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https://www.readbyqxmd.com/read/27915314/programs-for-detecting-and-treating-retinopathy-of-prematurity-role-of-the-neonatal-team
#1
Sudhanshu Grover, Deeksha Katoch, Mangat R Dogra, Praveen Kumar
High quality perinatal-neonatal care can prevent severe Retinopathy of Prematurity (ROP) in most cases. Preterm infants who do develop retinopathy can also have good visual outcomes if screening and treatment are done timely. National Neonatology Forum published clinical practice guidelines for timely screening and treatment of ROP in neonatal care units in the country in 2010. It is also listed as one of the condition under Rashtriya Bal Swasthya Karyakram for early identification and early intervention, and is currently a focus area under the National Program for Control of Blindness...
November 7, 2016: Indian Pediatrics
https://www.readbyqxmd.com/read/27887680/emergency-video-telemedicine-consultation-for-newborn-resuscitations-the-mayo-clinic-experience
#2
Jennifer L Fang, Christopher A Collura, Robert V Johnson, Garth F Asay, William A Carey, Douglas P Derleth, Tara R Lang, Beth L Kreofsky, Christopher E Colby
OBJECTIVE: To describe the Mayo Clinic experience with emergency video telemedicine consultations for high-risk newborn deliveries. PATIENTS AND METHODS: From March 26, 2013, through December 31, 2015, the Division of Neonatal Medicine offered newborn telemedicine consultations to 6 health system sites. A wireless tablet running secure video conferencing software was used by the local care teams. Descriptive data were collected on all consultations. After each telemedicine consult, a survey was sent to the neonatologist and referring provider to assess the technology, teamwork, and user satisfaction...
December 2016: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/27723726/renal-injury-in-neonates-use-of-omics-for-developing-precision-medicine-in-neonatology
#3
REVIEW
Mandar S Joshi, Kelsey A Montgomery, Peter J Giannone, John A Bauer, Mina H Hanna
Preterm birth is associated with increased risks of morbidity and mortality along with increased healthcare costs. Advances in medicine have enhanced survival for preterm infants but the overall incidence of major morbidities has changed very little. Abnormal renal development is an important consequence of premature birth. Acute kidney injury (AKI) in the neonatal period is multifactorial and may increase lifetime risk of chronic kidney disease.Traditional biomarkers in newborns suffer from considerable confounders, limiting their use for early identification of AKI...
November 9, 2016: Pediatric Research
https://www.readbyqxmd.com/read/27637021/intraocular-pressure-in-premature-low-birth-weight-infants
#4
Sandeep Grover, Zimei Zhou, Shamim Haji, Wassia Khaja, Kumar Sambhav, Merrill Stass-Isern, K V Chalam
PURPOSE: To evaluate the intraocular pressure (IOP) and central corneal thickness (CCT) in premature low birth weight (LBW) infants and their correlation with gestational age (GA). METHODS: IOP and CCT were measured in premature LBW infants (defined as a birth weight ≤ 1,500 g or birth GA ≤ 30 weeks) admitted to the neonatal intensive care unit at the University of Florida Division of Neonatology, UF Health Jacksonville. RESULTS: Ninety eyes of 45 premature LBW infants with mean birth GA of 28...
September 1, 2016: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27597734/personalized-antenatal-consultations-for-preterm-labor-responding-to-mothers-expectations
#5
Nathalie Gaucher, Sophie Nadeau, Alexandre Barbier, Annie Janvier, Antoine Payot
OBJECTIVE: To explore prospective mothers' perspectives regarding antenatal consultations by neonatology teams for threatened preterm delivery. STUDY DESIGN: In a prospective multicenter study, women at risk of preterm delivery between 26 and 32 weeks of gestational age were surveyed during the 72 hours following their antenatal consultation. The questionnaire used was developed and validated during a single-center study. RESULTS: Over 18 months, 229 mothers completed the survey (73% response rate), at a median gestational age of 30 weeks...
