Ectopia cordis is a rare congenital anomaly. Congenital anomaly scan can detect it at 18-23 weeks... more Ectopia cordis is a rare congenital anomaly. Congenital anomaly scan can detect it at 18-23 weeks of gestation. Four chamber view of the heart in routine fetal anomaly scans at >18 weeks is the most effective technique to detect CHD prenatally.
Neonatal spontaneous colonic perforation in term neonates is a rare phenomenon, cecal perforation... more Neonatal spontaneous colonic perforation in term neonates is a rare phenomenon, cecal perforation being seldom reported. We report a case of spontaneous cecal perforation in a term, large for gestational age neonate, who became symptomatic on day 2 of life with vomiting and abdominal distension. On exploration, three large full-thickness cecal perforations with necrotic cecum were noted. Histopathologic samples were negative for necrotizing enterocolitis and Hirschsprung's disease. Clinical awareness of this rare entity could help in preventing delay in imaging and prompt surgical management.
To describe an innovative interactive e-learning method to disseminate knowledge to larger group ... more To describe an innovative interactive e-learning method to disseminate knowledge to larger group of participants over a wide geographical area. The course material included standard training tool “Best Practices in Preterm Care,” hosted on Telegram, a cloud-based instant messaging platform. The participants were enrolled in the group created on Telegram by the facilitators and included in-service nurses from India, Bhutan, Bangladesh, and UAE. They were mentored by 62 facilitators over 10 wk. Content of each module was loaded every week on two specific days. Mentors specified for that week facilitated learning through discussions. There was a live session every week to address any additional queries and to summarize the key messages of the week. Each week ended with weekly assessments through quiz. In this course, 4623 nursing professionals from India and Southeast Asian Region involved in providing neonatal care, participated. There were 9939 posts with an average of 126 posts per day. Majority of the participants felt that the topics were relevant (~95%) and they were comfortable in asking questions and could clarify their doubts (~90%). Majority rated their overall experience as very good to excellent (~98%). Interactive e-learning using the current approach if channelized optimally seems to be acceptable and feasible method to reach wide geographical area. This, however, needs local champions ready to mentor their own health professionals with context-specific guidance.
Neonatal spontaneous colonic perforation in term neonates is a rare phenomenon, cecal perforation... more Neonatal spontaneous colonic perforation in term neonates is a rare phenomenon, cecal perforation being seldom reported. We report a case of spontaneous cecal perforation in a term, large for gestational age neonate, who became symptomatic on day 2 of life with vomiting and abdominal distension. On exploration, three large full-thickness cecal perforations with necrotic cecum were noted. Histopathologic samples were negative for necrotizing enterocolitis and Hirschsprung's disease. Clinical awareness of this rare entity could help in preventing delay in imaging and prompt surgical management.
Ectopia cordis is a rare congenital anomaly. Congenital anomaly scan can detect it at 18-23 weeks... more Ectopia cordis is a rare congenital anomaly. Congenital anomaly scan can detect it at 18-23 weeks of gestation. Four chamber view of the heart in routine fetal anomaly scans at >18 weeks is the most effective technique to detect CHD prenatally.
The prevalence of anxiety is high in school going children; however pattern of parenting and gend... more The prevalence of anxiety is high in school going children; however pattern of parenting and gender of the child are important factors for the development of anxiety. Gender role and parenting patterns are important construct that vary across different sociocultural setting hence are important to be studied in Indian context. In a cross sectional study all students of both sexes studying in class VIII, were assessed using the Spence anxiety scale (children version). The sample consisted of 146 (55% male and 45% female) with a mean age of 12.71 years. A total of 16 (11%) students scored above cutoff for high anxiety, the mean scores across gender shows that female students scored significantly higher in total and all sub types of anxiety. Most of the students perceived their parents 'Democratic' and other two authoritarian and permissive type of parenting were almost equal. There was significantly higher anxiety among the students who perceived their parents as authoritarian. The prevalence of high anxiety was 11% in class VIII students. High anxiety in students was significantly associated with female gender and authoritarian parenting pattern as perceived by the children.
Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology, Jan 30, 2017
Ofloxacin is a commonly used quinolone antibiotic both in adults as well as children. It is gener... more Ofloxacin is a commonly used quinolone antibiotic both in adults as well as children. It is generally safe and well tolerated. Rarely, neurological and psychiatric adverse reactions are reported to occur with ofloxacin. We report a case of a child who developed delirium after ofloxacin treatment, that resolved after medication discontinuation and treatment with low dose olanzapine.
