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Search Results: 1 - 10 of 1750 matches for " neonatal "
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Evaluation of participants' feedback after a simulation-based training in neonatal resuscitation using a realistic delivery room  [PDF]
Alejandro Avila-Alvarez, Iria Gonzalez-Rivera, Jose L. Fernandez-Trisac, Maria I. Taboada-Perianes, Bruno Rodriguez-Gonzalez, Alberto Centeno-Cortes, Maria Diaz-Gomez, Teresa Rei-Serra, Rita Jacome-Feijoo
Open Journal of Pediatrics (OJPed) , 2012, DOI: 10.4236/ojped.2012.24047
Abstract: BACKGROUND: Low-frequency and high-risk situations, such as neonatal resuscitation, are the ideal targets for simulation-based learning. The aim of this paper is to present the structure of our internal neonatal resuscitation training program, using a realistic, simulated delivery room, and to present the participants' opinions about teamwork, emotional stress, and their subjective ability to face a resuscitation. METHODS: We administered a training course to 24 doctors and midwives. One of the simulation classrooms was modified to appear similar to a real delivery room. Four scenarios were conducted using a previously designed checklist of primary and secondary goals. Upon completion, all students participated in a debriefing session with the help of a video review. RESULTS: Students rated the achievement of their previously defined goals on a scale of 1 to 5. Grouping together the percentages of the highest ratings (Categories 4 and 5), 83.4% (20/24) of the students considered the course useful for acquiring clinical skills. For 87.5% (21/24) of the students, the scenarios simulated real clinical situations, the room properly simulated a real delivery room, and the course improved the students' ability to work in a team. For 66.6% (16/24) of the students, the course improved their stress in confronting neonatal resuscitation. Initially, only 33.3% (8/24) of the students considered themselves very capable or fully able to cope with a resuscitation. After the course, that percentage rose to 62.5% (15/24). CONCLUSIONS: The incorporation of simulation-based learning into neonatal resuscitation teaching programs, using realistic scenarios, is useful and offers the possibility of acquiring technical skills, but it also allows for the improvement of teamwork and the adoption of different roles and positive attitudes towards emotional stress.
From evidence to implementation: Introducing neonatal simulation to a tertiary neonatal centre in the UK  [PDF]
Alok Sharma
Open Journal of Pediatrics (OJPed) , 2013, DOI: 10.4236/ojped.2013.31002
Abstract: Simulation training in medical education allows multidisciplinary teams to train in a realistic clinical environment. It helps reduce clinical errors and addresses patient safety issues. Multiple areas can be covered including procedural skills training, communication, teamwork and human factors training. We present a “model of simulation” in education, which is based onRoyalCollegeof Paediatrics and Child HealthUnited Kingdomgeneral paediatric curriculum. Simulation complements the existing neonatal education programme both for doctors and nurses. It has the long-term purpose of achieving higher standards in neonatal care through the training of staff in a structured, multidisciplinary environment. Its quality and impact are subject to feedback from the participants. This has helped in its evolution and development as a multidisciplinary programme.
Diabetes Neonatal Transitoria Transient Neonatal Diabetes
Gladys Borquez E,Alejandra Reyes J
Revista chilena de pediatría , 1984,
Brote Epidémico de Listeriosis Neonatal Epidemic Outbreak of Neonatal Listeriosis
Hugo García U,M. Eugenia Pinto C,Luís Ross R,Gonzalo Saavedra E
Revista chilena de pediatría , 1983,
Neonatal morbidity and mortality results in preterm premature rupture of membranes
Turk Pediatri Ar?ivi , 2011,
Abstract: Aim: To investigate the neonatal morbidity and mortality results in preterm premature rupture of membranes.Material and Method: A review of 228 PPROM singleton pregnancies followed-up in our clinic between 1996 and 2005 was performed.Results: The most common neonatal morbidities in PPROM cases are respiratory distress syndrome, sepsis and intraventricular hemorrhage. The route of delivery does not affect NICU requirement, perinatal asphyxia, sepsis and IVH rates in PPROM cases. NICU and PPV requirement, RDS, sepsis and IVH rates increase if APGAR score is <5. Neonatal morbidity and mortality rates increase as latent period lenghtens. CRP on admission, final CRP, birthweight and the 5th minute APGAR score were found to be associated with NICU requirement; only the 5th minute APGAR score was found to be associated with RDS; final leukocyte count and maternal hemotacrit was found to be associated with sepsis and pneumonia, independently.Conclusions: In PPROM cases, CRP on admission, last CRP, birthweight, the 5th minute APGAR score, final leukocyte count and maternal hematocrit must be considered to predict neonatal outcomes.(Turk Arch Ped 2011; 46: 296-301)
Cause analysis and clinical management experience of the premature rupture of membrane  [PDF]
Ning Li, Qiulan Fu, Wenhua Cai
Open Journal of Obstetrics and Gynecology (OJOG) , 2013, DOI: 10.4236/ojog.2013.31A041

Based on the retrospective study on 189 cases of premature rupture of membrane maternity, we find that PROM can result in higher risks of dystocia, cesarean birth and maternal and fetal complications, upon examining our clinical management measures and searching for a positive clinical management , we are looking for a better way to reduce PROM and the risk of mother and child, to have a better pregnancy outcome.