September 2, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27511502/management-of-hyperbilirubinemia-in-preterm-infants-in-turkey
#6
Nilüfer Güzoğlu, Ümit Ayşe Tandircioğlu, Didem Aliefendioğlu
BACKGROUND/AIM: Prematurity is a significant risk factor for developing unconjugated hyperbilirubinemia. This study investigated the current approach to managing hyperbilirubinemia in preterm newborns in Turkey. MATERIALS AND METHODS: A study-specific questionnaire on the management of jaundice in preterm infants was sent to 100 level III neonatal intensive care units in Turkey. RESULTS: Responses were obtained from 84 centers from all regions of Turkey...
2016: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/27501070/establishment-of-the-relationship-between-fathers-and-premature-infants-in-neonatal-units
#7
Marie-Josée Martel, Isabelle Milette, Linda Bell, Denise St-Cyr Tribble, Antoine Payot
BACKGROUND: Parents and their preterm infants (born between 32-37 weeks of gestation) are often overlooked by the healthcare system. And very little attention is given to the relationship parents develop with their infants in the neonatal unit (NNU). Specifically, very few studies focused on fathers and how they establish a relationship with their infants. However, we know that the father-infant relationship is extremely important for their future social development and more. PURPOSE: This article presents the results of a qualitative study of the establishment of the father-premature infant relationship in an NNU...
August 5, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27479521/group-b-streptococcus-infections-in-neonates-admitted-to-a-german-nicu-emphasis-on-screening-and-adherence-to-pre-analytical-recommendations
#8
Claudia Reinheimer, Volkhard A J Kempf, Boris E Wittekindt, Antje Allendorf, Thomas A Wichelhaus, Michael Hogardt, Rolf L Schlößer, Doris Fischer
BACKGROUND: Infections by group B streptococci (GBS), e.g. Streptococcus agalactiae, presenting as early-onset disease (EOD) or late-onset disease (LOD), are leading causes of severe infections in newborn and premature patients. Although screening and intra partum antibiotic prophylaxis are frequently performed, vertically transmitted GBS remain a challenge for pediatrics. AIMS: In order to prevent or reduce potential life-threatening events, this study retrospectively investigated epidemiological, microbiological and clinical aspects of infants admitted to the Division of Neonatology at the Department of Pediatrics at the University Hospital Frankfurt, Germany (UHF)...
July 29, 2016: Early Human Development
https://www.readbyqxmd.com/read/27424006/research-opportunities-to-improve-neonatal-red-blood-cell-transfusion
#9
REVIEW
Ravi Mangal Patel, Erin K Meyer, John A Widness
Red blood cell (RBC) transfusion is a common and lifesaving therapy for anemic neonates and infants, particularly among those born prematurely or undergoing surgery. However, evidence-based indications for when to administer RBCs and adverse effects of RBC transfusion on important outcomes including necrotizing enterocolitis, survival, and long-term neurodevelopmental impairment remain uncertain. In addition, blood-banking practices for preterm and term neonates and infants have been largely developed using studies from older children and adults...
October 2016: Transfusion Medicine Reviews
https://www.readbyqxmd.com/read/27344192/methodological-issues-in-the-design-and-analyses-of-neonatal-research-studies-experience-of-the-nichd-neonatal-research-network
#10
Abhik Das, Jon Tyson, Claudia Pedroza, Barbara Schmidt, Marie Gantz, Dennis Wallace, William E Truog, Rosemary D Higgins
Impressive advances in neonatology have occurred over the 30 years of life of The Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network (NRN). However, substantial room for improvement remains in investigating and further developing the evidence base for improving outcomes among the extremely premature. We discuss some of the specific methodological challenges in the statistical design and analysis of randomized trials and observational studies in this population...
