Neonatal Network最新文献

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Preeclampsia: Short- and Long-Term Effects. 子痫前期:短期和长期影响。
IF 0.6
Neonatal Network Pub Date : 2024-08-01 DOI: 10.1891/NN-2024-0001
Marla K Conley
{"title":"Preeclampsia: Short- and Long-Term Effects.","authors":"Marla K Conley","doi":"10.1891/NN-2024-0001","DOIUrl":"10.1891/NN-2024-0001","url":null,"abstract":"<p><p>Does our time inside the womb predict our future? Evidence suggests that the environment in the womb plays a powerful role in predicting specific adult diseases. The fetus is constantly responding and adapting to the intrauterine environment by a process called programming. Toxic exposures, such as nutritional deficits and hypoxia, can affect fetal development and increase the risk for specific diseases that manifest later in our adult life. Preeclampsia (PE) is one disorder that results in a less-than-optimal environment for the growing fetus. It is pregnancy-specific and defined as new-onset hypertension after 20 weeks' gestation in the presence of maternal multiorgan dysfunction. To the best of our understanding, the pathogenesis is multifactorial and involves dysfunction of the placenta and the vascular, renal, and immunological systems. Treatment options are limited and may result in adverse outcomes for the fetus and newborn. Preeclampsia is a major contributor to perinatal and maternal morbidity and mortality worldwide, thus generating a significant healthcare burden. Research continues to demonstrate that mothers and infants affected by PE are at increased susceptibility to chronic conditions such as cardiovascular, renal, metabolic, and neurological diseases. More efforts are needed to further understand this disease. Efforts to increase awareness will help improve clinical outcomes for both mothers and infants.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"43 4","pages":"234-246"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009676","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
You Asked: Writing for Publication FAQs. 你问我答为出版而写作常见问题。
IF 0.6
Neonatal Network Pub Date : 2024-08-01 DOI: 10.1891/NN-2024-0021
Debbie Fraser
{"title":"You Asked: Writing for Publication FAQs.","authors":"Debbie Fraser","doi":"10.1891/NN-2024-0021","DOIUrl":"10.1891/NN-2024-0021","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"43 4","pages":"197-198"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009678","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
Historical Perspectives and Clinical Updates on Preterm Bottle Feeding With Noninvasive Ventilation. 使用无创通气的早产儿奶瓶喂养的历史展望和临床更新。
IF 0.6
Neonatal Network Pub Date : 2024-08-01 DOI: 10.1891/NN-2023-0045
Kristen D Smith, Melissa Covington, Mekala Neelakantan, Elizabeth V Schulz
{"title":"Historical Perspectives and Clinical Updates on Preterm Bottle Feeding With Noninvasive Ventilation.","authors":"Kristen D Smith, Melissa Covington, Mekala Neelakantan, Elizabeth V Schulz","doi":"10.1891/NN-2023-0045","DOIUrl":"10.1891/NN-2023-0045","url":null,"abstract":"<p><p>The controversial topic of oral feeding while on noninvasive ventilation remains at the forefront of preterm intensive care management. The intersection of pulmonary, neurologic, and gastrointestinal maturation coalesces at a postmenstrual age that requires changes in practices compared with those used in older infants. Various animal models in the past decades aimed to gain physiological knowledge of noninvasive ventilation effects on the suck-swallow-breathe coordination sequence. However, the preterm infant poses nuanced anatomic challenges. Although concerns for oral feeding while on noninvasive ventilation include aspiration risks and potential inpatient obstacles, there is evidence to support the feasibility, initiation, and progression of oral feedings while an infant is supported on high-flow nasal cannula and continuous positive airway pressure. There is evidence to support that this may accelerate attainment of oral feeding milestones and, thus, eventual hospital discharge. More recent multidisciplinary institutional protocols may provide cautious guidance on evaluation and algorithms to assess infants who may benefit from initiation and advancement of oral feeding versus awaiting further maturation.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"43 4","pages":"224-233"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009673","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
