INTRODUCTION TO PAEDIATRICS:
The branch of medicine that deals with the care of children and adolescents is paediatrics. This term has roots in the Greek word pedopais (a child) and iatros (healer). Paediatrics covers the age group less than 18 years of age. The goal of the speciality is to enable a child to survive, remain healthy, and attain the highest possible potential of growth, development and intellectual achievement. Child health encompasses approaches, interventions and strategies that preserve, protect, promote and restore health of children at individual and population level.
Paediatrics is a fascinating speciality. It encompasses care of premature neonates on one hand, and adolescents on the other. Paediatrics covers intensive care of neonates and children using the most sophisticated technology on the one hand and providing home care to new born and children, on the other. Child health is thus a state of art clinical science as well as a rich public health discipline.
HISTORY OF THE DEPARTMENT:
In 1952, Paediatrics department started functioning in Salem district Head Quarters hospital. In the year 1990, this hospital was converted to Government Mohan Kumaramangalam medical college. In the year 1994, first batch of MBBS students appeared for undergraduate Paediatrics clinical examination and graduated from this institution. Post graduate MD course commenced in the year 2007. First batch of MD post graduates appeared for exam in 2009. Since then yearly examinations was conducted under Tamil Nadu M.G.R medical university. So far 16 batches of PG students graduated from this department with 100% pass every year. We have 8 M.D PG students per year.
BREIF PROFILE OF PAEDIATRIC DEPARTMENT:
Department of Paediatrics is currently functioning in RCH building.
Ground floor: OP rooms, immunization clinics, Speciality clinics, PREM unit, class rooms, patients waiting hall, demonstration room.
Second floor- NICU, milk bank, well baby clinic.
Third floor- PICU, HDU, Paediatric ward, isolation ward, library, seminar hall.
Address for communication:
Head of the department,
Department of paediatrics,
GMKMCH salem -1
FACULTY DETAILS AS ON 10/11/2022
|1||PROFESSOR &HOD||Dr. D.Sampath Kumar|
|2||Professor||Dr K.S. Kumaravel|
|3||Associate professors||Dr S. Gobinathan
|4||Register /Assistant professor||Dr P.Kumar|
|5||Assistant professors||Dr V.Anurekha
Dr M.Vijay anand
|6||Senior resident||Dr A.Srenivas
WEBSITE INCHARGE- Dr Vijay Anand - 9629290198
SERVICES PROVIDED/ FACILITIES AVAILABLE:
Number of Units in the department - 3
Op days and timings- All days from 7.30 a.m – 12 .00 noon
SPECIAL CLINICS CONDUCTED
Monday - CARDIOLOGY
Tuesday - NEPHROLOGY
Wednesday - HEMATOLOGY, ENDOCRINOLOGY
Thursday - GASTROENTEROLOGY, NUTRITION
Friday - ASTHMA
Saturday - NEUROLOGY, ADOLOESCENT
Well baby clinic and Immunization clinic – All Days
|YEAR||TOTAL OUT PATIENTS TREATED|
|2022||17786 till oct 2022|
IP Unit and Admission days:
Unit I – Monday & Thursday
Unit II – Tuesday & Friday
Unit III – Wednesday & Saturday
Sundays on Rotation
General paediatric ward- 120
PICU- 10 Neonatal ward – 60
Average IP Admission Paediatric ward- 20/day
Average IP Admission New Born ward- 25/day
|YEAR||TOTAL PATIENTS IN PAED WARD TREATED|
|2022||3824 TILL OCT|
|YEAR||TOTAL VENTILATED PATIENTS TREATED IN PICU|
|2022||105 TILL JUNE|
|YEAR||TOTAL PICU CASES TREATED|
|2022||648 TILL JUNE|
LEVEL 3 NICU
LEVEL 2 CARE
|YEAR||TOTAL VENTILATED PATIENTS TREATED IN NICU|
|2022||519 TILL OCT|
|YEAR||TOTAL NICU CASES TREATED|
|2022||4308 TILL OCT|
OAE SCREENING: done in a separate room in NICU on All days.
Average OAE screening /day- 20/day
In 2021- 3790 babies screened
ROP SCREENING: done every Saturday in NICU.
Average ROP screening /week – 40/week
In 2021- 1263 babies screened
|YEAR||PREAUTH No||CLAIM No||AMOUNT Rs in Lakhs|
|2022||357||304||19.46 TILL JUNE|
HUMAN MILK BANK
A Human Milk Bank was started in the year 2015.
