43 results on '"Shashi Kant Dhir"'
Search Results
2. Pediatric risk of mortality III score – Predictor of mortality and hospital stay in pediatric intensive care unit
- Author
-
Amarpreet Kaur, Gurmeet Kaur, Shashi Kant Dhir, Seema Rai, Amanpreet Sethi, Avneet Brar, and Paramdeep Singh
- Subjects
length of stay ,mortality ,pediatric risk of mortality iii score ,receiver operating characteristic curve ,Medical emergencies. Critical care. Intensive care. First aid ,RC86-88.9 - Abstract
Background: Pediatric Risk of Mortality (PRISM) III score is one of the widely used scoring systems to quantify critical illness in the pediatric age group. This study was carried out to find the association of PRISM III score with the outcome (discharge/mortality) and also hospital stay in survivors and nonsurvivors. Setting: The study was conducted in a tertiary care hospital from January 2014 to June 2015. Materials and Methods: A total of 524 patients were admitted, and after excluding the patients who met the exclusion criteria, 486 patients were analyzed. Statistical Analysis: Logistic regression was used to find the association of variables under the PRISM III score with mortality. Linear regression was used to find the association of PRISM III score with length of stay. Results: Mortality was 31%; male: female ratio was 1.5:1. Maximum patients presented with respiratory system involvement (26.3%), and maximum mortality (20.3%) was observed in the patients with respiratory involvement. Discrimination by the model between mortality and survival was excellent (receiver operating characteristic curve [0.903]). Maximum risk of mortality was noticed in mechanically ventilated patients (odds ratio [OR]: 10.87) followed by lower systolic blood pressure (OR: 2.72), deranged prothrombin time, partial thromboplastin time (OR: 1.50), deranged mental status (OR: 1.41), and tachycardia (OR: 1.37). Length of stay (LOS) in patients increased till PRISM III score of 25. Average LOS in survivors was 4.327 days which was not accounted by difference in PRISM III score between different patients. With each unit increase in PRISM III score, LOS increased by 5 h. Conclusions: PRISM III score has excellent capacity to discriminate between survival and mortality. PRISM III score can be used to predict LOS among survivors.
- Published
- 2020
- Full Text
- View/download PDF
3. Antenatally detected multiple mediastinal enterogenous cysts in a newborn presenting with severe cardio-respiratory compromise and early life-saving management
- Author
-
Abhijit Modak, Shashi Kant Dhir, Adil Ahmed Khan, Pulkit Rastogi, Nitin James Peters, and Kanya Mukhopadhyay
- Subjects
antenatal screening ,cardiac failure ,mediastinal cyst ,respiratory distress ,shock ,Pediatrics ,RJ1-570 ,Surgery ,RD1-811 - Abstract
Posterior mediastinal enterogenous cyst is a rare entity in neonate. The neonate can present with severe cardio-respiratory compromise in the form of respiratory distress, shock, cardiac failure or arrhythmia soon after birth which may require immediate surgical intervention. Antenatal screening can demonstrate the cystic mass in fetus early and can help in quick postnatal management. Multidisciplinary management with aspiration of the cysts was life-saving in the present case.
- Published
- 2021
- Full Text
- View/download PDF
4. Combining traditional embryology lectures with technology and perception of students toward it
- Author
-
Priti Chaudhary, Kamal Arora, and Shashi Kant Dhir
- Subjects
Students' perception ,technology ,traditional lectures ,Medicine ,Nursing ,RT1-120 - Abstract
Background: Technology-enhanced learning is reliable, established, and effective teaching tool for better understanding of the subject. This study addresses an important issue in medical education, namely, the enhancement of the widely criticized lecture style of teaching by engaging students more actively during class through the use of videos or animations. This study describes the development, implementation, and evaluation of a traditional anatomy lecture series combined with technology. Aim and Objectives: The aim of the study is (a) to combine three-dimensional (3D) videos and animations with traditional embryology lectures and (b) to evaluate the 1st-year MBBS students' perception about this method of learning of embryology. Methodology: This qualitative study was conducted in the Department of Anatomy at Guru Gobind Singh Medical College, Faridkot, during the theory classes of embryology over a period of approximately 3 months among 100 1st-year MBBS students. The students were shown 3D videos and animations of embryology during traditional didactic lecture to explain all the aspects of the development of different systems of the body in 25 classes, of 1-h duration each. Feedback was taken using a structured questionnaire to know the perception of students toward this exercise of using technology during lecture of embryology. Results: A total of 100 MBBS first professional students took part in the study and submitted questionnaire. The students were satisfied with this method of technology-enhanced learning and described better understanding of the concepts with improved learning. More than 90% of the students found that combining 3D videos and animations with traditional lecture helped in solving the confusion and misconceptions regarding topic and did make the topic more interesting. They further added that they wanted to have such type of technology (videos)-enhanced lectures in all other topics of anatomy and in other subjects as well. Conclusions: Technology used in the form of 3D videos and animations changed their attitude toward learning and their learning was improved. It provided satisfaction to students in terms of better learning and understanding of the subject.
- Published
- 2018
- Full Text
- View/download PDF
5. Senior Loken Syndrome
- Author
-
Amarpreet Kaur, Shashi Kant Dhir, Geetika Goyal, Naveen Mittal, and R.K. Goyal
- Subjects
end stage renal disease ,nephronophthisis ,retinal degeneration ,Medicine - Abstract
Senior Loken Syndrome (SLS) is a rare genetic disorder having juvenile nephronophthisis and retinal degeneration progressing to blindness and end stage renal disease. The present case report is about two sisters who presented with decreased visual acuity and end stage renal disease. Both had decreased vision, pallor, deranged renal function test and chronic malnutrition. Investigations revealed anaemia, uraemia, raised creatinine, low Glomerular Filteration Rate (GFR). Ophthalmology examination revealed nystagmus, retinal examination depicted pale optic disc and pigmentary changes in the retina. Renal ultrasound showed grade III renal parenchymal changes and bilateral cortico-medullary cysts. These cases are presented to highlight the importance of timely recognition of renal derangement in patients with retinal disease to delay end stage renal disease.
- Published
- 2016
- Full Text
- View/download PDF
6. Thrombocytopenia in Paediatric ICU: Incidence, Transfusion Requirement and Role as Prognostic Indicator
- Author
-
Amarpreet Kaur, Gurmeet Kaur Sethi, Ram Kumar Goyal, Avneet Kaur, Rupinderjeet Kaur, Shashi Kant Dhir, and Harshvardhan Gupta
- Subjects
picu ,platelet transfusion ,Medicine - Abstract
Introduction: Thrombocytopenia is defined as platelet count less than 150×109 /L, it has a greater incidence in Intensive Care Units (ICUs) compared to wards and its most common cause is increased platelet consumption. Aims: To investigate incidence of thrombocytopenia, platelet transfusions requirement, associated diseases and relationship between thrombocytopenia and mortality. Materials and Methods: Eleven months hospital records between October 2013 and August 2014 of the PICU in a tertiary care teaching hospital was investigated retrospectively and 275 critically ill children formed the sample. Statistical analysis: Odds ratio with 95% confidence interval was used. Probability value (p-value) of less than 0.05 was considered statistically significant. Results were confirmed using χ2 test. Results: Out of 275 patients {168 males (61.09%) and 107 females (38.91%)}, 89 patients had thrombocytopenia. Out of these 89 patients, 43 patients (48.31%) had severe, 24 patients (27.91%) had moderate and 22 patients (24.72%) had mild thrombocytopenia. The 43 patients having severe thrombocytopenia received platelet transfusion and out of these 43 patients 24 (55.81%) received more than one transfusion and 18 (41.86%) of the transfused patients expired. Among thrombocytopaenic patients, Sepsis (25.84%) was the most common diagnosis followed by Pneumonia (19.10%), Meningitis (13.48%), Diabetic Ketoacidosis (5.62%), Enteric fever (7.86%), Tubercular Meningitis (3.37%), Infantile Tremor Syndrome (2.25%), Congenital heart disease (5.62%), Burns (3.37%), Brain Haemorrhage (2.25%%), Hepatic abscess (1.12%), Chronic Renal Failure (3.37%), Malaria (2.25%) and Hepatitis (4.49%). There is a statistically significant association between thrombocytopenia and mortality. A significant association was established between mortality in thrombocytopenic patients of sepsis. Conclusion: Thrombocytopenia is commonly associated with sepsis. Mortality rate is higher in thrombocytopenic patients.
