scholarly journals Delivery in asymptomatic Italian woman with SARS-CoV-2 infection.

2020 ◽  
Vol 12 (1) ◽  
pp. e2020033 ◽  
Author(s):  
Giuseppe Vittorio De Socio ◽  
Lisa Malincarne ◽  
Saverio Arena ◽  
Stefania Troiani ◽  
Sara Benedetti ◽  
...  
Keyword(s):  
Breast Milk ◽  
Infection Control ◽  
Vaginal Delivery ◽  
Clinical Condition ◽  
Rectal Swab ◽  
Neonatal Infection ◽  
Healthy Baby ◽  
Italian Woman ◽  
Good Clinical Condition

We report a case of a 33-year-old Italian pregnant at 40 weeks of gestation affected by asymptomatic SARS-CoV-2 infection delivering a healthy baby with no evidence of Coronavirus Disease 2019 (COVID-19). Vaginal delivery was uncomplicated, the breastfeeding was permitted under strict measures of infection control. The breast milk was negative for SARS-CoV-2. Control at 7 and 15 days indicated mother and baby good clinical condition, no signs of neonatal infection demonstrated by news oropharyngeal and rectal swab test negative for SARS-CoV-2.

scholarly journals Human milk feeding and cognitive outcome in preterm infants: the role of infection and NEC reduction

2021 ◽  
Author(s):  
Winok Lapidaire ◽  
Alan Lucas ◽  
Jonathan D. Clayden ◽  
Chris Clark ◽  
Mary S. Fewtrell
Keyword(s):  
Breast Milk ◽  
Human Milk ◽  
Preterm Infants ◽  
Neonatal Infection ◽  
Necrotising Enterocolitis ◽  
Cognitive Outcome ◽  
Standard Diet ◽  
Risk Of Infection ◽  
Verbal Iq

Abstract Background Breast milk has been associated with lower risk of infection and necrotising enterocolitis (NEC) and improved long-term cognitive outcomes in preterm infants but, if unsupplemented, does not meet the nutritional requirements of preterm infants. Methods Preterm infants were randomised to receive a high nutrient intervention diet: preterm formula (PTF) or the standard diet: term formula (TF) or banked donor breast milk (BBM), either as their sole diet or as supplement to maternal breast milk (MBM). IQ tests were performed at ages 7, 15, 20, and 30 years. Results An increase in MBM and BBM intake was associated with a lower chance of neonatal infection/NEC. Neonatal infection/NEC was associated with lower Full Scale IQ (FSIQ) and Performance IQ (PIQ) score at ages 7 and 30 years. The relationship between higher intake of MBM and PIQ at age 7 years was partly mediated by neonatal infection/NEC. The intervention diet was associated with higher Verbal IQ (VIQ) scores compared to the standard diet. There was no evidence that these effects changed from childhood through to adulthood. Conclusions Neonatal diet is an important modifiable factor that can affect long-term cognitive outcome through a ‘human milk’ factor, protecting against infection/NEC, and a ‘nutrient content’ factor. Impact This is the first study to demonstrate the effects of neonatal infection/necrotising enterocolitis (NEC) on IQ in the same cohort in childhood and adulthood. Diet can be a key factor in long-term cognitive outcome in people born preterm by preventing neonatal infection/NEC and providing adequate nutrients. Human milk, whether MBM or BBM, is associated with a reduced risk of infection/NEC. A higher nutrient diet is associated with better cognitive outcome in childhood. Performance IQ is particularly vulnerable to the effects of infection/NEC and verbal IQ to the quantity of (macro)nutrients in the diet.

scholarly journals Intervention for Dysbiosis in Children Born by C-Section

2018 ◽  
Vol 73 (Suppl. 3) ◽  
pp. 33-39 ◽  
Author(s):  
Ruggiero Francavilla ◽  
Fernanda Cristofori ◽  
Maria Elena Tripaldi ◽  
Flavia Indrio
Keyword(s):  
Breast Milk ◽  
Cesarean Section ◽  
Microbial Communities ◽  
Vaginal Delivery ◽  
Metabolic Disorders ◽  
Symbiotic Relationship ◽  
Beneficial Bacteria ◽  
Mother Nature ◽  
To Receive

The symbiotic relationship between microbes and human is fundamental for a physiological development and health. The microbiome of the newborn undergoes to dramatic changes during the process of birth and in the first thousand days of life. Mother Nature provided us with the best possible start to achieve eubiosis: vaginal delivery to receive our mother’s microbiome and breast milk that favours the establishment of beneficial bacteria. Infants deprived of one or both of these evolutionary gifts undergo to important modification of the microbial communities leading to a state of dysbiosis enhancing the chance of the emergence of a variety of immune, inflammatory and metabolic disorders. Are we able to imitate nature? Is there any intervention for dysbiosis in children born by cesarean section? In this review we will try to answer to this intriguing question on the basis of the most recent scientific evidences.

