Paediatrics

At the daily OPD, Pediatricians treat wide variety of childhood ailments. In addition, emergency care is provided round the clock with supportive services like PICU and NICU. Our hospital also conducts a “well-baby clinic” that offers immunization, monitors growth and development of children and counsels mothers on nutrition and other child health related issues. Speciality clinic are conducted every day to treat and follow up common Paediatric diseases like Asthma, Seizure disorder, various Heart diseases nephrology case and Newborn special high risk baby clinic are also conducted every week.

The Pediatrics Department is functioning since March 2005 and growing from strength to strength.

The Department is now full-fledged with adequate Faculty and required infrastructure.

The Department caters to all the health needs of children from birth to adolescence.

Faculty

The department has adequate professors, Associate Professor, Assistant Professors and Senior Resident, in addition to a number of Junior Residents and Compulsory Rotatory Resident Interns.

Laboratory

Each Pediatric ward is supported by a side laboratory where basic blood, urine and stools investigations are carried out.

Museum

The department has got a Museum in the Clinical Department of the Hospital. Pictures depicting children with signs of particular diseases, deficiencies etc. are displayed.

The Departmental Library

The Departmental Library is well equipped with 149 books on Pediatrics and related subjects. A number of other text books of Pediatrics, a number of regional, national and International journals of Pediatrics are available in the Central Library of the Medical College.

Equipments and Instruments

The Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU) are well equipped.

Out Patient Department (OPD)

The Out Patient Department (numbered 49) is in the ‘E’wing of the ground Floor of the Hospital. It has adequate space for Reception and Registration of out Patients, a cubicle for special clinics, four cubicles for consultation and a separate cubicle for the admitting Unit Chief. In addition there is a treatment room, a demonstration room for Medical Students and a Record room.

The number of Out Patients attending the OPD will be in the range of 70-120 per day and around 10 children are admitted for In Patient Care every day.

Pediatric Wards
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There are three Pediatric wards for three units. The I Pediatric Unit is located at the “F” wing of the III floor of the hospital capable of accommodating 30 child patients. The II and III Pediatric Units are housed in the ‘G” wing of the III floor of the hospital, each capable of accommodating 30 child patients. Each Pediatric unit is functioning under one Professor of Pediatrics and a minimum of 2 qualified Assistant professors. On an average, 70 child patients are given inpatient treatment at any given time by the three Pediatric Units. A qualified Pediatrician is on 24 hrs. duty on rotation to attend to emergencies as well as resuscitation of babies born of interventional deliveries like Caesarean section.

Pediatric Intensive Care Unit (PICU)
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Very seriously ill children are looked after in a Pediatric Intensive Care ward. There are four such beds with all supporting facilities like Ventilators, Multipara monitors, Central oxygen supply, Central suction etc.

Neonatal Intensive Care Unit (NICU)
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NICU caters to both INBORN and OUTBORN newborns, there are facilities to look after 4 newborns in each section with all infrastructure including warmers, Incubators, Phototherapy units etc

The NICU is managed by a well experienced Neonatologist assisted by a qualified, Assistant Professor of Pediatrics, Postgraduates in Pediatrics and a number of CRRIs.

Ventilatory support, Exchange Transfusion etc are undertaken in the NICU.

Both the PICU and NICU are supported by Clinical Laboratories round the clock for doing emergency investigations and Radiology department for emergency X-rays, CT, and MRI etc.

Operation Theatre

Pediatric surgical problems are attended by a qualified Pediatric Surgeon of our hospital. There are facilities for Pediatric Endoscopy, Bronchoscopy etc.

Research Laboratory
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A Research Laboratory has been established in the Clinical Department in the II Floor of the Hospital with adequate infrastructure.

Academic Activities

Undergraduate Training

MBBS Students are trained from III Semester on wards. I Batch of MBBS students appeared for University Pediatric exam in Dec. 2010 and 90% of them came out successful.

Didactic lectures are given from VI Semester on wards up to IX semester.

Undergraduates Students are posted in Pediatric Wards during IV, VI, VIII and IX Semesters each not less than 15 days at a time. Students are also given exposure to Neonatal problems. A ward leaving practical exam is conducted on completion of ward posting in every semester.

Periodical examinations in Pediatrics Theory are conducted every 4th Monday of every month in VIII & IX semesters.

The Percentage of pass in University Pediatrics exam range between 90 and 95 percent since 2010.

Postgraduate Training

M.D. Pediatrics course commenced from June 2012 and 2 students were admitted.

They are trained at OPD, Bedside, Special Clinics, and Health Camps etc. Periodical assessment is made at the bedside. They have didactic lectures in basic sciences, as applicable to Pediatrics. They present clinical cases once weekly in which all members of Faculty interact.

