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https://www.readbyqxmd.com/read/28055027/interdisciplinary-onsite-team-based-simulation-training-in-the-neonatal-intensive-care-unit-a-pilot-report
#1
D J W Reed, R L Hermelin, C S Kennedy, J Sharma
OBJECTIVE: Simulation training improves individual clinician confidence, performance and self-efficacy in resuscitation and procedural training experiences. The reality of resuscitation experiences in the neonatal intensive care unit (NICU) is that they are team-accomplished events. However, limited data exist on team-based simulation training (TBST) in the NICU. We report the experience of TBST over a 4-year period. STUDY DESIGN: This is a retrospective report of 65 TBST events in a 71-bed Level IV NICU at a regional subspecialty children's hospital...
January 5, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/28050517/prosthodontic-approach-in-management-of-prolonged-neonatal-intubation
#2
Vikas B Kamble, Shital K Shah, Vishnu B Rathod, Priyanka S Ambadkar, Charudutt N Patil
Intubation is a routine intervention in the Neonatal Intensive Care Unit (NICU) for preterm neonates with respiratory distress, inadequate gag reflex, poor sucking and swallowing. Prolonged intubation in neonates can be done by nasal or oral route. Although naso-tracheal intubation may reduce movement of the tube, it may contribute to airway obstruction, possible hypoxia, and occlusion of the nasal aperture during a crucial period of development further contributing to laboured breathing. Being obligate nasal breathers, oro-tracheal route is the preferred method of intubation in premature infants as oral mucosa is less susceptible to damage than nasal mucosa...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28040456/exhaled-breath-condensate-analysis-from-intubated-newborns-by-nano-hplc-coupled-to-high-resolution-ms
#3
A S Kononikhin, N L Starodubtseva, V V Chagovets, A Y Ryndin, A A Burov, I A Popov, A E Bugrova, R A Dautov, A O Tokareva, Y L Podurovskaya, O V Ionov, V E Frankevich, E N Nikolaev, G T Sukhikh
Invasiveness of examination and therapy methods is a serious problem for intensive care and nursing of premature infants. Exhaled breath condensate (EBC) is the most attractive biofluid for non-invasive methods development in neonatology for monitoring the status of intubated infants. The aim of the study was to propose an approach for EBC sampling and analysis from mechanically ventilated neonates. EBC collection system with good reproducibility of sampling was demonstrated. Discovery-based proteomic and metabolomic studies were performed using nano-HPLC coupled to high resolution MS...
December 23, 2016: Journal of Chromatography. B, Analytical Technologies in the Biomedical and Life Sciences
https://www.readbyqxmd.com/read/28011739/surgical-management-of-aortic-coarctation-in-adolescents-and-adults
#4
Kanhua Yin, Zhiqi Zhang, Yi Lin, Changfa Guo, Yongxin Sun, Ziwei Tian, Qiuchen Xie, Chunsheng Wang
OBJECTIVES: Coarctation of the aorta (CoA) in adolescents and adults is often complicated by other cardiac or aortic problems and may carry additional surgical difficulties. Limited studies have reported the surgical outcomes of CoA repair in this particular patient population. We reviewed our contemporary experience of open surgical management of CoA in adolescents and adults. METHODS: From 2008 to 2016, a total of 60 adolescents and adults (mean age, 32 years) underwent CoA repair at our centre...
December 22, 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/28007049/comparable-risk-of-childhood-asthma-after-vaginal-delivery-and-emergency-caesarean-section
#5
Nis Brix, Lonny Stokholm, Fjola Jonsdottir, Kim Kristensen, Niels Jørgen Secher
INTRODUCTION: Caesarean section is thought to be a risk factor for childhood asthma, but this association may be caused by confounding from, for instance, familial factors. To address this problem, we used twin pairs to assess the risk of childhood asthma after emergency caesarean section. METHODS: The study was a register-based nation-wide matched cohort study using twin pairs to minimise residual confounding. Included were twin pairs in which the first twin was delivered vaginally and the second by emergency caesarean section during the study period from January 1997 through December 2012...
