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Artykuły w czasopismach na temat "Infants (premature)"

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Weber, Ashley M., Tondi M. Harrison i Deborah K. Steward. "Schore’s Regulation Theory". Biological Research For Nursing 14, nr 4 (23.07.2012): 375–86. http://dx.doi.org/10.1177/1099800412453760.

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Premature infants confront numerous physiologic and environmental stressors in the neonatal intensive care unit (NICU) that have the potential to permanently alter their neurodevelopment. Schore’s regulation theory postulates that positive maternal–infant interactions can shape the infant’s developmental outcomes through inducing mechanistic changes in brain structure and function. The purposes of this article are to explain the regulation of infant neurobiological processes during interactions between mothers and healthy infants in the context of Schore’s theory, to identify threats to these processes for premature infants, and to propose principles of clinical practice and areas of research necessary to establish a supportive environment and prevent or reduce maladaptive consequences for these vulnerable infants. A premature birth results in the disruption of neurodevelopment at a critical time. Chronic exposure to stressors related to the NICU environment overwhelms immature physiologic and stress systems, resulting in significant allostatic load, as measured by long-term neurodevelopmental impairments in the premature infant. Positive maternal–infant interactions during NICU hospitalization and beyond have the potential to reduce neurologic deficits and maximize positive neurodevelopmental outcomes in premature infants. The quality of the maternal–infant interaction is affected not only by the infant’s developing neurobiology but also by the mother’s responses to the stressors surrounding a premature birth and mothering an infant in the NICU environment. Nurses can empower mothers to overcome these stressors, promote sensitive interactions with their infants, and facilitate neurodevelopment. Research is critically needed to develop and test nursing interventions directed at assisting mothers in supporting optimal neurodevelopment for their infants.
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HEIRD, WILLIAM C. "Amino Acids in Premature Infants". Pediatrics 82, nr 4 (1.10.1988): 680–81. http://dx.doi.org/10.1542/peds.82.4.680a.

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In Reply.— Dr Raiha is correct. Our data1 do not necessarily "refute" the concept of the LBW infant's metabolic immaturity. However, they raise the issue of the clinical significance of the well-documented developmental delays in hepatic activities of several enzymes involved in metabolism of amino acids. Specifically, these data suggest that enzymatic immaturities are of limited clinical significance with respect to the LBW infant's tolerance of parenterally administered amino acids. No differences in plasma amino acid pattern were observed between LBW infants weighing less than 1,250 g at birth and those weighing more than 1,250 g, between the LBW infant population1 and the population of term infants and older children studied earlier,2 or between LBW infants who received a typical peripheral vein regimen and those who received a typical central vein regimen.
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Ruslie, Riska Habriel. "The Role of Vitamin in the Nutrition of Premature Infants". Sains Medika : Jurnal Kedokteran dan Kesehatan 4, nr 1 (8.06.2012): 97. http://dx.doi.org/10.30659/sainsmed.v4i1.391.

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Vitamin is an organic compound required as a vital nutrient in tiny amounts. Premature infants are at risk of vitamin deficiency than mature infants, due to inadequate transplacental transport, inadequate storage, and increased tissue utilization. Infant that are born prematurely have a low amount of stored vitamin in their body. The amount that is stored is quickly used as the infant grows. So, vitamin is a very important for development of premature infants. In this review examines the role of vitamin in the nutrition of premature infants (Sains Medika, 4(1):97-111).
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Brown, Lisa. "Heart Rate Variability in Premature Infants During Feeding". Biological Research For Nursing 8, nr 4 (kwiecień 2007): 283–93. http://dx.doi.org/10.1177/1099800406298542.

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Early mother-infant interaction, a potentially major contributor to the development of a premature infant's behavioral and physiologic regulation, has received very little research attention. This study examined the development of physiologic regulation in relation to maternal-infant feeding interaction for 43 premature infants, from the time caregiving responsibility was transferred to the mother through each infant's 4th postterm month. Infants and mothers were seen in a special care nursery just before discharge and in home at 1 and 4 months postterm age. General linear mixed models were used to examine the changes in infant heart rate variability (HRV) and Positive Affective Involvement and Sensitivity/Responsiveness scores over time and infant HRV over feeding conditions (prefeeding, feeding, and postfeeding). Significant differences were found for high-frequency and low-frequency HRV over time (p < .001 and p = .014, respectively). However, maternal feeding behavior did not show a significant effect of time (p = .24). The feeding condition effect on high-frequency HRV was significant (p < .001), with HRV lower during feeding compared to both prefeeding and postfeeding. Maternal feeding behavior was not associated with infant HRV. Discovering the ways in which maternal feeding behavior contributes to infant physiologic regulation may require study of the relationship of HRV to infant feeding behavior.
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Khasanah, Nopi Nur, i Yeni Rustina. "Menurunkan Skala Nyeri Bayi Prematur melalui Facilitated Tucking disertai ‘Hadir-Berbicara’ sebagai Upaya Penerapan Teori Comfort Kolcaba". Jurnal Ners dan Kebidanan Indonesia 5, nr 2 (7.11.2017): 83. http://dx.doi.org/10.21927/jnki.2017.5(2).83-90.

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<em>Premature infants had been experience of pain in neonatal ward that occur each day during treatment. Nurse need to do an intervention for reduce the scale of pain on premature infants. Pain management have to do at birth because of the repeated painful procedures in early life can affect the development of central nerve system permanently. The objective of this study was to describe the application of Kolcaba Comfort’s theory through facilitated tucking accompanied with ‘being with-talking to’ techniques in premature’s infant at high risk infant care. The method that used was case study by applying the four contexts of comfort’s experience associated with the three types of comfort based on Kolcaba Comfort’s theory in providing nursing care on five premature infants who have some painful procedures. The nursing intervention through facilitated tucking accompanied by ‘being with-talking to’ based on the principles of Kolcaba Comfort’s theory gave a positive result against premature infants’s comfort level. Four from five premature infants are in the level of transcendence which is a type of supreme comfort after the ease and relief. Kolcaba Comfort’s theory can be applied within the scope of neonatal care due in accordance with the developmental care of the infants and could reduce the scale of pain.</em>
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Carter, Brigit. "Nursing Care of the Premature Infant with Severe Combined Immunodeficiency Disease". Neonatal Network 25, nr 3 (maj 2006): 167–74. http://dx.doi.org/10.1891/0730-0832.25.3.167.

