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Assessment of health-related quality of life (HRQoL) in children with HIV is crucial to improve the psychosocial well-being of this vulnerable population. The objective of this study was to assess the HRQoL of children with HIV infection aged between 5 and 18 years. The study was conducted in 144 children with HIV attending an antiretroviral therapy (ART) center in Karnataka to assess the HRQoL, using the PedsQL questionnaire. Total 144 children were included in the study, who had HRQoL with good physical (75.99 ± 13.46), psychosocial (71.01 ± 12.83), and total (72.43 ± 12.73) scores according to the child's perspective. Number of boys and children raised in foster homes were 51.3% (74) and 56% (81), respectively. Even though all children had complete adherence and had a good immunologic and clinical profile, we found that their HRQoL did not vary with stage of infection, duration of treatment, or immunologic status. Our findings underscore the importance of familycentered care for children living with HIV and advocate enhancing psychosocial and mental development to improve the HRQoL of children. [ABSTRACT FROM AUTHOR]

Malaria remains an overwhelming problem with around 214 million cases reported worldwide each year. It remains a major health problem in the tropical developing countries and India accounts for 70% of the total malaria incidence in the Southeast Asia region. Even though, artesunate, a novel drug used in the treatment of chloroquine- resistant cases of Plasmodium falciparum infection causes transient transaminitis (elevation of alanine and aspartate transaminases), hepatitis and hepatic encephalopathy are very rare. We encountered a child with falciparum malaria, who accidently ingested artesunate tablets (16 mg/kg) and developed hepatic encephalopathy with clinical and biochemical improvement in a matter of 4 to 5 days. There are only a few reports of children with malaria developing hepatic encephalopathy, with or without coinfection with hepatotropic viruses. Also, there are no reports of hepatic encephalopathy secondary to artesunate overdose, creating a dilemma in diagnosis and management. [ABSTRACT FROM AUTHOR]