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adolescent.. NICU

Masashi Kurobe, Yuji Baba, Masahiko Otsuka
BACKGROUND: This study reviewed the medical records of very low birth weight infants (VLBW) followed-up to adolescence, with emphasis on inguinal hernia (IH), to discuss the ideal time for IH repair in VLBW. METHODS: Medical records from 274 VLBW who were treated in the neonatal intensive care unit (NICU) between 1994 and 1999 were collected retrospectively. Data as outpatients after the NICU discharge were included. Additionally, a follow-up study was undertaken by questionnaires which were sent to the families with VLBW in 2011...
June 10, 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
S Gentile
Aim of this systematic review is to assess short- and long-lasting effects of antenatal exposure to untreated maternal depressive symptoms. Pertinent articles were identified through combined searches of, Cochrane library, and PubMed databases (through August 2015). Forty-three, selected articles revealed that untreated gestational depression and even depressive symptoms during pregnancy may have untoward effects on the developing fetus (hyperactivity, irregular fetal heart rate), newborns (increased cortisol and norepinephrine levels, decreased dopamine levels, altered EEG patterns, reduced vagal tone, stress/depressive-like behaviors, and increased rates of premature deaths and neonatal intensive care unit admission), and children (increased salivary cortisol levels, internalizing and externalizing problems, and central adiposity)...
September 4, 2015: Neuroscience
Tetsuya Kawakita, Kathy Wilson, Katherine L Grantz, Helain J Landy, Chun-Chih Huang, Veronica Gomez-Lobo
STUDY OBJECTIVE: To investigate the outcomes of adolescent pregnancy. DESIGN: Retrospective cohort study from the Consortium on Safe Labor between 2002 and 2008. SETTING: Twelve clinical centers with 19 hospitals in the United States. PARTICIPANTS: Nulliparous women (n = 43,537) younger than 25 years of age, including 1189 younger adolescents (age ≤ 15.9 years), 14,703 older adolescents (age 16-19.9 years), and 27,645 young adults (age 20-24...
April 2016: Journal of Pediatric and Adolescent Gynecology
Mustafa Kaplanoglu, Mehmet Bülbül, Capan Konca, Dilek Kaplanoglu, Mehmet Selcuk Tabak, Barıs Ata
BACKGROUND: Adolescent pregnancy is an important public health problem. Physiological maturity affects obstetric and perinatal outcomes. Almost all assessments of adolescent pregnancies are based on chronological age. Gynecologic age (GA) is defined as age in years at conception minus age at menarche and it is an indicator of physiological maturity. AIM: To compare obstetric and perinatal outcomes between adult and adolescent pregnancies as categorized according to GA...
December 2015: Women and Birth: Journal of the Australian College of Midwives
Kamana Kc, Sumisti Shakya, Hua Zhang
BACKGROUND: Fetal macrosomia, defined as a birth weight ≥ 4,000 g, may affect 12% of newborns of normal women and 15-45% of newborns of women with gestational diabetes mellitus (GDM). The increased risk of macrosomia in GDM is mainly due to the increased insulin resistance of the mother. In GDM, a higher amount of blood glucose passes through the placenta into the fetal circulation. As a result, extra glucose in the fetus is stored as body fat causing macrosomia, which is also called 'large for gestational age'...
2015: Annals of Nutrition & Metabolism
Howard S Faden, Diane Dryja
A survey of C. difficle in a neonatal intensive care unit (NICU) was conducted. Approximately 25% of infants in the NICU were colonized with Clostridium difficle. Environmental surface cultures were obtained from the NICU and compared with cultures taken from infant, adolescent, and hematology/oncology units. From 150 surface cultures, C difficle was recovered exclusively from the NICU. Of the 16 different types of surfaces cultured, diaper scales and the surrounding area were contaminated most often at 50%...
August 2015: American Journal of Infection Control
Jyai Allen, Kristen Gibbons, Michael Beckmann, Mark Tracy, Helen Stapleton, Sue Kildea
BACKGROUND: Adolescent pregnancy is associated with adverse outcomes including preterm birth, admission to the neonatal intensive care unit, low birth weight infants, and artificial feeding. OBJECTIVE: To determine if caseload midwifery or young women's clinic are associated with improved perinatal outcomes when compared to standard care. DESIGN: A retrospective cohort study. SETTING: A tertiary Australian hospital where routine maternity care is delivered alongside two community-based maternity care models specifically for young women aged 21 years or less: caseload midwifery (known midwife) and young women's clinic (rostered midwife)...
