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Paediatrics and neonatology

Hanady Kader
No abstract text is available yet for this article.
February 8, 2017: Nature
S Brenner, C Eich, G Rellensmann, M U Schuhmann, T Nicolai, F Hoffmann
The available data on the effectiveness of therapeutic hypothermia in different patient groups are heterogeneous. Although the benefits have been proven for some collectives, recommendations for the use of hypothermia treatment in other groups are based on less robust data and conclusions by analogy. This article gives a review of the current evidence of temperature management in all age groups and based on this state of knowledge, recommends active temperature management with the primary aim of strict normothermia (36-36...
February 2017: Der Anaesthesist
Martin McColgan, Rachel Winch, Simon J Clark, Carol Ewing, Neena Modi, Anne Greenough
OBJECTIVES: To determine if there had been changes in the size of the UK paediatric workforce and working patterns between 1999 and 2013. DESIGN: Analysis of prospectively collected datasets. SETTING: UK consultant paediatricians. INTERVENTIONS: Data from the Royal College of Paediatrics and Child Health's workforce census from 1999 to 2013 and the annual surveys of new paediatric Certificate of Completion of Training (CCT) and Certificate of Equivalence of Specialist Registration (CESR) holders between 2010 and 2013...
February 2017: Archives of Disease in Childhood
Carlo Caffarelli, Francesca Santamaria, Dora Di Mauro, Carla Mastrorilli, Virginia Mirra, Sergio Bernasconi
This review focuses key advances in different pediatric fields that were published in Italian Journal of Pediatrics and in international journals in 2015. Weaning studies continue to show promise for preventing food allergy. New diagnostic tools are available for identifying the allergic origin of allergic-like symptoms. Advances have been reported in obesity, short stature and autoimmune endocrine disorders. New molecules are offered to reduce weight gain and insulin-resistance in obese children. Regional investigations may provide suggestions for preventing short stature...
August 27, 2016: Italian Journal of Pediatrics
G Winzor, J Gray, M Patel
The WHO has recognised antibiotic resistance as one of the greatest threats to human health. As a microbiologist, antibiotic resistance is a problem that keeps me awake at night and inevitably the impact of antibiotic resistance on paediatricians is a matter of when, and not if. I fear for the future of paediatric services such as neonatology, oncology and elective surgery. A recent US study found that 26.8% of post chemotherapy infections and 38.7-50.9% of post-operative infections were caused by bacteria resistant to standard antibiotic prophylaxis...
December 2016: Archives of Disease in Childhood. Education and Practice Edition
Willem P de Boode, Yogen Singh, Samir Gupta, Topun Austin, Kajsa Bohlin, Eugene Dempsey, Alan Groves, Beate Horsberg Eriksen, David van Laere, Zoltan Molnar, Eirik Nestaas, Sheryle Rogerson, Ulf Schubert, Cécile Tissot, Robin van der Lee, Bart van Overmeire, Afif El-Khuffash
No abstract text is available yet for this article.
October 2016: Pediatric Research
A C Dey, M I Hossain, S Afroze, S K Dey, M A Mannan, M Shahidullah
It was a survey type of cross sectional study where the participants were from different teaching/referral hospital across the country and was done to gather information regarding current practice of management of neonatal sepsis among paediatricians and neonatologists and was conducted on the spot during a national conference of Bangladesh Perinatal Society in December 2013. Specialists in neonatology, paediatrics, and some other disciplines working in different institutes across the country were requested to respond...
April 2016: Mymensingh Medical Journal: MMJ
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
Warwick Butt, Graeme MacLaren
Over the last 5 years, there has been a dramatic increase in the use of extracorporeal membrane oxygenation (ECMO) in adult patients with severe respiratory or cardiac failure. This contrasts to the use of the technology in neonatal and paediatric intensive care units, where it has been regarded as a standard of care for a number of conditions for over 25 years. Many innovations in ECMO circuitry or clinical management evolve first in one particular discipline and it may be helpful for individual clinicians to keep abreast of developments in ECMO across the entire age range, from neonatology to older adults...
December 2016: Annals of Intensive Care
Ghulam Nabi Rather, Muzafar Jan, Wasim Rafiq, Imran Gattoo, Sheikh Quyoom Hussain, Mohmad Latief
INTRODUCTION: The morbidity and mortality pattern in late preterm infants is higher than term infants (gestational age ≥ 37weeks). The main reason behind that is the relative physiologic and metabolic immaturity, though there is no significant difference in the weight or the size of the two groups. AIM: The present study was undertaken to study the incidence, early neonatal morbidity and mortality (within first 7 days of life) in late preterm infants (34 - 36 6/7 weeks)...
December 2015: Journal of Clinical and Diagnostic Research: JCDR
Liz Forbat, Charlotte Sayer, Phillip McNamee, Esse Menson, Sarah Barclay
BACKGROUND: Conflict in healthcare is a well-recognised but under-examined phenomenon. Little is known about the prevalence and causes of conflict across paediatric specialties. OBJECTIVE: To report the frequency and characteristics of conflict in a paediatric hospital. DESIGN AND SETTING: An explanatory sequential mixed-method approach was adopted. A bespoke questionnaire recorded frequency, severity, cause and staff involved in conflict prospectively...