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Diagnosis and treatment of severe combined immunodeficiency disease (SCID) is documented in fetuses, term infants, and older children; however, there is very little information on its diagnosis and treatment in premature infants. When Duke University Medical Center’s first preterm infant with a known SCID history was delivered, in June 1999, there was no defined protocol for the infant’s nursing care. Although many of the guidelines for nursing care of the premature infant population (≤36 weeks) apply, there are important considerations for preterm infants with an SCID diagnosis. This article provides background on SCID and identifies those special considerations—namely, multidisciplinary communication, infection prevention, thorough physical assessments, and parental support.
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Widia, Yuri, i Brigita ika Rosdiana. "Review Article: Skin Condition and Skin Care in Premature Infants". Berkala Ilmu Kesehatan Kulit dan Kelamin 35, nr 1 (31.03.2023): 67–73. http://dx.doi.org/10.20473/bikk.v35.1.2023.67-73.

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Background: The majority of newborn skin care recommendations focus on concerns for healthy, full-term infants. Compared to mature infants, the skin of premature infants, those who are born at the gestational age of 37 weeks, is more vulnerable to injury, transepidermal water loss (TEWL), and transepidermal intoxication. There are no established guidelines for premature infant skin care. Discussion and review regarding this topic are needed. Purpose: To review the literature on skin conditions and skin care in premature infants. Review: The barrier function of premature skin is significantly compromised because the stratum corneum does not fully mature until late in the third trimester. Premature infants have immature skin with impaired barrier function characterized by high TEWL, increased absorption of chemicals, and increased risk of infection. Some particular issues in premature infant skin are controlling TEWL, avoiding mechanical damage, proper sterilization to control infection, awareness of percutaneous drug toxicity, appropriate bathing and umbilical cord care, and appropriate management of skin problems. Conclusion: Premature infant skin is more vulnerable due to immature development. Skin care for premature infants requires careful attention.
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Tropiano, Ligia M. C. C., Geraldo A. Fiamenghi-Jr i Silvana M. Blascovi-Assis. "Mothers and Premature Infants’ Emotional Interactions in a Neonatal Infant Care Unit: Case Studies". European Scientific Journal, ESJ 13, nr 36 (31.12.2017): 85. http://dx.doi.org/10.19044/esj.2017.v13n36p85.

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The aim of this study was to describe the ways premature infants and their mothers emotionally interact in the first weeks of their lives. In order to understand the intersubjective dyadic interaction between mother and premature infant, a qualitative and descriptive approach to research has been adopted. Four dyads comprised of primiparae women and their newly-born premature infants took part in the study. The babies were born prematurely after 28 to 35 weeks of gestation and admitted to the neonatal intensive care unit (NICU). Data was collected filming the first dyadic interaction with infant in the mother’s arms, lasting between 15 to 30 minutes. After that first registry, dyadic behaviors between mother and baby were described and categorized following the intersubjective categories suggested by Fiamenghi (1999) and Fiamenghi et al. (2010). Results showed that dyads display positive emotions, with infants’ behaviors falling into the categories of negotiation, interaction and emotional curiosity; as well as a low frequency of negative behaviors. The outcome of this research reinforces the need to adopt a humanizing approach to prematurely born infants and their mothers in NICU, as well as training and awareness of the whole multidisciplinary team that deals with them.
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Wilson Jones, Martha, Elaine Morgan i Jean Shelton. "Dysphagia and Oral Feeding Problems in the Premature Infant". Neonatal Network 21, nr 2 (marzec 2002): 51–57. http://dx.doi.org/10.1891/0730-0832.21.2.51.

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FEEDING DISORDERS AND dysphagia are common problems seen in premature infants following their discharge from the NICU. A major factor in the growing incidence of these problems is the number of infants born and surviving between 23 and 25 weeks gestational age, which has increased dramatically over the past decade. These infants experience both a lengthier exposure to noxious oral stimuli and a longer time until they develop the suck/swallow coordination that makes oral feeding safe.1 Oral feeding is generally not offered before 32–34 weeks gestational age, when the preterm infant’s sucking pattern begins to resemble that of a term infant.2,3 Therefore, there may be an 8- to 9-week lag between birth and oral feedings in a 23- or 24-week gestational age infant.
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Velisavljev-Filipovic, Gordana. "Mode of delivery and neurosonographic findings in premature infants". Medical review 60, nr 1-2 (2007): 7–11. http://dx.doi.org/10.2298/mpns0702007v.

