HSOA journal neonatology & clinical pediatrics最新文献

{"title":"Descriptive Longitudinal Pilot Study: Behaviors Surrounding Feeding of Preterm Infants Who Received Extended Tube Feedings.","authors":"Rosemary White-Traut,&nbsp;Thao Griffith,&nbsp;Cheng Zheng,&nbsp;Joanne Lagatta,&nbsp;Christina Rigby-McCotter,&nbsp;Claire Walsh,&nbsp;Karen Gralton","doi":"10.24966/ncp-878x/100092","DOIUrl":"https://doi.org/10.24966/ncp-878x/100092","url":null,"abstract":"<p><strong>Purpose: </strong>Seventy percent of preterm infants experience challenges with oral feeding and commonly require tube feedings. Yet it is not well understood how these behaviors change over time while infants are receiving tube feedings only and through the transition to oral feedings. The purpose of this pilot study was to describe the change in behaviors surrounding feeding and with respect to advancing Post Menstrual Age (PMA) for preterm infants who received extended tube feedings during hospitalization in the Neonatal Intensive Care Unit (NICU).</p><p><strong>Methods and measures: </strong>A prospective pilot study was conducted in a NICU. We recruited thirty-five infants who were born between 28 to 32 weeks gestational age and expected to have at least two weeks of tube feedings. Infant health status and feeding progression were obtained from the medical record. Behaviors surrounding feeding included infant state, social interactive behaviors, orally directed behaviors, and hunger/satiation cues were evaluated via weekly recorded videos.</p><p><strong>Results: </strong>During the pre-feeding segment, we noted an increase over time for awake, facial gaze, gaze aversion, tongue protrusion, fussing, mouthing, vocalization, and interest in the pacifier. During the intra-feeding segment, we found an increase over time for fussing, and a decrease for eye widening, eye searching, and vocalization.</p><p><strong>Conclusion: </strong>To our knowledge, this was the first pilot study to comprehensively describe the changes in behaviors surrounding feeding over time and with respect to advancing PMA for preterm infants who received extended tube feedings during the NICU hospitalization. Infants demonstrated distinct behaviors surrounding feeding as young as 28 weeks post menstrual age. These behaviors may vary among infants and change significantly with advancing post-menstrual age. Assessment of subtle behaviors surrounding feeding is important to ensure oral feeding readiness.</p>","PeriodicalId":73255,"journal":{"name":"HSOA journal neonatology & clinical pediatrics","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9799997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10842293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patent Foramen Ovale And Stroke In Adolescents - To Close Or Not To Close?","authors":"Sónia Silva","doi":"10.24966/ncp-878x/100041","DOIUrl":"https://doi.org/10.24966/ncp-878x/100041","url":null,"abstract":"Stroke is a rare condition in childhood and about half of the cases are due to an arterial ischemic event. Although the long list of known causes, many cases remain undetermined, so-called cryptogenic strokes. However, increasing evidence indicates that some of these cryptogenic cases can be a result of a paradoxical embolism via a Patent Foramen Ovale (PFO) with a right-to-left intracardiac shunt, but the exact contribution of PFO to stroke or stroke recurrence in childhood remains unclear. Considering this, as a second line of study, a transthoracic and transoesophageal echocardiogram should be done in all cases to rule out a possible right-to-left shunt, such as PFO. Optimal treatment for acute ischemic strokes in children is con-troversial, with lacking studies. Closure of PFO should be considered as a preventive measure depending on individual risk factors and anatomic features. We present two cases of a 16-year-old boy and a 17-year-old girl who had an event of cerebral ischemia documented on MRI, and in whom was found a PFO with a shunt, with the remaining exhaustive etiologic investigation all negative. Both of them underwent percutaneous closure of the PFO.","PeriodicalId":73255,"journal":{"name":"HSOA journal neonatology & clinical pediatrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41525448","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}

{"title":"A Drug Reaction Mimics Perinatal Sepsis","authors":"D. Wilson-Costello","doi":"10.24966/ncp-878x/100033","DOIUrl":"https://doi.org/10.24966/ncp-878x/100033","url":null,"abstract":"","PeriodicalId":73255,"journal":{"name":"HSOA journal neonatology & clinical pediatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49567121","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}