Human Immunodeficiency Virus and Artificial Feeding

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 804-804
Author(s):  
STANLEY A. PLOTKIN
Keyword(s):  
United States ◽  
Human Immunodeficiency Virus ◽  
Developing Countries ◽  
Breast Milk ◽  
Infection Control ◽  
Hiv Infection ◽  
Developed Countries ◽  
The United States ◽  
Artificial Feeding ◽  
Immunodeficiency Virus

Dr Halsey has brought to my attention that a sentence in the human immunodeficiency virus (HIV) infection control statement (AAP News, September 1988) and perinatal statement (Pediatrics 1988;82:941-944) might be misinterpreted as advocating artificial feeding for HP/-infected infants in developing countries. It was our intention to advocate the use of artificial feeding by HIV-infected mothers only in the United States and other developed countries where safe water and hygienic practices are the norm. In other countries, the advantages of breast milk outweigh the possible risk of transmission to the newborn.

scholarly journals Risk Factors for New Detection of Vancomycin-Resistant Enterococci in Acute-Care Hospitals That Employ Strict Infection Control Procedures

2003 ◽  
Vol 47 (8) ◽  
pp. 2492-2498 ◽  
Author(s):  
Alexander A. Padiglione ◽  
Rory Wolfe ◽  
Elizabeth A. Grabsch ◽  
Di Olden ◽  
Stephen Pearson ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care ◽  
High Risk ◽  
Infection Control ◽  
Broad Spectrum ◽  
Rectal Swab ◽  
High Risk Patients ◽  
Vancomycin Resistant Enterococci ◽  
Risk Patients ◽  
Vancomycin Resistant

ABSTRACT Accurate assessment of the risk factors for colonization with vancomycin-resistant enterococci (VRE) among high-risk patients is often confounded by nosocomial VRE transmission. We undertook a 15-month prospective cohort study of adults admitted to high-risk units (hematology, renal, transplant, and intensive care) in three teaching hospitals that used identical strict infection control and isolation procedures for VRE to minimize nosocomial spread. Rectal swab specimens for culture were regularly obtained, and the results were compared with patient demographic factors and antibiotic exposure data. Compliance with screening was defined as “optimal” (100% compliance) or “acceptable” (minor protocol violations were allowed, but a negative rectal swab specimen culture was required within 1 week of becoming colonized with VRE). Colonization with VRE was detected in 1.56% (66 of 4,215) of admissions (0.45% at admission and 0.83% after admission; the acquisition time was uncertain for 0.28%), representing 1.91% of patients. No patients developed infection with VRE. The subsequent rate of new acquisition of VRE was 1.4/1,000 patient days. Renal units had the highest rate (3.23/1,000 patient days; 95% confidence interval [CI], 1.54 to 6.77/1,000 patient days). vanB Enterococcus faecium was the most common species (71%), but other species included vanB Enterococcus faecalis (21%), vanA E. faecium (6%), and vanA E. faecalis (2%). The majority of isolates were nonclonal by pulsed-field gel electrophoresis analysis. Multivariate analysis of risk factors in patients with an acceptable screening suggested that being managed by a renal unit (hazard ratio [HR] compared to the results for patients managed in an intensive care unit, 4.6; 95% CI, 1.2 to 17.0 [P = 0.02]) and recent administration of either ticarcillin-clavulanic acid (HR, 3.6; 95% CI, 1.1 to 11.6 [P = 0.03]) or carbapenems (HR, 2.8; 95% CI, 1.0, 8.0 [P = 0.05]), but not vancomycin or broad-spectrum cephalosporins, were associated with acquisition of VRE. The relatively low rates of colonization with VRE, the polyclonal nature of most isolates, and the possible association with the use of broad-spectrum antibiotics are consistent with either the endogenous emergence of VRE or the amplification of previously undetectable colonization with VRE among high-risk patients managed under conditions in which the risk of nosocomial acquisition was minimized.

scholarly journals Arthroscopic Treatment of Septic Arthritis of the Elbow in a 4-Year-Old Girl

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Masashi Koide ◽  
Yuichi Tojo ◽  
Yoshihiro Hagiwara ◽  
Souichi Nakajima ◽  
Minoru Tanaka ◽  
...  
Keyword(s):  
Septic Arthritis ◽  
Clinical Condition ◽  
Arthroscopic Surgery ◽  
Arthroscopic Treatment ◽  
Joint Aspiration ◽  
Good Clinical Condition ◽  
Open Arthrotomy

Pediatric septic arthritis is uncommon and has been traditionally treated by joint aspiration or open arthrotomy. There are some reports about arthroscopic surgery in pediatric septic arthritis of the knee, hip, and shoulder. However, there is no report for the case of elbow. We report a case of pediatric septic arthritis of elbow treated with arthroscopically with good clinical condition at 3-year follow-up. This paper is based on a report first published in Japanese (Tojo (2012)).

