Antibiotic resistance in neonatal intensive care unit pathogens: mechanisms, clinical impact, and prevention including antibiotic stewardship.

abstract：:The epitome of FAS and ARBD has been documented substantially in the medical literature. There appears to be little question that alcohol is a teratogen. The precise nature for the mechanism of causing congenital defects, whether it be direct or indirect, is still unknown. There is no unequivocal information that can ...

journal_title：Clinics in perinatology

authors： Pietrantoni M,Knuppel RA

更新日期：1991-03-01 00:00:00

abstract：:Two different care procedures are presented to raise the difficult question of whether we should completely reevaluate our paradigms of care in the perinatal period. In this thorough review, should we continue to use the same framework of beliefs in deciding on the benefits and risks of any care procedure? ...

journal_title：Clinics in perinatology

authors： Kennell JH,Klaus MH

更新日期：1988-12-01 00:00:00

abstract：:Although therapies in addition to whole-body cooling are being developed to treat the neonate at risk for hypoxic-ischemic encephalopathy, we have no quickly measured serum inflammatory or neuronal biomarkers to acutely and accurately identify brain injury or to follow the efficacy of therapy. This review covers infla...

journal_title：Clinics in perinatology

authors： Chalak LF

更新日期：2016-09-01 00:00:00

abstract：:Most allegations in obstetric lawsuits against obstetrician-gynecologists relate in some manner to the management of labor and delivery; few solely involve perceived flaws in prenatal or postpartum care. Although many of these cases accuse the defendant of not having properly monitored the fetus during labor for signs...

journal_title：Clinics in perinatology

authors： Cohen WR,Schifrin BS

更新日期：2007-06-01 00:00:00

abstract：:The percentage of United States cesarean births increased from 20.7% in 1996 to 31.1% in 2006. Cesarean rates increased for women of all ages, race/ethnic groups, and gestational ages and in all states. Both primary and repeat cesareans have increased. Increases in primary cesareans in cases of "no indicated risk" hav...

journal_title：Clinics in perinatology

authors： MacDorman MF,Menacker F,Declercq E

更新日期：2008-06-01 00:00:00

abstract：:The signs and symptoms associated with necrotizing enterocolitis (NEC) and the common scenarios in which NEC is observed are described to help physicians appreciate the breadth of this illness and to aid in the identification and diagnosis of those affected. An outline for medical management of infants with NEC is pre...

journal_title：Clinics in perinatology

authors： Kanto WP Jr,Hunter JE,Stoll BJ

更新日期：1994-06-01 00:00:00

abstract：:Multiple pregnancies represent a state of magnified nutritional requirements, resulting in a greater nutrient drain on maternal resources and an accelerated depletion of nutritional reserves. Maternal weight gain to 20 weeks and between 20 and 28 weeks has the greatest effect on birthweight in twin and triplet pregnan...

journal_title：Clinics in perinatology

authors： Luke B

更新日期：2005-06-01 00:00:00

abstract：:The last decades of bilirubin research seem to have clarified the basic mechanisms by which bilirubin enters the brain. Clinical studies have so far failed to show any value of the presently known risk factors in predicting bilirubin toxicity in the newborn infant, however. This indicates that bilirubin entry into the...

journal_title：Clinics in perinatology

authors： Bratlid D

更新日期：1990-06-01 00:00:00

abstract：:There were approximately 2 million deaths worldwide from tuberculosis in 1997, 98% of them in developing countries. Factors implicated in the resurgence of tuberculosis in the United States in the late 80s and early 90s included increased immigration from countries with high prevalence, HIV infection, emergence of res...

journal_title：Clinics in perinatology

authors： Laibl VR,Sheffield JS

更新日期：2005-09-01 00:00:00

abstract：:Fetal and neonatal infections can occur at different times during pregnancy, from conception to birth. Infections that take place near the time of conception often destroy the zygote or embryo and only rarely leave definitive evidence. The mother can transmit the infection to her fetus through several routes, but the ...

journal_title：Clinics in perinatology

authors： Zeichner SL,Plotkin SA

更新日期：1988-06-01 00:00:00

abstract：:As a standard of care for preterm/term newborns effective pain management may improve their clinical and neurodevelopmental outcomes. Neonatal pain is assessed using context-specific, validated, and objective pain methods, despite the limitations of currently available tools. Therapeutic approaches reducing invasive p...

journal_title：Clinics in perinatology

authors： Hall RW,Anand KJ

更新日期：2014-12-01 00:00:00

abstract：:Pulmonary hypertension in the newborn infant has many potential causes, and multiple etiologies are common. In this article, the author outlines the basic principles in pathophysiology, classification, and etiology that should be well understood by those who care for neonates with disease processes in which pulmonary ...

journal_title：Clinics in perinatology

authors： Gersony WM

更新日期：1984-10-01 00:00:00

abstract：:The extensive data from animal models of BPD and specific aspects of lung injury have helped to expand and refine the concept of pathogenesis introduced by Northway et al. Given the complexity and heterogeneity of the human illness, it is unreasonable to presume that any single model or research group could elucidate ...

journal_title：Clinics in perinatology

authors： deLemos RA,Coalson JJ

更新日期：1992-09-01 00:00:00

abstract：:In patients with chronic renal disease, all advice and decisions must take into account the balance between pregnancy outcome and the long-term impact that pregnancy might have on the disease. To help the clinician address these concerns, the authors focus on the renal changes in normal pregnancy, the problems of chro...

