Kamaldeep Arora

Dayanand Medical College & Hospital

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Trends

Author Order

Document Type

Co-Authors

Rashmi Ranjan Das

All India Institute of Medical Sciences Bhubaneswar

Adarsha Narayan Mallick

Indian Institute of Technology Ropar

Puneet A. Pooni

Dayanand Medical College & Hospital

Ashish Kumar Sahani

Indian Institute of Technology Ropar

Priyanka Arora

ORCID

Bijit Basumatary

Indian Institute of Technology Ropar

Mukesh Kumar

Indian Institute of Technology Ropar

Shruti Kakkar

Dayanand Medical College & Hospital

Deepak Bhat

Dayanand Medical College & Hospital

Gurdeep Singh Dhooria

Dayanand Medical College & Hospital

Cooperative Institutions

Dayanand Medical College & Hospital

All India Institute of Medical Sciences

Post Graduate Institute of Medical Education and Research

Public Works Department Buildings and Roads

Creative Commons

Indian Institute of Technology Ropar

Institute of Medical Sciences

Punjab Institute of Medical Sciences

All India Institute of Medical Sciences Bhopal

All India Institute of Medical Sciences Raipur

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Field

Pseudoaneurysm of Left Ventricle following Staphylococcal Pericarditis in a Child.

PubMed (2015)

Kamaldeep Arora Rashmi Ranjan Das Rohit Tandon Kajal Goyal Shasanka Shekhar Panda

Formation of pseudo-aneurysm of the left ventricle is a rare entity particularly in the pediatric age group. We report a case of a pseudo-aneurysm of the left ventricle in a 6-year-old boy who initially presented to us with staphylococcus aureus septicemia. The left ventricular pseudo-aneurysm was surgically resected and the boy was discharged in a healthy condition.

Pseudoaneurysm

Heart Aneurysm

Source

Cite

Citations (2)

Lethal Congenital Malformations in Fetuses—Antenatal Ultrasound or Perinatal Autopsy

Fetal and Pediatric Pathology (2017)

Sumit Grover Bhavna Garg Neena Sood Kamaldeep Arora

Background: Congenital malformations (CMF) are major causes of fetal demise which can be detected antenatally by Ultrasonography (USG). Methods: We studied 100 perinatal autopsies for CMF. Sensitivity of USG was determined and accuracy of USG with that of autopsy was compared. Results: At Autopsy 134 individual CMF were seen in 40 cases. The sensitivity of USG in detecting major CMF was 54.47%. A complete agreement between autopsy and USG findings was seen in 13/40 (32.5%) and partial agreement in 17/40 (42.5%) fetuses while autopsy completely changed antenatal diagnosis in 10/40 (25%) fetuses. Major findings were added in all 17 fetuses with partial agreement. In 2 cases, CMF suspected on USG were not detected on autopsy due to fetal maceration. Conclusion: Autopsy significantly adds to the prenatal USG diagnosis and may help in predicting the probability of recurrence, and thus counseling the affected couple to prevent any such future event.

Congenital malformations

Prenatal ultrasound

Fetal death

Neonatal death

10.1080/15513815.2017.1303859

Cite

Citations (10)

G405(P) To evaluate and compare the efficacy of combined sucrose and non-nutritive sucking for analgesia in newborns undergoing minor painful procedure: A randomised controlled trial

Archives of Disease in Childhood (2016)

Pareshkumar A. Thakkar Kamaldeep Arora Kartik Goyal R Das

Aim

Neonates frequently undergo minor painful procedures for which they are often not offered any analgesia. Sucrose and Non-nutritive sucking (NNS) can be effective non-pharmacological methods for pain relief in neonates. Aim of the study was to evaluate and compare the efficacy of combined sucrose and non-nutritive sucking for analgesia in newborn infants undergoing minor painful procedure.

Methods

This randomised control trial (RCT) was conducted in the neonatal intensive care unit of a tertiary care hospital over a period of one year. 180 full term neonates with birth-weight >2200 g and age >24 h were randomised to one of four interventions administered two min before the procedure: 2 ml of 30% sucrose (group I, n = 45) or non-nutritive sucking (NNS) (group II, n = 45) or both (group III, n = 45) or none (group IV, n = 45). Primary outcome was composite score based on Premature Infant Pain Profile (PIPP) score.

Results

Baseline variables were comparable among the groups. Mean (±SD) PIPP score was 3.42 ± 1.6 in group III, 7.47 ± 1.6 in group I, 8.42 ± 2.5 in group II, and 12.49 ± 2.9 in group IV. Group III had significant decrease in the mean PIPP score compared to other groups (p = 0.001). Mean PIPP score also decreased significantly with any intervention as compared to no intervention (p = 0.001).