January 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/27994306/a-rare-case-of-hamartoma-chest-wall-following-trauma-in-a-42-year-old-man
#6
Mojtaba Ahmadinejad, Asghar Alie Pour, Peyman Khadem Hosseini, Amir Masoud Hashemian, Koorosh Ahmadi
BACKGROUND: Chest wall mesenchymal hamartoma (CWH) is a distinct and extremely rare tumor-like lesion of the thorax. It usually presents in the neonatal period or in infancy. The common presentation is in the form of a visible chest wall mass with or without respiratory distress. CASE PRESENTATION: A 42-year-old man with a history of chest wall trauma since 5 years ago was admitted with a swelling of the anterior of the chest wall and during this period has grown slowly...
October 2016: Medical Archives
https://www.readbyqxmd.com/read/27988062/review-eicosanoids-in-preterm-labor-and-delivery-potential-roles-of-exosomes-in-eicosanoid-functions
#7
REVIEW
H N Peiris, K Vaswani, F Almughlliq, Y Q Koh, M D Mitchell
Preterm delivery is a major obstetric health problem contributing to poor neonatal outcome including low birth weight, respiratory distress syndrome, gastrointestinal, immunologic, central nervous system, hearing, and vision problems. Worldwide, approximately 15 million babies are born prematurely each year. The critical question which remains is how to identify women destined to deliver preterm from those who will achieve a term delivery. Prostaglandins, in all mammals are important in the parturient process...
December 9, 2016: Placenta
https://www.readbyqxmd.com/read/27890454/effect-of-phototherapy-on-b-and-t-lymphocytes-in-egyptian-infants-suffering-from-neonatal-jaundice
#8
I K Eyada, A L El Saie, G A Ibrahem, N M Riad
BACKGROUND: Neonatal jaundice is one of the most common problems that affect newborn infants, and phototherapy is usually used for treatment. OBJECTIVES: Evaluation of the effect of phototherapy on neonatal immune system through measuring the percentage of B and T lymphocytes and determining the frequency of development of infections and need for hospitalisation during the first six months of life. METHODS: A prospective cohort study was conducted on 50 full term new-borns; 25 with indirect hyperbilirubinaemia and treated with conventional phototherapy and 25 healthy matched neonates as untreated controls...
November 24, 2016: Allergologia et Immunopathologia
https://www.readbyqxmd.com/read/27811529/adult-outcomes-after-newborn-respiratory-failure-treated-with-extracorporeal-membrane-oxygenation
#9
William A Engle, Karen W West, Gail A Hocutt, Eugenia K Pallotto, Barbara Haney, Rachel J Keith, Dan L Stewart, Ellen Knodel, Denise Suttner, Rachel Chapman, Alison Thomas, Beverly Schwerin, Eileen Stork, Moira Crowley, Anthony J Piazza, Micheal L Heard, Netsanet Gebregziabher, William Fadel, Robert Bartlett
OBJECTIVE: To describe the outcome of young adults treated for hypoxemic respiratory failure with extracorporeal membrane oxygenation as neonates. DESIGN: The study was designed as a multisite, cross sectional survey. SETTING: The survey was completed electronically or on paper by subjects and stored in a secure data base. SUBJECTS: Subjects were surviving neonatal extracorporeal membrane oxygenation patients from eight institutions who were18 years old or older...
November 1, 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27806665/maternal-and-neonatal-outcomes-in-advanced-maternal-age-a-retrospective-cohort-study
#10
Fatma Cakmak Celik, Canan Aygun, Sukru Kucukoduk, Yuksel Bek
OBJECTIVES: To describe the effect of extremely advanced maternal age (EAMA) on maternal/neonatal outcomes. METHODS: This was a case- control study in which 127 women ≥40 years at the time of delivery out of 2,853 singleton hospital deliveries in Ondokuz Mayis University between 01.01.2008- 31.08.2010 constituted the study group. 127 else were chosen randomly out of 2,412, 21-35 years old women, via a computer system as controls. Demographic features of 254 mothers and infants as well as maternal and neonatal complications were recorded...