October 2016: Seminars in Perinatology
https://www.readbyqxmd.com/read/27280063/the-effect-of-a-universal-cervical-length-screening-program-on-antepartum-management-and-birth-outcomes
#11
Scott A Shainker, Anna M Modest, Michele R Hacker, Steven J Ralston
Objective The objective of this study was to evaluate the effect of a universal cervical length screening program on the incidence of antepartum interventions. Study Design This retrospective cohort study included women delivering ≥ 20 weeks of gestation with singleton pregnancies before and after implementing universal cervical length screening. Antepartum interventions included admission for threatened preterm birth, ≥ 2 cervical length measurements, cervical cerclage, neonatology consultation, betamethasone, antibiotic administration for preterm premature rupture of membranes, and tocolysis...
April 2016: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/27236782/intraventricular-hemorrhage-in-neonates-born-before-32%C3%A2-weeks-of-gestation-retrospective-analysis-of-risk-factors
#12
Dawid Szpecht, Marta Szymankiewicz, Irmina Nowak, Janusz Gadzinowski
INTRODUCTION: Intraventricular hemorrhage (IVH) affects 15-20 % of babies born before 32 weeks of pregnancy. A lot of risk factors of developing IVH are known. The making appropriate recommendations for dealing with infant born less than 32 weeks of gestation aimed at reducing the incidence of IVH is still needed. The study aim was to determine the incidence and analyze risk factors of IVH stage 3 and 4 in infants born before 32 + 0 weeks of pregnancy. METHODS: The retrospective analysis of 267 preterm babies (24 to 32 weeks of gestation) hospitalized in 2011-2013 at Department of Neonatology, Poznan University of Medical Sciences was performed...
August 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27214439/oc24-an-algorithm-proposal-to-oral-feeding-in-premature-infants
#13
Florbela Neto, Ana Paula França, Sandra Cruz
UNLABELLED: Theme: Transition of care. INTRODUCTION: Oral feeding is one of the hardest steps for premature infants after respiratory independence and is a challenge for nurses in neonatology. OBJECTIVES: To know the characteristics of preterm infants, essential for oral feeding; to know the nurses' opinion on nursing interventions, that promote the transition of gavage feeding for oral feeding in preterm infants. METHODS: An exploratory, descriptive study with a qualitative approach was used...
May 9, 2016: Nursing Children and Young People
https://www.readbyqxmd.com/read/26911321/surface-enhanced-raman-spectroscopic-direct-determination-of-low-molecular-weight-biothiols-in-umbilical-cord-whole-blood
#14
Julia Kuligowski, Marwa R El-Zahry, Ángel Sánchez-Illana, Guillermo Quintás, Máximo Vento, Bernhard Lendl
Biothiols play an essential role in a number of biological processes in living organisms including detoxification and metabolism. Fetal to neonatal transition poses a pro-oxidant threat for newborn infants, especially those born prematurely. A reliable and rapid tool for the direct determination of thiols in small volume whole blood (WB) samples would be desirable for its application in clinical practice. This study shows the feasibility of Surface Enhanced Raman Spectroscopy (SERS) using a silver colloid prepared by reduction of silver nitrate using hydroxylamine, as the SERS substrate for the quantification of thiols in WB samples after a simple precipitation step for protein removal...
April 7, 2016: Analyst
https://www.readbyqxmd.com/read/26901605/cytomegalovirus-identification-in-blood-and-urine-of-newborns-by-nested-polymerase-chain-reaction
#15
P C Niz Xavier, P Gonçalves Vieira, T de Souza Arantes, M Yano, L V Martinelli Tavares, A M Duarte Miglioli, C S Martinbianco Figueiredo, A Sousa Martins, D Bastista Palhares
AIM: To study the frequency of congenital cytomegalovirus (CMV) infection in newborns admitted to the Division of Neonatology, using nested polymerase chain reaction (PCR) and DNA to detect differences in blood and urine specimens. METHODS: The study was carried out for eight months. Newborns (n = 520) hospitalized in five hospitals in Campo Grande, Mato Grosso do Sul, Brazil, were checked for CMV by analysing blood and urine samples. RESULTS: Cytomegalovirus was PCR positive in 13 urine and 10 blood samples...
