After six years, the child born in Kolkata (and named as ‘Indian
Pediatrics’) was brought to Delhi for further nurturing and growth.
It must have been a tough decision taken after lots of deliberations and
heartburns as apparent from the last editorial from Kolkata by outgoing
editor Dr NG Mojumdar [1]. Circumstances behind this decision are
anybody’s guess. Dr PN Taneja, often referred to as the senior most
pediatrician of Delhi [2], took over as the first editor of the journal
published from Delhi. Till date, he has been the only editor who was a
past president of IAP; the subsequent six editors served as President of
the Academy following their tenure as editor-in-chief of Indian
Pediatrics. Starting the journal from a new place must had been a
daunting task in those times but the editorial team accepted the
challenge with a statement "The challenge has now been given to us and
we would spare no effort to improve the quality of the publication in
all its facets" [3]. They further mentioned that "Like a young mother we
hug our re-newborn and consider it to be beautiful, even though to a
dispassionate observer some faults would be apparent, which we hope our
readers will overlook" [3].
The first issue of the journal from Delhi was
published well behind the scheduled time. In his first editorial, editor
appeals to the authors to adhere strictly to the guidelines: "It
would greatly facilitate our work and the editorial office would not
have to burn so much midnight oil if the contributors would carefully
read and strictly comply with the instructions for preparation of
manuscripts"; a statement having the same relevance even after 50
years. The guidelines for authors were published in the January
issue, a tradition being followed diligently every year till very
recently when the online submission process and a dynamic website having
the updated ‘Information for authors’ rendered this yearly exercise
futile. It is fascinating to read the ‘Instructions to authors’.
The simplicity of the document is noteworthy: no CONSORT, STROBE,
PRISMA, STARD or MOOSE!; no complex web links; and no plagiarism or
Embargo policy. Editor also appealed to the readers to get more
advertisements for the cash strapped journal; advertisement rates were
also officially published for the first time in this issue (Annexure
1). The drugs advertised commonly were: oral penicillin,
erythromycin, tetracycline, isoniazid, diethylcarbamazine (for
filariasis and tropical eosinophilia), and many vitamin combinations.
The inaugural issue of 1970 mainly has contents
related to VII National Conference in Bhopal: inaugural address,
presidential address and papers read at the conference. As one flips
through the pages of this volume, a wonderful piece of poetry, a toast
proposed for ladies at the VII National Conference held at Bhopal by Dr
P Tirumala Rao from Hyderabad, cannot be missed. Here is the
masterpiece:
Happy to address you tonight with my
compliments dear Ladies
By your presence you made us forget
all our worries and even fairies
Whether Angels exist or not one may
doubt
But the Bliss of your presence no one
can flout
Who can adequately describe the
flavor of your presence
You are the fragrance of this
Conference in Quintessence!
Like a Jasmine though small and white
as a flower
Everybody however short has an unseen
power
Even a man who is as full as an Eifel
tower
Needs your support as he is only a
leaning tower
Your beautiful looks though pricking
like hooks act as an inspiration.
To the young and old whipping their
spirits in all hours of desperation
Every man though longs to build his
emotions on a strong keel
Ultimately before you, without
strings has to kneel
Thanks to the creator for his wisdom
In ordaining you to rule this unruly
male kingdom!
He began the story with the Adam
resisting before the Eve
But had a happy slip into slopes of
age eternally to heave
Thanks Ladies for you again and again!
And let your blissful smiles and
hearts, till next Conference reign
Lest my thoughts may be spilled I
quilled them for you
Just to show how much, how much, we
all owe you
For the beautiful Ladies gathered
here in Bhopal tonight
Let every delegate raise his hand
with toast like a gallant knight!
Regarding academic contents, most articles in that
era were related to conditions such as protein energy malnutrition,
growth and development, low-birth-weight children, and profile and
prognosis of infectious diseases. A landmark article by Dr Shanti Ghosh
and colleagues documenting significantly low efficacy of three doses of
oral polio vaccine in Indian children [4], and an accompanying editorial
by Dr OP Ghai [5] raising concerns about polio control in light of the
same and discussing concept of simultaneous vaccination of a large
number of children (later termed as pulse polio), and additional use of
injectable polio vaccine deserve special mention. Strategies based on
these concepts ultimately resulted in elimination of polio from the
country, though almost 45 years later! Other famous articles from 1970
were Dr KN Agarwal’s first growth charts in Indian children [6] and an
article by Dr VB Raju documenting poor efficacy of BCG vaccine in
preventing tuberculous morbidity and mortality [7].