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Introduction Fetal and preterm infant brain is especially vulnerable to hemorrhagic and ischemic damage at the end of the second and at the beginning of the third trimester. This is due to vascular, cellular and anatomic characteristics of the brain during development. In premature babies, there is a physiological instability and limited autoregulation of cerebral circulation. Hemorrhagic and ischemic damages often occur together, though pathophysiological processes leading to lesions are different. Material and methods The paper deals with a detailed analysis of 860 ultrasound brain scans of prematurely born children. The examinations were performed at the Ultrasound Department of the Institute of Child and Youth Health Care in Novi Sad. 707 vaginally born premature infants and 153 premature infants born by Cesarean section were examined. The bleeding was graded according to the Papile classification. Results and Discussion Out of 384 children with diagnosed grade I hemorrhage, 75 premature infants (19.5%) were born by Cesarean section. In the group of children with grade II hemorrhage, operative deliveries account for 14.7%. From the total of 85 children with grade III hemorrhage, (intraventricular bleeding with chamber dilatation), only 6 premature infants were born by Cesarean section (7%). Intra-parenchymal bleeding was diagnosed in a very small number of premature infants; 0.32% of all diagnosed hemorrhages were grade IV hemorrhages. In this group there were no children born by Cesarean section. The increase of hemorrhage grade is accompanied by a greater rate of pelvic presentation and manual assistance by Bracht. There were 240 prematurely born children with no echosonographically diagnosed hemorrhage, 38% of all examined premature infants. From this number, 13.3% of neonates were born by Cesarean section. Conclusion In the etiology of neonatal intracranial hemorrhage, especially prematurely born ones, apart from the trauma, which plays a major role, other factors are also important, above all fetal distress, perinatal hypoxia and functional immaturity of all organs.
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Rozprawy doktorskie na temat "Infants (premature)"

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Morrison, Ann Marie. "Premature Infants with Myopic Eyes". The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1460038664.

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曾秀芬 i Sau-fun Tsang. "Skin care practices in premature infants". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40721346.

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Kent, Alison. "Optimising vaccine protection in premature infants". Thesis, St George's, University of London, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.677180.

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Premature infants represent 7% of all births in the UK and have higher rates of vaccine preventable infections. National recommendations for vaccine schedules focus predominantly on term infants. We aimed to assess the immunogenicity of the UK immunisation schedule in preterm infants randomising infants to 3 different PCV13 primary schedules and using data from the randomized controlled trial and a pooled data metaanalysis of preterm vaccine studies to identify factors affecting vaccine responses. Methods 210 infants «35 weeks gestation) received DTaP-IPV-Hib vaccine at 2, 3 and 4 months of age and meningococcal C conjugate vaccine at 2 and 3 months alongside 3 different PCV13 vaccine schedules (Group1: 2 and 4 months, Group 2: 2, 3 and 4 months, Group 3: 2,4 and 6 months). At 12 months of age participants received MMR, PCV13 and Hib-MenC-TI vaccines. Antibody concentrations and Iymphocyte subpopulations were measured before and one month after primary and booster vaccinations. Results The median birth gestation was 29+6 weeks (range 23+2-34+6). Younger gestation was associated with lower antibody concentrations at baseline but had limited effect on vaccine responses. For PCV13, group 3 had the highest antibody concentrations post-primary and prior to booster vaccination but the lowest antibody concentrations after the booster. There was no consistent effect of chronic lung disease, growth restriction or the receipt of blood products, antenatal or postnatal steroids on vaccine responses. For all antibodies a longer duration of vaccine course or an older age at final immunisation was associated with improved immunogenicity. Increased CD19+was associated with improved PCV13 immunogenicity Conclusion Premature infants can mount satisfactory responses to all routine vaccines but the schedule followed for PCV13 vaccine will significantly influence when optimal protection occurs. Disease epidemiology must be considered when deciding which schedule to follow.
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Tsang, Sau-fun. "Skin care practices in premature infants". Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B40721346.

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Uys, Karina Johanna. "Oral feeding skills of premature infants". Pretoria : [s.n.], 2006. http://upetd.up.ac.za/thesis/available/etd-07172006-123438.

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Cainelli, Elisa. "Brain electrophysiological development in premature infants". Doctoral thesis, Università degli studi di Padova, 2013. http://hdl.handle.net/11577/3423450.

