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https://www.readbyqxmd.com/read/29775993/postnatal-psychosocial-assessment-and-clinical-decision-making-a-descriptive-study
#1
Deborah Sims, Cathrine Fowler
AIM: The aim of this study is to describe experienced child and family health nurses' clinical decision-making during a postnatal psychosocial assessment. BACKGROUND: Maternal emotional wellbeing in the postnatal year optimises parenting and promotes infant development. Psychosocial assessment potentially enables early intervention and reduces the risk of a mental disorder occurring during this time of change. Assessment accuracy, and the interventions used are determined by the standard of nursing decision-making...
May 18, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29774708/-communicating-data-of-the-italian-ninfea-birth-cohort
#2
Lorenzo Richiardi, Maja Popovic, Daniela Zugna, Franca Rusconi, Franco Merletti, Costanza Pizzi
"In March 2016, the website of the NINFEA project (an Internet-based cohort set up to investigate the effects of exposures acting early in life) was enriched with the section «Data», which reports aggregated data for selected variables of the cohort. This article discusses the rationale for this new section, available data and their possible uses are described, and some results are compared with figures accessible from surveillance studies. The Italian birth cohort NINFEA includes 7,500 pregnant women, recruited through the Internet from 2005 to June 2016, and of their children, followed up with repeated questionnaires...
March 2018: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/29767630/characterization-of-cardiorespiratory-phase-synchronization-and-directionality-in-late-premature-and-full-term-infants
#3
Maristella Lucchini, Nicolo Pini, William P Fifer, Nina Burtchen, Maria G Signorini
OBJECTIVE: Though the mutual influence of cardiovascular and respiratory rhythms in healthy newborns has been documented, its full characterization is still pending. In general, activity of many physiological subsystems has a well expressed rhythmic character, and often an interdependency between physiological rhythms emerges early in development. Traditional methods of data analysis only address the quantification of the strength of subsystem interactions. In this work, we will investigate system interrelationships in terms of possible presence of causal or directional interplays...
May 16, 2018: Physiological Measurement
https://www.readbyqxmd.com/read/29765596/an-evolutionary-perspective-on-night-terrors
#4
Sean D Boyden, Martha Pott, Philip T Starks
Night terrors, also known as sleep terrors, are an early childhood parasomnia characterized by screams or cries, behavioral manifestations of extreme fear, difficulty waking and inconsolability upon awakening. The mechanism causing night terrors is unknown, and a consistently successful treatment has yet to be documented. Here, we argue that cultural practices have moved us away from an ultimate solution: cosleeping. Cosleeping is the norm for closely related primates and for humans in non-Western cultures...
2018: Evolution, Medicine, and Public Health
https://www.readbyqxmd.com/read/29762768/emergence-of-mature-cortical-activity-in-wakefulness-and-sleep-in-healthy-pre-term-and-full-term-infants
#5
Kimberley Whitehead, Pureza Laudiano-Dray, Judith Meek, Lorenzo Fabrizi
Study Objectives: Cortical activity patterns develop rapidly over the equivalent of the last trimester of gestation, in parallel with the establishment of sleep architecture. However, the emergence of mature cortical activity in wakefulness compared to sleep states in healthy pre-term infants is poorly understood. Methods: To investigate whether cortical activity has a different developmental profile in each sleep-wake state, we recorded 11-channels EEG, EOG and respiratory movement for one hour from 115 infants 34-43 weeks corrected age, with 0...
May 14, 2018: Sleep
https://www.readbyqxmd.com/read/29753539/real-world-implementation-of-infant-behavioral-sleep-interventions-results-of-a-parental-survey
#6
Sarah M Honaker, Amy J Schwichtenberg, Tamar A Kreps, Jodi A Mindell
OBJECTIVE: To describe parental practices implementing behavioral sleep intervention (BSI) outside a clinical setting. STUDY DESIGN: Parents (n = 652), recruited through a Facebook group designed as a peer support group for parents using BSI, completed an online survey about their experience using BSI with their infant or toddler. RESULTS: On average, parents implemented BSI when their infant was 5.6 (±2.77) months. Parents most often used modified (49...