November 2, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27785575/diagnosis-of-joubert-syndrome-via-ultrasonography
#11
Baris Buke, Emre Canverenler, Göksun İpek, Semiha Canverenler, Hatice Akkaya
Joubert syndrome (JS) and related disorders (JSRD) are a group of multiple congenital anomaly syndromes in which the diagnostic hallmark is the molar tooth sign (MTS), a complex midbrain malformation visible on brain imaging. Detection of the MTS should be followed by a diagnostic protocol to assess multi-organ involvement. The incidence of JSRD ranges between 1/80,000 and 1/100,000 live births, although these values may represent an underestimate. The neurological components of JSRD include hypotonia, ataxia, intellectual disability, abnormal eye movements, and neonatal breathing problems...
October 26, 2016: Journal of Medical Ultrasonics
https://www.readbyqxmd.com/read/27738601/spontaneous-perforation-of-colon-in-previously-healthy-infants-and-children-its-clinical-implication
#12
Soo-Hong Kim, Yong-Hoon Cho, Hae-Young Kim
PURPOSE: Spontaneous colon perforations are usually encountered as necrotizing enterocolitis in the neonatal period, but occur rarely in infants and children without pathological conditions. This study was conducted to describe its clinical implication beyond the neonatal period. METHODS: Cases of spontaneous colon perforation confirmed after the operation were reviewed retrospectively and the clinicopathological characteristics were analyzed. Clinical data were compared according to the presence of pneumoperitoneum as initial findings...
September 2016: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/27716331/bedside-pda-ligation-in-premature-infants-less-than-28%C3%A2-weeks-and-1000-grams
#13
Mustafa Kemal Avsar, Tolga Demir, Cem Celiksular, Cenap Zeybek
BACKGROUND: PDA(Patent ductus arteriosus) is a common and clinically important condition which is presented with a number of hemodynamic and respiratory problems such as intraventricular hemorrhage, pulmonary hemorrhage and necrotizing enterocolitis due to increased pulmonary blood flow and stealing from systemic circulation. The incidence of PDA among the infants that were born before the 28th gestational week is as high as 70 %; and spontaneous closure rates in very-low-birth-weight premature neonates(VLBWPN) is around 34 %...
October 4, 2016: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27630855/congenital-giant-teratoma-arising-from-the-hard-palate-a-rare-clinical-presentation
#14
Kandukuri Mahesh Kumar, Indira Veligandla, A R Vijaya Lakshmi, Vanita Pandey
Teratomas are rare tumours which originate from all 3 germs cell layers namely endoderm, mesoderm and ectoderm, with varying proportions of each component. The most common site of teratoma is in the sacro-coccygeal region. Teratomas are generally benign and have well appreciable clinical and histopathological features. Incidence of congenital teratoma is 1 in 4000. In head and neck region congenital teratomas usually associated with other anomalies like cystic hygroma and cleft palate with an incidence of 1 in 400...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27618525/retrospective-typology-of-paediatric-emergency-visits-in-one-year-sakarya-turkey
#15
T M Alvur, N Cinar, D Kose, O Tiryaki
Characterization of newborn (aged ≤ 28 days) visits to paediatric emergency department (PED). Retrospective study concerning newborns who presented to PED of Sakarya University Maternity and Paediatric Hospital during 2014. We studied the electronic data consisted of admission date, date-of-birth, emergency department diagnosis at discharge (ICD-10 code) and the outcome. A total of 5708 neonates visited PED with an average age of 7.9 ± 5.9 days of age and prevalence of males (56.1%). The major diagnoses were jaundice, respiratory system problems, excessive crying of infant, feeding problems of newborn and prematurity...
