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Статті в журналах з теми "Premature morbidity"
Safina, A. I., E. V. Volyanyuk, M. V. Potapova, and T. S. Fisheleva. "STATE OF HEALTH OF PREMATURE CHILDREN: ACCORDING TO THE DATA OF KAZAN CITY CATAMNESIS CENTER." Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) 63, no. 5 (November 20, 2018): 192–96. http://dx.doi.org/10.21508/1027-4065-2018-63-5-192-196.
Повний текст джерелаClotea, Eliza, Roxana Georgiana Bors, Vlad Dima, Mihaela Plotogea, and Valentin Varlas. "Current therapies to reduce the risk of brain damage associated with preterm birth." Romanian Journal of Pediatrics 71, S2 (November 30, 2022): 69–73. http://dx.doi.org/10.37897/rjp.2022.s2.15.
Повний текст джерелаTarca, Elena, Simona Gavrilescu, Laura Florescu, Alina Mariela Murgu, Monica Ungureanu, Vasile Valeriu Lupu, and Dana Elena Mindru. "INFECTIONS AND PREMATURITY, IMPORTANT RISK FACTORS FOR NEONATAL MORBIDITY AND MORTALITY." Romanian Journal of Infectious Diseases 19, no. 4 (December 31, 2016): 222–25. http://dx.doi.org/10.37897/rjid.2016.4.2.
Повний текст джерелаSupratiknyo, Supratiknyo, and Siti Mardiyah. "PERBEDAAN KADAR HEMOGLOBIN DAN STATUS GIZI PADA PERSALINAN NORMAL DAN PREMATUR." OKSITOSIN : Jurnal Ilmiah Kebidanan 4, no. 2 (August 1, 2017): 90–97. http://dx.doi.org/10.35316/oksitosin.v4i2.365.
Повний текст джерелаBukowski, Radek, George Saade, Joan Richardson, and Garland Anderson. "244 Growth potential versus morbidity in premature neonates." American Journal of Obstetrics and Gynecology 185, no. 6 (December 2001): S147. http://dx.doi.org/10.1016/s0002-9378(01)80277-5.
Повний текст джерелаPleasure, Jeanette, Susan Gennaro, Avital Cnaan, and Francine Wolf. "An Expanded Neonatal Morbidity Scale for Premature Infants." Journal of Nursing Measurement 5, no. 2 (January 1997): 119–38. http://dx.doi.org/10.1891/1061-3749.5.2.119.
Повний текст джерелаMcMurray, Jennifer. "The High-Risk Infant Is Going Home: What Now?" Neonatal Network 23, no. 1 (January 2004): 43–47. http://dx.doi.org/10.1891/0730-0832.23.1.43.
Повний текст джерелаStudent. "APGAR SCORES IN PREMATURE INFANTS." Pediatrics 84, no. 5 (November 1, 1989): A30. http://dx.doi.org/10.1542/peds.84.5.a30.
Повний текст джерелаSinha, Prabha, Olakanmi Joseph, and Aoun Hakmi. "Optimum time interval for intertwin delivery for extreme prematurity in DCDA twin pregnancy. A case report and a literature review." Hellenic Journal of Obstetrics and Gynecology 17, no. 4 (October 3, 2018): 91–97. http://dx.doi.org/10.33574/hjog.1632.
Повний текст джерелаHammerman, Cathy, and Mary Jane Aramburo. "Decreased lipid intake reduces morbidity in sick premature neonates." Journal of Pediatrics 113, no. 6 (December 1988): 1083–88. http://dx.doi.org/10.1016/s0022-3476(88)80587-0.
Повний текст джерелаДисертації з теми "Premature morbidity"
Berry, Margaret. "Effect of high incubator humidity on hydration associated morbidity for very premature infants." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0007/MQ44126.pdf.
Повний текст джерелаBerry, Margaret 1951. "Effect of high incubator humidity on hydration associated morbidity for very premature infants." Thesis, McGill University, 1997. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=20803.
Повний текст джерелаThirty-one incubator humidification and 60 non-humidification period infants were compared. Mean gestational age was 25.83 weeks for both groups. Mean highest serum sodium values were 143.5 (SD 9.4) and 152.9 (SD 4.9) mEq/l respectively (p < 0.001). Differences persisted after adjustment for confounding by age of placement in incubators, and in spite of fluid reduction in the D humidification period. Of infants with umbilical lines 2/16 and 33155 respectively attained serum potassium measurements over 6.9 mEq/l (p = .04). Overhydration outcomes did not differ, but power was limited and confounding was problematic for these analyses.
In summary, incubator humidification is associated with decreased hypernatremia and hyperkalemia in very premature infants.
Samms-Vaughan, Maureen Elaine. "Factors associated with low birthweight growth retardation and preterm birth in Jamaica : an epidemiological analysis." Thesis, University of Bristol, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.294549.
Повний текст джерелаMiller, Robin June. "Stability, structure, and effects of perinatal morbidity on temperament from infancy to adolescence /." View online ; access limited to URI, 2007. http://0-digitalcommons.uri.edu.helin.uri.edu/dissertations/AAI3292102.
Повний текст джерелаSouza, Renato Teixeira 1985. "Uma análise do parto prematuro terapêutico no contexto da prematuridade no Brasil : An analysis of provider-initiated preterm birth in the context of Brazilian prematurity." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312755.