- Published
- 2015
- Full Text
- View/download PDF
7. Medical Education Scenario in India Over the Years
- Author
-
Tejinder Singh, Piyush Gupta, and Shashi Kant Dhir
- Subjects
Pediatrics, Perinatology and Child Health - Published
- 2023
8. Understanding Clinical Competence: Understanding Student Assessment
- Author
-
Tejinder Singh, Piyush Gupta, and Shashi Kant Dhir
- Subjects
Pediatrics, Perinatology and Child Health - Published
- 2023
9. Correlates of Perceived Stress and Professional Quality of Life Among Nurses Working in Neonatal Intensive Care Units (NICU) in North India: A Multicenter Study
- Author
-
null Shivani, Mohit Sharma, null Sonakshi, Jatinder Singh, Kamaldeep Arora, Ashwani Kumar, Shashi Kant Dhir, Gurdev Chowdhary, Vani Chawla, Harman Rai, Nikita Goyal, Vajinder Singh, Baljinder Kaur, Keshav Mehra, Varughese PV, Pardeep Kumar, Tania Mahal, and Naveen Bajaj
- Subjects
Pediatrics, Perinatology and Child Health - Abstract
Objective To estimate the levels of perceived stress and determine the professional quality of life domains namely, compassion satisfaction, burnout, and secondary trauma and their associated factors in neonatal intensive care unit (NICU) nurses. Methods A multicenter cross-sectional study was carried out across a number of NICUs in North India from May to June 2022. A total of 223 nurses included in the study were given a self-administered questionnaire consisting of their sociodemographic profile, work profile, PSS 14 scale, and ProQol 5 scale. Data was analyzed using descriptive statistics, correlation coefficient, and multiple regression. Results Based on PSS 14, 52(23.3%), 132(59.2%), and 39(17.5%) nurses experienced mild, moderate, and severe stress, respectively. Burnout and secondary trauma were found to be average in the majority of nurses (178[79.8%] and 175 [78.5%], respectively) in regard to professional quality of life domains. A sizable portion of the nurses was found to have average to high compassion satisfaction. Factors such as more number of night duties, alarms and lights in NICU, lesser professional experience, high workload, being unmarried, and having no children were found to be significant in association with perceived stress and professional quality of life. Conclusion According to this study, the majority of nurses who work in NICUs experience moderate levels of stress, which negatively impacts their professional quality of life. Therefore, it is important to consider various stress management programs based on the stressors.
- Published
- 2023
10. A study to assess the effectiveness of conventional methods along with balloon inflation vs conventional methods only in reduction of pain and fear during venipuncture in children age group of 5-12 years admitted in paediatric wards of GGSMC & H, Faridkot, Punjab
- Author
-
Shalika Sandal, HCL Rawat, Dr. Shashi Kant Dhir, and Simranjit Kaur
- Subjects
Mechanical Engineering ,Energy Engineering and Power Technology ,Management Science and Operations Research - Published
- 2022
11. Clinical Presentation, Investigation and Control of an Outbreak of Adenoviral Conjunctivitis in a Neonatal Unit at a Tertiary Hospital
- Author
-
Bhawna Sharma, Ranjitpal Singh Bhogal, Lalit Mohan, Monika Sapra, Poonam Chauhan, Deeksha Katoch, Amit Kumar Gupta, Shweta Talati, Manisha Biswal, Sourabh Dutta, Mini P Singh, Shashi Kant Dhir, Kapil Goyal, Venkataseshan Sundaram, Praveen Kumar, and Anchal Thakur
- Subjects
Microbiology (medical) ,medicine.medical_specialty ,business.industry ,Adenoviruses, Human ,Infant, Newborn ,Outbreak ,Conjunctivitis, Inclusion ,Conjunctivitis ,Serogroup ,Polymerase Chain Reaction ,Adenoviridae ,Disease Outbreaks ,Unit (housing) ,Adenovirus Infections, Human ,Tertiary Care Centers ,Neonatal Screening ,Infectious Diseases ,Pediatrics, Perinatology and Child Health ,Emergency medicine ,Humans ,Medicine ,Presentation (obstetrics) ,business - Abstract
Nosocomial spread of adenovirus infection has been reported in neonatal, pediatric and adult medical units. This nonenveloped and hardy virus is resistant to numerous disinfectants thus posing a challenge for control and prevention of adenovirus infections in health care settings.An epidemiologic outbreak investigation revealed an adenoviral outbreak in the neonatal nursery as well as in the neonatal screening outpatient department for Retinopathy of Prematurity (ROP). All suspected cases (94 neonates) underwent adenoviral conventional polymerase chain reaction (PCR) and representative samples underwent sequencing by Sanger's method. The clinical features and disease course were studied. Infected babies were started on tobramycin eye drops. Topical steroid eye drops were added for those who developed pseudomembranes.We found 58 cases of laboratory-confirmed neonatal adenovirus conjunctivitis (between July 10 and October 24, 2019). Redness (96%) was the most common presentation followed by discharge (68.9%) and lid edema (51.7%). Pseudomembrane were seen in 77.5% of the infected neonates. Prior ROP examination was carried out in 38 (65.5%) neonates. Respiratory symptoms were present in 7 (12.06%) neonates. Sequencing revealed serotype 8 as the cause of the outbreak. Control measures were strictly implemented. Standard Operating Procedures (SOPs) for ROP screening were revisited, revised and reinforced to prevent future outbreaks.We observed ROP screening as a risk factor for the development of adenoviral conjunctivitis in neonatal care units. Neonates present with different clinical manifestations as compared with adults. Prompt control measures were implemented to control the adenoviral outbreak.
- Published
- 2021
12. Formulation of Research Question and Composing Study Outcomes and Objectives
- Author
-
Shashi Kant Dhir and Piyush Gupta
- Subjects
education.field_of_study ,business.industry ,Management science ,Maternal and child health ,Population ,Outcome (game theory) ,Intervention (law) ,Framing (construction) ,Pediatrics, Perinatology and Child Health ,Medicine ,Research questions ,business ,education ,Research question - Abstract
Framing an appropriate research question is the most critical and fundamental part of a study. This helps in developing a hypothesis, formulating aims and objectives and methodological execution of the study. Research questions are usually generated by literature backed thorough analysis of the gaps in previous studies and funnelling it to a specific focussed issue. The research question should be framed using the PICO (Population, Intervention/Exposure, Comparator and Outcome) format and should fulfil the FINER (feasible, interesting, novel, ethically sound, and relevant) criteria for practical aspects. Objectives should always be framed in alignment of the research question using SMART (specific, measurable, achievable, realistic and time defined) approach. Outcomes are classified as primary and secondary. It is advisable to have only one primary objective while secondary objectives can be multiple (usually not exceeding five). This paper describes a cascade approach starting from framing the research question and then deciding on the outcomes and study objectives.
