Earlier studies showed congenital facial nerve paralysis can be seen in combination with genetic syndrome, congenital hearing impairment and structural anomalies of the ear. Present study reported case with congenital mixed hearing impairment with unilateral facial nerve paralysis (left) with unilateral microtia grade 2(left). HRCT of temporal bone also revealed genu of left facial nerve is hypoplastic compare to right side. Audiological evaluation revealed bilateral moderately severe mixed hearing loss with no Middle Latency Response and Cortical Auditory Evoked Potentials in left ear. Considered it as a rare and unique syndrome with no previous literature, hence, termed as ‘Tushar-Himanshu Syndrome’.

Introduction: Respiratory distress syndrome (RDS) is one of the most common causes of mortality and morbidity in preterm neonates. Surfactant and CPAP and mechanical ventilation have been the main stay management techniques in RDS. Surfactant is a costly intervention and most patients are transported and reach the treatment facility at a later time. This study aims at comparing the effects of CPAP alone to CPAP with surfactant.

Methods: The study was a randomized control clinical trial with 160 neonates born at Niloufer childrens hospital. Neonates born between 28 0/7 to 34 6/7 with evidence of RDS were randomized to receive either cpap alone or cpap with surfactant. Both the groups were compared fpr primary and secondary outcomes. The primary outcome measured was treatment success defined by the criteria. Secondary outcomes are mortality and other complications.

Results: During the study period of 12 months, 160 neonates were included in the study. The mean gestational age was 30.6 weeks. Cpap was started at a mean age of 35 minutes and surfactant was started at a mean age of 2.1 hours. 

The rates of treatment success did not vary significantly in between the two groups(p=0.7). the rates of mortality did not differ between the groups (p=0.4).

The rates of secondary outcomes differed in terms of incidence of BPD, duration of hospital stay and duration of oxygen requirement. The incidence of BPD was more with surfactant group( p=0.15). The mean duration of hospital stay was longer in cpap group(p=0.00), the mean duration of oxygen requirement was longer with cpap group (p=0.00). In case of treatment failure, the average duration of mechanical ventilation was 3.3 days in CPAP group and 4.83 days in INSURE group. P=0.046.

Conclusions: CPAP is an effective alternative treatment to surfactant in selected neonates.

CPAP is a cost effective, less invasive, and requires less skill than surfactant for treatment of RDS. It is an ideal management option for RDS in a developing country.

Natural-language processing (NLP) is a vast area of computer science, artificial intelligence concerned with the interactions between computers and human languages. The “natural language” means a language that is used for daily communication by humans. The development of NLP applications is challenging because computers traditionally require humans to "speak" to them in a programming language that is precise, unambiguous and highly structure. Text summarization is one of the research area of NLP which gives us meaningful and short description of the vast text documents using different NLP tools and techniques. Nowadays, as we are dealing with huge amount of Digital data it is necessary to have automatic Text Summarization Techniques. Text summarization specifically classified into two major categories as Extractive Text Summarization and Abstractive Text Summarization. This paper focuses on different Extractive Text Summarization Techniques used for Indian Languages.

Objective: Neonatal screening for critical congenital heart disease can aid in early recognition and improved outcome of critical congenital heart diseases. The objective of this study was to evaluate combined pulse oximetry and clinical examination as a screening method for congenital heart disease (CHD) in asymptomatic newborns

Methods: Our study was  conducted on all asymptomatic neonates brought to neonatology section of Department Of Paediatrics Government Medical College Srinagar tertiary care hospital for period of six  months from January 2018 to June  2018 to asymptomatic newborns were screened for CHD using pulse oximetry and clinical examination before their discharge from the nursery. All newborns found to have a post-ductal saturation ≤95% and abnormal cardiac examination underwent additional evaluation by echocardiography. Data regarding true and false positives as well as negatives was collected and sensitivity, specificity and predictive values of pulse oximetry for screening of asymptomatic newborns with congenital heart disease were determined.

Results: Among the 3575 newborns screened,41  had CHDs at birth . Pulse oximetry detected 18 CHD (sensitivity 43.90 %, specificity 99.86%.Clinical examination detected 10  casesof CHD with sensitivity of 24.39 % and specificity of 99.69%.Addition of pulse oximetry to clinical examination  significantly improved sensitivity for CHD to 68.29% and specificity to 99.63% . 

Conclusions: Pulse oximetry is a sensitive screening tool for detecting major CHDs in Indian newborns. It adds significant value to the current practice of using clinical examination as a sole screening tool for detecting CHDs.