Повний текст джерелаDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
Made available in DSpace on 2018-08-26T18:48:20Z (GMT). No. of bitstreams: 1 Souza_RenatoTeixeira_M.pdf: 10640708 bytes, checksum: 93bc984ddc636a415fed23ea6ca3a333 (MD5) Previous issue date: 2015
Resumo: Introdução: Mais de 15 milhões de bebês nascem prematuros anualmente no mundo, sendo a prematuridade a maior causa de óbitos no período neonatal. A prematuridade terapêutica tem papel importante nesse contexto, pois se estima que 20 a 40% dos partos prematuros ocorrem por indicação dos provedores de assistência obstétrica. Dessa forma, a redução dos partos prematuros terapêuticos adquire cada vez mais importância para o controle da taxa de prematuridade e da morbimortalidade neonatais. O conhecimento dos fatores relacionados ao parto prematuro terapêutico é ponto fundamental para atingir essa redução. Objetivos: Avaliar a ocorrência do parto prematuro terapêutico e seus fatores associados na população do Estudo Multicêntrico de Investigação em Prematuridade (EMIP). Métodos: Análise secundária do EMIP, um estudo brasileiro de caso-controle aninhado a um corte transversal multicêntrico. O estudo ocorreu em 20 hospitais de referência em 3 regiões do Brasil de abril de 2011 a julho de 2012 e realizou a vigilância de 33.740 partos nesse período. O principal desfecho a ser avaliado é a ocorrência de parto prematuro terapêutico, definido como o parto que ocorreu antes de 37 semanas e que foi indicado pela equipe de assistência devido uma condição materna ou fetal. O grupo controle foi composto pelas mulheres com parto a termo. Os partos prematuros foram categorizados, conforme recomendações da Organização Mundial da Saúde, em prematuro extremo, muito prematuros e pretermo moderado Uma quarta categoria de idade gestacional, contemplando apenas os prematuros tardios, também foi analisada. Variáveis relacionadas a características sociodemográficas, pôndero-estaturais e de estilo de vida maternos, características da assistência ao pré-natal e ao parto e sobre a presença de morbidade ou complicação durante a gravidez, parto ou puerpério foram avaliadas na análise de risco para parto prematuro terapêutico. Foi realizada uma análise bivariada para estimar o risco de parto prematuro terapêutico para cada e uma análise multivariada com regressão logística não condicional para obter os fatores independentemente associados ao desfecho. Resultados: O parto prematuro terapêutico foi responsável por 35,4% dos partos prematuros na amostra estudada. As síndromes hipertensivas, o descolamento prematuro de placenta e a diabetes foram as condições que mais frequentemente motivaram a resolução prematura da gravidez. A idade materna avançada, a hipertensão crônica, a obesidade e a gravidez múltipla foram as principais condições maternas relacionadas à ocorrência de parto prematuro terapêutico. Houve uma tentativa de tratamento da condição materna que motivou a resolução em mais de 50% dos casos e 74,5% das mulheres com parto entre 28 e 31 semanas receberam corticoterapia. A cesariana foi a via de parto mais frequente. A proporção de mortalidade neonatal, do Apgar do quinto minuto menor que sete e da admissão em unidade intensiva neonatal foi muito maior nos prematuros terapêuticos do que no termo, mesmo considerando os prematuros tardios. Conclusões: Os resultados do estudo corroboram com a crescente importância do parto prematuro terapêutico, devido sua prevalência e impacto nos resultados perinatais. A gravidez múltipla, idade materna avançada, a obesidade e a presença de morbidades pré-gestacionais são os fatores que requerem especial atenção nas estratégias de prevenção da prematuridade terapêutica
Abstract: Background: More than 15 million babies are born prematurely each year worldwide and its the leading cause of deaths in the neonatal period. Provider-initiated preterm birth (piPTB) plays an important role in this context because it is estimated that 20-40% of preterm births occur by indication of obstetric care providers. Thus, the reduction in piPTB rate acquires more importance to decrease the rate of prematurity and neonatal morbidity and mortality. Knowledge of the factors related to piPTB is a key factor to achieve this reduction. Objectives: To evaluate the occurrence of provider-initiated preterm birth and the associated factors in the Multicenter Study on Preterm Birth in Brazil (EMIP) population. Methods: Secondary analysis of EMIP, a Brazilian multicenter cross-sectional study plus a nested case-control. The study took place in 20 referral hospitals in 3 regions of Brazil from April 2011 to March 2012 and conducted surveillance of 33,740 deliveries in this period. The primary outcome to be evaluated is the occurrence of provider-initiated preterm birth, defined as birth that occurred before 37 weeks and was medically indicated due to maternal or foetal condition. The control group was composed of women with term delivery. Preterm birth was categorized into extremely premature, very premature and moderate preterm, according to the World Health Organization. Another category that includes only the late preterm was also evaluated. Maternal, socio-demographic, obstetrical, prenatal care, delivery and postnatal characteristics were assessed as factors associated with piPTB. A bivariate analysis to estimate the risk for piPTB and a multivariate analysis using unconditional logistic regression for the factors independently associated with piPTB was performed. Results: The therapeutic preterm labor accounted for 35.4% of premature births in the sample. Hypertensive disorders, placental abruption and diabetes were the main conditions related to pi-PTB indications. Advanced maternal age, chronic hypertension, obesity and multiple pregnancy were the main maternal conditions related to pi-PTB. There was an attempt to treat maternal condition that led to the resolution in over 50% of cases and 74.5% of women with birth between 28 and 31 weeks received corticosteroid therapy. Cesarean section was the most frequent mode of delivery. The proportion of neonatal mortality, Apgar score<7 at 5 minutes and NICU admission were much higher in provider-initiated preterm newborns than in term newborns, even considering the late preterms. Conclusions: The results of our study corroborate the increasing notability of provider-initiated preterm birth, due to its prevalence and impact on perinatal outcomes. Multiple pregnancies, advanced maternal age, obesity and the presence of pre-gestational morbidities are the main factors that require special attention in prematurity prevention strategies
Mestrado
Saúde Materna e Perinatal
Mestre em Ciências da Saúde
Costa, Patrícia Teixeira. "Avaliação do impacto da implantação da assistência de fisioterapia respiratória sobre a morbidade de recém-nascidos prematuros de baixo peso." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5141/tde-20092010-212701/.
