Praveen Khilnani
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View article: ADVANCING THE UNDERSTANDING OF CLINICAL SEPSIS USING GENE EXPRESSION–DRIVEN MACHINE LEARNING TO IMPROVE PATIENT OUTCOMES
ADVANCING THE UNDERSTANDING OF CLINICAL SEPSIS USING GENE EXPRESSION–DRIVEN MACHINE LEARNING TO IMPROVE PATIENT OUTCOMES Open
Sepsis remains a major challenge that necessitates improved approaches to enhance patient outcomes. This study explored the potential of machine learning (ML) techniques to bridge the gap between clinical data and gene expression informati…
View article: A TRANSCRIPTOMIC APPRECIATION OF CHILDHOOD MENINGOCOCCAL AND POLYMICROBIAL SEPSIS FROM A PRO-INFLAMMATORY AND TRAJECTORIAL PERSPECTIVE, A ROLE FOR VASCULAR ENDOTHELIAL GROWTH FACTOR A AND B MODULATION?
A TRANSCRIPTOMIC APPRECIATION OF CHILDHOOD MENINGOCOCCAL AND POLYMICROBIAL SEPSIS FROM A PRO-INFLAMMATORY AND TRAJECTORIAL PERSPECTIVE, A ROLE FOR VASCULAR ENDOTHELIAL GROWTH FACTOR A AND B MODULATION? Open
This study investigated the temporal dynamics of childhood sepsis by analyzing gene expression changes associated with proinflammatory processes. Five datasets, including four meningococcal sepsis shock (MSS) datasets (two temporal and two…
View article: Application of a gene modular approach for clinical phenotype genotype association and sepsis prediction using machine learning in meningococcal sepsis
Application of a gene modular approach for clinical phenotype genotype association and sepsis prediction using machine learning in meningococcal sepsis Open
Sepsis is a major global health concern causing high morbidity and mortality rates. Our study utilized a Meningo- coccal Septic Shock (MSS) temporal dataset to investigate the correlation between gene expression (GE) changes and clinical f…
View article: Sepsis Transcriptomic Trajectory and Phenotypic Correlation Using Time Series Gene Expression from Childhood Meningococcal Infection
Sepsis Transcriptomic Trajectory and Phenotypic Correlation Using Time Series Gene Expression from Childhood Meningococcal Infection Open
Sepsis remains a leading cause of in-hospital morbidity and mortality. In the acute phase sepsis is described as a dysregulated process. The objective was to track temporal transcriptomic changes in infants with meningococcal disease (MSS)…
View article: Applying Transcriptomics for an Enhanced Clinical Research Framework, Implications for an Improved Research Strategy based on an Omics Approach: A Scoping Review
Applying Transcriptomics for an Enhanced Clinical Research Framework, Implications for an Improved Research Strategy based on an Omics Approach: A Scoping Review Open
Sepsis remains a major global health issue in pediatric and adult populations, largely due to a lack of understanding of its complex pathophysiology. Despite its high mortality rate, there have been few advancements in sepsis-specific ther…
View article: VEGF subtype A and B Gene Expression, Clues to a Temporal Signature in Kawasaki Disease, Implications for Coronary Pathogenesis through a Secondary analysis of Clinical Datasets
VEGF subtype A and B Gene Expression, Clues to a Temporal Signature in Kawasaki Disease, Implications for Coronary Pathogenesis through a Secondary analysis of Clinical Datasets Open
Background and Aim An essential issue for Kawasaki Disease (KD) is the development of coronary artery disease. We decided to investigate (VEGF) subtype gene expression in KD due to the proangiogenic nature of Vasoactive Endothelial Growth …
View article: Successful management of acquired pinhole subglottic stenosis by multidisciplinary pediatric airway team
Successful management of acquired pinhole subglottic stenosis by multidisciplinary pediatric airway team Open
The concept of neonatal and pediatric airway team is somewhat new in India. : In Western countries, though this concept has been established recently, it remains only limited to children's hospitals. We report the case of a 15-month-old gi…
View article: Gastrointestinal Issues in Critically Ill Children
Gastrointestinal Issues in Critically Ill Children Open
Due to lack of uniform diagnostic criteria, gastrointestinal (GI) complications in critically ill occur with variable frequency,1 and overall incidence of such complications seems to be less in children compared to adults. Major…
View article: Consensus Guidelines for Pediatric Intensive Care Units in India, 2020
Consensus Guidelines for Pediatric Intensive Care Units in India, 2020 Open
View article: PICU quiz
PICU quiz Open
View article: PICU quiz
PICU quiz Open
View article: PICU quiz
PICU quiz Open
View article: First line vasoactive therapy after fluid resuscitation in pediatric septic shock – Dopamine, Adrenaline or Noradrenaline?
