Advances in Pediatrics (2 Volumes) AK Dutta, Anupam Sachdeva, Mahaveer P Jain, Satya P Yadav, Ramesh Kumar Goyal, Ajay Arora, Devesh Aggrawal
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1Advances in PEDIATRICS2
3Advances in PEDIATRICS
Volume 1
Volume 2
Second Edition
Editors-in-Chief Anupam Sachdeva Incharge of Pediatric Hematology and Oncology Unit and Pediatric Bone Marrow Transplantation Department of Pediatrics Center of Child Health Sir Ganga Ram Hospital Rajinder Nagar, New Delhi, India AK Dutta Director-Professor and Head Department of Pediatrics Kalawati Saram Children's Hospital and Lady Hardinge Medical College New Delhi, India Editor Mahaveer P Jain Senior Consultant Pediatrician Vardhman Medicare Centre Institute of Advanced IVF/ICSI, Laparoscopy and Child Care Gurgaon, Haryana, India Associate Editors Satya P Yadav Ramesh Kumar Goyal Ajay Arora Devesh Aggarwal
4
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© 2012, Anupam Sachdeva, AK Dutta
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Advances in Pediatrics
First Edition: 2007
Second Edition: 2012
9789350257777
Printed at
5Contributors 15Preface to the Second Edition
A plethora of literature has been published in the field of pediatrics during the past few decades. In the last five years there has been a many folds increase in the knowledge. With each passing moment our knowledge-base, has expanded dramatically, with the resultant emergence of various super- and subspecialties. We, in this edition of Advances in Pediatrics, have tried to add the latest management protocols for various diseases. There are some articles which cannot be found in any textbook but are invaluable for the pediatrician who is fresh in practice. The book will also be of great help to a postgraduate appearing in the examination as it gives consolidate information on a number of topics. The efforts put in by us in the past few months have resulted in a unique collation of expertise, clinical application and incisive opinions on the latest in our fields. It has been our pleasure to have a host of eminent academicians and practitioners, both international and national, as a part of this endeavor, each lending their imprint into the development of a thorough and comprehensive compendium. We, in India, are still struggling with abysmal health indices and they are a matter of shame. With the economic upturn, we need to see that the benefits of this percolate down to the poorest of the poor. We have a huge human resource of health care professionals but they are concentrated in the cities. The facility for updating the knowledge are not very good. We hope that the book will go a long way in bridging the gap for updating the knowledge of pediatricians. We are happy that the organizing committee of the PEDICON 2012 have decided that it is very important to disseminate knowledge and towards this end, they are giving a copy of the book to each and every delegate attending the conference. The need of the hour is to be well prepared to meet the adversities that come our way as professionals. Whether we are good, better or the best, we should never let it rest, until our good is better, and our better, the best. That has been the philosophy of our book, and that is the spirit that we would encourage to inculcate in all our readers. A beginning has been made and to see a generation benefit from this vast resource would be most gratifying for us.
Anupam Sachdeva
AK Dutta
16Preface to the First Edition
A plethora of literature has been published in the field of Pediatrics during the past few decades. With each passing moment our knowledge base has expanded dramatically, with the resultant emergence of various super and sub specialties. The very notion that a practicing pediatrician, and for that matter even a post graduate student, must be competent to deliver holistic care for the child patient at every juncture and in each of these ramifications of pediatrics, is a challenging prospect and highlights the need for continuing education and enhancement of one's skills. To meet these needs, we considered tracking the current trends of pediatric practice in the form of a concise book. The labors of the past few months have resulted in a unique collation of expertise, clinical application and incisive opinions on the latest in our fields. It has been our pleasure to have a host of eminent academicians and practitioners, both international and national, as a part of this endeavor, each lending their imprint into the development of a thorough and comprehensive compendium. The issues that we have addressed through “Advances in Pediatrics” reflect the health afflictions of the Indian child specifically, both urban as well as rural. Our nation suffers from perhaps one of the highest infant - and under five - mortality rates across the globe, reflecting the non availability and delivery of the neonatal health care system. In such a scenario, the importance of neonatal care assumes principal significance. In the same breath, infectious diseases are perhaps a major cause for mortality too and their management and prevention with appropriate vaccination have been the focus of attention. Our purview extends to include gastroenterology, hemato-oncology, nephrology, pediatric cardiology, emergency and respiratory diseases and neurology amongst others. The need of the hour is to be well prepared to meet the adversities that come our way as professionals. Whether we are good, better or the best, we should never let it rest, until our good is better, and our better, the best. That has been the philosophy of our book, and that is the spirit that we would encourage to inculcate in all our readers. A beginning has been made and to see a generation benefit from this vast resource would be most gratifying for us.
I shall be telling this with a sigh
Somewhere ages and ages hence:
Two roads diverged in a wood, and I—
I took the one less travelled by,
And that has made all the difference.
AK Dutta
Anupam Sachdeva