December 2011
2 posts
Opportunistic infections in paediatric... →
Introduction Inflammatory bowel disease (IBD) is a chronic relapsing and remitting disease that is increasing in incidence throughout the Western world.1 Although multiple questions regarding…
Highlights from this issue →
Skinning cats for a living Let’s kick off with an aphorism fit for this most ascetic of months. The scholar who cherishes the love of comfort is not fit to be deemed a scholar (Confucius c 500…
November 2011
3 posts
Stress among the parents of children with cerebral... →
The parents of children with cerebral palsy are more likely to report stress than the parents of children without disability. Previous reports have indicated a twofold rise in the prevalence of…
Scald risk in social housing can be reduced... →
Objective To quantify the effects of a thermostatic control system in social (public) housing on the prevalence of dangerous (>60°C) water temperatures and on fuel consumption.
Design …
Highlights from this issue →
An unusual randomised controlled trial on a hot topic It is rare in clinical journals to see randomised controlled trials (RCTs) where the intervention is applied to whole communities rather than…
September 2011
1 post
Highlights from this issue →
Fluids in shock An article recently published in the NEJM by Maitland et al caused a stir, both among paediatricians and in the press: they claimed that, at least in the context of their trial…
July 2011
2 posts
In utero programming of pubertal development? →
Transition through puberty is a complex and dynamic process that depends on both genetic factors and numerous postnatal biological factors including endogenous hormones, body fat and energy…
Highlights from this issue →
Diving to death Children often present either acutely or to clinic with an episode that might be a seizure, might be a faint, might be something else, so I found the paper by Albertella et al a…
June 2011
2 posts
Ask Dr Niyaf: Using Nasal Aspirator to clear nose →
askniyaf:
Dear Dr.Niyaf,
My 5 month old baby is having difficulty in breathing while feeding and other times, because of cold. My question is; is it okay to use a Nasal aspirator once everyday clear blockage of the nose.
It is usually very difficult to aspirate nasal secretions using the commonly…
May 2011
29 posts
Ask Dr Niyaf: Blood in stool [with constipation] →
Dear doc, my kid 2yr 8months now has blood soaked in his stool. Usually this is when he has constipation. When he pass it soft its okay.its not much but looks like its soaked. Sometimes clotted How do i identify the severity of this? Is there any specific test to be done to see if he has a…
Ask Dr Niyaf: Newborn check up →
Dear Dr. Niyaf,
Thanks for this opportunity to ask you questions. Followup questions or adding comments are not as easy as sending the initial question due to the forced registration process before a comment can be accepted. Anyway… here is my question. [This segment of post would be edited…
Ask Dr Niyaf: 7 Month old refusing food →
salaam
My daughter of 7 months of age is not eating any solids, neither formula nor Breast milk. Before she was fed well, but since 6 days she has stopped feeding herself. I fed her solids three or four times a day. Breastfed frequently, and formula fed once a day or twice a day. but now i’m…
Ask Dr Niyaf: Weaning. →
salaam Dr Niyaf.
my baby is almost 6 months old, which means i would be starting him on semi solids soon. hence, i am preparing myself for the big day. hence, i would like to know what i can do to promote healthy eating habits for my child. i would also like to know about the time limit i have…
Ask Dr Niyaf: Thalassaemia - is bone marrow... →
askniyaf:
Dr,
Do bone marrow transplants really cure thalassemia? What are the risks? What is the success rate? What is the best age for a bone marrow transplant?
Bone marrow transplant (BMT) is a complex process that when successful can cure Thalassaemia! However, the process of bone marrow…
Ask Dr Niyaf: pink stain on diaper! →
askniyaf:
hi dr,
my 6 week old boy had a pink stain on his diaper this evening. vaccinations for dpt, hep B and polio was given today. should i be worried? do i need to consult a dr for this? and is this related to vaccination?
A pink/red stain on the nappy with urine can be a worrying sign. It could…
Ask Dr Niyaf: How long should I keep panadol... →
askniyaf:
For how long should i keep panadol syrup after opening it, would it be all right if i keep it for a month or more?