- Published
- 2021
13. Indian Academy of Pediatrics (IAP) Advisory Committee on Vaccines and Immunization Practices (ACVIP): Recommended Immunization Schedule (2020–21) and Update on Immunization for Children Aged 0 Through 18 Years
- Author
-
G. V. Basavaraja, Sanjay Marathe, Sanjay Verma, Sunil Agarwalla, Srinivas G. Kasi, Bakul Jayant Parekh, S Balasubramanian, Piyush Gupta, Abhay K. Shah, Harish K Pemde, Kripasindhu Chatterjee, S. Shivananda, Srinivas Kalyani, Shashi Kant Dhir, and Sanjay Srirampur
- Subjects
Pediatrics ,medicine.medical_specialty ,Varicella vaccine ,Advisory committee ,Advisory Committees ,Booster dose ,Recommendations ,Guidelines ,Chickenpox Vaccine ,03 medical and health sciences ,Polio vaccine ,0302 clinical medicine ,030225 pediatrics ,Rabies vaccine ,Medicine ,Humans ,030212 general & internal medicine ,Dosing ,Child ,Inactivated polio vaccine ,Immunization Schedule ,business.industry ,Infant ,Pneumococcal vaccine ,Schedule (workplace) ,Immunization ,Influenza Vaccines ,Pediatrics, Perinatology and Child Health ,Primary immunization ,business - Abstract
Justification In view of new developments in vaccinology and the availability of new vaccines, there is a need to revise/review the existing immunization recommendations. Process Advisory Committee on Vaccines and Immunization Practices (ACVIP) of Indian Academy of Pediatrics (IAP) had a physical meeting in March, 2020 followed by online meetings (September-October, 2020), to discuss the updates and new recommendations. Opinion of each member was sought on the various recommendations and updates, following which an evidence-based consensus was reached. Objectives To review and revise the IAP recommendations for 2020–21 and issue recommendations on existing and new vaccines. Recommendations The major changes include recommendation of a booster dose of injectable polio vaccine (IPV) at 4–6 years for children who have received the initial IPV doses as per the ACVIP/IAP schedule, re-emphasis on the importance of IPV in the primary immunization schedule, preferred timing of second dose of varicella vaccine at 3–6 months after the first dose, and uniform dosing recommendation of 0.5 mL (15 µg HA) for inactivated influenza vaccines.
- Published
- 2020
14. Antenatally Detected Multiple Mediastinal Enterogenous Cysts in a Newborn Presenting with Severe Cardio-Respiratory Compromise and Early Life-Saving Management
- Author
-
Pulkit Rastogi, Abhijit Modak, Nitin James Peters, Shashi Kant Dhir, Kanya Mukhopadhyay, and Adil Ahmed Khan
- Subjects
Pediatrics ,medicine.medical_specialty ,RD1-811 ,Case Report ,mediastinal cyst ,shock ,RJ1-570 ,Antenatal screening ,respiratory distress ,medicine ,Fetus ,Respiratory distress ,business.industry ,fungi ,Rare entity ,food and beverages ,Cardiorespiratory fitness ,Early life ,Shock (circulatory) ,Pediatrics, Perinatology and Child Health ,cardiac failure ,Surgery ,medicine.symptom ,business ,Mediastinal Cyst - Abstract
Posterior mediastinal enterogenous cyst is a rare entity in neonate. The neonate can present with severe cardio-respiratory compromise in the form of respiratory distress, shock, cardiac failure or arrhythmia soon after birth which may require immediate surgical intervention. Antenatal screening can demonstrate the cystic mass in fetus early and can help in quick postnatal management. Multidisciplinary management with aspiration of the cysts was life-saving in the present case.
- Published
- 2021
15. Pediatric risk of mortality III score – Predictor of mortality and hospital stay in pediatric intensive care unit
- Author
-
Gurmeet Kaur, Amanpreet Sethi, Paramdeep Singh, Amarpreet Kaur, Seema Rai, Shashi Kant Dhir, and Avneet Brar
- Subjects
Pediatric intensive care unit ,Prothrombin time ,medicine.medical_specialty ,medicine.diagnostic_test ,Receiver operating characteristic ,business.industry ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,030208 emergency & critical care medicine ,Odds ratio ,lcsh:RC86-88.9 ,030204 cardiovascular system & hematology ,pediatric risk of mortality iii score ,Logistic regression ,mortality ,03 medical and health sciences ,0302 clinical medicine ,Blood pressure ,length of stay ,Internal medicine ,Emergency Medicine ,medicine ,Risk of mortality ,receiver operating characteristic curve ,business ,Partial thromboplastin time - Abstract
Background: Pediatric Risk of Mortality (PRISM) III score is one of the widely used scoring systems to quantify critical illness in the pediatric age group. This study was carried out to find the association of PRISM III score with the outcome (discharge/mortality) and also hospital stay in survivors and nonsurvivors. Setting: The study was conducted in a tertiary care hospital from January 2014 to June 2015. Materials and Methods: A total of 524 patients were admitted, and after excluding the patients who met the exclusion criteria, 486 patients were analyzed. Statistical Analysis: Logistic regression was used to find the association of variables under the PRISM III score with mortality. Linear regression was used to find the association of PRISM III score with length of stay. Results: Mortality was 31%; male: female ratio was 1.5:1. Maximum patients presented with respiratory system involvement (26.3%), and maximum mortality (20.3%) was observed in the patients with respiratory involvement. Discrimination by the model between mortality and survival was excellent (receiver operating characteristic curve [0.903]). Maximum risk of mortality was noticed in mechanically ventilated patients (odds ratio [OR]: 10.87) followed by lower systolic blood pressure (OR: 2.72), deranged prothrombin time, partial thromboplastin time (OR: 1.50), deranged mental status (OR: 1.41), and tachycardia (OR: 1.37). Length of stay (LOS) in patients increased till PRISM III score of 25. Average LOS in survivors was 4.327 days which was not accounted by difference in PRISM III score between different patients. With each unit increase in PRISM III score, LOS increased by 5 h. Conclusions: PRISM III score has excellent capacity to discriminate between survival and mortality. PRISM III score can be used to predict LOS among survivors.
- Published
- 2020
16. Coronavirus Disease 2019 (COVID-19) Vaccination for Children: Position Statement of Indian Academy of Pediatrics Advisory Committee on Vaccination and Immunization Practices
- Author
-
Srinivas G, Kasi, Shashi Kant, Dhir, Abhay, Shah, S, Shivananda, Sanjay, Verma, S, Marathe, Kripasindhu, Chatterjee, Sunil, Agarwalla, Sanjay, Srirampur, Srinivas, Kalyani, Harish K, Pemde, S, Balasubramanian, G V, Basavaraja, Bakul J, Parekh, Remesh, Kumar, and Piyush, Gupta
- Subjects
COVID-19 Vaccines ,Adolescent ,SARS-CoV-2 ,Advisory Committees ,Vaccination ,COVID-19 ,Pediatrics ,Systemic Inflammatory Response Syndrome ,Post-Acute COVID-19 Syndrome ,Child, Preschool ,Humans ,Immunization ,Child ,Immunization Schedule - Abstract
Data generated after the first wave has revealed that some children with coronavirus 19 (COVID-19) can become seriously ill. Multi-inflammatory syndrome in children (MIS-C) and long COVID cause significant morbidity in children. Prolonged school closures and quarantine have played havoc with the psychosocial health of children. Many countries in the world have issued emergency use authorisation (EUA) of selected Covid-19 vaccines for use in children. In India, a Subject Expert Committee (SEC) has recommended the use of Covaxin (Bharat Biotech) for children from the ages of 2-18 years. The recommendation has been given to the Drugs Controller General of India (DCGI) for final approval.To provide an evidence-based document to guide the pediatricians on the recommendation to administer COVID vaccines to children, as and when they are available for use.Formulation of key questions was done by the committee, followed by review of literature on epidemiology and burden of Covid-19 in children, review of the studies on COVID vaccines in children, and the IAP stand on Covid-19 vaccination in children. The available data was discussed in the ACVIP focused WhatsApp group followed by an online meeting on 24 October, 2021, wherein the document was discussed in detail and finalized.The IAP supports the Government of India's decision to extend the COVID-19 vaccination program to children between 2-18 years of age. Children with high-risk conditions may be immunized on a priority basis. The IAP and its members should be a partner with the Government of India, in the implementation of this program and the surveillance that is necessary following the roll-out.
