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Huseynova Saadat Arif SA Department of Neonatology,Azerbaijan Medical University, Baku, - - 2014
Preterm infants are often exposed to neuronal and endothelial damage. To investigate the correlation between endothelial dysfunction and neuronal injury in preterm infants. We compared serum nitric oxide (NO), endothelial nitric oxide synthase (eNOS) and neuron-specific enolasae (NSE) concentrations in 33 moderate preterm (MP) and 47 late preterm (LP) infants ...
Froh Elizabeth B EB University of Pennsylvania School of Nursing, Philadelphia, and Children's Hospital of Philadelphia, - - 2014
Despite recommendations from the World Health Organization, the United Nations Children's Fund, the American Academy of Pediatrics Section on Breastfeeding, and others, only a small percentage of infants in the United States receive exclusive human milk for the first 6 months of life. In the United States, decisions related to ...
Premji Shahirose - - 2014
Given regional variability and minimal improvement in infant mortality rates in Pakistan, this study aimed to explicate sociocultural influences impacting mothers' efforts to maintain or improve newborn health. We used a qualitative phenomenological approach. A total of 10 mothers and 8 fathers from a fishing village in Karachi, Pakistan were ...
Simard Marc - - 2014
A wide range of dilemmas encountered in the health domain can be addressed more efficiently by a transdisciplinary approach. The complex context of extreme prematurity, which is raising important challenges for caregivers and parents, warrants such an approach. In the present work, experts from various disciplinary fields, namely biomedical, epidemiology, ...
Davis Colleen - - 2014
In a recent decision of the Indian Supreme Court, judges foreshadowed authorising separation of teenage conjoined twins where both would die if not separated but where the operation could save only one. The absence of medical information advising separation precluded such a decision in the case at hand. However, the ...
Johansson Margareta M Department of Nursing, Mid Sweden University, SE-851 70 Sundsvall, Sweden; Department of Clinical Science and Education, Karolinska Institutet Södersjukhuset, SE-118 83 Stockholm, Sweden; Department of Women's and Children's Health, Karolinska Institutet, SE-171 77 Stockholm, Sweden. Electronic address: - - 2014
Decision-making in childbirth involves considerations about both the mother and her unborn baby's wellbeing. For men the safety of both is paramount. To explore and describe Swedish fathers' beliefs and attitudes around the decision for a caesarean section. Qualitative descriptive study. Twenty one Swedish men whose partners had experienced elective ...
van Wijk Renske M RM Department of Health Technology and Services Research, Institute for Innovation and Governance Studies, University of Twente, P.O. Box 217, 7500 AE, Enschede, The Netherlands, - - 2014
Helmet therapy is regularly prescribed in infants with positional skull deformation. Evidence on the effectiveness is lacking, which complicates decision making. This study aims to assess the relation between parents' decision for treatment of skull deformation in their infant and their level of anxiety, decisional conflict, expectations of treatment effect, ...
Gallagher Katie K Florence Nightingale School of Nursing and Midwifery, King's College London, , London, - - 2014
Preterm birth is a major global public health issue due to its prevalence, impact upon morbidity and mortality, and subsequent cost implications. Yet, policy analysis has not been undertaken to understand the different approaches across Europe to treatment decisions, and parental involvement in these decisions. A European survey and national ...
Dupont-Thibodeau Amélie A Department of Pediatrics and Clinical Ethics, University of Montreal; Neonatology and Clinical Ethics, Sainte-Justine Hospital, Montreal, Quebec, Canada H3T 1C5. Electronic address: - - 2014
Interventions for extremely preterm infants bring up many ethical questions. Guidelines for intervention in the "periviable" period generally divide infants using predefined categories, such as "futile," "beneficial," and "gray zone" based on completed 7-day periods of gestation; however, such definitions often differ among countries. The ethical justification for using gestational ...
Srinivas Sindhu K - - 2013
The potential delivery of an extremely premature infant presents a clinical situation that raises a complex combination of medical, social, ethical, religious, and economic issues. It is a unique medical encounter such that it is not all about "curing" the patient. Rather, it is an encounter where counseling is assisting ...
Garcia-Alix Alfredo - - 2013
To investigate the circumstances surrounding end-of life decisions (EoL) of infants with hypoxic-ischaemic encephalopathy (HIE) and examine changes over a 10-year period. Retrospective chart review of all infants with HIE who died during 2000-2004 and 2005-2010 in a Level III Neonatal Intensive Care Unit in Madrid, Spain. Of 70 infants ...