Повний текст джерелаIntroduction: Physiotherapy is a relatively new specialty in Intensive Care Units of Neonates. Considering the success of prevention and treatment of respiratory complications, as result of physiotherapy assistance, the physiotherapist is recognized as an indispensable member of multiprofessional team. Neonatal physiotherapy can cause positive impact on treatment of premature neonates of low birth weight, contributing to minimize the complications, especially of the respiratory type. Moreover it can reduce hospital stay and ameliorate the neonate morbidity. The need for research in this area leads to this study with the aim to assess the impact of the implantation of physiotherapy care on morbidity of premature newborn of low birth weight. Methods: Newborn in Intensive Care Unit of Neonates at Sao Francisco University Hospital in the city of Braganca Paulista (SP) were included in the study, with gestational age less than 37 weeks, birth weight lower than 2500 g, diagnosis of respiratory distress syndrome under replacement therapy of exogenous surfactant and permanence in mechanical ventilation ( 7 days). Subjects of the study included 101 neonates, 41 were admitted between 2002 and 2004 (group 1, G1), time that there was not a structured physiotherapy care in Intensive Care Units of Neonates and 60 neonates from 2005 to 2007 (G2), at this time there was the structured assistance with an exclusive physiotherapist at the Unit. Both groups were compared in relation to neonates maternal characteristics and xiii evolution during the hospital stay. Statistical analyses were applied for groups comparison, Mann-Whitney, chi square and Fisher exact test. Statistical significance was established at 5%. Results: The groups demonstrated homogeneity in relation to maternal characteristics. Neonate aspects had showed more severity for G2, this group had more immature neonates. In relation to evolution, G2 remained longer in oxygen therapy (median = 11 days), in non-invasive ventilation (median = 2 days) and also in invasive mechanical ventilation (median = 13 days), however, using lower inspiratory peak pressure and lower inspired oxygen fraction. In G2, 16 (26.6%) neonates evolved into atelectasis whereas 12 (29.3%) in G1. Seventeen (28.3%) neonates in G2 developed pneumonia and 15 (36.5%) in G1. In G2, 14 (23.3%) neonates evolved into bronchopulmonary dysplasia against 11 (26.8%) of G1. 17 (28.3%) neonates in G2 presented early sepsis and 48 (80.0%) late sepsis, while G1 presented 8 (19.5%) and 27 (65.8%), respectively. G2 had longer hospital stay with median of 38 days whereas G1 had median of 30 days. Mortality of G1 was of 3 (7.3%) neonates and 8 (13.3%) of G2. Conclusion: Respiratory Physiotherapy can help favorably the evolution of premature newborn of low birth weight, diminishing respiratory complications, impacting therefore positively to reducing neonate respiratory morbidity
Pinto, Juliana Rodrigues. "Morbidade de crianças com baixo peso ao nascer durante o primeiro ano de vida na cidade de Sobral, Ceará." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5141/tde-04112010-153526/.
Повний текст джерелаBACKGROUND: Low birth weight represents an important risk factor for neonatal and infant morbidity and mortality, accompanied by prematurity, intrauterine growth restriction, or both. OBJECTIVE: To study maternal, perinatal, environmental, economic characteristics, growth and feeding of children with low birth weight and their interaction in the increased morbidity during the first year of life. METHODS: A retrospective cohort study conducted in the city of Sobral, Ceará, in the period of three years (2005-2007) which included 261 children with low birth weight (LBW) and followed by the Family Health Program. We used the database of the Sistema de Informação de Nascidos Vivos (SINASC) and review data collection of hospital and ambulatory records of these children, quantification and causes of emergency room visits and hospitalizations. For analysis of the variables, were used frequency distributions, odds ratio (OR), confidence intervals (95%) and statistical significance of associations. The final analysis of association used logistic regression analysis to assess the risk factors associated with increased morbidity. RESULTS: Among 261 children studied, the average maternal age was 24 years, and 29.12% of mothers were teenagers. Approximately 41.76% were single mothers and 31.42% were married or with a stable union, and 24.14% were uneducated. Regarding perinatal characteristics, 52.11% were born vaginally, 52.49% were preterm, 55.56% were female and 98.08% of the children had Apgar 5 minutes greater than 6. The average birth weight was 2140 g, and 72.03% of children born weighing between 2000 and 2500 g. There was catch up in weight to four months of chronological age for children born at term and corrected gestational age for preterm at around 87% and 45% in height. The rate of exclusive breastfeeding was 26.05% and 8.43% to 4 and 6 months of age respectively. It was observed that 13.97% of children lived in wattle and daub house, 36.49% of households used wood stoves, and 36.11% lived with less than one minimum wage. As for morbidity, the 261 children born with low birth weight were 1103 visits due to illness in the Family Health Program, with the main cause was acute respiratory infections. There were 469 emergency visits and 156 pediatric emergency hospital admissions, especially in the neonatal period. Were identified as risk factors for increased morbidity: a) interruption of exclusive breastfeeding before 4 months which was associated with the presence of emergency consultation (OR 3.07, p <0.001), b) low gestational age and birth weight, with a greater likelihood of hospitalization in the neonatal period (OR 6.26, p <0.001), c) Prematurity and the no catch up in weight at to 4 months of age were associated with hospitalization for pneumonia, diarrhea and other reasons (OR 5, 15 and 0.65, p = 0.036 and 0.013, respectively). The other variables were not associated with morbidity study. CONCLUSION: Prematurity, interruption of exclusive breastfeeding before four months and no catch up growth were associated with greater morbidity in children with low birthweight. In the population served by the PSF, maternal characteristics, environmental and economic were not associated with increased morbidity
Vesna, Pavlović. "Morbiditet, telesni i rani psihomotorni razvoj prevremeno rođene dece začete vantelesnom oplodnjom." Phd thesis, Univerzitet u Novom Sadu, Medicinski fakultet u Novom Sadu, 2018. https://www.cris.uns.ac.rs/record.jsf?recordId=106200&source=NDLTD&language=en.