The editorial in inaugural issue of the editor’s
second year exudes confidence and reflects achievements despite hard
circumstances of shifting of office to a new place (Delhi) and poor
financial position. Editor reiterates his appeal to authors regarding
adherence to the instructions for authors, and for increasing
advertisements and subscriptions for the journal. Editor also
discourages authors to send ‘case reports’ stating "It is time we
call a halt to sending case reports unless there is something original.
We ought to clearly spell out for ourselves what we are trying to convey
and only such of the material that is concerned with the ‘message’
should be included". However, the enthusiasm of authors in sending
case reports, and frustration of journal editors in dealing with these
papers continue till date with ‘case reports’ still forming largest
category of submission, and more than 95% of them currently getting
rejected [8]. With the appeal from editor to send more quality matter
from the country to ‘Indian Pediatrics’ rather than foreign
journals, the journal started publishing more variety of articles: from
congenital heart diseases and neonatal respiratory disorders to genetics
and Reye’s syndrome! Dr PM Udani’s landmark paper on BCG test was also
published in this year [9]. Drug trials also started appearing in the
journal: broxyquinoline, brobenzoxaldine, belladonna and berberine in
childhood diarrhea (there was no ORS!), furoxone in enteric fever,
sulfones in leprosy and Liv. 52 in acute hepatitis; one of these was
even ‘double blinded’ [10]. Results were expressed in percentages and
had to be interpreted subjectively; (to the general readers’ delight)
there were no sample size calculations, P values, confidence intervals
or Risk ratios.
This journey over the years, with Dr PN Taneja at the
helm of affairs, seemed to progress smoothly in his last year with more
and more quality articles pouring in and getting published. A series of
34 children with celiac disease diagnosed at Chandigarh [11], an
etiology study from 470 children with mental disability from Delhi [12],
experience related to successful reduction of intususception in 28
children from UK [13], and a series of 136 cases of post-diphtheritic
paralysis [14] are testimonies to this effect. Editorials were written
on ‘Pediatric Education’ and ‘Pediatric Research’. Poor efficacy of OPV
and BCG continued to be discussed by experts with intelligent inputs
which were ultimately given due attention (though much late) by the
government authorities in revising the immunization program. A landmark
development in 1972 was the report of the Nutrition Sub-committee laying
down much famous IAP grades of protein energy malnutrition (Annexure
2). The financial health also seemed to improve as the number of
advertisements increased, and the last few issues of year even carrying
advertisement in color. Overall, the journal had achieved a strong
foothold in Delhi and repute amongst Indian pediatricians by this time.
A shift from the relatively traditional Kolkata to more metropolitian
and vibrant Delhi was probably the most significant achievement for its
growth and international status during the upcoming years.
Dr PN Taneja remained editor for 3 years before
handing over the reins to his able successor Dr OP Ghai. The journey
will continue. More from the tenure of Dr Ghai and Indian Pediatrics
in next issue…
Annexure 1: Advertisement Rates in 1970s
(From: Indian Pediatrics 1970; Volume 1: page 64)
INDIAN PEDIATRICS
24, Daryaganj, Delhi -6
RATES OF ADVERTISING CHARGES (Rupees)
Size
and position |
Insertion per year. |
|
Single |
six |
Twelve |
Ordinary – Full page |
250 |
230 |
210 |
Ordinary – Half Page |
160 |
150 |
140 |
Facing matter – Full Page |
300 |
275 |
250 |
Facing matter – Half page |
175 |
160 |
150 |
Inside Front Cover |
325 |
300 |
275 |
Inside back cover |
275 |
250 |
225 |
Outside Back Cover |
450 |
400 |
375 |
Facing Business Information |
275 |
260 |
250 |
Facing Contents |
275 |
260 |
250 |
Facing First Article |
330 |
310 |
300 |
Facing Editorial |
330 |
310 |
300 |
Facing 2nd Cover |
330 |
310 |
300 |
Annexure 2: IAP Document on Grades of Protein
Energy Malnutrition
(From: Indian Pediatrics 1972; Volume 9: page 360)
Nutrition Sub-committee of the Indian Academy of
Pediatrics – 1971-72
Report of Convenor (Abstracts)
Membership: Doctors, A.S. Chikermane, W. A. M.
