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  1. Article ; Online: Comparison of Paladai Cup Against Nifty Cup Feeding in Preterm Low-Birth-Weight Infants: An Open-Labeled Randomized Controlled Trial.

    Duruvasal, Priya Dharshini / Devi, Usha / Patil, Utkarsh / Sethuraman, Giridhar

    Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine

    2024  

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2024-04-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2234680-6
    ISSN 1556-8342 ; 1556-8253
    ISSN (online) 1556-8342
    ISSN 1556-8253
    DOI 10.1089/bfm.2023.0308
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: COVID-19 pandemic and lockdown: impact on parents' stress level and infant care in a tertiary neonatal unit.

    Devi, Usha / Amboiram, Prakash / Chandrasekaran, Ashok / Balakrishnan, Umamaheswari

    Sudanese journal of paediatrics

    2023  Volume 23, Issue 1, Page(s) 21–31

    Abstract: Neonatal intensive care unit (NICU) admission increases parents' stress levels and it might be even higher in the crisis of coronavirus disease 2019 (COVID-19) pandemic and lockdown. This study was done to identify the stress levels of parents of ... ...

    Abstract Neonatal intensive care unit (NICU) admission increases parents' stress levels and it might be even higher in the crisis of coronavirus disease 2019 (COVID-19) pandemic and lockdown. This study was done to identify the stress levels of parents of admitted neonates and the difficulties encountered in neonatal care and follow-up during the COVID-19 pandemic and lockdown. The Parental Stressor Scale (PSS:NICU) and Perceived Stress Scale (PeSS) were used to identify the stress levels of parents of admitted neonates. Online survey form with a structured questionnaire comprising PeSS and NICU:PSS was sent through messaging app (Google form) after informed consent. PSS score of <14 was considered low stress, 14-26 moderate and >26 as high. A total of 118 parental responses (mother /father in 26, both in 46) for 72 admitted neonates, were obtained. The mean (SD) PeSS score was 19.7 (5.8%) and 92 (78%) had moderate stress while 11 (9%) had high stress. In NICU:PSS, sights-sounds and parental role had more median scores: 2.25 (1-3.75) and 2.21 (1-3.57), respectively. Maternal and paternal NICU:PSS (
    Language English
    Publishing date 2023-08-18
    Publishing country Sudan
    Document type Journal Article
    ZDB-ID 3035197-2
    ISSN 1858-8360 ; 0256-4408
    ISSN (online) 1858-8360
    ISSN 0256-4408
    DOI 10.24911/SJP.106-1643018753
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Hypocarbia is associated with adverse outcomes in hypoxic ischaemic encephalopathy (HIE).

    Devi, Usha / Pullattayil, Abdul Kareem / Chandrasekaran, Manigandan

    Acta paediatrica (Oslo, Norway : 1992)

    2023  Volume 112, Issue 4, Page(s) 635–641

    Abstract: Aim: Hypocarbia in the early postnatal period might exacerbate brain injury in babies with hypoxic ischaemic encephalopathy following birth asphyxia. This mini-review summarised studies on pCO2 values that were monitored periodically in term newborns ... ...

    Abstract Aim: Hypocarbia in the early postnatal period might exacerbate brain injury in babies with hypoxic ischaemic encephalopathy following birth asphyxia. This mini-review summarised studies on pCO2 values that were monitored periodically in term newborns with moderate/severe hypoxic-ischaemic encephalopathy and correlated with short or long-term outcomes.
    Methods: We searched the databases MEDLINE, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), web of science and the Cochrane Library and identified nine studies.
    Results: Among the nine included studies, therapeutic hypothermia was administered in seven studies. In most studies, blood pCO2 levels were measured from birth till 72 h of life or till the endpoint of therapeutic hypothermia. Eight studies showed that any hypocarbia (moderate or severe, or cumulative) was associated with an increased risk of adverse outcomes in the form of brain injury in MRI, death or neurodevelopmental disability.
    Conclusion: Hypocarbia could lead to adverse short-term and long-term outcomes despite therapeutic hypothermia in neonates with HIE. Hence, it is vital to monitor pCO2 levels closely in these infants and consider strategies to maintain pCO2 levels in the normal range.
    MeSH term(s) Infant ; Female ; Infant, Newborn ; Humans ; Hypoxia-Ischemia, Brain/therapy ; Asphyxia Neonatorum/therapy ; Hypocapnia/etiology ; Brain Injuries/complications ; Hypothermia, Induced/adverse effects
    Language English
    Publishing date 2023-01-30
    Publishing country Norway
    Document type Journal Article ; Review
    ZDB-ID 203487-6
    ISSN 1651-2227 ; 0365-1436 ; 0803-5253
    ISSN (online) 1651-2227
    ISSN 0365-1436 ; 0803-5253
    DOI 10.1111/apa.16679
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Aphallia in a neonate with VACTERL malformation: report of a rare association.