Ectopia cordis is a rare congenital anomaly. Congenital anomaly scan can detect it at 18-23 weeks... more Ectopia cordis is a rare congenital anomaly. Congenital anomaly scan can detect it at 18-23 weeks of gestation. Four chamber view of the heart in routine fetal anomaly scans at >18 weeks is the most effective technique to detect CHD prenatally.
Neonatal spontaneous colonic perforation in term neonates is a rare phenomenon, cecal perforation... more Neonatal spontaneous colonic perforation in term neonates is a rare phenomenon, cecal perforation being seldom reported. We report a case of spontaneous cecal perforation in a term, large for gestational age neonate, who became symptomatic on day 2 of life with vomiting and abdominal distension. On exploration, three large full-thickness cecal perforations with necrotic cecum were noted. Histopathologic samples were negative for necrotizing enterocolitis and Hirschsprung's disease. Clinical awareness of this rare entity could help in preventing delay in imaging and prompt surgical management.
To describe an innovative interactive e-learning method to disseminate knowledge to larger group ... more To describe an innovative interactive e-learning method to disseminate knowledge to larger group of participants over a wide geographical area. The course material included standard training tool “Best Practices in Preterm Care,” hosted on Telegram, a cloud-based instant messaging platform. The participants were enrolled in the group created on Telegram by the facilitators and included in-service nurses from India, Bhutan, Bangladesh, and UAE. They were mentored by 62 facilitators over 10 wk. Content of each module was loaded every week on two specific days. Mentors specified for that week facilitated learning through discussions. There was a live session every week to address any additional queries and to summarize the key messages of the week. Each week ended with weekly assessments through quiz. In this course, 4623 nursing professionals from India and Southeast Asian Region involved in providing neonatal care, participated. There were 9939 posts with an average of 126 posts per day. Majority of the participants felt that the topics were relevant (~95%) and they were comfortable in asking questions and could clarify their doubts (~90%). Majority rated their overall experience as very good to excellent (~98%). Interactive e-learning using the current approach if channelized optimally seems to be acceptable and feasible method to reach wide geographical area. This, however, needs local champions ready to mentor their own health professionals with context-specific guidance.
Neonatal spontaneous colonic perforation in term neonates is a rare phenomenon, cecal perforation... more Neonatal spontaneous colonic perforation in term neonates is a rare phenomenon, cecal perforation being seldom reported. We report a case of spontaneous cecal perforation in a term, large for gestational age neonate, who became symptomatic on day 2 of life with vomiting and abdominal distension. On exploration, three large full-thickness cecal perforations with necrotic cecum were noted. Histopathologic samples were negative for necrotizing enterocolitis and Hirschsprung's disease. Clinical awareness of this rare entity could help in preventing delay in imaging and prompt surgical management.
Ectopia cordis is a rare congenital anomaly. Congenital anomaly scan can detect it at 18-23 weeks... more Ectopia cordis is a rare congenital anomaly. Congenital anomaly scan can detect it at 18-23 weeks of gestation. Four chamber view of the heart in routine fetal anomaly scans at >18 weeks is the most effective technique to detect CHD prenatally.
The prevalence of anxiety is high in school going children; however pattern of parenting and gend... more The prevalence of anxiety is high in school going children; however pattern of parenting and gender of the child are important factors for the development of anxiety. Gender role and parenting patterns are important construct that vary across different sociocultural setting hence are important to be studied in Indian context. In a cross sectional study all students of both sexes studying in class VIII, were assessed using the Spence anxiety scale (children version). The sample consisted of 146 (55% male and 45% female) with a mean age of 12.71 years. A total of 16 (11%) students scored above cutoff for high anxiety, the mean scores across gender shows that female students scored significantly higher in total and all sub types of anxiety. Most of the students perceived their parents 'Democratic' and other two authoritarian and permissive type of parenting were almost equal. There was significantly higher anxiety among the students who perceived their parents as authoritarian. The prevalence of high anxiety was 11% in class VIII students. High anxiety in students was significantly associated with female gender and authoritarian parenting pattern as perceived by the children.
Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology, Jan 30, 2017
Ofloxacin is a commonly used quinolone antibiotic both in adults as well as children. It is gener... more Ofloxacin is a commonly used quinolone antibiotic both in adults as well as children. It is generally safe and well tolerated. Rarely, neurological and psychiatric adverse reactions are reported to occur with ofloxacin. We report a case of a child who developed delirium after ofloxacin treatment, that resolved after medication discontinuation and treatment with low dose olanzapine.
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Papers by Rajiv Sharan