scholarly journals The Emergence and Development of Physiological Regulatory Systems of Newborn Infants in a Neonatal Intensive Care Unit

Author(s):  
Motoki Bonno ◽  
Esmot Ara ◽  
Hatsumi Yamamoto
1982 ◽  
Vol 71 (5) ◽  
pp. 779-783 ◽  
Author(s):  
M. ERIKSSON ◽  
B. MELÉN ◽  
K.-E. MYRBÄCK ◽  
B. WINBLADH ◽  
R. ZETTERSTRÖM

2019 ◽  
pp. 59-88
Author(s):  
Dána-Ain Davis

This chapter offers ethnographic insight into the neonatal intensive care unit (NICU), a space that is largely inaccessible to the general population. The chapter describes the physical space of the NICU. Parents reveal how they felt about having their newborn infants admitted to the NICU and the varying degrees of racism that saturated the experiences of some, but not all, parents. Most parents interpret their experience through the lens of medical racism. At the very least they understand that if it were not for a particular mediating factor, such as having a connection to the medical field, they likely would have been subjected to racist medical encounters. This chapter also examines how mostly white neonatologists respond to questions related to race and adverse birth outcomes and finds that, for most, class replaces race as the explanatory factor for understanding premature births.


2011 ◽  
Vol 64 (9-10) ◽  
pp. 507-510 ◽  
Author(s):  
Katarina Pejic ◽  
Borisav Jankovic ◽  
Zeljko Mikovic ◽  
Zorica Rakonjac ◽  
Jelena Martic ◽  
...  

Introduction. Non-immune hydrops fetalis is a condition of excessive accumulation of extravascular fluid without identifiable circulating antibody to erythrocytes membrane antigens. In newborn infants it is characterized by skin oedema and pleural, pericardial or peritoneal effusion. In the era of routine Rh immunization for the prevention of foetal erythroblastosis, non-immune pathophysiologic mechanisms are presented in 76-87% of all hydropic newborns. Non-immune hydrops fetalis can be associated with numerous and various disorders. The mortality rate may exceed 50%. This study was aimed at presenting our clinical experience in treating newborn infants with non-immune hydrops fetalis. Material and methods. A retrospective-prospective study included newborn infants with non-immune hydrops fetalis, who were treated in the Neonatal Intensive Care Unit of Mother and Child Health Institute of Serbia between January 1, 2001 and October 31, 2010. All valid data about aetiology, diagnosis, clinical course and outcome were recorded. Results. The diagnosis of non-immune hydrops fetalis was made in 11 newborns. The etiologic diagnosis was established in 8 patients: anaemia due to fetomaternal transfusion in 4 patients and conatal cytomegalovirus infection, intracranial haemorrhage, isolated pulmonary lymphangiectasia and diffuse skin and mediastinal lymphangiomatosis in the remaining 4 patients. Conclusion. Non-immune hydrops of newborn infant is associated with a high mortality rate and requires complex diagnostic and therapeutic procedures. An optimal management of neonates with non-immune hydrops fetalis demands a multidisciplinary approach to the treatment in a neonatal intensive care unit.


2012 ◽  
Vol 88 ◽  
pp. S13-S17 ◽  
Author(s):  
Maria Lorella Giannì ◽  
Paola Roggero ◽  
Pasqua Piemontese ◽  
Anna Orsi ◽  
Orsola Amato ◽  
...  

PEDIATRICS ◽  
1971 ◽  
Vol 47 (6) ◽  
pp. 995-999
Author(s):  
Louise L. McDonald ◽  
Joseph W. St. Geme ◽  
Barbara H. Arnold

During the summer of 1968 ECHO virus type 31 was isolated from four infants in a neonatal intensive care unit. The index case was admitted from home in a comatose state and harbored ECHO 31 in his throat. Necropsy findings were inconclusive, and no virus was recovered from neural tissues. After the admission of this patient, two infants in the unit developed apneic spells and ECHO 31 was isolated from their CSF, throat, and stool samples. The virus was also isolated from the stool of an asymptomatic infant. ECHO 31 had not been recovered in newborn infants prior to its isolation in these cases. The isolation techniques currently used in many neonatal units may be inadequate to prevent viral dissemination. It is important to maintain a high index of suspicion of neonatal viral disease since careful virologic study will clarify the ecology of these nosocomial infections.


2008 ◽  
Vol 19 (05) ◽  
pp. 392-418 ◽  
Author(s):  
Navid Shahnaz ◽  
Terence Miranda ◽  
Linda Polka

Background: Conventional low probe tone frequency tympanometry has not been successful in identifying middle ear effusion in newborn infants due to differences in the physiological properties of the middle ear in newborn infants and adults. With a rapid increase in newborn hearing screening programs, there is a need for a reliable test of middle ear function for the infant population. In recent years, new evidence has shown that tympanometry performed at higher probe tone frequencies may be more sensitive to middle ear disease than conventional low probe tone frequency in newborn infants. Purpose: The main goal of this study was to explore the characteristics of the normal middle ear in the NICU (neonatal intensive care unit) and well babies using conventional and multifrequency tympanometry (MFT). It was also within the scope of this study to compare conventional and MFT patterns in NICU and well babies to already established patterns in adults to identify ways to improve hearing assessment in newborns and young infants. Methods: Three experiments were conducted using standard and MFT involving healthy babies and NICU babies. NICU babies (n = 33), healthy three-week-old babies (n = 16), and neonates on high-priority hearing registry (HPHR) (n = 42) were tested. Thirty-two ears of 16 healthy Caucasian adults (compared to well-babies) and 47 ears of 26 healthy Caucasian adults (compared to NICU babies) were also included in this study. Results: The distribution of the Vanhuyse patterns as well as variation of admittance phase and peak compensated susceptance and conductance at different probe tone frequencies was also explored. In general, in both well babies and NICU babies, 226 Hz tympanograms are typically multipeaked in ears that passed or referred on transient otoacoustic emission (TEOAE), limiting the specificity and sensitivity of this measure for differentiating normal and abnormal middle ear conditions. Tympanograms obtained at 1 kHz are potentially more sensitive and specific to presumably abnormal and normal middle ear conditions. Tympanometry at 1 kHz is also a good predictor of presence or absence of TEOAE.


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