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        Vaccine usage and wastage in a designated Yellow Fever Vaccination Centre in North India

        Sabira Aalia Dkhar,Ruqia Quansar,Inaamul Haq,S. Muhammad Salim Khan 대한백신학회 2021 Clinical and Experimental Vaccine Research Vol.10 No.3

        Purpose: Yellow fever is a viral hemorrhagic fever transmitted through the bite of mosquitoes. World Health Organization guidelines advocate a single dose of vaccine for life-long protective immunity against yellow fever. Yellow fever vaccine is included in routine childhood immunization schedules in countries at medium or high risk of yellow fever. For some travelers, visiting endemic countries, yellow fever vaccination is recommended to protect the travelers. We calculated the yellow fever vaccine wastage rate at a designated center in North India. Materials and Methods: This is a record-based study. The data for the study was obtained from the immunization center of Government Medical College, Srinagar, Jammu and Kashmir. The particulars for every vaccine recipient were present in the register. The vaccine wastage rate was calculated. The analysis was done in IBM SPSS ver. 20.0 (IBM Corp., Armonk, NY, USA) and results were presented as numbers and frequencies. Results: A total of 136 doses were issued out of which 111 doses were administered from November 2017 till October 2020. The maximum number of travelers was young adults (26.1%). In 83.7% of cases, the area of the visit was Africa. The vaccine wastage rate was 18.4%. Conclusion: The vaccine wastage rate was not very high and was within that recommended for vaccines in routine immunization.

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        Endoscopic Yield, Appropriateness, and Complications of Pediatric Upper Gastrointestinal Endoscopy in an Adult Suite: A Retrospective Study of 822 Children

        Manzoor Ahmad Wani,Showkat Ali Zargar,Ghulam Nabi Yatoo,Inaamul Haq,Altaf Shah,Jaswinder Singh Sodhi,Ghulam Mohammad Gulzar,Mushtaq Khan 대한소화기내시경학회 2020 Clinical Endoscopy Vol.53 No.4

        Background/Aims: This study aimed to study the endoscopic yield, appropriateness, and complications of pediatric endoscopyperformed by adult gastroenterologists in an adult endoscopic suite. Methods: This a retrospective study in which records of all the patients less than 18 years of age who underwent endoscopy in the last5 years were studied. The indications of endoscopy in children were categorized as appropriate or inappropriate per the latest guidelinesby American Society for Gastrointestinal Endoscopy and North American Society for Pediatric Gastroenterology, Hepatology andNutrition. Positive endoscopic yield was defined as the presence of any abnormality on endoscopy. Results: Among the total of 822 children (age <18 years), the most common indications were variceal surveillance/eradication in 157(19.1%), followed by dyspepsia in 143 (17.4%), upper gastrointestinal (UGI) bleeding in 136 (16.5%), recurrent abdominal pain in 94(11.4%), unexplained anemia in 74 (9%), recurrent vomiting in 50 (6.08%), chronic refractory gastroesophageal reflux disease in 34 (4.1%)and others; 780 out of 822 endoscopic procedures (94.9%) done in children were appropriate as per the guidelines. The endoscopicyield was 45.8%, highest in patients with UGI bleeding (71.3%), followed by variceal surveillance (54.8%), recurrent vomiting (38%),dyspepsia (37.8%), and recurrent abdominal pain (36%). Minor adverse events occurred in 7.3% of children. Conclusions: Pediatric endoscopy performed by an experienced adult gastroenterologist may be acceptable if done in cooperation witha pediatrician.

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