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Showing posts from November, 2022

Multimedia virtual program could help nurses learn about neonatal pain management

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Babies younger than four weeks old, called neonates, were once thought not to perceive pain due to not-yet-fully-developed sensory systems, but modern research says otherwise, according to researchers , Not only do babies experience pain, but the various levels can be standardized to help nurses recognize and respond to the babies' cues — if the nurses have the opportunity to learn the scoring tools and skills needed to react appropriately. With tight schedules and limited in-person courses available, the researcher’s theorized, virtual e-learning may be able to provide a path forward for nurses to independently pursue training in this area. To test this hypothesis, researchers conducted a pilot study of 115 nurses with varying levels of formal training and years of experience in seven hospitals across Japan. They published their results on May 27 in Advances in Neonatal Care . The researchers developed a comprehensive multimedia virtual program on neonatal pain management, bas...

impact of COVID-19 on maternal, fetal, and neonatal characteristics

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In the present study, researchers reported the fetal and maternal characteristics of pregnant women diagnosed with COVID-19 and neonatal and maternal characteristics of neonates having early onset COVID-19. The team conducted a prospective cohort study at a tertiary referral center in North India. The study included all pregnant women displaying severe to critical SARS-CoV-2 infection and neonates with early onset COVID-19. The pregnant women were tested for COVID-19 during admission to the referral centre via reverse transcriptase-polymerase chain reaction (RT-PCR). The women were screened for SARS-CoV-2 infection for severe or critical disease as per the definitions by the Chinese Centre for Disease Control and Prevention. The severe infection was characterized by dyspnea, blood oxygen saturation of 93% or less in room air, and respiratory rate of more than 30 per minute. The critical disease was characterized by septic shock, respiratory failure, and/or multiple organ failure or...

Neonate blood-brain barrier more intact than adults following stroke

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  The blood-brain barrier is selectively permeable and blocks unwanted molecules from entering into the brain. The selectivity is achieved through fine coordination in function of many transporting systems in endothelial cells , which line the interior of blood vessels, and communication between endothelial cells and several types of cells in the brain. When blood flow in an artery to the brain is blocked by a blood clot, as occurs in arterial stroke, brain energy metabolism is compromised, and ion and other transporting systems malfunction, leading to blood-brain disruption. The new finding suggests, the researchers said, that drugs used to treat stroke need to be tailored to the specific makeup of the neonate blood-brain barrier."How the blood-brain barrier responds to stroke in adults and neonates currently is poorly understood," said senior author Zinaida Vexler, PhD, director of research at the Neonatal Brain Disorders Centre at the Department of Neurology at UCSF. ...

Neonatal TSH screening insensitive for iodine insufficiency

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  Measuring levels of neonatal thyroid-stimulating hormone (TSH) may not be sufficiently sensitive for inferring the extent of iodine deficiency in a given population, study results suggest. Despite pregnant women in Belgium being mildly iodine deficient, neonatal TSH values were unexpectedly low. Although neonatal TSH is useful to detect severe iodine deficiency it should not be recommended presently for the evaluation of iodine status in mildly iodine deficient regions. The utilization of neonatal TSH is an attractive method because it is assumed that the thyroid of the new-born is very sensitive to iodine status and even mild iodine deficiency during pregnancy will cause an increase in neonatal TSH secretion. In addition, in countries where such a screening program exists, the utilization of neonatal TSH concentrations does not incur an extra cost. Indeed, the WHO proposes that neonatal TSH concentrations above 5 mU/L in less than 3% of the population indicate iodine suffic...

Neonatal Nursing and Neonatal Intensive Care Unit

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Neonatal nursing is a subspecialty of nursing that works with newborn infants born with a variety of problems ranging from prematurity, birth defects, infection, cardiac malformations, and surgical problems. The neonatal period is defined as the first month of life; however, these newborns are often sick for months. Neonatal nursing generally encompasses care for those infants who experience problems shortly after birth, but it also encompasses care for infants who experience long-term problems related to their prematurity or illness after birth. A few neonatal nurses may care for infants up to about 2 years of age. Most neonatal nurses care for infants from the time of birth until they are discharged from the hospital. NICU stands for invigorated ferocious care unit. This is a nursery in a sanitarium that provides around- the- timepiece care to sick or unseasonable babies. It has health care providers who have special training and outfit to give your baby the stylish possible care...