Contributions to Pediatrics

Early in my career, I became the Secretary of the Indian Academy of Pediatrics, Delhi Branch from 1977 - 1979. The opportunities and experience that came with this position later aided in my election as the President of Indian Academy of Pediatrics in Delhi (1988). Meanwhile, I expanded my boundaries and sat on the Executive Committee of IAP in Mumbai in 1978, 1983, and 1996. I was also the Assistant Editor at Indian Pediatrics, New Delhi.
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Contributions to Neonatology

When I began making improvements to the department of neonatology, I found that my first priority would be to further organize the system. First, I developed one of the best, state-of-art units for neonatal care in Kasturba hospital as early as 1975. I was then unanimously elected (in absentia) the Secretary (1980-87) and later a Founder Member and Founder Secretary of the National Neonatology Forum (1979). Such experience led to my election as President of the Forum from 1990-92.  I used my position to help myself become a major advisor in neonatology for several national and international organizations. 

I have also written many research publications based on projects in basic neonatology which have been published in over 80 scientific papers and in several national and international medical journals.

Over the years I have helped develop various indigenous neonatal equipment locally. I used high quality equipment during a period when none was available and imported equipment prices were sky-high.  Some equipment I contributed to includes:

1. -Radiant Warmer for maintaining body temperature
2. -Perspex over head warmer for maintaining body temperature
3. -Self made baby resuscitator for resuscitation of non-breathing baby
4. -Oxygen hood for oxygen administration
5. -Humidifying bottle for warm humidification of oxygen
6. -Perspex heat shield for prevention of heat loses
7. -Phototherapy unit for treatment of Jaundice
8. -Heart rate monitor for monitoring vital signs

**Much of this equipment was used by several other institutions throughout India. Several present-day indigenous neonatal equipment manufacturers sought guidance and encouragement from me.

I have made several contributions to the content in textbooks toward improving neonatal service, particularly in developing countries, including:   

1. -NNF recommendations on Newborn Care in India (1980)
2. -Recommendations on Curricula on Neonatal Nursing (1992)
3. -Recent Advances in Pediatrics Vol. IV (1998)
4. -Recent Advances in Pediatric Vol. V (1999)
5. -Challenges in Neonatology (1996)
6. -S.T. Achar’s Text Book of Pediatrics (2006) 

I have written a plethora of books on neonatology. For specific titles, please see the Publications section.
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Development of Neonatal unit at Kasturba Hospital

In January, 1967, when I joined Kasturba Hospital, in this 175- bedded hospital with more than 6000 deliveries a year, the  newborns were uncared for, and special newborn care was almost unheard of. There were absolutely no newborn services, and newborns were left to God to survive or not.  Only the fittest of the fit survived; it was an unacceptably high morbidity and mortality rate. 

My first round in the postnatal ward in Kasturba Hospital gave me the shock of my life. What I saw was abysmal, to say the least. Six to seven babies were huddled on one adult bed, covered with one adult blanket, in one corner of the adult ward. Yes, there was a ray of hope when I spotted a room heater projected towards the babies and small penicillin bottles filled with milk and capped with nipples for feeding babies. Instantly, I knew I had landed into the challenge of my life. Being new, young, and coming from the country’s best medical institution, A.I.I.M.S, I had a difficult time keeping my cool. But I kept my composure and took advantage of the primitive basic principles of newborn care the staff were practicing, like isolation, keeping the baby warm and providing nutrition. The first thing I did was to become friendly with the sister in charge and I charmed my way into her good graces by showering her with praises for the innovative way she was practicing the essentials of newborn care. I ended the conversation by saying, “Should we do a little better, by shifting these small babies in one of the small side rooms in separate baby cots and linen?” She smiled and said that nobody had told her anything like this before, and then we proceeded to discuss several small things that might be done for baby care. Her grasp of my ideas was excellent, and, to my surprise, the very next day I found one of the small rooms nicely done up with four baby cradles and two Armstrong incubators, and also most of the other things I had mentioned, including proper feeding bottles, all arranged in the proper way. That was the birth of the ‘new’ newborn care unit, with one nurse around-the-clock, dedicated to six babies. With a little bit of coaxing, pampering, and once in a while, disciplining on my part, we were shaping up as a good team for newborn care. 

