- Neonatal Respiratory Health Research
- Acute Kidney Injury Research
- Neonatal Health and Biochemistry
- Neonatal and fetal brain pathology
- Optical Imaging and Spectroscopy Techniques
- Neonatal and Maternal Infections
- Infant Development and Preterm Care
- Erythrocyte Function and Pathophysiology
- Blood groups and transfusion
- Long-Term Effects of COVID-19
- Pressure Ulcer Prevention and Management
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Advanced MRI Techniques and Applications
- Intensive Care Unit Cognitive Disorders
- Pediatric Urology and Nephrology Studies
- Blood disorders and treatments
- COVID-19 and Mental Health
- Photoreceptor and optogenetics research
- Abdominal Surgery and Complications
- Wound Healing and Treatments
- Orthopaedic implants and arthroplasty
- Advanced materials and composites
- Traumatic Brain Injury and Neurovascular Disturbances
- Chronic Kidney Disease and Diabetes
- Neuroscience of respiration and sleep
All India Institute of Medical Sciences Bhubaneswar
2021-2024
Institute of Medical Sciences and Sum Hospital
2019-2023
Siksha O Anusandhan University
2023
Pediatrics and Genetics
2021
AMRI Hospitals
2021
St.John's Medical College Hospital
2012-2016
Bose Institute
2015
Kalinga University
2012
Institute of Medical Sciences
2012
An infant admitted to the neonatal intensive care unit (NICU) is a potentially stressful event for parents. Severe stress experienced by parents, affecting their mental health and relationship, infants' development. The current study aims assess levels among parents of neonates NICU identify factors influencing levels.A cross-sectional was conducted in tertiary hospital Eastern India over 2 months. Stress were assessed using Parental Stressor Scale: questionnaire 100 (mother or father) with...
Background: Acute kidney injury (AKI) is common in neonates admitted to neonatal intensive care units (NICUs). There a need have prospective data on the risk factors and outcomes of acute peritoneal dialysis (PD) neonates. The use replacement therapy this population compared older populations has been associated with worse (mortality rates 17–24%) along longer stay NICU and/or hospital. Methods: following multicentre, study was derived from TINKER (The Indian PCRRT-ICONIC Neonatal Kidney...
Approaches to monitoring of sepsis have traditionally relied upon the pro-inflammatory component response. This study evaluated diagnostic and prognostic potential ratio neutrophilic CD64 (nCD64) monocytic HLA-DR (mHLA-DR) median fluorescence index in neonatal sepsis.Blood from 100 neonates suspected 29 healthy controls was collected on clinical suspicion sepsis, expression nCD64, mHLA-DR by Flow Cytometry; thereby, a derived parameter "Sepsis index," SI = nCD64/mHLA-DR × estimated.At day 1,...
To evaluate the factors associated with mortality of a multicentric cohort hospitalized COVID-19 patients, 0-18 y old, from 42 centers across India.The National Clinical Registry for (NCRC) is an on-going prospective data collection platform enrolling patients diagnosed by real-time PCR or rapid antigen test. The are collected in prestructured e-capture forms. sociodemographic, clinical, laboratory, and hospital outcome 1st September 2020 to 20th February 2022 were analyzed.Of 1244 enrolled...
Background and objective The exact burden of hemolytic disease the newborn (HDN) attributed to neonatal unconjugated hyperbilirubinemia (NUH) in developing nations is still unclear. Still, anti-D reported be most common cause HDN India. ABO incompatibility has emerged as a leading exchange transfusion (ET) many countries. But centers our country rely on direct antiglobulin test (DAT) screening tool evaluate immunological causes, whereas advanced immunohematological workup like antibody...
Introduction Sick preterm neonates are most vulnerable to developing skin injuries. Despite sound knowledge and application of evidence-based practices for preventing medical adhesive-related injury (MARSI), the incidence MARSI was 30 events per 1000 adhesive days in our unit. Aims objectives We aimed reduce median rate from existing <5 over 5 months June 2023 October 2023. Material & methods With point-of-care quality improvement (QI) approach, a prospective study planned among sick...
