Journal of Clinical Neonatology最新文献_第6页

Unusual cause of seizure in preterm infant 早产儿癫痫发作的不寻常原因

IF 0.2

Journal of Clinical Neonatology Pub Date : 2022-10-01 DOI: 10.4103/jcn.jcn_49_22

J. Alallah, Faisal Yonbawi, Yousef H Qari, Abdulaziz A Abu Alnasr, H. Kandil

引用次数: 0

Congenital thrombotic thrombocytopenic purpura simulating alloimmune thrombocytopenia 先天性血栓性血小板减少性紫癜模拟同种免疫性血小板减少症

IF 0.2

Journal of Clinical Neonatology Pub Date : 2022-10-01 DOI: 10.4103/jcn.jcn_63_22

Muneer H Albagshi, A. A. Al Omran, Heba Elhakeem

引用次数: 0

Below the threshold of “Viability” - A middle east experience 低于“生存能力”的门槛——中东的经验

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Journal of Clinical Neonatology Pub Date : 2022-10-01 DOI: 10.4103/jcn.jcn_55_22

B. Ofoegbu, A. Abdelshafy, Philip Simmons

{"title":"Below the threshold of “Viability” - A middle east experience","authors":"B. Ofoegbu, A. Abdelshafy, Philip Simmons","doi":"10.4103/jcn.jcn_55_22","DOIUrl":"https://doi.org/10.4103/jcn.jcn_55_22","url":null,"abstract":"Background: The Corniche Hospital, Abu Dhabi, is the largest and most advanced perinatal center in the United Arab Emirate (UAE), providing care in line with international standards within its 64-cot NICU, serving a mainly Muslim population. We share our experience on outcomes of babies born in our center at 22 weeks' gestation, below the threshold of viability. At this gestation, a senior neonatologist attends each delivery to assess the baby, offer stabilization whilst assessing the baby's response. We then looked simply at the outcomes of these births. Methods: Retrospective data was collected from June 2011 to Dec 2020 using electronic hospital records and our in-house neonatal database – a nine-and-a-half-year period. Information on all babies born between 22 + 0 to 22 + 6 weeks gestation was sought; Gestational age was calculated from last menstrual period (LMP). Results: Over a nearly 10-year period, just over 67,000 live births occurred at our center, of which 134 babies were between 22 + 0- and 22 + 6-week gestation at birth. Complete data was available in 114 babies who were assessed as alive at the onset of labor. Thirty-seven were still born and there were 77 live births, their average weight was 486 gm. Twenty-eight babies were offered comfort care, the other 49 babies were offered stabilization/resuscitation from which 20 babies were admitted to the NICU. Four babies, whose average weight was 536gms, survived to discharge. All four survivors have varying degrees of neuro-disability and chronic lung disease. Conclusion: This information may feed into the development of a framework, that supports parents and clinicians. This framework should reflect cultural, religious, and legal aspects applicable to the Middle East whilst providing direction on the care of babies born below the current definitions of viability within the region.","PeriodicalId":45332,"journal":{"name":"Journal of Clinical Neonatology","volume":"11 1","pages":"202 - 205"},"PeriodicalIF":0.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46862480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The trade-off between home oxygen and length of stay 家庭氧气和停留时间之间的权衡

IF 0.2

Journal of Clinical Neonatology Pub Date : 2022-10-01 DOI: 10.4103/jcn.jcn_71_22

Briana Hernandez, S. Manzar

引用次数: 0

A rare case of aphallia associated with urethral atresia and multiple renal anomalies 尿道闭锁合并多处肾脏异常一例

IF 0.2

Journal of Clinical Neonatology Pub Date : 2022-10-01 DOI: 10.4103/jcn.jcn_82_22

M. Ahamed, K. Neethu

引用次数: 0

Persistent left superior vena cava and ipsilateral intraventricular hemorrhage in a preterm infant 早产儿持续性左上腔静脉和同侧脑室出血

IF 0.2

Journal of Clinical Neonatology Pub Date : 2022-10-01 DOI: 10.4103/jcn.jcn_78_22

Adenike Karunwi, S. Manzar, Ryan Jones

引用次数: 0

Neonatal ABO incompatibility, influence of blood group, and coomb's test on outcome 新生儿ABO血型不合、血型及库姆试验对预后的影响

IF 0.2

Journal of Clinical Neonatology Pub Date : 2022-10-01 DOI: 10.4103/jcn.jcn_64_22

Sarhan H. Alshammari, Azzam Alqashami, Saleh Alhumud, Meshari Aladadh, S. Alsaif, K. Ali

