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Neonatal conditions in primary health care

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https://www.readbyqxmd.com/read/27666259/maternal-and-child-health-care-services-in-albania
#1
Donjeta Bali, Georgina Kuli-Lito, Nedime Ceka, Anila Godo
Albania has one of the youngest populations among the European countries. Albania continues to be involved in a progressive improvement of standards for the protection and respect of children's rights to health. We describe the Albanian pediatric health system, with a particular focus on pediatric primary health care and, first access care, and the structure and staffing of health centers and women and children's consulting centers. Secondary and tertiary pediatric care and neonatal care are also described...
October 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27638987/joint-sogc-ccmg-opinion-for-reproductive-genetic-carrier-screening-an-update-for-all-canadian-providers-of-maternity-and-reproductive-healthcare-in-the-era-of-direct-to-consumer-testing
#2
R Douglas Wilson, Isabelle De Bie, Christine M Armour, Richard N Brown, Carla Campagnolo, June C Carroll, Nan Okun, Tanya Nelson, Rhonda Zwingerman, Francois Audibert, Jo-Ann Brock, Richard N Brown, Carla Campagnolo, June C Carroll, Isabelle De Bie, Jo-Ann Johnson, Nan Okun, Melanie Pastruck, Karine Vallée-Pouliot, R Douglas Wilson, Rhonda Zwingerman, Christine Armour, David Chitayat, Isabelle De Bie, Sara Fernandez, Raymond Kim, Josee Lavoie, Norma Leonard, Tanya Nelson, Sherry Taylor, Margot Van Allen, Clara Van Karnebeek
OBJECTIVE: This guideline was written to update Canadian maternity care and reproductive healthcare providers on pre- and postconceptional reproductive carrier screening for women or couples who may be at risk of being carriers for autosomal recessive (AR), autosomal dominant (AD), or X-linked (XL) conditions, with risk of transmission to the fetus. Four previous SOGC- Canadian College of Medical Geneticists (CCMG) guidelines are updated and merged into the current document. INTENDED USERS: All maternity care (most responsible health provider [MRHP]) and paediatric providers; maternity nursing; nurse practitioner; provincial maternity care administrator; medical student; and postgraduate resident year 1-7...
August 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27477829/221-newborn-screened-neonates-with-medium-chain-acyl-coenzyme-a-dehydrogenase-deficiency-findings-from-the-inborn-errors-of-metabolism-collaborative
#3
Kristi Bentler, Shaohui Zhai, Sara A Elsbecker, Georgianne L Arnold, Barbara K Burton, Jerry Vockley, Cynthia A Cameron, Sally J Hiner, Mathew J Edick, Susan A Berry
INTRODUCTION: There is limited understanding of relationships between genotype, phenotype and other conditions contributing to health in neonates with medium-chain acyl-coenzyme A dehydrogenase deficiency (MCADD) identified through newborn screening. METHODS: Retrospective analysis of comprehensive data from a cohort of 221 newborn-screened subjects identified as affected with MCADD in the Inborn Errors of Metabolism - Information System (IBEM-IS), a long term follow-up database of the Inborn Errors of Metabolism Collaborative, was performed...
September 2016: Molecular Genetics and Metabolism
https://www.readbyqxmd.com/read/27187531/extracorporeal-membrane-oxygenation-for-pediatric-respiratory-failure-risk-factors-associated-with-center-volume-and-mortality
#4
Brandon W Kirkland, Jacob Wilkes, David K Bailly, Susan L Bratton
OBJECTIVES: Recent analyses show higher mortality at low-volume centers providing extracorporeal membrane oxygenation. We sought to identify factors associated with center volume and mortality to explain survival differences and identify areas for improvement. DESIGN: Retrospective cohort study. SETTING: Patients admitted to children's hospitals in the Pediatric Health Information System database and supported with extracorporeal membrane oxygenation for respiratory failure from 2003 to 2014...
