Journal of the Indian Medical Association
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A national consultation was organised in January 2012, in order to reconcile between global and national guidelines, to review the evidence base and update the RNTCP guidelines in consensus with Indian Academy of Paediatrics. The consultation had come up with wider recommendations in diagnosing and treating paediatric tuberculosis patients which has been incorporated in the programme.
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Management of non-united neck femur fracture in young patients is still a challenge for orthopaedic surgeons. In this study 35 patients with non-united fracture neck femur were treated by valgus osteotomy and fixation with dynamic hip screw over a period of 4 years. ⋯ Average limb length shortening in the affected limb after union was 1 cm. Valgus intertrochanteric osteotomy and fixation by dynamic hip screw is an effective, cheap and relatively easy method for treatment of non-united fracture neck femur in young patients.
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To outline the immunisation status of rural children and factors influencing it, a cross-sectional study was undertaken in the paediatric OPD of a medical college hospital among children (n = 300) in the age group of 12-23 months belonging to rural areas of the district Jaipur, Rajasthan. Parents of 300 children were interviewed using a preformed schedule. Children were labelled as 'completely immunised', 'partially immunised' or 'non-immunised' according to working definitions. ⋯ The most common reasons for partial immunisation (n = 144) were: Parents' 'forgetfulness' of the schedule, adverse effects observed and not recalled by the health worker. The most common reasons for non-immunisation (n = 56) were lack of knowledge regarding vaccines and schedule, fear of 'injection' and busy in profession. The various factors found to influence the immunisation status of rural children need to be addressed in order to achieve millennium development goal of reducing under-five child mortality.