As the organized neonatal care started showing results, it was not difficult to snatch a small new section of the ward meant to be a septic labor room. With some modifications in the structure, we were able to expand the nursery to 10 beds, including more equipment and staff by 1968. With the increasing numbers of admissions and referrals from other MCD hospitals, we were finding it extremely difficult to accommodate the demands on beds. At this stage, we began a well-thought out strategy for early discharge and introduced the system of allowing mothers, with strict aseptic technique observed, into the nursery for baby care in 1970. The results were amazing. We suddenly discovered that the competition for beds and nurses, and the infection rates went down tremendously. The follow-up rate of discharged babies and the number of moms breastfeeding went up as readmissions for gastroenteritis and malnutrition fell down significantly. This success helped us to realize the importance of the involvement of the mother; thus we started a new venture known as Maitree Sneh (mother’s love), a 10-bedded mother-based newborn care unit in the postnatal ward. It had glass partitions so that other mothers could see mothers taking care of their babies under the supervision of nursing and medical staff. All babies above the weight of 1500 grams, who did not need intensive care monitoring, were accommodated in this unit, and every possible care was given by the mothers themselves under the supervision of nursing personnel. Health education on hygiene, feeding, nutrition, immunization, and problem solving was a daily feature of this unit. Success was unique and had a great impact on mothers, both those in the Maitree Sneh unit, and those who only watched from the postnatal unit.  Most mothers developed heightened self-confidence and skill in caring for their small and sick babies.

With deliveries increasing from 6000 to 13000 a year, the hospital found it necessary to expand to 500 beds, and a new four-story building came up in 1975. Everything in the new addition, including the labor room, the resuscitation room, the post operative room, and the postnatal wards, were planned methodically. In this new addition, we started a 35-bed, state of the art, neonatal intensive care unit with the equipment necessary for Level III care, including ventilators and transport incubators. Perhaps no other unit in the country was that well equipped at that point of time. To cap it all, we also established a micro lab in the unit itself, where 24 parameters of microchemistry could be performed. Even today, no NICU in the country can claim to have a micro-biochemistry lab within the unit itself. By the late 1970’s, the NICU started being noticed and recognized all over the country, and by the early eighties, many interested pediatricians, from both teaching and non-teaching institutions, joined us for in-service training. When I took voluntary retirement in 1988 as the Medical Superintendent, the department had grown from 20 to 40 pediatric beds, from 50 to 150 postnatal beds, from zero nursery to 35 NICU beds, and from zero to 10 mother-based nursery units, and from a team of 3 doctors to a team of 27 doctors. 

Before leaving I also added a WHO Diarrhea unit and WHO Multicentric Research Scheme on the efficacy of Hepatitis B Vaccine in newborn children. The story might have been different if Dr. Kochar, our medical superintendent, had not extended her unstinted help, co-operation, and encouragement throughout the 20 long years. My salute to her. 

Looking back, I feel a sense of fulfillment that I have been able to contribute something to neonatology. 
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Serving on the National Neonatology Forum of India

It was an honor to be the first Secretary of NNF and for 8 long years I had unstinted support and help of all members of NNF which encouraged me to pilot several projects in uplifting the Neonatal care in India. Later as President of NNF I had opportunity of widening the role of NNF in neonatal care in association with Government of India, WHO and UNICEF.
To know more about development of Neonatology in India and NNF please click on The Learning Experience: Evolution of Neonatology in India, Perinatology, 10:23-38 and 84-94, 2008.