Повний текст джерелаIntroduction: Infertility is defined as an unsuccessful conception after one year of sexual intercourse without the use of contraception in the fertilizing phase of the menstrual cycle. Assisted reproduction methods represent an effective way of treating infertility. Examination and identification of short-term and long-term effects of artificial reproductive technologies is a very challenging task. The primary reason for this is the great heterogeneity in the way of collecting, processing, classifying and interpreting, now, the abundance of information that has been gathered in various studies. Individual approach to the treatment of infertility, rapid progress and constant changes in the methodology of the artificial reproductive technologies, in addition to the aforementioned difficulties associated with the collection and analysis of data, significantly hamper accurate assessment of all possible risks and consequences artificial conception. Despite numerous studies, scientific publications and the accumulated evidence, many doubts about the question whether artificially conceived pregnancies are accompanied by the higher risks or inadequate fetal development, poor perinatal and long-term outcomes still remained.The Aim: The objectives of this work were to determine the structure of morbidity in prematurely born children conceived by artificial reproductive technologies (from single and multiple pregnancies) in the first two years of life, and to identify perinatal factors that are associated with the occurrence of acute and chronic complications and diseases in prematurely born children from this pregnancies. In addition, the aim of the study was to determine the characteristics of psychomotor development in prematurely born children conceived by artificial reproductive technologies at the end of the twelfth, eighteenth and twenty-fourth month of life, as well as to identify specific risk factors for the unfavorable physical, neurological and psychological outcome of those children.Materials and Methods: The study included premature born newborns who were hospitalized in the Department for neonatology and intensive and semi-intensive care unit, and are thereafter, during the first two years of life. The retrospective part of the study included children who were hospitalized at the Institute, and who were born from January 1st 2011. to December 31st 2012. and were followed up to 2 years of life. Data on patients included in the retrospective part of the survey were collected through a review of medical records. The prospective part of the study included children who were treated and followed up at the Institute, and who were born between January 1st 2013 and December 31st 2014. and then followed up to 2 years of life. From this cohort two groups were formed: The tested group (Group 1) included all preterm infants who were conceived by ART. The control group (Group 2) included naturally conceived prematurely born children. The children in the control group were selected from the cohort so that their number was equal to the number of children in the study group. The gestational age of the examinees from the control group does not differ for more than ± 4 days from the children from the study group. The date of birth of subjects included in the control group does not differ for more than ± 3 months from the children in the study group.At the moment of inclusion in the study, the following individual data were taken:Maternal data, pregnancy and childbirth: the age of the mother at the moment of conception, the number of previous attempts at assisted conception, professional care, place of residence, chronic diseases diagnosed before pregnancy, acute and chronic diseases diagnosed during pregnancy (hypertension, pre-eclampsia, eclampsia, liver damage), premature rupture of the fetuses, the use of medication during pregnancy, single or multiple pregnancy. Data on placental disorders and abnormalities: ablation, placenta overdose, horioamnionitis. Child-related data: intrauterine infection, intrauterine growth restriction, delivery method, Apgar score. Anthropometric parameters (body weight, body length, head circumference) at birth and during the period of outpatient monitoring of the child. Length of initial hospitalization of the child. Length of invasive and / or non-invasive respiratory support and oxygen therapy. Diagnosis on discharge from the hospital: the presence of severe consequences of prematurity, which implies intracranial hemorrhage of 3rd and 4th degree (defined in International Classification of Disease - Tenth Revision (MKB10) under code P52.2), cystic periventricular leukomalacia, retinopathy of prematurity, bronchopulmonary dysplasia , necrotizing enterocolitis, sepsis and / or meningitis (microbiologically or clinically diagnosed). Presence of congenital anomalies or genetic syndromes and diseases (defined in MKB10 under codes Q00 to Q99), as well as the presence of congenital metabolic diseases (defined in MKB10 under codes E00 to E90).In the retrospective part of the study, specialist reports from a neonatological clinic were examined for child visits at the age of 12, 18 and 24 months, and the following data were ecorded: all pre-diagnosis reported on specialist reports from a neonatological clinic, anthropometric arms at the moment examination (body length, body weight and head circumference), neurological findings (tone, trophic, skin and tendon reflexes, presence of lateralization in neurological findings), ophthalmologist findings (neat / patial findings), assessment of fine and coarse motoring, speech, cognitive functions and social contact and a collective assessment of psychomotor development. In the prospective part of the study, during control examinations in a neonatological clinic, at the age of 12, 18 and 24 months, the following were determined and recorded: previously set out in the current medical documentation, anthropometric