Thies-Lagergren Li - - 2013
Physical benefits are suggested for women and their babies when women adopt an upright position of their choice at birth. Available care options during labour influence women's impressions of what intrapartum care is. This indicates that choice of birth positions may be determined more by midwives than by women's preferences. ...
Cassels Tracy G - - 2013
birthing practices have changed drastically over the past century. It is now more common for women to birth in a hospital, receive drug interventions, and to birth via caesarean section, yet there is a paucity of research on long-term outcomes associated with practices. The research was designed to determine if ...
Bonia Kimberly - - 2013
Breastfeeding has numerous health benefits. In 2010, the province of Newfoundland and Labrador had the lowest breastfeeding initiation rate (64.0%) in Canada. Formula feeding is associated with well-known health risks. Exclusive formula feeding is the "cultural norm" in some regions of the province. Women appear resistant to changing their infant ...
Tehrani Fleur T - - 2013
A computerized decision support system is described to predict the changes in the cerebral blood flow (CBF) of mechanically ventilated infants in response to different ventilatory settings. A CBF controller was developed and combined with a mathematical model of the infant's respiratory system to simulate the effects of ventilatory settings ...
Silberberg Agustín Alfredo - - 2013
The number of preterm births has significantly increased in the last few decades (1). Doctors face new situations that call for a cautious medical approach, especially in relation to newborns whose survival is considered doubtful (2). Some infants are discharged alive, some die and the frequency of disabled children is ...
Sheehan Athena - - 2013
Research indicates that multiple factors are associated with decisions women make about infant feeding, yet few studies have explored the decision-making process. In this article, we present the analysis that produced the core category "deconstructing best," previously reported as part of a grounded theory exploring 37 Australian women's infant feeding ...
Dozier Ann M AM Department of Community and Preventive Medicine, University of Rochester, Rochester, NY 14642, USA. - - 2013
Breastfeeding benefits both infant and maternal health. Use of epidural anesthesia during labor is increasingly common and may interfere with breastfeeding. Studies analyzing epidural anesthesia's association with breastfeeding outcomes show mixed results; many have methodological flaws. We analyzed potential associations between epidural anesthesia and overall breast-feeding cessation within 30 days ...
El-Khuffash A - - 2013
Objective:To characterize the effect of a targeted neonatal echocardiography (TnECHO) program on decision making in a tertiary level unit.Study design:Retrospective cohort study of neonates, admitted between September 2007 and April 2011. Details of the TnECHO, and the clinical decisions within 6 h of the consultation were recorded.Result:A total of 199 infants ...
Miron Devi - - 2013
This article takes a human rights perspective with a view to articulating the infant's perspective when the infant has been subjected to abuse, neglect, or both and is reliant on the state to ensure his or her health and well-being. When a young child is removed from parental care, important ...
Kretch Kari S KS Department of Psychology, New York University, - - 2013
Do infants, like adults, consider both the probability of falling and the severity of a potential fall when deciding whether to cross a bridge? Crawling and walking infants were encouraged to cross bridges varying in width over a small drop-off, a large drop-off, or no drop-off. Bridge width affects the ...
Bhat S B - - 2013
Current professional guidelines, such as the Neonatal Resuscitation Program, specify significant roles for parents in decision-making at periviability. However, current federal regulations and some legal precedents indicate that resuscitation decisions should be made by the physician at the time of delivery, based on physical assessment of the infant. The enforcement ...
Regan Mary - - 2013
In the United States, clinical interventions such as epidurals, intravenous infusions, oxytocin, and intrauterine pressure catheters are used almost routinely in births in the hospital setting, despite evidence that the overutilization of such interventions likely plays a key role in increasing the need for cesarean section (CS).' In 2010, according ...
Fineberg Annette E - - 2013
Birth, whether at home or in the hospital, should involve shared decision making that empowers women to choose or decline the interventions that are best for the woman and her baby. Obstetricians and home birth midwives must share important information with their patients.
Regan Mary - - 2013
This article reports the findings from a mixed-methods study on factors that influence women's decisions about birth, with the view that women's decision making about birth can affect the use of cesarean surgery. Data was collected from focus groups and structured postpartum interviews and was analyzed using the Consensual Qualitative ...
