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Neonatologia

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https://www.readbyqxmd.com/read/27746077/-criteria-for-hospital-discharge-of-the-healthy-term-newborn-after-delivery
#1
Segundo Rite Gracia, Alejandro Pérez Muñuzuri, Ester Sanz López, José Luis Leante Castellanos, Isabel Benavente Fernández, César W Ruiz Campillo, M Dolores Sánchez Redondo, Manuel Sánchez Luna
The criteria for newborn hospital discharge of the newborn must include physiological stability and family competence to provide newborn care at home. In this document, the Committee of Standards of the Spanish Society of Neonatology reviews the minimum criteria to be met before hospital discharge of a term newborn infant. A review included the hospital discharge criteria for the late preterm infants, as these infants are often not hospitalised and remain with their mother after birth. A shortened hospital stay (less than 48h after delivery) for healthy term newborns can be considered, but it is not appropriate for every mother and newborn...
October 13, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/27746074/-changes-in-the-international-recommendations-on-neonatal-stabilisation-and-resuscitation-2015
#2
Gonzalo Zeballos Sarrato, Enrique Salguero García, Josefa Aguayo Maldonado, Celia Gómez Robles, Marta Thió Lluch, Martín Iriondo Sanz
The International Liaison Committee on Resuscitation (ILCOR) recommendations provide a universal guide of measures to support the transition and resuscitation of newborn after their birth. This guide is expected to be adapted by local groups or committees on resuscitation, according to their own circumstances. The objective of this review is to analyse the main changes, to discuss several of the controversies that have appeared since 2010, and contrasting with other national and international organisations, such as European Resuscitation Council (ERC), American Heart Association (AHA), or the Australian-New Zealand Committee on Resuscitation (ANZCOR)...
October 13, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/27156140/-nutrition-in-the-preterm-hospitalized-newborn-recommendations-of-the-chilean-neonatology-branch-chilean-pediatric-society
#3
Patricia Mena, Marcela Milad, Patricia Vernal, M José Escalante
Recommendations based on current publications are presented for postnatal preterm nutrition, depending on birth weight: less 1000g, between 1000 and 1500g, and above 1500g, as well for the development periods: adaptation, stabilisation, and growth. A review is also presented on the nutritional management of morbidities that affect or may affect nutrition, such as: osteopenia, bronchopulmonary dysplasia, patent ductus arteriosus, red cell transfusion, and short bowel syndrome.
July 2016: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/25840706/-recommendations-for-respiratory-support-in-the-newborn-iii-surfactant-and-nitric-oxide
#4
F Castillo Salinas, D Elorza Fernández, A Gutiérrez Laso, J Moreno Hernando, G Bustos Lozano, M Gresa Muñoz, J López de Heredia Goya, M Aguar Carrascosa, X Miracle Echegoyen, J R Fernández Lorenzo, M M Serrano, A Concheiro Guisan, C Carrasco Carrasco, J J Comuñas Gómez, M T Moral Pumarega, A M Sánchez Torres, M L Franco
The recommendations included in this document will be part a series of updated reviews of the literature on respiratory support in the newborn infant. These recommendations are structured into twelve modules, and in this work module 7 is presented. Each module is the result of a consensus process including all members of the Surfactant and Respiratory Group of the Spanish Society of Neonatology. They represent a summary of the published papers on each specific topic, and of the clinical experience of each one of the members of the group...
November 2015: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/24870798/cyp3a4-expression-in-breast-cancer-and-its-association-with-risk-factors-in-mexican-women
#5
Esau Floriano-Sanchez, Noemi Cardenas Rodriguez, Cindy Bandala, Elvia Coballase-Urrutia, Jaime Lopez-Cruz
BACKGROUND: In Mexico, breast cancer (BCa) is the leading type of cancer in women. Cytochrome P450 (CYP450) is a superfamily of major oxidative enzymes that metabolize carcinogens and many antineoplastic drugs. In addition, these enzymes have influence on tumor development and tumor response to therapy. In this report, we analyzed the protein expression in patients with BCa and in healthy women. Links with some clinic-pathological characteristic were also assessed. MATERIALS AND METHODS: Immunohistochemical analyses were conducted on 48 sets of human breast tumors and normal breast tissues enrolled in Hospital Militar de Especialidades de la Mujer y Neonatologia and Hospital Central Militar, respectively, during the time period from 2010 to 2011...