- Published
- 2021
17. Microorganisms Profile and Antimicrobial Resistance Pattern in Outborn Neonates in Northern India: A Hospital-Based Observational Study
- Author
-
Suresh Kumar Angurana, Jutang Babat Ain Tiewsoh, Vimal Singh Munda, Venkataseshan Sundaram, Sourabh Dutta, Jogender Kumar, Vikas Gautam, Shashi Kant Dhir, Shiv Sajan Saini, and Praveen Kumar
- Subjects
medicine.medical_specialty ,Imipenem ,India ,Microbial Sensitivity Tests ,Meropenem ,Sepsis ,Antibiotic resistance ,Internal medicine ,Case fatality rate ,Drug Resistance, Bacterial ,medicine ,Humans ,Blood culture ,medicine.diagnostic_test ,Neonatal sepsis ,biology ,business.industry ,Acinetobacter ,medicine.disease ,biology.organism_classification ,Hospitals ,Anti-Bacterial Agents ,Infectious Diseases ,Pediatrics, Perinatology and Child Health ,Neonatal Sepsis ,business ,medicine.drug - Abstract
Neonates born somewhere else (outborn) and treated in a referral centre have different microbiological profile. We report the microorganism's profile and antimicrobial resistance (AMR) in blood culture proven sepsis in outborn neonates.Culture positive neonatal sepsis from a neonatal unit of a referral institute catering to outborn neonates was studied over an 18 months duration. Data from the hospital information system were used to analyse the culture positivity rates, the spectrum of the microorganisms isolated and AMR pattern.Out of 5258 admitted neonates, 3687 blood samples were sent for suspect sepsis. The blood cultures were positive in 537 (14.6%) samples from 514 neonates. Gram-positive cocci (GPC) were the most common [240 (45%)] followed by gram-negative bacilli (GNB) [233 (43.4%)] and fungi [64 (11.9%)]. Coagulase negative staphylococcus (CONS) contributed to two-thirds of GPC followed by Klebsiella [93 (17.3%)] and Acinetobacter species [52 (9.7%)]. In 403 (75%) neonates, organisms grew in the samples sent at or within 24 h of admission. The case fatality rate was significantly higher in those with culture positive sepsis. The resistance to meropenem and imipenem was documented in 57.1% and 49.7%, respectively and 48% of the GNB was multidrug resistant.CONS followed by Klebsiella species were the most common organisms isolated. Three-fourths of the neonates had organisms grown at or within 24 h from admission. More than half of the GNB were multidrug resistant. The case fatality rate was significantly higher in those with culture positive sepsis.Sepsis is the third most common cause of neonatal mortality globally. Outborn neonates differ in their microorganisms’ profile and antimicrobial resistance (AMR) pattern in comparison to inborn neonates. In this study, we report the microorganisms profile and their AMR pattern in blood culture proven sepsis in a large cohort of outborn (extramural) neonates admitted to the index institute. We have also presented the state-wise profile and have compared their AMR pattern. Out of the 5258 admitted neonates, 3687 blood samples were sent for culture for suspect sepsis. The blood cultures were positive in 537 (14.6%) samples from 514 neonates. Coagulase-negative staphylococcus (CONS) followed by Klebsiella species were the most common organisms isolated from this large cohort of outborn neonates. More than 75% of the neonates grew the organisms within 24 h from admission indicating that many of them harboured the organisms at admission. Case fatality rate was significantly higher in those neonates with culture positive sepsis in comparison to culture negative sepsis. Close to 50% of the gram-negative bacilli isolates were multidrug resistant and half of them were extensively drug resistant. A significant between-state difference in organism profile and their AMR patterns were observed.
- Published
- 2021
18. Breastfeeding and Coronavirus Disease 2019 (COVID-19) Vaccination: Position Statement of Indian Academy of Pediatrics Advisory Committee on Vaccination and Immunization Practices
- Author
-
Shashi Kant Dhir, Sunil Agarwalla, Sanjay Verma, Abhay K. Shah, Srinivas Kalyani, Srinivas G. Kasi, Kripasindhu Chatterjee, S Balasubramanian, Sanjay Srirampur, Bakul Jayant Parekh, Piyush Gupta, Harish K Pemde, Remesh Kumar, S. Shivananda, G. V. Basavaraja, and Sanjay Marathe
- Subjects
medicine.medical_specialty ,COVID-19 Vaccines ,Population ,Advisory Committees ,MEDLINE ,Breastfeeding ,Maternal ,Recommendations ,Pediatrics ,medicine ,Humans ,Lactation ,education ,Child ,Immunization Schedule ,education.field_of_study ,Government ,Protection ,business.industry ,SARS-CoV-2 ,Vaccination ,COVID-19 ,Breast Feeding ,Immunization ,Family medicine ,Pediatrics, Perinatology and Child Health ,Female ,business ,Administration (government) ,Breast feeding - Abstract
Justification In India, till recently, breastfeeding women have been excluded from the coronavirus disease (COVID-19) vaccination program, rendering a significant population of the country, including frontline workers, ineligible to derive the benefits of the COVID-19 vaccine rollout. Objective The objective of this recommendation is production of an evidence-based document to guide the pediatricians to give advice to breastfeeding mothers regarding the safety of COVID-19 vaccines in lactating women. Process Formulation of key question was done under the chairmanship of president of the IAP. It was followed by review of literature regarding efficacy and safety of COVID-19 vaccines in breastfeeding women. The recommendations of other international and national professional bodies were also deliberated in detail. The available data was discussed in the ACVIP focused WhatsApp group. Opinion of all members was taken and the final document was prepared after achieving consensus. Recommendations The IAP/ACVIP recommends the administration of COVID-19 vaccines to all breastfeeding women. The IAP/ACVIP endorses the recent recommendation of the Government of India, to consider all breastfeeding women as eligible for COVID-19 vaccination.
- Published
- 2021
19. 50 Years Ago in TheJournalofPediatrics: The Baptism of Staphylococcal Scalded Skin Syndrome: Old is Gold
- Author
-
Shashi Kant, Dhir and Piyush, Gupta
- Subjects
Disease Models, Animal ,Methicillin ,Animals ,Humans ,History, 20th Century ,Periodicals as Topic ,Staphylococcal Scalded Skin Syndrome ,Pediatrics ,Anti-Bacterial Agents - Published
- 2021
20. Impact of Covid-19 On Screen Time And Physical Activity Of Children
- Author
-
Shifali, Gupta, primary, Shashi Kant, Dhir, additional, and Suresh, Goyal, additional
- Published
- 2021
- Full Text
- View/download PDF
21. Immunization During the COVID-19 Pandemic: Recommendations From Indian Academy of Pediatrics Advisory Committee on Vaccines and Immunization Practices
- Author
-
Sunil Agarwalla, G. V. Basavaraja, Kripasindhu Chatarjee, Srinivas G. Kasi, Sanjay Marathe, Sanjay Srirampur, Srinivas Kalyani, Harish K Pemde, S. Shivananda, Shashi Kant Dhir, Piyush Gupta, Satheesan Balasubramanian, Abhay K. Shah, Sanjay Verma, and Bakul Jayant Parekh
- Subjects
Pediatrics ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Advisory committee ,animal diseases ,chemical and pharmacologic phenomena ,Recommendations ,Guidelines ,03 medical and health sciences ,0302 clinical medicine ,Age groups ,030225 pediatrics ,Pandemic ,medicine ,030212 general & internal medicine ,Pediatrics, Perinatology, and Child Health ,business.industry ,Routine immunization ,COVID-19 ,biochemical phenomena, metabolism, and nutrition ,Missed Vaccination ,Immunization ,Pediatrics, Perinatology and Child Health ,bacteria ,business - Abstract
During the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, immunization practices of all age groups, especially routine childhood vaccines, have been interrupted. Immunization is considered an essential health activity, which needs to be resumed as early as possible. This pandemic has created several unique issues related to routine immunization of individual children at clinics, which needs to be addressed. In this communication, the Advisory Committee on Vaccines and Immunization Practices (ACVIP) of Indian Academy of Pediatrics addresses the common questions and issues related to SARS-CoV-2 and routine immunization services. This also includes the recommendations for routine immunization of SARS-CoV-2 suspect and positive children, and for the logistics to be followed for immunization services.
