We confirm the variation in cutaneous lesions and their time of onset in neonates. Transient and physiological changes are more frequent and disappeared spontaneously. Number of lesions/neonate was more in premature babies.

Background: Even though there are many programs run by Government to tackle the problem of malnutrition in India, problem of malnutrition is still there. Malnutrition leads to infections and even can lead to death of child in severe cases. The mortality rate is very high compared to other countries. The objective of the study to study validity of age independent various nutritional status indices in comparison to gold standard of weight for ageMethods: Present study was institution based cross sectional study carried out at SDA high school, from January 2019 to July 2019 among 58 school children aged 34-92 months of age. Anthropometric measurements like weight, height, head circumference, chest circumference, mid arm circumference were recorded as per the standard guidelines. Weight for height, weight of age, Kanawati Index, Jeliffe’s ratio, Rao index, and Dugdales index was calculated. Gold standard used was weight for age. Sensitivity, specificity, positive predictive value and negative predictive value were calculated for these indices.Results: Majority of the children belonged to 48-60 months and 61-72 months i.e. 29.3% each. Males were more than females. Prevalence of malnutrition was 60.3%, 48.3%, 51.7%, 91.4%, and 56.8% based on weight for age, Kanawati index, Rao index, Jeliffe’s ratio and Dugdale’s index respectively. Dugdale’s index was found to have high sensitivity (85.7%) and specificity (86.9%) compared to all other indices.Conclusions: Among age independent indices of nutritional status available, Dugdales index can be used as it has been found that it has remarkably higher sensitivity and specificity compared to other age independent indices of nutritional status.

Background: Lack of knowledge about the preventive and therapeutic measures pose a barrier in the management of diarrhoea in children.Methods: This study was conducted to assess awareness and attitude among mothers of children <5 years, towards diarrhea, feeding practices during diarrhoea, awareness and use of oral rehydration therapy (ORT). A standard questionnaire including handwashing practice, sanitation, personal hygiene, feeding practice, knowledge about disease was the assessmetn tool.Results: Of 300 mothers, 190 (62.60%) were in 20-30 years age group. Mean±SD age was 24.5±2.47 years. Literates were 78.67%; majority belonged to class III (37.69%) and IV (23.32%) socioeconomic class. Disease awareness was low (71.86%) and 68.03% were unaware of complications. Teething (32.64%), contaminated food and water (29.32%) were the main causes. Rice based food considered best (45.96%) followed by fruit juices (21.98%), boiled saboo daana (20.65%). Breast feed continued in 73.93%, solid food in 27.30%. Bottle feeding (92%) was preferred for top feeding and cleaning the bottle with boiling water was the most practiced (68.0%) method. Knowledge on oral rehydrating fluids was adequate (Home made salt and sugar solution (66.0%) and oral hydration solution (80.0%)); knowledge on correct preparation was inadequate. Not practicing proper hand wash (50.55%), wrong dilution (69.50%) and use of unsafe water (29.49%) were correctable factors. There was insufficient knowledge (89.50%) about quantity of fluid to be restored.Conclusions: There is an urgent need to educate mothers on initial fluid replacement and hygienic practices to be followed during diarrhoea apart from improving handwashing practice, sanitation, feeding practice, knowledge about disease.

This report presents the case history of a six year old child who was portrayed as having recurrent haemetemesis since two years by her mother. A detailed evaluation showed that the patient's history was inconsistent with the clinical findings and investigations, leading to a diagnosis of Factitious Disorder by Proxy (FDbp). The report highlights the rationale for under-diagnosis of FDbp in India and challenges the conventional approach (Parentectomy) for treating FDbp.

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