2014: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/24613296/-factors-associated-with-the-safety-of-early-skin-to-skin-contact-after-delivery
#6
EDITORIAL
C R Pallás Alonso, J Rodríguez López
No abstract text is available yet for this article.
April 2014: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/24290154/-follow-up-of-newborns-with-hypoxic-ischaemic-encephalopathy
#7
M Martínez-Biarge, D Blanco, A García-Alix, S Salas
Hypothermia treatment for newborn infants with hypoxic-ischemic encephalopathy reduces the number of neonates who die or have permanent neurological deficits. Although this therapy is now standard of care, neonatal hypoxic-ischaemic encephalopathy still has a significant impact on the child's neurodevelopment and quality of life. Infants with hypoxic-ischaemic encephalopathy should be enrolled in multidisciplinary follow-up programs in order to detect impairments, to initiate early intervention, and to provide counselling and support for families...
July 2014: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/23807978/-congenital-cystic-lung-lesions-review-of-the-literature-with-three-clinical-cases
#8
REVIEW
B Slancheva, S Hitrova, D Markov, L Vakrilova, T Pramatarova, N Yarukova, O Brankov
Congenital cystic lung lesions are rare. Mainly affects the lower respiratory patishta.i are congenital cystic malformation and adematozna bronchopulmonary sequestration (BPS). The pathogenesis of the occurrence of these malformations is not clear but they have a common clinical course. In most cases, the anomaly is asymptomatic and occurs with infections of the lung during the first year of life. Currently congenital lung lesions were classified into five types and is considered by most authors. The anomaly is due to the abnormal proliferation of terminal bronchioles accompanied by inhibition of alveolar development between 7-17 weeks, obstructed airway dysplasia and metaplasia of normal lung tissue...
2013: Akusherstvo i Ginekologii︠a︡
https://www.readbyqxmd.com/read/23582451/-bronchopulmonary-dysplasia-definitions-and-classifications
#9
M Sánchez Luna, J Moreno Hernando, F Botet Mussons, J R Fernández Lorenzo, G Herranz Carrillo, S Rite Gracia, E Salguero García, I Echaniz Urcelay
Bronchopulmonary dysplasia is the most common sequelae related to very low birth weight infants, mostly with those of extremely low birth weight. Even with advances in prevention and treatment of respiratory distress syndrome associated with prematurity, there is still no decrease in the incidence in this population, although a change in its clinical expression and severity has been observed. There are, however, differences in its frequency between health centres, probably due to a non-homogeneously used clinical definition...
October 2013: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/23434016/-recommendations-for-neonatal-transport
#10
J Moreno Hernando, M Thió Lluch, E Salguero García, S Rite Gracia, J R Fernández Lorenzo, I Echaniz Urcelay, F Botet Mussons, G Herranz Carrillo, M Sánchez Luna
During pregnancy, it is not always possible to identify maternal or foetal risk factors. Infants requiring specialised medical care are not always born in centres providing intensive care and will need to be transferred to a referral centre where intensive care can be provided. Therefore Neonatal Transport needs to be considered as part of the organisation of perinatal health care. The aim of Neonatal Transport is to transfer a newborn infant requiring intensive care to a centre where specialised resources and experience can be provided for the appropriate assessment and continuing treatment of a sick newborn infant...
August 2013: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/23266243/-health-care-levels-and-minimum-recommendations-for-neonatal-care
#11
S Rite Gracia, J R Fernández Lorenzo, I Echániz Urcelay, F Botet Mussons, G Herranz Carrillo, J Moreno Hernando, E Salguero García, M Sánchez Luna
A policy statement on the levels of care and minimum recommendations for neonatal healthcare was first proposed by the Standards Committee and the Board of the Spanish Society of Neonatology in 2004. This allowed us to define the level of care of each center in our country, as well as the health and technical requirements by levels of care to be defined. This review takes into account changes in neonatal care in the last few years and to optimize the location of resources. Facilities that provide care for newborn infants should be organized within a regionalized system of perinatal care...
