Search Results
Results 251 - 300 of 847
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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 ...
Lainwala Shabnam - - 2007
OBJECTIVE: Transfer of clinically stable infants to level I and II nurseries alleviates demands on NICUs and allows better use of beds and resources. This study compared growth, neurodevelopmental impairments, postdischarge rehospitalization and deaths, and compliance for follow-up assessment at 18 to 22 months' corrected age of extremely low birth ...
Forsythe Paula L - - 2007
Safe transitioning of high-risk infants from hospital to home requires these essential elements: (1) a thorough understanding and adherence to infant-identified discharge criteria; (2) the coordination and progression of educational activities that prepare families for care at home; (3) the appropriate identification and utilization of referral services, both during hospitalization ...
Chen Xi-Kuan - - 2007
BACKGROUND: Previous studies have found that inadequate prenatal care was associated with increased neonatal mortality in the general pregnant women. AIMS: To examine the association between adequacy of prenatal care and neonatal mortality in the presence and absence of antenatal high-risk conditions. METHODS: We conducted a retrospective cohort study of ...
Kirkby Sharon - - 2007
PURPOSE: The purpose of this study is to define the incidence of admission and morbidities and the economic impact of moderately preterm infants in the neonatal intensive care unit (NICU). DESIGN: A retrospective descriptive study. SUBJECTS: All infants born between 32 to 34 weeks' gestational age (GA) (n=4932) followed by ...
Beaudet Luc - - 2007
BACKGROUND: Placental pathology predicts persistent neurological impairment, even in normally grown infants. However, few studies have linked placental pathology with neonatal outcomes in a large population. METHODS: We matched the clinical outcomes of a cohort of neonates admitted to a neonatal intensive care unit (NICU) with placental pathology, where available, ...
O'Shea T Michael - - 2007
OBJECTIVES: Premature infants with chronic lung disease benefit from comprehensive care, which typically is based in tertiary medical centers. When such centers are not easily accessible, alternative models of care are needed. The purpose of this work was to compare community-based follow-up, provided via telephone contacts, to traditional center-based follow-up ...
Buchh Basharat - - 2007
OBJECTIVE: We wondered whether Neonatal Intensive Care Unit resources for Extremely Low Birth Weight infants have always been disproportionately devoted to survivors, even when ELBW infants were very likely to die. METHODS: We documented survival and length of stay (LOS) for 2354 ELBW infants (BW 450-1000 g) admitted to the ...
Miles J - - 2007
OBJECTIVE: To evaluate the impact of a shared care approach in clinical management with a drug liaison midwife (DLM) service for mothers and infants established in 1995-1996 in an inner city area and to address the problem of congenital abnormality and microcephaly with fetal drug exposure. METHODS: Descriptive analysis of ...
Chen Yung-Che - - 2007
BACKGROUND: The mortality rate after discharge from the intensive care unit (ICU) (so called post-ICU mortality) has remained high (8.6-23.6%) during the past 15 years. The object of this study was to examine the effects of the severity of illness at ICU discharge assessed using the Acute Physiology and Chronic ...
Abdel-Latif Mohamed E - - 2007
AIM: Illicit substance use during pregnancy is associated with an increased rate of perinatal complications. Our study examines if outcome of infants of substance-using mothers (ISMs) in the neonatal intensive care unit (NICU) setting is similar to unexposed infants (controls). METHODS: A prospective state-wide NICU study comparing ISMs to control ...
Schiariti Veronica - - 2007
OBJECTIVE: We conducted a population-based survey of caregivers of all preschoolers at 42 months of age who had been admitted at birth in 1996-1997 to a tertiary neonatal intensive care unit in British Columbia (BC), Canada. METHODS: In this paper, we examine health status (measured by Health Status Classification System ...
Latva R - - 2007
AIM: To investigate visiting frequency of family members, including mother, father, siblings and grandparents and associated factors during hospitalisation of preterm infants. METHODS: The study included all premature (< 37 weeks) infants born in Tampere University Hospital in 1997-1998 admitted to the neonatal intensive care unit (NICU) with a birth ...
Profit Jochen - - 2007
The timely discharge of moderately premature infants has important economic implications. The decision to discharge should occur independent of unit census. We evaluated the impact of unit census on the decision to discharge moderately preterm infants. In a prospective multicenter cohort study, we enrolled 850 infants born between 30 and ...