It saves more than 4000 low birth weight preterm babies per year
|YEAR||DONOR NO||VOLUME ml||Recipient no|
DISTRICT EARLY INTERVENTION CENTRE(DEIC):
RashtriyaBalSwasthyaKaryakram (RBSK) or Child Health Screening and Early Intervention Services is a new initiative by the Government of India launched in February 2013 which is aimed at screening children for 4 Ds - Defects at birth, Diseases, Deficiencies and Development Delays including Disabilities.
The target group under RBSK program is estimated to be 27 crore children under the age of 18 years and is divided into three age groups – 0 to 6 weeks, 6 weeks to 6 years and 6 years to 18 years.
Under its organizational structure, Accredited Social Health Activists (ASHA’s) and Mobile Health Teams (MHT) will do the community screening, while the District Early Intervention Centers (DEIC) located in the District headquarters will screen, diagnose and treat children referred from the community.
Further all neonates delivered in institutions will be screened by a pediatrician in Delivery Point Screening. DEICs are well equipped to attend to the children referred from the community and have the following specialists – Pediatrician, Medical Officer, Early Interventionist, Speech therapist, Audiologist, Optometrist, Lab technician, Dentist and a Dental Hygienist apart from the clerical staff.
Children diagnosed with any of the 30 listed health conditions shall receive follow up treatment including surgeries at tertiary level, free of cost.
The services provided by DEIC include occupational and physical, psychological, cognitive, audiological, language, vision, speech, and nutritional therapies apart from laboratory services.
DEICs also provide other ancillary services like assistance in getting disability certificates
DEIC Started in the year 2015 June in GMKMC Salem. It was functioning in new building from January 2018.
Special camps conducted in DEIC in 2022:
- SAM Camp- June 2022-August 2022
- Cleft lip/palate management camp-Nov 2022
- Growth Hormone therapy for short stature children camp
- Cardiology camp
DISEASES IDENTIFIED FROM APRIL 2021 TO FEB 2022 IN DEIC
|DISEASES IDENTIFIED & TREATED||NUMBER|
|Neural tube defect||14|
|Congenital heart diseases||87|
ACADEMIC ACTIVITIES / TEACHING PROGRAM/SCHEDULE:
- Clinical class will be taken on all days in OPD and in wards in their respective units.
- Clinical classes in New Born ward taken on weekly Twice.
- Monthly once they have an internal assessment examination.
- Prefinal MBBS students have their theory classes in Paediatrics once in a week
- Final MBBS students have two theory classes in a week.
- Once in a month we conduct a symposium for UGs on the 4th Saturday.
TEACHING PROGRAMME FOR PGs:
Apart from the routine OPD and ward work we conduct a journal club,a clinical society meeting, a symposium and dissertation review meetings on monthly basis.
Professors and Associate professors used to take clinical classes for PGs once in a week.
CME CONDUCTED IN 2022:
CME ON PAEDIATRIC EMERGENCIES -7/10/22 – PMSSY AUDITORIUM GMKMC SALEM.
QUIZ PROGRAMMES & MEDAL EXAMS:
a. Quiz for UG’s every year
b. Gold Medal exams for UG’s every year
c. PG Quiz every year
(All sponsored by Indian Academy of Paediatrics)
d. Gold Medal for PG students from the year 2020 sponsored by Dr.TKP Thirugnanasambandam, a senior pediatrician in Salem.
OTHER TRAININGS OFFERED:
HMDI training for staff nurses
Training for staff nurses form Salem were given during 2021 and 2022
HMDI training for PHC medical officers
DISSERTATION TOPICS 2020-2024 / RESEARCH TOPICS:
|1||A PROSPECTIVE STUDY ON CLINICALPROFILE AND IMMEDIATE OUTCOME OF INFANT OF DIABETIC MOTHER IN A TERTIARY CARE CENTRE||Dr Sivanesan K||2020-2023|
|2||A COMPARATIVE STUDY OF SAFETY AND EFFIACY BETWEEN HHHFNC AND NCPAP IN PRETERM LBW NEONATES WITH RDS AFTER EXTUBATION IN A TERTIARY CARE CENTRE||Dr MOHANRAJ V||2020-2023|
|3||A DESCRIPIVE STUDY ON ATTITUDE AND EXPERIENCES OF DONOR AND RECIPIENT MOTHERS IN A COMPREHENSIVE LACTATION MANAGEMENT CENTRE||Dr HARIPRIYA||2020-2023|
