The survival rates in the IM-SAM program were very high. However, the moderate recovery rates documented seem to indicate that the protocols currently in use need to be improved. This trial was registered at clinicaltrials.gov as NCT01917734.

Abstractobjective Until 2010, no Japanese encephalitis (JE) had been reported from Delhi. Upon report of four confirmed cases of JE in September 2011, detailed investigations were carried out to determine whether the cases were imported or indigenous.methods Entomological surveys were carried out and all mosquito pools were tested for the detection of JE virus by ELISA method using specific monoclonal antibody. Human blood samples from contacts of the patients were tested by IgM-captured ELISA method. Pig's blood samples were also tested for the detection of JE virus.results Culex tritaeniorhynchus, Culex vishnui and Culex pseudovishnui mosquitoes were found. In contrast to rural areas, their breeding habitats were different in the city. 19 pools were tested. JE virus was detected in two pools of Cx. tritaeniorhynchus females reared from field-collected larvae, indicating vertical transmission. One pool of Cx. vishnui was also positive. This is the first report for the detection of JE virus in mosquitoes from Delhi. JE IgM antibodies in five contacts/residents indicate recent infection. JE virus was also detected in pigs.conclusion Present analysis shows that of four reported JE cases, three were confirmed indigenous, indicating that the virus is multiplying in the city. Mapping of infected JE vector mosquitoes in the cities is required for preventive measures to contain further spread of the disease.

AIM:To study the determinant of mortality on extramural arrival of sick newborns and mode of neonatal transport at tertiary care Centre. BACKGROUND: Neonatal transport system in our country is major gap in holistic newborn care and acute neonatal physiology is deranged during transport which adversely affects the mortality and morbidity of sick newborns. MATERIAL & METHODS: This is prospective observational cohort study carried out in out born neonatal intensive care unit over a period of one year. Inclusion criteria were age up to 28 days, delivered at home or private nursing home or any health centre; and exclusion criteria were age more than 28 days, abandoned newborns and those delivered in the institution of study. A predesigned and tested proforma was used to record information by the pediatric resident on duty at time of neonatal admission. Data were analysed and tabulated, for analysis of data software STATISTIX was used, chisquare test for dichotomous variables and multiple logistic regression for predictors of mortality. RESULT: Out of 200 newborns 146 were male and 54 were female, 140 were term and 59 were preterm, 39 newborns expired and common mode of transport was taxi 47%, bus 16%, auto 16% and ambulance 2.5%. The common factors determining the outcome were low admission weight, prematurity, longer duration of transport and deranged physiological factors e.g. hypothermia, respiratory distress, prolonged CRT and central cyanosis. CONCLUSION: This study concludes that neonatal transport in our country is self-supported; the ideal element of neonatal transport is major gap in holistic neonatal care. Thus we suggest RUSH-IN FACILITY for neonatal transport.

Fresh femoral neck fracture in young adults managed with multiple cancellous screws fixation with fibular graft has no added advantage over multiple cancellous screws fixation alone.

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