- Published
- 2021
- Full Text
- View/download PDF
22. Immunization During the COVID-19 Pandemic: Recommendations from Indian Academy of Pediatrics Advisory Committee on Vaccines and Immunization
- Author
-
Srinivas G, Kasi, Shashi Kant, Dhir, Sanjay, Verma, Harish Kumar, Pemde, S, Balasubramanian, Sunil, Agarwalla, Abhay K, Shah, S, Shivananda, Sanjay, Marathe, Kripasindhu, Chatarjee, Sanjay, Srirampur, Srinivas, Kalyani, Bakul J, Parekh, G V, Basavaraja, and Piyush, Gupta
- Abstract
During the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, immunization practices of all age groups, especially routine childhood vaccines, have been interrupted. Immunization is considered an essential health activity, which needs to be resumed as early as possible. This pandemic has created several unique issues related to routine immunization of individual children at clinics, which needs to be addressed. In this communication, the Advisory Committee on Vaccines and Immunization Practices (ACVIP) of Indian Academy of Pediatrics addresses the common questions and issues related to SARS-CoV-2 and routine immunization services. This also includes the recommendations for routine immunization of SARS-CoV-2 suspect and positive children, and for the logistics to be followed for immunization services.
- Published
- 2020
23. Neonatal pertussis: an emerging issue of concern
- Author
-
Lucky Sangal, Vikas Gautam, Venkataseshan Sundaram, Praveen Kumar, Suresh Kumar Angurana, and Shashi Kant Dhir
- Subjects
Male ,Pediatrics ,medicine.medical_specialty ,Whooping Cough ,India ,Disease ,Azithromycin ,Tertiary care ,Bordetella pertussis ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,medicine ,Humans ,030212 general & internal medicine ,Family history ,Hospitals, Teaching ,Retrospective Studies ,Respiratory distress ,business.industry ,Public Health, Environmental and Occupational Health ,Infant, Newborn ,Retrospective cohort study ,Length of Stay ,Prognosis ,Anti-Bacterial Agents ,Infectious Diseases ,Treatment Outcome ,Bordetella pertussis DNA ,Paroxysmal cough ,Female ,business ,medicine.drug - Abstract
Neonatal pertussis is a resurging disease, possibly due to waning immunity in pregnant women. We report seven cases of neonatal pertussis ( Bordetella pertussis DNA PCR positive) in this retrospective study conducted at a tertiary care teaching hospital in north India over eight months (March to October 2018). All except one were male infants and presented at the age of 14–30 days with paroxysmal cough in all, four had fever, four had respiratory distress, three had similar illness in the family, and two had leucocytosis. All recovered well with azithromycin. The duration of hospital stay was 5–7 days. A strong suspicion of neonatal pertussis in neonates with paroxysmal cough and similar family history should be maintained as the prognosis is excellent, if treated appropriately.
- Published
- 2020
24. Clinical Features and Outcome of SARS-CoV-2 Infection in Neonates: A Systematic Review
- Author
-
Jogender Kumar, Jitendra Meena, Shashi Kant Dhir, and Praveen Kumar
- Subjects
Pediatrics ,medicine.medical_specialty ,medicine.medical_treatment ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,medicine.disease_cause ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,Intensive care ,medicine ,Humans ,Caesarean section ,Pediatrics, Perinatology, and Child Health ,030212 general & internal medicine ,Pregnancy Complications, Infectious ,Child ,Coronavirus ,Original Paper ,030219 obstetrics & reproductive medicine ,Transmission (medicine) ,business.industry ,Cesarean Section ,SARS-CoV-2 ,Infant, Newborn ,Pregnancy Outcome ,COVID-19 ,Infant ,medicine.disease ,neonates ,Infectious Disease Transmission, Vertical ,congenital infection ,Low birth weight ,Infectious Diseases ,Pediatrics, Perinatology and Child Health ,breast milk ,Female ,medicine.symptom ,business ,AcademicSubjects/MED00670 ,Postpartum period - Abstract
ObjectiveThe objective of this study is to systematically synthesize the currently available literature on various modes of transmission (congenital, intrapartum, and postpartum), clinical features and outcomes of SARS-CoV-2 infection in neonates.MethodsWe conducted a comprehensive literature search using PubMed, EMBASE, and Web of Science until 9 June 2020. A combination of keywords and MeSH terms, such as COVID-19, coronavirus, SARS-CoV-2, 2019-nCoV, severe acute respiratory syndrome coronavirus 2, neonates, newborn, infant, pregnancy, obstetrics, vertical transmission, maternal–foetal transmission and intrauterine transmission, were used in the search strategy. We included studies reporting neonatal outcomes of SARS-CoV-2 proven pregnancies or neonatal cases diagnosed with SARS-CoV-2 infection.ResultsEighty-six publications (45 case series and 41 case reports) were included in this review. Forty-five case series reported 1992 pregnant women, of which 1125 (56.5%) gave birth to 1141 neonates. A total of 281 (25%) neonates were preterm, and caesarean section (66%) was the preferred mode of delivery. Forty-one case reports describe 43 mother-baby dyads of which 16 were preterm, 9 were low birth weight and 27 were born by caesarean section. Overall, 58 neonates were reported with SARS-CoV-2 infection (4 had a congenital infection), of which 29 (50%) were symptomatic (23 required ICU) with respiratory symptoms being the predominant manifestation (70%). No mortality was reported in SARS-CoV-2-positive neonates.ConclusionThe limited low-quality evidence suggests that the risk of SARS-CoV-2 infections in neonates is extremely low. Unlike children, most COVID-positive neonates were symptomatic and required intensive care. Postpartum acquisition was the commonest mode of infection in neonates, although a few cases of congenital infection have also been reported.
- Published
- 2020
25. 50 Years Ago in TheJournalofPediatrics: Neonatal Pneumopericardium - When to Intervene?
- Author
-
Shashi Kant, Dhir and Piyush, Gupta
- Subjects
Publishing ,Infant, Newborn ,Humans ,History, 20th Century ,Periodicals as Topic ,Pediatrics ,Pneumopericardium - Published
- 2020
26. 50 Years Ago in T J P
- Author
-
Shashi Kant Dhir and Piyush Gupta
- Subjects
Baptism ,medicine.medical_specialty ,business.industry ,Pediatrics, Perinatology and Child Health ,Medicine ,business ,Staphylococcal scalded skin syndrome ,medicine.disease ,Dermatology - Published
- 2021
27. E-learning in medical education in India
- Author
-
Devender Verma, Shashi Kant Dhir, Devendra Mishra, and Meenal Batta
- Subjects
Internet ,Medical education ,Education, Medical ,020205 medical informatics ,Scope (project management) ,Traditional learning ,business.industry ,Maternal and child health ,E-learning (theory) ,MEDLINE ,India ,Computer-Assisted Instruction ,02 engineering and technology ,03 medical and health sciences ,0302 clinical medicine ,Pediatrics, Perinatology and Child Health ,ComputingMilieux_COMPUTERSANDEDUCATION ,0202 electrical engineering, electronic engineering, information engineering ,Humans ,Medicine ,Narrative review ,The Internet ,030212 general & internal medicine ,business - Abstract
E-learning, or learning and teaching facilitated and supported through the application of technology, is presently being used widely in all fields of education, and also being utilized extensively in medical education. This narrative review aims to introduce the concept of e-learning, and discuss its need and scope in medical education in India. Experience shows that students and faculty are mostly in favor of adopting e-learning side-by-side with traditional learning, and the advantages far outweigh the likely discomfort associated with adoption of this new method.
