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Karnataka Pediatric Journal Karnataka Pediatric Journal Editorial Board Editor in Chief Emeritus Editor Dr. Bhaskar Shenoy Dr. B. Sanjeev Rai Head, Department of Pediatrics, Chief, Chief of Research, Pediatric Infectious Diseases Division, Manipal Hospital, 98, Father Muller Research Center, Father Muller Campus HAL Airport Road, Bangalore – 560 017, India. Kankanady, Mangalore 575002. [email protected] [email protected] Managing Editor Associate Editor Dr. Vinod Ratageri Dr. N K Kalappanavar Professor, Department of Pediatrics, Karnataka Institute Medical Director, Professor & Head, Department of of Medical Sciences, Hubli – 580021, Karnataka, India. Pediatrics, SS Institute of Medical Sciences & Research [email protected] Centre, Davangere – 577005, Karnataka, India. [email protected] Advisory Board Members National Advisory Members State Advisory Members International Editorial Board Santosh Soans (Mangalore) Jagadish chinnappa (Bengaluru) Raj Warrier, University of Illinois, USA N C Gowrishankar (Chennai) Vikram S Kumar (Shivamogga) Umesh Prabhu, (UK) Abhay Shah (Ahmedabad) Sandeep V (Kalburgi) Aman Bakhti Pulungan, (Indonasia) Devendra Mishra (Delhi) Leslie Louis (Manipal) Lilian Wong, (Hong kong) Vijay Kumar (Hyderabad) Arundati Patil (Kalburgi) Narendra Aladangady, (London) Maninder Dhaliwal (Delhi) Raghunath C N (Bengaluru) Daniel Yam Thiam Goh, NHU, Pallab Chatterjee (Kolkatta) Indumathi C.K (Bengaluru) (Singapore) Banani Poddar (Lucknow) Mahesh Kamate (Belagavi) Dr. Rajkumar Marol (Haveri) Bio Statistics Madu P K Karnataka Pediatric Journal • Volume 35 • Issue 1 • July-September 2020 | i Karnataka Pediatric Journal General Information The Journal Permissions Karnataka Pediatric Journal (KPJ) is an open-access peer- For information on how to request permissions to reproduce reviewed journal committed to publishing high-quality articles articles/information from this journal, please contact: in the field of Pediatrics. The journal is owned by the Indian [email protected] Academy of Pediatrics Karnataka State Branch and published by the Scientific Scholar. Journal follows a double-blind review Disclaimer process with quarterly frequency. The information and opinions presented in the journal reflect the Information for Author views of the authors and not of the journal or its’ Editorial Board or the Publisher. Publication does not constitute endorsement Karnataka Pediatric Journal does not charge any processing fees by the journal. Neither KPJ nor its publishers nor anyone else to the authors for submission or on acceptance. All manuscripts involved in creating, producing or delivering KPJ or the materials must be submitted online at: https://editorialassist.com/kpj contained therein, assumes any liability or responsibility for the accuracy, completeness, or usefulness of any information Subscription Information provided in KPJ, nor shall they be liable for any direct, indirect, incidental, special, consequential or punitive damages arising To subscribe this journal, please visit https://scientificscholar. out of the use of KPJ. The journal nor its publishers, nor any com/buy-subscriptions other party involved in the preparation or material contained Advertising Policies in KPJ represents or warrants that the information contained herein is in every respect accurate or complete, and they are The journal accepts display and classified advertising. Frequency not responsible for any errors or omissions or for the results discounts and special positions are available. Inquiries about obtained from the use of such material. Readers are encouraged advertising should be sent to advertise@scientificscholar. to confirm the information contained herein with other sources. com The journal reserves the right to reject any advertisement considered unsuitable to the set policies of the journal. The Editor: appearance of advertising or product information in the various Dr. Bhaskar Shenoy section in the journal does not constitute an endorsement or approval by the journal and/or its publisher of the quality Head, Department of Pediatrics, or value of the said product or of claims made for it by its Chief, Pediatric Infectious Diseases Division, manufacturer. Manipal Hospital, 98, HAL Airport Road, Bangalore – 560 017, India. Copyright Email: [email protected] The entire contents of KPJ are protected under Indian and Printed and Published by international copyrights. The Journal, however, grant, to all users a