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Hypotonic infant feeding

Stephanie L Santoro, Sayaka Hashimoto, Aimee McKinney, Theresa Mihalic Mosher, Robert Pyatt, Shalini C Reshmi, Caroline Astbury, Scott E Hickey
Maternal uniparental disomy (UPD) 15 is one of the molecular causes of Prader-Willi syndrome (PWS), a multisystem disorder which presents with neonatal hypotonia and feeding difficulty. Current diagnostic algorithms differ regarding the use of SNP microarray to detect PWS. We retrospectively examined the frequency with which SNP microarray could identify regions of homozygosity (ROH) in patients with PWS. We determined that 7/12 (58%) patients with previously confirmed PWS by methylation analysis and microsatellite-positive UPD studies had ROH (>10 Mb) by SNP microarray...
2017: Cytogenetic and Genome Research
Saskia Tamminga, Susanne E Stalman, Gerdine A Kamp, Yvonne M C Hendriks, A C Lia Knegt, M W Mariet Elting
BACKGROUND: Maternal uniparental disomy 14 is a rare genetic disorder in which both chromosomes 14 are maternally inherited. The disorder is characterised by neonatal hypotonia and feeding difficulties, intrauterine or later growth retardation, truncal obesity and precocious puberty. During the neonatal period its clinical phenotype shows great similarities with that of Prader-Willi syndrome. CASE DESCRIPTION: We describe two patients with dysmaturity, neonatal hypotonia and feeding difficulties who initially showed clinical signs of Prader-Willi syndrome...
2015: Nederlands Tijdschrift Voor Geneeskunde
Enrico Danzer, Marsha Gerdes, Jo Ann D'Agostino, Judy Bernbaum, Casey Hoffman, Natalie E Rintoul, Lisa M Herkert, Alan W Flake, N Scott Adzick, Holly L Hedrick
OBJECTIVE: To examine patient-specific factors as potential predictors of neurodevelopmental (ND) outcome in children with giant omphalocele (GO). MATERIALS: Between 06/2005 and 07/2012, 31 consecutive GO survivors underwent ND assessment using the BSID-III at a median of 24months (range 6-35). ND delay was defined by a score of ≤84 in any composite score. Severe impairments were defined as a score of ≤69 in at least one domain. Correlations between ND outcome and patient-specific factors were analyzed by one-way ANOVA, chi-square, or logistic regression as appropriate...
March 2015: Early Human Development
Sahin Takcı, Cihangül Bayhan, Tolga Celik, Sule Yiğit
Lamotrigine has been considered a safe new-generation antiepileptic drug during the perinatal period for both mothers and infants. Despite the concerns regarding its possible teratogenic effect, very limited data have been reported on the adverse effects of perinatal lamotrigine exposure. Herein, we report a case of an infant with hypotonicity and poor feeding who was exposed to lamotrigine in utero. The drug interaction probability scale indicated a probable relationship between sepsis-like symptoms and exposure to lamotrigine and valproic acid in utero in this infant...
September 2013: Turkish Journal of Pediatrics
J Case-Smith
Feeding is multi-sensory, highly stimulating experience for infants and young children. Feeding interactions with children who have oral sensory processing deficits may be therapeutic and pleasurable or may be stressful and disorganizing. Specific oral motor and feeding problems in hyposensilive/hypotonic children and hypersensitivethy ertonic children are described. Occupational therapy intervention t k' at emphasizes sensory stimulation related to the environment, handling before and during feeding, and the sensory qualities of food is explained...
1989: Occupational Therapy in Health Care
Jennifer L Miller, Christy H Lynn, Danielle C Driscoll, Anthony P Goldstone, June-Anne Gold, Virginia Kimonis, Elisabeth Dykens, Merlin G Butler, Jonathan J Shuster, Daniel J Driscoll
Prader-Willi syndrome (PWS) is a complex neurobehavioral condition which has been classically described as having two nutritional stages: poor feeding, frequently with failure to thrive (FTT) in infancy (Stage 1), followed by hyperphagia leading to obesity in later childhood (Stage 2). We have longitudinally followed the feeding behaviors of individuals with PWS and found a much more gradual and complex progression of the nutritional phases than the traditional two stages described in the literature. Therefore, this study characterizes the growth, metabolic, and laboratory changes associated with the various nutritional phases of PWS in a large cohort of subjects...
