- Neonatal Respiratory Health Research
- Neonatal Health and Biochemistry
- Global Maternal and Child Health
- Neonatal and Maternal Infections
- Central Venous Catheters and Hemodialysis
- Infant Development and Preterm Care
- Platelet Disorders and Treatments
- Blood transfusion and management
- Blood groups and transfusion
- Mechanical Circulatory Support Devices
- Ethics and bioethics in healthcare
- Breastfeeding Practices and Influences
- Neonatal and fetal brain pathology
- Infant Nutrition and Health
- Pregnancy and Medication Impact
- Vascular Procedures and Complications
- Diabetes and associated disorders
- Medical Malpractice and Liability Issues
- Iron Metabolism and Disorders
- Health, Medicine and Society
- Urological Disorders and Treatments
- Airway Management and Intubation Techniques
- Blood Coagulation and Thrombosis Mechanisms
- Complement system in diseases
- Acute Kidney Injury Research
Georgetown University
2014-2025
MedStar Georgetown University Hospital
2014-2025
George Washington University Hospital
2001
Children's National
1995-1999
Christian Medical College & Hospital
1991-1993
Christian Medical College
1991-1993
The successful promotion of facility births in low and middle-income countries has not always resulted improved neonatal outcome. We evaluated key signal functions pertinent to Level II care determine readiness for high risk/ small sick newborns.Facility babies was determined through self-evaluation using a pre-designed checklist selected referral hospitals Uganda (10), Indonesia (4) India (2) with focus on the Sub-Saharan country greater challenges.Most facilities reported having continuous...
<title>Abstract</title> Objective To evaluate lack of impact Helping Babies Breathe Program on neonatal mortality in four Ghana hospitals despite quality improvement measures. Methods Analyzed correlations between Apgar scores and outcome newborns ≥ 34 weeks gestation who had birth asphyxia (BA, 1 minute score < 7) severe BA (1 ≤ 3). Results Among 12,702 live births, 18.9% 2.8% BA. 2044 with 4–6, 16 (0.8%) died, compared to 15.6% 352 (p 0.0001). In BA, the rate was higher those whose...
Abstract We describe a boy who was exposed to misoprostol and methotrexate in the first trimester of gestation as result failed medical abortion. He presented with severe growth retardation, skull defects, proptotic eyes, cleft palate, micrognathia. There were bilateral defects upper lower extremities, missing hypoplastic ribs, undescended testicles. had clinical features pulmonary hypoplasia persistent hypertension remained ventilator‐dependent until he expired. An autopsy revealed brain...
Extravasation or inadvertent infiltration of fluids into subcutaneous tissue from peripheral intravenous (IV) devices is a common adverse event in newborns. (1)(2) Although occasionally extravasate central venous lines, the complication much more catheters, which are used widely sick neonates. (3) This article focuses on extravasations IV devices.Injury to skin, even very immature neonate, results an inflammatory response and heals by scar formation. (4) scars many these injuries appear...
Competence in the chest tube insertion procedure is vital for practitioners who take care of critically ill infants. The use animals training discouraged, and there are no realistic simulation models available neonatal procedure. objective this study was to assess effectiveness teaching by using an easily constructed, nonanimal model.An inexpensive infant model developed simple hardware. A prospective cohort with pre-posttest intervention design conducted pediatric combined internal...
After completing this article, readers should be able to: Vascular thromboembolic disease has been increasingly recognized in newborns the past decade, part because venous and arterial catheters are indispensable management of smaller sicker neonates, but also heightened awareness problem.Transient vascular spasm due to constriction may difficult distinguish from more serious thrombosis early stages, when pallor or cyanosis extremities follows insertion catheters. Arterial thromboses...
<h3>Key Messages</h3> In global health, the initial focus on essential newborn care for all now includes adding specialized small and sick newborns. many low- middle-income countries (LMICs), this has resulted in transferring relatively stable newborns with risk factors who require observation minimal support to special/intensive units that are already overcrowded understaffed. To prevent needless separation from mothers overcrowding neonatal units, we propose an “at-risk” category of...
The weight gain of 355 preterm low birth infants, who were exclusively breastfed by their own mothers after discharge from the special care nursery, was analysed prospectively over first 24 weeks infancy. Preterm infants with weights 1000–1500 g significantly doubled 10 age and tripled it 18 weeks, a growth velocity 20–30 g/day up to 20 age. 1501–2000 12 16 30 11 12th week. born at 32 gestational had period delay 3 followed brisk catch-up phase, whereas 34 36 shorter 2 similar catch phase....
Health care–associated infections in the NICU have serious consequences, including increased mortality, morbidity, hospital length of stay, and cost care. Prevention health is crucial for survival neurodevelopment vulnerable infants an indication quality Although trials been conducted with probiotics, prebiotics, synbiotics, immunoglobulins, lactoferrin to boost immunity preterm immature immune systems, most efficacious measures are hand hygiene use maternal breast milk. not simple. It...