Background: Perinatal asphyxia is characterized among the fetus or new born due to deficiency of perfusion to the various organs of the fetus or new born. Birth asphyxia is the single most important perinatal cause of brain damage in term infants. When asphyxia is followed by an abnormal neonatal behavior a syndrome has been described known as hypoxic ischemic encephalopathy. Material & Methods: The new born with congenital malformation of CNS were excluded from the study. Each selected newborn was subjected to Apgar scoring at birth and assessment of gestational age. The Apgar scoring was done at one and five minutes after births and infants were categorized into mild, moderate and severe birth asphyxia according to Apgar score at 1 minute of age after birth Results: In the present study, on the basis of clinical symptoms we found that asphyxiated group males comprised 62% cases and females 38% cases male female ratio was 1.63:1.0 it is statistically in significant. as compared to control group where male female ratio was 2.59:1. In Mild and moderate asphyxia male preponderance was seen while in severe asphyxia the difference was not marked There was no statistically significant sex difference in birth asphyxia. Conclusion: We concluded from the present study that in resuscitation of mild and moderately asphyxiated babies Bag and Mask was used more frequently (40% and 82.5% respectively) and endotracheal tube with Ambubag was used more (75%) frequently for severely asphyxiated babes. Key words: asphyxia, resuscitation, Ambubag.

Background: Celiac disease is reported to be the most common genetic and food related intolerance, globally. Celiac disease is an autoimmune disease that reported among genetically susceptible individuals. The autoimmune process is reported to be triggered by a well-identified associated environmental factor known as gluten and its related prolamins which are present in wheat, barley and rye. Material & Methods: The present prospective study was conducted at department of pediatrics of our tertiary care hospital. The study was an observational study on 30 self-reported patients during a period of one year from January 2017 to December 2017. Patients without any exclusion criteria of sex, religion and socioeconomic status were enrolled by simple random sampling. Results: In the present study, on the basis of clinical symptoms we found that in the age group of less than 5 years 75% had diarrhea, 87.5% had abdominal distension, 87.5% had abdominal pain, 75% had anorexia. In the age group of 5-10 years 50% had diarrhea, 66.6% had abdominal distension, 58.3% had abdominal pain, 66.6% had anorexia and 16.6% had constipation. In the age group of more than 10 years 70% had diarrhea, 60% had abdominal distension, 50% had abdominal pain, 40% had anorexia and 20% had constipation. Conclusion: We concluded from the present study that most common clinical symptom among children was diarrhea followed by abdominal distention, pain in abdomen, anorexia, constipation, pallor,edema, vitamin deficiencies and mouth ulcers. Keywords: Celiac disease, IgA-anti tissue transglutaminase antibodies, Screening.