 January 2021 to 14 January 2022. Cord blood was sent for albumin analysis and fourth day venous sample was sent for serum bilirubin and blood group analysis. Results: This study enrolled 119 term neonates. Out of which 15 neonates had albumin level less than 2.9mg/dl, 61 neonates between 2.9mg/dl-3.3mg/dl and 43 neonates above 3.4mg/dl. Out of total study subject enrolled 11.8% required intervention like phototherapy. Conclusion: From this study, cord blood albumin level was demonstrated as predictive marker for neonatal hyperbilirubinemia with a sensitivity of 60%. [ABSTRACT FROM AUTHOR]