First line vasoactive therapy after fluid resuscitation in pediatric septic shock – Dopamine, Adrenaline or Noradrenaline? Open
Severe sepsis and septic shock are the leading cause of morbidity and mortality in children all over the world, in both developed and developing nations. Surviving Sepsis Guidelines 2016 have recommended norepinephrine as the first choice …
View article: Pediatric Critical Care Medicine Training in India: Past, Present, and Future
Pediatric Critical Care Medicine Training in India: Past, Present, and Future Open
Pediatric critical care services in India have grown with leaps and bounds. There has been a growing need of physicians specially trained in pediatric critical care medicine (PCCM) in India. Physicians returning to India after their formal…
View article: A rare presentation of refractory seizures in a case of Hypomagnesemia With Secondary Hypocalcaemia (HSH) caused by a novel TRPM6 gene mutation
A rare presentation of refractory seizures in a case of Hypomagnesemia With Secondary Hypocalcaemia (HSH) caused by a novel TRPM6 gene mutation Open
A 1.8 year old male child born of a non-consanguineous marriage presented with loose stools and refractory seizures. He had severe hypomagnesemia (0.36mg/dl) with hypocalcaemia (4.8mg/dl,iCa 0.4mmol/l). Vitamin D (28 ng/ml) level was sligh…
View article: Anticoagulation on extracorporeal membrane oxygenation (ECMO)
Anticoagulation on extracorporeal membrane oxygenation (ECMO) Open
Introduction: Extracorporeal circulation has been around for more than half a century, but many questions remain regarding how to best achieve anticoagulation in a patient on extracorporeal membrane oxygenation (ECMO). Although unfractiona…
View article: Adrenal dysfunction in critical care settings
Adrenal dysfunction in critical care settings Open
Adrenal insufficiency (AI) is a frequently discussed but inadequately understood condition among critically ill patients. Increased glucocorticoid action is an essential component of the stress response. Dysfunction of the HPA axis in crit…
View article: Traumatic brain injury in PICU
Traumatic brain injury in PICU Open
Traumatic brain injuries (TBI) and its complications are a leading cause of morbidity, mortality, disability and socioeconomic losses in India and other developing countries. Especially in children it poses a significant global public heal…
View article: Guest editorial pediatric trauma, it is time to act
Guest editorial pediatric trauma, it is time to act Open
View article: Common problems and troubleshooting on ECMO run
Common problems and troubleshooting on ECMO run Open
The technological advances in ECMO have changed to enhance safety, accessibility and facilitate its use, contributing to decreased morbidity and improved survival of patients requiring ECMO support. Major advances in ECMO deployment parall…
View article: Traumatic brain injury in PICU
Traumatic brain injury in PICU Open
View article: Sick euthyroid syndrome: A myth or reality
Sick euthyroid syndrome: A myth or reality Open
Altered thyroid function in non-thyroidal illness(NTI) is a well-recognized finding. The term euthyroid sick syndrome (SES) identifies abnormalities in thyroid function observed in patients with systemic nonthyroidal illnesses (NTIs). SES …
View article: ECMO extra corporeal membrane oxygenation guest editorial
ECMO extra corporeal membrane oxygenation guest editorial Open
In today's world of critical care medicine, Extra Corporeal Life Support (ECLS/ECMO) is an extension to the current practices of life support such as ventilator care and inotropic use providing cardio respiratory support. When the failing …
View article: PICU quiz
PICU quiz Open
View article: Medical management and perioperative issues in pediatric pheochromocytoma – A case report with review of literature
Medical management and perioperative issues in pediatric pheochromocytoma – A case report with review of literature Open
Pheochromocytoma is a tumor arising out of embryological neural crest, being a tumor of adrenal medulla secreting predominantly norepinephrine as well as epinephrine(about 20% cases) leading to frequent surges of vasopressor catecholamines…
View article: Extracorporeal membrane oxygenation: A review
Extracorporeal membrane oxygenation: A review Open
Extracorporeal membrane oxygenation (ECMO) is used to support heart and lungs for extended periods of time till the underlying disease process is treated by use of a semi permeable membrane oxygenator .In 70s ECMO as a treatment modality i…
View article: Clinical management of diabetic ketoacidosis
Clinical management of diabetic ketoacidosis Open
Diabetic Ketoacidosis (DKA) is a commonly seen condition in Pediatric age group requiring admission to the PICU. The scope of this article is to discuss the management of children with moderate to severe DKA requiring hospital- ization. El…
View article: Guest editorial pediatric trauma, it is time to act
Guest editorial pediatric trauma, it is time to act Open
View article: Journal scan
Journal scan Open
View article: JOURNAL OF PEDIATRIC CRITICAL CARE
JOURNAL OF PEDIATRIC CRITICAL CARE Open