August 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27101821/factors-associated-with-adoption-of-beneficial-newborn-care-practices-in-rural-eastern-uganda-a-cross-sectional-study
#5
Michael O Owor, Joseph K B Matovu, Daniel Murokora, Rhoda K Wanyenze, Peter Waiswa
BACKGROUND: Beneficial newborn care practices can improve newborn survival. However, little is known about the factors that affect adoption of these practices. METHODS: Cross-sectional study conducted among 1,616 mothers who had delivered in the past year in two health sub-districts (Luuka and Buyende) in Eastern Uganda. Data collection took place between November and December 2011. Data were collected on socio-demographic and economic characteristics, antenatal care visits, skilled delivery attendance, parity, distance to health facility and early newborn care knowledge and practices...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27010482/antenatal-care-utilisation-and-content-between-low-risk-and-high-risk-pregnant-women
#6
COMPARATIVE STUDY
Ping Ling Yeoh, Klaus Hornetz, Maznah Dahlui
BACKGROUND: The purpose of antenatal care is to monitor and improve the wellbeing of the mother and foetus. The World Health Organization recommends risk-oriented strategy that includes: (i) routine care to all women, (ii) additional care for women with moderately severe diseases and complications, (iii) specialised obstetrical and neonatal care for women with severe diseases and complications. Antenatal care is concerned with adequate care in order to be effective. Measurement for adequacy of antenatal care often applies indexes that assess initiation of care and number of visits...
2016: PloS One
https://www.readbyqxmd.com/read/26816181/childcare-in-the-neonatal-period-evaluation-of-neonatal-mortality-reduction-pact-in-rio-grande-do-norte-brazil
#7
Josilene Maria Ferreira Pinheiro, Lorena dos Santos Tinoco, Adriana Souza da Silva Rocha, Maísa Paulino Rodrigues, Clélia de Oliveira Lyra, Maria Ângela Fernandes Ferreira
The objective was to evaluate the childcare actions in the neonatal period from the strategies recommended by the Ministry of Health. Cross-sectional study carried out from the database of the national population-based survey entitled "Chamada Neonatal" (Neonatal Call--in English): assessment of attention to prenatal care and to children under one year in the North and Northeast, which happened in the nine priority municipalities for the Pact of reducing child mortality and Neonatal in Rio Grande do Norte, Brazil with 837 mother/child pairs...
January 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/26792061/what-can-pakistan-do-to-address-maternal-and-child-health-over-the-next-decade
#8
Zulfiqar A Bhutta, Assad Hafeez
Pakistan faces huge challenges in meeting its international obligations and agreed Millennium Development Goal targets for reducing maternal and child mortality. While there have been reductions in maternal and under-5 child mortality, overall rates are barely above secular trends and neonatal mortality has not reduced much. Progress in addressing basic determinants, such as poverty, undernutrition, safe water, and sound sanitary conditions as well as female education, is unsatisfactory and, not surprisingly, population growth hampers economic growth and development across the country...
November 25, 2015: Health Research Policy and Systems
https://www.readbyqxmd.com/read/26611822/prenatal-interventions-for-congenital-diaphragmatic-hernia-for-improving-outcomes
#9
REVIEW
Rosalie M Grivell, Chad Andersen, Jodie M Dodd
BACKGROUND: Congenital diaphragmatic hernia (CDH), is an uncommon but severe condition in which there is a developmental defect in the fetal diaphragm, resulting in liver and bowel migrating to the chest cavity and impairing lung development and function for the neonate. This condition can be diagnosed during pregnancy and as such, is potentially amenable to in-utero prenatal intervention. Neonatal surgical repair is possible, but even with early surgical repair and improving neonatal management, neonatal morbidity and mortality is high...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26601691/increasing-maternal-body-mass-index-during-pregnancy-increases-neonatal-intensive-care-unit-admission-in-near-and-full-term-infants
#10
Debbie Suk, Taehee Kwak, Nayaab Khawar, Samantha Vanhorn, Carolyn M Salafia, Madhu B Gudavalli, Pramod Narula
BACKGROUND: Obesity is becoming an increasingly commonplace health problem. Obesity during pregnancy is important because the condition adversely affects not only the mother, but also the developing fetus and the newborn. OBJECTIVE: The primary objective of this study was to evaluate the association between maternal body mass index (mBMI) at the time of delivery and neonatal intensive care unit (NICU) admission of offspring and to analyze the role of possible confounding variables that are often associated with obesity...