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Background. Improvements in postnatal care provided in neonatal intensive care units have resulted in increasing survive percentage of children born at the limits of viability. A large number of premature infants experienced major impairment and/or minor neurodevelopmental disabilities, such as cognitive, psychiatric and motor disorders. The etiology of these developmental deficits still remains not completely understood, but they may be the result of neonatal brain injury as well of interruption of the normal process of brain maturation that occurs during the last trimester of pregnancy, a critical period of prenatal ontogenesis. Prediction of the outcome of individual preterm infants is difficult. Although a premature infant may be asymptomatic for abnormal clinical signs, he may exhibit subtle alterations in brain activity which often remain unrecognized. A neurophysiologic evaluation of brain activity in the third trimester of gestation would probably be of great benefit for early detection of pathological processes or subclinical alterations. Electroencephalogram and cortical auditory evoked potentials turned out to be simple and useful techniques in evaluation of brain maturation. Aims. We conducted cross-sectional and longitudinal investigations at early crucial phases of development (35 and 40 weeks post-conception) in order to identify differences in cerebral activity between premature infants born at different gestational ages and full-term neonates, using electroencephalogram (EEG) at rest and cortical auditory evoked potentials (CAEP). We further aimed to correlate the neonatal data with later neurodevelopment. Methods. The research is divided into three studies: Study 1: EEG spectral activity was recorded at 35 post-conception weeks in 40 premature infants and compared between groups of infants born at different gestational age (“extremely low gestational age”, ELGA: 23–27+6, ‘‘very low gestational age’’, VLGA: 28–31+6 and “low gestational age”, LGA: 34-35). The results were correlated with behavioral developmental scores obtained at 12 months corrected age from 20 infants. Study 2: a subgroup of 10 infants of Study 1 repeated the EEG recording at 40 post-conception age. EEG spectral activity of this subgroup was compared longitudinally and further the activity recorded at 40 GA were compared with those of a group of 10 full-term infants. Study 3: CAEP were recorded in active sleep at 35 post-conception weeks in response to an auditory stimulation in 36 premature infants and compared between groups of infants born at different gestational age (ELGA, VLGA, LGA). The results were correlated with behavioral developmental scores obtained at 12 months corrected age from 20 infants. Methodology Study 1 and 2. Electrical brain activity was recorded for 40 minutes on 5 bipolar channels. Data were transformed into the frequency domain using a Fast Fourier Transform algorithm. Frequency spectrum was divided into the following bands: δ (0.5-4 Hz, comprising δ1 0.5-1 Hz and δ2 1-4 Hz), θ (4-8 Hz), α (8-13 Hz) and β (13-20 Hz). Statistical analysis were performed on absolute and relative power values only on central sites (C3-C4, C3-T3, C4-T4). Methodology Study 3. 1000 Hz (paradigm 1) and 500 Hz (paradigm 2) auditory stimulations were performed on continuous EEG recording. Design consisted of 300 tones for each paradigm. Inter-stimulus interval randomly varied between 600 and 900 ms; 12 monopolar channels were recorded, referenced to the bilateral linked ear lobes. 600 ms epochs were divided for statistical analysis in time windows of 100 ms. Statistical analysis were performed only on central sites (Fz, Cz). Results. Study 1. On C3-C4, relative spectral power values differed significantly between ELGA and LGA groups. Infants born at lower gestational ages had a higher amount of power in the δ and a lower amount of α and β spectral power. The preliminary data on those infants attaining 12 months of corrected age showed that higher amount of δ and a lower amount of β and α resulted associated with poor relational skills and personal self autonomies. Study 2. At 40 post-conception age, premature infants showed on C3-C4 a decrease in δ activity and a mild, not significant, increase in higher frequencies; no significant differences in spectral power values were found with full-term neonates. Study 3. In response to 1000 Hz tones no waveforms became evident on Fz in ELGA infants, while LGA presented a wide and slow positive response; the groups differed significantly. VLGA’s grand average waveform resembled that of LGA group, but characterized by a high variability. Responses to 500 Hz resulted highly variable and not reliable. Conclusions. We found early subtle brain electrical alterations in premature infants experiencing different developmental pathways, suggesting a different cortical organization; these differences seem to be associated with later development. The potential of neurophysiological methodologies is to provide a useful indicator of good prognosis or poor developmental outcomes.
Premesse. Gli avanzamenti tecnologici che negli ultimi decenni hanno caratterizzato le cure perinatali e le tecniche di terapia intensiva neonatale hanno permesso la sopravvivenza di una percentuale sempre maggiore di neonati prematuri nati ad età gestazionali sempre più basse, ai limiti della sopravvivenza. Eppure, studi sullo sviluppo a breve e lungo termine hanno dimostrato che molti neonati prematuri riportano esiti maggiori e/o disordini evolutivi minori, come deficit cognitivi e neuropsicologici, disturbi psichiatrici/comportamentali e motori. La causa di tali disordini dello sviluppo rimane poco chiara, ma può essere il risultato di sofferenza cerebrale in epoca neonatale come anche dell’interruzione del normale processo di sviluppo che avviene nel terzo trimestre di gravidanza, un periodo estremamente critico per la maturazione cerebrale. Predire come sarà lo sviluppo di un neonato prematuro rimane attualmente molto difficile. Infatti, sebbene un neonato possa essere asintomatico per segni clinici indicativi di una condizione patologica in atto, possono essere presenti alterazioni subcliniche del funzionamento cerebrale che spesso non vengono riconosciute. Una valutazione neurofisiologica dell’attività cerebrale nel neonato prematuro può probabilmente essere di grande utilità nel precoce riconoscimento di processi patologici o di alterazioni subcliniche. L’elettroencefalogramma (EEG) e i potenziali evocati uditivi corticali (CAEP) si sono dimostrati tecniche semplici e valide nel valutare la maturazione cerebrale. Obiettivi dello studio. Abbiamo condotto delle valutazioni neurofisiologiche trasversali e longitudinali in due fasi precoci e cruciali dello sviluppo (35 e 40 settimane postconcezionali) allo scopo di identificare differenze nell’attività elettrica cerebrale fra prematuri nati ad età gestazionali diverse e neonati a termine, usando EEG a riposo e i CAEP. Tali indagini in epoca neonatale sono state poi correlate con lo sviluppo comportamentale a distanza. Metodi. La ricerca è stata articolata in tre studi: Studio 1: è stata eseguita l’analisi spettrale dell’EEG registrato a 35 settimane postconcezionali in 40 neonati prematuri; tale attività è stata comparata fra gruppi di neonati nati ad età gestazionali diverse (estremi prematuri, ELGA: 23–27+6, veri prematuri, VLGA: 28–31+6 e prematuri, LGA: 34-35). I risultati ottenuti in epoca neonatale sono stati correlati con l’indice di sviluppo comportamentale ottenuto ai 12 mesi di età corretta nei primi 20 bambini che hanno raggiunto tale età. Studio 2: un sottogruppo di 10 neonati dello Studio 1 ha ripetuto la registrazione EEG a 40 settimane postconcezionali; la potenza spettrale ottenuta dalle registrazioni EEG a 35 e 40 settimane postconcezionali è stata cofrontata longitudinalmente; successivamente l’attività spettrale ottenuta alle 40 settimane postconcezionali è stata confrontata con quella di 10 neonati a termine alla nascita. Studio 3: i CAEP sono stati registrati in sonno attivo a 35 settimane postconcezionali in 36 prematuri e comparati fra gruppi di neonati nati ad età gestazionali diverse (ELGA, VLGA, LGA). I risultati sono stati correlati con l’indice di sviluppo comportamentale ottenuto ai 12 mesi di età corretta nei primi 20 bambini che hanno raggiunto quest’età. Metodologia Studio 1 e 2. L’attività elettrica cerebrale è stata registrata per 40 minuti su 5 canali bipolari. I dati ottenuti sono stati trasformati nel dominio delle frequenze utilizzando una trasformazione Fast Fourier. Lo spettro di frequenza è stato diviso nelle seguenti bande: δ (0.5-4 Hz, composto da δ1 0.5-1 Hz e δ2 1-4 Hz), θ (4-8 Hz), α (8-13 Hz) e β (13-20 Hz). Le analisi statistiche sono state eseguite sui valori di potenza assoluti e relativi ottenute solo dai siti centrali (C3-C4, C3-T3, C4-T4). Metodologia Studio 3. Durante la registrazione continua dell’EEG i neonati sono stati stimolati con treni di toni a 1000 Hz (paradigma 1) e a 500 Hz (paradigma 2). Il disegno sperimentale prevedeva 300 toni per ciascun paradigma. L’intervallo inter-stimolo variava in maniera casuale fra 600 e 900 ms; sono stati registrati 12 canali monopolari, riferiti bilateralmente ai lobi degli orecchi. Le epoche di 600 ms sono state divise per l’analisi statistica in finestre temporali di 100 ms. Le analisi statistiche sono state eseguite solo sui siti centrali (Fz, Cz). Risultati. Studio 1. In C3-C4, i valori di potenza spettrale relativa differivano significativamente fra i gruppi di ELGA e LGA. I neonati nati alle età gestazionali più basse avevano una maggiore potenza relativa in δ e una minore in α e β. La correlazione di questi dati con lo sviluppo comportamentale dei primi bambini che hanno raggiunto i 12 mesi di età corretta ha mostrato come alte percentuali di potenza in δ e basse in β e α fossero associate ad abilità relazionali più povere ed autonomie personali meno mature. Studio 2. A 40 settimane postconcezionali i prematuri hanno mostrato in C3-C4 una riduzione di potenza δ relativa e un lieve, non significativo, aumento di potenza nelle alte frequenze; non sono state trovate differenze significative rispetto i neonati a termine. Studio 3. Nel paradigma a 1000 Hz non è stato possibile rilevare nessuna risposta ai suoni nei neonati ELGA, mentre nei LGA in Fz era evidente una lenta ed ampia onda positiva; la grande media dei due gruppi differiva significativamente in Fz. La grande media dei neonati VLGA assomigliava a quella dei LGA, ma era caratterizzata da un’alta variabilità. Le risposte a toni di 500 Hz sono risultate troppo variabili e non riproducibili. Conclusioni. Confrontando neonati prematuri che hanno sperimentato linee di sviluppo differenti, abbiamo trovato delle differenze sottili nell’attività elettrica cerebrale che suggeriscono un’alterazione dell’organizzazione corticale. Tali differenze sembrano inoltre associate allo sviluppo comportamentale nel primo anno di vita. Questi risultati suggeriscono che le tecniche neurofisiologiche possano essere molto utili nella prognosi dei neonati prematuri.
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Neal, Diana Odland. "The physiological effects of a nursing intervention of intermittent human tactile contact on preterm infants". Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276799.

