Gastroesophageal Reflux Disease in the Neonatal Intensive Care Unit Neonate: Controversies, Current Understanding, and Future Directions.

abstract：:Numerous articles have chronicled the problems that stem from patients' lack of compliance with health care recommendations, yet there has not been a systematic approach to the development of a strategy for increasing the effectiveness of health education programs. In this article, making use of anticipatory guidance,...

journal_title：Clinics in perinatology

authors： Christophersen ER

更新日期：1985-06-01 00:00:00

abstract：:Decades of research have led to the understanding of neonatal pulmonary physiology and have influenced the clinical care that neonatologists provide to the sick newborn. Advances in microprocessor technology have allowed for clinical access of the research-based measurements of neonatal pulmonary functions. These eval...

journal_title：Clinics in perinatology

authors： Bhutani VK,Sivieri EM

更新日期：2001-09-01 00:00:00

abstract：:Antimicrobial-resistant pathogens are of increasing concern in the neonatal intensive care unit population. A myriad of resistance mechanisms exist in microorganisms, and management can be complex because broad-spectrum antibiotics are increasingly needed. Control and prevention of antibiotic-resistant organisms (AROs...

journal_title：Clinics in perinatology

authors： Patel SJ,Saiman L

更新日期：2010-09-01 00:00:00

abstract：:Babies of extremely low birthweight and elderly adults both require expensive and scarce resources, and both have a relatively poor prognosis for survival if they require intensive care. Thus, proposals for rationing often target one or both of these groups. We suspected that although mortality rates might be higher i...

journal_title：Clinics in perinatology

authors： Meadow W,Lantos JD,Mokalla M,Reimshisel T

更新日期：1996-09-01 00:00:00

abstract：:HFV is a mode of therapy that allows gas exchange with pressure fluctuations much lower than that required for conventional ventilation, and may consequently decrease the incidence of barotrauma and chronic lung disease. At present the National Institute of Health is sponsoring the first large controlled trial to test...

journal_title：Clinics in perinatology

authors： Bancalari E,Goldberg RN

更新日期：1987-09-01 00:00:00

abstract：:Discussed in this article are the effects of pregnancy-induced hypertension on the renin-angiotensin-aldosterone system; the possible role of prostanoids, deoxycorticosterone, and deoxycorticosterone sulfate in blood pressure control; and the effect of pregnancy-induced hypertension upon the endocrinology of the mater...

journal_title：Clinics in perinatology

authors： Carr BR,Gant NF

更新日期：1983-10-01 00:00:00

abstract：:Visual evoked potentials (VEPs) are easily recorded in the neonatal intensive care setting using light-emitting diode goggles as the flash stimulus. They are sensitive measures of CNS integrity and are altered or abolished by hypoxia. Prognosis in newborns with birth asphyxia or hypoxia is difficult to predict; howeve...

journal_title：Clinics in perinatology

authors： Whyte HE

更新日期：1993-06-01 00:00:00

abstract：:The lifespan risk of seizures is highest in the neonatal period. Current therapies have limited efficacy. Although the treatment of neonatal seizures has not changed significantly in the last several decades, there has been substantial progress in understanding developmental mechanisms that influence seizure generatio...

journal_title：Clinics in perinatology

authors： Jensen FE

更新日期：2009-12-01 00:00:00

abstract：:The past 15 years has seen the resurgence of an interest in biomedical ethics and an awareness of the importance of teaching this discipline in medical curricula at varying levels. Physicians and philosophers can work together to achieve an integration of clinical case material and philosophical theory, in order to te...

journal_title：Clinics in perinatology

authors： Fleischman AR,Arras J

更新日期：1987-06-01 00:00:00

abstract：:Nonstress testing appears to be an effective means of identifying fetal condition. Its most definitive benefit is the identification of the "normal" fetus, which often permits a path of nonintervention. A significant benefit of the nonstress test approach is its simplicity and portability which, in a practical sense, ...

