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Nursing Homes / Clinics / Hospitals of a wide range of products which include Acute Rheumatic Fever, Congenital Heart Disease, Nephrotic Syndrome Disease, Urinary Tract Infections, Medical specialties and Continuing Medical Education.

Acute Rheumatic Fever

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Acute  rheumatic  fever  and  rheumatic  chronic  valvular  heart  disease  is  an  importantpreventable cause of morbidity and mortality in suburban and rural India. Its diagnosis is based on clinicalcriteria. These criteria need verification and revision in the Indian context. Furthermore, there are glaringdifferences in management protocols available in literature. These facts prompted Indian Academy ofPediatrics to review the management of rheumatic fever.

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Congenital Heart Disease

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Congenital heart diseases (CHD) refer to structuralor  functional  heart  diseases,  which  are  present  atbirth. Some of these lesions may be discovered later.The reported incidence of congenital heart disease is8-10/1000  live  births  according  to  various  seriesfrom  different  parts  of  the  world(1).  It  is  believedthat this incidence has not changed much over theyears(2).  Nearly  33%  to  50%  of  these  defects  arecritical, requiring intervention in the first year of lifeitself

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Nephrotic syndrome is an important chronic diseasein  children.  About  80%  children  with  idiopathicnephrotic syndrome show remission of proteinuriafollowing  treatment  with  corticosteroids,  and  areclassified as ‘steroid sensitive’. Most patients havemultiple  relapses,  placing  them  at  risk  for  steroidtoxicity,  systemic  infections  and  other  complica-tions.  A  small  proportion  of  patients  who  are  notsteroid sensitive (steroid resistant) are also at risk forsimilar complications and renal insufficiency.

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Urinary Tract Infections

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Urinary tract infection (UTI) is a commonbacterial    infection    in    infants    andchildren. The risk of having a UTI beforethe  age  of  14  years  is  approximately1-3% in boys and 3-10% in girls [1,2]. The diagnosisof UTI is often missed in infants and young children,as  urinary  symptoms  are  minimal  and  often  non-specific. Rapid evaluation and treatment of UTI isimportant to prevent renal parenchymal damage andrenal  scarring  that  can  cause  hypertension  andprogressive renal damage [3]. Pediatricians shouldbe   aware   of   the   clinical   features,   diagnosis,management and evaluation of children with UTI.Even  a  single  confirmed  UTI  should  be  taken

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