Research and Publications in Neonatology

As the excellence of our NICU became more widely known, we realized that it was not enough to provide organized newborn care alone. We needed to contribute to research and medical literature, and to disseminate our experiences. Our first in-house research was an ICMR- aided project on anthropometric measurements of newborns, published in the Indian Pediatrics 1972. Because it was not supported by good statistical analysis, the article went unnoticed, even though it had the potential of being the first intrauterine fetal growth curve of the country. 

We continued with our basic research work for normal values, like non-invasive blood pressure (B.P.) recordings of newborns. Our use of a doppler B.P. measurement was done for the first time in India. The work was published in the Indian Pediatrics in 1974. 

In 1976, at the I.A.P Annual meeting held at Srinagar, we won the  S.T. Achar Gold medal for our paper on ‘Peripheral Intravenous Alimentation Of LBW’, which was later published in Indian Pediatrics 1977. 

We also developed a bedside technique for serum bilirubin estimation by transcutaneous bilirubinometer, using a drop of serum on Wharton’s blotting paper, and published our results in Indian Pediatrics in 1982. Even though this encouraged two M.D. Theses from Madhya Pradesh and Rajasthan, for some unknown reason this technique failed to catch the imagination of neonatologists in the country. Maybe the cost of the transcutaneous bilirubinometer was a downside at that point in time. 

My paper on the ‘Organisation of the Level II Care Nursery in Developing Countries’ was published in the Indian Journal of Pediatrics in 1980. This was the first paper of its kind, written with Indian realities in mind. Since the publication of these articles, I have been an unofficial consultant to many upcoming neonatal units in the country. 

We at Kasturba Hospital recognised the importance of discussing semi-multicentric studies in the late sixties and complete multicentric studies in the early eighties. One institutional multicentric study on the ‘Incidence of Chromosomal Aberrations in Indian Newborns’ was published in the Indian Journal of Pediatrics in 1968, and another multicentric study on ‘Normal Serum IgM and IgG Values in the Newborn’ was published in the Indian Journal of Pediatrics in 1969. Four institutional multicentric ICMR-aided studies on ‘Thyroid Screening in Newborns’ was published in the Indian Journal of Medical Research in 1984. 

Another WHO funded study on the ‘Vertical Transmission of Hepatitis B in Perinatal Period’ was published in the Journal of Virology 1988. The last two studies were the largest samples available in literature until today. 

I have often wondered why some of our work did not attract the type of attention it deserved and went unnoticed at that time whereas today these topics garner ample attention. Was it because I was ahead of time? Or was it because neonatology was practiced by fewer people back then? Maybe you can decide.

For further details on my publications below, please visit jaypeebrothers.com

AGSMAS Neonatology (2010)

This is a unique text on the subject of neonatology, which presents the text alongside relevant illustrations and photographs.  The book contains over 475 beautiful illustrations and photographs portraying various clinical conditions. It clearly explains all clinical conditions in an easy to understand manner and has proved useful to students and teachers of neonatology alike, not to mention all those involved in the caring of neonates and newborns.

This book was published in the U.K. by Anshan publishers.
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Neonatal Asphyxia, Resuscitation, and Beyond (2008)

Neonatal Asphyxia, Resuscitation and Beyond is primarily based on the material for neonatal advance life support training courses developed by the American Heart Association and American Academy of Pediatrics and adopted by the National Neonatology Forum, and recently modified version of NRP (previously known as NALS) by ILCOR in 2000 and 2005. This handy text is designed to adequately inform the care providers of the newborns in the art of neonatal resuscitation and the care beyond it.  The contents comprehensively discusses the topics of perinatal asphyxia, neonatal resuscitation, resuscitation in the community, future areas of research and litigation issues and looking beyond survival with the aid of well drawn illustrations which are profusely interspersed in the text.  The discussion extends to “beyond resuscitation,” as the neonatal care is equally important in sustaining the life support during the post-resuscitation period. 

The majority of the clinicians responsible for the care of the neonates would find in this a handy manual guiding them on how to develop the art and practice of neonatal resuscitation, and plan for post-resuscitation follow-up care. 

