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van den Hoogen Sharayke C - - 2014
Cow's milk allergy (CMA) is the most common food allergy among infants. No data are available on the health care burden of suspected CMA in general practice. This study was conducted to evaluate the burden of suspected CMA in general practice (GP): (a) prevalence, (b) presenting symptoms, (c) diagnostic process, ...
Lucas Ruth R University of Connecticut School of Nursing, Storrs, and Nursing Research, Connecticut Children's Medical Center, - - 2014
The purpose of this integrative review was to uncover information regarding emotional and other types of support required by mothers providing breast milk for infants in the neonatal intensive care unit (NICU). These high-risk infants are often unable to directly breastfeed and, thus, mothers need to pump their breast milk ...
Hannan Jean J Nicole Wertheim College of Nursing and Health Sciences, Florida International University, University Park, Miami, - - 2014
Complementary and alternative healthcare practices have increased substantially in the United States especially with low-income ethnic minority mothers. These mothers often have provider mistrust, language barriers, differing health belief systems, and as a result are less likely to seek preventive health screening, access healthcare services, and use alternative remedies for ...
Drysdale Simon B SB Division of Asthma, Allergy and Lung Biology, MRC-Asthma UK Centre in Allergic Mechanisms of Asthma, King's College London, London, UK, - - 2014
The aim of this study was to determine whether respiratory syncytial virus (RSV) and other viral lower respiratory tract infections (LRTI) in prematurely born infants were associated with similar effects on healthcare utilisation and related cost of care in the second compared to the first year after birth. Thirteen infants ...
DʼApolito Karen C KC Neonatal Nurse Practitioner Program, Vanderbilt University School of Nursing, Nashville, - - 2014
Nationally, there has been a steady increase in the number of infants born with neonatal abstinence syndrome or drug withdrawal. Many of these infants remain in the hospital because their signs of withdrawal require pharmacologic management. The length of hospital stay can range from 1 week to several months depending ...
Cameron Mj M Norfolk and Norwich University Hospital, Norwich, - - 2014
Voluntary incident reporting of errors to determine adverse events is handicapped because only 20% are reported. The Institute for Healthcare Improvement (IHI) developed the perinatal trigger tool (PTT) for accurately identifying and measuring adverse events in perinatal care. IHI definition of harm is "Would you want this event to happen ...
Ruiz Rachael L RL From the Center for Health Research, Ochsner Clinic Foundation, New Orleans, Department of Global Community Health and Behavioral Sciences, School of Public Health and Tropical Medicine, and the School of Social Work, Tulane University, New Orleans, - - 2014
Despite targeted public health efforts, racial disparities and poor birth outcomes are still apparent, particularly in the southern United States. Previous research through qualitative and modest quantitative research demonstrates a possible link between disparities in patient-provider conversations during prenatal visits, perceived access to prenatal care, and poor birth outcomes. A ...
Montgomery Ann L AL Centre for Global Health Research, Li Ka Shing Knowledge Institute, St. Michael Hospital, Toronto, Ontario, - - 2014
Data on cause-specific mortality, skilled birth attendance, and emergency obstetric care access are essential to plan maternity services. We present the distribution of India's 2001-2003 maternal mortality by cause and uptake of emergency obstetric care, in poorer and richer states. The Registrar General of India surveyed all deaths occurring in ...
Gruber Jonathan J MIT, Harvard and NBER, and MIT Department of - - 2014
This paper analyzes Thailand's 2001 healthcare reform, "30 Baht". The program increased funding available to hospitals to care for the poor and reduced copays to 30 Baht (~$0.75). Our estimates suggest the supply-side funding of the program increased healthcare utilization, especially amongst the poor. Moreover, we find significant impacts on ...
Doria Valentina - - 2014
Despite improvements in neonatal care, survivors of preterm birth are still at a significantly increased risk of developing life-long neurological difficulties including cerebral palsy and cognitive difficulties. Cranial ultrasound is routinely used in neonatal practice, but has a low sensitivity for identifying later neurodevelopmental difficulties. Magnetic Resonance Imaging (MRI) can ...
Kher Kanwal - - 2014
At birth, GFR and tubular function of neonates is compromised as compared to older children and adults. These functions are even less developed in premature infants. These facts have a direct bearing on drug dosing, fluid and electrolyte administration, and maintenance of acid-base balance in neonates. Although many detailed methods ...