May 7, 2015: West Indian Medical Journal
https://www.readbyqxmd.com/read/26709767/retinopathy-of-prematurity-an-oxidative-stress-neonatal-disease
#16
William L Stone, Darshan Shah, Shawn M Hollinger
Proteomics is the global study of proteins in an organism or a tissue/fluid and is clinically relevant since most disease states are accompanied by specific alterations in an organism's proteome. This review focuses on the application of proteomics to neonatology with particular emphasis on retinopathy of prematurity (ROP), which is a disease in which oxidative stress plays a key pathophysiological role. Oxidative stress is a physiologically relevant redox imbalance caused by an excess of reactive oxygen (ROS) or reactive nitrogen oxide species (RNOS)...
January 1, 2016: Frontiers in Bioscience (Landmark Edition)
https://www.readbyqxmd.com/read/26566355/the-korean-neonatal-network-an-overview
#17
REVIEW
Yun Sil Chang, Hyun-Young Park, Won Soon Park
Currently, in the Republic of Korea, despite the very-low-birth rate, the birth rate and number of preterm infants are markedly increasing. Neonatal deaths and major complications mostly occur in premature infants, especially very-low-birth-weight infants (VLBWIs). VLBWIs weigh less than 1,500 g at birth and require intensive treatment in a neonatal intensive care unit (NICU). The operation of the Korean Neonatal Network (KNN) officially started on April 15, 2013, by the Korean Society of Neonatology with support from the Korea Centers for Disease Control and Prevention...
October 2015: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/26490354/off-label-and-unlicensed-drug-treatments-in-neonatal-intensive-care-units-an-italian-multicentre-study
#18
MULTICENTER STUDY
Laura Cuzzolin, Rocco Agostino
PURPOSE: The use of medicines among newborns admitted to intensive care units is characterized by a high prevalence of off-label/unlicensed use and a wide variability in the absence of international guidelines. A prospective cross-sectional study was organized with the aim to analyse drug prescriptions among all 107 Italian level III neonatal intensive care units. METHODS: An online questionnaire was used to collect detailed information for each newborn, and a classification was made about the license status of all prescriptions...
January 2016: European Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/26474712/application-of-pattern-recognition-techniques-to-the-classification-of-full-term-and-preterm-infant-cry
#19
Silvia Orlandi, Carlos Alberto Reyes Garcia, Andrea Bandini, Gianpaolo Donzelli, Claudia Manfredi
OBJECTIVES: Scientific and clinical advances in perinatology and neonatology have enhanced the chances of survival of preterm and very low weight neonates. Infant cry analysis is a suitable noninvasive complementary tool to assess the neurologic state of infants particularly important in the case of preterm neonates. This article aims at exploiting differences between full-term and preterm infant cry with robust automatic acoustical analysis and data mining techniques. STUDY DESIGN: Twenty-two acoustical parameters are estimated in more than 3000 cry units from cry recordings of 28 full-term and 10 preterm newborns...
October 13, 2015: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/26428285/italian-guidelines-for-the-management-and-treatment-of-neonatal-cholestasis
#20
REVIEW
Carlo Dani, Simone Pratesi, Francesco Raimondi, Costantino Romagnoli
Hyperbilirubinemia is a frequent condition affecting newborns during the first two weeks of life and when it lasts more than 14 days it is defined as prolonged jaundice. This condition requires differential diagnosis between the usually benign unconjugated hyperbilirubinemia and the pathological conjugated hyperbilirubinemia, that is mainly due to neonatal cholestasis. It is important that the diagnosis of neonatal cholestasis be well-timed to optimize its management, prevent worsening of the patient's outcome, and to avoid premature, painful, expensive, and useless tests...
2015: Italian Journal of Pediatrics
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