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Query: UMLS:C0023380 (lethargy)
 5,697 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In June-July 1983, staff from the Centre for Community Medicine at the All India Institute of Medical Sciences, in New Delhi, India, interviewed 145 mothers of children younger than 5 years old living in Garhkhera and Atali in Haryana State, India, to determine the usage rate of oral rehydration salt (ORS) and to use the results to design an educational campaign to prevent diarrhea and diarrhea-related deaths. Atali residents received their water through pipes while those in Gahrkhera received their water from handpumps. Diarrheal incidence stood at 2.88 episodes/child/year. Just 24.1% defined diarrhea accurately (i.e., WHO's definition = 3 loose stools/day). 40% defined diarrhea to be more than 6 stools/day. Only 29.7% knew about sugar salt solution or commercial ORS and only 9.7% of them could correctly prepare it. 38% of mothers gave a child with diarrhea a liquid, mainly weak tea or curd. 81.4% continued to feed a child during a diarrheal episode, but the investigators could not determine whether the amount was lower than normal because of a decrease in appetite. Breast-feeding mothers continued to breast feed during diarrhea. 64% did not know the danger signs (e.g. duration of at least 3 days, at least 6 stools/day, blood in stools, and lethargy), indicating a need to seek medical care. The most frequently reported danger signs were duration of at least 3 days (17%) and at least 6 stools/day (14%). These findings showed limited knowledge about diarrhea and diarrhea management. The additional campaign should focus on the danger signs.
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PMID:Knowledge and practices regarding diarrhea in rural mothers of Haryana. 142 47

A total of 2248 infants born at All India Institute of Medical Sciences Hospital, New Delhi were selectively screened for hypoglycemia over a period of 15 months. Hypoglycemia (blood glucose less than 30 mg/dl) was diagnosed in 107 cases (4.8%). Preterm babies had three times increased risk (12.8%) as compared to term babies (3.6%). Small-for-dates (SFDs) and large-for-dates (LFDs) infants were at increased risk of manifesting hypoglycemia (7 and 10 times, respectively) as compared to the appropriate-for-dates (AFDs) babies (2.7%). Approximately two-thirds of the hypoglycemic babies (67.3%) had one or more risk factors including birth asphyxia (24.2%), diabetic mothers (23.8%), respiratory distress (13.9%) and septicemia (11.6%). A total of 59.8% cases were asmyptomatic while the rest had one or more symptoms. The most common symptom observed was lethargy (81.4%), followed by jitteriness (67.4%), respiratory abnormalities (41.9%), hypotonia (39.5%) and seizures (30.2%). The amount of glucose (mg/kg/min) needed to maintain a stable blood sugar in various categories of hypoglycemic babies was observed to be in the following decreasing order of amount; symptomatic babies with seizures (Gp IV), IGDM's/IDM's and symptomatic babies with other features (Gp III), SFDs and LFDs (Gp II) and AFDs (Gp I). Such a categorization of hypoglycemic babies will help to treat them more precisely.
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PMID:Neonatal hypoglycemia--clinical profile and glucose requirements. 159 96

From January 1984 to March 1987, eleven cases of multiple myeloma were registered in the Department of Radiotherapy, Safdarjang Hospital, New Delhi, giving an incidence of more than three cases per year. The cases had age distribution ranging 40-90 years, the youngest being 40 years and oldest 85 years. The majority were in their sixties. Majority were males. Moderate aches and pain either all over the body or confined to a region along with lethargy and weakness were the commonest presenting symptoms. Lytic bone lesions was the commonest complication. One case had cranial nerve involvement.
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PMID:A profile of multiple myeloma cases (study of eleven cases). 280 36