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Child care has always
been an area of major concern and therefore an integral part of the
services offered by St. Stephen's Hospital since its inception. The
department has a team of dedicated and qualified staff
comprising of five full time paediatric consultants, Thirteen residents
and specially trained nursing personnel. The department besides
taking care of over 7000 babies born in this hospital every year also
runs a full fledged paediatric ward and out patient service.
Our Neonatal
Intensive Care Unit has the latest equipments that are required to
deliver efficient tertiary care to the neonates including ventilators,
incubators, open care systems, neonatal ultrasound machine,
cardio-respiratory and blood pressure monitors, infusion pumps, pulse
oxymeters and phototherapy units.
The OPD Services
include daily general and private OPDs, Special Clinics, Well Baby
Clinics and Free Clinics for poor patients. Preventive paediatrics is an
integral part of our OPD Services through our Well Baby Clinics and
immunisation in post natal wards.
Our paediatric
department is a referral centre for tertiary care of sick children from
North Delhi and nearby colonies and villages. Special paediatric clinics
are held at Nandnagri Community Centre.
In the paediatric
ward specialised and intensive care is provided to sick babies. The
paediatric ward has 49 beds and a 6 bed Paediatric Intensive Care Unit (PICU).
The PICU is manned round the clock by postgraduate residents. It has 2
ventilator cots. There is a provision of free beds both on children's
ward and the neonatal nursery for the indigent.
The department
provides health care for about 120 orphans with the Missionaries of
Charity under the supervision of Dr. R Beri. A project to provide play
therapy for these children won
the Sir James Flett Gold Medal of the Indian Academy of Paediatrics.
The five full time
paediatric consultants, all have general interests. Dr. Beri also has
special interest in Paediatric Nephrology, Dr. Nirmal Kumar in
Paediatric Neurology and Dr. Saroj Singh in Paediatric Pulmonology. Dr.
J Puliyel looks after paediatric diabetis and behavioral
disorders. Full middle grade cover is provided by 8 Post Graduate Senior
Registrars. There are 5 Senior House Officers (SHO) who are Diplomate of
National Board (DNB) trainees. SHOs in the last six months of their
training take duties on the registrar rota.
At present we have
one Research Fellow Post funded by the Department of Science and
Technology of the Government of India.
The nursing services
are led by Sister A. Isaac Anora and Sr. Rose Mary.
DNB Training
We take 2 SHOs each
year for the 3 year DNB training programme. Candidates must have passed
part I of the DNB to qualify. As per hospital policy, preference
is given to Christian doctors and those sponsored by Christian mission
hospitals. Dedicated teaching time has a schedule for Journal Club
Meetings, Seminars, Presentations, Weekly Quiz and Monthly Tests.
Postings with the Community Health Department and with specialties like
ENT and Ophthalmology and Dermatology are arranged. We also
register two DCH Registrars each year for the 2 year DNB training.
PGDMCH
Training
The
department is a Skill Development Centre for the Post Graduate
Diploma in Maternal and Child Health (PGDMCH) and Dr. J Puliyel is
Academic Counsellor to the Indira Gandhi National Open University.
Research
The Paediatric
Department has received external research funding for the following
projects.
- Impact of pollution related
haze on vitamin D metabolites in socially disadvantaged children.
The study is being done in collaboration with Dr. Pramod Upadhyaya
at the Centre for Science Education and Communication and funded
by Department of Science & Technology, Government of
India.
- Development of a simple regime
of play and to assess the impact of this as growth and development
of institutionalised children in an orphanage setting. Funding for
this comes from the Indian Council of Medical Research (ICMR).
- Studies of the effect of
pollution on cardio respirator function in children, funded by
Tulika Public Services, a NGO working among school children in
campaign against pollution.
Publications
- Repeated Unifocal Seizure in
post neonatal infants with hypocalcenoma, Indian Paediatric 2000,
37:203-5
- Acute pancreatitis with
Cholestatic Hepatitis, An unusual manifestation of hepatitis, Annals
of Tropical Paediatrics 1999, 19, 391-4
- Melas Syndrome, Indian Journal
of Paediatrics 1999, 66, 621-5
- A Study of Current Trends in
Enteric Fever, Journal of Communicable Diseases 1999, 30, 171-4
- Evaluation of Leucocyte
Eastrogen Reagent for rapid diagnosis of Pyogenic Meningitis, Indian
Paediatrics 1999, 36, 455-6
- Sudden onset profound deafness
in association with anti phospho lipid antibodies in a child with
SLE, Indian Paediatrics 2000, 37, 1274-6
- Drawing on adult learning
theory to teach personal and professional values, Medical Teacher
1999, 21, 513-5
- Comments on Congenital
Methemoglobinemia, Indian Journal of Paediatrics 2000, 67, 782
- Gall bladder wall odema
in serology proven paediatric dengue haemorrage fever, A useful
diagnostic finding that may help in prognostication, Journal of
Tropical Paediatrics 1999, 46, 176-7
- Should Immunisation against
hepatitis B take priority over provision of clean drinking water,
British Medical Journal, 1999, 319, 188
- Universal Immunisation with
Hepatitis B Vaccine. What it will cost, Indian Paediatrics 2000, 37,
107
- Newer Vaccines: like Marie
Antianette said "Let the poor eat cake", Indian
Paediatrics 1998, 35, 1245
- Issue and Controversies in
contemporary immunisation In Recent Advances in Paediatrics, Volume
10, Editor, Suraj Gupta.
- Newer Vaccines - To vaccinate
or not to vaccinate is the question : Ethical and Medico-legal
issues. Indian Paediatrics 1988, 35, 791
- A simple strategy to improve
first breath oxygen delevery by amubag, Resuscitation 2000, 45;
221-224.
