Indian pediatrics
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Comparative Study
Comparison of alert verbal painful unresponsiveness scale and the Glasgow Coma Score.
To determine how the AVPU (alert, verbal, painful, unresponsiveness) scale corresponds to Glasgow Coma Score (GCS), we compared the two scales. Two months to 12 years old patients were included in the study. The median GCS score (inter quartile range) for A/V/P/U were 14 (12-15), 11 (10-12), 6 (5.5-8) and 3 (3-4), respectively.
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We conducted a cross-sectional study among 188 tribal children aged 6-59 months using two-stage sampling in Bankura-I Block of Bankura district, West Bengal, India, to assess their nutritional status and its relation with household food security. Weight and height/length were measured and analyzed as per new WHO Growth Standards. Mothers of the study children were interviewed to obtain relevant information. Prevalence of Composite Index of Anthropometric Failure was 69.1%; and multiple anthropometric failures were more likely among tribal children aged 24-59 months with irregular utilization of supplementary nutrition and from households with severe grades of food security.
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To develop a clinical strategy for detection of Congenital heart disease (CHD) in the newborn through a combination of clinical signs and pulse oximetry. ⋯ In the community setting of a developing country, clinical evaluation and pulse oximetry after birth had a very low sensitivity for detection of CHD. Though an abnormal screening warrants prompt echocardiography, a 6 week clinical evaluation is recommended to ensure that major CHD is not missed.