May 2011: American Journal of Medical Genetics. Part A
Marina C M Barros, Sandro Mitsuhiro, Elisa Chalem, Ronaldo R Laranjeira, Ruth Guinsburg
BACKGROUND: Late preterm infants have higher morbidity in the neonatal period and difficulties at school age. There are few data about neonatal neurobehavior performance that may interfere in their development. OBJECTIVES: To compare the neurobehavior of healthy late preterm and full-term neonates born to adolescent mothers. METHODS: This prospective cross-sectional study included infants with a gestational age of 40(0/7)-40(6/7) weeks (full term) and 34(0/7)-36(6/7) weeks (late preterm) aged 24-72 h without exposure to alcohol, tobacco, drugs or infections and free of clinical problems during the first 3 days of life...
2011: Neonatology
Sibylle Koletzko, Stephanie Osterrieder
BACKGROUND: Acute infectious enteritis is one of the more common childhood diseases worldwide, especially in the first three years of life. Every year, in Germany, one in six children under age 5 is taken to a physician at least once because of infectious diarrheal disease. 10% of the children presenting with rotavirus infection are admitted to hospital. The existing national and international recommendations for the treatment of acute infectious diarrheal disease are inadequately followed, despite the high level of evidence on which they are based...
August 2009: Deutsches Ärzteblatt International
Marina Carvalho de Moraes Barros, Ruth Guinsburg, Sandro Mitsuhiro, Elisa Chalem, Ronaldo Ramos Laranjeira
BACKGROUND: The Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) is used to assess neurological integrity, behavioral function and the existence of stress and abstinence signs in newborn infants. AIM: To determine the neurobehavioral profile of healthy term neonates of adolescent mothers. DESIGN: Cross-sectional study with prospective collection of data. SUBJECTS: 419 healthy newborns without analgesic/sedative use at labor, intra-uterine drug exposure, multiple gestation, congenital malformations or infections...
May 2008: Early Human Development
Jennifer Thomas, Kathleen A Marinelli, Margaret Hennessy
No abstract text is available yet for this article.
June 2007: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
C Bonnemains, J Berthelot, B Mousson de Camaret, F Chomienne, E Duveau, J L Giniès
Villous atrophy in an infant immediately suggests food intolerance. We report a case with an unusual cause. This female infant was first examined at 5 months for anorexia and failure to thrive. Intestinal biopsy showed total villous atrophy. A diet excluding gluten and cow milk proteins failed to improve her condition and the infant was hospitalized at 7 months for further investigations. The infant was hypotonic with a head lag. No other clinical sign was noted. Serum transaminases were increased 5- to 10-fold and CSF proteins concentration was increased...
February 2004: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
N Karlberg, H Jalanko, J Perheentupa, M Lipsanen-Nyman
Mulibrey nanism (MUL) is an autosomal recessive disease caused by mutations in the TRIM37 gene encoding the peroxisomal TRIM37 protein of unknown function. In this work, we analysed the clinical characteristics of 85 Finnish patients with MUL, most of whom were homozygous for the Finn major mutation of TRIM37. The patients' hospital records from birth to the time of the diagnosis at age 0.02-52 years (median 2.1 years) were retrospectively analysed. All except four of the patients (95%) had a prenatal onset growth failure without postnatal catch up growth...
February 2004: Journal of Medical Genetics
C Fridman, F Kok, C P Koiffmann
OBJECTIVE: To describe 6 patients with less than 3 years of age that were diagnosed with Prader-Willi syndrome (PWS) due to hypotonia, poor sucking, slight facial anomalies and minor abnormalities of hands and feet. PWS is a neurobehavioural disorder characterized by two distinct phases; in the first, the neonate presents variable degree of hypotonia, feeding problems with none or poor sucking; hypogonadism, characteristic facial features with almond shaped eyes, narrow bifrontal diameter and down-turned corners of the mouth...
