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Results 201 - 250 of 838
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Bodeau-Livinec Florence F INSERM, UMR S149, IFR 69, Unit on Perinatal and Women's Health, Hôpital Tenon, Paris, France. - - 2008
The objective of this study was to compare practices of care and outcomes of infants who were born between 23 and 25 weeks' gestation in 1995 in the British Isles and in 1997-1998 in France. We examined 2 population-based cohorts in the British Isles (1892 births included) and in France ...
Boehmer Tegan K - - 2009
BACKGROUND: In December 2006, we investigated an outbreak of Salmonella serotype Tennessee in a neonatal intensive care unit (NICU) that coincided with a nationwide Salmonella Tennessee outbreak associated with contaminated peanut butter. METHODS: Salmonellosis was defined as isolation of Salmonella Tennessee from any clinical specimen or more than 1 episode ...
Philbin M Kathleen - - 2008
OBJECTIVE: To base permissible noise criteria for occupied, new nurseries on research findings. STUDY DESIGN: An interdisciplinary group of clinicians reviewed the literature regarding the effect of sound on the fetus, newborn, and preterm infant and based recommended criteria on the best evidence. An external panel subsequently reviewed the criteria. ...
Draper E S ES Department of Health Sciences, University of Leicester, 22-28, Princess Road West, Leicester LE1 6TP, UK. - - 2009
To investigate the variation in the survival rate and the mortality rates for very preterm infants across Europe. A prospective birth cohort of very preterm infants for 10 geographically defined European regions during 2003, followed to discharge home from hospital. All deliveries from 22 + 0 to 31 + 6 ...
Pignotti Maria Serenella - - 2008
With the advancement of medical technology, the outcomes for high-risk infants have greatly improved. However, hand and hand with the more positive result of saving neonates, modern neonatal intensive care has also brought to light several issues regarding the ethical grounds in infant care. One of the greatest problems concerns ...
Kugelman Amir - - 2008
OBJECTIVES: The goals were to determine the incidence of iatrogenic events in NICUs and to determine whether awareness of iatrogenic events could influence their occurrence. METHODS: We performed a prospective, observational, interventional, multicenter study including all consecutive infants hospitalized in 4 NICUs. In the first 3 months (observation period), the ...
Clark Elizabeth C - - 2008
PURPOSE: Continuity of care is a fundamental component of family medicine that has been shown to improve health care quality. Family continuity, when different family members are seen by the same clinician or practice, has not been well studied. METHODS: We performed a retrospective cohort study of Medicaid enrollees in ...
Kellam Barbara - - 2008
Uterine structures protect the fetus from high-frequency sounds (i.e., >500 Hz). Preterm infants are not protected from sound >500 Hz. It is necessary to assess sound frequencies to protect preterm infants from high-frequency sound. However, no noise measurement study has been reported using sound spectral analysis (SSA). This article reports ...
Capretti Maria Grazia - - 2008
This study examined the effects of a standardized hand hygiene program on the rate of nosocomial infection (NI) in very low birth weight (VLBW) infants (birth weight < 1500 g) admitted to our neonatal intensive care unit (NICU). We compared the rate of NI in VLBW infants in 2 separate ...
Jochum F - - 2008
BACKGROUND: Recent studies from predominantly rural areas in Germany show that neonatal outcome of very low birth weight (VLBW) neonates is (on average) inferior with lower NICU (neonatal intensive care unit) volume. However, there are no data available which show that study results of one specific region can be transferred ...
Carter B S - - 2008
BACKGROUND: Parents whose newborns were cared for in the old neonatal intensive care unit (NICU) environment and then moved to the new NICU environment describe their impressions of the impact upon their infant's care, information access and support, of the two care settings. OBJECTIVES: To determine the perceptions of parents ...
