Background: Iron deficiency anemia is the most common nutritional deficiency disorder in the world. The present study was conducted to know the prevalence and severity of iron deficiency anemia among of 6 months to 60 months old children. A large proportion of iron deficiency is preventable with appropriate and timely intervention.Methods: This cross-sectional study was done on 100 children clinically suggestive of anemia with hemoglobin level less than 11gm/dl admitted in pediatrics ward of tertiary care hospital. 5 ml of blood sample was taken and complete hemogram, peripheral blood film and serum ferritin estimation was done. Case were studied in reference to history, age, clinical examination, hemoglobin level and confirmation of iron deficiency anemia was done by serum ferritin levels.Results: The prevalence of iron deficiency anemia in present study was 56%. It was most prevalent in the age group of 6 to 24 months. Exclusively breastfed children showed higher prevalence of iron deficiency anemia in present study, however no statistical correlation was found. Low Serum ferritin levels have statistically significant result with socioeconomic status, with as many as 69.4% suffering from iron deficiency anemia belonging to low socioeconomic status.Conclusions: Prevalence of iron deficiency anemia remains alarmingly high and major health problem in our country. All anemia are not iron deficiency anemia. Low socioeconomic status is a huge hurdle in child health and greatly influences prevalence of iron deficiency anemia. Serum ferritin is a most sensitive marker of iron deficiency anemia, helps diagnose it early in its course, which can be missed on clinical or routine blood investigations.

There are three primary ways for an aircraft to change its orientation relative to the passing air. Pitch (movement of the nose up or down, rotation around the transversal axis), Roll (rotation around the longitudinal axis, that is, the axis which runs along the length of the aircraft) and Yaw (movement of the nose to left or right, rotation about the vertical axis). In straight climbing flight, lift is less than weight. At first, this seems incorrect because if an aircraft is climbing it seems lift must exceed weight. When an aircraft is climbing at constant speed it is its thrust that enables it to climb and gain extra potential energy. Lift acts perpendicular to the vector representing the velocity of the aircraft relative to the atmosphere, so lift is unable to alter the aircraft's potential energy or kinetic energy. This can be seen by considering an aerobatic aircraft in straight vertical flight-one that is climbing straight upwards (or descending straight downwards). Vertical flight requires no lift! When flying straight upwards the aircraft can reach zero airspeed before falling earthwards-the wing is generating no lift and so does not stall. In straight, climbing flight at constant airspeed, thrust exceeds drag. In straight descending flight, lift is less than weight. In addition, if the aircraft is not accelerating, thrust is less than drag. In turning flight, lift exceeds weight and produces a load factor greater than one, determined by the aircraft's angle of bank Take off is the stage from the application of take off power until an altitude of 35 feet above the runway elevation. This includes the substages: takeoff and rejected takeoff. The initial climb is the stage from the end of the takeoff to the first prescribed power reduction or when the aircraft is 1,000 feet above the runway elevation, whichever is first.

Aims and Objectives: To nd out all the outcomes in neonates born to mother with premature membrane rupture (PROM or PPROM) of >18 hrs duration. This descriptive study was conducted in Department of P Methods: ediatrics, at Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala over a period of 18 months. Total 58 neonates born to mother with PROM of more than 18 hours were evaluated in this study. Perinatal Results: morbidity was seen in 50% of cases. Neonatal jaundice was the commonest cause for perinatal morbidity noticed in 37.93% of cases followed by respiratory distress/TTN, Thrombocytopenia, CRP positive sepsis, Birth asphyxia, Apnoea, RDS and Culture positive sepsis (27.58%, 18.96%, 18.96%, 10.34%, 10.34%, 8.62% and 8.62% respectively). Perinatal mortality observed was 1.72% (1 out of 58). As the period of gestation increases the duration of latency period decreases and incidence of perinatal morbidities also decreases. Pregnancies complica Conclusion: ted by PROM are signicantly at higher risk of developing perinatal morbidities and mortality. These morbidities are greatly inuenced by the duration of the latency period and period of gestation.

INTRODUCTION The most common morbidity in the rst week of life is the jaundice which occurs in 80% of term and 60% of preterm neonates and is the most often causes readmission after the baby is discharged from the hospital. The treatment of neonatal hyperbilirubinemia is phototherapy. Like any other treatment modality, phototherapy also has side effects of which very few studies were done on electrolyte disturbances. Hence present study was designed to determine the serum sodium, potassium and chloride changes in neonates receiving phototherapy for neonatal jaundice. AIMS AND OBJECTIVES To study the effect of phototherapy on serum sodium, Potassium and Chloride levels in neonates with neonatal hyperbilirubinemia. MATERIALS AND METHODS This Hospital Based Longitudinal Observational Study was done in the Department of Paediatrics at MMIMSR, Mullana over a period of one and a half year. Serum bilirubin, sodium, Potassium and Chloride levels were measured before initiation of phototherapy and on termination of phototherapy. RESULTS The study included 100 neonates with hyperbilirubinemia treated with phototherapy with male: female ratio of 58%:42%.The mean gestational age was 37.681.63 weeks and birth weight was 2.790.38kgs. The age of onset of phototherapy and duration of phototherapy were 3.802.50 days and 28.627.02 hours respectively. Before phototherapy, the total serum bilirubin, sodium, potassium and chloride levels were 13.87±1.41,140.72±3.45,4.55±0.44 and 106.08±3.1 respectively which decreased to 9.50±1.60,137.45±3.09,4.20±0.46 and 104.52±3.91 with statistically signicant change in bilirubin(p<0.0001),sodium(p<0.0001), potassium(p<0.0001) and Chloride(p=0.0038).