August 2015: International Journal of Nursing Studies
P Gholamipour, S Mahmoudi, B Pourakbari, M Taghi Haghi Ashtiani, F Sabouni, M Teymuri, S Mamishi
Candida spp. especially Candida albicans is considered as one of the most common cause of fungal infections. The aim of our study was to determine epidemiology of candiduria in children who were referred to an Iranian referral hospital. During May 2011 to February 2013, among 4813 urine culture positive, 209 candida spp. isolates (4.3%) was found. Forty-one percent of cadiduria infection was seen in patients between 1 month and 1 year, 24% in neonatant and 24% in patients 1 to 5 years. Cadiduria was mainly found in patients who had received more than 2 or 3 antibiotic during their hospitalization (37% and 24%, respectively)...
June 2014: Journal of Preventive Medicine and Hygiene
A Kaminska, F Cheliout-Heraut, M Eisermann, A Touzery de Villepin, M D Lamblin
In pediatrics, EEG recordings are performed on patients from the neonatal period up to young adults. This means adapting techniques to many different conditions, concerning not only the patient's age, the need for asepsis and the patient's behavior, but also the environment (e.g. in the laboratory, at the patient's bedside, or in the neonatal intensive care unit [NICU]). Technical requirements depend on age, indication and the type of examination; in infancy, there should be a minimum of 12 EEG electrodes, ECG and respiration recording...
March 2015: Neurophysiologie Clinique, Clinical Neurophysiology
P Voultsos, F Chatzinikolaou
Advances in medicine can reduce active euthanasia of newborns with severe anomalies or unusual prematurity, but they cannot eliminate it. In the Netherlands, voluntary active euthanasia among adults and adolescents has been allowed since 2002, when the so-called Groningen Protocol (GP) was formulated as an extension of the law on extremely premature and severely ill newborns. It is maintained that, at bioethical level, it serves the principle of beneficence. Other European countries do not accept the GP, including Belgium...
July 2014: Hippokratia
Prachratana Nuchpramool, Tharangrut Hanprasertpong
OBJECTIVE: Small local hospitals with inexperiencedpersonnel often have adverse incidence that could be prevented. A good referral system could reduce this unnecessary death rate. The present study was conducted to determine the pregnancy outcomes of cephalopelvic disproportion (CPD) cases that were referred for cesarean section at a tertiary center and presented the predictivefactorsfor adverse pregnancy outcomes. MATERIAL AND METHOD: A retrospective study that descriptively presented the adverse pregnancy outcome in referred CPD pregnancies and analyzed for predictive factor of overall adverse pregnancy outcome...
November 2014: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Marie Raffray, Sonia Semenic, Sandra Osorio Galeano, Sandra Catalina Ochoa Marín
OBJECTIVE: To explore Colombian health care provider perceptions of barriers and facilitators to preparing families with premature infants for discharge home from the neonatal intensive care unit (NICU). METHODOLOGY: Using a qualitative descriptive design, in-depth semi-structured interviews were conducted with fifteen neonatal health care providers (HCPs) in Colombia. Data were analyzed using qualitative content analysis. RESULTS: Participant responses centered on three main themes: 1) establishment of the parent-infant bond, 2) acquisition of parenting skills, and 3) getting ready for the transition from hospital to home...
2014: Investigación y Educación en Enfermería
Kamyar Vaziri, Suzann Pershing, Thomas A Albini, Darius M Moshfeghi, Andrew A Moshfeghi
PURPOSE: To identify potential risk factors associated with endogenous endophthalmitis among hospitalized patients with hematogenous infections. DESIGN: Retrospective cross-sectional study. METHODS: MarketScan Commercial Claims and Encounters, and Medicare Supplemental and Coordination of Benefit inpatient databases from the years 2007-2011 were obtained. Utilizing ICD-9 codes, logistic regression was used to identify potential predictors/comorbidities for developing endophthalmitis in patients with hematogenous infections...