Sigmundsdottir Gudrun - - 2007
In 2 prospective studies, we previously reported on the early and accurate diagnosis of invasive candidiasis by determining the D-arabinitol/L-arabinitol (DA/LA) ratio in urine in neutropenic children with cancer at the paediatric oncology unit (POU) and in premature infants at the neonatal intensive care unit (NICU) at our hospital. In ...
Rüdiger Mario - - 2007
OBJECTIVE: Parents of preterm infants require information on morbidity and duration of common interventions performed in the NICU. Since locally achieved data are often not available, information is mainly based on educated guesses of health care professionals. The present study compares estimates of neonatal nurses or medical doctors (MDs) in ...
Battin Malcolm - - 2007
BACKGROUND: Increased maternal age is associated with increased rates of maternal hypertension, diabetes, growth restriction, and Caesarean section in pregnancy. However, there are few data on outcome and utilisation of neonatal resources by this group of infants. AIM: The primary aim was to determine how many infants born to women ...
Acolet Dominique - - 2007
Gaps between research knowledge and practice have been consistently reported. Traditional ways of communicating information have limited impact on practice changes. Strategies to disseminate information need to be more interactive and based on techniques reported in systematic reviews of implementation of changes. There is a need for clarification as to ...
Ford Jane B - - 2007
Despite widespread use of neonatal hospital discharge data, there are few published reports on the accuracy of population health data with neonatal diagnostic or procedure codes. The aim of this study was to assess the accuracy of using routinely collected hospital discharge data in identifying neonatal morbidity during the birth ...
Castro Eveline C M - - 2007
OBJECTIVE: To obtain information on the hospital mortality of infants born in Fortaleza with birth weights less than or equal to 1,500 g, and to compare it with data from the Vermont Oxford Network, a center of excellence for neonatal care. METHODS: Prospective cohort study, enrolling all infants with birth ...
Ringborg Anna - - 2006
AIM: To provide estimates of the first-year length of stay and inpatient costs of Swedish infants admitted for neonatal care by week of gestation and by birthweight; and to provide estimates of the length of stay and inpatient costs of delivering mothers during the ante- and postpartum period by week ...
Barnett S - - 2006
The aim of this study was to examine the prevalence of maternal and newborn-care practices among women reporting a birth in the previous year in three districts in different divisions of Bangladesh. In 2003, 6,785 women, who had delivered a newborn infant in the previous year, across three districts in ...
Payne Nathaniel R - - 2006
OBJECTIVE: The objective of this study was to compare the primary and secondary outcomes of very low birth weight infants before and after participation in the Breathsavers Group of the Vermont Oxford Network-sponsored Neonatal Intensive Care Quality Collaborative. METHODS: Hospitals that participated in the Breathsavers Group contributed clinical data on ...
Taylor Cheryl R - - 2006
With advances in neonatal and obstetric care over the past few years, the number of premature, multiple-birth neonates entering NICUs has increased. As we have started to recognize the special bond that twins and higher multiples share, cobedding has emerged as an NICU practice. As with any change, the introduction ...
Kelly Michelle M - - 2006
The survival rate of the smallest and youngest of premature infants has continued to improve as medical technology has progressed. The current edge of viability is represented by infants born at 23 to 25 weeks' gestation. Neonatal survival of infants at 23 weeks' gestation ranges from 11% to 30%. Survival ...
Ozturk Mehmet Adnan - - 2006
The use of oral nystatin to prevent fungal colonisation and infection in neonates in the Neonatal Intensive Care Unit (NICU) is still an open question and not yet recommended as a standard of care. To determine whether prophylactic oral nystatin results in a decreased incidence of invasive candidiasis in the ...
Brozanski B S - - 2006
OBJECTIVE: To retrospectively determine if a negative 16S ribosomal RNA (rRNA) polymerase chain reaction (PCR) (PCR(-)) could lead to a decrease in the number of antibiotic doses and neonatal intensive care unit (NICU) length of stay (LOS) for infants admitted to the NICU for presumed early-onset sepsis (EOS) with negative ...
Altman Maria - - 2006
AIM: To determine length of hospital stay (LOS) for moderately preterm infants during the last 20 years, and to identify factors affecting the number of bed-days. METHODS: Review of LOS for all infants delivered between 30 to 34 gestational weeks during 1983, 1988, 1993, 1998 and 2002. Exclusion criteria: life-threatening ...
