Indian Journal of Child Health 2022-05-17T09:43:03+0530 Dr. Girish Chandra Bhatt Open Journal Systems <pre><strong>ISSN:</strong> <strong>p-ISSN</strong> - 2349-6118; <strong>e-ISSN</strong> - 2349-6126 <br /><strong>Discipline:</strong> Pediatrics and Neonatology<br /><strong>Starting Year:</strong> 2014<br /><strong>Current volume:</strong> Volume 9<br /><strong>Issue per year:</strong> 12 (monthly)<br /><strong>Editor-in-chief:</strong> Dr. Girish Chandra Bhatt, India<br /><strong>Indexing:</strong> Index Copernicus, EZB, BASE, World Cat, Journal Guide, Google Scholar<br /><strong>E-mail: <a href="" target="_blank" rel="noopener"></a> </strong></pre> Screening of behavioral problems in children using child behavior checklist (1½–5 years) 2022-02-19T15:26:55+0530 Amalu George Jyotsna Shrivastava <p>Background: Tremendous rise in behavioral disorders in child population demands screening at the earliest. Screening asymptomatic preschool children using validated preschool child behavior checklist (CBCL) (1½–5 years) may help in early diagnosis and treatment. Objective: The objective of the study was to assess the behavioral problems, estimate their proportion in study population, and find its association with various sociodemographic factors. Materials and Methods: An observational cross-sectional study was undertaken in which 192 children of age group 1½–5 years were selected from the outpatient department attendees of a tertiary care hospital. Validated preschool CBCL was used which has 100 statements, each scored by parents as 0=not true, 1=somewhat true, or 2=very true and categorized to CBCL empirically based scale internal problems, external problems, total problems, and CBCL-diagnostic and statistical manual of mental disorders (CBCL-DSM) oriented scale. Based on total score, they were categorized to normal, borderline, and clinical range for CBCL both scales. Sociodemographic risk factors were recorded. Results: The overall proportion for behavioral disorder was 16% in studied population. Autism spectrum problems constitute highest (13%) of CBCL-DSM oriented scale problems. CBCL empirically based scale external problems are more in boys (16.3%) than girls (6.8%) in the clinical range (p=0.01). Conclusion: High proportion (16%) of behavioral disorders in preschool children, especially in boys, points toward need of early screening and intervention.</p> 2022-05-17T00:00:00+0530 Copyright (c) 2022 Amalu George, Jyotsna Shrivastava A study of the impact of the ARCH model of parenting on the psychosocial well-being of children and their parents during the COVID-19 pandemic 2022-03-27T19:13:56+0530 Dhruv Kalawadia Suradharadhika Ramkrishna Bela Verma Samir Dalwai Manish Garg <p>Introduction: The COVID-19 pandemic and its associated lockdowns have affected the development of children negatively. The ARCH model is a parent-administered, home-based, psychological intervention model to improve the psychosocial well-being of children and their families. The model acts as a set of guidelines and a list of activity modules for parent-child interactions that will promote and enhance the child’s social skills and psychological health. Objective: The objective of the study was to study the effectiveness of a novel innovative psychological model and parenting strategy for promoting the psychosocial well-being of children. Materials and Methods: This is an open prospective single-arm study in a tertiary care hospital with pre-and post-intervention design. Patients aged 3–18 years visiting the outpatient department, admitted to the pediatric ward as well as their parents, and siblings, were enrolled in the study. Data were collected by self-reported questionnaires. The intervention was administered and 1–2 months later we checked for any changes in the psychosocial well-being scores. Results: Fifty participants were enrolled and eight were lost to follow-up. Statistical analysis showed an insignificant difference in the Ryff psychosocial well-being pre-intervention score (208.5±15.1) and post-intervention scores (208.4±14.8) (p=0.847) for parents. KIDSCREEN questionnaire score showed a significant improvement in “social service and peers” subcategory, between pre-intervention score (128.83±17.18) and post-intervention score (131.29±16.60) with a Z score=2.09 (p&lt;0.05). KIDSCREEN questionnaire score also showed improvement in overall score in pre-intervention score (578.64±440.39) and post-intervention score (584.40±444.19) with a Z score=1.66 (p&lt;0.05). Conclusion: Our study found that while the intervention did not have a major impact on the psychosocial well-being of the parents, there was a significant difference effected on the psychosocial well-being of the children.