- Published
- 2017
28. A Case of Novel GATA-1 Mutation-positive Transient Abnormal Myelopoiesis With Life-threatening Complications in a Neonate With Down Syndrome
- Author
-
Prateek Bhatia, Narender Kumar, Praveen Kumar, Sidharth Totadri, Somosri Ray, Shashi Kant Dhir, and Ritesh R Sah
- Subjects
Adult ,medicine.medical_specialty ,Down syndrome ,Somatic cell ,medicine.medical_treatment ,medicine.disease_cause ,Gastroenterology ,Frameshift mutation ,Leukemoid Reaction ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Internal medicine ,Antineoplastic Combined Chemotherapy Protocols ,medicine ,Humans ,GATA1 Transcription Factor ,Young adult ,Frameshift Mutation ,Chemotherapy ,Mutation ,business.industry ,Transient abnormal myelopoiesis ,Infant, Newborn ,Hematology ,medicine.disease ,Prognosis ,Oncology ,In utero ,030220 oncology & carcinogenesis ,Pediatrics, Perinatology and Child Health ,Female ,Down Syndrome ,business ,030215 immunology - Abstract
Transient abnormal myelopoiesis is a transient myeloproliferative disorder seen in ∼15% to 20% of infants with Down syndrome. These infants are usually asymptomatic, requiring only monitoring, but they can have variable severity of symptoms up to multisystemic dysfunction requiring chemotherapy. GATA-1 somatic mutations acquired in utero are pathognomic of this entity and present nearly in all cases. Herein, we present a case of Down syndrome in a neonate who presented within her first week of life with life-threatening features of transient abnormal myelopoiesis requiring chemotherapy support. In addition, next-generation sequencing revealed a small mutant clone (8%) positive for a novel frameshift GATA-1 mutation.
- Published
- 2019
29. Knowledge and practices in community regarding antibiotic usage
- Author
-
A. Jain, Gaganpreet Singh, Meenal Batta, and Shashi Kant Dhir
- Subjects
medicine.medical_specialty ,Pediatrics ,Cross-sectional study ,medicine.drug_class ,business.industry ,Antibiotics ,030209 endocrinology & metabolism ,Resistance (psychoanalysis) ,Common cold ,medicine.disease ,World health ,03 medical and health sciences ,0302 clinical medicine ,Antibiotic resistance ,Family medicine ,medicine ,030212 general & internal medicine ,Antibiotic use ,Single point ,business - Abstract
Background: One of the major causes of concern in medical world is rapid development of antibiotic resistance. World Health Organisation started an initiative in 2011 with a policy designed to curb this danger of antibiotic resistance. This study was designed to know the knowledge, attitude and belief of community regarding antibiotic use so that data can be generated in this region for the proper designing and implementation of awareness campaigns for the community. Methods: A single point cross sectional study was conducted in 1500 adults attending the Out Patient Department of a tertiary care hospital in Northern India. The tool used for the study was a predesigned questionnaire. The data was evaluated using descriptive statistical analysis. Results: In our study 92.8% participants admitted of having used an antibiotic at any time in their lifetime. The most common reason for use of antibiotics was common cold (36.2%). The most common antibiotic used by the participants was amoxycillin. The most common source of information regarding antibiotics and their use (63.2%) was physicians. 78.6% of the participants believed that they have awareness about rational use of antibiotics. 68.6% respondents were of the view that antibiotics are effective against both viral and bacterial infections. 52.3% of the participants believed antibiotics are not safe to use. Conclusions: The existence of a significant gap between practice of antibiotic usage and knowledge about their usage was found prevalently in the community. After noting the results of this study it is believed that there is a dire necessity to take steps to curb the menace of rapid development of resistance to antibiotics.
- Published
- 2016
30. Patterns and practice of self-medication among children presenting with acute respiratory tract infection or diarrhoea
- Author
-
Amit B. Jain, Gaganpreet Singh, Shashi Kant Dhir, and Meenal Batta
- Subjects
medicine.medical_specialty ,business.industry ,medicine ,Intensive care medicine ,business ,Acute respiratory tract infection ,Self-medication - Published
- 2016
31. 50 Years Ago in T J P
- Author
-
Shashi Kant Dhir and Piyush Gupta
- Subjects
medicine.medical_specialty ,business.industry ,General surgery ,Pediatrics, Perinatology and Child Health ,medicine ,MEDLINE ,Historical Article ,Pneumopericardium ,business ,medicine.disease - Published
- 2020
32. Neonatal rearing and breastfeeding practices in Punjab, India
- Author
-
Meenal Batta and Shashi Kant Dhir
- Subjects
Massage ,Nursing ,business.industry ,Environmental health ,Breastfeeding ,Medicine ,Mean age ,business ,Newborn care ,Infant feeding - Abstract
Background: Faulty or lack of intranatal care can lead to a number of morbidities in the neonatal period. Newborn care in any community is influenced by cultural practices prevalent in that area apart from medical and economic causes. In India, morbidity and mortality of mother and child directly or indirectly is governed by the customs prevalent in their society. Infant feeding and rearing practices vary across communities, depending on social customs. This study was planned to give us an insight about the neonatal rearing and feeding practices among mothers and the factors influencing their practices in Punjab. Methods: This facility based one point cross sectional descriptive study was done in Pediatrics wards and postnatal wards of Guru Gobind Singh Medical College, Faridkot. The newborn rearing practices were interviewed from the families accompanying the babies with age less than four weeks using structured questionnaire. Results: 965 babies were enrolled for the study. The mean age of the mother was 28.3 ± 3.5 years and 51% of the mothers practiced exclusive breastfeeding. High proportion of neonates (70%) was given prelacteals feeding, honey being most common. Oil massage to the baby was practiced by 99% of the mothers. Bath after 24 hours of delivery was given to 74% newborns. 89% of the babies were vaccinated after birth. Conclusions: People like to follow their rituals and customs eliminating potentially harmful practices should be tried keeping those in mind. The strengthening of the information, education and the communication to improve the existing neonatal rearing practices is the need of the day.
- Published
- 2015
33. Brainstem auditory evoked responses in severely malnourished children
- Author
-
Shashi Kant Dhir and Meenal Batta
- Subjects
medicine.medical_specialty ,business.industry ,Anesthesia ,Medicine ,Brainstem ,Audiology ,Auditory evoked responses ,business - Published
- 2015
34. Senior Loken Syndrome
- Author
-
Shashi Kant Dhir, R K Goyal, Naveen Mittal, Geetika Goyal, and Amarpreet Kaur
- Subjects
Retinal degeneration ,medicine.medical_specialty ,Pathology ,genetic structures ,government.form_of_government ,Clinical Biochemistry ,lcsh:Medicine ,Renal function ,Senior–Løken syndrome ,urologic and male genital diseases ,End stage renal disease ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Retinal Examination ,Nephronophthisis ,Ophthalmology ,medicine ,Juvenile nephronophthisis ,end stage renal disease ,Creatinine ,business.industry ,lcsh:R ,Paediatrics Section ,General Medicine ,medicine.disease ,chemistry ,nephronophthisis ,retinal degeneration ,030221 ophthalmology & optometry ,government ,sense organs ,business ,030217 neurology & neurosurgery - Abstract
Senior Loken Syndrome (SLS) is a rare genetic disorder having juvenile nephronophthisis and retinal degeneration progressing to blindness and end stage renal disease. The present case report is about two sisters who presented with decreased visual acuity and end stage renal disease. Both had decreased vision, pallor, deranged renal function test and chronic malnutrition. Investigations revealed anaemia, uraemia, raised creatinine, low Glomerular Filteration Rate (GFR). Ophthalmology examination revealed nystagmus, retinal examination depicted pale optic disc and pigmentary changes in the retina. Renal ultrasound showed grade III renal parenchymal changes and bilateral cortico-medullary cysts. These cases are presented to highlight the importance of timely recognition of renal derangement in patients with retinal disease to delay end stage renal disease.