Panadol is reported to have a very long shelf-life when stored in optimal condition. It is reported that it could be stored up to 24 month [6.3] in a dry, cool place (25…
Ask Dr Niyaf: Preterm baby having a cold →
My daughter (B/O ***********) is having kind of cold. As i ask u before that shes having some sound while feeding. now she vomits n it includes “dhava” too. n some times when she is sleeping she wakes with difficulty in breathing cause of blocked nose. Am trying to get a appointment for…
Ask Dr Niyaf: Flu vaccine →
askniyaf:
Are flu vaccines safe for small children? Do you recommend it? Or as some believe, should children be left as any other, to catch colds/flu’s naturally so that they may build their immunity?
Flu vaccines are safe for children and are recommended for children above 6 months age. In fact, kids…
Ask Dr Niyaf: Vomiting frequent →
askniyaf:
Dear dr. My son 11 months has frequent vomiting and only when he is given food.. What could the reason be.. His growth rate is ok.. But vomiting is the main concern , could it be gastric???
It would be almost impossible for me to say why your child is vomiting without a consultation. There…
Ask Dr Niyaf: night sweats from scalp →
hello doctor.
i am the parent of a 14 month old who recently got a fever with cold that persisted for about 3 weeks with one febrile seizure. she was diagnosed with a streptococcal infection of the throat and ear and given augmentin for ten days.
her fever and cold are gone now but since she…
Ask Dr Niyaf: 3 and 1/2 month old not passing... →
askniyaf:
i have a baby of 3.5 months old !!! he is not passing stools for three days !!! what to do????
I hope you would understand that I would not be able to give specific medical treatment advise via the internet. I can give you information that could help guide you in the right direction and…
Ask Dr Niyaf: Chronic, frequently recurrent cough... →
Dear Dr.Niyaf,
My 8 year old daughter suffers from constant coughs/colds. It starts with a dry cough followed by fever for three days or more, cough gets phlegmy, and she develops runny nose, which gets blocked later. And almost always continues till she gets an antibiotic dose. Am at my wits…
Ask Dr Niyaf: Is frequent vomiting related to... →
Dear Dr.
My son, 13 months, is vomiting after every meal since the past two weeks. Normally he eats well, but after this vomiting has begun, he looks pretty weak at times and refuses to eat. He is having a cold too.
Even if i give yogurt, fruits, rice, vegetables, meat or anything.. he vomits….
Ask Dr Niyaf: Thumb sucking and pacifier →
assalam alaikum Dr. Niyaf
my baby girl who is almost 4 months old have been trying to suck her thumb for sometime. so far i have not done anything as i believe she is trying to discover herself. BUT, lately it is bothering me as many tend to comment on it, plus she tends to vomit frequently.she…
Ask Dr Niyaf: Deworming medicine for children →
askniyaf:
hi. can you give me some advice and information regarding on giving deworming medicine (fanee beys). How old the child should be and how many months between the doses?.. thanks
Deworming medication is recommended by WHO to be given to children in countries with high risk of Soil-Transmitted…
Ask Dr Niyaf: Putting breastmilk into eyes →
askniyaf:
hi, my 1 month old baby is having slight watering and discharge in one eye. everybody is asking to put breastmilk into his eyes. is it of any use? or if not what should i do about it?
May I ask you to read the following post: Q&A: Breast milk drops for the eye.
I have found some eye…
Ask Dr Niyaf: "Gastric" after drinking formula... →
askniyaf:
Dear Dr.
I am supplementing my daughter with both formula and breast milk,and i notice that if i give formula more than once she ll be gastric at night time.what do you think might be the case for it?
I wonder what you mean by “gastric” there.
If it refers to symptoms suggestive of abdominal…
Ask Dr Niyaf: Lipotimia following vaccination →
hello
my baby has done today the infanrix hexa vaccine
immediately after the injection he had an episode of lipotimia
is this a reaction due to the vaccine or the injection or the temperature of the vaccine? is there a risk to have the same reaction when he’ll do the second dose?
thank you
Ask Dr Niyaf: Chronic, frequently recurrent cough... →
Dear Dr.Niyaf,
My 8 year old daughter suffers from constant coughs/colds. It starts with a dry cough followed by fever for three days or more, cough gets phlegmy, and she develops runny nose, which gets blocked later. And almost always continues till she gets an antibiotic dose. Am at my wits…
Ask Dr Niyaf: Is frequent vomiting related to... →
Dear Dr.
My son, 13 months, is vomiting after every meal since the past two weeks. Normally he eats well, but after this vomiting has begun, he looks pretty weak at times and refuses to eat. He is having a cold too.