Montague Edwin C - - 2013
We reviewed cases of mastitis in infants treated at Children's Healthcare of Atlanta from 2005 to 2011. Among infants with breast cultures, Staphylococcus aureus was the most common cause. No infant with a positive breast culture had a concordant positive culture elsewhere. Our findings argue that urine, blood and spinal ...
Christianson Arnold L AL Division of Human Genetics, National Health Laboratory Service and University of the Witwatersrand, Johannesburg, South Africa. - - 2013
People with birth defects have been stigmatised, marginalised and discriminated against for millennia, diminishing their human dignity and abrogating their human rights. Beginning with the United Nations Universal Declaration of Human Rights, promulgated in 1947, the circumstances in which human dignity in healthcare for people with birth defects could be ...
Imourou B C A - - 2013
In Benin, maternal, infant (under 1 year) and child (under 5 years) mortality rates are measured every five years by national demographic health surveys. These provide data only at the national level, however. Because they do not reveal local disparities, they provide no information about how to target healthcare interventions. ...
Chitty Helen - - 2013
Over the last 50 years an increasing amount of evidence on neonatal resuscitation and stabilisation practices has led to written recommendations on all aspects of newborn care in the first few minutes of life. Much evidence for thermoregulatory management of both term and preterm infants has existed for decades and ...
Serenius Fredrik - - 2013
To investigate differences in mortality up to one-year-of-age in extremely preterm infants (before 27 weeks) born in seven Swedish healthcare regions. National prospective observational study of consecutively born, extremely preterm infants in Sweden 2004-2007. Mortality was compared between regions. Crude and adjusted odds ratios and 95% CI were calculated. Among ...
Ganapathy Vaidyanathan - - 2013
Infants who survive advanced necrotizing enterocolitis (NEC) at the time of birth are at increased risk of having poor long term physiological and neurodevelopmental growth. The economic implications of the long term morbidity in these children have not been studied to date. This paper compares the long term healthcare costs ...
McKillop Sarah J - - 2013
Accurate measurement of an infant's heart rate by palpation or auscultation is challenging. (1,2,3,4,5) The standard of care for infant heart rate assessment by a healthcare professional is by apical auscultation using a stethoscope.(6,7,8) For the lay person, apical auscultation by ear to chest technique is often taught. This article ...
Khan Nizamuddin - - 2013
Maternal mortality has been identified as a priority issue in health policy and research in India. The country, with an annual decrease of maternal mortality rate by 4.9% since 1990, now records 63,000 maternal deaths a year. India tops the list of countries with high maternal mortality. Based on a ...
Valet Robert S RS Division of Allergy, Pulmonary, and Critical Care Medicine, Department of Medicine, Vanderbilt University School of Medicine, Nashville, - - 2013
To examine healthcare resource utilization for acute respiratory illness in Latino infants compared with other racial/ethnic groups. We studied 674 term-born, previously healthy infants brought in for an unscheduled healthcare visit for an acute respiratory illness. The predictor variable was infant race/ethnicity, and the primary outcome was healthcare resource utilization, ...
Engmann C - - 2013
Objective:To explore community understanding of perinatal illness in northern Ghana.Study Design:A cross-sectional descriptive study design.Result:253 community members participated in in-depth interviews and focus group discussions, including women with newborn infants, grandmothers and health care providers. Four overarching themes emerged: (1) Local understanding of illness affects treatment practices. Respondents recognized danger ...
Rejnö Asa - - 2013
Death always evokes feelings in those close to the afflicted person. When death comes suddenly the time for preparation is minimal and the next of kin have to cope with the situation despite their own sorrow. The suddenness is found to be stressful for the next of kin and communication ...
Evans T Alun - - 2013
The Standardised Mortality Ratio (SMR) is increasingly used to compare the performance of different healthcare providers. However, it has long been known that differences in the populations of the providers can cause biased results when directly comparing two SMRs. This is potentially a particular problem in neonatal medicine where units ...
Cirelli Josie - - 2013
Maintaining blood oxygen saturation within the intended target range for preterm infants receiving neonatal intensive care is challenging. Supplemental oxygen is believed to lead to increased risk of retinopathy of prematurity and hence managing the level of oxygen within this population is important within their care. Current quality improvement activities ...
Leung Jessica - - 2013
Rates of laboratory testing and diagnostic practices for congenital CMV in the United States are unknown. We determined rates of CMV testing and diagnostic coding for CMV among insured infants in the United States using a national healthcare claims database. We analyzed medical claims from 2011 Truven Health MarketScan® Commercial ...