May 9, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29742297/advances-in-cellular-and-integrative-control-of-oxygen-homeostasis-within-the-central-nervous-system
#7
Jan-Marino Ramirez, Liza Severs, Sanja C Ramirez, Ibis M Agosto-Marlin
Mammals must continuously regulate the levels of O2 and CO2 , which is particularly important for the brain. Failure to maintain adequate O2 /CO2 homeostasis has been associated with numerous disorders including sleep apnea, Rett syndrome, and sudden infant death syndrome (SIDS). But, O2 /CO2 homeostasis poses major regulatory challenges, even in the healthy brain. Neuronal activities change in a differentiated, spatially and temporally complex manner, which is reflected in equally complex changes in O2 demand...
May 9, 2018: Journal of Physiology
https://www.readbyqxmd.com/read/29740196/quality-improvement-initiative-to-improve-inpatient-outcomes-for-neonatal-abstinence-syndrome
#8
Elisha M Wachman, Matthew Grossman, Davida M Schiff, Barbara L Philipp, Susan Minear, Elizabeth Hutton, Kelley Saia, Fnu Nikita, Ahmad Khattab, Angela Nolin, Crystal Alvarez, Karan Barry, Ginny Combs, Donna Stickney, Jennifer Driscoll, Robin Humphreys, Judith Burke, Camilla Farrell, Hira Shrestha, Bonny L Whalen
OBJECTIVES: To improve Neonatal Abstinence Syndrome (NAS) inpatient outcomes through a comprehensive quality improvement (QI) program. DESIGN: Inclusion criteria were opioid-exposed infants ≥36 weeks. QI methodology including stakeholder interviews and plan-do-study-act (PDSA) cycles were utilized. We compared pre- and post-intervention NAS outcomes after a QI initiative that included: A non-pharmacologic care bundle, function-based assessments consisting of symptom prioritization and then the "Eat, Sleep, Console" (ESC) Tool; and a switch to methadone for pharmacologic treatment...
May 8, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29734961/the-role-of-neonatal-pulmonary-morbidity-in-the-longitudinal-patterns-of-hospitalisation-for-respiratory-infection-during-the-first-year-of-life
#9
Kim S Betts, Ricardo J Soares Magalhães, Rosa Alati
Respiratory infections among infants constitute a major burden to health care systems in developed nations, yet the course and risk factors leading to these conditions are poorly understood. We examine the longitudinal patterns of respiratory infection hospitalisation (RIH) and how these patterns are influenced by neonatal pulmonary morbidities. We included all live births (n = 429 058) occurring in the Australian state of Queensland between January 2009 and December 2015. Data were structured so that each participant had a record (present/absent) of RIH for each month from birth to 12 months...
May 8, 2018: Epidemiology and Infection
https://www.readbyqxmd.com/read/29731179/parents-adherence-to-pediatric-health-and-safety-guidelines-importance-of-patient-provider-relationships
#10
Lindsay N Fuzzell, A Scott LaJoie, Kyle T Smith, Sydney E Philpott, Katherine M Jones, Mary C Politi
OBJECTIVE: To examine 1) parent-provider communication about pediatric health/safety guidelines, 2) trust in child's provider, 3) comfort discussing guidelines, 4) agreement with guideline advice, 5) self-efficacy following guidelines, and their impact on guideline adherence. METHOD: 256 parents of children ages 0-6 completed an online survey about sunscreen use, newborn Vitamin K injections, influenza vaccination, routine vaccination, car seats, infant safe sleep, furniture anchoring, large trampoline use, and firearm safety...
May 1, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29722084/the-effects-of-maternal-risk-factors-during-pregnancy-on-the-onset-of-sleep-difficulties-in-infants-at-3-months-old
#11
Isabel Morales-Muñoz, Outi Saarenpää-Heikkilä, Anneli Kylliäinen, Pirjo Pölkki, Tarja Porkka-Heiskanen, Tiina Paunio, E Juulia Paavonen
Sleep problems in young children are among the most common concerns reported to paediatricians. Sleep is thought to have important regulatory functions, and sleep difficulties in early childhood are linked to several psychosocial and physiological problems. Moreover, several prenatal factors have been found to influence infants' sleep. Among them, most of the studies have been focused on maternal prenatal depression and/or anxiety as potential risk factors for sleep problems in childhood, whereas other relevant psychological factors during pregnancy have not received as much attention...