journal_title：Clinics in perinatology

authors： Paul RH

更新日期：1982-06-01 00:00:00

abstract：:Congenital diaphragmatic hernia results in abnormal lung development. There is a global hypoplasia with both lungs affected, the ipsilateral lung more severely. This results in a reduction in the number of bronchial divisions and a decrease in the quantity and maturity of the alveoli. The pneumocytes are dysfunctional...

journal_title：Clinics in perinatology

authors： Wilcox DT,Irish MS,Holm BA,Glick PL

更新日期：1996-12-01 00:00:00

abstract：:Retinopathy of Prematurity (ROP) is a leading cause of childhood blindness in the United States. Optical Coherence Tomography (OCT) is a relatively new imaging technology capable of imaging ocular structures in cross section at high resolution. We present an age-customized approach to perform Spectral Domain OCT in ne...

journal_title：Clinics in perinatology

authors： Maldonado RS,Toth CA

更新日期：2013-06-01 00:00:00

abstract：:The photoplethysmogram (PPG) is a noninvasive circulatory signal related to the pulsatile volume in tissue and is displayed by many pulse oximeters. The PPG is similar in appearance to the invasive arterial waveform, but is noninvasive and ubiquitous in hospitals. There is increasing interest in seeking circulatory in...

journal_title：Clinics in perinatology

authors： Sahni R

更新日期：2012-09-01 00:00:00

abstract：:Diabetic pregnancies involve complex alterations in maternal-placental and fetal compartments. This article discusses the unique features of diabetic pregnancies as they pertain to the maternal changes that must occur to accommodate the fetus. ...

journal_title：Clinics in perinatology

authors： Hollingsworth DR

更新日期：1983-10-01 00:00:00

abstract：:The nature of perinatal education has been transformed, reflecting the changes in health care and health care consumers. Because of short maternity stays, the venue of most perinatal education, especially postpartum education, has moved from hospitals to other areas, including the home. In light of conflicting finding...

journal_title：Clinics in perinatology

authors： Standing TS,el-Sabagh N,Brooten D

更新日期：1998-06-01 00:00:00

abstract：:Ischemic perinatal stroke (IPS) occurs in 1 of 2300 to 5000 live births. It is an under-recognized cause of significant long-term disabilities, including hemiplegic cerebral palsy, epilepsy, cognitive delays, and behavioral impairments. The pathophysiology is complex and multifactorial, involving maternal, fetal, plac...

journal_title：Clinics in perinatology

authors： Barnette AR,Inder TE

更新日期：2009-03-01 00:00:00

abstract：:Gastrointestinal endoscopy permits direct observation of the alimentary tract, acquisition of mucosal tissue for histopathologic examination, and other diagnostic and therapeutic maneuvers. Endoscopes of appropriate size for many neonates and an expanding array of compatible tools and accessories have broadened what i...

journal_title：Clinics in perinatology

authors： Mezoff EA,Williams KC,Erdman SH

更新日期：2020-06-01 00:00:00

abstract：:When tissue oxygenation is impaired, compensatory mechanisms occur, including a redistribution of blood flow in order to maintain oxygen delivery to vital organs, resulting in a fall in peripheral blood flow. Monitoring peripheral oxygenation therefore has potential benefits as it may provide an early warning of chang...

journal_title：Clinics in perinatology

authors： Wardle SP,Weindling AM

更新日期：1999-12-01 00:00:00

abstract：:We emphasize again that the prevalence of maternal infections may vary in different populations, and others might arrive at different estimates about the percentage of infants colonized and, concerning those infants colonized, about the percentage with adverse outcomes. Additionally, many women are colonized or infect...

journal_title：Clinics in perinatology

authors： Goldenberg RL,Andrews WW,Yuan AC,MacKay HT,St Louis ME

更新日期：1997-03-01 00:00:00

abstract：:For more than 100 years, three principles have guided the treatment of neonatal asphyxia: maintain body heat, free air passages of obstructions, and stimulate respiration by supplying air to the lungs for oxygenation of the blood. This article addresses the question of which gas, air or 100% oxygen, is best supplied t...

