Payas Joshi - Academia.edu (original) (raw)

Papers by Payas Joshi

Research paper thumbnail of Short-duration versus standard-duration antibiotic regimens for the treatment of neonatal bacterial infection

The Cochrane library, Mar 10, 2021

Research paper thumbnail of Assessment of knowledge and opinion regarding breastfeeding practices during COVID-19 pandemic among paediatricians and obstetricians in India: an online survey

Sudanese Journal of Paediatrics, 2021

Coronavirus disease 19 (COVID-19) is a novel coronavirus infection that has a wide spectrum of di... more Coronavirus disease 19 (COVID-19) is a novel coronavirus infection that has a wide spectrum of disease severity. The virus has not been known to pass through the placenta and has not been reported in the breastmilk of affected mothers. As the cases are still on a rise, it is expected that the number of pregnant females would also rise in the coming times. Among many queries during pregnancy, to breastfeed or not is an important question that needs to be answered. We conducted this survey to assess the knowledge regarding breastfeeding practices among Indian paediatricians and obstetricians during the COVID-19 pandemic. An online survey was conducted among paediatricians and obstetricians from all over India. Only 294 (54.1%) participants have adequate knowledge regarding breastfeeding recommendations. The gap in knowledge between paediatricians and obstetricians was found statistically significant with a p value of <0.01. Only 30% healthcare providers associated with perinatal care received this information through a seminar. On the other hand, 15% of participants were not aware of any guidelines on breastfeeding during the COVID-19 pandemic. More rigorous dissemination of information on breastfeeding practices in COVID-19 case management needs to be adopted.

Research paper thumbnail of Neonatal pertusis with classical whoop: an unusual scenario

International Journal of Contemporary Pediatrics, 2018

Pertusis affects all the age groups but is most severe in neonates and early infancy and may even... more Pertusis affects all the age groups but is most severe in neonates and early infancy and may even cause mortality. Clinical presentation of neonatal pertusis is varied and thus knowing the spectrum of clinical presentation is vital for early diagnosis. Unlike older children, most of the times neonatal pertusis has an atypical presentation and classical presentation is very rare. Here we present such a rare case of neonatal pertusis who presented with classical symptoms of pertusis.

Research paper thumbnail of A neonatal hypertriglyceridemia presenting with respiratory distress: a rare case report

International Journal of Contemporary Pediatrics, 2018

Neonatal hypertriglyceridemia is a very rare condition. Diagnosis in neonatal period is very diff... more Neonatal hypertriglyceridemia is a very rare condition. Diagnosis in neonatal period is very difficult and is usually diagnosed when acute pancreatitis sets in. Early diagnosis is important as it can prevent the complications associated with the condition that is acute pancreatitis and pancreatic necrosis. Here we present a case of neonatal hypertriglyceridemia who presented to us with respiratory distress but was diagnosed early due to the presence of highly viscous and milky blood. This holds importance as early treatment can reduce the complications and morbidity associated with familial hypertriglyceridemia.

Research paper thumbnail of School based screening tools for childhood obesity: a comparison of TSFT, WHR and BMI

International Journal of Contemporary Pediatrics, 2017

Background: Obesity is an emerging health problem in children and adolescents. Various screening ... more Background: Obesity is an emerging health problem in children and adolescents. Various screening tools are there for assessment of nutritional status and this study was done to compare various methods to screen for obesity and overweight in adolescents that can be used during school health check-up.Methods: This study was conducted in the urban schools of Vadodara city. 609 students were included in the study.Results: Maximum students were in the age group of 16-18 year of which 57.9% were males and 42.03 % females. By using BMI, 4.1% students were found to be obese and 12.8% overweight. 10% students had WHR above the cut-off levels. In 11.3% TSFT was above 90th centile.Conclusions: Comparison between the three parameters done using ANNOVA, shows that TSFT is better than BMI in detecting Obesity.