Kim Juhee - - 2008
OBJECTIVE: To assess whether child care arrangements influence infant feeding practices and weight gain among US infants. DESIGN: Cross-sectional analysis of data collected by the US Department of Education, National Center for Education Statistics. SETTING: A nationally representative sample of infants enrolled in the Early Childhood Longitudinal Study, Birth Cohort ...
van der Pal S M - - 2008
BACKGROUND: In the context of a growing interest in developmental care (DC) this study explores the effect of the basic elements of DC and the additional effect of the individual approach of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) on the health-related quality of life (HRQoL) of very ...
Erdeve O - - 2008
AIM: To compare individual room implemented family-centred care to classical designed neonatal intensive care unit and find out its effect on rehospitalization and application to health services in preterm infants after discharge. METHODS: Mothers whose infants were born before 34 gestational weeks and hospitalized for at least one week in ...
Field David J - - 2008
To assess changes in survival for infants born before 26 completed weeks of gestation. Prospective cohort study in a geographically defined population. Former Trent health region of the United Kingdom. All infants born at 22+0 to 25+6 weeks' gestation to mothers living in the region. Terminations were excluded but all ...
Smith Mark - - 2008
Early detection and prompt management of metabolic crisis are crucial to favourable outcomes in the infant with an inherent metabolic disease for which treatment is available. The nursing role includes monitoring, support and information giving as well as fluid and dietary management. As technology improves, more infants and children will ...
Sloan Nancy L - - 2008
OBJECTIVE: We adapted kangaroo mother care for immediate postnatal community-based application in rural Bangladesh, where the incidence of home delivery, low birth weight, and neonatal and infant mortality is high and neonatal intensive care is unavailable. This trial tested whether community-based kangaroo mother care reduces the overall neonatal mortality rate ...
Seri I - - 2008
INTRODUCTION: As survival and long-term morbidity of very preterm infants have improved over the past decade, the limits of infant viability, the level of maturity below which survival and/or acceptable neurodevelopmental outcome are extremely unlikely, have also decreased. STUDY DESIGN: In an effort to define the current limits of infant ...
Tyson Jon E - - 2008
Decisions regarding whether to administer intensive care to extremely premature infants are often based on gestational age alone. However, other factors also affect the prognosis for these patients. We prospectively studied a cohort of 4446 infants born at 22 to 25 weeks' gestation (determined on the basis of the best ...
Lawhon Gretchen - - 2008
The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) was developed from a multidisciplinary study of the preterm infant's behavior, and serves as a guide for the newborn intensive care unit (NICU) professional to provide individualized developmental care. Implementation of the NIDCAP approach has reduced the iatrogenic complications of prematurity ...
Murray Philip G - - 2008
OBJECTIVE: Although nasal continuous positive airway pressure is widely used in neonatal units, its use in neonatal transport is not yet established. Previous reports have been limited to small numbers of primary road transports and larger numbers of return transports while its use in air transportation has not been reported. ...
Johnson Amy Nagorski - - 2008
The technological intensive care environment of the neonatal intensive care unit (NICU) presents a challenge for nurses to integrate care that supports the development of premature and critically ill term infants while supporting mothers as collaborators in the care of their infant. The purpose of this article is to discuss ...
McAdams R M - - 2008
OBJECTIVE: Long-distance air transport (LDAT) of infants with pneumoperitoneum for pediatric surgical evaluation has not been previously reported. We examined whether extremely low birth weight (ELBW) infants with and without pneumoperitoneum would tolerate transport differently. STUDY DESIGN: A retrospective cohort study was conducted comparing ELBW infants diagnosed with pneumoperitoneum to ...
Gaal Barbara J - - 2008
In Ontario, publicly funded, regionalized healthcare enables transfer of convalescing infants from level III neonatal intensive care units (NICUs) to regional level II nurseries prior to discharge home. To facilitate a timely transfer and allow time for preparation of families and regional hospital nurseries, NICU staff must recognize infant readiness ...
Hilgartner Roland - - 2008
In this study we investigated the importance of biparental care for the evolution and/or maintenance of pair-living in red-tailed sportive lemurs (Lepilemur ruficaudatus), a nocturnal folivorous lemur. Between 2000 and 2005, we collected data on life history traits from a total of 14 radio-collared pairs of adults and their offspring ...