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The purpose of this study was to assess if preterm infants receiving an intervention of intermittent human tactile contact would demonstrate clinical improvement over infants who did not receive the intervention. A quasi-experimental design was used with 26 infants between 28 and 32 weeks gestation. Hands were placed on the infants' heads and lower backs for a total of 36 minutes of tactile contact a day for 10 days. Findings indicated a significant gain in mean body weight for both groups between Day 0 and Day 10. Also, there was a significant decrease in mean hematocrit in the control group between Day 0 and Day 10. On Day 10, experimental infants had a significantly higher mean number of apneic and bradycardic episodes than control infants. There were no significant mean differences between the groups for body weight, body temperature stability, oxygen variance, or hematocrit. Data suggest that gentle human touch may be correlated with desireable outcomes. Further research is necessary.
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Freer, Yvonne. "Breastfeeding in premature infants : a descriptive study". Thesis, University of Edinburgh, 1997. http://hdl.handle.net/1842/21245.

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Establishing breastfeeding in the infant born prematurely remains one of the most important challenges to neonatal midwives. Many obstacles stand in the way of mothers becoming successful in this art; probably the most notable being unit guidelines established through anecdotal rather than evidence based on information. Difficulties arise in gathering "evidence" and this may in some part account for the lack of literature on breastfeeding and the preterm infant. Earlier studies indicate that breastfeeding premature infants regulate feeding differently to bottle feeding infants but these qualitative data do not adequately describe feeding performance. A convenience sample of preterm infants was selected and variables associated with feeding measured. A pulse oximeter measured heart rate and oxygen saturation pre, during and post feed, whilst feeding variables of sucking, swallowing and breathing were monitored throughout feeding using pressure sensors and auscultation. The data were continuously collected and stored in a computer using the Snapshot programme. The findings of this study indicate that practice at feeding affects outcome, bursts become longer and pauses shorter, sucks and swallows/second increase with breaths/second being influenced by milk flow and swallow rate; that total feeding time is variable and not dependent on post menstrual age (PMA); that immature infants (those of 31 weeks PMA) are able to coordinate sucking, swallowing and breathing and produce rhythmic bursts and pauses and possibly adapt feeding performance according to physiological status; finally that suckling does not cause any obvious increase in heart rate and therefore cannot be considered as an energy consuming activity.
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Strong, Carolyn Blythe. "The effect of massage on premature infants". Diss., The University of Arizona, 1989. http://hdl.handle.net/10150/184768.