Research paper thumbnail of Food habits and obesity: a study in adolescents

International Journal of Contemporary Pediatrics, 2017

Background: In India under nutrition was common but off late overweight and obesity, the diseases... more Background: In India under nutrition was common but off late overweight and obesity, the diseases of over nutrition, has gained a foothold.Methods: This is a cross sectional study done in schools of Greater Noida city to see the food habits of adolescents and assess its impact on health in terms of being overweight and obesity. A total of 600 school children were included in the study. 4.0% (24) students were found to be obese while 12.8% (77) were overweight. Results: In this study, boys were more commonly overweight (44 out of 353, 7.3%) than girls (33 out of 247, 5.5%) while obesity prevalence was comparable in both the sexes (11 out of 353 i.e. 1.8% in boys and 13 out of 247 i.e. 2.1% in girls).Conclusions: Pearson’s correlation shows that BMI is significantly related to all the asked dietary habits at 0.05 levels and it is the frequency of having meals outside or skipping breakfast that is important.

Research paper thumbnail of Short-duration versus standard-duration antibiotic regimens for the treatment of neonatal bacterial infection

Research paper thumbnail of Umbilical cord milking and hematological parameters in moderate to late preterm neonates: A randomized controlled trial

Indian Pediatrics, 2015

Objective: To investigate the effect of umbilical cord milking on hematological parameters at 6 w... more Objective: To investigate the effect of umbilical cord milking on hematological parameters at 6 weeks of age in late preterm neonates. Design: Randomized controlled trial. Setting: A tertiary care center of Northern India during 2013-14. Participants: 200 moderate to late preterm neonates randomly allocated to early cord clamping or umbilical cord milking group (100 in each). Intervention: In milking group, 25 cm length of cord was milked towards the baby thrice after separating (within 30 s) it from placenta. Main outcome measures: Hemoglobin and serum ferritin at 6 weeks of age. Results: Mean (SD) serum ferritin [428.9 (217.6) vs. 237.5 (118.6) ng/mL; P< 0.01] and hemoglobin [12.1 (1.5) vs. 10.4 (1.2) gm/dL; P<0.01] at 6 weeks were significantly higher in umbilical cord milking group. In early neonatal period, hemodynamic and hematological parameters were not significantly different. Higher incidence of jaundice with higher phototherapy rates (33% vs. 9%; P<0.01) were noted in umbilical cord milking group. Conclusion: In preterm neonates, umbilical cord milking at birth enhances iron stores at 6 weeks of age. Higher phototherapy rates with this intervention are a matter of concern.

Research paper thumbnail of Short-duration versus standard-duration antibiotic regimens for the treatment of neonatal bacterial infection

The Cochrane library, Mar 10, 2021

Research paper thumbnail of Assessment of knowledge and opinion regarding breastfeeding practices during COVID-19 pandemic among paediatricians and obstetricians in India: an online survey

Sudanese Journal of Paediatrics, 2021

Coronavirus disease 19 (COVID-19) is a novel coronavirus infection that has a wide spectrum of di... more Coronavirus disease 19 (COVID-19) is a novel coronavirus infection that has a wide spectrum of disease severity. The virus has not been known to pass through the placenta and has not been reported in the breastmilk of affected mothers. As the cases are still on a rise, it is expected that the number of pregnant females would also rise in the coming times. Among many queries during pregnancy, to breastfeed or not is an important question that needs to be answered. We conducted this survey to assess the knowledge regarding breastfeeding practices among Indian paediatricians and obstetricians during the COVID-19 pandemic. An online survey was conducted among paediatricians and obstetricians from all over India. Only 294 (54.1%) participants have adequate knowledge regarding breastfeeding recommendations. The gap in knowledge between paediatricians and obstetricians was found statistically significant with a p value of <0.01. Only 30% healthcare providers associated with perinatal care received this information through a seminar. On the other hand, 15% of participants were not aware of any guidelines on breastfeeding during the COVID-19 pandemic. More rigorous dissemination of information on breastfeeding practices in COVID-19 case management needs to be adopted.

Research paper thumbnail of Neonatal pertusis with classical whoop: an unusual scenario

International Journal of Contemporary Pediatrics, 2018

Pertusis affects all the age groups but is most severe in neonates and early infancy and may even... more Pertusis affects all the age groups but is most severe in neonates and early infancy and may even cause mortality. Clinical presentation of neonatal pertusis is varied and thus knowing the spectrum of clinical presentation is vital for early diagnosis. Unlike older children, most of the times neonatal pertusis has an atypical presentation and classical presentation is very rare. Here we present such a rare case of neonatal pertusis who presented with classical symptoms of pertusis.