- Published
- 2016
35. Visual evoked potentials in children with type 1 diabetes mellitus
- Author
-
Naveenta Gupta, Shashi Kant Dhir, Sonia Garg, Rajeev Sharma, Amarpreet Kaur, Meenal Batta, and Gurmeet Kaur
- Subjects
0106 biological sciences ,0301 basic medicine ,Type 1 diabetes ,medicine.medical_specialty ,genetic structures ,business.industry ,Visual evoked potentials ,Audiology ,medicine.disease ,01 natural sciences ,03 medical and health sciences ,030104 developmental biology ,medicine ,business ,010606 plant biology & botany - Abstract
Background: Insulin-dependent (type 1) diabetes mellitus is associated with different degrees of neuropathies affecting peripheral as well as central neural pathways. The subclinical neurological involvement in diabetic children can be assessed by changes appearing in the electrophysiological parameters like Visual Evoked Potentials (VEPs). The objective of the study was to assess the effect of type I diabetes melitus on the visual evoked potentials in children.Methods: This cross-sectional case-control study was done on 30 children with type 1 diabetes mellitus of minimum two years duration as cases and 30 age and gender matched euglycemic children with normal HbA1c taken as controls. Visual Evoked Potentials (VEPs) were done on both the groups of children and the latencies (ms) of waves -N75, P100, N145 and amplitude (μV) of wave P100 were recorded. The data was compiled in the pre-designed proforma and statistically analysed using student t-test.Results: The increase in the mean latencies of waveforms of VEPs N75, P100 and amplitude P100 were found to be highly significant statistically (p0.05).Conclusions: The type 1 diabetes does affect the visual pathways in children. Visual Evoked Potentials are helpful in the detection of early changes in the conduction across the neural pathways in the sub-clinical diseases.
- Published
- 2018
36. Effectiveness of rapid injection technique versus traditional injection technique on level of pain
- Author
-
Sunil Kumar Garg, Shashi Kant Dhir, and Indu
- Subjects
medicine.medical_specialty ,Randomization ,business.industry ,medicine.disease ,Fear of needles ,Distress ,Statistical significance ,FLACC scale ,medicine ,Physical therapy ,Chi-square test ,Anxiety ,DPT vaccine ,medicine.symptom ,business - Abstract
The pain associated with such injections is a source of distress for children, their parents and those administering the injections. If not addressed, this pain can lead to preprocedural anxiety in the future, fear of needles and non adherence with vaccination schedules. The aim of the study is to compare the effectiveness of rapid injection technique versus traditional injection technique to reduce pain in children receiving DPT vaccine in selected hospitals of Punjab. A quantitative research approach, Quasi experimental research in which post test only control group design without randomization was used for the present study. Convenience sampling technique was used to select 120 children receiving DPT vaccination in Guru Gobind Singh Medical College and Hospital, Faridkot and Civil Hospital, Bathinda. The tool used had two sections, sociodemographic variables and FLACC pain scale. The study results revealed that there is statistically significant difference (unpaired t test 17.9) in the mean pain score in experimental group (3.1±0.92) and control group (3.8±1.2) at 0.05 level of significance. The results also depict that there is statistically significant difference in the level of pain in experimental and control group as calculated by chi square test (6.22) at 0.05 level of significance. This study concluded that there is statistically significant difference in the post interventional level of pain between control and experimental group at the 0.05 level of significance.
- Published
- 2018
37. Combining traditional embryology lectures with technology and perception of students toward it
- Author
-
Kamal Kumar Arora, Priti Chaudhary, and Shashi Kant Dhir
- Subjects
lcsh:RT1-120 ,Class (computer programming) ,lcsh:Nursing ,business.industry ,media_common.quotation_subject ,lcsh:R ,lcsh:Medicine ,Subject (documents) ,traditional lectures ,General Medicine ,Students' perception ,Perception ,technology ,ComputingMilieux_COMPUTERSANDEDUCATION ,Mathematics education ,Medicine ,medicine.symptom ,business ,Effective teaching ,Qualitative research ,Confusion ,media_common - Abstract
Background: Technology-enhanced learning is reliable, established, and effective teaching tool for better understanding of the subject. This study addresses an important issue in medical education, namely, the enhancement of the widely criticized lecture style of teaching by engaging students more actively during class through the use of videos or animations. This study describes the development, implementation, and evaluation of a traditional anatomy lecture series combined with technology. Aim and Objectives: The aim of the study is (a) to combine three-dimensional (3D) videos and animations with traditional embryology lectures and (b) to evaluate the 1st-year MBBS students' perception about this method of learning of embryology. Methodology: This qualitative study was conducted in the Department of Anatomy at Guru Gobind Singh Medical College, Faridkot, during the theory classes of embryology over a period of approximately 3 months among 100 1st-year MBBS students. The students were shown 3D videos and animations of embryology during traditional didactic lecture to explain all the aspects of the development of different systems of the body in 25 classes, of 1-h duration each. Feedback was taken using a structured questionnaire to know the perception of students toward this exercise of using technology during lecture of embryology. Results: A total of 100 MBBS first professional students took part in the study and submitted questionnaire. The students were satisfied with this method of technology-enhanced learning and described better understanding of the concepts with improved learning. More than 90% of the students found that combining 3D videos and animations with traditional lecture helped in solving the confusion and misconceptions regarding topic and did make the topic more interesting. They further added that they wanted to have such type of technology (videos)-enhanced lectures in all other topics of anatomy and in other subjects as well. Conclusions: Technology used in the form of 3D videos and animations changed their attitude toward learning and their learning was improved. It provided satisfaction to students in terms of better learning and understanding of the subject.
- Published
- 2018
38. Publication misconduct: Perceptions of participants of a faculty development programme
- Author
-
Shashi Kant Dhir, Monika Sharma, Suman Singh, and Tejinder Singh
- Subjects
Publishing ,Online discussion ,Medical education ,Biomedical Research ,media_common.quotation_subject ,Scientific Misconduct ,MEDLINE ,India ,General Medicine ,Faculty ,Research Personnel ,Variety (cybernetics) ,Misconduct ,Attitude ,Action (philosophy) ,Perception ,Humans ,Faculty development ,Faculty psychology ,media_common - Abstract
Background. Publication misconduct is a commonly reported finding among researchers from various backgrounds including those from the medical sciences. The reasons for such events are diverse and people address them differently. Methods. The opinions and experiences of 72 medical educators enrolled in an online discussion forum for faculty development were analysed to ascertain possible reasons and ways to address publication misconduct. Results. Of the 50 educators who participated in the discussion, 46 had one or more experiences of publication misconduct to share. Twelve participants felt that almost all kinds of publication misconduct, i.e. fabrication and falsification of data, plagiarism and authorship issues were a universal phenomenon. In the experience of majority of the participants, publication misconduct was common and often no action was taken. Lack of knowledge and awareness among teachers and students, personal gains, pressure for professional advancement and lack of monitoring and control were identified as the reasons for such misconduct. Several solutions were offered by the participants to address the problem, the most common was to have a formal training programme along with stringent monitoring and control mechanisms at the institutional level. Conclusion. Publication misconduct occurs and people indulge in it for a variety of reasons. Institutional-level policies may be able to address some of these.