Background: Acute kidney injury (AKI) is a significant problem in neonates, but the evidence sparse. Neonatal AKI an independent risk factor for increased mortality and prolonged hospital stay. There are stark differences epidemiology of neonates amongst developing developed world. Increased prevalence neonatal sepsis, lack awareness about poor access to pediatric nephrologists add improper management countries. Methods: This study multicentric, national, prospective cohort [The Indian...
Retinopathy of prematurity (ROP) will become a major cause blindness in Nigerian children unless screening and treatment services expand. This article aims to describe the collaborative activities undertaken improve for ROP between 2017 2020 as well outcome these Nigeria.Descriptive case study.Neonatal intensive care units Nigeria.Staff providing ROP, 723 preterm infants screened who fulfilled criteria (gestational age <34 weeks or birth weight ≤2000 g, sickness criteria).A WhatsApp group...
The effects of COVID-19 infection persist beyond the active phase. Comprehensive description and analysis post COVID sequelae in various population groups are critical to minimise long-term morbidity mortality associated with COVID-19. This was conducted an objective estimate frequency subsequently, design a framework for holistic management morbidities.Follow-up data collected as part registry-based observational study 31 hospitals across India since September 2020-October 2022 were used...
IntroductionNeonatal acute kidney injury (AKI) is a significant pathology associated with higher mortality rates, longer neonatal intensive care stay, and worse clinical outcomes.1Jetton J.G. Boohaker L.J. Sethi S.K. et al.Incidence outcomes of (AWAKEN): multicentre, multinational, observational cohort study.Lancet Child Adolesc Health. 2017; 1: 184-194https://doi.org/10.1016/S2352-4642(17)30069-XAbstract Full Text PDF PubMed Scopus (272) Google Scholar,2Agrawal G. Wazir S. al.Incidence,...
Hypoxic-ischemic encephalopathy (HIE) secondary to perinatal asphyxia occurs when the brain does not receive enough oxygen and blood. A surrogate marker for "intact survival" is necessary successful management of HIE. The severity HIE can be classified based on clinical presentation, including presence seizures, using a classification scale called Sarnat staging; however, staging subjective, score changes over time. Furthermore, seizures are difficult detect clinically associated with poor...
Background: Definition of neonatal hypoglycemia is still controversial. Objective: To find the effect blood glucose (BG) levels in first 3 days life, on developmental outcome at 1 year low birth weight neonates <2000 g. Methods: A prospective cohort study was conducted tertiary level intensive care unit and follow-up clinic south India. Intramural admitted from September 2009 to August 2010 were enrolled. Perinatal variables recorded. Respiratory support, fluids, feeding management based...
A rapid AKI risk assessment score would allow for improving management and outcomes. STARZ (Sethi, Tibrewal, Agrawal, Raina, waZir) was developed acute kidney injury (AKI) stratification of critically ill neonates. This is the first independent validation novel outside original enrolled centres.750 neonates were included in study. The calculated after 12 hours admission. Neonates admitted NICU receiving IV fluids at least 48 included.A total 8.8% had 7 days post duration hospital stay...
Hypoxic-ischemic encephalopathy (HIE) secondary to perinatal asphyxia occurs when the brain does not receive enough oxygen and blood. A surrogate marker for &lsquo;intact survival&rsquo; is necessary successful management of HIE. The severity HIE can be classified based on clinical presentation, including presence seizures, using a classification scale called Sarnat staging; however, staging subjective score changes over time. Furthermore, seizures are difficult detect clinically...
Anti-D is the most common cause of hemolytic disease newborn (HDN) in developing countries even after introduction anti-D immunoprophylaxis. Still, ABO incompatibility and other alloantibodies against minor blood group antigens have emerged as significant causes HDN. Moreover, acts a protective barrier to expression Rh isoimmunization. Here we are presenting case HDN where both co-existed with their manifestations B positive neonate born an O mother. Use appropriate elution technique can aid...
Hemolytic disease of Fetus and Newborn (HDFN) usually results due to natural occurring antibodies or alloimmunization in mother but the presence multiple red cell increases risk development significant HDFN. Here author reported a case hemolytic fetus newborn preterm baby caused by maternal antibodies. Direct Antiglobulin Test (DAT) on neonate blood sample was positive (3+) with monospecific DAT showed IgG type which confirmed heat elution. Antibody identification eluate done using...