Research paper thumbnail of A neonatal hypertriglyceridemia presenting with respiratory distress: a rare case report

International Journal of Contemporary Pediatrics, 2018

Neonatal hypertriglyceridemia is a very rare condition. Diagnosis in neonatal period is very diff... more Neonatal hypertriglyceridemia is a very rare condition. Diagnosis in neonatal period is very difficult and is usually diagnosed when acute pancreatitis sets in. Early diagnosis is important as it can prevent the complications associated with the condition that is acute pancreatitis and pancreatic necrosis. Here we present a case of neonatal hypertriglyceridemia who presented to us with respiratory distress but was diagnosed early due to the presence of highly viscous and milky blood. This holds importance as early treatment can reduce the complications and morbidity associated with familial hypertriglyceridemia.

Research paper thumbnail of School based screening tools for childhood obesity: a comparison of TSFT, WHR and BMI

International Journal of Contemporary Pediatrics, 2017

Background: Obesity is an emerging health problem in children and adolescents. Various screening ... more Background: Obesity is an emerging health problem in children and adolescents. Various screening tools are there for assessment of nutritional status and this study was done to compare various methods to screen for obesity and overweight in adolescents that can be used during school health check-up.Methods: This study was conducted in the urban schools of Vadodara city. 609 students were included in the study.Results: Maximum students were in the age group of 16-18 year of which 57.9% were males and 42.03 % females. By using BMI, 4.1% students were found to be obese and 12.8% overweight. 10% students had WHR above the cut-off levels. In 11.3% TSFT was above 90th centile.Conclusions: Comparison between the three parameters done using ANNOVA, shows that TSFT is better than BMI in detecting Obesity.

Research paper thumbnail of Food habits and obesity: a study in adolescents

International Journal of Contemporary Pediatrics, 2017

Background: In India under nutrition was common but off late overweight and obesity, the diseases... more Background: In India under nutrition was common but off late overweight and obesity, the diseases of over nutrition, has gained a foothold.Methods: This is a cross sectional study done in schools of Greater Noida city to see the food habits of adolescents and assess its impact on health in terms of being overweight and obesity. A total of 600 school children were included in the study. 4.0% (24) students were found to be obese while 12.8% (77) were overweight. Results: In this study, boys were more commonly overweight (44 out of 353, 7.3%) than girls (33 out of 247, 5.5%) while obesity prevalence was comparable in both the sexes (11 out of 353 i.e. 1.8% in boys and 13 out of 247 i.e. 2.1% in girls).Conclusions: Pearson’s correlation shows that BMI is significantly related to all the asked dietary habits at 0.05 levels and it is the frequency of having meals outside or skipping breakfast that is important.

Research paper thumbnail of Short-duration versus standard-duration antibiotic regimens for the treatment of neonatal bacterial infection

Research paper thumbnail of Umbilical cord milking and hematological parameters in moderate to late preterm neonates: A randomized controlled trial

Indian Pediatrics, 2015

Objective: To investigate the effect of umbilical cord milking on hematological parameters at 6 w... more Objective: To investigate the effect of umbilical cord milking on hematological parameters at 6 weeks of age in late preterm neonates. Design: Randomized controlled trial. Setting: A tertiary care center of Northern India during 2013-14. Participants: 200 moderate to late preterm neonates randomly allocated to early cord clamping or umbilical cord milking group (100 in each). Intervention: In milking group, 25 cm length of cord was milked towards the baby thrice after separating (within 30 s) it from placenta. Main outcome measures: Hemoglobin and serum ferritin at 6 weeks of age. Results: Mean (SD) serum ferritin [428.9 (217.6) vs. 237.5 (118.6) ng/mL; P< 0.01] and hemoglobin [12.1 (1.5) vs. 10.4 (1.2) gm/dL; P<0.01] at 6 weeks were significantly higher in umbilical cord milking group. In early neonatal period, hemodynamic and hematological parameters were not significantly different. Higher incidence of jaundice with higher phototherapy rates (33% vs. 9%; P<0.01) were noted in umbilical cord milking group. Conclusion: In preterm neonates, umbilical cord milking at birth enhances iron stores at 6 weeks of age. Higher phototherapy rates with this intervention are a matter of concern.