October 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26408070/antibiotics-for-preventing-lower-respiratory-tract-infections-in-high-risk-children-aged-12-years-and-under
#11
REVIEW
Igho J Onakpoya, Gail Hayward, Carl J Heneghan
BACKGROUND: Lower respiratory tract infections (LRTIs) in young children account for 1.4 million deaths annually worldwide. Antibiotics could be beneficial in preventing LRTIs in high-risk children, and may also help prevent school absenteeism and work days missed by children and/or carers. While it is well documented that the efficacy of antibiotic prophylaxis for RTIs decreases over time, there are no reviews that describe the use of antibiotic prophylaxis to prevent LRTIs in high-risk children aged 12 years and under...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26313072/the-role-of-facility-based-surgical-services-in-addressing-the-national-burden-of-disease-in-new-zealand-an-index-of-surgical-incidence-based-on-country-specific-disease-prevalence
#12
Phil Hider, Leona Wilson, John Rose, Thomas G Weiser, Russell Gruen, Stephen W Bickler
BACKGROUND: Surgery is a crucial component of health systems, yet its actual contribution has been difficult to define. We aimed to link use of national hospital service with national epidemiological surveillance data to describe the use of surgical procedures in the management of a broad spectrum of conditions. METHODS: We compiled Australian Modification-International Classification of Diseases-10 codes from the New Zealand National Minimum Dataset, 2008-11. Using primary cause of admission, we aggregated admissions to 91 hospitals into 119 disease states and 22 disease subcategories of the WHO Global Health Estimate (GHE)...
April 27, 2015: Lancet
https://www.readbyqxmd.com/read/26294830/prevalence-and-causes-of-thrombocytopenia-in-an-academic-state-sector-laboratory-in-soweto-johannesburg-south-africa
#13
J L Vaughan, J Fourie, S Naidoo, N Subramony, T Wiggill, N Alli
BACKGROUND: Causes of thrombocytopenia range from laboratory errors to life-threatening pathological conditions. To establish the cause, appropriate laboratory investigation is required. OBJECTIVES: To determine the prevalence and causes of platelet counts <100 × 10(9)/L in state health facilities in Johannesburg, South Africa, as well as the quality of the subsequent laboratory work-up in this setting. METHODS: Full blood counts (FBCs) performed on 7 randomly selected days at the National Health Laboratory Service laboratory at Chris Hani Baragwanath Academic Hospital were retrospectively reviewed...
March 2015: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/26293988/factors-associated-with-avoidable-hospitalisation-of-children-younger-than-2-years-old-the-2006-brazilian-national-demographic-health-survey
#14
Tulio Konstantyner, Laís Amaral Mais, José A A C Taddei
INTRODUCTION: Ambulatory Care Sensitive Conditions (ACSC) are conditions for which hospitalisation is thought to be avoidable with the use of effective preventive care and early disease management. The objective of this study was to estimate the rate of avoidable hospitalisations in children younger than 24 months of age participating in a Brazilian national representative survey and to identify the risk factors for such hospitalisations. METHODS: We analysed data from a cross-sectional study of 1901 children from the 2006 Brazilian National Demographic Health Survey of Women and Children (NDHS)...