</p> 2022-05-17T00:00:00+0530 Copyright (c) 2022 Dhruv Kalawadia, Suradharadhika, Bela Verma, Samir Dalwai, Manish Garg Anemia in early life (up to the age of 6 months) – Is it really a disease burden? A cross-sectional study from Sub-Himalayan region 2022-02-02T12:24:51+0530 CHARU MAGGO Shivani Gahalot Seema Sharma <p>Objectives: To determine whether or not, all breastfed newborns should get preventive iron (up to age of 6 months). It will determine the disease burden and clinicopathological profile of anemia in infants up to 6 months and its correlation with maternal Hb levels. Materials and Methods: A 4-month hospital-based cross-sectional study was conducted in all infants under the age of 6 months and their mothers admitted to the pediatric ward of a tertiary health care center in the Sub-Himalayan region. Results: About 42% of infants (up to 6 months of age) and 64% of mothers were found to be anemic. It was found that mothers of 74% of total anemic infants were also anemic. Furthermore, in 79% cases mothers with good ferritin stores (?12 ng/ml) also have infants with good ferritin levels (?10 ng/ml). It was found that mothers who have not consumed adequate amount of iron in their pregnancy, 44% of them have anemic infants. Despite the fact that the association between newborn and maternal characteristics is not statistically significant, the results are noteworthy, indicating the need for a more comprehensive investigation to determine the relationship. Conclusion: High rates of anemia in early life point to the need of multicentric as well as population-based study so that we can collect evidence to start iron prophylaxis in this highly vulnerable developing age group of 0–6 months. Further higher rates of anemia in mothers warrant the strengthening in the implementation plan of iron and folic acid supplementation to all females of reproductive age group.</p> 2022-05-17T00:00:00+0530 Copyright (c) 2022 CHARU MAGGO, Shivani Gahalot, Seema Sharma Neonatal Ludwig’s angina with a whirlwind progression and catastrophic outcome: A case report 2022-03-28T08:12:52+0530 Krishna Neisseril Wilson Aswathy Rahul Suvadha Krishnan Radhika Sujatha Sobha Kumar Saraswathyamma <p>Ludwig’s angina is a rapidly progressive life-threatening disease, characterized by gangrenous cellulitis and edema of the soft tissues of the neck and the floor of the mouth. The incidence is very rare in children and even rarer in neonates, with sparse case reports. Early diagnosis is crucial in anticipating airway compromise and early management. We are reporting a case history of an 11-day old neonate who presented with an excess cry of 1-day duration and suspected sepsis. Gradually, he developed stridor, and swelling was noted in the submental area, which got progressed to a state of airway compromise and multiorgan dysfunction over a few hours. Drainage of the submental area yielded 10 ml pus which grew methicillin-resistant Staphylococcus aureus later. The baby succumbed to death within 12 h of the onset of symptoms.</p> 2022-05-17T00:00:00+0530 Copyright (c) 2022 Krishna Neisseril Wilson, Aswathy Rahul, Suvadha Krishnan, Radhika Sujatha, Sobha Kumar Saraswathyamma Neonatal appendicitis: A rare presentation of necrotising enterocolitis in a term infant 2022-01-08T11:45:30+0530 Subhash Rao Nandita Saxena Kumar Salvii Vishwas Chavan <p>Appendicitis is one of the rare causes of acute abdomen in the neonatal age group. We describe one such case in a term baby and discuss its pathogenesis as one of the presentations of Necrotising Enterocolitis.</p> 2022-05-17T00:00:00+0530 Copyright (c) 2022 Subhash Rao, Nandita Saxena, Kumar Salvii, Vishwas Chavan