Geelhoed Diederike - - 2013
The follow-up of HIV-exposed infants remains a public health challenge in many Sub-Saharan countries. Just as integrated antenatal and maternity services have contributed to improved care for HIV-positive pregnant women, so too could integrated care for mother and infant after birth improve follow-up of HIV-exposed infants. We present results of ...
Yotebieng Marcel M College of Public Health, Division of Epidemiology, The Ohio State University, Columbus, OH, USA. - - 2013
Although breastfeeding is almost universally accepted in the Democratic Republic (DR) of Congo, by the age of 2 to 3 months 65% of children are receiving something other than human milk. We sought to describe the infant feeding practices and determinants of suboptimal breastfeeding behaviors in DR Congo. Survey questionnaire ...
Ebela Inguna I Paediatrics Department, Faculty of Medicine, University of Latvia, Raina bulvaris 19, 1586 Riga, Latvia. - - 2013
BACKGROUND AND OBJECTIVE. A constant gap has appeared in infant mortality among the 3 Baltic States - Latvia, Estonia, and Lithuania - since the restoration of independence in 1991. The aim of the study was to compare infant mortality rates in all the 3 Baltic countries and examine some of ...
Christensen Robert D - - 2012
We report a series of neonates who developed a total serum bilirubin (TSB) >20mg/dL during a recent ten-year period in a multihospital healthcare system. The incidence of a TSB >20mg/dL fell after instituting a pre-hospital discharge bilirubin screening program in 2003/2004 (91.3 cases/10,000 births before vs. 72.4/10,000 after), but the ...
Hisgen Stephanie - - 2012
Abstract Hospitals providing maternity care influence breastfeeding mothers and infants during the critical, early postnatal period. Despite concerted public health efforts, there are persistent, large variations across New York State (NYS) hospitals in breastfeeding policies, maternity care, and infant feeding practices and in rates of breastfeeding initiation and exclusivity. An ...
Christensen Robert D - - 2012
Reference ranges are an important guide for properly interpreting the clinical laboratory studies obtained from newborn infants. To judge whether the data contained in a CBC (complete blood count) is "normal," a neonatologist cannot utilize the normal ranges of CBCs constructed by sampling healthy adult volunteers. This is because important ...
Yıldız Edibe Pembegul - - 2012
This study evaluated etiologic and risk factors affecting long-term prognoses of neurologic outcomes in newborns with neonatal seizures. We enrolled patients at chronologic ages of 23-44 months, referred to the Department of Pediatric Neurology, Istanbul Medical Faculty, from January 1, 2007-December 31, 2009, after manifesting seizures in their first postnatal ...
MacDonald Cheryl - - 2012
Baby massage has become increasingly popular in the West among parents and healthcare practitioners alike, with numerous studies continuing to hail the benefits of taking time to massage and bond with your baby. Newborn and infant massage is of particular interest to midwives in their primary role, helping families to ...
Bakshi B - - 2012
The success of surgery in infants with hepatobiliary disease is inversely proportional to the age when surgery was performed. Pale stool colour is a major indicator of biliary obstruction. However, simple recognition has been inadequate, resulting in late diagnosis and referral. Objective To assess the skills of healthcare professionals in ...
McAdams Ryan M - - 2012
Antenatal parental counselling by healthcare providers is recommended to inform parents and assist with decision-making before the birth of a child with anticipated poor prognosis. In the setting of a low-income country, like Mongolia, attitudes of healthcare providers towards resuscitation of high-risk newborns are unknown. The purpose of this study ...
DuPont Tara L - - 2013
To determine short-term outcomes of infants who had perinatal acidemia and were evaluated for hypothermia therapy but did not qualify based on a standardized neurologic examination. Retrospective, single-site cohort study of inborn infants of ≥ 36 weeks gestation who had perinatal acidemia from October 2005-September 2008 and had a standardized ...
Rodriguez Michael L ML Department of Forensic Medicine, Sydney Local Health District, Glebe, NSW, - - 2012
The differential diagnosis of known entities associated with sudden unexpected death in infancy is ever expanding. Here we report the case of a 10-month-old infant boy whose clinical presentation mimicked that of the sudden infant death syndrome (SIDS). This presentation included the typical features of SIDS: sleep-related death; prone position ...
Kikuchi Kenjiro - - 2012
We describe an infant with molybdenum cofactor deficiency, initially diagnosed as cerebral palsy. Clinical features of molybdenum cofactor deficiency, e.g., neonatal seizures, hypertonus/hypotonus, and feeding and respiratory difficulties, resemble those of neonatal hypoxic-ischemic encephalopathy. Our patient, a 2-year-old boy, presented with spastic quadriplegia and mental retardation. He manifested intractable neonatal ...
