OBJECTIVES To determine whether treatment with a protocolized sepsis guideline in the emergency department was associated with a lower burden of organ dysfunction by hospital day 2 compared to nonprotocolized usual care in pediatric patients with severe sepsis. DESIGN Retrospective cohort study. SETTING Tertiary care children's hospital from January 1, 2012, to March 31, 2014. SUBJECTS Pa...

Touch therapy, first described by keieger in 1975 as an act of healing or helping that is akin to the ancient practice laying on hands, providing be a useful adjunt nursing practices. Prematurity continue leading cause neonatal death and developmental disability. Neonate admission NICU accounts for largest number. necessary good health food, water rest preterm babies. therapy were found have se...

While the preterm neonate continues to benefit from improved perinatal care, the rate of preterm birth in the United States remains significant. An increasing body of scientific literature has demonstrated the benefits of maternal progesterone administration in reducing primary and recurrent preterm birth. Intramuscular hydroxyprogesterone caproate is indicated in singleton pregnancies in women...

Objective. To report the irreversible severe neurological symptoms following the hyponatremic hypertensive syndrome (HHS) in an infant after umbilical arterial catheterization. Design. Case report with review of the literature. Setting. Neonatal intensive care unit at a tertiary care children's hospital. Patient. A three-week-old preterm infant. Conclusions. In evaluating a neonate with hyponat...

background: recent studies have demonstrated the high prevalence of vitamin d deficiency in the general population. pregnancy and preterm delivery are known as risk factors for vitamin d deficiency. consequently, vitamin d level in women with preterm deliveries might vary from those with term pregnancies. in this study, we aimed to compare vitamin d level in term and preterm infant–mother pairs...

OBJECTIVES The primary objective of the study was to investigate how patterns of skin-to-skin care might impact infant early cognitive and communication performance. DESIGN This was a retrospective cohort study. SETTING This study took place in a level-IV all-referral neonatal intensive care unit in the Midwest USA specialising in the care of extremely preterm infants. PARTICIPANTS Data w...

Objective To investigate the effect of antenatal corticosteroid prophylaxis on neonatal respiratory morbidity between 34 and 37 weeks of gestation. Methods This retrospective study evaluated the neonatal respiratory complications of 683 low risk singleton pregnancies delivered at 34-37 weeks of gestation in a tertiary care center between Jan 2012 and Sept 2015. Group-I (n=294) comprised data ...

Background: Intraventricular hemorrhages and respiratory distress syndrome are two common diseases in preterm infants. Observation-based care, may reduce the rate of these complications through energy saving, diminishing apnea periods and cerebral blood flow changes. Aim: to evaluate the effect of behavior observation-based care training for mothers on intraventricular hemorrhages and ventilati...

Diffuse optical tomography (DOT) has recently proved useful for detecting whole-brain oxygenation changes in preterm and term newborns' brains. The data recording phase in prior explorations was limited up to a maximum of a couple of hours, a time dictated by the need to minimize skin damage caused by the protracted contact with optode holders and interference with concomitant clinical/nursing ...