Suhr Maureen - - 2008
The purpose of this case report is to describe an interdisciplinary approach to orthotic intervention in a neonate with giant omphalocele. An infant with a giant omphalocele was presented to the Neonatal Intensive Care Unit (NICU) for management. An interdisciplinary team including a neonatal surgeon, physical therapists, orthotist, and family ...
Dweck N - - 2008
OBJECTIVE: To determine the effect of a dedicated lactation consultant (LC) on the percentage of neonates receiving any human milk in the neonatal intensive care unit (NICU) and at discharge over time. STUDY DESIGN: Retrospective chart review of three time periods of 3 months each; Time period 1 (before LC ...
Shinwell Eric S - - 2007
Advances in perinatal and neonatal care in recent years have resulted in dramatic improvements in the rate of intact survival of preterm infants. As a result, neonatologists have focused on the new challenge of bringing about similar advances for the tiniest infants who are born at or near the current ...
Zaoutis Theoklis - - 2007
PURPOSE OF REVIEW: This review focuses on recent data regarding antifungal prophylaxis and antifungal treatment of neonatal candidiasis. RECENT FINDINGS: Candida species are the leading cause of invasive fungal infection in the neonatal intensive care unit, and are the third most common blood culture isolates recovered from cases of late-onset ...
Johnson Amy Nagorski - - 2007
OBJECTIVE: To describe the maternal experience of kangaroo holding premature infants in the neonatal intensive care unit. Design: Qualitative, naturalistic inquiry design using open-ended, transcribed audiotaped face-to-face interviews. SETTING: Level III 70-bed tertiary care neonatal intensive care unit in Delaware. PARTICIPANTS: Eighteen mothers who kangaroo held their premature infants were ...
Singh Anil - - 2008
The road transport sector is the largest consumer of commercial fuel energy within the transportation system in India and accounts for nearly 35% of the total liquid commercial fuel consumption by all sectors. Gasoline and diesel consumption for road transportation have quadrupled between 1980 and 2000 due to about nine ...
Van Reempts Patrick P Department of Neonatology, Antwerp University Hospital, University of Antwerp and Study Centre for Perinatal Epidemiology, Flanders, Belgium. - - 2007
We sought to compare guidelines for level III units in 10 European regions and analyze the characteristics of neonatal units that care for very preterm infants. The MOSAIC (Models of Organising Access to Intensive Care for Very Preterm Births) project combined a prospective cohort study on all births between 22 ...
Wielenga J M - - 2007
AIM: To compare the short-term clinical outcomes of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) and conventional care. METHODS: A prospective phase-lag cohort study was performed in a Dutch tertiary level neonatal intensive care unit (NICU). Infants born before 30 weeks of gestational age (GA) were included, 26 in ...
Hsieh Wu-Shiun - - 2007
AIM: To determine the outcome and hospital cost for infants weighing < or =500 g at a tertiary centre in Taiwan. METHODS: We retrospectively reviewed the medical records of infants who were born alive with birthweight < or =500 g at the National Taiwan University Hospital from 1997 to 2004. ...
Vavasseur C - - 2007
The gestational age and birth weight cut off for intact survival in extremely preterm infants is unclear. There is uncertainty among obstetricians and neonatologists about when it is inadvisable to institute intensive care. The suggested definition in relation to viability is when mortality does not exceed 50% but the corresponding ...
Underwood M A - - 2007
OBJECTIVE: To examine hospital readmissions for premature infants during the first year of life. STUDY DESIGN: The California maternal and newborn/infant hospital discharge records were examined for subsequent readmission during the first year of life for all newborns from 1992 to 2000. Discharge diagnoses, hospital days, demographic data and hospital ...
Wilson-Costello Deanne - - 2007
Advances in perinatal interventions over the past three decades, such as antenatal steroid therapy, ventilator techniques, surfactant therapy, and enhanced nutrition have resulted in a dramatic improvement in the survival of very low birth weight (VLBW) infants. Simultaneously, other advances in reproductive technology procedures have resulted in greater numbers of ...
