Current Issue : July - September Volume : 2018 Issue Number : 3 Articles : 6 Articles
Pulse oximetry screening of the well newborn to assist in the diagnosis of critical congenital\nheart disease (CCHD) is increasingly being adopted. There are advantages to diagnosing CCHD\nprior to collapse, particularly if this occurs outside of the hospital setting. The current recommended\napproach links pulse oximetry screening with the assessment for CCHD. An alternative approach\nis to document the oxygen saturation as part of a routine set of vital signs in each newborn infant\nprior to discharge, delinking the measurement of oxygen saturation from assessment for CCHD.\nThis approach, the way that many hospitals which contribute to the Australian New Zealand\nNeonatal Network (ANZNN) have introduced screening, has the potential benefits of decreasing\nparental anxiety and expectation, not requiring specific consent, changing the interpretation of false\npositives and therefore the timing of the test, and removing the pressure to perform an immediate\nechocardiogram if the test is positive. There are advantages of introducing a formal screening\nprogram, including the attainment of adequate funding and a universal approach, but the barriers\nnoted above need to be dealt with and the process of acceptance by a national body as a screening\ntest can take many years....
Objective. Interprofessional collaboration is a crucial component of care for children with rheumatic disease. Interprofessional care,\nwhen delivered appropriately, prevents disability and improves long-term prognosis in this vulnerable group. Methods. The aim of\nthis survey was to explore allied health professionalsââ?¬â?¢ and nursesââ?¬â?¢ confidence in treating paediatric rheumatology patients. Results.\nOverall, 117 participants were recruited, 77.9% of participants reported being ââ?¬Å?not confident at all,ââ?¬Â ââ?¬Å?not confident,ââ?¬Â or ââ?¬Å?neutralââ?¬Â in\ntreating children with rheumatic diseases (RD) despite 65.1% of participants reporting having treated >1 paediatric rheumatology\ncase in the past month. Furthermore, 67.2% of participants felt their undergraduate education in paediatric rheumatology was\ninadequate. ââ?¬Å?Journalsââ?¬Â or ââ?¬Å?texts booksââ?¬Â were used by 49.3% of participants as their primary source of continuing professional\ndevelopment (CPD) and 39.3% of participants indicated that they did not undertake any CPD related to paediatric rheumatology.\nSmall group and online education were perceived to be potentially of ââ?¬Å?great benefitââ?¬Â for CPD. Conclusion. This paper highlights\nallied health professionalsââ?¬â?¢ and nursesââ?¬â?¢ perceived inadequacy of their undergraduate education in paediatric RD and their low\nconfidence in recognising and treating RD.Undergraduate and postgraduate education opportunities focusing on interprofessional\ncollaboration should be developed to address this workforce deficiency....
Citrullinemia is the earliest identifiable biochemical abnormality in neonates with\nintrahepatic cholestasis due to a citrin deficiency (NICCD) and it has been included in newborn\nscreening panels using tandem mass spectrometry. However, only one neonate was positive among\n600,000 infants born in Sapporo city and Hokkaido, Japan between 2006 and 2017. We investigated\n12 neonates with NICCD who were initially considered normal in newborn mass screening (NBS) by\ntandem mass spectrometry, but were later diagnosed with NICCD by DNA tests. Using their initial\nNBS data, we examined citrulline concentrations and ratios of citrulline to total amino acids. Although\ntheir citrulline values exceeded the mean of the normal neonates and 80% of them surpassed +3 SD\n(standard deviation), all were below the cutoff of 40 nmol/mL. The ratios of citrulline to total amino\nacids significantly elevated in patients with NICCD compared to the control. By evaluating two\nindicators simultaneously, we could select about 80% of patients with missed NICCD. Introducing an\nestimated index comprising citrulline values and citrulline to total amino acid ratios could assure\nNICCD detection by NBS....
This article reviews the development of the Ninth Clinical Consensus Statement by\nSIBEN (the Ibero-American of Neonatology) on ââ?¬Å?Early Detection with Pulse Oximetry (SpO2) of\nHypoxemic Neonatal Conditionsââ?¬Â. It describes the process of the consensus, and the conclusions and\nrecommendations for screening newborns with pulse oximetry....
This manuscript focuses on relevant and fundamental aspects of oral healthcare of the newborn and infant for the pediatrician\nand nursing personnel. In almost all cases, these medical providers have first contact with babies and infants during the first year\nof life and rarely does medical curricula include time or opportunity to provide exposure to fundamentals of oral health care. As\nsuch it becomes important to provide pediatricians and neonatal nursing personnel with what will enable optimal oral health and\nearly recognition of oro-facial normalities vs. abnormalities, relevant risk assessment and management of dental caries, enamel\nand tooth malformations, and common oral pathology. Discussion is primarily directed at issues that affect the newborn and early\ntoddler until which time that a relationship is established and a dental home with a pediatric dental specialist is identified....
Background. Rooming-in practice improves breastfeeding and reduces newborn stress reactivity. When this modality is not\navailable, partial rooming-in after birth can be considered. Salivary cortisol levels (SCLs) are considered reliable biomarkers to\nindicate stress. Objective. To test the hypothesis that rooming-in duration impacts neonatal stress response in hospitalized\nnewborns. Design/methods. Forty term newborns, enrolled in the Neonatology and Obstetrics Nursing, C.G. Ruesch, Naples,\nItaly, were divided, according to the mother�s choice, into the study (SG; n = 20) and control (CG; n = 20) groups if they received\nfull (24 hs) or partial (14 hs) rooming-in care, respectively. Saliva samples were collected from all babies between 7:00 a.m. and\n8:00 a.m. of the 3rd day of life by using oral swab. Salivary cortisol levels were measured using an enzyme immunoassay kit\n(Salimetrics LLC, PA, USA). Results. A statistically significant difference in the SCLs between SG and CG was found (median:\n258 ng/dl versus 488.5 ng/dl; p = 0 048). Conclusions. Data support the practice of full rooming-in care compared with partial\nrooming-in. The rooming-in duration clearly reduces SCLs and likely neonatal stress. These lower SCLs may have long-term\npositive effects reducing the risk of metabolic syndrome, high blood pressure, and cognitive and behavioural changes....
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