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Newborn AND neonatal Unit

Bruna de Souza Lima Marski, Beatriz Castanheira Facio, Sueli Mutsumi Tsukuda Ichisato, Patricia Carla de Souza Della Barba, Monika Wernet
OBJECTIVE: to analyze the Developmental Care in nursing care for Newborns in critical Neonatal Intensive Care Units. METHOD: a qualitative study with 11 nurses from Neonatal Intensive Care Units of a city in the State of São Paulo countryside, based on the Developmental Care. Data collection was based on non-participant observation, documentary research in medical records and semi-structured interviews. The Symbolic Interactionism was adopted as theoretical framework, and the Bardin Content Analysis, as method of analysis...
2018: Revista Brasileira de Enfermagem
Zoly Nantenaina Ranosiarisoa, Sélim El Harrif, André Zo Andrianirina, Sandrine Duron, Marie-José Simon-Ghediri, Lova Ramparany, Annick Lalaina Robinson, Rosa Tsifiregna, Frédérique Randrianirina, Elisoa Ratsima, Josette Raymond, Patrick Imbert
BACKGROUND: Little is known about early-onset neonatal bacterial infections (EONBI) in Madagascar. Our aim was to determine their epidemiology to improve their management. METHODS: Inborn neonates at risk for EONBI and admitted in the neonatal unit of 2 tertiary hospitals in Antananarivo, Madagascar, were included in a prospective study from April 2012 to March 2013. Using a clinical algorithm, blood culture, gastric fluid culture and C-reactive protein dosage were performed in newborns at high risk of infection, that is, peri partum fever, prematurity <35 weeks' gestation or birth weight <2000 g, or presenting with clinical signs of infection...
January 2019: Pediatric Infectious Disease Journal
Margot Latimer, Sharon Rudderham, Lynn Lethbridge, Emily MacLeod, Katherine Harman, John R Sylliboy, Corey Filiaggi, G Allen Finley
BACKGROUND: Indigenous youth have higher rates of chronic health conditions interfering with healthy development, including high rates of ear, dental, chest and musculoskeletal pain, as well as headache, arthritis and mental health issues. This study explores differences in pain-related diagnoses in First Nations and non-First Nations children. METHODS: Data from a study population of age- and sex-matched First Nations and non-First Nations children and youth were accessed from a specific region of Atlantic Canada...
December 10, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
Jun Shiraishi, Satoshi Kusuda, Kazutoshi Cho, Atsushi Nakao, Takehiko Hiroma, Hiroshi Sugiura, Satoshi Suzuki, Makoto Oshiro, Seiji Yoshimoto, Shinichi Watabe
BACKGROUND: In perinatal medicine, inhaled nitric oxide (iNO) has been an important tool for the treatment of full-term and late-preterm infants with persistent pulmonary hypertension of the newborn (PPHN) and hypoxemic respiratory failure (HRF). However, its use in more premature infants is controversial. To evaluate the current clinical practices regarding use of acute inhaled nitric oxide (iNO) therapy in extremely preterm infants, a nationwide survey was conducted in Japan. METHODS: A questionnaire survey was conducted from May to September, 2015...
December 6, 2018: Pediatrics International: Official Journal of the Japan Pediatric Society
Juan Gustavo Vázquez-Rodríguez, Dulce Yadira Barboza-Alatorre
Background: In severe preeclampsia (SP), pregnancy interruption is the first recommendation. However, some patients receive expectant treatment. Objetive: To determine maternal and perinatal results of expectant treatment of SP in the intensive care unit (ICU) of a high-specialty hospital. Methods: Observational, descriptive and retrospective study; the files of 40 pregnant patients with SP managed in the ICU with expectant treatment were reviewed...
November 30, 2018: Revista Médica del Instituto Mexicano del Seguro Social
Noémia Rosado Silva, Joana Oliveira, Alberto Berenguer, André M Graça, Margarida Abrantes, Carlos Moniz
INTRODUCTION: Prematurity and low birth weight have been associated with increased neonatal morbidity and mortality. This study aimed to evaluate possible risk factors for prematurity associated with fetal growth restriction and being small for gestational age and to determine the incidence of morbidity in these two groups of infants. MATERIAL AND METHODS: Retrospective case-control study of newborns with gestational age of less than 32 weeks, with obstetric diagnosis of fetal growth restriction and with the clinical diagnosis of small for gestational age, admitted to the Neonatal Intensive Care Unit of a tertiary hospital for a period of six years...