parameters at the moment of examination (body length, body weight and the volume of the head), neurological findings (tone, trophic, skin and tendon reflexes, presence of lateralization in neurological findings), ophthalmologist findings, assessment of fine and grose motor functions, speech, cognitive functions, social contact and psychomotor development.Results: The average BW of subjects in Group 1 at the age of 12 months, was statistically significantly lower in relation to respondents from Group 2 (Student's T test). The average length of subjects from both groups at the age of 12 months did not statistically differ (Student's T test). The average head circumference between children from both groups, at the age of 12 months, did not statistically differ (Student's T test). The proportion of subjects with pathological ophthalmological findings did not statistically significantly differ between Group 1 and Group 2 (Fischer's exact probability test). The proportion of subjects with pathological neurological findings did not statistically significantly differ between Group 1 and Group 2 (Hi square test). The average values of the global development coefficient (RQ), as well as the average score values for individual elements of development evaluation test - Brunet-Lézine scale (motor function, coordination, speech and sociability) did not differ significantly between groups (Student t test). In Group 1 there were 92 (59.740%) of children whose uncorrected RQ was under 90, while in Group 2 there were 61 (39.610%) children whose uncorrected RQ was below 90. This difference in the number of children with RQ below the average for calendar age is statistically significant (Hi square test, p = 0.0004). The relative risk of under-achievement in the psychomotor evaluation test (RQ <90) for children from Group 1 was higher than in children from Group 2 (RR = 1.495; 95% CI 1.181 - 1.922). In Group 1, there were 87 (56.494%) children who achieved sub-optimal corrected score values for the assessment of psychomotor development (corrected RQ <90). In Group 2, there were 69 (44.805%) children who achieved sub-optimal corrected score values for the assessment of psychomotor development (corrected RQ <90). This difference is statistically significant (Hi square test, p = 0.040). The relative risk for the suboptimal achievement in the psychomotor evaluation test (corrected RQ <90) for children from Group 1 was higher than in Group 2 (RR = 1.261; 95% CI 1.008 - 1.577). In Group 1, as many as 81/87 (93.310%) of children had a corrected RQ value of ≥ 85, while in Group 2 this value of the corrected RQ there were 60/69 (86.956%) children.At the age of 18 months, the average BW of subjects from both groups did not differ significantly (Student's T test). The average length of subjects from both groups, at the age of 18 months, did not statistically differ (Student's T test). The average head circumference of children from both groups, at the age of 18 months, did not statistically differ (Student's T test). The proportion of subjects with pathological ophthalmological findings did not statistically significantly differ between Group 1 and Group 2 (Hi square test). The proportion of subjects with pathological neurological findings did not statistically differ between Group 1 and Group 2 (Hi square test). The average RQ values, as well as the average scores for individual elements of psychomotor development (motor function, coordination, speech and sociability) according to the Brunet-Lézine scale, have been statistically significantly different between groups, at the age of 18 months (Student's T test). In Group 1 there were 57 (37.013%) children whose uncorrected RQ was below 90, while in Group 2 there were 31 (20,130%) children whose uncorrected RQ was below 90. The share of children with RQ below the average value for the calendar age is statistically significantly different between groups (Hi square test, p = 0.010). The relative risk for the suboptimal achievement in the Psychomotor Development Assessment (uncorrected RQ <90) for Group 1 children was higher than in Group 2 (RR = 1.288; 95% CI 1.181 - 2.730). A statistically significant difference between Group 1 and Group 2 existed when the number of children with corrected RQ below 90 was compared (36 naspram 19 respectively, Hi quadrate test, p = 0.011). The relative risk for the suboptimal achievement on the Psychomotor Evaluation Test (corrected RQ <90) for the children from Group 1 was higher when compared to children in Group 2 (RR = 1.895; 95% CI 1.139 – 3.152).At the age of 24 months the average BW, body length and head circumference of subjects in both groups were not significantly different (Student's T test). The proportion of subjects with pathological ophthalmological findings did not statistically significantly differ between Group 1 and Group 2 (Hi square test). The proportion of subjects with pathological neurological findings did not statistically significantly differ between Group 1 and Group 2 (Hi square test). The average RQ values, as well as the average score values for individual elements for development evaluation (motor function, coordination, speech and sociability) according Brunet-Lézine scale, did not significantly differ between groups at the age of 24 months (Student's T test). In Group 1, there were 21 children (13.636%) whose uncorrected RQ was under 90, while in Group 2 there were 17 (11.049%) of children whose uncorrected RQ was below 90. The difference in the number of children with RQ below the average for the calendar age was not statistically significant (Hi square test, p = 0.488). A statistically significant difference did not exist even when the number of children with values of the corrected RQ below 90 in Group 1 and Group 2 (12 naspram 9 respectively, Hi quadrate test, p = 0.497) was compared.Logistic regression analysis has shown that artificial conception, multiple pregnancy and IUGR are independent risk