Wolff-Parkinson-White Syndrome in the Preterm Neonate. 早产新生儿沃尔夫-帕金森-怀特综合征
IF 0.6
Neonatal Network Pub Date : 2024-08-01 DOI: 10.1891/NN-2023-0076
Elizabeth A Jadczak, Amy J Jnah
{"title":"Wolff-Parkinson-White Syndrome in the Preterm Neonate.","authors":"Elizabeth A Jadczak, Amy J Jnah","doi":"10.1891/NN-2023-0076","DOIUrl":"10.1891/NN-2023-0076","url":null,"abstract":"<p><p>Wolff-Parkinson-White (WPW) syndrome is a rare cardiac condition arising from abnormal embryologic development of the annulus fibrosus in combination with the cardiac conduction system. The abnormality results in the development of accessory pathways and preexcitation changes which can provoke episodes of tachyarrhythmias. The most common presentation of WPW syndrome is supraventricular tachycardia. Beyond customary abortive therapy, chronic management strategies vary based upon timing and clinical severity of the initial disease presentation. Prompt diagnosis and rate control have a dramatic impact on the outcomes of morbidity and mortality. The purpose of this article is to present a case study of a preterm infant who manifested with WPW syndrome. Additionally, the article will explore the pathophysiology of WPW syndrome and the timing and presentation of common clinical manifestations of the disease, along with current diagnostic and treatment strategies to achieve optimal patient outcomes in the neonatal population.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"43 4","pages":"212-223"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009677","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
Nursing Continuing Professional Development Activities: July/August 2024. 护理专业进修活动:2024 年 7 月/8 月。
IF 0.6
Neonatal Network Pub Date : 2024-08-01 DOI: 10.1891/0730-0832.43.3.256
{"title":"Nursing Continuing Professional Development Activities: July/August 2024.","authors":"","doi":"10.1891/0730-0832.43.3.256","DOIUrl":"https://doi.org/10.1891/0730-0832.43.3.256","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"43 4","pages":"256-258"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009674","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 Purple Butterfly That Conveys Everything Simply and Sensitively in the NICU. 一只紫色蝴蝶,在新生儿重症监护室中简单而灵敏地传达一切。
IF 0.6
Neonatal Network Pub Date : 2024-08-01 DOI: 10.1891/NN-2023-0075
Deborah Discenza
{"title":"A Purple Butterfly That Conveys Everything Simply and Sensitively in the NICU.","authors":"Deborah Discenza","doi":"10.1891/NN-2023-0075","DOIUrl":"10.1891/NN-2023-0075","url":null,"abstract":"<p><p>This is an interview with one of the founders of The Butterfly Project where a simple purple butterfly on an infant's incubator or cot can alert others in the NICU that this infant had a sibling who died, thereby guiding a respectful, more sensitive conversation with parents. The program has taken hold throughout the world.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"43 4","pages":"251-255"},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009670","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
Neonatal Hypoglycemia. 新生儿低血糖症。
IF 0.6
Neonatal Network Pub Date : 2024-05-01 DOI: 10.1891/NN-2023-0068
Kiley Edmundson, Amy J Jnah
{"title":"Neonatal Hypoglycemia.","authors":"Kiley Edmundson, Amy J Jnah","doi":"10.1891/NN-2023-0068","DOIUrl":"10.1891/NN-2023-0068","url":null,"abstract":"<p><p>Neonatal hypoglycemia (NH) is broadly defined as a low plasma glucose concentration that elicits hypoglycemia-induced impaired brain function. To date, no universally accepted threshold (reference range) for plasma glucose levels in newborns has been published, as data consistently indicate that neurologic responses to hypoglycemia differ at various plasma glucose concentrations. Infants at risk for NH include infants of diabetic mothers, small or large for gestational age, and premature infants. Common manifestations include jitteriness, poor feeding, irritability, and encephalopathy. Neurodevelopmental morbidities associated with NH include cognitive and motor delays, cerebral palsy, vision and hearing impairment, and poor school performance. This article offers a timely discussion of the state of the science of NH and recommendations for neonatal providers focused on early identification and disease prevention.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"43 3","pages":"156-164"},"PeriodicalIF":0.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180703","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 Evidence-Based Practice Process Steps 4, 5, and 6: Integration, Evaluation, and Dissemination. 循证实践流程步骤 4、5 和 6:整合、评估和传播。
