Are Electrocardiographic Criteria Reliable for Left Ventricular Hypertrophy Detection in Indian Adults?

Background: Left ventricular hypertrophy (LVH) detection is vital to the risk stratification of adults at risk of adverse cardiovascular events such as coronary heart disease, cerebrovascular disease, and aortic aneurysms. Electrocardiogram (ECG), a non-invasive, cost-effective instrument has been widely used as a screening tool for LVH. The objective of this study was to determine the diagnostic accuracy of seven frequently used ECG criteria in high-risk Indian adults in comparison with echocardiography.

Peripheral intravenous cannulae in neonates: To splint or not?

Objective: To determine the effect of splint on the dwell time of peripheral intravenous cannula in neonates.

Setting: Level II Neonatal Intensive Care Unit (NICU).

Patients: Consecutive babies with presumed need of peripheral intravenous access of at least 24 h.

Tuberculous meningitis manifesting with neuroregression in a eleven month child.

Tuberculosis (TB) is a disease of diverse manifestations. In children, neurotuberculosis is the severest form, which when left untreated can have deleterious consequences. There has been reports on pediatric TB meningitis manifesting with fever and seizures, altered sensorium or focal deficits.

Neonatal abstinence syndrome.

Objective: To study the substance misuse in pregnant mothers and its impact on their newborns.

Methods: Case note review of the study population was undertaken. Infants of mothers who had taken substance of misuse were monitored regularly using Finnegan's score and treatment initiated based on a pre-existing protocol.

Epilepsy clinic services, NICE guidelines and patient satisfaction--an audit.

Objective: To audit the performance of the paediatric epilepsy services in a district general hospital based on NICE guidelines and parent satisfaction.

Design: retrospective audit.

Setting: Paediatric epilepsy clinic in a district general hospital.