journal_title：Clinics in perinatology

authors： Davison JM,Katz AI,Lindheimer MD

更新日期：1985-10-01 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：:Necrotizing enterocolitis (NEC) is a multifactorial disorder that primarily affects premature infants. Human milk compared with formula reduces the incidence of NEC. Feeding practices do not increase the incidence of NEC in preterm infants. There is no evidence supporting continuous versus intermittent tube feedings i...

journal_title：Clinics in perinatology

authors： Ramani M,Ambalavanan N

更新日期：2013-03-01 00:00:00

abstract：:Emphasis has been placed on engaging parents in processes of shared decision making for delivery room management decisions of critically ill neonates whose outcomes are uncertain and unpredictable. The goal of antenatal consultation should rather be to adapt to parental needs and empower them through a personalized de...

journal_title：Clinics in perinatology

authors： Haward MF,Gaucher N,Payot A,Robson K,Janvier A

更新日期：2017-06-01 00:00:00

abstract：:Decision-making for extremely immature preterm infants at the margins of viability is ethically, professionally, and emotionally complicated. A standard for prenatal consultation should be developed incorporating assessment of parental decision-making preferences and styles, a communication process involving a recipro...

journal_title：Clinics in perinatology

authors： Haward MF,Kirshenbaum NW,Campbell DE

更新日期：2011-09-01 00:00:00

abstract：:Several microangiopathic disorders that are encountered during pregnancy provide physicians with a formidable diagnostic challenge. Severe pre-eclampsia with hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome and many other obstetric and medical or surgical conditions produce similar clinical presen...

journal_title：Clinics in perinatology

authors： Sibai BM

更新日期：2004-12-01 00:00:00

abstract：:Normal pregnancy produces profound metabolic alterations that occur, in large part, by the conclusion of the first trimester. Although necessary to support the metabolic needs of the conceptus, the metabolic and cardiovascular changes of pregnancy are well established weeks before the metabolic needs of the fetus and ...

journal_title：Clinics in perinatology

authors： Carpenter MW

更新日期：1993-09-01 00:00:00

abstract：:Periviable birth carries a high risk of fetal and newborn death, and the potential for life-long complications in survivors. The family at risk for periviable birth should receive objective, accurate, and up to date information regarding fetal, newborn, and maternal risks and outcomes with delivery or with continued p...

journal_title：Clinics in perinatology

authors： Mercer BM

更新日期：2017-06-01 00:00:00

abstract：:Neonatal stress responses have been investigated only in recent years. Term neonates mount substantial hormonal and metabolic responses, which are distinct from those of adult patients. These responses can be altered significantly by the effects of prematurity, the effects of graded surgical stress, and the anesthetic...

journal_title：Clinics in perinatology

authors： Anand KJ

更新日期：1990-03-01 00:00:00

abstract：:The Healthy People 2000 objectives for breastfeeding were to move the breastfeeding initiation rate to 75% from 54% and the breastfeeding continuation rate to 50% at age 6 months from the 1988 baseline of 21%. The 1996 data indicated that the goal will not be met either for initiation or duration in spite of governmen...

journal_title：Clinics in perinatology

authors： Cadwell K

更新日期：1999-06-01 00:00:00

abstract：:The treatment of cocaine abuse among pregnant women involves attention not only to the cocaine use, but also to the pregnancy and constellation of medical and social problems substance-abusing women experience. Writing about the needs of women who enter treatment for drug-dependence treatment, Reed has offered suggest...

journal_title：Clinics in perinatology

authors： Farkas KJ,Parran TV Jr

更新日期：1993-03-01 00:00:00

abstract：:The enunciation of equipment requirements has been attempted as needs appear today. Detailed and technical specifications for some of this equipment must be understood prior to major acquisitions. An awareness of current trends in clinical research can often be obtained from appropriate consultants which should forest...

journal_title：Clinics in perinatology

authors： Paul RH

更新日期：1976-09-01 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：:Inherited organic acidemias are a group of metabolic disorders currently being described and investigated as gas-liquid chromatography is applied to unexplained diseases of infancy and childhood. Common clinical presentations include attacks of ketoacidosis, unexplained metabolic acidosis, failure of normal developmen...

journal_title：Clinics in perinatology

authors： Mahoney MJ

更新日期：1976-03-01 00:00:00

abstract：:The specific pathologic processes preceding the onset of irreversible cerebral injury seem to be a combination of several complex mechanisms due to the severity and duration of the insult to the biochemical modifications in the brain. An early diagnosis of the newborn at high risk for brain damage is relevant for prev...

journal_title：Clinics in perinatology

authors： Buonocore G,Perrone S

更新日期：2004-03-01 00:00:00

abstract：:A scheme of regionalization is proposed in which a regional perinatal system within a defined geographic area permits access of the high risk mother-fetus and infant to the appropriate level of technology for improved perinatal outcome. ...

journal_title：Clinics in perinatology

authors： Merkatz IR,Johnson KG

更新日期：1976-09-01 00:00:00

abstract：:Our current ability to predict neurologic outcome based on intrapartum information is very limited. Adding information on neurologic state during the first days of life adds powerfully to the ability to predict long-term outcome. Further enhancement of predictive abilities will require putting together into single stu...

journal_title：Clinics in perinatology

authors： Nelson KB

更新日期：1989-12-01 00:00:00