May 2, 2018: Journal of Sleep Research
https://www.readbyqxmd.com/read/29719517/using-play-to-improve-infant-sleep-a-mixed-methods-protocol-to-evaluate-the-effectiveness-of-the-play2sleep-intervention
#12
Elizabeth Keys, Karen M Benzies, Valerie Kirk, Linda Duffett-Leger
Background: One in four Canadian families struggle with infant sleep disturbances. The aim of this study is to evaluate Play2Sleep in families of infants with sleep disturbances. In addition to parental education on infant sleep, Play2Sleep uses examples from a video-recorded, structured play session with mothers and fathers separately to provide feedback on parent-infant interactions and their infant's sleep-related social cues. The quantitative phase will answer the research question: Does one dose of Play2Sleep delivered during a home visit with mothers and fathers of infants aged 5 months reduce night wakings at age 7 months? The qualitative phase will answer the research question: What are parental perceptions of family experiences, processes, and contexts related to Play2Sleep and infant sleep? The overarching mixed methods research question is as follows: How do parental perceptions of family experiences, processes, and contexts related to infant sleep explain the effectiveness of Play2Sleep? Method and analysis: An explanatory sequential mixed methods design will be used...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29718853/pediatric-tuina-for-promoting-growth-and-development-of-preterm-infants-a-protocol-for-the-systematic-review-of-randomized-controlled-trail
#13
Xinghe Zhang, Taipin Guo, Bowen Zhu, Qing Gao, Hourong Wang, Xiantao Tai, Fujie Jing
BACKGROUND: Preterm infants are babies born alive before 37 weeks. Many survived infants concomitant with defects of growth and development, a lifetime of disability usually as following when insufficient intervention. In early intervention of preterm infants, pediatric Tuina shows good effect in many Chinese and some English clinical trials. This systematic review is aimed to evaluate the efficacy and safety of pediatric Tuina for promoting growth and development of preterm infants. METHODS: The electronic databases of Cochrane Library, MEDLINE, EBASE, Web of Science, Springer, World Health Organization International Clinical Trials Registry Platform, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Wan-fang database, Chinese Scientific Journal Database, and other databases will be searched from establishment to April 1, 2018...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29708471/effect-of-a-multi-site-trial-using-short-message-service-sms-on-infant-feeding-practices-and-weight-gain-in-low-income-minorities
#14
Cristina Palacios, Maribel Campos, Cheryl Gibby, Marytere Meléndez, Jae Eun Lee, Jinan Banna
OBJECTIVE: To test the effects of weekly SMS for improving infant feeding practices and infant weight. METHODS: This was a multi-site randomized clinical trial in a convenience sample of 202 caregivers of healthy term infants 0-2 months participating in the WIC program in Puerto Rico and Hawaii. Participants were randomized to receive SMS about infant's general health issues (control) or SMS for improving feeding practices (intervention) for four months. Weight, length and infant feeding practices were assessed at baseline and four months later...
April 30, 2018: Journal of the American College of Nutrition
https://www.readbyqxmd.com/read/29707639/neuronal-noise-as-an-origin-of-sleep-arousals-and-its-role-in-sudden-infant-death-syndrome
#15
Hila Dvir, Idan Elbaz, Shlomo Havlin, Lior Appelbaum, Plamen Ch Ivanov, Ronny P Bartsch
In addition to regular sleep/wake cycles, humans and animals exhibit brief arousals from sleep. Although much is known about consolidated sleep and wakefulness, the mechanism that triggers arousals remains enigmatic. Here, we argue that arousals are caused by the intrinsic neuronal noise of wake-promoting neurons. We propose a model that simulates the superposition of the noise from a group of neurons, and show that, occasionally, the superposed noise exceeds the excitability threshold and provokes an arousal...