ENDOVASCULAR AND SURGICAL TREATMENT OF RUPTURED CEREBRAL ANEURYSMS IN PEDIATRIC PATIENTS

Neurosurgery ◽  
2008 ◽  
Vol 63 (5) ◽  
pp. 859-866 ◽  
Author(s):  
Michael F. Stiefel ◽  
Gregory G. Heuer ◽  
Anuj K. Basil ◽  
John B. Weigele ◽  
Leslie N. Sutton ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Clinical Condition ◽  
Pediatric Patients ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Multidisciplinary Treatment ◽  
Cerebral Aneurysms ◽  
Posterior Circulation ◽  
Anterior Circulation ◽  
Fisher Grade ◽  
Good Clinical Condition

Abstract OBJECTIVE Pediatric cerebral aneurysms are rare. There are very few recent studies that focus on the multidisciplinary treatment of ruptured aneurysms. We reviewed our pediatric endovascular and surgical experience with ruptured cerebral aneurysms. METHODS Pediatric patients aged 16 years and younger who were admitted with a diagnosis of aneurysmal subarachnoid hemorrhage and treated at the Children's Hospital of Philadelphia were included in this analysis. RESULTS Twelve patients with 13 aneurysms (4 male patients and 8 female patients; age range, 4 months–16 years; mean age, 5.1 years), were admitted with subarachnoid hemorrhage during the past 12 years. The majority of patients were admitted in good clinical condition; 31% were in Hunt and Hess Grade II, and 31% were in Hunt and Hess Grade III. The remaining patients were in poor clinical condition and were in Hunt and Hess Grade IV (23%) or Grade V (15%). Computed tomography revealed that 15% of the patients were in Fisher Grade 2, 23% were in Fisher Grade 3, and 62% were in Fisher Grade 4. Endovascular techniques were used in the treatment of 5 aneurysms, and microsurgery was used in the treatment of 8 aneurysms. In the endovascular group, aneurysm sizes ranged from 2 to 35 mm (mean, 12.6 mm); 3 aneurysms were in the anterior circulation, and 2 were in the posterior circulation. In the microsurgery group, 6 aneurysms were in the anterior circulation, and 2 were in the posterior circulation; sizes ranged from 3 to 15 mm (mean, 6.8 mm). Sixty-nine percent of the patients were independent at follow-up. CONCLUSION Contemporary endovascular and microsurgical techniques can be used effectively to treat ruptured cerebral aneurysms in pediatric patients. In the time period studied, the techniques were equally effective when used in the appropriate patients.

scholarly journals Gambaran Dukungan Suami Dalam Pemberian ASI Eksklusif

2018 ◽  
Vol 1 (2) ◽  
pp. 116
Author(s):  
Sri Lucky Handayani ◽  
Suci Tuty Putri ◽  
Budi Soemantri
Keyword(s):  
Health Promotion ◽  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Growth And Development ◽  
Quantitative Method ◽  
Sampling Technique ◽  
Healthy Baby ◽  
Husband Support ◽  
Good Support ◽  
Improve Health