Cutting, A. G. Desai, K. K. Kaul, Y.C. Mathur, S. Pereira, V. Reddy,
B.N.S. Walia and P.M. Shah (Convenor).
A workshop on protein calorie malnutrition was
organized in Bombay on 24th and 25th
July 1971, under the chairmanship of Dr. S.M. Merchant. Fifteen leading
pediatricians and nutritionist participated. Regional nutrition adviser,
W.H.O. and chief of Food & Nutrition, U S A I D in India were present by
invitation. Following recommendations were made:
1. Advisory committees on "Child health and
nutrition" should be appointed by the Central and State Ministries
of Health. These should include pediatricians as important members.
2. Pre-school protection programmes should be
integrated with family planning activities.
3. Medical, paramedical and auxiliary health
personnel should be trained in interpreting growth through use of
weight charts at all levels of contact with pre-school children.
This will help in promoting positive growth in vulnerable children.
4. Nutrition rehabilitation units should be
developed in all teaching institutions, as far as feasible and
nutrition programmes should be a major activity of health centres in
rural and urban areas.
5. Teaching of nutrition to undergraduate and
postgraduate students should be strengthened.
6. Short refresher courses should be organized by
medical colleges in health centres for doctors, nurses, paramedical
workers, gram and bal-sevikas.
7. Monographs on rarely detection and management
of malnutrition should be published.
8. Pamphlets for disseminating nutrition
education to the lay public should be published.
9. A dialogue between infant food industry and
pediatric profession will help in supporting programmes for
nutrition education, service and research in the field of nutrition
in early childhood.
10. A mechanism for evaluating nutrition
programme should be developed by the committee.
11. A uniform system for grading protein caloric
malnutrition should be developed.
Nutrition subcommittee suggested that such percentile
of Harvard growth charts should be adopted as reference standards for
comparison. This does not compromise need for development of suitable
growth norms for Indian children. Protein calorie malnutrition may be
graded as follows:
Grade
|
Weight expressedAs percentage of
reference standards. |
I |
71-80% |
II |
61-70% |
III |
51-60% |
IV |
Less
than 50% |
Grade I and II are
under weight and grade III and IV correspond to marasmus. When
nutritional edema is present, letter K will be added after the
notation e.g. I K, 2 K, etc. I & 2 K will be equivalent to
kwashiorkor and grade 3 and 4 K will correspond to marasmic
kwashiorkor. |
References
1. Mojumdar NG. Love’s labour lost. Indian
Pediatr.1969;6:812.
2. Udani PM. History of Indian Academy of Pediatrics.
Indian Pediatr. 1988;25:5-13.
3. Taneja PN, Chandra RK. About us (Editorial).
Indian Pediatr. 1970;7:xv.
4. Ghosh S, Kumari S, Balaya S, Bhargava SK. Antibody
response to oral polio vaccine in infancy. Indian Pediatr. 1970:7:78-81.
5. Ghai OP. Oral attenuated poliovirus vaccine.
Indian Pediatr. 1970;7:65-7.
6. Agarwal KN, Manwani AH, Khanduja PC, Agarwal DK,
Gupta S. Physical growth of Indian school children. Indian Pediatr.
1970;7:146-55.
7. Raju VB, Narmada R. Evaluation of BCG vaccination
in children below six years. Indian Pediatr. 1970;7:532-41.
8. Indian Pediatrics: Instructions to Authors.
Available from: URL: http://www.indianpediatrics.net/author1.htm.
Accessed February 1, 2013.
9. Udani PM, Parekh UC, Shah PM, Naik PA. BCG test in
tuberculosis. Indian Pediatr. 1971;8:143-50.
10. Mazumdar M, Mazumdar H. Broxyquinoline and
brobenzoxaldine with belladonna in childhood diarrhoeas. Indian Pediatr.
1971;8:65-7.
11. Walia BNS, Mehta S, Gupte SP. Caeliac disease.
Indian Pediatr. 1972;9:16-9.
12. Sinclair S. Etiological factors in mental
retardation- A study of 470 cases. Indian Pediatr. 1972;9: 91-6.
13. Kaushal V. Role of barium enema in acute
intussusception. Indian Pediatr. 1972;9:152-4.
14. Thomas K, Chungath JP, Philip E. Postdiphtheretic paralysis- A
study of 136 cases. Indian Pediatr. 1972;9: 561-5.