November 30, 2018: Acta Médica Portuguesa
G F Yan, X D Cai, C B Zhou, X Y Hong, Y Wang, C M Zhang, Z H Yang, Y C Zhang, Y Cui, Y Q Cui, Y B Cheng, S Y Qian, P F Zhang, Y P Jin, X D Zhu, H Gao, Z P Li, X L Lu, H J Miao, Q Y Zhang, Y M Li, W G Yang, C Y Liu, B Li, Y Li, Z J Bo, J P Chu, X Wang, G P Lu
Objective: To survey the conduction and evaluate the effectiveness of extracorporeal membrane oxygenation (ECMO) therapy in pediatric intensive care unit (PICU) in China mainland. Methods: In a questionnaire-based survey, we retrospectively reviewed the application of ECMO in children's hospital and general hospital in China mainland to summarize and analyze the categories of diseases and prognosis of children treated with ECMO therapy. Results: By December 31, 2017, a total of 23 hospitals using ECMO, including 22 tertiary referral hospitals and 1 secondary hospital, among which 16 were children's hospitals and 7 were general hospitals...
December 2, 2018: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
Laís Machado Freire, Pedro Sérgio Pinto Camponêz, Isadora Virgínia Leopoldino Maciel, Carolina Santiago Vieira, Mariana Bueno, Elysângela Dittz Duarte
OBJECTIVE: To analyze the factors associated with non-adherence to the outpatient follow-up of infants discharged from the Neonatal Intensive Care Unit. METHOD: A cross-sectional study that included 596 children who were discharged between October 1, 2014 and September 30, 2015 and who were referred to outpatient follow-up. The data were collected by evaluating the discharge report and attendance to the consultations. RESULTS: Of the 596 children referred for follow-up, 118 (19...
December 3, 2018: Revista da Escola de Enfermagem da U S P
Maggie Redshaw, Jane Henderson
BACKGROUND: The death of a newborn baby is devastating. While clinical issues may be a primary concern, interpersonal aspects can impact significantly. Mothers in this situation are not easy to access for research and little quantitative evidence is available. In this study we aimed to describe their experience of care, emphasising associations with infant gestational age. METHODS: Secondary analysis of population-based survey data collected through the Office for National Statistics following neonatal death in England in 2012-13...
2018: PloS One
Abdellatif Daoudi, Fatiha Benaoui, Nadia El Idrissi Slitine, Nabila Soraa, Fadl Mrabih Rabou Maoulainine
Serratia marcescens ( S. marcescens ) is an Enterobacteriaceae microorganism that is widespread in the environment, which may be the source of nosocomial infections, rare in the newborn but severe, and often in the form of outbreaks. The aim of our study is to report our experience, during an outbreak of S. marcescens , to show the severity of this germ, with review of the literature. Our study was retrospective, including 8 newborns with S. marcescens nosocomial infection, collected in the neonatal intensive care unit of Mohammed VI University Medical Hospital, during the epidemic period, over a period of 2 months (July and August 2016)...
2018: Advances in Medicine
F Peltier, M Choquet, V Decroix, C C Adjidé, S Castelain, R Guiheneuf, E Pluquet
PURPOSE: Multidrug-resistant Klebsiella pneumoniae strains are regularly involved in hospital outbreaks. This study describes an ESBL-producing K. pneumoniae clone (ST607-K25) responsible for a nosocomial outbreak in a neonatal intensive care unit. METHODOLOGY: Fourteen strains isolated from 13 patients were included. Antimicrobial susceptibility testing was performed by the agar diffusion method. A clonal link was first investigated by fingerprinting (ERIC-PCR and REP-PCR) then confirmed by MLST...
December 3, 2018: Journal of Medical Microbiology
Ya-Ching Hung, David C Chang, Maggie L Westfal, Isobel H Marks, Peter T Masiakos, Cassandra M Kelleher
BACKGROUND: Circumcision is widely accepted for newborns in the United States. However, circumcision carries a risk of complications, the rates of which are not well described in the contemporary era. METHODS: We performed a longitudinal population analysis of the California Office of Statewide Health Planning and Development database between 2005 and 2010. Using International Classification of Procedures, Ninth Revision, Clinical Modification and Current Procedural Terminology codes, we calculated early and late complication rates by Kaplan-Meier survival estimates...
January 2019: Journal of Surgical Research
Nancy Medley, Joshua P Vogel, Angharad Care, Zarko Alfirevic
BACKGROUND: Preterm birth (PTB) is a major factor contributing to global rates of neonatal death and to longer-term health problems for surviving infants. Both the World Health Organization and the United Nations consider prevention of PTB as central to improving health care for pregnant women and newborn babies. Current preventative clinical strategies show varied efficacy in different populations of pregnant women, frustrating women and health providers alike, while researchers call for better understanding of the underlying mechanisms that lead to PTB...