Berner Michel E - - 2006
How do actual aspects of forgoing life supporting therapy (LST) in newborn infants compare with national ethical directives in a Swiss intensive care unit? A prospective set of data on deaths after forgoing LST over a three year period in a single intensive care unit is analysed in view of ...
Myers Christine Teeters - - 2006
The purpose of this study was to compare the duration of time that infants in child care centers were placed in infant seating devices to the duration of time spent on the floor or being held by child care providers. Thirty-eight infants who were typically developing (mean age = 4.5 ...
Kelly Michelle M - - 2006
Premature infants born between 32 to 35 weeks' gestation have a 98% survival rate and comprise 84% of all preterm infants in the United States. These infants may have a relatively benign hospital course and may be considered by some to be a "healthy premature infant." At the time of ...
Wilkinson D J - - 2006
BACKGROUND: Death remains a common event in the neonatal intensive care unit, and often involves limitation or withdrawal of life sustaining treatment. OBJECTIVE: To document changes in the causes of death and its management over the last two decades. METHODS: An audit of infants dying in the neonatal intensive care ...
Vieux Rachel - - 2006
OBJECTIVE: Perinatal regionalization has been organized into 3 ascending levels of care, fitting increasing degrees of pathology. Current recommendations specify that very premature infants be referred prenatally to level III facilities, yet not all very preterm neonates require level III intensive care. The objective of our study was to determine ...
Levison John - - 2006
PURPOSE: The aim of the study was to describe the incidence and survival of infants born with congenital diaphragmatic hernia (CDH) in the state of New South Wales (NSW) and the Australian Capital Territory (ACT), Australia. METHODS: A population-based cohort study of all infants inclusive up to 1 month of ...
Campbell Margie A - - 2006
A subcategory of premature infants, those born near term at 34 to 36 and 6/7 weeks gestation, may represent a previously unrecognized at-risk neonatal population. Evidence-based practice guidelines, crafted specifically for this population, are needed to effectively manage their care. In an effort to meet the needs of the near-term ...
Bolisetty Srinivas - - 2006
BACKGROUND: Outcome figures published in scientific journals are often cumbersome and difficult to understand by parents during counselling before or immediately after a very premature birth. AIM: To provide simplified up-to-date outcome information in a table for ease of counselling. METHODS: Regional perinatal mortality rates for very premature births (23-31 ...
Bartels Dorothee B - - 2006
BACKGROUND: Very low birth weight infants (< 1500 g) are at increased mortality risk. Data on the impact of NICU volume are sparse, in comparison with those on the level of care. We hypothesized that neonatal mortality would be higher in small NICUs (< 36 very low birth weight admissions ...
Lam Jasmine C - - 2006
PURPOSE: Perinatal care of infants with congenital diaphragmatic hernia (CDH) is nonstandardized and costly. We examined a risk-adjusted cohort of patients with CDH and hypothesized that (1) among CDH survivors, the cost of the birth admission would be proportional to illness severity, and (2) this cost would be significantly higher ...
Schroeder Michele - - 2006
OBJECTIVE: To explore the effects of a guided participation (GP) intervention on mothers' development of competencies in relating to their preterm infants in neonatal intensive-care units. DESIGN: Mothers were enrolled in a randomized, longitudinal clinical trial to compare the effectiveness of GP with standard care teaching. Baseline data were collected ...
Cattaneo Adriano - - 2006
AIM: To compare the use and cost of health care in infants with different feeding patterns. METHODS: Observational study on a cohort of 842 infants born in ten hospitals in northern Italy and followed up to age 12 months. Data on feeding gathered through telephone interviews with 24-hour recall. Data ...
Agomo, CO; ;
Infants are delicate, relying mostly on caregivers for their survival. Their survival is plagued by diseases, poverty, behavioural habits and cultural beliefs of the caregivers in the developing countries. For strategies to improve infant survival, the health seeking behaviour and home care practices of caregivers during infant illness episodes were ...
Attar M A - - 2006
INTRODUCTION: Birth of very low birth weight (VLBW) infants outside subspecialty perinatal centers increases risk for death and major morbidities. OBJECTIVE: The purpose of this study is to evaluate barriers to utilizing a regional perinatal center for the birth of VLBW infants to mothers not living in the immediate vicinity ...
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