2015: International Journal for Equity in Health
https://www.readbyqxmd.com/read/26184341/scaling-up-impact-in-perinatology-through-systems-science-bridging-the-collaboration-and-translational-divides-in-cross-disciplinary-research-and-public-policy
#15
REVIEW
Wolfgang Munar, Peter S Hovmand, Carrie Fleming, Gary L Darmstadt
Despite progress over the past decade in reducing the global burden of newborn deaths, gaps in the knowledge base persist, and means of translating empirical findings into effective policies and programs that deliver life-saving interventions remain poorly understood. Articles in this issue highlight the relevance of transdisciplinary research in perinatology and calls for increased efforts to translate research into public policy and to integrate interventions into existing primary care delivery systems. Given the complexity and multi-causality of many of the remaining challenges in newborn health, and the effects that social and economic factors have over many newborn conditions, it has further been proposed that integrated, multi-sector public policies are also required...
August 2015: Seminars in Perinatology
https://www.readbyqxmd.com/read/26110914/paracetamol-acetaminophen-for-prevention-or-treatment-of-pain-in-newborns
#16
REVIEW
Arne Ohlsson, Prakeshkumar S Shah
BACKGROUND: Newborn infants have the ability to experience pain. Newborns treated in neonatal intensive care units are exposed to numerous painful procedures. Healthy newborns are exposed to pain if the birth process consists of assisted vaginal birth by vacuum extraction or by forceps and during blood sampling for newborn screening tests. OBJECTIVES: Primary objectiveTo determine the efficacy and safety of paracetamol for the prevention or treatment of procedural/postoperative pain or pain associated with clinical conditions in neonates...
June 25, 2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26102375/risk-prediction-for-adverse-pregnancy-outcomes-in-a-medicaid-population
#17
Neera K Goyal, Eric S Hall, James M Greenberg, Elizabeth A Kelly
BACKGROUND: Despite prior efforts to develop pregnancy risk prediction models, there remains a lack of evidence to guide implementation in clinical practice. The current aim was to develop and validate a risk tool grounded in social determinants theory for use among at-risk Medicaid patients. METHODS: This was a retrospective cohort study of 409 women across 17 Cincinnati health centers between September 2013 and April 2014. The primary outcomes included preterm birth, low birth weight, intrauterine fetal demise, and neonatal death...
August 2015: Journal of Women's Health
https://www.readbyqxmd.com/read/26021374/survey-of-italian-pediatricians-perspectives-and-knowledge-about-neonatal-screening
#18
Alberto B Burlina, Giovanni Corsello
BACKGROUND: The goal of newborn screening is early identification of babies with a high risk for disorders that may not be clinically evident at birth, but have severe consequences if untreated. New insight into inherited diseases and the ability to test for numerous diseases using new technique such as tandem mass spectrometry have made it practical to greatly expand the number of conditions tested. The expanded neonatal screening is now available and relatively simple, but this represents only a part of the picture...
2015: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/25949563/silently-lost-in-a-sea-of-infections
#19
Delan Devakumar
KEY MESSAGES: This article highlights some of the problems faced in working in resource poor settings. While the situation may differ from general practice in London, many of the same principles apply.It highlights the importance of keeping hearing loss in mind when seeing children with other conditions.It shows some of the principles in the Alma Ata declaration, such as the inequity in treatment between developed and developing world settings, health care rationing and the concept of health including social well-being...
2008: London Journal of Primary Care
https://www.readbyqxmd.com/read/25948148/improving-neonatal-care-in-district-and-community-health-facilities-in-south-africa
#20
REVIEW
David Lawrance Woods
A high standard of newborn care, especially at a primary level, is needed to address the neonatal mortality rate in South Africa. The current approach to continuing training of health-care workers uses traditional methods of centralised teaching by formal tutors away from the place of work. This is no longer affordable, achievable or desirable, particularly in rural areas. An innovative system of self-directed learning by groups of nurses caring for mothers and their newborn infants uses specially prepared course books without the need for trainers...
August 2015: Paediatrics and International Child Health
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