ABSTRAK          Pentingnya pemberian Air Susu Ibu (ASI) saja kepada bayi sejak lahir sampai usia 6 bulan, nutrisi yang terkandung dari ASI eksklusif sangat penting bagi bayi sejak lahir sampai enam bulan untuk pertumbuhan dan perkembangan bayi yang sehat serta untuk mencegah dari berbagai penyakit. Di indonesia, cakupan ASI eksklusifnya masih berada pada kisaran 54,3 %. Salah satu faktor yang mempengaruhi ibu dalam memberikan ASI eksklusif yaitu dukungan suami. Tujuan penelitian ini untuk mengetahui adanya gambaran dukungan suami dalam pemberian ASI eksklusif yang dilakukan di wilayah Posyandu Padasuka RW 06 dan RW 12 Kelurahan Padasuka Kota Bandung. Penelitian ini menggunakan metode deskriptif kuantitatif. Sampel penelitian ini adalah ibu menyusui yang memiliki bayi  0-6  bulan  sebanyak  30  orang.  Teknik  sampling  yang  digunakan  adalah  teknik  accidental sampling selama 3 minggu. Teknik pengumpulan data menggunakan instrumen penelitian berupa kuesioner tertutup yang dimodifikasi oleh peneliti dari Teori Marcer. Hasil penelitian ini bahwa Ibu menyusui di Posyandu Padasuka ini sangat didukung dalam pemberian ASI secara eksklusif oleh suaminya,  sebagian  besar  responden  mendapatkan  dukungan  baik  sebanyak  19  orang  (63,3%), sebagian responden mendapatkan dukungan cukup 8 orang (26,7%), dan sebagian kecil responden mendapatkan dukungan kurang 3 orang (10,0%). Peneliti menyarankan agar para petugas kesehatan memberikan penyuluhan pentingnya ASI kepada suami sehingga suami lebih memahami dan sadar untuk memberikan dukungan pada ibu dalam menyusui secara eksklusif selama 6 bulan.  ABSTRACTThe impotance of breastfeeding (breast milk) only to infant from birt until the age of 6 month, nutrions from exclusif breastfeeding is very important for babies the growth and development of a healthy baby as well to prevent from various diseases. In indonesia, coverage of exclusive breastfeeding is still in the range of 54,3%. One of the factors that affect mother in giving exclusive breastfeeding   is the husband support. The purpose of this research was to find a description of husband support in giving exclusive breastfeeding in regional padasuka posyandu RW 06 and RW 12 villages padasuka city of bandung. This research uses descriptive quantitative method. Samples of this research are breastfeeding mother with babies 0-6 months. Sample was 30 respondents. The sampling technique used is accidental sampling for 3 weeks. Data was collection by questionnaires enclosed modified by  researchers from theory mercer. The Results of this study showed that mothers in padasuka posyandu is giving supported in exclusive breastfeeding by her husband. Mothers got good support were 3 people (63,3% ), quite good support were 8 (26,7%), and mother got less support from her husband were 3 people (10%). The researcher suggests health worker to improve health promotion to mothers and their husband on exclusive breastfeeding  by involving volunteer and society for better understand and conciosly to provide support to mother breastfeed exclusively until the age of 6 month. 

A Rare Clinical Case Of Double Scrotum With Ectopic Testicle In a Dog

2015 ◽  
Vol 4 (2) ◽  
pp. 398-402
Author(s):  
Prof Enrico Bigliardi ◽  
Carla Bresciani ◽  
Valeria De Cesaris ◽  
Enrico Parmigiani
Keyword(s):  
Abdominal Wall ◽  
Clinical Condition ◽  
Clinical Case ◽  
Ultrasound Examination ◽  
Male Gonad ◽  
Mixed Breed ◽  
Bilateral Orchiectomy ◽  
Good Clinical Condition ◽  
Skin Zone ◽  
The Right

A two-years old male mixed breed dog weighing 11 kg was brought to the Veterinary Teaching Hospital by its owner because he noticed a pigmented skin zone with a mass lateral to the penis. The patient was in good clinical condition. On clinical examination, only one testicle was found within the scrotum, and a mass lateral to the right site of the penis was present; upon palpation, the mass was presumed to be a testicle. An ultrasound examination confirmed the presence of an ectopic testicle in that position. The dog had normal fertility and testosterone levels were normal. The patient underwent bilateral orchiectomy and was discharged the following day. The peculiarity of this case is the presence of two independent scrota, an ectopic testicle and its adnexa passing through the abdominal wall, was not supposed to be due a migration along the typical male gonad path during descent.

Hamman's Syndrome: A Rare cause of Peri partum chest pain

2021 ◽  
pp. 359-360
Author(s):  
Shanees. E
Keyword(s):  
Chest Pain ◽  
Vaginal Delivery ◽  
Subcutaneous Emphysema ◽  
Clinical Condition ◽  
Valsalva Maneuver ◽  
Late Pregnancy ◽  
Obstetric Complication ◽  
Additional Risk ◽  
Life Threatening

Hamman’s syndrome is a potentially life-threatening clinical condition characterized by peripartum subcutaneous emphysema and pneumo mediastinum. This obstetric complication typically occurs in late pregnancy and labor and is frequently observed in young healthy primi parous women.1. Excessive Valsalva maneuver during vaginal delivery and excessive retching, coughing, and straining are frequently reported causes2. Subcutaneous emphysema and pneumomediastinum in labour and delivery is a rare but potentially serious occurrence that must be identified and managed appropriately to avoid unnecessary investigations and interventions. Published reports indicate that subsequent pregnancies pose no additional risk for recurrence3.

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