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Abstract

Background:The overall prevalence of ID is about 1% with rates in low-income group countries and child/adolescent being on higher side. Most researchers have found that having a child with a disability increases family stress and it has a profound effect on the psychological well-being, finance, social relations, and marital relations.Aim:To assess perceived stress and coping skills in parents of children with developmental delay attending early intervention program(EIP)Inclusion criteria:Parents of children aged between 6m to3yrs with developmental delay attending Early Intervention program.Setting and design:cross sectional study done in 50children with developmental delay attending child psychiatry OPD for a duration of 3m at Niloufer hospital ,HyderabadMaterials and methods:After obtaining Institutional Ethics committee approval and permission from administrative authorities of Niloufer hospital, Parents attending EIP were interviewed after obtaining consent. Details of Socio demographic profile is entered into intake proforma. In order to assess the perceived stress, stress questionnaire is applied which has 30item and to assess coping skills, cope inventory is applied which has 60itemsResults & conclusion:significant stress levels are found in parents of children with developmental delay.Background:Studies have shown that delirium is common in ICU settings, post surgery and in elderly. There are various predisposing risk factors for same. There is evidence of delirium occurring after dialysis.Aim:To assess prevalence and risk factor of delirium in kidney disease patients undergoing dialysis.Methods:A one year prospective observational study of admitted patients of kidney disease (acute and chronic) requiring dialysis, aged 18 years or more. All patients who were already in delirium prior to dialysis were excluded. Confusion assessment method scale (CAM) scale was applied on the included patients and assessed for presence of delirium. For risk factors, sociodemographic data, past history of delirium, number of dialysis and blood investigations were collected. P value for all parameters were calculated using chi-square and fisher’s exact test.Results:We found that prevalence of delirium was 20 % after dialysis. Risk factors identified were past history of delirium, >3 dialysis, abnormal urea, creatinine, hb, WBC levels (significant p-value).