April 2018: Science Advances
https://www.readbyqxmd.com/read/29700867/characteristics-and-service-needs-of-women-and-babies-admitted-to-residential-parenting-units-in-new-south-wales-a-mixed-methods-study
#16
Holly Priddis, Charlene Thornton, Cathrine Fowler, Virginia Schmied, Jane Tooher, Marie Dickinson, Hannah Grace Dahlen
AIMS AND OBJECTIVES: This study aims to examine the characteristics and service needs of women and babies admitted to Residential Parenting Services (RPS) in the first year following birth in New South Wales (NSW), Australia. BACKGROUND: In Australia there is a tiered system to support maternal, child and family health, which includes residential parenting services (RPS). DESIGN: Sequential explanatory mixed methods design. METHODS: Individual patient data were obtained from a random review of 10% of all medical records (n = 300 of 3011 admissions) of women with an infant of less than 12 months of age who were admitted to RPS in 2013...
April 27, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29695207/polysomnography-for-the-management-of-oxygen-supplementation-therapy-in-infants-with-chronic-lung-disease-of-prematurity
#17
Gaurav Kulkarni, Koert de Waal, Sally Grahame, Adam Collison, Laurence Roddick, Jodi Hilton, Tanya Gulliver, Bruce Whitehead, Joerg Mattes
Some infants with bronchopulmonary dysplasia (BPD) may require oxygen supplementation at home but a role for overnight polysomnography (PSG) in the management of home oxygen therapy has been rarely described. Forty-one infants with BPD born at less than 30 weeks gestational age were discharged with continuous home oxygen supplementation therapy between 2010 and 2013. PSG data were recorded on oxygen supplementation versus room air at median post conceptual age of 2 months (range 1-5.5 months) (first PSG after discharge to home)...
April 25, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29691876/waking-up-too-early-the-consequences-of-preterm-birth-on-sleep-development
#18
Laura Bennet, David W Walker, Rosemary S C Horne
Good quality sleep of sufficient duration is vital for optimal physiological function and our health. Sleep deprivation is associated with impaired neurocognitive function and emotional control, and increases the risk for cardiometabolic diseases, obesity and cancer. Sleep develops during fetal life with the emergence of a recognisable pattern of sleep states in the preterm fetus associated with the development, maturation, and connectivity within neural networks in the brain. Despite the physiological importance of sleep, surprisingly little is known about how sleep develops in individuals born preterm...
April 24, 2018: Journal of Physiology
https://www.readbyqxmd.com/read/29688857/less-invasive-treatment-of-sleep-disordered-breathing-in-children-with-syndromic-craniosynostosis
#19
Silvia Müller-Hagedorn, Cornelia Wiechers, Jörg Arand, Wolfgang Buchenau, Margit Bacher, Michael Krimmel, Siegmar Reinert, Christian F Poets
BACKGROUND: Infants and children with syndromic craniosynostosis (SCS), such as Apert-, Crouzon- or Pfeiffer syndrome, are prone to sleep disordered breathing (SDB) including obstructive sleep apnea and upper airway resistance syndrome (OSAS, UARS), potentially leading to tracheostomy. We modified the Tübingen Palatal Plate (TPP), an oral appliance with a velar extension effectively treating airway obstruction in Robin sequence, by attaching a tube to its velar extension to bridge the narrow pharyngeal airway in SCS patients...
April 23, 2018: Orphanet Journal of Rare Diseases
https://www.readbyqxmd.com/read/29687619/understanding-jugular-venous-outflow-disturbance
#20
REVIEW
Da Zhou, Jia-Yue Ding, Jing-Yuan Ya, Li-Qun Pan, Feng Yan, Qi Yang, Yu-Chuan Ding, Xun-Ming Ji, Ran Meng
Extracranial venous abnormalities, especially jugular venous outflow disturbance, were originally viewed as nonpathological phenomena due to a lack of realization and exploration of their feature and clinical significance. The etiology and pathogenesis are still unclear, whereas a couple of causal factors have been conjectured. The clinical presentation of this condition is highly variable, ranging from insidious to symptomatic, such as headaches, dizziness, pulsatile tinnitus, visual impairment, sleep disturbance, and neck discomfort or pain...
April 23, 2018: CNS Neuroscience & Therapeutics
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