July 2013: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/23177555/-ethical-reflections-and-recommendations-for-making-clinical-decisions-in-the-care-of-the-healthy-newborn
#12
M C Sánchez Escartín, J López de Heredia Goya, M J Aguayo Maldonado, D Blanco Bravo, V Molina Morales et al.
The care of healthy newborn during their stay in health centres is not usually a problem and there are few conflicts in the relationship with the family. Conflicts may arise because the parents do not accept the care or care routines that health professionals provide. They believe that the newborn does not require testing or prophylactic measures, such as administration of vitamin K, or puncture to obtain a blood sample for newborn screening. This is because the information they have is not adequate, or because they reject some measures as they are invasive and that from their point of view, do not correspond to the care of a healthy newborn...
December 2012: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/23022201/-recommendations-on-making-decisions-and-end-of-life-care-in-neonatology
#13
J C Tejedor Torres, J López de Heredia Goya, N Herranz Rubia, P Nicolás Jimenez, F García Munóz, J Pérez Rodríguez
Healthcare-professionals who work in neonatal units believe that a very important part of their work is the care of sick newborns, and their families if the neonate has an incurable disease or will die. The effort is focused on preventing disproportionate and unnecessary treatments that result in pain and discomfort, and also separate the child from his family. These situations usually occur when the infant has a terminal illness, extreme immaturity with complications, or severe birth defects. In this paper, the Ethics Working Group of the Spanish Society of Neonatology reflects on decision making at this time of life...
March 2013: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/22658283/-prevention-of-neonatal-group-b-sreptococcal-infection-spanish-recommendations-update-2012-seimc-sego-sen-seq-semfyc-consensus-document
#14
REVIEW
Juan Ignacio Alós Cortés, Antonia Andreu Domingo, Lorenzo Arribas Mir, Luis Cabero Roura, Marina de Cueto López, José López Sastre, Juan Carlos Melchor Marcos, Alberto Puertas Prieto, Manuel de la Rosa Fraile, Salvador Salcedo Abizanda, Manuel Sánchez Luna, María José Sanchez Pérez, Rafael Torrejon Cardoso
Group B streptococci (GBS) remain the most common cause of early onset neonatal sepsis. In 2003 the Spanish Societies of Obstetrics and Gynaecology, Neonatology, Infectious Diseases and Clinical Microbiology, Chemotherapy, and Family and Community Medicine published updated recommendations for the prevention of early onset neonatal GBS infection. It was recommended to study all pregnant women at 35-37 weeks gestation to determine whether they were colonised by GBS, and to administer intrapartum antibiotic prophylaxis (IAP) to all colonised women...
March 2013: Enfermedades Infecciosas y Microbiología Clínica
https://www.readbyqxmd.com/read/22578686/-recommendations-for-respiratory-support-in-the-newborn
#15
(no author information available yet)
The recommendations included in this document will be part a series of updated reviews of the literature on respiratory support in the newborn infant. These recommendations are structured into twelve modules, with modules 4, 5, and 6 presented here. Each module is the result of a consensus process of all members of the Surfactant and Respiratory Group of the Spanish Society of Neonatology. They represent a summary of the published papers on each specific topic, and of the clinical experience of each one of the members of the group...
October 2012: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/21925984/-neuroprotection-with-hypothermia-in-the-newborn-with-hypoxic-ischaemic-encephalopathy-standard-guidelines-for-its-clinical-application
#16
D Blanco, A García-Alix, E Valverde, V Tenorio, M Vento, F Cabañas
Standardisation of hypothermia as a treatment for perinatal hypoxic-ischaemic encephalopathy is supported by current scientific evidence. The following document was prepared by the authors on request of the Spanish Society of Neonatology and is intended to be a guide for the proper implementation of this therapy. We discuss the difficulties that may arise when moving from the strict framework of clinical trials to clinical daily care: early recognition of clinical encephalopathy, inclusion and exclusion criteria, hypothermia during transport, type of hypothermia (selective head or systemic cooling) and side effects of therapy...