May 2000: Jornal de Pediatria
Keiko Yoshida, Hiroshi Yamashita
Women have the most possibility of suffering from mental disorders during pregnancy and postpartum periods in their whole life time. Especially, postnatal depression is not uncommon with an incidence of 10-20%, fortunately a screening system has been developed, and in Japan the Edinburgh Postnatal Depression Scale (EPDS) is now practically used in both hospitals and community health service centers. Additionally most mental disorders during this period are not severely disturbed, so they do not have to be necessarily treated by psychiatrists...
2003: Seishin Shinkeigaku Zasshi, Psychiatria et Neurologia Japonica
Nadine Cox, Randy Hinkle
Although the worldwide incidence of infant botulism is rare, the majority of cases are diagnosed in the United States. An infant can acquire botulism by ingesting Clostridium botulinum spores, which are found in soil or honey products. The spores germinate into bacteria that colonize the bowel and synthesize toxin. As the toxin is absorbed, it irreversibly binds to acetylcholine receptors on motor nerve terminals at neuromuscular junctions. The infant with botulism becomes progressively weak, hypotonic and hyporeflexic, showing bulbar and spinal nerve abnormalities...
April 1, 2002: American Family Physician
M Gunay-Aygun, S Schwartz, S Heeger, M A O'Riordan, S B Cassidy
BACKGROUND: Prader-Willi syndrome (PWS) is a complex, multisystem disorder. Its major clinical features include neonatal hypotonia, developmental delay, short stature, behavioral abnormalities, childhood-onset obesity, hypothalamic hypogonadism, and characteristic appearance. The genetic basis of PWS is also complex. It is caused by absence of expression of the paternally active genes in the PWS critical region on 15q11-q13. In approximately 70% of cases this is the result of deletion of this region from the paternal chromosome 15...
November 2001: Pediatrics
I Bostanci, A Sarioģlu, H Ergin, A Akşit, M Cinbiş, N Akalin
A female newborn was admitted with the symptoms of mild respiratory distress, protruding tongue, hypotonicity, cutis marmorata, sclerema, myxedema, abdominal distension, and feeding problems on the first day of life. She had a huge neck mass, a large anterior and posterior fontanel, and hoarse cry. She had no umbilical hernia or jaundice. A history of maternal potassium iodine (expectorant) usage without doctor's advice was obtained; the mother had not attended a clinic throughout the pregnancy. On ultrasonographic examination, the thyroid right lobe was 53 x 31 mm and the left lobe was 34 x 31 mm...
September 2001: Journal of Pediatric Endocrinology & Metabolism: JPEM
A Gangil, A K Patwari, S Aneja, B Ahuja, V K Anand
OBJECTIVE: To determine the magnitude and extent of feeding problems in children with cerebral palsy (CP) and to evaluate the effectiveness of nutritional interventions. DESIGN: Prospective hospital based interventional study. METHOD: Children with cerebral palsy of either sex were enrolled randomly and their parents were interviewed for their perception about feeding problems, nutritional status and for their views about the expected outcome of feeding problems...
August 2001: Indian Pediatrics
M C Pérault, S Favrelière, P Minet, C Remblier
The use of benzodiazepines is not negligible in pregnant woman and self-medication is considerable. To investigate the effects on the fetus of benzodiazepines used during pregnancy, we reviewed animal and clinical studies completed with observations of CRPV (Centres Régionaux de Pharmacovigilance). Pooled results indicate that the risk of malformations associated with first-trimester exposure to benzodiazepines remains small. However, in a fetus exposed essentially to long-acting benzodiazepines on a long-term basis, neonatal hypotonicity, failure to feed and/or withdrawal syndrom could be observed...
September 2000: Thérapie
M Riaz, R Porat, N L Brodsky, H Hurt
OBJECTIVE: To evaluate the effects of maternal magnesium sulfate treatment on newborn outcome. METHODS: Subjects were newborn infants delivered at > or = 34 weeks of gestation whose mothers received a minimum of 12 hours of intravenous MgSO4 therapy before delivery. Control infants were the next born infants of similar gestational age. Outcome recorded at delivery included Apgar scores, whether resuscitation was required, and whether respiratory depression or decreased tone were noted by the physician in attendance...
November 1998: Journal of Perinatology: Official Journal of the California Perinatal Association
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