Kendall Giles S - - 2012
Infants undergoing therapeutic hypothermia for hypoxic ischemic encephalopathy are at risk for rebound seizures during and after the rewarming phase. We report a term male infant who was cooled for hypoxic ischemic encephalopathy. He developed electrographic seizures for the first time during the warming phase, which continued in the hours ...
Kubota Tetsuo - - 2012
Background: Dexmedetomidine hydrochloride, a highly selective 2-adrenoceptoragonist, is used in combination with local anesthetics for sedation and analgesia. It is known to be efficacious in adult patients and is enthusiastically expected to be successful for sedation in neonates. Patient: The present case report details a term infant who was sedated ...
Lemke Daniel - - 2012
INTRODUCTION: Seizures are a common pediatric emergency, occurring in 4% to 6% of all children by the age of 16 years. Seizures are also present in many patients with critical illness requiring resuscitation. Whereas some high-fidelity simulators have built-in seizure mechanisms, others do not. We report a novel inexpensive mechanism ...
Gunn Julia K - - 2012
PURPOSE: Perioperative brain injury is common in young infants undergoing cardiac surgery. We aimed to determine the relationship between perioperative electrical seizures, the background pattern of amplitude-integrated electroencephalography (aEEG) and 2-year neurodevelopmental outcome in young infants undergoing surgery for congenital heart disease. METHODS: A total of 150 newborn infants undergoing ...
Almubarak Salah - - 2012
: To determine how specific early EEG abnormalities correlate with clinical outcome on long-term follow-up for neurological and epilepsy outcomes. Our aim was to revisit how early EEG abnormalities should be weighed for prognosis. : This is a retrospective study of 358 infants who had EEGs taken between 3 and ...
Ness Seth - - 2012
Data from two global studies (6-week open-label, phase 1 study; 20-day double-blind, phase 3 study) and their 1-year open-label extensions were pooled to assess long-term effects of adjunctive topiramate on adaptive behavior in infants with clinical or video-electroencephalographic evidence of refractory, partial-onset seizures. The primary safety and efficacy results of ...
Castro Conde José Ramón - - 2012
We present 2 term newborn infants with apneic seizure originating in the occipital lobe that was diagnosed by video-EEG. One infant had ischemic infarction in the distribution of the posterior cerebral artery, extending to the cingulate gyrus. In the other infant, only transient occipital hyperechogenicity was observed by using neurosonography. ...
Pisani Francesco - - 2012
BACKGROUND:Seizures are one of the most common symptoms of acute neurological disorders in newborns. This study aims at evaluating predictors of epilepsy in newborns with neonatal seizures.METHODS:we recruited consecutively eighty-five neonates with repeated neonatal video-EEG-confirmed seizures between Jan 1999 and Dec 2004. The relationship between clinical, EEG and ultrasound data ...
Appendino Juan Pablo - - 2012
Objective: To examine how the introduction of amplitude-integrated electroencephalography (aEEG) to our neonatal intensive care unit (NICU) influenced clinical practice. Methods: This was a retrospective study examining clinical practice three years before and three years after the introduction of aEEG monitors to our NICU. A time series analysis was performed ...
Shellhaas Renée A - - 2012
As more critically ill term and premature neonates are surviving their acute illness, their long-term neurodevelopmental morbidity is being recognized. Continuous monitoring of cerebral function, with electroencephalography or derived digital trends, can provide key information regarding seizures and background patterns, with direct treatment and prognostic implications. Conventional video-electroencephalography remains the ...
Wikström Sverre - - 2012
To characterize early amplitude-integrated electroencephalogram (aEEG) and single-channel EEG (aEEG/EEG) in very preterm (VPT) infants for prediction of long-term outcome. Forty-nine infants with median (range) gestational age of 25 (22-30) weeks. Amplitude-integrated electroencephalogram/EEG recorded during the first 72 h and analysed over 0-12, 12-24, 24-48 and 48-72 h, for background ...
Huang Li-Tung - - 2012
Neonatal seizures are common and often reflect a severe underlying neurologic dysfunction in neonates. Phenobarbital remains the mainstay of treatment of neonatal seizures, however, but it is ineffective in many patients and has adverse profiles in cognition. Furthermore, gamma-aminobutyric acid is excitatory early in brain development; therefore, treatment of neonatal ...
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