January 2016: Archives of Disease in Childhood
Yogen Singh, Samir Gupta, Alan M Groves, Anjum Gandhi, John Thomson, Shakeel Qureshi, John M Simpson
UNLABELLED: Targeted echocardiographic assessments of haemodynamic status are increasingly utilised in many settings. Application in the neonatal intensive care units (NICU) is increasingly demanded but challenging given the risk of underlying structural lesions. This statement follows discussions in UK led by the Neonatologists with an Interest in Cardiology and Haemodynamics (NICHe) group in collaboration with the British Congenital Cardiac Association (BCCA) and the Paediatricians with Expertise in Cardiology Special Interest Group (PECSIG)...
February 2016: European Journal of Pediatrics
K J Weiss, M A Kowalkowski, R Treviño, G Cabrera-Meza, E J Thomas, H C Kaplan, J Profit
BACKGROUND: At the time of the research, Dr Weiss was a clinical fellow in neonatal-perinatal medicine at Baylor College of Medicine, Texas Children's Hospital. Dr Profit was on faculty at Baylor College of Medicine, Texas Children's Hospital, Department of Pediatrics, Section of Neonatology. He held a secondary appointment in the Department of Medicine, Section of Health Services Research and conducted his research at the VA Health Services Research and Development Center of Excellence where he collaborated with Dr Kowalkowski...
August 2015: Paediatrics and International Child Health
M Ehlen, A Budde
Careful analysis of current adjudication reveals increasing demand of adequate record-keeping as well as meticulously documented informed consent forms regarding all aspects of medicine. Although standardized informed consent forms or explicit guidelines for obtaining procedural consent already exist in surgical disciplines there is strong evidence that, however, in neonatology (and paediatric intensive care) these processes are still incomplete and qualitatively insufficiently implemented. Therefore the author discussed all existing information prescriptions with the legal department and quality management of a large German clinic group especially in terms of relevant legislation, recent case law and specialist literature in order to obtain potential for improvement...
June 2015: Zeitschrift Für Geburtshilfe und Neonatologie
Emmanuel A Ameh, Justina O Seyi-Olajide, Tunde T Sholadoye
The outcome of neonatal surgery has significantly improved over the decades in high-income countries. In sub-Saharan Africa (SSA), however, it has lagged behind. This is a review of the current state of neonatal surgery in SSA. The conditions requiring surgery in the newborn are largely congenital but the rate of emergency surgery is high, reaching 40% of all neonatal surgery in some settings. Most operations are for intestinal obstruction, commonly owing to anorectal malformations and intestinal atresia, as well as abdominal wall defects...
August 2015: Paediatrics and International Child Health
L Vakrilova, Tz Georgiev, St Hitrova, B Slancheva
UNLABELLED: Abstract: Appendicitis is common in paediatric surgical praxis, but extremely rare in newborn infants. CASE REPORT: We report a premature male newborn from a twin pregnancy with gestational age of 31(+4) weeks, birth-weight 1580g, who underwent a laparotomy because of perforation. The baby was admitted to NICU after birth with transitory respiratory failure and early onset neonatal sepsis. MS-Staphylococcus epidermidis was isolated from blood culture, gastric contents and all peripheral specimens, C-reactive protein values were elevated after birth and significantly increased before surgery; thrombocytopenia and mild anemia were found...
2014: Akusherstvo i Ginekologii︠a︡
Penelope A Bryant
OBJECTIVE: To identify current antimicrobial stewardship (AMS) resources and activities for children in hospitals throughout Australasia, to identify gaps in services. DESIGN, SETTING AND PARTICIPANTS: Tertiary paediatric hospitals (children's hospitals and combined adult and paediatric hospitals that offer tertiary paediatric care) in every state and territory of Australia and the North and South Islands of New Zealand were surveyed in June 2013 regarding AMS resources and activities...
February 16, 2015: Medical Journal of Australia
B Roche-Kubler, E Puzenat, A-S Mariet, G Thiriez, F Aubin, P Humbert
BACKGROUND: Advances in neonatology have markedly improved prognosis for premature babies in recent years. However, they have also entailed the need for recourse to considerable intensive care involving potentially iatrogenic diagnostic and therapeutic acts. Among the resulting iatrogenic events, cutaneous lesions are the most frequent but have been the subject of very few studies. Our own study thus aimed to assess the rate of iatrogenic cutaneous events in premature infants born at less than 33 weeks of amenorrhea and hospitalised at Besançon university hospital and to identify the factors associated with the occurrence of these events...
January 2015: Annales de Dermatologie et de Vénéréologie
Daniel Silva, Otília Andrade, Ernestina Silva
OBJECTIVE: To identify the practices reported by health professionals on hand hygiene; To determine how the practices of hand hygiene are related to socio-demographic and professional variables and variables in the context of practice. MATERIAL AND METHODS: A descriptive-correlational and cross-sectional study conducted in a hospital in central Portugal, in May and June, 2012. 71 health professionals participated, with 23.9% physicians, 64.8% nurses and 11.3% operating assistants, in paediatrics, neonatology and paediatric emergencies...
November 2014: Atencion Primaria
Linden J Stocker, Diana G Wellesley, Michael P Stanton, Rajeswari Parasuraman, David T Howe
OBJECTIVES: The aim of this study was to investigate the incidence of congenital lung malformations over the past 19 years. Congenital lung malformations (CLM) are a heterogeneous group of lung abnormalities. The antenatal diagnosis is important for foetal and neonatal management but there have been no studies examining whether the reported incidence of this abnormality is constant. METHODS: A retrospective cross-sectional study of cases identified from the Wessex Antenatally Detected Anomalies (WANDA) register 1994-2012...
February 2015: Prenatal Diagnosis
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