Neonatal Asphyxia, Resuscitation and Beyond is essential for any one who is interested or involved in newborn care, be it student, resident, post-graduate, practicing pediatrician, or teacher in neonatology. 

​It is hoped that Governmental and Non-Governmental organizations caring for newborns follow these methods not only for babies to be born alive but to be born “well.”
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The Learning Experience: Evolution of Neonatology in India (2008)

History in Telling: Yesterday, Today, and Tomorrow (2007)

Practical Newborn Critical Care Nursing (2006)

Nursing personnel primarily provide the care of the newborn world over. Any amount of excellence in the capability of neonatologists and availability of high-tech equipment cannot improve the quality of newborn care until we have quality input from neonatal nursing personnel. 
There has always been a need for a book on neonatal nursing which selectively addresses such issues and discuss step by step nursing care under different clinical situations. The book describes nearly 100 protocols. Each protocol is further elaborated under subtitles like, “Purpose,” “Pertinent or background information,” “Policy,” “Expected Outcome,” “Protocol steps,” and “Caution.”  It is further supported by algorithms, line diagrams, graphs, or tables, as required for clarification.  Basic problems tackled include thermoregulation, nutrition management for different birth weight groups, fluid therapy, acid-base balance and support for respiratory failure. Sections are also devoted to parent counseling, care by the parent, lactation management, and neonatal transport.  Issues related to surgical, cardiac, and ophthalmic consultations have been discussed in practical details.  There is a special section devoted to the training need for a Neonatal Nurse Specialist as well as the job description of an In-charge Nurse with detailed instructions for housekeeping, administration, documentation, and infection control.  In fact, this book deals with patient care protocols in such a great detail that leaves no scope for error.
This book is a good companion for a nurse who wants to practice effective nursing of critically sick neonates.  This manual should be equally useful to the sensitive pediatricians, both trained as well as in-training.
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Newborn Critical Care Medicine (2006)

Reviewers Opinions (as listed on back of book):

1. -“Indian touch in the management of neonatal illness... commendable.”
2. -“...well written book... covered the basic needs of all neonatologists, pediatricians, practicing physicians, nurses, and also administrators.”
3. -“An excellent edition... a much-cherished book on neonatology.”
4. -“Dr. Dipak Guha... an eminent neonatologist and NNF’s stalwart.”
5. -“...an excellent comprehensive textbook... extremely useful to postgraduates, practicing neonatologists, and teachers.”
6. -“...‘textbook’ for students and ‘reference book’ for practitioners.”
7. -“...distinctively different than the standard western reference book.”
8. -“...information and experience of and from developing country, perhaps more relevant.”
9. -“...collective work of all the contributors, editors, and editor-in-chief Dr. Dipak Guha is commendable.”

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Neonatology Principles and Practice (2005)