Etiology of Fungemia in Neonates: Four Decades of Case Reports  [PDF]
Selma Alves Valente do Amaral-Lopes, José Tavares-Neto
Open Journal of Medical Microbiology (OJMM) , 2014, DOI: 10.4236/ojmm.2014.42011
Objectives: To compare groups of etiologic agents for neonatal fungemia based on previously published case reports with regard to case outcomes. Methods: Secondary analysis of data from case reports published in scientific literature indexed in Medline, Scopus and LILACS databases, and starting from the year, full texts were registered until the year 2010. Results: Thirty-four species of fungi were isolated in 252 cases reported over a 40-year period. The distribution of fungal groups according to the development level of a case’s region of origin was very uneven (p < 0.001), with a predominance of C. albicans and other fungi (Aspergillus sp.) in more developed countries. However, 73% of the chi-squared distribution corresponded to differences observed in the frequency of Candida sp. and non-albicans Candida. While the frequency of candidemia by C. albicans was progressively declining in the period from 1966 to 2010, reports of non-albicans candidemia and other non-Candida fungi became significantly (p < 0.00001) more frequent over the course of the period studied. As for the outcome of death, it was statistically more frequent (p < 0.02) in cases where non-albicans Candida or non-Candida fungi were isolated. Conclusion: fungi of the genera Candida and Aspergillus were the etiologic agents most frequently identified in published cases of neonatal fungemia; the outcome of death was more often related to cases where non-albicans Candida or non-Candida fungi were isolated.
Range of Thresholds Used for Treatment of Neonatal Hyperbilirubinemia at Different Gestational Ages across Neonatal Units in Great Britain  [PDF]
Puneet Kumar Arora, Deborah Ridout, Sindhu Mohandas, Narendra Aladangady
International Journal of Clinical Medicine (IJCM) , 2011, DOI: 10.4236/ijcm.2011.25098
Abstract: Objectives: To review the range of thresholds used for treatment of neonatal jaundice at different gestational ages across neonatal units in Great Britain. To investigate the time at which the threshold values plateau, in terms of hours after birth, for various gestational ages. Methods: We contacted 72 neonatal units in Great Britain and enquired about the unit guidelines for management of neonatal jaundice. We requested a copy of the guidelines and jaundice action charts used. Levels for treatment with phototherapy and exchange transfusion for various times after birth and for different gestational ages were extracted and the data was transferred to an Excel spreadsheet. Identical values were excluded so that there was no duplication of charts. The data was analysed to explore the variation in charts used and the time at which the threshold value reached a plateau was recorded for each chart. Results: Of the 72 units contacted 46 responded with charts. Four neonatal units were using formulas and one hospital was using separate chart for every gestation. The data displayed wide variation in treatment levels (phototherapy and exchange transfusion) at 12 to 168 hours after birth in the three gestational groups studied (28, 32 and 37 weeks). For a term neonate at 72 hours of age the threshold to commence phototherapy varied between 220-370 micromol/l and the exchange transfusion threshold varied between 300-510 micromol/l. A wide variation in practice was seen for all three gestations. The median plateau time was also analysed and for phototherapy this corresponded to 72 hours for all three gestations. For exchange transfusion data the median time of plateau was highest for the term babies (72 hours) and lowest for 32 weeks gestation (48 hours). There was no reference of evidence quoted in the jaundice action charts surveyed. Conclusions: Jaundice action charts reviewed in our study showed significant variation in the threshold for treatment of neonatal jaundice. Both the studied parameters (variation in threshold and the median time to plateau) point towards the fact that the charts being used in the neonatal units are not evidence based and need modification. With the lack of standard treatment guidelines for this common neonatal problem, it is likely that neonatal units are either under or over treating a significant number of babies.
Percentile analysis of plasma total bilirubin—How different will the rate of phototherapy for jaundice of neonates be by different standards?  [PDF]
Yoshiro Nagao, Hiroshi Watanabe, Syun-ichiro Yokota
Open Journal of Pediatrics (OJPed) , 2012, DOI: 10.4236/ojped.2012.22022
Abstract: Phototherapy of a jaundiced neonate is usually started when bilirubin exceeds a threshold in the standard. There are several standards used in the developed countries even though the guideline of American Academy of Pediatrics is considered to be a global standard. Although the purpose of phototherapy is the prevention of kernicterus, nowadays the prevalence of kernicterus in otherwise healthy term neonates in the developed countries is rare. Meanwhile several potential adverse effects of phototherapy have been reported. In the present study we tried to estimate how different the rate of phototherapy for the jaundice of neonates at lower risk of kernicterus would be by different standards. For this purpose, we utilized the records of plasma total bilirubin (TB) values of 1893 healthy neonates of 38 weeks and more which were measured on day 6 for the percentile analysis. However, this database did not include the TB values of the neonates who received phototherapy by day 6. Then the database was corrected with an assumption that TB on day 6 would have been normally distributed if no phototherapy had been performed. The mean and the standard deviation (SD) of corrected database were 11.29 mg/dl (193 μmol/l) and 3.63 mg/dl (62 μmol/l), respectively. Using a standard distribution with these mean and SD, the percents of TB values which exceed 18.0, 19.0, 20.0 and 21.0 mg/dl on day 6 were estimated 3.22%, 1.70%, 0.82% and 0.35%, respectively. Results of the present report would help to estimate the relative rate of phototherapy that is performed for the neonates who are term and otherwise healthy by different standards.
Congenital sepsis caused by Eikenella corrodens  [PDF]
Brittany L. Hu, Julie-Ann M. Crewalk, David P. Ascher
Open Journal of Pediatrics (OJPed) , 2012, DOI: 10.4236/ojped.2012.22029
Abstract: Eikenella corrodens is a part of normal human oral flora and a rare cause of intrauterine and neonatal infections. We describe a case of congenital E. corrodens sepsis with positive blood cultures at birth in the setting of low maternal risk factors for infection. Our case is one of two reported cases of congenital E. corrodens sepsis resulting in newborn survival.
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