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The purpose of the study was to identify and compare characteristics of preterm infants' pulse rate, respiratory rate, stress related behavior and self comforting behavior in two situations: (1) the infant receiving routine nursing care in the environment of a neonatal intensive care nursery, and (2) the infant in the same environment after experiencing a gentle back massage. Specifically, the research question for this study was: what patterns of pulse rate, respiratory rate and behavior, are associated with massage? Preterm infants between 33 and 36 weeks gestational age were observed for a baseline period of 50 minutes, given a 10 minute back massage, and observed for an additional 50 minutes. Exploratory data analysis revealed changes in the pulse rate, and in the frequencies of stress related and self comforting behaviors after massage that were associated with gestational age. Younger infants displayed a decline in pulse rate and an increase in respiratory rate after massage when compared to baseline observations, whereas older infants showed an increase in pulse rate immediately following massage. Stress related behavior declined during the first 10 minutes after massage in all age groups. Most preterm infants in this sample did not manifest any stress related behavior for several minutes after the massage. The frequency of self comforting behaviors increased after infants experienced a massage. Behavioral patterns were coupled with physiological variables; the frequency of self comforting behaviors was reflected in the pattern of respiratory rate whereas the frequency of stress related behaviors was more closely coupled with pulse rate. As infants became more aroused, they used a greater variety of behaviors. The behavioral reportoire also increased with gestational age. Content analysis demonstrated that infants spent more time in quiet sleep after having a massage than before massage. There were more frequent changes between active and quiet sleep before massage than afterward among infants who were treated concurrently with ultraviolet light. There was a trend for infants of all ages to take less time to console themselves after having a massage than before. None of these observed differences was statistically significant. Rotational movements were noted among more mature infants and were associated with quiet sleep. Infant behaviors showed a general decrease in the amplitude of movement over time. Several infants appeared alert, opening their eyes and looking around after having a massage. In general, preterm infants in this sample manifested changes in arousal and in activity which were observed in the differences in their behavior and vital signs after having a massage.
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Lilley, Rhonda J. "Distress learning in premature infants : early antecedents of dysfunctional parent-infant relationships /". The Ohio State University, 1990. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487676847118147.

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Książki na temat "Infants (premature)"

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H, Yu Victor Y., i Wood Carl, red. Prematurity. Edinburgh: Churchill Livingstone, 1987.

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Smith, Timothy. Miracle birth stories of very premature babies: Little thumbs up! Westport, Conn: Bergin & Garvey, 1999.

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R, Witter Frank, i Keith Louis G, red. Textbook of prematurity: Antecedents, treatment, and outcome. Boston: Little, Brown, and Co., 1993.

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Marsha, Hoffman-Williamson, i Silverman Benjamin K, red. Primary care of the preterm infant. St. Louis: Mosby Year Book, 1991.

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Manginello, Frank P. Your premature baby: Everything you need to know about childbirth, treatment, and parenting of premature infants. New York: Wiley, 1991.

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Jason, Janine. Parenting your premature baby. New York: H. Holt, 1989.

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Rodney, Rivers, i Rosenblatt Deborah, red. Born too early: Special care for your preterm baby. Oxford: Oxford University Press, 1985.

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Rodrigo, Dominquez, red. Diagnostic imaging of the premature infant. New York: Churchill Livingstone, 1992.

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G, Elder M., Lamont Ronald F i Romero Roberto, red. Preterm labor. New York: Churchill Livingstone, 1997.

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Jason, Janine. Parenting your premature baby. New York: H. Holt, 1989.

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Części książek na temat "Infants (premature)"

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Davenport, Teresa L. "Premature Infants". W Encyclopedia of Child Behavior and Development, 1148–49. Boston, MA: Springer US, 2011. http://dx.doi.org/10.1007/978-0-387-79061-9_2220.

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Zabransky, Siegfried. "Premature Infants". W Caring for Children Born Small for Gestational Age, 127–49. Tarporley: Springer Healthcare Ltd., 2013. http://dx.doi.org/10.1007/978-1-908517-90-6_12.

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Martini, Silvia, i Luigi Corvaglia. "Premature Infants". W Frailty in Children, 11–32. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-24307-3_2.

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Gregory, George A. "Anesthesia for Premature Infants". W Gregory's Pediatric Anesthesia, 475–96. Oxford, UK: Wiley-Blackwell, 2011. http://dx.doi.org/10.1002/9781444345186.ch20.

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Moini, Jahangir, Oyindamola Akinso i Raheleh Ahangari. "Newborns and Premature Infants". W Global Malnutrition, 39–54. Boca Raton: CRC Press, 2023. http://dx.doi.org/10.1201/b22969-5.

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Friede, Reinhard L. "Hemorrhages in Asphyxiated Premature Infants". W Developmental Neuropathology, 44–58. Berlin, Heidelberg: Springer Berlin Heidelberg, 1989. http://dx.doi.org/10.1007/978-3-642-73697-1_4.

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Senterre, Thibault, Gianluca Terrin, Mario De Curtis i Jacques Rigo. "Parenteral Nutrition in Premature Infants". W Textbook of Pediatric Gastroenterology, Hepatology and Nutrition, 73–86. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-17169-2_7.

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Ziegler, Ekhard E. "Nutrient Requirements of Premature Infants". W Nutrition Support for Infants and Children at Risk, 161–76. Basel: KARGER, 2007. http://dx.doi.org/10.1159/000098534.

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Moltu, Sissel J., Alexandre Lapillonne i Silvia Iacobelli. "Parenteral Nutrition in Premature Infants". W Textbook of Pediatric Gastroenterology, Hepatology and Nutrition, 87–101. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-80068-0_7.

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Domellöf, Magnus. "Nutritional Care of Premature Infants: Microminerals". W Nutritional Care of Preterm Infants, 121–39. Basel: S. KARGER AG, 2014. http://dx.doi.org/10.1159/000358462.

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Streszczenia konferencji na temat "Infants (premature)"

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Keim, Timothy, Ramak Amjad i Roger Fales. "Modeling and Feedback Control of Inspired Oxygen for Premature Infants". W ASME 2011 Dynamic Systems and Control Conference and Bath/ASME Symposium on Fluid Power and Motion Control. ASMEDC, 2011. http://dx.doi.org/10.1115/dscc2011-6107.

