Background: Every newborn carries within itself immense possibility to transform into a complete healthy human being and fulfill the needs the future will demand. Of the problems of premature baby, respiratory causes are the commonest admission to NICU. The common respiratory problem encountered is Respiratory distress syndrome (RDS) also known as Hyaline membrane disease (HMD), whose incidence increases as babies are born early. The objective of the study was to assess the morbidity and mortality profile among preterms suffering from Hayaline membrane disease in a tertiary care hospital in Cuttack.Methods: A prospective comparative study was conducted in the neonatal intensive care unit of SVPPGIP Hospital attached to the SCB Medical College, Department of Pediatrics, Cuttack from September 2010 to September 2012. A total of 103 preterm newborn with Hyaline membrane disease were included in the study.Results: Out of 103, 67 male and 36 females were included in the study.The total neonatal death in our study was 44 (42.7%) pre-term out of 103 subjects. The death of neonate within 1st week or 168 hrs of age of birth irrespective of cause was considered for early neonatal death which was 21 (47.7%) of the total neonatal death.Conclusions: It may be worth considering surfactant replacement therapy in neonates between with RDS 30-33 weeks gestation in level III care setup in our country even being referred late but less than 24 hrs of age with supportive and aseptic care.

Background: Adolescents use the Internet for a variety of activities besides gaming; they frequently engage themselves with social networking, instant messaging, blogging and downloading information. Heavy Internet use has been associated with potential side effects, such as loss of control over the use of the Internet, adverse effects on other daily activities, emotional status and communication among family members. Objective of present study to assess the prevalence of Internet Addiction (IA) and factors associated with Internet use among Urban and Rural school students. Methods: A school based cross sectional study was conducted in the urban and rural field practice area of a medical college hospital in Mangaluru. Internet addiction was assessed using Young's Internet Addiction Test. Results: The prevalence of internet addiction among urban school students was found to be i.e. 83.3%, while it was 78% in rural school students. Mild IA was common among both. Male gender, smart phones and hours spent on internet were common risk factor for IA in both groups. Conclusions: Young's Internet Addiction Test (IAT) is a simple and easy tool to assess Internet addiction among adolescent school students. Need to give importance of outdoor activity and community level education needed to prevent Internet Addiction.

Background: Respiratory distress is a clinical condition characterized by the presence of one or more signs of increased work of breathing including tachypnea, nasal flaring, grunting, and chest wall retraction. Objective: The objective of the study was to study the outcome of surfactant therapy in preterm with respiratory distress syndrome (RDS). Materials and Methods: A prospective comparative study was conducted in the neonatal intensive care unit of a tertiary care hospital in Cuttack, Odisha, over a period of 2 years. Parents of the babies, who gave their consent for surfactant (who can afford), were assigned as surfactant group while those who could not afford it, were included in nonsurfactant group after matching general characteristics. Results: Overall, mortality was less in the surfactant group (28.94%) than in nonsurfactant group (54.92%). However, the late neonatal death was more in the surfactant group (63.63%) than in nonsurfactant group (53.84%). Sepsis was the most common cause of the death in both groups, contributing 58% to overall death of both groups. Conclusion: Surfactant should be used in preterm with established RDS with due care to neonatal sepsis.

Objectives:  The objective of the study is to study the clinical profile and outcome of atypical manifestations of dengue fever in  children. Methods: A case series study design was conducted in S.Nijalingappa Medical College & H.S.K Hospital, Bagalkot. A detailed history was compiled, as well as the current complaints. The study subjects clinical progress was tracked until they were discharged. In all of the cases, basic tests such as a full Haemogram, Dengue serology and Daily Platelet count and Hematocrit were performed. Other tests such as LFT, USG Abdomen, Chest X-ray, ECG, 2D-ECHO and MRI brain are performed as needed in cases of Severe Dengue / Atypical symptoms. Results: The study covered 100 instances, with males accounting for 52 percent and females for 48 percent. Dengue fever, dengue fever without warning signs, and severe dengue were found in 29 percent, 43 percent, and 28 percent of the cases, respectively, in this study. Atypical signs were seen in more than half of the cases (59%) out of 100. We had 8 cases of severe dengue with SGPT/SGOT above 1000 IU in our study and two of them had Fulminant Hepatic Failure with the highest SGPT value of 6500 IU.

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