factors for lesser BW in a calendar age of 12 months. By logistic regression analysis, a statistically significant correlation between RQ values at 18 months of age and the following independent variables was obtained: artificially started pregnancy and multiple pregnancy. Group 1 and Group 2 patients did not significantly differ by any of the indicators of physical and psychomotor development at the age of 24 months.The structure of morbidity in children, during the two-year follow-up period, did not differ significantly between groups. The only difference between the groups was found in the rates of acute respiratory infections at the age of 12 and 18 months (rate of infections was higher in Group 1), whose occurrence, however, was directly related to multiple pregnancies, or the number of sibling in the household.Conclusion: The average age of mothers of children conceived by the IVF is higher than the average age of mothers of children who were conceived spontaneously. The structure of the morbidity of mothers of children who were artificially conceived and mothers of children born after spontaneous conception is the same, but the morbidity rate is higher in the mothers of children who were conceived by IVF. Pregnancies concieved by IVF almost exclusively ended by cesarean section. Premature rupture of the membranes is a common complication of IVF pregnancies. The rate of morbidity of prematurely born children conceived by ART is not higher than that of prematurely born children conceived naturally. The structure of morbidity in children from ART pregnancies was the same as in naturally conceived prematurely born children. The incidence of specific illnesses is the same, with the exception of bronchopulmonary dysplasia that occurs more frequently in children born from ART pregnancies, and retinopathy of prematurity that occurs more frequently in spontaneously conceived children. Maternal birth weight, intrauterine growth restriction, mother's age, maternal care, previous mother's chronic illness, mother's disease diagnosed during pregnancy, single and multiple pregnancies and PROM are potential risk factors for worse postnatal outcome in children from artificially initiated pregnancies. Risk factors for lower body weight in premature babies, at the age of 12 months, are: artificial conception, multiple pregnancy and intrauterine growth restriction. At the age of 12 months, prematurely born children from IVF pregnancies, have slightly worse (but not significantly lower) psychomotor achievements. At the age of 18 months, there is no difference in the indicators of physical development between prematurely born children who are artificially conceived and children born from spontaneous pregnancies. At the age of 18 months, prematurely born children from ART pregnancies have lower achievement on tests for assessing psychomotor development compared to prematurely born children from spontaneously initiated pregnancies. Risk factors associated with a poor performance on the psychomotor development assessment tests, in preterm infants, are an artificial conception of pregnancy and a multi fertile pregnancy. At the age of 24 months, there is no difference in the physical parameters between prematurely born children from ART and naturally conceived pregnancies. At the age of 24 months, there is no difference in the achievement on the test for the assessment of psychomotor development between children from ART and spontaneous pregnancies. At the age of 24 months, on the psychomotor development assessment, prematurely born children achieve the results consistent with their calendar age.
Moura, Katharina Vidal de Negreiros [UNIFESP]. "Displasia broncopulmonar: incidência e fatores de risco neonatais para recém-nascidos prematuros de muito baixo peso nascidos em hospital universitários de Maceió-2009." Universidade Federal de São Paulo (UNIFESP), 2010. http://repositorio.unifesp.br/handle/11600/9336.
Повний текст джерелаObjetivos: determinar a incidência de displasia broncopulmonar durante o período de um ano (março de 2009 a fevereiro de 2010) e analisar os fatores de risco neonatais associados ao desenvolvimento da doença em serviços públicos de referência para alto risco neonatal em Maceió, o Hospital Universitário Prof. Alberto Antunes e a Maternidade Escola Santa Mônica. Métodos: foram registrados dados de todos os prematuros de muito baixo peso admitidos nas duas instituições durante um ano. O diagnóstico de displasia broncopulmonar foi estabelecido naqueles prematuros com necessidade de oxigênio aos 28 dias de vida. A incidência foi calculada dividindo-se o número de casos pelo total de prematuros de muito baixo peso das duas maternidades, durante o período do estudo. Foram feitas análises das variáveis associadas com o teste do Quiquadrado, para as categóricas, e o teste T de Student ou Mann-Whitney para as numéricas. Para prever o valor dessas variáveis foi realizada a análise de regressão logística. Resultados: foram admitidos nas duas instituições 244 prematuros de muito baixo peso. A incidência observada foi 22,1%. Destes, 54 evoluíram com a doença e 94 não a apresentaram. Houve diferenças quanto às médias de peso dos grupos (1050g com displasia e 1275g sem displasia) e quanto às médias de idades gestacionais (30 semanas com displasia e 32 semanas sem a doença). Fizeram uso de ventilação mecânica 94% dos prematuros com displasia e 45,8% sem displasia, com p<0,01. Também houve associação com uso de surfactante no grupo com displasia (98% com e 71,7% sem displasia, com p<0,01). O modelo de regressão logística foi preditivo em 70% para ventilação mecânica ao nascer (RR=2,04; IC 95%: 1,62-2,55) e peso ao nascer inferior a 1000g (RR=1,89; IC: 1,19-3,00). Conclusões: a incidência de DBP foi similar à encontrada na literatura. Houve associação com, baixa idade gestacional, uso de surfactante, baixo peso ao nascer e ventilação mecânica, sendo esses dois últimos preditivos para a doença.