Related Links
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Agarwal
KS, Mughal MZ, Upadhyay P, Berry JL, Mawer EB, Puliyel JM.
The
impact of atmospheric pollution on vitamin D status of infants
and toddlers in Delhi, India.
Arch Dis Child. 2002 Aug;87(2):111-3.
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Puliyel
JM.
The
dummies' guide to risk-benefit analysis of vaccines.
Pediatrics. 2002 Jul;110(1 Pt 1):193.
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Ojha
RK, Abraham J, Khosla M, Puliyel JM.
Global
alliance on vaccines and immunizations. Vaccine promotion is
circumventing market forces.
BMJ. 2002 Apr 20;324(7343):975
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Walt
G, Brugha R, Starling M, Ojha RK, Abraham J, Khosla M, Puliyel
JM.
Global
alliance on vaccines and immunizations. Save the Children UK had
concerns about alliance that went further than report did.
BMJ. 2002 Apr 20;324(7343):974-5.
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Agarwal
K, Thomas N, Taneja V, Beri RS, Khanduri U, Puliyel JM.
Plasma
exchange in a child with systemic lupus erythematosus
antiphospholipid antibodies and profound deafness.
Ann Trop Paediatr. 2002 Mar;22(1):109-10.
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Puliyel
JM, Taneja V, Jindal K, Thomas N.
Hepatitis
B leading to hepatocellular carcinoma: calculating the risk.
Indian J Gastroenterol. 2001 Nov-Dec;20(6):251-2.
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Sachdev
P, Bahl S, Puliyel JM.
Screening
for Down's syndrome. Ratio of femoral length to tibial length
needs to be evaluated extensively.
BMJ. 2002 Jan 12;324(7329):112.
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Srivastava
RK, Gupta S, Bhargava M, Kumar N, Upadhyay P, Puliyel JM.
An
indigenous leucocyte esterase test along with Pandy's test for
the diagnosis of bacterial meningitis.
Indian Pediatr. 2001 Nov;38(11):1281-6.
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Puliyel
JM, Agarwal KS, Abed Abass F.
Natural
immunity to Haemophilus influenza b in infancy in Indian
children.
Vaccine. 2001 Sep 14;19(32):4592-4
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Singhal
D, Kumar N, Puliyel JM, Singh SK, Srinivas V.
Prediction
of mortality by application of PRISM score in intensive care
unit.
Indian Pediatr. 2001 Jul;38(7):714-9.
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Gupta
R, Thomas RD, Sreenivas V, Walter S, Puliyel JM.
Ultrasonographic
femur-tibial length ratio: a marker of Down syndrome from the
late second trimester.
Am J Perinatol. 2001 Jun;18(4):217-24.
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Abass
F, Thomas RD, Rajkumar A, Gupta N, Puliyel JM.
Controlling
perinatally acquired hepatitis B.
Indian J Pediatr. 2001 Apr;68(4):365.
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Agarwal
KS, Puliyel JM, Khanduri U.
Sudden
onset profound deafness in association with antiphospholipid
antibodies in a child with SLE.
Indian Pediatr. 2000 Nov;37(11):1274-6.
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Agarwal
KS, Puliyel JM.
A
simple strategy to improve first breath oxygen delivery by self
inflating bag.
Resuscitation. 2000 Aug 1;45(3):221-4.
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Gupta
S, Singh SK, Taneja V, Goulatia RK, Bhagat A, Puliyel JM.
Gall
bladder wall edema in serology proven pediatric dengue
hemorrhagic fever: a useful diagnostic finding which may help in
prognostication.
J Trop Pediatr. 2000 Jun;46(3):179-81.
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Singh
SK, Sarin D, Puliyel JM, Srivastav R, Gupta R, Kumar N, Mathews
A.
Melas
syndrome.
Indian J Pediatr. 1999 Jul-Aug;66(4):621-5.
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Agarwal
KS, Beri RS, Puliyel JM.
Repeated
unifocal seizure in post neonatal infants with hypocalcemia.
Indian Pediatr. 2000 Feb;37(2):203-5.
|
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Puliyel
JM.
Universal
immunization with hepatitis B vaccine- what it will cost.
Indian Pediatr. 2000 Jan;37(1):107-10.
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Bisharda
A, Chowdhury R, Puliyel JM.
Evaluation
of leukocyte esterase reagent strips for rapid diagnosis of
pyogenic meningitis.
Indian Pediatr. 1999 Sep;36(9):955-6.
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Agarwal
KS, Puliyel JM, Mathew A, Lahoti D, Gupta R.
Acute
pancreatitis with cholestatic hepatitis: an unusual
manifestation of hepatitis A.
Ann Trop Paediatr. 1999 Dec;19(4):391-4.
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Puliyel
JM.
Should
immunisation against hepatitis B take priority over provision of
clean drinking water?
BMJ. 1999 Jul 17;319(7203):188.
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Puliyel
JM.
Newer
vaccines: like Marie Antoinette said, "let the poor eat
cake".
Indian Pediatr. 1998 Dec;35(12):1245-9.
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Child
Life Programme
Following
on our award winning work with the Missionaries of Charity the
Department has become a placement centre for M.Sc students , internship
of the Department of Human Development and Family Studies of the
University of Delhi. In conjunction with these, we are in the process of
introducing the "Child Life Programme" in the
paeadiatric ward making the ward more child friendly.
The
Mission
The
Paediatric Department aims to provide child friendly and efficient
health care to the paediatric population at affordable costs and a
stimulating, satisfying and friendly environment for doctors and nurses
to work in.
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