There have been dramatic and palpable changes in the third edition of the book “Guha’s Neonatology -- Principles and Practice” in accordance to tremendous progress in neonatology in India. Three eminent Neonatologists join as editors: Prof Arvind Saili, Prof Swarnarekha Bhat and Dr Arvind Shenoi.  The work of ten international authors from UK and USA is presented along with chapters written by 75 of India’s finest Neonatologists.
The core contents of this edition have been based on recommendations of American Academy of Pediatrics for the fellows in neonatology along with many chapters exclusively written for developing countries.  The book has been extensively revised and expanded to include 20 more new chapters.  The emphasis in each chapter is on pathophysiology, pathogenesis and recent advances in addition to practical approach in management. 
This book is unique primarily because it has been written specifically for developing countries, providing information on essentials of newborn care, along with state-of-the-art research on systemic disorders of the newborn.  New chapters on Maternal Fetal Medicine, Appropriate Technology, Assessment and Accountability, Distance Telelearning, Role of the Internet in Medicine, Gene Therapy, Free Radical and Neonatal Disease, Future Financial Shock, Doctor, Patient and Law, etc. reflect the changing environment of neonatal medicine.  The history of India’s own neonatal movement, as described in this book, demonstrates that community-based approach is vital, coupled with the development of technical expertise and knowledge. 
This new edition is ambitious in scope, but succeeds in tackling the challenges of neonatal health from a variety of perspectives, with section on Health Service Organization, Community Care of Newborn, Neonatal Intensive Services, Imaging of Newborn and Systemic Disorders. Such an integrated approach will be essential if India is to continue progress throughout the new millennium, and succeed in meeting the Millennium Development Goal of decreasing infant mortality by 2/3 by 2015.
The foreword to the first edition by Prof Meharban Singh, Ex-HOD of Pediatrics and Neonatology, AIIMS and Doyen of Neonatology in India, and to this edition by Prof Anthony Costello, Professor of International Child Health and Director, International Perinatal Care Unit, Institute of Child Health, University College, London, with enormous practical experience in India and Nepal, is a testimony to the excellent quality and appropriateness of the contents of the book.
We do hope this effort of ours will motivate Pediatricians and Neonatologists irrespective of their place of work -- district hospital or apex teaching institutions to achieve high degree in excellence in caring for the normal and sick newborns.
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Low Birth Weight Infants: Trajectories of Life (2004)

Innovative and Appropriate Technology in Modern Day Newborn Care (2004)

Practical Pediatric Critical Care Medicine (1999)

The book aims to provide a comprehensive account of common pediatric emergencies. The editors have mainly concentrated on the management aspects of various pediatric critical illnesses and have also included the relevant aspects of organization administration and nursing in a pediatric critical care unit.
Throughout the book, the editors have tried to give a positive opinion and explained the reasons for holding it, rather than giving a complete account of all the possible opinions. The book is primarily written for postgraduates , practicing pediatricians and pediatric critical care nurses. Some basic knowledge, assimilated through medical training, is assumed on the part of reader.
The book has been written in clear and lucid language. Extensive diagrams, flow charts and tables have been depicted to give clarity of the subject. More emphasis has been given on treatment aspect rather than pathophysiology of the disease.
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MCQs in Neonatology (1999)

This book is divided into three parts. Part One provides over 300 MCQs for quick revision, Part Two provides about 75 MCQs with reasoning for the correct answer to update knowledge on the topic, and in Part Three there are over 250 MCWs to make one’s own assessment.  These MCQs have all been formulated by eminent neonatologists. A good number of questions are included to test discriminatory ability. ​
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Manual of Practical Newborn Care (1987)

This manual fills a deeply felt void in the medical literature on care of the newborn.  Dr. Guha has rich and long experience as an eminent neonatologist.  This has enabled him to produce this excellent book, giving guidelines for the care of the normal and sick newborn. The book has a highly scientific approach, is extremely practical, and profusely illustrated, thus making it an easily readable text.  The choice of topics and their organization is very rational.  In a country where health scenario is dominated by infectious diseases and malnutrition, newborns do not always receive optimal care, in spite of the fact that almost 60 per cent of the very high infant mortality rate in India is accounted for by neonatal deaths.  Health care personnel have a major responsibility towards the fragile newborn since neonatology is the quintessence of developmental biology and any adverse environmental factors during the perinatal period profoundly affect the child’s developmental experiences.  It is necessary not only to reduce the neonatal mortality but also to assure a good quality of life for children through better neonatal management. 
This will be extremely useful not only for pediatric, house staff, and residents, but also for students and staff in the department of obstetrics.  It will also help doctors in the proposed community health centres and small district hospitals.  I feel this will greatly enhance the national effort for promoting child survival.
                  
-- Foreword
Dr. O.P. Ghai, M.D., D.C.H, F.A.M.S.
Dean, Prof. & Head of the
Department of Pediatrics
All India Institute of Medical Sciences
New Delhi
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Medical Journal Articles (1967-1990)

1. Bhan MK, Sazawal S, Bhatnagar S, Bhandari N, Guha DK, and Aggarwal SK. Glycine, glycyl-glycine and maltodextrin based oral rehydration solution. Assessment of efficacy and safety in comparison to standard ORS. Acta Paedritica Scandinavica 79(5):518, 1990 May.