|4||A Descriptive study of conditions screened by 4Ds approach in DEIC and its impact of early intervention and one year perspective of functioning of DEIC.||Dr Vignesh||2020-2023|
|5||: “A STUDY OF INCIDENCE, RISK FACTORS, ETIOLOGY AND OUTCOME OF PERSISTENT PULMONARY HYPERTENSION IN NEONATES IN TERTIARY CARE HOSPITAL||Dr GOWRI M||2020-2023|
|6||A PROSPECTIVE STUDY OF CLINICAL PROFILE AND OUTCOME OF STRESS INDUCED HYPERGLYCEMIA IN CHILDREN ADMITTED TO A PEDIATRIC CRITICAL CARE UNIT IN A TERTIARY CARE CENTER"-||Dr S. NITHYA LAKSHMI||2020-23|
|7||A prospective study of incidence, risk factors, clinical outcome of acute kidney injury in hypoxic ischemic encephalopathy||Dr.MohamedZubbin||2020-23|
|8||A study on role of low dose adrenaline premedication in preventing ASV induced adverse reaction2020-2023||Dr HEMA M||2020-2023|
|9||Study on readmission of NICU graduates and factors influencing them||Dr. V. Madhubala||2021-2024|
|10||Correlation of oxygen saturation index and oxygenation index in ventilated neonates||Dr Mohanapriya||2021-2024|
|11||A prospective study of predictors and prognostic factors determining outcome in status epilepticus patients||Dr. Sankar R||2021-2024|
|12||A Descriptive study of etiology and clinical profile of paediatric non traumatic causes of coma in Tertiary care Hospital||Dr. Anusha B||2021-2024|
|13||A STUDY ON THE CORRELATION BETWEEN BODY MASS INDEX AND PEAK EXPIRATORY FLOW RATE IN SCHOOL-GOING CHILDREN AGED BETWEEN 8 AND 12 YEARS||Dr Anand||2021-2024|
|14||a study of hematological profile in cyanotic congenital heart disease||Dr anandaraj||2021-2024|
|15||Clinical profile and early hospital outcome of late preterm babies admitted in a tertiary care hospital.||Dr.Arun Moorthy||2021-2024|
|16||Correlation between coagulation profile and bleeding manifestations in severe dengue in a tertiary care hospital||Dr. Rohini VadivuC||2021-2024|
|17||study of incidence, assessment of risk factors and outcomes of intracranial hemorrhage in newborns admitted in NICU of tertiary care hospital||Dr. Sanjay||2021-2024|
POSTERS PRESENTED IN THE YEAR 2021-2022:
- A case of Recurrent UTI diagnosed with Horse shoe kidney – Dr Sivanesan.K
- A rare case of Congenital hypertrichiosislanuginosa. – Dr Mohanraj
- A study on clinical profile and etiological factors of ventilator associated pneumonia in a newborn tertiary care centre – Dr Vignesh
- A case of neglected chronic back pain in a girl with Sickle cell disease-Dr Gowri M
- Bilateral sturge weber syndrome- A case report-Dr Gowri M
- Congenital generalised hypertrichosis lanuginosa- A case report-Dr Gowri
- A CASE OF MINOR BLOOD GROUPINCOMPATIBILITY (ANTI c) IN A NEONATE - IS THERE NEED FOR ROUTINE MATERNAL ANTIBODYSCREENING? – Dr Nithyalakshmi
- Motherhood in childhood: A cross sectional study of neonatal outcome of adolescence pregnancy in a tertiary care hospital – Dr Mohamed Zubin A
PAPERS PRESENTED BETWEEN 2021-2022:
- 1. A study of epidemiological and clinical characteristics of child sexual abuse reported to an urban public hospital in Tamilnadu - Dr. Haripriya P.R
- 2. “The out of pocket expenditures incurred during neonatal hospitalisation in a public hospital in Tamilnadu” – Dr Gowri M
- 3. “A prospective study to assess the importance of microalbuminuria in predicting mortality in a pediatric critical care unit in a tertiary care centre.”-Dr Nithyalakshmi
- 4. A study of risk of PREMATURE ATHEROSCLEROSIS IN CHILDREN WITH BETA THALASSEMIA MAJOR -A TWIN CENTRE STUDY.- Dr Hema.M
1- Dr. Haripriya P.R. - K.A.Krishnamoorthy award for best paper in social Paediatrics, PEDICON 2022 – “A study of epidemiological and clinical characteristics of child sexual abuse reported to an urban public hospital in Tamilnadu.”
2 - Dr Gowri M - Runner up in K.A.Krishnamoorthy award for best paper in social Paediatrics, PEDICON 2022 -“The out of pocket expenditures incurred during neonatal hospitalisation in a public hospital in Tamilnadu”
3- Dr. Hema.M -Runner up in Dr.B.R.Santhanakrishnan award paper-pedicon 2022 –“A study of risk of premature atherosclerosis in children with beta thalassemia major -a twin centre study.”