Conclusions

Sucrose and NNS in combination are effective in providing analgesia in full term neonates undergoing minor painful procedure, with the combined intervention being more effective than single intervention.

Pain score

Group B

10.1136/archdischild-2016-310863.395

Cite

Citations (0)

Bilateral geographical ulcer in a neonate

The Brazilian Journal of Infectious Diseases (2013)

Priyanka Arora Suma Ganesh Kamaldeep Arora Rashmi Ranjan Das

10.1016/j.bjid.2013.07.005

Cite

Citations (2)

Retinopathy of Prematurity: Incidence and Risk Factor Analysis in Small for Gestational Age Neonates Compared to Appropriate for Gestational Age

Journal of Pharmacy And Bioallied Sciences (2023)

Priyanka Arora Madhushmita Mahapatra Kamaldeep Arora

To analyze the incidence of retinopathy of prematurity (ROP) among preterm neonates who were born small for gestational age (SGA) and appropriate for gestational age (AGA).A prospective cohort study among preterm neonates born <34 weeks of gestational age (GA) and <2000 grams birth weight (BW) was conducted. The neonates were divided into AGA and SGA group. Incidence of ROP and risk factors was compared among the groups.290 neonates were screened [AGA: 240 (82.8%); SGA: 50 (17.2%)]. The mean birth-weight and gestational age were 1510.7 ± 390.64 grams and 31.4 ± 4.8 weeks, respectively. The incidence of ROP in AGA and SGA was 30.2% and 33%, respectively (P = 0.58), whereas the incidence of type 1 ROP in AGA and SGA was 14% and 19% (P = 0.41). Male sex, anemia, oxygen administration, surfactant administration, sepsis, and PIH were independent significant risk factors for ROP on multivariate analysis.This study showed that both AGA and SGA premature infants have similar incidence of ROP. SGA is not an independent risk factor for ROP.

10.4103/jpbs.jpbs_130_23

Cite

Citations (2)

A study of the prevalence and risk factors of asthma in urban schools of Ludhiana, Punjab

Indian Journal of Health Sciences and Biomedical Research (KLEU) (2015)

Rashmi Ranjan Das Kamaldeep Arora PuneetA Pooni Rashi Rustagi Daljit Singh

Background: Asthma is the most common chronic childhood disease being increasingly diagnosed in recent years. A review estimating the prevalence of bronchial asthma in the Indian children concluded the burden to be high than previously understood. There is paucity of data from Punjab, and no study from Ludhiana has estimated the true prevalence of asthma in urban area. Objective: To determine the prevalence and risk factors for childhood asthma using questionnaires and pulmonary function tests. Material and Methods: This was a questionnaire based cross-sectional study over a period of 1.5 year in the age group of 5-15 years studying in three schools of urban Ludhiana. The data were analyzed b STATA Software (version 16, college station Tx, USA). P < 0.05 was considered as significant. Results: The retrieval of questionnaire I was possible in 80% of the 2500 distributed. The prevalence of asthma was calculated as 7.5% (95% confidence interval, 5.2-10.5). The mean age of the children with asthma was 8.67 2.62 years. The most common symptoms reported by the cases were wheezing and seasonal allergy. No predilection for sex, socioeconomic status, and pet at home was noted. The family history of asthma and allergy, family history of smoking were emerged as significant risk factors. Conclusions: The prevalence of asthma in the urban schools of Ludhiana was found to be 7.5% which was much higher than previously reported. Age groups 5-8 years were commonly affected. Family history of asthma or allergy, and smoking history were found to be significant risk factors for development of asthma.

10.4103/2349-5006.174237

Cite

Citations (5)

PP-098 Lung ultrasound compared to chest X ray in diagnosing RDS: a prospective cohort study

Himanshi Sharma Kamaldeep Arora Mehak Munjal Kavita Saggar Puneet A. Pooni

Aim

Chest X ray has been used in diagnosing RDS since long. Lung Ultrasound is an upcoming bedside, point of care modality with no radiation exposure to diagnose RDS. This study aims to compare lung ultrasound and traditional chest X ray for diagnosing respiratory distress syndrome.