November 14, 2018: Cochrane Database of Systematic Reviews
A Ranger, E Helmert, T S Bott, T Ostermann, H Als, D Bassler, M Hautzinger, J Vagedes
OBJECTIVE: Despite attempts to increase calmness in the Newborn Intensive Care Unit (NICU), preterm neonates still experience stress. The question arises how to further promote the infants' wellbeing. Therefore, the immediate effects of pentatonic live music on preterm infants and their mothers were examined. DESIGN AND METHODS: In a two-centre randomized controlled trial with crossover design preterm infants were exposed sequentially to two conditions: live pentatonic harp music (LPHM) used in Anthroposophic Medicine or standard care...
December 2018: Complementary Therapies in Medicine
Lars Mense, Emanuela Ferretti, Raveena Ramphal, Thierry Daboval
We present a case of a healthy male neonate born at term, circumcised on Day 1 of life. Facing ongoing bleeding at the incision site, the baby was transferred to a level III neonatal intensive care unit for further investigation and management. His family history was unremarkable for bleeding disorders. On arrival, the baby was hemodynamically stable with abnormal coagulation values. Further investigations revealed a diagnosis compatible with severe hemophilia A. He deteriorated on Day 2, developing acute severe anemia which required two red blood cell transfusions...
September 18, 2018: Curēus
Kareem N Washington, Zebalda D Bamji, Qingqi Yue, Inez V Reeves
In the United States, approximately 10% of newborn infants are exposed prenatally to alcohol and/or illicit substances. However, no studies have evaluated the compounding effects of multiple illicit substances exposure in utero as potential teratogen (s). The potential teratogenic effects of nicotine and illicit substances (e.g. cocaine, marijuana and heroin) have previously been studied but there has been no documentation of facial landmark dislocation (s). Our goal is to investigate whether morphometric analysis could differentiate facial landmark dislocations in neonates of African descent, when exposed to alcohol, nicotine and illicit substances, either singly or in combination...
January 1, 2019: Frontiers in Bioscience (Landmark Edition)
Marek Wójcik, Maciej Jaworski, Pawel Pludowski
Introduction: The numerous evidence showing spectrum of vitamin D effects on human health resulted in both updates of vitamin D supplementation guidelines for general population and concerns on potential risk of hypercalcaemia. The aim of this study was to analyse trends in serum 25-hydroxyvitamin D concentration (25(OH)D) change over the 30 years of operation of a single pediatric diagnostic unit. Materials and methods: Calcium-phosphate metabolism markers and 25(OH)D concentrations were analyzed in a group that consisted of newborns and infants commissioned for diagnostics due to suspected calcium-phosphate metabolic disturbances ( n = 3,163; mean age 8...
2018: Frontiers in Endocrinology
Syeda Batool Mazhar, Afshan Batool
BACKGROUND: WHO MCS in 2011 evaluated the incidence and management strategies linked with maternal and neonatal mortality in facilities across 26 countries including Pakistan. This study, a sub-analysis assessed the availability of essential obstetric and newborn care at referral level facilities of Pakistan that were selected for WHO MCS to correlate it with maternal and neonatal outcomes. METHODS: This cross-sectional study assessed the infrastructure, equipment and services in 16 referral level government hospitals participating in WHO MCS from 1st March to 30th May, 2011...
July 2018: Journal of Ayub Medical College, Abbottabad: JAMC
Fabíola Chaves Fontoura, Maria Vera Lúcia Moreira Leitão Cardoso, Sofia Esmeraldo Rodrigues, Paulo César de Almeida, Liliane Brandão Carvalho
OBJECTIVE: to analyze the anxiety level of the mothers of newborns with congenital malformations who were diagnosed in prenatal and postnatal care. METHODS: a cross-sectional study with 115 mothers of 117 newborns with congenital malformation admitted to three neonatal units. A questionnaire containing maternal and neonatal variables was used, as well as the Trait-State Anxiety Inventory. Data were analyzed by Student's t-test and Kolmogorov-Sminorv test. The anxiety level was categorized as low (percentile <25), moderate (25-75) and high (> 75), with a significance level of 5%...
November 14, 2018: Revista Latino-americana de Enfermagem
Melissa C Morgan, Hilary Spindler, Harriet Nambuya, Grace M Nalwa, Gertrude Namazzi, Peter Waiswa, Phelgona Otieno, John Cranmer, Dilys M Walker
BACKGROUND: Globally, there were 2.7 million neonatal deaths in 2015. Significant mortality reduction could be achieved by improving care in low- and middle-income countries (LMIC), where the majority of deaths occur. Determining the physical readiness of facilities to identify and manage complications is an essential component of strategies to reduce neonatal mortality. METHODS: We developed clinical cascades for 6 common neonatal conditions then utilized these to assess 23 health facilities in Kenya and Uganda at 2 time-points in 2016 and 2017...
2018: PloS One
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