Objectives: To determine the incidence of bronchopulmonary dysplasia in the period of one year (from March 2009 to February 2010) and analyze the associated neonatal risk factors to the development of the disease in Public Services in two references of high risk newborn in Maceió, the “Hospital Universitário Alberto Antunes” and the “Maternidade Escola Santa Mônica”. Methods: All very low birth weight preterm infants who were admitted in the both institutions were recorded during one year. The diagnosis was established in those preterm infants who needed oxygen at 28 days of life. The incidence was calculated by dividing the number of cases by the total number of preterm births in both hospitals during the study period. The associated variables were analysed with the “Chi-square” test and the T test of Student or Mann-Whitney. Logistic regression analysis was performed to predict the value of those variables. Results: 244 RNMBP were admitted in both institutions. The incidence was 22.1%. 54 evolved with bronchopulmonary dysplasia and 94 without. There were differences regarding the average weight of the groups (1050g with and 1275g without dysplasia)) and also as to the gestational age (30 weeks with BPD and 32 weeks without the disease). 94% of the prematures with and 45,8% without the disease made use of mechanical ventilation, with p<0,01. There were association with surfactant in the group with bronchopulmonay dysplasia (98% with and 71,7% without displasia, com p<0,01). The logistic regression model was predictive in 70% of mechanical ventilation at birth (RR=2,04 IC 95% 1,62-2,55) and weight lower than 1000g (RR=1,89 IC 95% 1,19-3,00).Conclusions: The incidence of DBP was similar to the literature. There were association with low weight in born, with low gestational age, use of surfactant and mechanical ventilation. Mechanical ventilation and weight lower than 1000g were predictive for the disease.
TEDE
BV UNIFESP: Teses e dissertações
Cortada, i. Esteve Marcel. "Seqüeles, morbiditat i comorbiditat en el desenvolupament d’un grup d’infants prematurs." Doctoral thesis, Universitat de Barcelona, 2017. http://hdl.handle.net/10803/461708.
Повний текст джерелаhis thesis focuses on analyse the causes that can affect cognitive development in premature and full term new-borns who have been admitted to a Neonatal Intensive Care Unit (NICU). Also, in the study are included children born between the 1st January 2001 and the 31st December 2008, altogether it consists of a sample of 440 new-born babies from the following gestational age: extremely premature (n = 30), very premature (n = 125), moderate premature (n = 124), late premature (n = 130) and full term (n = 31). Evaluates children between the age of 34 and 46 post-menstrual weeks using the Brazelton Scale (NBAS). It then follows them up at 3, 6, 9, 12, 18, 24 and 30 months using the Bayley scales, and then when they are 3, 4, 5, 6 and 7 years old using the Terman-Merrill tests and the WPPSI-III. The main objectives to achieve were: (a) To describe morbidity, comorbidity and side effects associated with a child and then compare them based on clinical and socio-demographic variables; (b) to describe the development from birth up to 4 or 7 years of age based on clinical and socio-demographic variables; (c) to identify the risk factors that influence the development and comorbidity and; (d) to identify the protective factors that influence the development and the comorbidity. The results display that children who have suffered stress in a Neonatal Intensive Care Unit (NICU) have lower IQ scores (z) in the period of this study; the neurobiological toxicity caused by the stress affects all children admitted to the NICU, and it could be neutralised with healing based on physiological development and care, and assisting the family. For instance, reducing overstimulation of light has shown to reduce retinopathy; the children who suffered some elements of the stress risk factor in the NICU, if they did not have the Family-Focused Developmental Care (FFDC), were found to have had lower scores in the NBAS in the clusters motor system, regulation of states and stability of the autonomous nervous system and higher scores in the organization of states. It is also found that babies who did not receive the FFDC had a moderate risk of suffering from regulated disorders in comparison than those who received it. The course of cognitive development is more affected by the weeks of gestation than the weight and pathology. In cognitive tests, girls scored higher but boys increased their IQ(z) to a greater extent than girls. It was found that children in families with low economic and educational levels, had a decrease in the IQ(z) from the exploration to the period of 10 to 18 months. The locals had IQ scores slightly higher on the development index than foreigners, and the difference is significant between the periods of 19 to 30 months and 31 to 59 months. Concerning the comorbidity factor, local groups have significant associations with psycho-functional disorders while foreigners suffer more from parental relationship disorders. There are more chances for a baby to be breast-fed after being born if the baby has more weeks of gestation, for it gains more weight and consequently it has more protective factors. With less weeks of pregnancy, the risk factors are higher and the probability of artificial feeding increase. The effect of the negative impact on cognitive development is due to social factors, such as relationships and low socioeconomic status, that appear in the period of 10 to 18 months. Also, the impact of whether the one of the parents or both are foreigners appears between 19 to 30 months. There is a relationship between being admitted to the NICU and children and families that have disrupted parental relationship. The administration of the NBAS by a professional with the parents present, has resulted with less parental relationship disorder. Keeping in mind, disorders associated with parental relationships are fundamentally psycho-functional and emotional disorders. Thus, this study has shown the more visits to the Tracking Development Program the more detection of psycho- functional and emotional disorders.
Книги з теми "Premature morbidity"
Beattie, R. Mark, Anil Dhawan, and John W.L. Puntis. The premature newborn. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780198569862.003.0004.
Повний текст джерелаWyatt, Karla E. K., and Olutoyin A. Olutoye. Exploratory Laparotomy for Necrotizing Enterocolitis. Edited by Erin S. Williams, Olutoyin A. Olutoye, Catherine P. Seipel, and Titilopemi A. O. Aina. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190678333.003.0046.
Повний текст джерелаYalin, Nefize, Danilo Arnone, and Allan Y. Young. Bidirectional relationships between general medical conditions and bipolar disorder: treatment considerations. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198748625.003.0019.
Повний текст джерелаThorne, Sara, and Sarah Bowater. Heart failure in ACHD. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198759959.003.0019.
Повний текст джерелаLewis, Keir. Smoking. Edited by Patrick Davey and David Sprigings. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199568741.003.0338.
Повний текст джерелаPuntis, John. Necrotizing enterocolitis. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198759928.003.0007.
Повний текст джерелаGreen, Ronald M., and George A. Little, eds. Religion and Ethics in the Neonatal Intensive Care Unit. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190636852.001.0001.