{"title":"Neonatal ABO incompatibility, influence of blood group, and coomb's test on outcome","authors":"Sarhan H. Alshammari, Azzam Alqashami, Saleh Alhumud, Meshari Aladadh, S. Alsaif, K. Ali","doi":"10.4103/jcn.jcn_64_22","DOIUrl":"https://doi.org/10.4103/jcn.jcn_64_22","url":null,"abstract":"Background: Better understanding of the clinical characteristics of ABO hemolytic disease in neonates helps optimize care. Objective: To assess the morbidity associated with ABO incompatibility. Materials and Methods: Neonates with blood groups A or B born to mothers with blood group O were studied. Need for phototherapy (PT), intensive PT, intravenous immunoglobulin (IVIG) therapy, and packed red blood cell (PRBC) transfusions was studied. Results: The O–A group accounted for 57.2% and the O–B group 42.8%. Three-hundred and seventy-nine (46%) were Direct Coomb's test (DCT) positive. Need for PT and intensive PT was significantly higher in DCT-positive infants compared to DCT-negative infants (P < 0.001). DCT-positive infants required more PRBC transfusions (5.3% vs. 0.9%, P < 0.001) and IVIG therapy (6% vs. 0.2%, P < 0.001) compared to DCT-negative infants. Sixty percent of the blood group B infants were DCT positive compared to 35% of blood group A infants (P < 0.001). Need for PT (62% vs. 39%, P < 0.001), intensive PT (17% vs. 4%, P < 0.001), and IVIG therapy (5.4% vs. 0.8%, P < 0.001) was higher in infants with blood group B. TcB measured at median age of 12 h was predictive of the need for PT (area under the receiver operator characteristic [AUROC] =0.867) and intensive PT (AUROC = 0.917). The maximum reticulocyte percentage was predictive for both the need for IVIG therapy (AUROC = 0.978) and PRBC transfusion (AUROC = 0.863). Conclusions: DCT-positive infants and infants with blood group B suffered significantly higher adverse outcomes. TcB measured at 12 h is predictive of the need for PT and intensive PT. Maximum reticulocytes count is predictive of the severity of ABO incompatibility as evidenced by the need for PRBC transfusions and IVIG therapy.","PeriodicalId":45332,"journal":{"name":"Journal of Clinical Neonatology","volume":"11 1","pages":"212 - 218"},"PeriodicalIF":0.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45271475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Enhancing the quality of neonatal care by improving mothers' knowledge, attitude, and practice through checklist intervention 通过检查表干预改善母亲的知识、态度和实践，提高新生儿护理质量

IF 0.2

Journal of Clinical Neonatology Pub Date : 2022-07-01 DOI: 10.4103/jcn.jcn_20_22

S. Arunakumar, Sujatha Ramabhatta, S. Lakshmipathy, B. Raghunandan, K. Rashmi, Dudala Kumaraswamy, P. Mol, C. Anushree

{"title":"Enhancing the quality of neonatal care by improving mothers' knowledge, attitude, and practice through checklist intervention","authors":"S. Arunakumar, Sujatha Ramabhatta, S. Lakshmipathy, B. Raghunandan, K. Rashmi, Dudala Kumaraswamy, P. Mol, C. Anushree","doi":"10.4103/jcn.jcn_20_22","DOIUrl":"https://doi.org/10.4103/jcn.jcn_20_22","url":null,"abstract":"Objectives: The objective of this study is to improve the newborn and self-care practices among postnatal mothers through quality improvement techniques and to create awareness about newborn and perinatal care practices in the Mother and Child Protection (MCP) Card. Materials and Methods: The barriers to low newborn and self-care practices were identified and evaluated using fishbone analysis. An operational team was formed, and a checklist was created. A total of four Plan-Do-Study-Act (PDSA) cycles were carried out. Baseline knowledge was collected using the questionnaire from the checklist. Appropriate education and counseling regarding newborns and self-care practices were taught. A variety of measures were used during counseling. The educated mothers were recalled after 5–7 days to assess their knowledge. Results: A total of 102 postnatal mothers were enrolled in the study, and 78 were available for follow-up after 5–7 days. During all study cycles, median checklist scores increased from 38 to 57 (PDSA 1), 37 to 58 (PDSA 2), 37 to 57 (PDSA 3), and 32.5 to 56 (PDSA 4). The increase in median checklist scores in all the PDSA cycles was statistically significant (P < 0.05). The median difference in checklist score from baseline in the chronological order of PDSA cycles was 19, 21.5, 22, and 23. After educating the mothers about the MCP Card, the percentage of mothers who read the information in the MCP Card increased from <5% to 38%. Conclusion: Quality Improvement principles such as the introduction of a checklist can be successfully implemented to improve the quality of newborns and self-care practices among postnatal mothers.","PeriodicalId":45332,"journal":{"name":"Journal of Clinical Neonatology","volume":"11 1","pages":"154 - 158"},"PeriodicalIF":0.2,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45442680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of neonatal alloimmune neutropenia with an uncommon presentation 新生儿异免疫性中性粒细胞减少症一例

IF 0.2

Journal of Clinical Neonatology Pub Date : 2022-07-01 DOI: 10.4103/jcn.jcn_28_21

M. Silva, V. Carvalho, F. Raposo, M. Lima, Miguel Costa

引用次数: 0

A neonate with peromelia: congenital transverse deficiency of an upper limb 新生儿腓骨发育迟缓：先天性上肢横位缺损

IF 0.2

Journal of Clinical Neonatology Pub Date : 2022-07-01 DOI: 10.4103/jcn.jcn_146_21

Rakesh Kumar, Sanober Wasim, G. Gupta, Mansi Naithani

引用次数: 0