The University of Delhi, informally known as Delhi University (DU), is a collegiate, public, central university located in New Delhi, India. It was founded in 1922 by an Act of the Central Legislative Assembly and is recognized as an Institute of Eminence (IoE) by the University Grants Commission (UGC). As a collegiate university, its main functions are divided between the academic departments of the university and constituent colleges. Consisting of three colleges, two faculties, and 750 students at its founding, the University of Delhi has since become India's largest institution of higher learning and among the largest in the world. The university has 16 faculties and 86 departments distributed across its North and South campuses. It has 77 constituent colleges and five other institutes. The Vice President of India serves as the university chancellor.
Hypertension in children is increasing over the years, prevalence being 4
CASE PRESENTATION:An 18-month-old girl presented to the emergency department with a 1-month history of fever, cough, and difficulty breathing. The cough was progressive over 1 month and productive in nature. Before this admission, she had been hospitalized for 21 days at another facility, where she required intubation and ventilation for 8 days and received IV antibiotics and nebulization for Pseudomonas aeruginosa pneumonia. The child was the firstborn of a nonconsanguineous marriage, with an unremarkable antenatal and natal history. Her developmental milestones were appropriate for her age, and she had completed age-appropriate immunizations without adverse reactions. Mother had history of 2 spontaneous abortions, both in the first trimester.
BACKGROUND:This study evaluated the point during Ponseti treatment when the foot reaches a neutral position and quantified how percutaneous Achilles tenotomy influences each component of clubfoot deformity. An additional aim was to provide a visual representation of correction trends using the Dimeglio scoring framework. METHODS:Infants under six months of age with unilateral idiopathic clubfoot were assessed at each visit with the Dimeglio score. Changes in total and individual deformity parameters were analyzed throughout serial casting and following tenotomy. RESULTS:The total number of casts required before tenotomy ranged from 3 to 12 (mean 6.2). The largest drop in total Dimeglio score occurred between the initial and second casts. All the individual components exhibited the steepest reduction between the first and second casts (17.90 - equinus, 19.20 - hindfoot varus, 44.40 - midfoot rotation, and 18.80 - forefoot adduction). All the deformities except equinus approached neutral through the third cast and equinus through the fourth cast. Tenotomy improved (mean) equinus by 140, hindfoot varus by 20, midfoot rotation by 50 and forefoot adduction by 3.20. CONCLUSIONS:All major deformity elements show concurrent early improvement when managed with the Ponseti technique. Significant change occurs within the first few casts, with tenotomy offering additional correction beyond equinus alone. Larger-scale studies could help standardize the graphical correction profiles observed here. LEVEL OF EVIDENCE:IV.
