Publications by authors named "Sandeep Kadam"

Article Synopsis
  • E-Pharmacy can improve access to medications and services in low- and middle-income countries like India, addressing challenges of cost and availability.
  • A scoping review analyzed literature to identify the facilitators and barriers for implementing e-pharmacy in India, revealing potential advantages like better supply chain management and easier tracking of medicines.
  • Despite its benefits, challenges such as lack of regulation, digital literacy, and internet coverage must be addressed to ensure e-pharmacy can contribute effectively to improving health care access and reducing costs.
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  • Rare disorders include about 7,500 different conditions that are challenging to diagnose due to a lack of specialized healthcare, testing facilities, and treatment options, particularly in countries like India with diverse population groups.
  • This study examined a cohort of 3,294 patients with 305 identified rare genetic diseases, primarily affecting the neuromuscular and neurodevelopmental systems, as well as inborn errors of metabolism.
  • The findings revealed that the most common diseases were Gaucher disease in the IEM category, and Duchenne muscular dystrophy and trinucleotide repeat expansion disorders in the NMND group, highlighting the need for more focused genetic research and healthcare resources in India.
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  • Current diagnostic methods for lysosomal storage disorders (LSDs) in India are lengthy and expensive, relying on biochemical tests and DNA sequencing, which often yield low results due to overlapping symptoms.
  • Researchers have created a novel, cost-effective sequencing assay using single-molecule molecular inversion probes (smMIPs) that accurately identifies genetic variants linked to 29 common LSDs.
  • The new assay showed a high diagnostic yield of 83.4% in patients with previous biochemical diagnoses and effectively detected rare diseases like Niemann-Pick type C, outperforming traditional methods and allowing for flexible use with different sample types.
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Objective: To assess the association between the General Movement Assessment (GMA) findings, including Motor Optimality Scores-Revised (MOS-R) at 16 weeks, and neuromotor outcome assessed by the Amiel-Tison Neurological Assessment at 9 months of corrected age and the Developmental Assessment Scales for Indian Infants (DASII) at 1 year of corrected age in preterm ≤32 weeks.

Study Design: Serial GMA videos of infants born preterm ≤32 weeks were recorded on day 7, 35 weeks of postmenstrual age, 40 weeks of postmenstrual age, and 16 weeks of corrected age. The association between GMA findings, including MOS-R scores and GM trajectory between 35 to 40 weeks and the Amiel-Tison Neurological Assessment and DASII scores, was assessed by Spearman correlation, Fisher exact tests, and ordinal regression.

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We present a case of a male neonate with refractory and persistent neonatal hypoglycaemia not responding to octreotide. On evaluation for hypoglycaemia, his cortisol was within the reference range while the serum insulin concentrations were high. Gallium-68 dotatate scan (GA-68 DOTA) showed diffuse pancreatic involvement.

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Background: Assessments for children with autism spectrum disorder (ASD) must adapt to the current COVID-19 pandemic through innovation in screening and assessment strategies using technology. To our knowledge there are no such studies reported from India. We aimed to study the predictive ability of video-based screening tool with definitive diagnosis in children with ASD.

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Objective: Treating neonatal bloodstream infections and meningitis in South Asia remains difficult given high rates of antimicrobial resistance (AMR). To evaluate changing epidemiology of neonatal infections, we assessed pathogen-specific and clinical features of culture-proven infections in neonates admitted to a neonatal intensive care unit (NICU) in Pune, India.

Materials And Methods: This retrospective cohort study was performed in the King Edward Memorial Hospital and Research Center NICU over 2 years between January 1, 2017 and December 31, 2018.

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Article Synopsis
  • Hypoxic ischemic encephalopathy (HIE) is a major concern for term and late preterm infants, being a leading cause of death and neurological issues in survivors.
  • The study aimed to assess the survival rates of these infants with moderate or severe HIE, alongside exploring management variations and factors affecting survival.
  • Results revealed an 82% survival rate to discharge, with severe HIE, need for epinephrine during resuscitation, and persistent pulmonary hypertension significantly lowering survival chances.*
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Nasal continuous positive airway pressure (nCPAP) is the standard non-invasive respiratory support for newborns with respiratory distress. Nasal injury is a common problem with the interfaces used. To compare the incidence and severity of nasal injury in neonates with respiratory distress and supported on nCPAP with Hudson prong or RAM cannula with Cannulaide, a semipermeable membrane.

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Atypical haemolytic uremic syndrome (aHUS) is a clinically and genetically heterogeneous condition caused by a complex interplay between genomic susceptibility factors and environmental influences. Pathogenic variants in the gene are recently identified in cases with infantile-onset autosomal recessive aHUS. The presence of low serum C3 levels, however, has rarely been described in cases of -associated aHUS.