Tudehope David - - 2012
AIM: To describe decisions made for babies who died in the delivery room as a result of clinical practice of non-resuscitation or unsuccessful resuscitation. METHODS: A retrospective study was conducted of neonatal deaths (NNDs) ≥ 400 g and/or ≥20 weeks' gestation born at Mater Mothers' Hospitals 1998-2009 who were not admitted ...
Haward Marlyse Frieda - - 2012
To determine whether presenting delivery room management options as defaults influences decisions to resuscitate extremely premature infants. Adult volunteers recruited from the world wide web were randomised to receive either resuscitation or comfort care as the delivery room management default option for a hypothetical delivery of a 23-week gestation infant. ...
Srinivasan Lakshmi - - 2012
Multiple studies have provided normative ranges for cerebrospinal fluid (CSF) parameters in term and preterm infants and described changes with advancing postnatal age, as well as in special circumstances, such as traumatic lumbar puncture (LP), previous antibiotic administration, seizures, and concomitant infections at other sites. Although guidelines exist for the ...
Sauer Pjj - - 2012
AIM: To comparing attitudes towards end-of-life (EOL) decisions in newborn infants between seven European countries. METHODS: One paediatrician and one lawyer from seven European countries were invited to attend a conference to discuss the practice of EOL decisions in newborn infants and the legal aspects involved. RESULTS: All paediatricians/neonatologists indicated ...
Jefferies Ann L - - 2012
Extremely preterm birth (birth between 22(0/7) and 25(6/7) weeks' gestational age [GA]) often requires parents to make complex choices about the care of their infant. Health professionals have a significant role in providing information, guidance and support. Parents facing the birth of an extremely preterm infant should have the chance ...
Bettesworth Jacob - - 2012
Background:  Adequate tissue oxygenation is required for effective white blood cell function and bactericidal activity. Decreased tissue oxygenation has been shown to be a risk factor for perioperative wound infections. Regional anesthetic techniques result in a functional sympathetic block and may increase tissue oxygenation. The purpose of the current study ...
Ciftci Ilhan - - 2012
Duodenal atresia is a well-recognized cause of neonatal bowel obstruction. General anesthesia with tracheal intubation is the traditional anesthetic technique for surgical correction of this condition. Metabolic abnormalities and fluid deficits coupled with residual anesthetics are known to increase the risk of postoperative apnea, prolonging the operating room time and ...
Ferda Ozlu - - 2012
Abstract Aim: To determine whether paediatrician attendance to deliveries with elective caesarean section (CS) is really needed for term and also for preterm babies with 35-37 weeks gestational age. Methods: Singleton newborns ≥ 35 gestational weeks without any identified risk factor were evaluated for resuscitation steps prospectively after CS under ...
Shenkma Ze Ev - - 2012
OBJECTIVES: To investigate the risk factors and incidence of perioperative adverse effects from unsupplemented spinal anesthesia in preterm infants. Times to resumption of oral feeding and to home discharge were also evaluated. METHODS: Perioperative data were collected prospectively for all preterm and former preterm infants who underwent inguinal hernia repair ...
Shenkman Ze'ev - - 2012
Introduction:  There are conflicting reports on the effects of spinal anesthesia (SA) on hemodynamics. Data on the hemodynamic effects of SA in infants with congenital heart disease (CHD) are limited. Methods:  We reviewed our experience with 44 unsupplemented SA with 1 mg·kg(-1) of either hyperbaric tetracaine or bupivacaine in premature and ...
Dewhirst Elisabeth - - 2012
ABSTRACT: Since its introduction into clinical practice, it has been known that fentanyl and other synthetic opioids may cause skeletal muscle rigidity. Involvement of the respiratory musculature, laryngeal structures, or the chest wall may impair ventilation, resulting in hypercarbia and hypoxemia. Although most common with the rapid administration of large ...
Arya Ravindra - - 2012
Spontaneous spinal epidural hematoma is a rare entity, especially in infants. The cervicothoracic region is the most commonly affected site in children. The clinical features are often nonspecific, leading to a delay in diagnosis. Early management is probably associated with better functional outcomes. Here the authors report a 12-month-old girl ...