free, irrevocable, worldwide, perpetual right Pritesh Sheth on behalf of the owners Indian Academy of of access to, and a license to copy, use, distribute, perform Pediatrics Karnataka State Branch Printed at Dhote Offset and display the work publicly and to make and distribute Technokrafts Pvt Ltd., nd2 Floor, Paramount P, Plot No 5A, derivative works in any digital medium for any reasonable Above Book ER, Off Aarey Road, Near Pravasi Ind Est, Opposite non-commercial purpose, subject to proper attribution of Gambhir Ind Est, Goregaon (E), Mumbai, Maharashtra. India authorship and ownership and the right. The Journal also and Published at Scientific Scholar Pvt Ltd., 301, Annex grants the right to make small numbers of printed copies for Dimple Arcade, Asha Nagar, Behind Sai Dham Temple, Thakur their personal non-commercial use. This is not applicable to Complex, Kandivali East-400101, Mumbai, Maharashtra, India. commercial use. Editor: Dr. Bhaskar Shenoy. Karnataka Pediatric Journal • Volume 35 • Issue 1 • July-September 2020 | ii Karnataka Pediatric Journal Table of Contents Volume 35 • Issue 1 • July-September 2020 Editorials Genesis - Karnataka Pediatric Journal B Sanjeev Rai �������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������1 From the desk of Editor in Chief Bhaskar Shenoy ����������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������2 Review Articles Recent advances in cerebral palsy Vykuntaraju K� Gowda �����������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������4 Clinicians dilemma in the management of acute flare-up wheeze with asthma: An update Haralappa Paramesh �����������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������19 Latest reviews regarding COVID-19 and its management Mohammad Ismail Hossain, Raghunath C� N� ��������������������������������������������������������������������������������������������������������������������������������������������������23 Responsible antibiotic therapy simplified Abhay K� Shah, Aashay Abhay Shah ������������������������������������������������������������������������������������������������������������������������������������������������������������������29 Vitamin-D status and bone mineral density in asthmatic children on long-term inhaled corticosteroids B� Thanuja, M� R� Savitha ����������������������������������������������������������������������������������������������������������������������������������������������������������������������������������39 Surgery for drug refractory pediatric epilepsy: Saving and nurturing the developing brain Shabari Girishan, R� Pradeep, A� R� Somashekar ���������������������������������������������������������������������������������������������������������������������������������������������48 Original Article Pulmonary function tests in children with beta-thalassemia major Jayaraj Harsoor, Vinod H� Ratageri, C� Shilpa, Shivanand Illalu, Prakash Wari ���������������������������������������������������������������������������������������������52 Case Report Senior-Loken syndrome: A case report Ashwath Duraiswamy, C�O�Babilu �������������������������������������������������������������������������������������������������������������������������������������������������������������������57 Letter to the Editor The real heroes in PICUs Mridula Arabu Manjunath ���������������������������������������������������������������������������������������������������������������������������������������������������������������������������������61 Journal Review KPJ journal rounds Vikram S� Kumar ������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������������63 Karnataka Pediatric Journal • Volume 35 • Issue 1 • July-September 2020 | iii https://iap-kpj.org Karnataka Pediatric Journal Editorial Genesis - Karnataka Pediatric Journal B Sanjeev Rai Father Muller Research Center, Father Muller Campus Kankanady, Mangalore, Karnataka, India. *Corresponding author: I am immensely proud to pen few words on the genesis of Karnataka Pediatric Journal of our B Sanjeev Rai, State Branch of Indian Academy of Pediatrics over three and a half decades ago. Father Muller Research Center, Father Muller Campus Indian Academy of Pediatric Karnataka state branch in its executive committee meeting held Kankanady, Mangalore, at Mysore, decided to publish a Karnataka pediatrics journal to encourage young pediatricians Karnataka, India. to publish their work quickly. It is a felt need for budding pediatricians
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