    Krishnamoorthy, Kiruthi / Sethuraman, Giridhar / Devi, Usha

    Clinical dysmorphology

    2023  Volume 32, Issue 2, Page(s) 74–76

    MeSH term(s) Infant, Newborn ; Humans ; Kidney ; Abnormalities, Multiple ; Heart Defects, Congenital ; Limb Deformities, Congenital ; Anal Canal ; Trachea ; Spine
    Language English
    Publishing date 2023-01-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 1121482-x
    ISSN 1473-5717 ; 0962-8827
    ISSN (online) 1473-5717
    ISSN 0962-8827
    DOI 10.1097/MCD.0000000000000445
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Surfactant delivery via thin catheters: Methods, limitations, and outcomes.

    Devi, Usha / Pandita, Aakash

    Pediatric pulmonology

    2021  Volume 56, Issue 10, Page(s) 3126–3141

    Abstract: Various less invasive surfactant administration strategies like surfactant replacement therapy via thin catheters, laryngeal mask airway, pharyngeal instillation, and nebulized surfactant are increasingly being practiced to avoid the harmful effects of ... ...

    Abstract Various less invasive surfactant administration strategies like surfactant replacement therapy via thin catheters, laryngeal mask airway, pharyngeal instillation, and nebulized surfactant are increasingly being practiced to avoid the harmful effects of endotracheal intubation and ventilation. Numerous studies have been done to study surfactant replacement via thin catheters whereas little data is available for other methods. However, there are variations in premedication policies, type of respiratory support used in these studies. Surfactant delivery using thin catheters has been reported to be associated with decrease in the need for mechanical ventilation (MV), duration of MV, bronchopulmonary dysplasia and neonatal mortality. With the current evidence, among all the available surfactant delivery methods, the one using thin catheters appears to be the most feasible and beneficial to improve clinical neonatal outcomes.
    MeSH term(s) Bronchopulmonary Dysplasia ; Catheters ; Humans ; Infant, Newborn ; Infant, Premature ; Pulmonary Surfactants/therapeutic use ; Respiratory Distress Syndrome, Newborn/drug therapy ; Surface-Active Agents/therapeutic use
    Chemical Substances Pulmonary Surfactants ; Surface-Active Agents
    Language English
    Publishing date 2021-08-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 632784-9
    ISSN 1099-0496 ; 8755-6863
    ISSN (online) 1099-0496
    ISSN 8755-6863
    DOI 10.1002/ppul.25599
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Comparison of Ultrasound-Guided Umbilical Venous Catheter Insertion with Blind Method: A Randomized Controlled Trial.

    Mishra, Purbasha / Mohanty, Pankaj Kumar / Som, Tapas Kumar / Sahoo, Tanushree / Devi, Usha / Bag, Nerbadyswari Deep

    Biomedicine hub

    2024  Volume 9, Issue 1, Page(s) 1–8

    Abstract: Introduction: Ultrasonography (USG) can be used in neonates to manipulate and place the umbilical catheter in the correct position. Although chest radiograph (CXR) is the gold standard, a noninvasive method like USG without radiation exposure may be an ... ...