IF 0.6
Neonatal Network Pub Date : 2024-05-01 DOI: 10.1891/NN-2023-0066
Susan Givens Bell
{"title":"The Evidence-Based Practice Process Steps 4, 5, and 6: Integration, Evaluation, and Dissemination.","authors":"Susan Givens Bell","doi":"10.1891/NN-2023-0066","DOIUrl":"10.1891/NN-2023-0066","url":null,"abstract":"<p><p>This is the final column in a series of columns that began with the January/February 2021 issue of <i>Neonatal Network</i>, describing the evidence-based practice (EBP) project. The series has taken the reader through sparking the spirit of inquiry, asking a compelling question, and searching and critically appraising the literature. This column will briefly describe the final three steps: step 4, the integration of evidence with clinical expertise and patient/family preferences; step 5, the evaluation of outcomes of practice changes based on evidence; and step 6, the dissemination of the outcomes of the EBP change.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"43 3","pages":"176-178"},"PeriodicalIF":0.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180825","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
Customized Silicone Foam Dressing Under Noninvasive Ventilation and Skincare Bundle to Reduce Hospital-Acquired Pressure Injuries in Neonates. 在无创通气和皮肤护理捆绑下定制硅胶泡沫敷料,减少新生儿在医院获得性压伤。
IF 0.6
Neonatal Network Pub Date : 2024-05-01 DOI: 10.1891/NN-2023-0070
Amanda O'Neil, Bette Schumacher, Sarah Dorr, Laura Jarding
{"title":"Customized Silicone Foam Dressing Under Noninvasive Ventilation and Skincare Bundle to Reduce Hospital-Acquired Pressure Injuries in Neonates.","authors":"Amanda O'Neil, Bette Schumacher, Sarah Dorr, Laura Jarding","doi":"10.1891/NN-2023-0070","DOIUrl":"10.1891/NN-2023-0070","url":null,"abstract":"<p><p>In a sixty-eight-bed level-IV NICU, an increased incidence of hospital-acquired pressure injuries (HAPIs) from noninvasive ventilation (NIV) devices was identified. The aim of this quality improvement project was to decrease HAPIs from NIV by 10%. A literature review and the Plan-Do-Study-Act were implemented. The intervention included a customized silicone foam dressing under NIV, an NIV skincare bundle, and multidisciplinary support. Hospital-acquired pressure injury rates were tracked over 3 years postinterventions. The incidence of HAPIs declined by 20% from 0.2 per 1,000 patient days to 0.05 per 1,000 patient days. Relative risk was 4.6 times greater prior to intervention (<i>p</i> = .04). Continuous positive airway pressure (CPAP) failure was not noted and measured by the percentage of patients on ventilators pre- and postintervention. Customized silicone foam dressings under NIV, NIV skincare bundle, and multidisciplinary team support may decrease HAPIs in neonates without CPAP failure.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"43 3","pages":"165-175"},"PeriodicalIF":0.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180718","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
Nursing Continuing Professional Development Activity: May/June 2024. 护理专业进修活动:2024 年 5 月/6 月。
IF 0.7
Neonatal Network Pub Date : 2024-05-01 DOI: 10.1891/0730-0832.43.3.182
{"title":"Nursing Continuing Professional Development Activity: May/June 2024.","authors":"","doi":"10.1891/0730-0832.43.3.182","DOIUrl":"https://doi.org/10.1891/0730-0832.43.3.182","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"43 3","pages":"182-184"},"PeriodicalIF":0.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180728","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
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