Leelanukrom Ruenreong - - 2012
PURPOSE: Postoperative pain management is essential in the perioperative care of neonates and infants but it requires a high level of care. Wound infiltration with bupivacaine, a long-acting local anesthetic, is a simple method with minimal complications. However, studies on the effectiveness of wound infiltration in neonates and infants are ...
Sima Xiutian - - 2012
Intraspinal schwannoma is a rare neoplasm in pediatric patients; cellular schwannoma is an unusual histological subtype of schwannoma. A six-month-old infant with an epidural dumbbell cellular schwannoma presented with progressive weakness of his arms and legs. A spinal MRI revealed an epidural mass from C5 to T4, and a complete ...
Greenwell Elizabeth A EA Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA, USA. - - 2012
To examine the association of intrapartum temperature elevation with adverse neonatal outcome among low-risk women receiving epidural analgesia and evaluate the association of epidural with adverse neonatal outcome without temperature elevation. We studied all low-risk nulliparous women with singleton pregnancies ≥37 weeks delivering at our hospital during 2000, excluding pregnancies ...
Nadroo Ali M - - 2011
The survival rate for extremely preterm infants has improved over the last two decades. Although the incidence of such births is about 2%, the impact of preterm birth on these infants, their families, health-care providers, and society is profound. The birth of an extremely low birth weight (ELBW) and early ...
Sigalet D L - - 2011
The regulation of nutrient absorptive capacity is a critical factor in the normal growth and development of infants of all species. In human infants this is a common problem following surgical resection; the process of adaptation, or up-regulation of nutrient transport capacity is the physiologic process, which allows patients to ...
Javaid M Kassim MK NIHR Musculoskeletal BRU, University of Oxford, Oxford, United Kingdom. - - 2011
The mechanism whereby poor intrauterine growth increases risk of adult hip fracture is unclear. We report the association between birth weight and proximal femoral geometry and density in community-dwelling elderly men. We used self-reported birth weight, measured adult height and weight and proximal femoral quantitative computed tomography (QCT) measurements of ...
Koranda Pavel - - 2011
Two cases of successful detection of inflammatory foci using Tc-99m exametazime (HMPAO)-labeled leukocyte scintigraphy in premature infants were reported. Necrotizing enterocolitis was detected in a child with a body weight of 1.6 kg. Scintigraphy confirmed a neonatal osteomyelitis in the distal part of the leg of another patient weighing 2.2 ...
Song Yang - - 2011
Background  Sporotrichosis is a deep mycosis caused by Sporothrix schenckii. It is not uncommon in adults and children but is very rare in infants. Methods  We collated a series of case reports. Clinical data and laboratory and therapeutic results in 15 infants with cutaneous sporotrichosis were analyzed. Results  A total ...
Lahlou Najiba - - 2011
To compare our recent findings in a cohort of 77 nonmosaic XXY infants <2 years of age with clinical and biological features already reported. The majority of reported XXY neonates had normal external genitalia. Only undescended testes and/or micropenis were identified reasons for referral. Delayed ambulation and speech skills were ...
Wikner Birgitta Norstedt - - 2011
BACKGROUND:: Hypnotic benzodiazepine receptor agonists (HBRAs; zolpidem, zopiclone, and zaleplon) are used in the treatment of insomnia. Little is known about the safety of HBRAs during pregnancy. METHODS:: Data from the Swedish Medical Birth Registry from July 1, 1995, up to 2007 were used to identify 1318 women who reported ...
Morita N - - 2011
Holoprosencephaly is a rare disorder of embryological development that presents with midline clefting of the lip. The incidence has been estimated at approximately 1 in 15,000. Previously, infants with severe holoprosencephaly were thought to die within 1-2 years of birth and seldom to benefit from surgery. Survival has increased with ...
Herrmann D - - 2011
Objective:To investigate the repeatability of maternal self-reported prenatal, perinatal and early postnatal factors within the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) study.Design:Data are from the baseline survey of the longitudinal cohort study IDEFICS in eight European countries.Subjects:A total of 420 parents from ...
Poets Anette - - 2011
Objective and Design: To determine the incidence of and possible risk factors for unexpected sudden infant deaths (SID) and severe apparent life-threatening events (S-ALTE) that occurred within 24 hours of birth. This was a monthly epidemiologic survey. Patients and Methods: Throughout 2009, every pediatric department in Germany was asked to ...
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