    Abstract Introduction: Ultrasonography (USG) can be used in neonates to manipulate and place the umbilical catheter in the correct position. Although chest radiograph (CXR) is the gold standard, a noninvasive method like USG without radiation exposure may be an alternative bedside armamentarium to the clinician. The purpose of the study was to evaluate whether USG-guided umbilical venous catheter (UVC) insertion is superior to the conventional method for the successful insertion of UVC.
    Method: The neonates born between 25 and 42 weeks of gestation requiring parenteral fluids and admission to neonatal intensive care unit (NICU) between September 2020 and November 2022 were randomized in two weight-based strata: ≤1,200 and >1,200 g. USG-guided UVC insertion was done in the intervention group and blind UVC insertion was done in the control group.
    Results: Out of 112 enrolled neonates, 58 were in the USG-guided group and 54 in the blind group. There was no significant difference in the failure rate between the intervention and control groups (20% versus 29% [RR: 0.69, 95% CI: 0.36-1.33]). The sensitivity and specificity of USG in locating tip position were 97 and 46.8%, respectively. The mean procedure time in USG and blind groups was 8.9 and 8.3 min, respectively (
    Conclusion: USG does not reduce the failure rates during the insertion of umbilical catheters. However, being a safe, noninvasive procedure, it can be considered a rescue modality to CXR in NICUs equipped with portable USG for guiding UVC insertion.
    Language English
    Publishing date 2024-01-03
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2296-6870
    ISSN (online) 2296-6870
    DOI 10.1159/000535096
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Family Accommodation in Obsessive Compulsive Disorder and Its Association With Insight.

    Devi, Usha / Sharma, Pragya / Shekhawat, Lokesh Singh / Arshad, Rushi

    Indian journal of psychological medicine

    2023  Volume 45, Issue 2, Page(s) 168–172

    Abstract: Background: Family accommodation (FA) is defined as a family members' involvement by doing certain behavior in response to the daily rituals of patients with obsessive-compulsive disorder (OCD). FA is associated with more severe symptoms of OCD. ... ...

    Abstract Background: Family accommodation (FA) is defined as a family members' involvement by doing certain behavior in response to the daily rituals of patients with obsessive-compulsive disorder (OCD). FA is associated with more severe symptoms of OCD. Similarly, poor insight is associated with high severity of OCD symptoms. FA and insight are also related to each other, as more accommodative behavior of family members is associated with poor insight.
    Methods: This cross-sectional observational study assessed 103 adult OCD patients with an illness duration of at least one year. Participants were assessed using Yale-Brown Obsessive Compulsive Scale (Y-BOCS) symptom checklist, Y-BOCS to assess severity, and Family Accommodation Scale-SR (Hindi) to evaluate FA. Insight was assessed with the 11th item of Y-BOCS.
    Results: FA was common in the families of our participants. The mean±SD Y-BOCS score was 28.72±5.09, and the mean FAS-SR score was 44.1±12.03. A significant positive correlation existed between the FA and YBOCS scores, that is, with the increase in FA, YBOCS scores also significantly increased. A considerable number reported poor insight, and had high scores on YBOCS and their caregiver had high FA scores.
    Conclusion: FA is indicative of high symptom severity of OCD and higher FA is associated with poor insight, so FA needs further research for its interplay with OCD symptomatology and role in the maintenance of symptoms.
    Language English
    Publishing date 2023-02-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2622378-8
    ISSN 0975-1564 ; 0253-7176
    ISSN (online) 0975-1564
    ISSN 0253-7176
    DOI 10.1177/02537176221147057
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  8. Article ; Online: Delayed cord clamping versus cord milking in vigorous neonates ≥35 weeks gestation born via cesarean: A Randomized clinical trial.

    Murali, Mithuna / Sethuraman, Giridhar / Vasudevan, Jaishree / Umadevi, L / Devi, Usha

    Journal of neonatal-perinatal medicine

    2023  Volume 16, Issue 4, Page(s) 597–603

    Abstract: Background: Delayed cord clamping (DCC) is the recommended strategy in neonates not requiring resuscitation, but umbilical cord milking (UCM) can also be used in term babies. DCC has been found to offer advantages more than just placental transfusion.!## ...

