Background: The objective was to assess thermal stress in newborns on mother side in maternity wards and various neonatal and maternal characteristics affecting it.Methods: It was a Hospital based analytical study carried ou at Maternity ward of Medical College Hospital (Tertiary health center) and Maternity ward of Prasutigrah under department of health (Primary health center) in central part of India. Participants were 960 neonates on mother side in maternity wards (480 in each health center) upto first seven days of life (168 hours) were studied for a duration of one year. Newborns were enrolled twice a week alternatively in the two health centers throughout the year. Various neonatal and maternal characteristics of the enrolled newborns were noted as per the proforma and neonatal body temperature was recorded.Results: Almost half of the newborns (47.08%) were found in thermal stress. More than one third (37%) were hypothermic and 9.4% were hyperthermic. Incidence of hypothermia found in primary health center (44.4%) was significantly higher than in tertiary health center (30.8%) (P<0.001). Incidence of hyperthermia was nearly same (9.4-9.6%). Hypothermia was more in pre terms (P = 0.031), in neonates of mothers belonging to lower socioeconomic status (P =0.049), in neonates of young mothers with age <25years (P=0.011), when breastfeeding was delayed (>1 hour) (P=0.006) and when cloth score was <5 in coldest quarter of the year, (November to February) (P<0.001=). No significant correlation was seen with hyperthermia and above factors.Conclusions: No significant correlation was found with maternal literacy, parity, mode of delivery, frequency of breastfeeding, birth weight, oil application, proximity with mother, sex and age of the baby.

Background: Dengue is a mosquito-borne viral disease that has rapidly spread in all regions of WHO in recent years. It is an acute febrile illness, caused by infection with any of 4 related positive-sense, single-stranded RNA viruses of the genus Flavivirus, dengue viruses 1, 2, 3, or 4. Objective of study was to study the clinical profile of dengue viral infection in the paediatric age group.Methods: This observational study was conducted in a tertiary referral centre in Central India. Cases were classified based on the WHO 2009 Dengue guidelines for diagnosis, treatment, prevention and control and the clinical and laboratory parameters were analyzed for demographic and other correlates.Results: 75 patients met all the inclusion criteria and were analyzed. Most children were in age group 6-10 years. Fever, bleeding, rash, abdominal pain and vomiting were the common symptoms. We noted some atypical symptoms also.Conclusions: When infected, early recognition and prompt supportive treatment in dengue infection can substantially lower the risk of medical complications and death.