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Premature infants are commonly treated for respiratory problems due to their underdeveloped lungs. Due to Respiratory Distress Syndrome, the infant requires mechanical ventilation or increased inspired oxygen. If the blood oxygen saturation is kept a too high of a level, the infant is at risk for retinopathy of prematurity. A safe level for the infant’s blood oxygen saturation is between 85–92%. An automatic control system would aid nurses in care of premature infants. Since each infant is different, the control system must be robust enough to achieve adequate control of the percentage of oxygen in inspired air administered to the patient. Clinical data is acquired from patient bedside monitors. A parameter estimating extended Kalman filter assuming a first order model is applied to the data to calculate a range of system gains and time constants. An error model is then created using the resulting ranges of parameters. Performance specifications are defined and a μ-synthesis controller is developed to automatically control the oxygen percentage of inspired air. The control system is analyzed using H∞ methods to determine whether robust stability and robust performance are achieved in the presence of system uncertainty described by the error model.
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Andrew, M., B. A. Paes, R. A. Milner, P. J. Powers, M. Johnston i V. Castle. "THE POSTNATAL DEVELOPMENT OF THE COAGULATION SYSTEM IN THE PREMATURE INFANT". W XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643606.

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A cohort study was performed to determine the postnatal development of the coagulation system in the “healthy” premature infant. Mothers were approached for consent and a total of 132 premature infants were entered into the study. The group consisted of 64 infants with gestational ages of 34-36 weeks (prem 1) and 68 infants whose gestational age was 33 weeks or less (prem 2). Demographic information and a 2 ml blood sample were obtained on days 1, 5, 30, 90, and 180. Plasma was fractionated and stored at −70°C for batch assaying of the following tests: screening tests, PT, APTT; factor assays (biologic (B)); fibrinogen, II, V, VII, VIII:C, IX, X, XI, XII, prekallikrein, high molecular weight kininogen, XIII (immunologic (I)); inhibitors (I), antithrombin III, aα2-antiplasmin, α2-macroglobulin, α-anti-trypsin, Cl esterase inhibitor, protein C, protein S, and the fibrinolytic system (B); plasminogen. We have previously reported an identical study for 118 full term infants. The large number of premature and full term infants studied at varying time points allowed us to determine the following: 1) coagulation tests vary with the gestational age and postnatal age of the infant; 2) each factor has a unique postnatal pattern of maturation; 3) near adult values are achieved by 6 months of age; 4) premature infants have a more rapid postnatal development of the coagulation system compared to the full term infant; and 5) the range of reference values for two age groups of premature infants has been established for each of the assays. These reference values will provide a basis for future investigation of specific hemorrhagic and thrombotic problems in the newborn infant.
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Pravitasari, Ines Ratni, Vitri Widyaningsih i Bhisma Murti. "Meta Analysis: Kangaroo Mother Care to Elevate Infant Weight in Premature Infants". W The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.127.

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ABSTRACT Background: Premature birth is most often challenge with many health issues such as low birth weight. Kangaroo position is the practice of skin-to-skin contact between an infant and parents and was found to be an effective intervention for improving weight gain in premature infant. This study aimed to investigate the effectiveness of kangaroo mother care to elevate infant weight in premature infants. Subjects and Method: This was a meta-analysis and systematic review. This study collected published articles from PubMed, Science Direct, and Google Scholar databases. The inclusion criteria were full text, in English language, and using randomized control trial study design. The study population was premature infants. The intervention was kangaroo mother care. The comparison was conventional care. The outcome was infant weight. The selected articles were analyzed using RevMan 5.3. Results: 9 articles were met the study criteria. This study had high heterogeneity between groups (I2= 89%; p<0.001). Kangaroo mother care was higher elevated infant weight than conventional method (Standardized Mean Difference= 0.60; 95% CI= 0.17 to 1.03; p= 0.006). Conclusion: Kangaroo mother care is effective to elevate infant weight in premature infants. Keywords: Kangaroo mother care, infant weight, preterm infant Correspondence: Ines Ratni Pravitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: inesratnip@gmail.com. Mobile: +6285649507909. DOI: https://doi.org/10.26911/the7thicph.03.127
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Neto, Florbela, Ana Paula Franca i Sandra Cruz. "An Algorithm Proposal To Oral Feeding In Premature Infants". W 2nd icH&Hpsy International Conference on Health and Health Psychology. Cognitive-crcs, 2016. http://dx.doi.org/10.15405/epsbs.2016.07.02.8.

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Hill, Jonathan M., M. Shalane Regan, Ronald S. Adrezin i Leonard Eisenfeld. "System for Recording the Bowel Sounds of Premature Infants". W ASME 2008 3rd Frontiers in Biomedical Devices Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/biomed2008-38101.

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Premature infants receive enteral feedings well before the time they would have if they remained in utero. The alimentary system may or may not be receptive to nutrition. Neonatal caretakers must decide whether it is safe to feed the patient. Possible etiologies of bowel dysfunction include bowel obstruction, functional or anatomic which may be reflected as an abnormality or lack of peristalsis. This peristalsis may be monitored acoustically to determine the health of the patient’s digestive tract.
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Ormuž, Tena, i Josipa Brčić. "Music therapy as a complementary approach with premature infants". W NEURI 2015, 5th Student Congress of Neuroscience. Gyrus JournalStudent Society for Neuroscience, School of Medicine, University of Zagreb, 2015. http://dx.doi.org/10.17486/gyr.3.2217.

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Box, David, i Chandra Shakuntala. "Outcome of Premature Infants on Liquid Human Milk Fortifier". W Selection of Abstracts From NCE 2016. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/peds.141.1_meetingabstract.545.

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Belyaeva, I., L. Namazova-Baranova i M. Okuneva. "Premature Infants with IUGR: Physical Development and Body Composition". W 7th International Conference on Clinical Neonatology—Selected Abstracts. Thieme Medical Publishers, 2018. http://dx.doi.org/10.1055/s-0038-1647079.

