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Search Results: 1 - 10 of 1766 matches for " neonatal "
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Risk Factors for Perinatal Asphyxia in Newborns Delivered at Term  [PDF]
Anália Luana Sena de Souza, Nilba Lima de Souza, Débora Feitosa de Fran?a, Samara Isabela Maia de Oliveira, Anne Karoline Candido Araújo, Dandara Nayara Azevedo Dantas
Open Journal of Nursing (OJN) , 2016, DOI: 10.4236/ojn.2016.67059
Abstract: Perinatal asphyxia is defined as harm to the fetus or the newborn caused by hypoxia and/or ischemia of various organs with intensity to produce biochemical and/or functional changes. Understanding the risk factors for this clinical condition allows the identification of vulnerable groups, enabling an improvement in care planning in the perinatal period in neonatal intensive care units. In this sense, this research aimed to identify risk factors for perinatal asphyxia present in newborns term that showed record for this clinical condition. This was a cross-sectional, retrospective documentary, quantitative and descriptive, conducted from data from medical records of 55 infants admitted to a neonatal intensive care unit. As for maternal characteristics (78.0%) had between 16 and 35 years, only one child (53.0%) and (76.0%) had no prior history of miscarriage. As for pre-existing diseases or pregnancy (38.0%) developed by Hypertensive Pregnancy Specific disease (02.0%) were suffering from Hypertension and (02.0%) of Diabetes Mellitus. As for newborns, most infants had birth weight (43.6%) and correlation with gestational age (78.2%) compatible for good conditions of birth. Only (20.0%) of the infants had a difficult labor. It stood out although there was a slight predominance of severe asphyxia (50.9%) in the first minute and (45.5%) of the infants had record release intrauterine meconium. It was concluded that most mothers and newborns did not have risk factors for perinatal asphyxia, thus, this fact could be attributed to the structural conditions of service, especially in the care during labor, delivery and immediate assistance newborn.
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.
Anesthetic Consideration on Neonatal Patient with Esophageal Atresia  [PDF]
Reza Sudjud, Tatang Bisri, Cindy Elfira Boom
Open Journal of Anesthesiology (OJAnes) , 2016, DOI: 10.4236/ojanes.2016.69022
Abstract: Esophageal atresia is a disorder of the esophageal continuity with or without a connection with the trachea or the under-development esophagus. Most babies who suffer from esophageal atresia also have tracheoesophageal fistula (an abnormal connection between the esophagus and the trachea/windpipe). The possibility of these two conditions is accompanied by other anomalies such as congenital heart disease and anorectal malformations. Esophageal atresia can also be interpreted as malformations caused by the failure of the esophagus to develop a continual passage that may or may not establish a connection to the trachea (tracheoesophageal fistula) or it can be said that the esophageal atresia is the failure of the esophagus to form a channel from the pharynx to the stomach during embryonic development. Another understanding of esophageal atresia is an interruption in the growth of a segment of the esophagus and remains as thin sections without continual channels. Tracheal esophageal fistula is an abnormal connection between the trachea and esophagus. Miscellaneous types of esophageal atresia include: Type A. The incidence of Type A esophageal atresia was about 5% - 8%. Type A esophageal atresia occurs at each end of the esophageal sac, and is apart without fistula to the trachea. Type B incident is rare. Type B esophageal atresia occurs at each end of the esophagus, and there is fistula from the trachea to the upper segment of esophagus. Incidence of Type C esophageal atresia occurs about 80% - 95%. Type C esophageal atresia occurs at the proximal esophageal segment and ends at a dead-end sac, and distal segments are connected to the trachea or primary bronchus. Type D esophageal atresia is rare. In this type, upper and lower segment of the esophagus is connected to the trachea. Type E esophageal atresia is rare when compared with Types A and C esophageal atresia. In this type the esophagus and trachea are normal but they are connected with fistula.
Congenital Epulis of the Newborn: A Case Report  [PDF]
Zeynep Seda Pek?etin, Ay?egül Senemta??, Gizem Ecem Ko?ak, Selin Kumral, Mehmet Yaltirik, Meltem Koray
Open Journal of Stomatology (OJST) , 2018, DOI: 10.4236/ojst.2018.84011
Abstract: Background: Congenital epulis (CE) also known as congenital granuler cell tumor is a rarely encountered pathology the majority of which originates from the gingival mucosa, particularly the anterior portion of the maxillary alveolar ridge. CE mostly seen in girls. CE with unclear histogenesis and etiology is seen at birth as a solitary mass in oral cavity. Apart from non-congenital epulis, it contains granular cells. So lesion is named congenital granular cell tumor. CE has a benign histopathology and after surgery there is no recurrence reported in the literature. Aim: The purpose of this case report, is to present, 5 day-old female neonatal girl who was seen CE on the left maxillary alveolar ridge on the region of the future incisors. Case Presentation: The tumoral lesion was well-circumscribed and 10 mm in diameter, smooth surfaced and red in colour much like alveolar mucosal tissue. Tumoral lesion was affecting oral feeding due to obstruction. Excisional biopsy was performed under topical anesthesia. The histopathology was reported as congenital epulis. During the 4 months follow-up, we have seen no complication. Conclusion: CE is a neonatal congenital tumor which is very rare. The treatment of CE is surgical excision. Unless the early treatment is not executed, tumor may cause difficulties in oral feeding and respiration. Therefore it should be excised in an early period.
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.
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