Kent Alison L - - 2007
Neonatal hypertension occurs in up to 2% of neonatal intensive care survivors and in up to 3% of all neonates. Normal blood pressure (BP) measurements are required to diagnose and manage appropriately both hypotension and hypertension in the neonate and infant. The aim of this study was to provide normative ...
Livingston Karen - - 2009
Research investigating the efficacy of infant massage has largely focused on premature and low birth weight infants. The majority of investigations have neglected highly acute patients in academic neonatal intensive care units (NICUs). The current study was developed with two aims: (Phase 1) to develop, implement and demonstrate the feasibility ...
Dempsey E M - - 2007
A very large proportion of extremely preterm infants receive treatments for hypotension. There are, however, marked variations in indications for treatment, and in the interventions used, between neonatal intensive care units and between neonatologists. METHODS: We performed systematic reviews of the literature in order to determine which preterm infants may ...
Mori Rintaro - - 2007
BACKGROUND: Regionalization of perinatal health services has been actively discussed, although important determinants such as effect of duration of neonatal transport on neonatal outcomes have not been investigated well as yet. Therefore the purpose of the present paper was to investigate the association between duration of inter-facility transport and perinatal ...
Touzet Sandrine - - 2007
AIM: To measure the impact of French national consensus guidelines on the clinical practices of primary care paediatricians and general practitioners. DESIGN: Non-randomized intervention study, with a first survey 1 year before the consensus development conference and a second survey 1 year after. INTERVENTION: Implementation of bronchiolitis management guidelines through ...
Savage Christine L - - 2007
In Hamilton County, Ohio, the infant mortality rate for African American infants in 2002 was 18.1 per 1,000 live births compared with 14.4 for the United States. It is essential to engage community residents and leaders in identifying the underlying cultural factors contributing to this disparity. The purpose of the ...
Majeed Rehana - - 2007
BACKGROUND: Birth asphyxia is a serious clinical problem worldwide. There are many reasons a baby may not be able to take in enough oxygen before, during, or just after birth. Damage to brain tissues is a serious complication of low oxygen that can cause seizures and other neurological problems. This ...
Buckmaster Adam G - - 2007
AIM: In Australian hospitals: (i) to identify current practices in the initial oxygen management of infants with respiratory distress; (ii) to identify factors important in deciding to transfer an infant; and (iii) to identify thresholds for transfer. METHODS: All Australian hospitals with: >200 registered deliveries, a special care unit (SCU) ...
Sauter Todd B - - 2007
PURPOSE: To comment on a recently published article titled "Initial Audiologic Assessment of Infants Referred From Well Baby, Special Care, and Neonatal Intensive Care Unit Nurseries" by R. K. Karzon and J. E. C. Lieu (2006). METHOD: Comments are directed specifically at the sequence of testing described in the article. ...
Ritzel, Dolly
Neonatal units have been in existence for more than forty years and little attention has been given to the design of the neonatal unit. Preterm infants developmental outcomes may be directly related to the type of care and the environment where the infants spend their first couple of months of ...
Hedin Katarina - - 2007
BACKGROUND: Daycare infants have more infectious episodes, see a physician more often, and are prescribed antibiotics more often than home care infants. AIM: To compare physician consultations and antibiotic prescription in daycare children and home care children taking number of symptom days, sociodemographic factors, concern about infectious illness and antibiotic ...
Lang Astri - - 2007
AIM: This study audits the activity of the neonatal air transport team in Norway's two northernmost counties. METHODS: Data on all air transports to or from the regional Neonatal Intensive Care (NICU) Unit within a 10-year period were collected. RESULTS: Two hundred and thirty-eight acute transports were conducted during the ...
Vandenberg Kathleen A - - 2007
The newborn infant in the neonatal intensive care unit (NICU) is cared for with highly advanced medical technology, but the incidence of disability and neurodevelopmental problems among survivors remains high and problematic. Preterm birth disrupts the developmental progression of brain structures and affects development of the sensory systems. The Synactive ...
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