journal_title：Clinics in perinatology

authors： Richmond S,Goldsmith JP

更新日期：2006-03-01 00:00:00

abstract：:The nutritional support of gastrointestinal growth and function is an important consideration in the clinical care of neonatal infants. In most health infants, the provision of either breast milk or formula seems to support normal intestinal mucosal growth, but the most significant advantages of breast milk may be for...

journal_title：Clinics in perinatology

authors： Burrin DG,Stoll B

更新日期：2002-03-01 00:00:00

abstract：:The phenomenal developments in molecular genetics and technological refinements which have occurred over the past decade are revolutionizing the area of prenatal genetics. State-of-the-art care commences with comprehensive preconceptional counseling. Prenatal diagnosis is now feasible from the moment of conception onw...

journal_title：Clinics in perinatology

authors： Plouffe L Jr,Donahue J

更新日期：1994-12-01 00:00:00

abstract：:Intraventricular hemorrhage (IVH) occurs in 20% to 25% of very low birthweight preterm neonates and may be associated with significant sequelae. Infants who have IVH are at risk for posthemorrhagic hydrocephalus and periventricular leukomalacia; as many as 75% of those who have parenchymal involvement of hemorrhage su...

journal_title：Clinics in perinatology

authors： McCrea HJ,Ment LR

更新日期：2008-12-01 00:00:00

abstract：:Twins have higher rates of perinatal mortality, prematurity and its complications, low birth weight, intrauterine growth retardation, congenital anomalies, and long-term developmental morbidity. Monozygotic twins have lower birth weights and higher rates of congenital anomalies than dizygotic twins, which suggests tha...

journal_title：Clinics in perinatology

authors： McCulloch K

更新日期：1988-03-01 00:00:00

abstract：:Neonatology has optimized medical outcomes for high-risk newborns yet neurodevelopmental outcomes continue to be a concern. Basic science, clinical research, and environmental design perspectives have shown the impact of the caregiving environment on the developing brain and the role of professional caregivers in prov...

journal_title：Clinics in perinatology

authors： Browne JV

更新日期：2011-12-01 00:00:00

abstract：:Prematurity is the leading cause of perinatal morbidity and mortality in the industrial world, occurring in 4% to 9% of all deliveries, a rate that has remained unchanged during the past decades. Despite the relative minority of obstetric patients affected by this problem, prematurity is responsible for approximately ...

journal_title：Clinics in perinatology

authors： Mazor M,Chaim W,Maymon E,Hershkowitz R,Romero R

更新日期：1998-09-01 00:00:00

abstract：:Congenital lung lesions (CLLs) comprise a heterogeneous group of developmental and histologic entities often diagnosed on screening prenatal ultrasound. Most fetuses with CLL are asymptomatic at birth; however, the risk of malignancy and infection drives the decision to prophylactically resect these lesions. The autho...

journal_title：Clinics in perinatology

authors： Moyer J,Lee H,Vu L

更新日期：2017-12-01 00:00:00

abstract：:Although continuous positive airway pressure (CPAP) is an effective strategy to prevent invasive ventilation, failure rates are high and many babies require endotracheal intubation. Prolonged exposure to mechanical ventilation is linked with bronchopulmonary dysplasia and other morbidities. Different techniques of nas...

journal_title：Clinics in perinatology

authors： Waitz M,Mense L,Kirpalani H,Lemyre B

更新日期：2016-12-01 00:00:00

abstract：:Neutropenia is a relatively common problem in the NICU, recognized in as many as 8% of patients at some time during their hospital stay. In most instances, neutropenia among NICU patients is of short duration and has little influence on outcome. In other cases it is prolonged and severe, and constitutes a serious anti...

journal_title：Clinics in perinatology

authors： Christensen RD,Calhoun DA,Rimsza LM

更新日期：2000-09-01 00:00:00

abstract：:The primary aim of this article is to define good lighting for caregivers(both medical staff and families) working in the hospital neonatal intensive care unit (NICU) and other areas associated with the critical care environment. Defining good lighting requires understanding that lighting is not only important for the...

journal_title：Clinics in perinatology

authors： Rea M

更新日期：2004-06-01 00:00:00