Weekly Symposium/Seminar or Journal club is conducted for their benefit. Topics of interest in Pediatrics are discussed threadbare at weekly classes. Postgraduates are also trained to take clinical classes to Undergraduate Students as part of their Postgraduate training.

Postgraduates are encouraged to attend as many CMEs, Workshops, Conferences, PALS and NALS courses wherever they are conducted.

Postgraduates are encouraged to present cases of interest in the monthly Pediatric meet under the aegis of PONPED at Pondicherry where there are interactions between Postgraduates of other Medical Colleges, Members of Pediatric fraternity.

Other training

Compulsory Rotatory Resident Interns are given intensive training in OPD, Wards, ICUs, and Camps etc. so as to prepare them to face any problem in the Community once they go out of the college. They are also trained to manage emergencies, as they accompany the Duty Pediatrician.

Clinical Activities

Special Clinics

A number of special clinics are run in the department on specified days.

Diarrhoea clinic All days
Community Pediatrics Mondays – Thiruvennainallur – Urban Health Centre
Fridays – Thirukkanur – Rural Health Centre
Asthma Clinic Mondays
Nutrition Clinic Tuesdays
Thalassemia Management Clinic
Neurology & Cerebral Palsy Clinic
Wednesdays
Well baby Clinic
Immunization Clinic
Thursdays
Nephrology Clinic Fridays
Tuberculosis Clinic
Child Guidance Clinic
Saturdays

Each Special Clinic is functioning under a qualified Pediatrician, supported by other Specialists wherever applicable like Dietician, Urologist, Neurologist, Psychiatrist, Psychologist, Physiotherapist etc.

A qualified Pediatrician visits the Urban and Rural Health Centers run by SMVMCH on Mondays and Fridays at Thiruvennainallur and Thirukkanur respectively.

A qualified Pediatrician in turn attends Health Camps conducted under Chief Ministers extended Health Scheme.

Special procedures

Exchange transfusion is undertaken for Newborns suffering from Hyperbilirubinemia (Neonatal Jaundice)

Camps

One of the Assistant professors makes regular visits on specified days of the week to Urban and Rural Health Centers of our Institution where Pediatric cases are screened and treated and sick children requiring investigations and treatment are advised admission in our hospital.

In addition a qualified Pediatrician accompanies the Medical Team of Health camps periodically under the aegis of Chief Ministers Expanded Health schemes in rural areas where children are treated.

One qualified Pediatrician accompanies the team of Community Medicine to give Health Education to School Students in Villages in and around SMVMCH, on topics like Personal Hygiene, Vaccines in Adolescence, Rabies etc.

Pediatric CMEs

Periodic CMEs are organized by Pediatric Department. The last one was organized by Pediatrics department in association with the District branches of Villupuram & Pondicherry and Cuddalore of Indian Academy of Pediatrics on 18.03.12. Around 100 Delegates from Virudhachalam, Cuddalore, Thirukovilur, Gingee, Tindivanam, Villupuram and Pondicherry attended the CME. 5 credit points were awarded by the Tamil Nadu Dr. M.G.R Medical University. Certificates were issued to all the Delegates.

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Inauguration of Pediatric CME on 18.03.12

A view of Delegates attending the CME

World Breastfeeding Week
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A week long World Breastfeeding Week is celebrated in the first week of August every year since 2006. During the week activities like Radio talk, Quiz programs, Elocution competitions for Medical and Nursing Students, Rural camps for Women folk etc. are undertaken to create and strengthen the awareness about Breastfeeding.

A valedictory function is held on 7th August every year for which eminent persons from Literary World, Departments of Education, Health, Social Welfare, Lactation Consultant are invited to address the Womenfolk, Nurses, Medical Students etc. and Prizes and Certificates are distributed to Winners of various competitions held during the WBW.

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Rural Breastfeeding Awareness Camp on 05.08.08

Valedictory Function of WBW on 07.08.12

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Mini Photo Exhibition on 01.08.12

Mini Photo Exhibition on 02.08.10

Children’s Day

On November 14th every year since 2005, children’s Day is celebrated preceded by a fortnight long period of competitions like Drawing, Painting , Essay writing, Elocution, Music, Dance, Fancy Dress etc. for School Children up to VIII Std.

Prizes and certificates are distributed on the Children’s Day by an invited speaker who is fond of children. The number of Children and Schools participating in such competitions is increasing year after year.

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Presidential Address by Chairman

Children’s Day Speech by Mr. Vallavan, Director of School Education, Puducherry

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A Tabla Artist Playing

Prize distribution to Fancy Dress Winners

Children’s Park

An Outdoor Park with Sea-saw, Slope, Swings, Merry-go-round etc. suited for Children above 3 years of age is situated opposite the Pediatric OPD. for play activities of Children attending OPD as well as not so sick Inpatient Children.

