Children with suspected type 1 diabetes mellitus (T1DM) should have same day referral to a paediatric diabetes team. 99 children (54 male; median age 10.5 years, range 0.9-15.9 years) were diagnosed with T1DM at our hospital between January 2004 and June 2007. 27 (27.2%) presented in diabetic ketoacidosis (DKA). 37 (37.3%) required hospital admission, while the rest had ambulatory management. In 21 (21.2%) children, diagnosis was delayed >24 h (median 3.0 days, range 1-14 days) due to missed diagnosis at the local hospital (four) or by the general practitioner (seven), arranging a fasting blood glucose test (nine) and outpatient appointment requested via fax (one). Children with delayed diagnosis presented more frequently in DKA (52.3% vs 20.5%, p<0.01), with a higher median presenting HbA1c (12.3% vs 10.9%, p<0.05). There were no differences in age and sex between the delayed diagnosis and immediate referral groups. Healthcare providers need to be aware of the importance of immediate referral of children newly diagnosed with T1DM.

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We report an unusually high number of cases (n = 26) of parechovirus infections in the cerebrospinal fluid (CSF) of neonates and infants admitted with sepsis in the United Kingdom during 8 May to 2 August 2016. Although such infections in neonates and infants are well-documented, parechovirus has not been routinely included in many in-house and commercial PCR assays for CSF testing. Clinicians should consider routine parechovirus testing in young children presenting with sepsis.

ReviewCereals are synonyms with Indian food production, obviously due to its lions share (~ 90 %) in total Indian food basket. Since time immemorial, fate of Indian agriculture heavily depended upon the success of cereals production. Agricultural glory of India must be strengthened all the way through achieving self sufficiency in food production first; secondly, by improving our agricultural image in global arena, by getting rid of being a net importer to net exporter, through strong presence in global agriculture market. We are marching through in the right direction; cereals are the leaders in the food commodity export especially rice "The Basmati Rice". Since, as of now, Indian share in the world trade is meagre (~1.0%), there is a need to scale up to the tune of 6% in very quick succession. No doubt, Cereals and coarse cereals should be front leaders in this endeavour. Since a lot more has to be done to improve cereal productivity, we have to do more on policy aspects. This article discusses at length on past glory, present status and future prospects of the great Indian food basket famously known as "The Cereals".

India is currently trying hard to get a status of $5.0 trillion economy. Agriculture contributes $400 billion to the Indian economy, which is 2nd after China. To achieve this mammoth national target, allsectors of economy viz., agriculture, industry and service have to outperform outstanding. To achieve this target, our total export should be of $1.0 trillion annually and share of agriculture and the allied sector should be 10 %.To achieve $100 million agri-export, smart agriculture is pivotal to sustain our products at international level. Agritech startup can play a vital role in this endeavour; however, the bottleneck should be removedwithin the least possible time. If we succeed in this endeavour, this will not only lead to enhance per capita income from the current $1800 to $3600 but also double the income from farming systematically. Unfortunately, due to worldwide attack of global pandemic of Covid- 2019 disease, every sphere of life has been severely paralysed. Agriculture sector was less affected as the food grain output was recorded highest ever (295.67MT) and sector growth 3.7 % in absolute term and 11.3% on the current price, during 2019-20. India will get rid off of such disasters relativelyfaster as compared to other nations, but this has the potential to push forward our economic dream to beam reality atleast for a year or so.Probably India would be able to achieve the tag of $5.0 trillion economy not sooner than 2026-27.