Background: The likelihood of newborns acquiring severe acute respiratory syndrome coronavirus 2 (SARS- CoV-2) from infected mothers has raised concerns among families and clinicians worldwide. The disease seems to be mild in children and, to date; there are few reports in neonatal population. The aim of the study was to study the Prevalence of Neonatal SARS-CoV-2 infection in a tertiary care teaching hospital. The objective of the study was to study correlation of clinical features and laboratory parameters among SARS-CoV-2 positive neonates.Methods: Prospective observational study conducted in a dedicated COVID-19 tertiary care hospital and Postgraduate Institute in Pune, Maharashtra between May 2020 and August 2020 on a sample size of 55 COVID suspect neonates as they were admitted and diagnosed during the pandemic.Results: Out of 250 COVID positive mothers admitted, 55 COVID suspect neonates were admitted as their mothers were symptomatic. Among 55 suspect neonates, 11 turned out to be positive (20%). Out of 11 COVID positive neonates, tachypnea with requirement of non-invasive O2 in 2 (18%), feeding intolerance in 2 (18%), fever in 2 (18%) rash 1 (9%) was seen. out of the 11 COVID positive neonates admitted, 45% had elevated D-Dimer levels, 36% had elevated Leucocyte counts, 27% each had raised serum ferritin and fibrinogen levels and 18% had raised CRP Levels.Conclusions: We conclude that inspite of the first wave of COVID seen in neonates which was rare then, clinical and laboratory markers showed a good co-relation in our study in all neonates who were COVID positive but there was no radiological co-relation in any. However, all recovered with symptomatic treatment without any specific COVID treatment.

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Background: Coronavirus disease 2019 (COVID-19) is a disease that emerged from the global epicenter Wuhan, China in December 2019 caused by severe acute respiratory syndrome coronavirus-2 (SARS-COV-2). Globally, there was an explosion of the outbreak of SARS-COV-2 infections, triggering a major health concern all over the world. By June 2020, the World Health Organization confirmed a total of approximately 9 million COVID-19 cases that included 477634 deaths (5.2%) in 216 countries. Materials and Methods: All COVID suspect children admitted in the pediatric ward were screened for SARS-CoV-2 by reverse transcription-polymerase chain reaction. Presenting between May 1, 2020 and August 31, 2020 and their demographic and clinical parameters were analyzed. Results: In the present study, out of 158 confirmed COVID-19 positive pediatric cases, history of high-risk contact was seen in 21 cases, history of international travel in 6 cases, history of residing in containment areas in 17 cases and co-existing disease was found in 3 cases. Fever was seen in 49 cases, cough in 21 cases, sore throat in 3 cases, shortness of breath in 6 cases, headache in 1 case, rhinorrhea in 7 cases, nausea/vomiting in 7 cases, abdominal pain in 4 cases, and diarrhea in 6 cases. Conclusion: The study highlighted that children are less vulnerable and at a lower risk of developing COVID-19 and when they contract the COVID-19 infection, they have a milder or asymptomatic disease than adults with few or minimum complications.

Introduction: Malnutrition is a major public health problem in a developing country like India, keeping this in mind a study was carried out to, 1). Find the proportion of under five children suffering from malnutrition among the under-five hospitalized children. 2). Find the Epidemiological factors responsible for development of malnutrition. 3). Find co-morbid illnesses associated with malnutrition. Materials and Methods: This was a hospital based cross-sectional study, carried out in a tertiary care teaching hospital in Adilabad, telangana. All under-five children suffering from malnutrition were studied over a period of one month. Results: Total number of under-five children suffering from malnutrition were 170 (83.33%) Moderate & severe/very severe malnutrition was statistically significant in children belongs to Upper-lower class socio-economic status according to modified 2007 KUPPUSWAMY classification.1) Illiteracy & low educational status among mothers.2)Low birth weight (<2.5 kg) babies.3)Children who were not on exclusive breast feeding during their first 6 months of life.4)Children who were on improper complementary feeding practices.5)Low birth spacing.6)High birth order of children.7)Living in tribal & rural area. Malnutrition is also higher in children, whose mothers were anemic (74.11%) during pregnancy & whose mothers are going to field work as daily labours & farmers (65.88%), due to low socio economic status. Among 170 malnourished children, 162(95.29%) were suffering from ANEMIA. Among 170 malnourished cases the major comorbid illness is Diarrheal disease about 117(68.82%). Conclusion:A large proportion of hospitalized children were malnourished, came from rural, tribal & urban slum areas & this malnutrition is mainly because of low socio-economic status, illiteracy & low educational status of mothers, improper breast feeding & improper complementary feeding practices, low birth weight, low birth spacing & high birth order, all these are statistically significant risk factors. And the major co-morbid illness associated with malnutrition is diarrheal illness & anemia

Stress urinary incontinence is defined as the involuntary loss of urine through the intact urethra caused by a sudden increase in intraabdominal pressure on coughing, walking and in some cases during turning in bed. It is the most common type of urinary incontinence in woman and when it is of sufficient quantity causes a great embarrassment which was frequently underreported UI impairs quality of life, affecting the older person's emotional well-being, social function, and general health. Incontinent persons often manage to maintain their activities, but with an increased burden of coping, embarrassment, and poor self-perception. Caregiver burden is higher with incontinent older persons. This was a hospital based retrospective study in the department of Gynecolog at kem hospital mumbai India. Total duration of study from enrollment to completion was 2 years. Each patient was followed for 6 month In the present study the patient presenting to gynecology OPD of k. e. m. hospital with complaint of urinary incontinence were studied. A total 50. patient were included in following study. Working definition was used for classification. History was documented including Age, occupation, severity, duration and frequency of SUI, other menstrual history, urinary symptoms, detail obstetric history, parity, gynecological procedure, pelvic floor trauma, previous urinary tract infection, previous surgeries. trauma in childhood, any spinal surgery, or drugs. A focused physical examination was performed. Lastly stress incontinence was clinically confirmed by “ Bonneys test “. Anal sphincter tone ad sensation at S dermatomes are checked to rule out any neurological lesion. The data were analyzed using appropriate statistical tool. A total no patient enrolled was 50 during the study period. Majority of the patients fall in the range of 30-50 year of age. Most of the patient having duration of symptoms less than 2 year with more common SUI in multiparty patient, about 60% of patient were having SUI without any previous surgery, 62% of SUI was associated with prolapsed with cystorectocele. In I ntraoperative complication only one patient having bladder perforation in TVT procedure. In post operative complication urinary retention was found 30% in kellys placation, 20% in stameys, 20% in TVT, 00% in TOT. However only kellys plication has more recurrence of SUI in about 33%, 12.5% of recurrence in TVT and 8.3% in TOT of patient. As in stameys the number of follow up patient was only two and none of them had recurrence of sui. This study is concluded that, since the symptoms of SUI are not life threatening and most of the female are less health conscious the medical help is not sought for longer duration. In the study TOT procedure was found superior with respect long term failure rate and also intra and post operative complication