An Indoor Park parallel to the Outdoor Park is provided with a cushioned floor mat and play articles like Tricycles, Swings, Slope, Sea-saw etc. for Children under 3 years of age.

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Ongoing Projects

  1. Serum Magnesium levels in Bronchial asthma in Pediatric Patients
  2. Morbidity patterns and developmental outcome in high risk neonates-

A prospective cohort study in SMVMCH.

Projects Contemplated

  1. Relative efficacy of Cotrimoxazole and other antimicrobials in the Management of LRI in children in the Out Patient setting.
  2. Urinary Tract infection in children
  3. Seizure disorder-pattern in various age groups-1-5 years and 5-12 years.
  4. Preterm babies- incidence, prognosis and problems in management.
  5. A study of Rheumatic fever and its complications in the local community.
  6. Nephrotic syndrome-pattern of presentation and response to treatment.

Conferences attended

A number of Members of Faculty and Postgraduates attended under mentioned CMEs and Conferences held during recent years.

  1. Neocon 2011- By National Neonatology Forum – 31 at Chennai on 16, 17 & 18 December 2011.
  2. Conference of VI South Neocon & NNF Tamil Nadu chapter on 14 and 15 July 2012 at Tiruchi.
  3. East Coast South Pedicon 2012 organized by IAP-Tamil Nadu Chapter held in JIPMER during10-12 August 2012.
  4. 24th National Conference of Indian Society of Pediatric Nephrology – Chennai. (ISPNCON 2012) – 29 & 30th September 2012.
  5. CME on Pediatric Dermatology held on 21st October 2012 Chennai.
  6. RSSDI Diabetes conference 2012-Chennai on 26, 27 & 28 October 2012.
  7. Neuropedicon – 2012 on Pediatric Neurology – IAP-Conference 2012 at Chennai

Workshops attended:

  1. Quantitative Research Methods in May 2012 at SMVMCH Puducherry.
  2. Zonal training of Trainers’ workshop on Adolescents’ care in office practice at Neyveli in June 2012.
  3. “POT-POURRI” - Pre convention workshop held on July 2012 organized by NNF Tamil Nadu Chapter at Thiruchirapalli.
  4. Workshop on Basics of Ventilation and CPAP held at JIPMER organized by East Coast South Pedicon 2012 on 9th August 2012.
  5. Workshop organized as part of Thirteenth South Asian Regional Conference on Clinical Ultrasonography in practice - CUSP 2012 held during 13-16 September 2012.

Research publications by Dr. Chandan K Shaw, Professor of Pediatrics in National / International journals

S.L. No. Name of Authors Title of the Article Name of the Journal Year
1 Shaw. P., Shaw
Chandan Kumar,
Saileela K.
Pattern of serum resistance in Uropathogenic Escherichia Coli. Int J Pharm and Bioscien. Accepted Dec. 2011
2 Shaw. P.,
Shaw Chandan Kumar,
Saileela K.
Correlation between intravenous catheter related infections and biofilms in Staphylococcus epidermidis. Int J Pharm and Bioscien. Accepted Jan. 2012
3 Shaw. P.,
Shaw Chandan Kumar,
Saileela K.
Microbial array and antibiotic sensitivity pattern of catheter related blood stream infection at a tertiary care hospital in South India. Int J Pharm and Bioscien. Accepted Jan. 2012
4 Shaw Chandan Kumar,
Shaw. P.,
Kocher-Debre-Semelaigne syndrome: Hypothyroid Muscular pseudohypertrophy - a rare report of 2 cases. A case report in Endocrinology Accepted Jan. 2012
5 G. Gathwala,
Shaw Chandan Kumar,
Shaw. P, Bathra. R
Effect of fortification of Breast milk on the growth of preterm Neonates Eastern J Med Accepted Jan. 2012
6 Shaw Chandan Kumar,
Shaw. P,
Malla. T,
Malla K.K
The clinical spectrum and outcome of Neonatal sepsis in a NICU at a tertiary care hospital in Western Nepal, Jan. 2002 to Dec. 2005 -a retrospective study. Eastern J Med Accepted April. 2012
7 Shaw Chandan Kumar Paroxysmal supraventricular tachycardia in Neonates. Int J Pharm and Bioscien. Accepted Jan. 2012
8 Shaw Chandan Kumar,
Shaw .P
Bio films, coagulase negative staphylococci and the Saga of catheter related blood stream infections. Int J Pharm and Bioscien. Accepted May. 2012