Ethical issues in the treatment of extremely low birth weight neonates

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Ethical issues in the treatment of extremely low birth weight neonates

During their everyday work in neonatal intensive care unit (NICU), physicians face many ethical dilemmas. Modern technology increases the chances of survival even of extremely low birth weight (ELBW) newborns, with a minimum number of complications. In countries with guides and expert group recommendations, neonatologists’ decisions on limiting or withdrawing life-sustaining medical treatment (...

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Efficacy of Fluconazole Prophylaxis on Invasive Candidiasis Infection in Extremely Low Birth Weight Neonates

Background: Invasive candidiasis infection is one of the main life-threatening problems for extremely low birth weight (ELBW) neonates who are in the neonatal intensive care unit (NICU). Candidiasis can cause mortality, short-term morbidity, and long-term neurodevelopmental outcome in infected infants who survive. Therefore, since several years ago fluconazole prophylaxis has begun for prematur...

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Post-discharge growth of extremely low birth weight neonates.

‘Screening window’, defined as the period between the development of the abnormal test result of NBS and development of symptoms in the infant, may vary from disorder to disorder. It will be most ideal to collect sample on fourth day of life. Samples can be collected from home by trained nurse/phlebotomist. There are many riders associated with interpretation of blood samples collected in the f...

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Metabolic Bone Disease in Very Low-Birth-Weight Neonates

Background: Metabolic bone diseases (MBD), including rickets and osteopenia, are important neonatal complications among preterm infants. This study aimed to determine the prevalence and risk factors of MBD in neonates with very low birth weight (VLBW). Methods: This prospective study was conducted on VLBW infants from January 2012 to July 2013. Inclusion criteria were birth weight of ≤1500 g a...

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Hypothyroxinemia in extremely low birth weight infants

Hypothyroxinemia of prematurity (HOP) is a transient alteration in thyroid hormone availabilityfound in more than half of extremely low birth weight infants (ELBW) born at less than 30 weeks [1]. HOP is characterized by very low total T4 (TT4) and free T4 (FT4) levels with a normal or low thyroid stimulating hormone (TSH); TT4 and FT4 show a nadir at 7-10 days of life and they may remained low ...

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ژورنال

عنوان ژورنال: Croatian Medical Journal

سال: 2016

ISSN: 0353-9504,1332-8166

DOI: 10.3325/cmj.2016.57.395