| The genesis of cognitive and behavioral deficits in premature graduates of intensive care. | |
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MedLine Citation:
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PMID: 12754453 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Increased survival of very low birth weight infants including those born at the cutting edge of viability is associated with substantial cognitive and behavioral deficits at follow-up that has extended into school age and adolescence. These problems have occurred as common in the presence or absence of neurosonographic abnormalities. Factors/events that may predispose to these problems include medical complications of prematurity i.e. chronic lung disease, recurrent episodes of apnea and bradycardia, transient hypothyroxinemia of prematurity, hyperbilirubinemia, nutritional deficiencies, medications used to treat such conditions i.e. glucorticoids, theophylline etc. and stress associated with prolonged hospitalization. With regard to the latter, attachment to multiple devices that limits infant provider interactions, high noise levels and constant light levels are considered to be of particular importance. Experimental evidence is presented that demonstrates the value of positive interactions between the subject and provider with regard to neurobehavioral outcome. Some suggested interventions include reducing noise levels and displacing it with music, modulating light exposure and enhancing infant parent interactions such as kangaroo care. Finally the important postnatal role of social influences on cognitive and behavioral outcomes is discussed. |
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Authors:
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J M Perlman |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Minerva pediatrica Volume: 55 ISSN: 0026-4946 ISO Abbreviation: Minerva Pediatr. Publication Date: 2003 Apr |
Date Detail:
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Created Date: 2003-05-19 Completed Date: 2003-11-20 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 0400740 Medline TA: Minerva Pediatr Country: Italy |
Other Details:
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Languages: eng Pagination: 89-101 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, UT Southwestern Medical School, Dallas, TX 75390-9063, USA. jeffrey.perlman@utsouthwestern.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Basal Ganglia
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pathology Brain Damage, Chronic / etiology Child Behavior Disorders / etiology* Cognition Disorders / etiology* Follow-Up Studies Hippocampus / pathology Humans Infant Care Infant, Low Birth Weight / psychology Infant, Newborn Infant, Newborn, Diseases / psychology*, therapy Infant, Premature / psychology* Infant, Very Low Birth Weight / psychology Intensive Care Units, Neonatal* Lighting / adverse effects Noise / adverse effects Stress, Physiological / complications Survivors / psychology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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