- Published
- 2018
39. Comparison of Seven and Five Centimetre of Water as Initiating Continuous Airway Pressure Levels in Preterm Neonates with Respiratory Distress
- Author
-
Deepak Chawla, Vishal Guglani, Shashi Kant Dhir, and Meenal Batta
- Subjects
Centimeter ,Pediatrics ,medicine.medical_specialty ,Respiratory Distress Syndrome, Newborn ,Respiratory distress ,Continuous Positive Airway Pressure ,business.industry ,medicine.medical_treatment ,MEDLINE ,Infant, Newborn ,Water ,Infant newborn ,03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,Pediatrics, Perinatology and Child Health ,medicine ,Humans ,030212 general & internal medicine ,Continuous positive airway pressure ,Airway ,business ,RESPIRATORY DISTRESS SYNDROME NEWBORN ,Infant, Premature - Published
- 2015
40. Effect of different phases of menstrual cycle on brainstem auditory evoked response
- Author
-
Kamal Singh, Avnish Kumar, Meenal Batta, and Shashi Kant Dhir
- Subjects
medicine.medical_specialty ,medicine.drug_class ,phases of menstrual cycle ,media_common.quotation_subject ,Physiology ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Brainstem auditory evoked response ,Follicular phase ,estrogen ,Medicine ,Auditory pathways ,030223 otorhinolaryngology ,Female students ,Menstrual cycle ,media_common ,business.industry ,Significant difference ,Secretory phase ,Endocrinology ,Auditory brainstem response ,Estrogen ,Original Article ,business ,030217 neurology & neurosurgery - Abstract
Introduction: The change in the hormonal levels during the three phases of menstrual cycle, namely, menstrual phase (hormonal withdrawal), proliferative phase (estrogen peak), and secretory phase (progesterone peak), influences the conduction velocities in the central auditory pathways. Variable findings of brainstem auditory evoked response (BAER) have been reported during different phases of menstrual cycle by different researchers. Aim: To study the effect of different phases of menstrual cycle on BAER. Methodology: A prospective observational study on 80 audiometrically normal, healthy, eumenorrheic female students in age group of 18–24 years was done at a medical college of northern India. BAER was recorded across the three phases of the menstrual cycle, i.e., menstrual phase (day 1–3), proliferative phase (day 10–12), and secretory phase (day 20–22). Recordings of peak latencies, interpeak latencies, and amplitude of waves of BAER were taken and statistically analyzed. Results: In this study, significant decrease in the latencies of wave III, wave V, and interpeak latency I-III and a trend of decrease in latencies of wave I and interpeak latency I-V (which was statistically insignificant) were observed in proliferative (estrogen peak) phase as compared to menstrual and secretory phase. However, there was no statistically significant difference found in the amplitude of waves of BAER during all the three phases of menstrual cycle. Conclusion: The hormonal changes during different phases of menstrual cycle do seem to influence BAER.
- Published
- 2017
41. Impact of self-assessment by students on their learning
- Author
-
Rajeev Sharma, Shashi Kant Dhir, A. Jain, Naveenta Gupta, Sonia Garg, and Meenal Batta
- Subjects
Self-assessment ,020205 medical informatics ,Process (engineering) ,media_common.quotation_subject ,education ,Context (language use) ,02 engineering and technology ,computer.software_genre ,Intervention (counseling) ,Perception ,0202 electrical engineering, electronic engineering, information engineering ,Medicine ,TUTOR ,computer.programming_language ,media_common ,Medical education ,Multimedia ,business.industry ,05 social sciences ,050301 education ,self-assessment ,Medical students ,Test (assessment) ,student learning ,Original Article ,Language Experience Approach ,business ,0503 education ,computer - Abstract
Context: Tutor assessment is sometimes also considered as an exercise of power by the assessor over assesses. Student self-assessment is the process by which the students gather information about and reflect on their own learning and is considered to be a very important component of learning. Aim: The primary objective of this study was to analyze the impact of self-assessment by undergraduate medical students on their subsequent academic performance. The secondary objective was to obtain the perception of students and faculty about self-assessment as a tool for enhanced learning. Materials and Methods: The study was based on the evaluation of two theory tests consisting of both essay type and short answer questions, administered to students of the 1st year MBBS (n = 89). They self-assessed their performance after 3 days of the first test followed by marking of faculty and feedback. Then, a nonidentical theory test on the same topic with the same difficulty level was conducted after 7 days and assessed by the teachers. The feedback about the perception of students and faculty about this intervention was obtained. Results: Significant improvement in the academic performance after the process of self-assessment was observed (P < 0.001). There was a significantly positive correlation between student and teacher marking (r = 0.79). Both students and faculty perceived it to be helpful for developing self-directed learning skills. Conclusions: Self-assessment can increase the interest and motivation level of students for the subjects leading to enhanced learning and better academic performance, helping them in development of critical skills for analysis of their own work.
- Published
- 2016
42. EFFECTIVENESS OF TOUCH THERAPY ON WEIGHT GAIN AMONG PRETERM INFANTS ADMITTED IN NICU AT G.G.S MEDICAL HOSPITAL, FARIDKOT.
- Author
-
Ketki, Narang, H. C. L., Rawat, and Shashi Kant, Dhir
- Subjects
THERAPEUTIC touch ,WEIGHT gain ,PREMATURE infants -- Hospital care ,HOSPITALS ,QUANTITATIVE research - Abstract
INTRODUCTION: A preterm infant is a baby born before 37 completed weeks of gestation. Preterm infants often have low weight at birth so birth weight is the single most important marker of adverse perinatal and neonatal outcome. So Touch therapy, tactile stimulation, stroking and flexing by the nurse or preferably by the mother provide useful tactile simulations to the baby that helps in weight gain in infant &to explore new measures to manage weight in preterm infants, this study has been done. AIM : Aim of the study to assess the effectiveness of touch therapy on weight gain among preterm infants admitted in NICU at G.G.S Medical Hospital, Faridkot. MATERIAL AND METHODS: Quantitative research approach and Quasi-experimental research design was used. Study setting includes NICU of G.G.S. Medical Hospital, Faridkot. Study population 60 preterm infants between 32 to 36 weeks of gestational age. Convenient sampling technique was used and random allocation of study subjects is done. Socio demographic data sheet to collect baseline information and a data sheet was prepared to record the weight in preterm infants using digital weighing machine. RESULTS: The results of the study revealed that the conventional care and experimental group were homogenous with respect to selected socio demographic variables. Beneficial effects of Touch therapy on weight gain among preterm infants on 14th day were found to be statistically significant at p< 0.05. In comparison of experimental and conventional care group, the mean difference in the weight was found to be 2157.67 in experimental group and 1940.33 in conventional care group. CONCLUSIONS: Thus, it is concluded that Touch therapy is found to be more effective in term of weight gain among preterm infants in experimental group as compared to conventional care group and thus can be used as a routine care for effective weight gain among preterm infants. [ABSTRACT FROM AUTHOR]
- Published
- 2016
43. EFFECTIVENESS OF LED PHOTOTHERAPY VS CONVENTIONAL PHOTOTHERAPYIN DECREASING TOTAL SERUM BILIRUBIN LEVEL IN NEONATES WITH UNCONJUGATED HYPERBILIRUBINEMIA.
- Author
-
Navjot, Kaur, H. C. L., Rawat, and Shashi Kant, Dhir
- Subjects
NEONATAL jaundice ,PHOTOTHERAPY ,HYPERBILIRUBINEMIA ,LIGHT emitting diodes ,BILIRUBIN ,THERAPEUTICS - Abstract
INTRODUCTION: Jaundice refers to the yellow color of the skin and whites of the eyes that happens when there is too much bilirubin in the blood. It is a benign transient physiological event in the majority of newborns but can cause irreversible brain damage and kernicterus in infants if the serum bilirubin levels are very high. Phototherapy is the most frequently used treatment when serum bilirubin levels exceed physiological limits. AIM OF THE STUDY: To assess the effectiveness of LED phototherapy vs conventional phototherapy in decreasing total serum bilirubin level in neonates with unconjugated hyperbilirubinemia MATERIAL AND METHODS: Quantitative research approach and quasi-experimental pre test post test control design was used for study. Study setting includes NICU, GGS Medical College & Hospital, Faridkot, Punjab.Sample size was 60 neonates with unconjugated hyperbilirubinemia, 30 in each group selected with convenient sampling technique and randomly allocated to both groups. RESULTS : Results of study revealed that mean duration of phototherapy is 93.60 ± 14.57 and 101.60 ± 17.47 hrs and mean rate of fall of total serum bilirubin level is .06 ± .013 and .05± .016 mg/dl/hr in experimental and conventional care group respectively. Results of unpaired t-test showed non significant difference in total duration of phototherapy and rate of fall of total serum bilirubin level in both groups. Side effects occurred with less frequency in group receiving LED phototherapy. CONCLUSION: The conclusion of study is LED phototherapy is as effective as conventional phototherapy in decreasing total serum bilirubin levels. Considering less side effects, less energy consumption and longer life span, LED phototherapy can be a better option than current conventional phototherapy in treatment of unconjugated hyperbilirubinemia. [ABSTRACT FROM AUTHOR]
- Published
- 2016
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.