Повний текст джерелаBabor, Thomas F., Jonathan Caulkins, Benedikt Fischer, David Foxcroft, Keith Humphreys, María Elena Medina-Mora, Isidore Obot, et al. Harms associated with illicit drug use. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198818014.003.0004.
Повний текст джерелаCare for Mental Health Conditions in Jamaica: The Case for Investment. Evaluating the Return on Investment of Scaling Up Treatment for Depression, Anxiety, and Psychosis. Organización Panamericana de la Salud, 2020. http://dx.doi.org/10.37774/9789275121184.
Повний текст джерелаMoulton, Calum D. Novel pharmacological targets. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198789284.003.0013.
Повний текст джерелаЧастини книг з теми "Premature morbidity"
McEvoy, Cindy T. "Opportunities to Promote Primary Prevention of Post Neonatal Intensive Care Unit Respiratory Morbidity in the Premature Infant." In Respiratory Outcomes in Preterm Infants, 139–59. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-48835-6_9.
Повний текст джерелаTsikouras, Panagiotis, Anastasia Bothou, Aggeliki Gerede, Ifigenia Apostolou, Fotini Gaitatzi, Dorelia Deuteraiou, Anna Chalkidou, et al. "Premature Birth, Management, Complications." In Global Women's Health [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.98324.
Повний текст джерелаSchreiber, Karen, and Monika Østensen. "Systemic lupus erythematosus." In Practical management of the pregnant patient with rheumatic disease, edited by Karen Schreiber, Eliza Chakravarty, and Monika Østensen, 157–61. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198845096.003.0013.
Повний текст джерелаSchreiber, Karen, and Søren Jacobsen. "Systemic lupus erythematosus and the risk of cardiovascular disease." In Practical management of the pregnant patient with rheumatic disease, edited by Karen Schreiber, Eliza Chakravarty, and Monika Østensen, 162–64. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198845096.003.0014.
Повний текст джерелаWilliams, Bryan. "Hypertension in diabetes mellitus." In Oxford Textbook of Endocrinology and Diabetes, 1969–75. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199235292.003.1555.
Повний текст джерелаSchreiber, Karen, and Savino Sciascia. "Antiphospholipid syndrome." In Practical management of the pregnant patient with rheumatic disease, edited by Karen Schreiber, Eliza Chakravarty, and Monika Østensen, 165–70. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198845096.003.0015.
Повний текст джерелаJoseph, Theyamma, and Jacquline C. Vadasseril. "Diabetes a Silent Killer: A Threat for Cardiorespiratory Fitness." In Cardiorespiratory Fitness - New Topics [Working Title]. IntechOpen, 2022. http://dx.doi.org/10.5772/intechopen.108164.
Повний текст джерелаAntiel, Ryan M., and Alan W. Flake. "Clinical Innovations Near the Boundary of Viability—The Artificial Womb." In Ethics and Research with Children, 264–84. Oxford University Press, 2018. http://dx.doi.org/10.1093/med-psych/9780190647254.003.0015.
Повний текст джерелаTarı Selçuk, Kevser. "Epidemiology of Inflammation-Related Diseases." In Role of Nutrition in Providing Pro-/Anti-Inflammatory Balance, 24–44. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-3594-3.ch002.
Повний текст джерелаShankar, Rohit, and Matthew Walker. "Epilepsy in People with Intellectual Disability." In Oxford Textbook of the Psychiatry of Intellectual Disability, 221–34. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198794585.003.0022.
Повний текст джерелаТези доповідей конференцій з теми "Premature morbidity"
Engeseth, Merete S., Ola D. Røksund, Maria Vollsæter, Thomas Halvorsen, and Hege H. Clemm. "Respiratory morbidity in extremely premature born children and later physical activity." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa1321.
Повний текст джерелаWeinstock, J. J., X. Xu Chen, M. A. Arroyo Morr, H. M. Aguilar, R. Kahanowitch, and G. R. Nino. "The Next Frontier of Prematurity - Predicting Respiratory Morbidity During the First Two Years of Life in Extremely Premature Babies." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a3310.
Повний текст джерелаItu, Lucian, Puneet Sharma, Xudong Zheng, Viorel Mihalef, Ali Kamen, and Constantin Suciu. "Patient-Specific Modeling and Hemodynamic Simulation in Healthy and Diseased Coronary Arteries." In ASME 2012 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/sbc2012-80524.
Повний текст джерелаWebb, RT, PLH Mok, L. Appleby, and CB Pedersen. "OP10 Residential mobility during childhood and later risks of psychiatric morbidity, violent criminality and premature death: a national register-based cohort study." In Society for Social Medicine, 61st Annual Scientific Meeting, University of Manchester, 5–8 September 2017. BMJ Publishing Group Ltd, 2017. http://dx.doi.org/10.1136/jech-2017-ssmabstracts.10.
Повний текст джерелаTemenoff, Johnna S. "A Modular System to Examine Fibroblastic Differentiation of Mesenchymal Stem Cells Under Tensile Loading in Response to Changes in the Extracellular Environment." In ASME 2011 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2011. http://dx.doi.org/10.1115/sbc2011-53704.
Повний текст джерелаЗвіти організацій з теми "Premature morbidity"
Tristao Parra, Maira, Ryan Moran, David Wing, and Jeanne Nichols. Digitally-delivered exercise interventions for fall and fracture prevention in older adults: A scoping review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, August 2022. http://dx.doi.org/10.37766/inplasy2022.8.0097.
Повний текст джерела