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Infant massage is a highly prevalent traditional practice in India and other parts of Asia. Clear guidance on safe and effective uses of infant massage is lacking especially in the contemporary times when the traditional knowledge is on the verge of extinction and preparations may differ from in the past. This paper presents a consensus guidance in the form of a standardized protocol for routine massage of infants in home settings.

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The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic will be remembered as one of the defining events of the 21st century. The rapid global outbreak has had significant impacts on human society and is already responsible for millions of deaths. Understanding and tackling the impact of the virus has required a worldwide mobilisation and coordination of scientific research.

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Background: Kangaroo mother care (KMC) is known to reduce neonatal mortality and morbidity. In preterm neonates, KMC is usually initiated only after stabilization.

Aims: We aimed to assess if early initiation of KMC starting within the first week of life is safe, and reduces the time to full feeds (TFF) in preterm neonates.

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Article Synopsis
  • - The study aims to identify factors affecting the length of stay (LOS) for preterm infants (25-33 weeks gestation) in Indian NICUs, which is crucial for healthcare planning and family counseling.
  • - Data from 3,095 infants showed that as gestational age decreases, the LOS increases significantly, with a weekly decrease in gestation correlating to an additional 9 days in hospital.
  • - Key influences on LOS included conditions like abnormal antenatal umbilical artery Doppler, severe small for gestational age, and various health complications, with the study noting that LOS in India was lower compared to similar cases in developed countries.
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Background: Government of India is committed to eliminate measles and control rubella/congenital rubella syndrome (CRS) by 2020. In 2016, CRS surveillance was established in five sentinel sites. We analyzed surveillance data to describe the epidemiology of CRS in India.

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This report describes the goal, activities, and outcomes of the Queen Elizabeth Diamond Jubilee Trust funded retinopathy of prematurity (ROP) program in the state of Maharashtra in collaboration with the Public Health Foundation of India, Hyderabad. The project was initiated in July 2016 with the goal of establishing a sustainable ROP program in the special newborn care units (SNCUs) in public health facilities of five districts. Between 2016 and 2018, ophthalmology and neonatology teams from five district hospitals (DHs) were trained by nongovernment partner hospitals in the state.

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Rubella infection during pregnancy can result in miscarriage, fetal death, stillbirth, or a constellation of congenital malformations known as congenital rubella syndrome (CRS). The 11 countries in the World Health Organization (WHO) South-East Asia Region are committed to the elimination of measles and control of rubella and CRS by 2020. Until 2016, when the Government of India's Ministry of Health and Family Welfare and the Indian Council of Medical Research initiated surveillance for CRS in five sentinel sites, India did not conduct systematic surveillance for CRS.

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Background: Feeding intolerance prolongs time to full feeds (TFFs) in preterm infants. We studied factors associated with TFF in preterm infants on standardized feeding regimen (SFR) and routine probiotic supplementation (RPS).

Methods: This is a prospective cohort study of preterm infants ≤1500 g.

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Article Synopsis
  • - The study examined the impact of standardized feeding regimens (SFR) and routine probiotic supplementation (RPS) on the occurrence of necrotizing enterocolitis (NEC) in preterm infants, specifically those under 35 weeks of gestation.
  • - Researchers compared the incidence of NEC≥Stage II in preterm infants before and after implementing these interventions, finding a significant decrease from 17.4% to 9.0% post-implementation.
  • - The results also showed a reduction in combined outcomes of NEC or mortality, suggesting that SFR and RPS could be effective strategies in lowering health risks for vulnerable infants in a resource-limited environment.
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  • * The SES condition improved after the management of pneumothorax through chest drainage.
  • * The neonate fully recovered, indicating that SES could be related to air leaks following resuscitation, a connection not previously documented.
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Introduction: Early home discharge of preterm infants is a priority in developing countries due to bed shortage and poor socio-economic status. There is wide variation in home discharge policies for preterm infants. Limited data exists on optimal timing for discharging such infants.

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Article Synopsis
  • - The study aimed to evaluate the growth patterns and influencing factors in children born small for gestational age (SGA) from varying socioeconomic backgrounds, comparing them to healthy controls.
  • - Researchers analyzed 618 children, finding that SGA children had significantly lower height and weight scores than controls, with more stunting observed in the lower socioeconomic group.
  • - Key factors impacting growth included maternal characteristics and delivery type, with high socioeconomic status, absence of major illnesses, and higher birth weights negatively correlated with stunting risks in SGA children.
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