4. Dr Nithyalakshmi -Second prize in DR TR award- Dr.S.Nithyalakshmi. “A prospective study to assess the importance of microalbuminuria in predicting mortality in a pediatric critical care unit in a tertiary care centre.”
Dr.K.Manoj- K.A.Krishnamoorthy award for best paper in social pediatrics, PEDICON 2021-“A Study of mental health status of adolescents residing in Tribal residential schools of Tamil Nadu”
LIST OF PUBLICATIONS BY THE DEPARTMENT
|1||A STUDY ON STATUS OF NEONATAL TRANSPORT TO A LEVEL –III NEONATAL CARE UNIT P.Sampathkumar, S.Gobinathan||International Journal May-June2018, Vol 5|
|2||A STUDY ON NEW BORN FOOT LENTH MEASUREMENT TO IDENTIFY HIGH RISK NEONATAL
|IJCP May-June2018, Vol 5, Issued.3|
|3||A comparative study of serum zinc level in children with febrile seizures and children with fever without seizure in an urban referral hospital
|IJCP –May-June 2018, Vol 5, Issue.3|
|4||Study of prevalene, entiology, reponse to treatment and outcome of paediatrics shock in a tertiary care hospital
S.Gobinathan , K.Sureshkannan
|IJCP/ May-June 2018/ Vol 5/ Issue 3|
|5||A study as clinical profile of seizure as newborn babies born in GMKMCH –INDIA
|IJCP/Vol 5/ 2018|
|6||A Study as evaluation of waist height ratio as a tool for Obesity
Sampath Kumar, S.Amudhadevi
|International Journal /Vol5/2018|
|7||Clinical profile of neonatal admitted to a neonatal intensive care uit at a referral hospital in south India
V.Anu Rekha, K.S.Kumaravel, P.Kumar, D.Satheesh Kumar
|International Journal / Feb 2018 / Vol 5 / Issued 2|
|8||A Study on Prevalence of overweight and Obesity in school children from Salem
P.Kanimozhi, R.Vasumathy, E.Kandasamy
|GJRA vol 7, Issue 5/ May-2018|
|9||Role of C reactive protein in occult paediatric bacterial infection
|Indian Journal of research
Vol-6, issue-8, August 2017
|10||A Study of Clinical Profile Of Tuberculosis In HIV Children
|11||Inductance of congenital Anomalies in newborn in troy core hospital
|12||Etiological Factors and clinical profile of Acute Respiratory distress in Children age Group 2 months to 2 years and Prevalence of Respiratory Syncytial Virus in the Study Population Dr.Logesh Anand, Dr.S.Vijayaraghavan||International Journal / 2019 July|
|13||Etiological Factors clinical Profile and outcome of Meconium Aspiration Syndrome babies,
Dr.R.Sasivarathan, Dr.A,Logesh Anand
|International Journal / 2019 July|
|14||Pediatric risk or mortality III score in predicting mortality in children with altered sensorium in pediatric intensive cate unit
|International Journal / 2019 July|
|15||A study of serum lipid profile changes in children with dengue haemorrhagic fever and its correlation with severity in a tertiary care hospital.
Prabhuraj A, Kumaravel KS, Rekha VA, Nithiyapriya A, Sampathkumar P, Vijay anand.M
|16||Perinatal Factors Associated with Spontaneous Regression of Retinopathy of Prematurity– One Year Experience from a Tertiary Care Hospital
P KUMAR, K S KUMARAVEL, D SATHEESHKUMAR, S GOBINATHAN, P SAMPATHKUMAR, K VELMURUGAN..
|Indian Journal of Neonatal Medicine and Research. 2020 Jul, Vol-8(3): PO17-PO22|
|17||A descriptive study of the attitude and experiences of donor mothers in a human milk bank
Srenivas A, Kumaravel KS, Anurekha V, et al..
|J Evid Based Med Healthc 2020; 7(37), 2005-2010. DOI:10.18410/jebmh/2020/417.|
|18||A cross-sectional study of mental health status of rural school going students in late adolescence period in southern India
Aiswarya R, Kumaravel KS, Ramya S, Manoj K, Anurekha V, Sampathkumar P.
|. Indian Journal of Neonatal Medicine and Research. 2021 Jul, Vol-9(3): PO29-PO34|
|19||Knowledge about kangaroo mother care among the mothers and grandmothers- a cross-sectional study in a neonatal follow-up clinic of a tertiary care hospital in Tamil Nadu, India.
Ramya S, Kumaravel KS, Palanivelraja T, Tharini B, Anurekha V, Gobinathan S
|Journal of Clinical and Diagnostic Research. 2021 Oct, Vol-15(10): LC36-LC40.|