2. Guha DK and Mahajan J.Status of newborn care in India.Indian Pediatrics 26(2):144-9,189 Feb

3. Panda SK,Datta A,Gupta A,Kamat RS,Madangopalan N,Bhan MK,Rath B,Guha DK,and Nayak NC.Etiologic spectrum of acute sporadic viral hepatitis in children in India. Tropical gastroenterology:official journal of the Digestive Disease Foundation 10(2):106-10,1989

4. Nayak NC,Panda SK,Datta R,Zuckerman AJ,Guha DK,Madangopalan N,and Buckshee K. Etiology and outcome of acute viral hepatitis in pregnancy. Journal of gastroenterology and herpetology 4(4):345-52,1989

5. Guha DK,Mahajan J,and Aggarwal SK. Vertical Transmission of hepatitis B virus. Indian Pediatrics 25(5):409-16,1988 May

6. Panda SK,Bhan MK,Guha DK,Gupta A,Datta R,Zuckerman AJ,and Nyak NC.Significance of maternal and infant serum antibodies to hepatitis B core antigen in hepatitis B virus infection of infancy. Journal of medical virology 24(3):343-9,1988 March

7. Aggarwal P,Singh M,and Guha DK. Prevalence of bacterial pathogen and rotavirus in hospitalized children with acute diarrhea in Delhi,India.Journal of diarrhoeal disease research 6(1):37-8,1988 Mar

8. Gupta RK,Jena A,Sharma A,Guha DK,Khusu S,and Gupta AK. MR imaging of intracranial tuberculomas.Journal of computer assisted tomography 12(2):280-5,1988

9.Nayak NC,Panda SK,ZuckermanAJ,Bhan MK,and Guha DK.Dynamics and impact of perinatal transmission of hepatitis B virus in North India .Journal of medical virology 21(2):137-45,1987 Feb

10. Guha DK and Garg R. Asepsis in newborn care. Indian Pediatrics 23(12):1013-21,1986,Dec

11. Guha DK,Vema KK,Bhatia S,Verma M,and Krishnan S. A new bedside technique of bilirubin estimation.Indian Pediatrics 21(6):447-51,1984 Jun

12. Guha DK.Planning a newborn care intensive care unit in developing countries.Indian Journal  of Pediatrics 47(386):225-32,1980

13. Jaspal D,Das MS,and Rashmi A, Khatri RL, and Guha DK.Increasing severity of measles:a critical analysis of 200 hospitalised cases.Indian Pediatrics 15(9):719-23,1978 Sep

14. Guha DK,Jaspal D,Das K,Guha AR,Khatri RL,and Kumar RS.Outcome of neonatal septicemia: clinical and bacteriological profile.Indian Pediatrics 15(5):423-7,1978 May

15. Das MK,JaspalD,Rashmi A,Kumar RS,and Guha DK.Septicemia in febrile children.Indian Pediatrics 15(3):239-53,1978,Mar

16. Krishna Das MS,Guha DK,and Geeta K.Staphylococcal lung infection in children.Indian Pediatrics 14(7):545-8,1977 Jul

17. Upadhyay SK,RashmiA,Kochar M,and Guha DK.Cutis marmorata telengiectaticia congenital ( a case report ).Indian Pediatrics 14(5)413-5,1977,May

18. Guha AR,Guha DK,and Khanna P.Peripheral intravenous alimentation of the low birth weight babies.Indian Pediatrics 14(1):19-24,1977,Jan

19. Guha DK and Guha AR.Indigenous newborn infant warmer with humidity bottle and oxygen hood (a new concept in newborn care).Indian Pediatrics 13(2):155-6,1976 Feb

20.Rashmi A,Guha DK,Jain KK,and Kishore P.Indirect blood pressure measurement by Doppler in the newborns.Indian Pediatrics 11(11)729-33,1974 Nov