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Mueller, Martina, Carol C. Wagner, Romesh Stanislaus i Jonas S. Almeida. "Machine learning to predict extubation outcome in premature infants". W 2013 International Joint Conference on Neural Networks (IJCNN 2013 - Dallas). IEEE, 2013. http://dx.doi.org/10.1109/ijcnn.2013.6707058.

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YAMADA, K., T. MEGURO, A. SHIRAHATA, T. NAKAMURA i A. ASAKURA. "EFFECTS OF VITAMIN K ON VITAMIN K DEPENDENT PROTEINS IN NEWBORN INFANTS". W XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644264.

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Plasma levels of vitamin K (VK) and VK dependent proteins ( factor E, factor VH, factor X, protein C and osteocalcin)were determined before and after VK administration to 22 newborn infants. Vitamin K2 syrup ( 2 mg/kg of body weight ) was orally administered to 9 healthy premature, 11 high risk and 2 VK deficient infants under 3 days of age. VK families extracted from plasma were separated by high performance liquid chromatography using a Cosmosil 5 Ci8 column, and separated VK families were detected by a fluorometry after their reaction with ethanolic sodium borohydride in a reaction coil connected by one-line to a chromatographic column. Total activity of factor E, factor VE and factor X was assayed by a Normotest ( Nyegaard ), and protein C was measured by protac/APTT and protac/chromogenic substrate ( S-2366 ) functional assay system ( American Diagnostica ). Osteocalcin levels were assayed by using of a RIA method before and after the absorption of plasma by hydroxyapatite.After VK administration, plasma VK2 ( menaquinone-4 ) content increased from levels less than 0.012yg/ml to levels between 15.9 and 70.9μg/ml, excluding one case in whom plasma VK was not detected after VK administration. Compared with Normotest values and osteocalcin levels of age-matched healthy newborn infants treated without VK, premature, high risk and VK deficient infant levels significantly increased after 24 hrs and after 7 days of VK administration. No correlation was seen between the increase of plasma VK contents and the increase of Normotest values after VK administration. On the other hand, no significant increase of protein C assayed by both methods was observed in healthy premature and high risk infants after VK administration.These results indicate that the change of protein C after VK treatment is different from that of factor II, VII, X and osteocalcin.
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Raporty organizacyjne na temat "Infants (premature)"

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Tomova, Valentina, Diana Vlahova, Diana Diankova, Roumen Marinov, Anna T.Dasheva-Dimitrova i Ralitsa Georgieva. Bronchopulmonary Dysplasiaassociated Pulmonary Hypertension in Premature Infants. "Prof. Marin Drinov" Publishing House of Bulgarian Academy of Sciences, lipiec 2021. http://dx.doi.org/10.7546/crabs.2021.07.14.

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Tsai, Yu-Lin, i Yu-Ching Lin. The effect between complete oral motor stimulation program and simple non-nutritive sucking on feeding performance in premature infants – A meta-analysis and systemic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, październik 2023. http://dx.doi.org/10.37766/inplasy2023.10.0028.

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Sun, Xing, Jiayi Xu i Zejuan Gu. The effects of different bathing methods on physiological status and behavior of premature infants:a meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, listopad 2022. http://dx.doi.org/10.37766/inplasy2022.11.0103.

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Feng, Anli, Yaling Li, Fan Tang, Yuhong Luo, Rou Wu i Lei Li. Incidence and influencing factors of intracranial hemorrhage in premature infants:A protocol for meta-analysis and systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, luty 2023. http://dx.doi.org/10.37766/inplasy2023.2.0081.

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Rozo Gutiérrez, Nathaly, Greace Ávila Mellizo, Diana Alexa Forero Motta i María Eugenia Pinilla Saraza. La migración y la salud materno-perinatal en Colombia, 2017 – 2018. Instituto Nacional de Salud, kwiecień 2020. http://dx.doi.org/10.33610/01229907.2020v2n1a3.

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Introducción: la migración en algunos casos es el resultado de las desigualdades que se viven al interior de un país. Se ha considerado como un fenómeno que impacta el desarrollo económico, social y cultural de un país. Uno de los desafíos más relevantes del proceso migratorio es la cobertura y acceso universal en salud, que depende de la legalización del estado migratorio en el país receptor. Lo anterior, es de alta preocupación para los países debido a que la morbilidad materna y las complicaciones en la salud sexual y reproductiva son frecuentes en la población migrante, con mayor impacto en la incidencia de bajo peso al nacer y partos prematuros, así como también en los indicadores de mortalidad materna, neonatal e infantil. Objetivo: describir la tendencia de la migración y la salud materno-perinatal en Colombia entre el 2017 y el 2018. Materiales y métodos: investigación cuantitativa, descriptiva retrospectiva. La fuente de información es secundaria, por medio de la notificación individual semanal de casos al Sistema de Vigilancia en Salud Pública (Sivigila) de los eventos relacionados con la salud maternoperinatal: morbilidad materna extrema, mortalidad materna y mortalidad perinatal y neonatal tardía. Para el análisis de la información se establecen frecuencias absolutas y relativas. Para el análisis de la tendencia se utilizó Joinpoint versión 4.7, las diferencias significativas se establecieron con valor p<0,05, para un nivel de significancia del 95 %. Resultados: la tendencia de la tasa de migración neta tiene un comportamiento hacia el incremento; los eventos relacionados con la morbimortalidad materna, perinatal y neonatal tardía mostraron un aumento para la población migrante. Conclusiones: los hallazgos identificados hacen necesario que los países desarrollen estrategias para fortalecer la prestación de los servicios de salud y las políticas sociales dirigidas a la reducción de las condiciones de vulnerabilidad de dicha población y la intervención de los determinantes sociales de la salud para mitigar los resultados negativos en salud.
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Continuous monitoring of sugar levels in premature infants is better than standard care. National Institute for Health Research, grudzień 2021. http://dx.doi.org/10.3310/alert_48473.

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