March 2015: American Journal of Ophthalmology
Yang Li, Abel Sepulveda, Edward P Buchanan
PURPOSE: This study was designed to characterize the resultant nasal deformities seen in adolescent and adult patients who sustained nasal continuous positive airway pressure (nCPAP) injuries during their NICU admission. PATIENTS AND METHODS: Data from patients who sustained nCPAP injury in the NICU and seen for plastic surgery evaluation at one institution over the past 33 years was collected. Exclusion criteria were patients with additional nasal trauma after nCPAP injury...
March 2015: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Synne Aanes, Knut Jørgen Bjuland, Jon Skranes, Gro C C Løhaugen
The hippocampi are regarded as core structures for learning and memory functions, which is important for daily functioning and educational achievements. Previous studies have linked reduction in hippocampal volume to working memory problems in very low birth weight (VLBW; ≤ 1500 g) children and reduced general cognitive ability in VLBW adolescents. However, the relationship between memory function and hippocampal volume has not been described in VLBW subjects reaching adulthood. The aim of the study was to investigate memory function and hippocampal volume in VLBW young adults, both in relation to perinatal risk factors and compared to term born controls, and to look for structure-function relationships...
January 15, 2015: NeuroImage
Samir Sarda, Markus Bookland, Jason Chu, Mohammadali M Shoja, Matthew P Miller, Stephen B Reisner, Philip H Yun, Joshua J Chern
OBJECT: Hospital readmission after discharge is a commonly used quality measure. In a previous study, the authors had documented the rate of readmission and reoperation after pediatric CSF shunt surgery. This study documents the rate of readmission and reoperation after pediatric neurosurgical procedures excluding those related to CSF shunts. METHODS: Between May 1, 2009, and April 30, 2013, 3098 non-shunt surgeries during 2924 index admissions were performed at a single institution...
December 2014: Journal of Neurosurgery. Pediatrics
Amanda Rosenstock, Michael van Manen
This review presents data from studies that report on adolescent parents as part of larger neonatal intensive care unit (NICU) parent populations, as well as studies where adolescent parents are given central consideration. A systematic search for English publications from 1990 onward relevant to adolescent parenting in the NICU was conducted. Most studies reporting on adolescent parents focus on parental stress or parenting practices in the NICU. A few studies examine parent-staff communication, parental needs, and parent intervention programs...
December 2014: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Moses Musooko, Othman Kakaire, Annettee Nakimuli, Sarah Nakubulwa, Jolly Nankunda, Michael O Osinde, Scovia N Mbalinda, Nelson Kakande, Dan K Kaye
OBJECTIVE: To determine the incidence and risk factors for early neonatal death among newborns with severe perinatal morbidity. METHODS: A prospective cohort study was performed of 341 newborns with severe perinatal morbidity admitted to the neonatal intensive care unit of Mulago Hospital, Uganda. All newborns were followed up for 7 days or until time of death. Information surrounding the mother's obstetric history and pregnancy, the birth, and the neonatal history was collected using an interviewer-administered questionnaire and by review of relevant records...
November 2014: International Journal of Gynaecology and Obstetrics
Sita Jayalakshmi, Devashish Ruikar, Sudhindra Vooturi, Suvarna Alladi, Sambit Sahu, Subhash Kaul, Surath Mohandas
IMPORTANCE: Super refractory status epilepticus (SRSE) is a recent entity. There is limited information about the etiology and outcome of SRSE from developing countries. OBJECTIVE: We evaluated determinants and predictors of outcome in patients with convulsive SRSE in Indian population. METHODS: In this open cohort study, data of patients with convulsive SE admitted in neurointensive care unit (NICU) from 2005 to 2013 was retrospectively analyzed...
November 2014: Epilepsy Research
Julie Poehlmann-Tynan, Emily D Gerstein, Cynthia Burnson, Lindsay Weymouth, Daniel M Bolt, Sarah Maleck, A J Schwichtenberg
Children born preterm are at risk for experiencing significant deleterious developmental outcomes throughout their childhood and adolescence. However, individual variation and resilience are hallmarks of the preterm population. The present study examined pathways to resilience across multiple domains (e.g., social activities, peer relations, attention-deficit/hyperactivity disorder symptomology, externalizing and internalizing behavior, and sleep quality) as children born preterm reached school age. The study also examined early child and family predictors of resilience...
August 2015: Development and Psychopathology
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