November 2011: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/21692549/pediatric-clinical-trials-in-latin-america-and-guyana-present-views-of-local-practitioners-and-ways-to-embrace-the-future
#17
Sara Arenas-López, Carlos Fajardo, Adolf Valls i Soler, Jorge Raúl García-Corzo, Ma Victoria Lima-Rogel, Graciela Calle, Roberio Leite, Edgard Lobos, Querida Hume-Wright, Stuart MacLeod
BACKGROUND: Global pediatric research has recently received increased attention by health professionals, and research and government institutions. Since the approval of the FDA Pediatric Exclusivity Provision and the EU Paediatric Regulation, pharmaceutical companies have begun to look to developing/transitional countries for international pediatric research collaboration as a way of facilitating the recruitment of patients to clinical trials. Among countries identified as being 'developing/transitional' some were in the North, Central, and South American regions...
August 1, 2011: Paediatric Drugs
https://www.readbyqxmd.com/read/21683665/-changes-in-the-international-recommendations-on-neonatal-resuscitation-2010-comments
#18
M Iriondo, E Szyld, M Vento, E Burón, E Salguero, J Aguayo, C Ruiz, D Elorza, M Thió
Since previous publication in 2005, the most significant changes that have been addressed in the 2010 International Liaison Committee on Resuscitation (ILCOR) recommendations are as follows: (i) use of 2 vital characteristics (heart rate and breathing) to initially evaluate progression to the following step in resuscitation; (ii) oximetry monitoring for the evaluation of oxygenation (assessment of color is unreliable); (iii) for babies born at term it is better to start resuscitation with air rather than 100% oxygen; (iv) administration of supplementary oxygen should be regulated by blending oxygen and air; (v) controversy about endotraqueal suctioning of depressed infants born through meconium-stained amniotic fluid; (vi) chest compression-ventilation ratio should remain at 3/1 for neonates unless the arrest is known to be of cardiac etiology, in which case a higher ratio should be considered; (vii) use of therapeutic hypothermia for infants born at term or near term evolving to moderate or severe hypoxic-ischemic encephalopathy, with protocol and follow-up coordinated through a regional perinatal system (post-resuscitation management); (viii) cord clamping delay for at least 1 minute in babies who do not require resuscitation (there is insufficient evidence to recommend a time for clamping in those who require resuscitation) and, (ix) it is appropriate to consider discontinuing resuscitation if there has been no detectable heart rate for 10 minutes, although many factors contribute to the decision to continue beyond 10 minutes...
September 2011: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/21603774/-second-clinical-consensus-of-the-ibero-american-society-of-neonatology-hemodynamic-management-of-newborns
#19
Sergio G Golombek, Diana Fariña, Augusto Sola, Hernando Baquero, Fernando Cabañas, Fernando Dominguez, Carlos Fajardo, Gustavo S Goldsmit, Gabriel Lara Flores, Mario Lee, Lourdes Lemus Varela, Gonzalo Mariani, Ernani Miura, Jose Maria Pérez, Guillermo Zambosco, Adelina Pellicer, Eduardo Bancalari
This study reports on the process and results of the Second Clinical Consensus of the Ibero-American Society of Neonatology. Eighty neonatologists from 23 countries were invited to collaborate and participate in the event. Several questions of clinical-physiological importance in the hemodynamic management of newborns were addressed. Participants were divided into groups to facilitate interaction and teamwork, with instructions to respond to three to five questions by analyzing the literature and local factors...
April 2011: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/21089732/decision-making-in-neonatologia
#20
REVIEW
G Paterlini, P Tagliabue
The field of neonatology presents a fascinating context in which hugely important decisions have to be made on the basis of physicians' assessments of the long term consequences of various possible choices. In many cases such assessments cannot be derived from a consensual professional opinion; the situation is characterized by a high level of uncertainty. A sample of neonatologists in different countries received a questionnaire including vignette cases for which no clear consensus exists regarding the (probabilistic) prognosis...
June 2010: Minerva Pediatrica
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