Material and Method

This study was conducted in level III Neonatal Intensive Care Unit of a tertiary care Hospital. Preterm newborns (GA <34 weeks) with respiratory distress (Downe s greater than 4) within 2 hours of birth, and FiO2 >0.3% were included in this study. Chest X ray and Lung ultrasound were done within 2 hours of birth. Preterm Neonates with FiO2 requirement of >0.4% with RDS were given surfactant. Also neonates with septic shock, Chorioamnionitis, Meconium Aspiration Syndrome and antenatally diagnosed congenital lung disease were excluded from the study. Data was analysed using SPSS software. P Value of <0.5 was significant.

Results

Out of total 180 preterm newborns, We enrolled 70 cases. Mean gestational age was 30.17 + 2.90 weeks. Median Birth weight was 1387 grams (IQR 865 - 1850 grams). As per chest X Ray 72% cases were suggestive of Hyaline Membrane Disease. As per criteria (FiO2 > 40% and RDS) 45.7% (31 cases ) were given surfactant. Lung Ultrasound done within 2 hours of birth was suggestive of RDS in 53.7% cases. Area under Curve for Lung ultrasound was 0.89 and score of 8 was kept cut off.

Conclusions

Lung ultrasound along with FiO2 requirement has a predictive value to administer surfactant in preterm neonates.

Lung Ultrasound

10.1136/bmjpo-2024-epac.242

Cite

Citations (0)

Correlates of Perceived Stress and Professional Quality of Life Among Nurses Working in Neonatal Intensive Care Units (NICU) in North India: A Multicenter Study

Journal of Neonatology (2023)

Shivani Mohit Sharma sonakshi Jatinder Singh Kamaldeep Arora

Objective To estimate the levels of perceived stress and determine the professional quality of life domains namely, compassion satisfaction, burnout, and secondary trauma and their associated factors in neonatal intensive care unit (NICU) nurses. Methods A multicenter cross-sectional study was carried out across a number of NICUs in North India from May to June 2022. A total of 223 nurses included in the study were given a self-administered questionnaire consisting of their sociodemographic profile, work profile, PSS 14 scale, and ProQol 5 scale. Data was analyzed using descriptive statistics, correlation coefficient, and multiple regression. Results Based on PSS 14, 52(23.3%), 132(59.2%), and 39(17.5%) nurses experienced mild, moderate, and severe stress, respectively. Burnout and secondary trauma were found to be average in the majority of nurses (178[79.8%] and 175 [78.5%], respectively) in regard to professional quality of life domains. A sizable portion of the nurses was found to have average to high compassion satisfaction. Factors such as more number of night duties, alarms and lights in NICU, lesser professional experience, high workload, being unmarried, and having no children were found to be significant in association with perceived stress and professional quality of life. Conclusion According to this study, the majority of nurses who work in NICUs experience moderate levels of stress, which negatively impacts their professional quality of life. Therefore, it is important to consider various stress management programs based on the stressors.

Stressor

Compassion fatigue

10.1177/09732179231151756

Cite

Citations (3)

Pregnancy Outcomes in Isolated Oligohydramnios during Second Trimester: A Case Series

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH (2017)

Ashima Taneja Kamaldeep Arora Isha Chopra Sushree Samiksha Naik

Oligohydramnios is associated with increased maternal and foetal morbidities. However, some of the recent studies have shown no adverse effect of isolated oligohydramnios on perinatal outcome and recommends continuation of pregnancy. Pregnancies between 18-28 weeks with isolated Oligohydramnios were included. History and physical examination was recorded in a pre-designed proforma. All the cases received care as per the protocol. A total of seven patients were recruited of which one was a twin pregnancy with Oligohydramnios in both sacs. The mean age at presentation was 30 years. Three patients went into spontaneous explusion at an average gestational age of 22-24 weeks. One patient with twins delivered vaginally at 32 weeks. Rest were delivered by caesarean section between 34-35 weeks (indication in majority of the cases was foetal distress and cord compression). None of the babies suffered any complication and were discharged in good condition. Isolated oligohydramnios during second trimester does not increase adverse perinatal outcome significantly (but increases the caesarean section rate) and therefore, should not be an indication for termination of pregnancy.

10.7860/jcdr/2017/27722.10502

Cite

Citations (10)

Primary spontaneous bilateral pneumothorax in a neonate.

PubMed (2014)

Kamaldeep Arora Shasanka Shekhar Panda Rashmi Ranjan Das Pankaj Kumar Mohanty Meely Panda

Pneumothorax, though rare, is a recognized cause of respiratory distress in the immediate newborn period. It may occur spontaneously or secondary to various underlying lung diseases. Here we share our experience of a neonate with spontaneous pneumothorax with mild to moderate respiratory distress, who recovered completely with conservative management with an oxygen-enriched atmosphere and no surgical intervention.

Conservative Management

Source

Cite

Citations (1)