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9 results

  • 100 days outcome of severe wasting in hospitalised infants <6 months of age

  • Jai Prakash Patel, Rajesh Kumar Meena, Dheeraj Shah, Piyush Gupta
  • Journal:
    Public Health Nutrition / Volume 24 / Issue 17 / December 2021
    Published online by Cambridge University Press:
    06 August 2021, pp. 5847-5856
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  • Objective:

    To assess the outcome of severe wasting in infants below 6 months of age.

    Design:

    A prospective observational study conducted between January 2017 and October 2018.

    Setting:

    A medical college-affiliated hospital in Eastern Delhi, catering mainly to the urban poor population.

    Participants:

    All children with severe wasting (weight-for-length Z-score (WLZ) < −3 sd) between 1 and 6 months of age, requiring hospitalisation.

    Results:

    Out of fifty children enrolled, during hospitalisation, forty-two (84 %) recovered (WLZ > −3 sd) and discharged; the median (interquartile range (IQR)) duration of stay was 9·5 (6·5, 13·0) d. After 100 d of enrolment, sustained cure (WLZ > −2 SD) could be achieved in only fifteen (30 %) infants, while another fourteen (28 %) recovered from severe wasting, but remained in moderately wasted state (WLZ between −2 and −3 sd). Overall, there were three (6 %) deaths (all during first week of hospitalisation); three (6 %) relapses and fifteen (30 %) defaulters (5, 5, 2, 1 and 2 defaulted during hospitalisation at day 15, day 60, day 75 and day 90, respectively).

    Conclusions:

    The overall recovery rate from severe wasting in infants below 6 months of age was below the acceptable levels. In order to achieve better long-term outcome, community linkage services after discharge from hospital are required for supervised feeding, close monitoring and supportive care.

  • Squamous cell carcinoma of the nasal vestibule

  • Piyush Patel, R. Tiwari, A. B. M. F. Karim, J. J. P. Nauta, G. B. Snow
  • Journal:
    The Journal of Laryngology & Otology / Volume 106 / Issue 4 / April 1992
    Published online by Cambridge University Press:
    29 June 2007, pp. 332-336
    Print publication:
    April 1992

  • We reviewed 30 patients with squamous cell carcinoma of the nasal vestibule to present our experience of their management and to evaluate the prognostic factors that may influence their outcome. For T1 lesions radiotherapy remains the treatment of choice, because of the superior cosmetic result. Fifteen (68 per cent) out of 22 patients with T2 lesions were treated with primary radiotherapy. Surgery however, was eventually required in 16 (72 per cent) out of 22 patients, either as a primary treatment (seven patients) or as salvage surgery (nine patients). For the larger T3 lesions the treatment of choice is surgery followed by post-operative radiotherapy where appropriate. Regional nodal metastases at the time of presentation were a significant indicator of local and regional recurrence and of prognosis. The cause specific five-year survival for patients with an uninvolved neck (22 patients) was 100 per cent compared with 38 per cent forpatients with nodal metastases at presentation (eight patients). Elective treatment for uninvolved regional nodes is not considered necessary.