    Abstract Background: Delayed cord clamping (DCC) is the recommended strategy in neonates not requiring resuscitation, but umbilical cord milking (UCM) can also be used in term babies. DCC has been found to offer advantages more than just placental transfusion.
    Objective: To compare the neonatal outcomes of DCC and UCM at birth in vigorous neonates ≥35 weeks born via cesarean section.
    Methods: We included all vigorous neonates born ≥35 weeks of gestation through the cesarean section in this open-label randomized controlled trial. They were randomized into Group-A (DCC-cord was clamped 60 s after birth) or Group B(UCM). For neonates in Group B, the intact cord was milked at 25 cm from the stump 3 times towards the neonate and then clamped. The primary outcome was hematocrit at 72 h of life. Secondary outcomes were serum ferritin between 6 and 10 weeks of life, serum bilirubin at 72 h of life, need and duration of phototherapy, respiratory distress, hypoglycemia, hypotension, and sepsis.
    Results: Baseline characteristics were similar in both the groups. The mean hematocrit at 72 h was more in the DCC group compared to the UCM group [(55.60±4.50) vs (53.89±4.44), MD (95% CI) = 1.71 (0.26, 3.16); p = 0.021]. There was no significant difference in median serum ferritin between the groups [102.88(84.67-173.24) vs 137.93(85.15-230.40); p = 0.173]. There was no significant difference in clinical outcomes.
    Conclusion: In neonates born via cesarean section, DCC resulted in improved hematocrit levels by 72 hours compared to UCM. DCC results in better placental transfusion.
    MeSH term(s) Female ; Humans ; Infant ; Infant, Newborn ; Pregnancy ; Cesarean Section ; Constriction ; Ferritins ; Infant, Premature ; Placenta ; Time Factors ; Umbilical Cord ; Umbilical Cord Clamping
    Chemical Substances Ferritins (9007-73-2)
    Language English
    Publishing date 2023-11-25
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article ; Randomized Controlled Trial
    ZDB-ID 2435387-5
    ISSN 1878-4429 ; 1934-5798
    ISSN (online) 1878-4429
    ISSN 1934-5798
    DOI 10.3233/NPM-230069
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  9. Article: Clinical Profile, Outcomes, and Complications in Neonates Undergoing Peritoneal Dialysis in a Tertiary Neonatal Care Unit - An Observational Study.

    Tangirala, Susmitha / Devi, Usha / Kumar, Thinesh / Balakrishnan, Umamaheswari / Amboiram, Prakash

    Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia

    2023  Volume 33, Issue 2, Page(s) 337–342

    Abstract: Peritoneal dialysis (PD) is the most common form of renal replacement therapy in neonates and there is a lot of heterogeneity in patient selection and outcomes across the various units. This study aimed to assess the indications, complications, and ... ...

    Abstract Peritoneal dialysis (PD) is the most common form of renal replacement therapy in neonates and there is a lot of heterogeneity in patient selection and outcomes across the various units. This study aimed to assess the indications, complications, and outcomes in terms of survival of PD. This is a retrospective study of 23 neonates who underwent acute PD at a tertiary care neonatal unit between August 2016 and July 2021. A cross-sectional poll was also conducted among the doctors who have been in the unit for the past 10 years regarding their experience in PD. The baseline, clinical, biochemical parameters, outcomes, and complications were analyzed. All statistical analyses were performed using the IBM SPSS Statistics version 23.0 software. The mean (±standard deviation) gestational age and birth weights of neonates were 32.6 ± 4 weeks and 1743 ± 922 g, respectively. Six (26%) babies had extremely low birth weight, five (22%) very low birth weight (VLBW), and seven (30%) low birth weight. The indications were acute kidney injury [17/23 (74%)], fluid overload [3/23 (17%)], suspected inborn errors of metabolism [2/23 (9%)] and hypernatremia [1/23 (4%)]. A pigtail catheter (74%) was used in most of them. Catheter block was noticed in four babies and peritonitis in two neonates. We did not encounter any complications during the procedure, and PD appears to be practicable across all gestational ages and birth weights.
    MeSH term(s) Infant, Newborn ; Infant ; Humans ; Birth Weight ; Retrospective Studies ; Tertiary Healthcare ; Cross-Sectional Studies ; Peritoneal Dialysis ; Infant, Very Low Birth Weight
    Language English
    Publishing date 2023-07-01
    Publishing country Saudi Arabia
    Document type Observational Study ; Journal Article
    ZDB-ID 1379955-1
    ISSN 1319-2442
    ISSN 1319-2442
    DOI 10.4103/1319-2442.379034
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Diagnosis of a floppy neonate with misleading clues: unraveled as congenital hypomyelinating neuropathy.

    Ravikumar, S / Devi, Usha / Balakrishnan, Umamaheswari / Chandrasekaran, Ashok

    BMJ case reports

    2022  Volume 15, Issue 1

    Abstract: Contactin-associated protein 1 ( ...

    Abstract Contactin-associated protein 1 (
    MeSH term(s) Charcot-Marie-Tooth Disease ; Female ; Humans ; Infant ; Infant, Newborn ; Muscle Hypotonia ; Exome Sequencing
    Language English
    Publishing date 2022-01-20
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2021-247555
    Database MEDical Literature Analysis and Retrieval System OnLINE

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