Even if i give yogurt, fruits, rice, vegetables, meat or anything.. he vomits….
Ask Dr Niyaf: Thumb sucking and pacifier →
assalam alaikum Dr. Niyaf
my baby girl who is almost 4 months old have been trying to suck her thumb for sometime. so far i have not done anything as i believe she is trying to discover herself. BUT, lately it is bothering me as many tend to comment on it, plus she tends to vomit frequently.she…
Ask Dr Niyaf: Deworming medicine for children →
askniyaf:
hi. can you give me some advice and information regarding on giving deworming medicine (fanee beys). How old the child should be and how many months between the doses?.. thanks
Deworming medication is recommended by WHO to be given to children in countries with high risk of Soil-Transmitted…
Ask Dr Niyaf: Putting breastmilk into eyes →
askniyaf:
hi, my 1 month old baby is having slight watering and discharge in one eye. everybody is asking to put breastmilk into his eyes. is it of any use? or if not what should i do about it?
May I ask you to read the following post: Q&A: Breast milk drops for the eye.
I have found some eye…
Ask Dr Niyaf: Preterm baby having a cold →
My daughter (B/O ***********) is having kind of cold. As i ask u before that shes having some sound while feeding. now she vomits n it includes “dhava” too. n some times when she is sleeping she wakes with difficulty in breathing cause of blocked nose. Am trying to get a appointment for…
Ask Dr Niyaf: Flu vaccine →
askniyaf:
Are flu vaccines safe for small children? Do you recommend it? Or as some believe, should children be left as any other, to catch colds/flu’s naturally so that they may build their immunity?
Flu vaccines are safe for children and are recommended for children above 6 months age. In fact, kids…
Ask Dr Niyaf: Vomiting frequent →
askniyaf:
Dear dr. My son 11 months has frequent vomiting and only when he is given food.. What could the reason be.. His growth rate is ok.. But vomiting is the main concern , could it be gastric???
It would be almost impossible for me to say why your child is vomiting without a consultation. There…
Departing words from the editor →
My final Atoms And with this Atoms, after 8 years as editor, I say good-bye. On 1 July 2011, I will become Editor in Chief of the Journal of the American Medical Association. During this time I…
Autism
askniyaf:
I have a hyperactive son 5 year old with autism. Can you pls tell me a hospital or a clinic in aboard where i can get the treaments for him.
I would recommend NIMHANS at Bangalore, India. Many other hospitals in India (like Manipal Hospital) are likely to have special clinics with focus on Developmental Paediatrics.
NIMHANS Home Page
April 2011
3 posts
Mothers, babies and friendly bacteria →
Fantoms →
A hole in the heart: a hole in the head? →
March 2011
6 posts
Ask Dr Niyaf: Persistent fever with cough. →
hi doc niyaf…my 1year11month old neice has been having high grade fever since three days with cough,nasal congestion with mucoid secretions..she vomits out medicines so giving panadol suppos four times a day since one day..completed a 5 day dose of augmentin three days ago for URTI..now loose…
Ask Dr Niyaf: Infranix vaccine →
askniyaf:
assalaam alaikum dr.niyaf
i would like to get information regarding infranix vaccine. and also want to know from which diseases it will protect the child from. plus i would like to know wethwer it is available here in the Maldives. thanks
Wa-alaikumussalaam, Infanrix hexa is a vaccine…
Audit of pharmacy TPN services on the neonatal... →
Objective At The Whittington Hospital, pharmacy is responsible for providing a total parenteral nutrition (TPN) service to neonatal intensive care unit (NICU). The aims are to deliver a safe and…
Assessing the competence of junior doctors to... →
Objective The National Services Framework for Children states that persons involved in handling medicines for children should be competent to do so. This report describes the development of a…
“I shall be back to usual schedule of work at both IGMH and Eve clinic from...”
Highlights from this issue →
February 2011
14 posts
“If you have a child with Autism please call 7529901 (Zila) and book an...”
– Autism Society of Maldives (via niyafsonlineclinic)
Ask Dr Niyaf: Eating well during pregnancy →
askniyaf:
My wife is pregnant, 8 weeks. I see from various sources and hear from different people differently on the best foods to eat during pregnancy and what to avoid. Pls reply. Thanks.
Hi there,
Congratulations to both of you. I wish you a happy and safe pregnancy. Diet in pregnancy is a little…