21. Verma IC,Bawa B,Ghai OP,Hingorani V,and Guha DK.Epidemiology of X-chromatin aberrations in newborns in Delhi.The Indian Journal of Medical Journal 62(5):676-83,1974 May

22. Verma IC, Srivastava AR, and Guha DK.The Meckel syndrome.Indian Pediatrics 11(1):79-81,1974 Jan

23. Verma IC,Bawa B,Ghai OP,and Guha DK.Survey of X-chromatin aberrations in newborn babies in Delhi.Indian Pediatrics 10(9):537-9,1973 Sep

24. Guha DK and Rashmi A.Neonatal thoracic surgical emergencies.Indian Pediatrics 10(4):207-18,1973,Apr

25. Guha DK,Rashmi A,and Kochar M.Relationship between length of gestation,birth weight and certain other factors.Indian journal of Pediatrics 40(301):44-53,1973,Feb

26.Rashmi A,Guha DK,and Khanduja PC. Post measles pulmonary complications in children.Indian Pediatrics 8(12):834-8,1971,Dec
27. Guha DK,Rashmi A,and Kochar M.Analysis of premature live births on gestational age and birth weight.Indian Pediatrics 7(10):542-6,1970 Oct

28. Chandra RK,Khanna KK,Veliath AJ,Khandpur SC,Guha DK,and Bhargava S.Aortic aneurysm in childhood.Chest 58(2):164-6,1970 Aug

29. Chandra RK,Guha DK,and Ghai OP.Serum immunoglobins in the newborn.Indian Journal of Pediatrics 37(271):361-5,1970 Aug

30. Rashmi A and Guha DK.Some developmental aspects in relation to immunity and allergy.Indian Journal of Pediatrics 37(270):347-9,1970 Jul

31. Guha DK,Rashmi A,and Kochar M.Birth injuries; incidence,etiology,diagnosis and management.Indian journal of Pediatrics 37(268):185-91,1970,May

32. Guha DK,Rashmi A,Khanduja PC,and Kochar M.Intrauterine osteogenesis imperfecta with arthogryposis multiplex and regional achondroplasia.Indian Pediatrics 6(12):804-7,1969,Dec

33. Guha DK,Rashmi A,Khanduja PC,and Kochar M.Neonatal gastric perforation,Report of 3 cases with one survival.Indian Journal of Pediatrics 36(261):404-6,1969,Oct

34. Guha DK,Rashmi A,and Khanduja PC.In utero infection of the fetus by herpes simplex virus.Indian Journal of Pediatrics. 35(249):484-5,1968,Oct

35.Guha DK and Rashmi A. The D-xylose test in normal,microcytic hypochromic anemia and hook worm disease in children.The Indian Journal of Medical Research 56(7):1028-33,1968,Jul

36.Guha DK,Walia BNS,Tandon BN,and Ghai OP.Functional and structural changes in the small intestine in children with hookworm infection.Archives of Disease in Childhood 43(228):235-8,1968,Apr 

37. Guha DK,Walia BNS,Tandon BN,Deo MG,and Ghai OP.Small bowel changes in iron-deficiency anaemia of childhood.Archives of Disease in Childhood 43(228):239-44,1968,Apr

38. Guha DK.Developmental aspects of neurological disorders in infants and children.3,Pathological influences and applied aspects.Indian Journal of Pediatrics 34(239):432-6,1967 Dec

39.Guha DK. Developmental aspects of neurological disorders in infants and children,II.Neurological examination.Indian Journal of Pediatrics 34(237):360-6,1967 Oct

40. Guha DK. Developmental aspects of neurological disorders in infants and children,I.Embryology and neurophysiology.Indian Journal of Pediatrics 34(237):319-24,1967 Sep

41. Guha DK and Rashmi A.Occult blood loss in iron deficiency anemia in children.Indian Journal of Pediatrics 34(228):1-5,1967 Jan