February 12, 2016: West Indian Medical Journal
https://www.readbyqxmd.com/read/27582162/neonatal-management-of-pregnancy-complicated-by-diabetes
#16
Fauzia Mohsin, Shareen Khan, Md Abdul Baki, Bedowra Zabeen, Kiswhar Azad
Women with diabetes in pregnancy, either pre-gestational Diabetes Mellitus (Type 1 & Type 2) or Gestational Diabetes, are at increased risk for adverse pregnancy outcomes, including preterm labour and increased foetal mortality rate. Adequate glycaemic control before and during pregnancy is crucial for improving foetal and perinatal outcomes in these babies. Perinatal and neonatal morbidities and mortality rates have declined since the development of specialized maternal, foetal, and neonatal care for women with diabetes and their offspring...
September 2016: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/27526419/prevalence-of-respiratory-tract-infections-allergies-and-assessment-of-humoral-immunity-within-the-malopolska-region-s-cohort-of-11-year-old-children-born-with-extremely-low-birth-weight-in-comparison-with-to-their-term-born-peers
#17
Magdalena Zasada, Małgorzata Klimek, Wojciech Durlak, Monika Kotula, Tomasz Tomasik, Przemko Kwinta
BACKGROUND: Children born with extremely low birth weight (ELBW) have more respiratory tract complications during childhood. Little is known about respiratory and allergy problems in ELBW children at the threshold of adolescence. MATERIALS AND METHODS: A follow-up study was conducted at the age of 11 among ELBW children (n=65) and age-matched controls (n=36). The primary outcomes in the study were the occurrence of respiratory and allergy problems and the rate of hospitalization due to respiratory complications at the age of 11 years, assessed with a questionnaire...
2016: Przegla̧d Lekarski
https://www.readbyqxmd.com/read/27509654/-frequency-and-medical-social-aspects-premature-birth
#18
REVIEW
M Sandeva, E Uchikova
Premature birth (PB) remains an unresolved problem, despite progress in prenatal medicine and the introduction of new methods and techniques of prolonged respiratory resuscitation in recent decades. Premature birth is the cause of 70% of neonatal mortality and 50% of long-term neurological complications in newborns, many of whom debilitating. Notwithstanding the significant progress prenatal care in the last twenty years in developed countries is a trend towards a gradual and continuous increase in premature births...
2016: Akusherstvo i Ginekologii︠a︡
https://www.readbyqxmd.com/read/27493392/neonatal-respiratory-distress-in-omdurman-maternity-hospital-sudan
#19
Sirageldin Mk Abdelrahman, Selma Ma Hamed, Abdelhaleem Nasr
Neonatal respiratory distress (NRD) is a common neonatal problem, which is responsible for high morbidity and mortality. There are few published studies in developing countries addressing neonatal respiratory distress. There is no previously published study in Sudan on this problem. The objective of the study is to determine the frequency, different causes, immediate outcome. It was a prospective, descriptive, cross sectional hospital-based study which was carried out in neonatal intensive care unit (NICU) of Omdurman Maternity Hospital, between February-March 2013...
2014: Sudanese Journal of Paediatrics
https://www.readbyqxmd.com/read/27485933/prevalence-and-risk-factors-associated-with-the-patency-of-ductus-arteriosus-in-premature-neonates-a-prospective-observational-study-from-iran
#20
Shahnaz Pourarian, Nazanin Farahbakhsh, Deepak Sharma, Sirous Cheriki, Farhad Bijanzadeh
BACKGROUND: Patent ductus arteriosus (PDA) is a common problem in the preterm infants. The frequency of PDA varies with the time of study, and the characteristics of the population included in the trial. AIMS AND OBJECTIVE: To determine the prevalence and prenatal risk factor associated with PDA. METHODS AND MATERIAL: This prospective cross-sectional observational study was carried out on neonates who had gestational age below 37 weeks during the period of February 2014 to September 2014...
August 25, 2016: Journal of Maternal-fetal & Neonatal Medicine
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