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Biomedical subjects

G Gathwala

Publications and source records attributed to G Gathwala.

At least 19 recordsLinked to original sources

Apnea in neonates.

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Aminophylline

Neonatal behavior in full-term small for date.

Fifty newborns, 25 full term SFDs (small for date) and 25 full term AGAs (appropriate for gestational age) were taken up for comparative study of their behavior using BNBAS (Brazelton's neonatal behavior assessment scale). The study revealed that full term SFDs performed significantly poorly on all items under cluster interactive processes compared to their counterparts full term AGAs on day 1. They also showed similar poor performance in clusters of motor processes and organizational processes (State control). Follow up assessment on day 30 revealed significantly better performance in these clusters. However, the performance of SFD babies in all items of cluster of organizational processes (physiological response) was comparable to that of AGA babies in the initial as well as follow up assessments.

Birth Weight

Myiasis in children: the Indian perspective.

A retrospective analysis of 94 cases of childhood myiasis admitted over a 6-year period is presented. Children formed 37.9% of all cases of myiasis. More than 50% of the children were less than 5 years of age and most (96.8%) belonged to a rural background. Of the 94 cases, 81 (86.16%) were of aural, 11 (11.7%) of nasal and 2 (2.12%) of ocular myiasis. The peak incidence was seen from September to October. The main symptoms in aural myiasis were passage of worms (81.48%), discharge (44.44%) and pain (41.97%). In nasal myiasis epistaxis (100%), foul smell (100%) passage of worms (90.9%) and pain (72.72%) were the prime presenting symptoms. All patients were treated with chloroform and turpentine oil in the ratio 1:4 which was followed by manual removal of the maggots and were made maggot-free in 2-3 days. No complications were seen.

Adolescent

Clinical profile and outcome in enteric fever.

Sixty five blood culture positive cases of S. typhi were studied for clinical profile. A total of 64.6% were multidrug resistant and 35.4% were chloramphenicol sensitive. In patients with multidrug resistant S. typhi the age was higher (p < 0.01), and incidence of complications such as shock (35.7%), encephalopathy (42.9%), myocarditis (14.3%) and gastric hemorrhage (4.7%) were more frequent, compared to chloramphenicol sensitive group. Cases with multidrug resistant S. typhi (MDRST) were treated with oral ciprofloxacin; the period of defervescence of fever was significantly less (p < 0.05) compared to the chloramphenicol group. Our study suggests the use of ciprofloxacin in the treatment of MDRST without any side effects.

Adult

Delayed contact and breast feeding.

Fifty two mother-infant pairs were studied. Of these, twenty six belonged to the normal vaginal delivery group where babies were roomed in with their mothers immediately after birth. Twenty six belonged to the cesarean group where the mother and baby were separated for 2.8 +/- 1.0 days. The social support was comparable in the two groups. No significant difference was found in the number of mothers breast feeding their infants at four weeks postpartum.

Breast Feeding

Oral aluminium phosphide poisoning in Indian children.

Aluminium phosphide, due to its low cost, easy availability and highly toxic nature, is emerging as a common self-poisoning agent in adults. In children, besides accidental ingestion, it is usually given by their parents who themselves have taken it with suicidal intentions. Seven such cases in children are reported. Since prevention is the only logical approach there is an urgent need to take appropriate steps to prevent further loss of lives.

Adolescent