Comparison Of The Efficacy Of Sildenafil Alone Versus Sildenafil Plus Bosentan In Newborns With Persistent Pulmonary Hypertension.

Background: Persistent pulmonary hypertension is a serious disease among new-borns. Inhaled nitric oxide is first line of therapy along with extracorporeal membrane oxygenation. Pulmonary vasodilators such as sildenafil, bosentan and milrinone are also used to treat persistent pulmonary hypertension especially in resource limited centres where inhaled nitric oxide is not available.

Sildenafil in Cystic Hygroma.

Cystic hygroma is a benign congenital malformation of the lymphatic system. Most of the cystic hygromas are found in the neck; other rare locations include axilla, mediastinum, and limbs. Symptoms range from mere presence of lesions to gross morbidity secondary to compression of adjacent organs, infection, hemorrhage etc.

Neonatal seizures, experience at Children Hospital and Institute of Child Health Multan.

Objective: The study was conducted to determine the etiology of seizures in neonates.

Methods: This was a descriptive Cross-sectional study. This study was conducted at neonatal unit of children hospital and institute of child health Multan from June 2012 to April 2013.

Risk factors and mortality among newborns with persistent pulmonary hypertension.

Objective: To determine the risk factors for persistent pulmonary hypertension of newborns (PPHN) and their influence on mortality.

Methods: This was an observational study conducted at The Children's Hospital & the Institute of Child Health, Multan, Pakistan, from July 2011 to June 2012.All admitted babies who had respiratory distress, cyanosis and evidence of hypoxia on ABG,s were diagnosed provided that they were having right- to- left or bidirectional hemodynamic shunting at the ductus arteriosus or at patent foramen ovale along with Tricuspid regurgitation (TR) jet >40 mm of Hg on echocardiography.

Pattern of neonatal admission at the Children's Hospital and the Institute of Child Health, Multan.

Background: Neonatology is a rapidly growing paediatric sub-specialty all over the world. Neonatal disease pattern changes from time to time and place. Analyzing the neonatal admission pattern helps the policy makers to make the better strategies and health care givers to serve better.

Breast feeding patterns in a military hospital.

Objective: To determine the status of breast feeding, exclusive breast feeding and other feeding patterns in infants upto 12 months age.

Design: Cross- sectional study.

Place And Duration Of Study: Paediatrics Department and Immunization Center, Combined Military Hospital, Multan, from October 2004 to March 2005.