MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Archives of Disease in Childhood - Fetal and Neonatal Edition' source. Sat, 20 Mar 2010 16:10:00 +0100 http://www.medworm.com/index.php?rid=3365802&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF152%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365802 Mon, 15 Mar 2010 11:33:27 +0100 3365802 http://www.medworm.com/index.php?rid=3365801&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF151-b%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365801 Mon, 15 Mar 2010 11:33:27 +0100 3365801 http://www.medworm.com/index.php?rid=3365800&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF151-a%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365800 Mon, 15 Mar 2010 11:33:27 +0100 3365800 http://www.medworm.com/index.php?rid=3365799&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF150-b%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365799 Mon, 15 Mar 2010 11:33:27 +0100 3365799 http://www.medworm.com/index.php?rid=3365798&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF150-a%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365798 Mon, 15 Mar 2010 11:33:27 +0100 3365798 http://www.medworm.com/index.php?rid=3365797&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF149-b%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365797 Mon, 15 Mar 2010 11:33:27 +0100 3365797 http://www.medworm.com/index.php?rid=3365796&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF149-a%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365796 Mon, 15 Mar 2010 11:33:27 +0100 3365796 http://www.medworm.com/index.php?rid=3365795&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF146%3Frss%3D1 Conclusion WFDRI and BIO with eyelid speculum are similarly painful for infants. The authors speculate that the eyelid speculum rather than the examination method may contribute most to the pain experienced. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365795 Mon, 15 Mar 2010 11:33:27 +0100 3365795 http://www.medworm.com/index.php?rid=3365794&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF144%3Frss%3D1 Eleven newborn babies of normal weights sustained falls onto a hard surface in hospital. The one baby who fell from >1 m sustained clinical and radiological trauma and encephalopathy, with a skull fracture and cerebral contusion. No other baby demonstrated neurological signs despite the presence of parietal skull fractures in four of six who were x rayed; only two babies had scalp swelling. The findings suggest that parietal fractures can result from very low-level falls, and scalp swelling is a poor marker for underlying fracture. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365794 Mon, 15 Mar 2010 11:33:27 +0100 3365794 http://www.medworm.com/index.php?rid=3365793&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF142%3Frss%3D1 Non-invasive respiratory support is increasingly popular but is associated with complications including nasal trauma. The present report describes a novel method of oral continuous positive airway pressure (CPAP) delivery in an extremely premature infant with severe nasal septum erosion. The distal end of a cut down endotracheal tube was passed through a small hole made in the teat of a dummy (infant pacifier) and sutured in place. The dummy was secured in the infant's mouth and CPAP was delivered to the pharynx. The device was well tolerated and the infant was successfully managed using this technique for 48 days, avoiding endotracheal intubation and ventilation. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365793 Mon, 15 Mar 2010 11:33:27 +0100 3365793 http://www.medworm.com/index.php?rid=3365792&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF137%3Frss%3D1 The role of magnetic resonance imaging (MRI) in fetal imaging is expanding. The depth of structural information provided by MRI means it is more than just a useful adjunct to ultrasound, as several structures are more clearly visualised and many of the limitations of ultrasound are avoided. Currently, MRI is most frequently utilised with reference to the fetal central nervous system and is valuable in ventriculomegaly, agenesis of the corpus callosum and posterior fossa abnormalities. Outside this, MRI remains primarily a research tool; there is increasing interest in applying it to thoracic abnormalities and also scope for development in other niche areas. MRI is able to accurately determine fetal organ volumes and weight, although whether such measurements could play a role in conditions... Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365792 Mon, 15 Mar 2010 11:33:27 +0100 3365792 http://www.medworm.com/index.php?rid=3365791&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF132%3Frss%3D1 After birth, gas exchange is achieved in the lung, whereas prenatally it occurs in the placenta. This is associated with differences in blood flow patterns in the fetus as compared with the postnatal circulation. Congenital cardiovascular malformations are associated with haemodynamic changes in the fetus, which differ from those occurring postnatally. Obstruction to cardiac outflow may alter myocardial development, resulting in progressive ventricular hypoplasia. Alteration of oxygen content may profoundly influence pulmonary vascular and ductus arteriosus responses. Interference in blood flow and oxygen content may affect cerebral development as a result of inadequate oxygen or energy substrate supply. The circulatory effects may be gestational dependent, related to maturation of vascula... Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365791 Mon, 15 Mar 2010 11:33:27 +0100 3365791 http://www.medworm.com/index.php?rid=3365790&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF126%3Frss%3D1 In the fetus, the predominant energy supply is glucose transported across the placenta from the mother. As pregnancy progresses, the amount of glucose transported increases, with glycogen and fat stores being laid down, principally in the third trimester. In the well-term baby, there is hormonal and metabolic adaptation in the perinatal period to ensure adequate fuel supply to the brain and other vital organs after delivery, but in the preterm infant, abnormalities of glucose homeostasis are common. After initial hypoglycaemia, due to limited glycogen and fat stores, preterm babies often become hyperglycaemic because of a combination of insulin resistance and relative insulin deficiency. Hyperglycaemia is associated with increased morbidity and mortality in preterm infants, but what should... Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365790 Mon, 15 Mar 2010 11:33:27 +0100 3365790 http://www.medworm.com/index.php?rid=3365789&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF121%3Frss%3D1 Conclusion The main challenge of the method is the measurement of SVC diameter. The same observer should ideally perform sequential analyses. Special caution should be taken when making clinical implications from non-optimal pictures. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365789 Mon, 15 Mar 2010 11:33:27 +0100 3365789 http://www.medworm.com/index.php?rid=3365788&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF118%3Frss%3D1 Conclusions There is a significant incidence of positive serology among women interested in donating human milk. This implies that there may be significant risk associated with peer-to-peer distribution of human milk from unscreened donors. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365788 Mon, 15 Mar 2010 11:33:27 +0100 3365788 http://www.medworm.com/index.php?rid=3365787&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF115%3Frss%3D1 Conclusion Intrauterine laser coagulation stops growth acceleration in recipients that leads to a decrease in intertwin discordance. After birth, significant catch-up growth was observed for the donor group (p<0.001). (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365787 Mon, 15 Mar 2010 11:33:27 +0100 3365787 http://www.medworm.com/index.php?rid=3365786&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF109%3Frss%3D1 Conclusions SIL pharmacokinetics are highly variable in post-ECMO neonates and infants. In a median patient, the current dose regimen of 0.5–2.0 mg/kg four times a day leads to an exposure comparable to the recommended adult dose of 20 mg four times a day. Careful dose titration, based on efficacy and the occurrence of hypotension, remains necessary. Follow-up research should include appropriate pharmacodynamic endpoints, with a population pharmacokinetic/pharmacodynamic analysis to assign a suitable exposure window or target concentration. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365786 Mon, 15 Mar 2010 11:33:26 +0100 3365786 http://www.medworm.com/index.php?rid=3365785&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF104%3Frss%3D1 Conclusions Functional, clinically relevant, vitamin K insufficiency was more common in ‘high-risk’ than ‘normal-risk’ newborns. Vitamin K insufficiency in mothers was linked to lower dietary K1 intakes during pregnancy. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365785 Mon, 15 Mar 2010 11:33:26 +0100 3365785 http://www.medworm.com/index.php?rid=3365784&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF99%3Frss%3D1 Conclusions Vaginal examinations ≥3, clinical chorioamnionitis, birth weight <1500 g, male sex, gestation <30 weeks and no intrapartum antibiotics were independent risk factors for EONS among preterm infants of ≤34 weeks’ gestation. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365784 Mon, 15 Mar 2010 11:33:26 +0100 3365784 http://www.medworm.com/index.php?rid=3365783&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF95%3Frss%3D1 Conclusions Antenatal corticosteroid treatment is associated with improved survival in babies born between 24 and 29 weeks' gestation. This, however, does not lead to any significant improvements in length of stay, duration of respiratory support and CLD among survivors. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365783 Mon, 15 Mar 2010 11:33:26 +0100 3365783 http://www.medworm.com/index.php?rid=3365782&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF90%3Frss%3D1 Conclusions The high prevalence of adverse neurodevelopmental outcome in children born at 22–27 weeks compared with term controls at school age persists, and may even be increasing over time. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365782 Mon, 15 Mar 2010 11:33:26 +0100 3365782 http://www.medworm.com/index.php?rid=3365781&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF85%3Frss%3D1 Conclusions Bi-level NCPAP was associated with better respiratory outcomes versus NCPAP, and allowed earlier discharge, inducing the same changes in the cytokine levels. It was found to be well tolerated and safe in the study population. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365781 Mon, 15 Mar 2010 11:33:26 +0100 3365781 http://www.medworm.com/index.php?rid=3365780&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF80%3Frss%3D1 Conclusions Although remifentanil is comparable to fentanyl and succinylcholine in attenuating adverse physiologic responses during neonatal intubation, muscle rigidity is a concern at doses of 3 µg/kg. Further trials are required to evaluate ideal dosing regimens and combinations of agents for use with remifentanil in neonates. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365780 Mon, 15 Mar 2010 11:33:26 +0100 3365780 http://www.medworm.com/index.php?rid=3365779&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F2%2FF79%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3365779 Mon, 15 Mar 2010 11:33:26 +0100 3365779 http://www.medworm.com/index.php?rid=3100016&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF78-b%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100016 Thu, 17 Dec 2009 18:06:44 +0100 3100016 http://www.medworm.com/index.php?rid=3100015&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF78-a%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100015 Thu, 17 Dec 2009 18:06:44 +0100 3100015 http://www.medworm.com/index.php?rid=3100014&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF77%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100014 Thu, 17 Dec 2009 18:06:44 +0100 3100014 http://www.medworm.com/index.php?rid=3100013&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF76%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100013 Thu, 17 Dec 2009 18:06:44 +0100 3100013 http://www.medworm.com/index.php?rid=3100012&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF75-b%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100012 Thu, 17 Dec 2009 18:06:44 +0100 3100012 http://www.medworm.com/index.php?rid=3100011&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF75-a%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100011 Thu, 17 Dec 2009 18:06:44 +0100 3100011 http://www.medworm.com/index.php?rid=3100010&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF74-b%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100010 Thu, 17 Dec 2009 18:06:44 +0100 3100010 http://www.medworm.com/index.php?rid=3100009&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF74-a%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100009 Thu, 17 Dec 2009 18:06:44 +0100 3100009 http://www.medworm.com/index.php?rid=3100008&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF72%3Frss%3D1 Conclusions: Better GBS prevention strategies are required in the UK. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100008 Thu, 17 Dec 2009 18:06:44 +0100 3100008 http://www.medworm.com/index.php?rid=3100007&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF69%3Frss%3D1 Conclusion: MAS develops rarely in infants born through MSAF with 5'AS above 8. These infants can be safely discharged from the hospital shortly after birth. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100007 Thu, 17 Dec 2009 18:06:44 +0100 3100007 http://www.medworm.com/index.php?rid=3100006&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF64%3Frss%3D1 Congenital heart disease (CHD) is a common form of congenital malformation associated with significant morbidity and mortality. Antenatal diagnosis of life-threatening forms of CHD may help to improve survival and morbidity as well as allowing parental choice and preparation. The diagnosis of CHD during fetal life can be made with a very high level of diagnostic accuracy in tertiary centres dealing with high-risk pregnancies. However, most cases of CHD will occur in low-risk groups and will only be detected by screening at the time of obstetric ultrasound scans. The concept of antenatal screening for CHD was introduced in the UK over 20 years ago, and current national guidelines recommend that the heart should be examined at the time of the obstetric anomaly scan. However, there remains a ... Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100006 Thu, 17 Dec 2009 18:06:44 +0100 3100006 http://www.medworm.com/index.php?rid=3100005&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF59%3Frss%3D1 This paper considers some of the changes in practice that have occurred in the last 5 years. There have been significant improvements in parental involvement in care. Not all changes have been based on evidence from research: practice has also been affected by changing technology and pressure by industry and other groups. Among the research-based changes were: an awareness of confidentiality, individualised developmental care, increased use of inhaled nitric oxide, therapeutic hypothermia, less postnatal steroids (although the dosage used is not evidence-based), sucrose as analgesia and permissive hypotension. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100005 Thu, 17 Dec 2009 18:06:44 +0100 3100005 http://www.medworm.com/index.php?rid=3100004&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF53%3Frss%3D1 Conclusion: In the present study, the "InSurE" procedure did not induce perturbation of cerebral oxygen delivery and extraction, whereas electrical brain activity decreased for a prolonged period of time. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100004 Thu, 17 Dec 2009 18:06:44 +0100 3100004 http://www.medworm.com/index.php?rid=3100003&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF47%3Frss%3D1 Conclusion: The slide-rule method was reliable for deriving shunt and right shift (reduced VA/Q) of the PIO2 versus SpO2 curve when compared with the more complex algorithm. The new method should enable wider clinical application of these measurements of oxygen exchange. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100003 Thu, 17 Dec 2009 18:06:44 +0100 3100003 http://www.medworm.com/index.php?rid=3100002&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF42%3Frss%3D1 Conclusions: LSV is a frequent finding on cUS in very preterm infants, but does not show on MRI. The postmenstrual age, rather than gestational and postnatal age, seems important in LSV development. LSV is not associated with clinical parameters. When encountered in otherwise healthy preterm infants, LSV is probably a benign temporary phenomenon. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100002 Thu, 17 Dec 2009 18:06:44 +0100 3100002 http://www.medworm.com/index.php?rid=3100001&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF36%3Frss%3D1 Conclusions: Amphetamine-exposed mothers and infants in public hospitals of NSW and the ACT are at significantly higher risk of adverse social and perinatal outcomes even when compared with mothers and infants exposed to other drugs of dependency. Increased vigilance for amphetamine exposure is recommended due to a high prevalence of use, especially in Australia, as a recreational drug. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100001 Thu, 17 Dec 2009 18:06:44 +0100 3100001 http://www.medworm.com/index.php?rid=3100000&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF30%3Frss%3D1 This report from 2004–7 compares survival and morbidity throughout Ireland and benchmarks these results against VON. Methods: A standardised VON database for VLBW infants was created in 14 participating centres across Ireland and Northern Ireland. Results: Data on 716 babies were submitted in 2004, increasing to 796 babies in 2007, with centres caring for from 10 to 120 VLBW infants per year. In 2007, mortality rates in VLBW infants varied from 4% to 19%. Standardised mortality ratios indicate that the number of deaths observed was not significantly different from the number expected, based on the characteristics of infants treated. There was no difference in the incidence of severe intraventricular haemorrhage between all-Ireland and VON groups (5% vs 6%, respectively). All-Irelan... Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3100000 Thu, 17 Dec 2009 18:06:43 +0100 3100000 http://www.medworm.com/index.php?rid=3099999&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF25%3Frss%3D1 Conclusions: CSF WBC count and glucose decrease significantly with time. Reliance on WBC counts of delayed samples can result in underdiagnosis. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3099999 Thu, 17 Dec 2009 18:06:43 +0100 3099999 http://www.medworm.com/index.php?rid=3099998&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF20%3Frss%3D1 Conclusions: Assisted conception contributed to higher very premature NICU admissions of twins and triplets. Preterm twins at the very extreme of viability had higher mortality compared with singletons. The protective effect of assisted conception against mortality requires further research. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3099998 Thu, 17 Dec 2009 18:06:43 +0100 3099998 http://www.medworm.com/index.php?rid=3099997&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF14%3Frss%3D1 Conclusion: The PREM score can be used to predict the chance of survival at or before birth almost as accurately as existing measures influenced by post-delivery condition, to balance risk at entry into a controlled trial and to adjust for differences in "case mix" when assessing the quality of perinatal care. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3099997 Thu, 17 Dec 2009 18:06:43 +0100 3099997 http://www.medworm.com/index.php?rid=3099996&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF9%3Frss%3D1 Conclusions: The published algorithm for CRIB II was poorly calibrated but simple linear recalibration provided good results. The CRIB II score without admission temperature showed good predictive characteristics once recalibrated and this version of the score should be used when benchmarking mortality in neonatal intensive care units. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3099996 Thu, 17 Dec 2009 18:06:43 +0100 3099996 http://www.medworm.com/index.php?rid=3099995&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF7%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3099995 Thu, 17 Dec 2009 18:06:43 +0100 3099995 http://www.medworm.com/index.php?rid=3099994&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF2%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3099994 Thu, 17 Dec 2009 18:06:43 +0100 3099994 http://www.medworm.com/index.php?rid=3099993&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F95%2F1%2FF1%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=3099993 Thu, 17 Dec 2009 18:06:43 +0100 3099993 http://www.medworm.com/index.php?rid=2915580&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF468-b%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915580 Wed, 21 Oct 2009 17:02:02 +0100 2915580 http://www.medworm.com/index.php?rid=2915579&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF468-a%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915579 Wed, 21 Oct 2009 17:02:02 +0100 2915579 http://www.medworm.com/index.php?rid=2915578&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF467-c%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915578 Wed, 21 Oct 2009 17:02:02 +0100 2915578 http://www.medworm.com/index.php?rid=2915577&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF467-b%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915577 Wed, 21 Oct 2009 17:02:02 +0100 2915577 http://www.medworm.com/index.php?rid=2915576&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF467-a%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915576 Wed, 21 Oct 2009 17:02:02 +0100 2915576 http://www.medworm.com/index.php?rid=2915575&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF464%3Frss%3D1 Conclusions: Increased cTnI concentrations detected in asphyxiated neonates are of neonatal origin and are not derived from the mother. In asphyxiated neonates, there may be predisposing factors that could cause earlier switching from skeletal TnI to cTnI in the myocardium. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915575 Wed, 21 Oct 2009 17:02:02 +0100 2915575 http://www.medworm.com/index.php?rid=2915574&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF461%3Frss%3D1 Conclusions: The maximum pressure relief valve is overridden by increasing the rate of gas flow and potentially harmful PIP and PEEP can be generated. Even in the presence of a 50% gas leak, more than adequate pressures can be provided at 10 l/min gas flow. We recommend the limitation of gas flow to a rate of 10 l/min as an added safety mechanism for this device. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915574 Wed, 21 Oct 2009 17:02:02 +0100 2915574 http://www.medworm.com/index.php?rid=2915573&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF456%3Frss%3D1 Conclusions: The risk of VKD bleeding in breastfed infants with A1AD was high and did not correlate with serum level of conjugated bilirubin at diagnosis. A similar absolute risk was previously reported in breastfed infants with biliary atresia under the same prophylactic regimen. This confirms that—without adequate prophylaxis—the risk of VKD bleeding is uniformly high in exclusively breastfed infants with cholestatic jaundice, irrespective of underlying aetiology. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915573 Wed, 21 Oct 2009 17:02:02 +0100 2915573 http://www.medworm.com/index.php?rid=2915572&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF451%3Frss%3D1 Conclusions: There is a remarkable variation of incidence of biliary atresia within England and Wales, some of which may have been caused by factors related to a different aetiological and racial background. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915572 Wed, 21 Oct 2009 17:02:02 +0100 2915572 http://www.medworm.com/index.php?rid=2915571&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF447%3Frss%3D1 Conclusions: Mature human milk can be stored safely in a freezer and heated in a microwave oven without loss of fat or carotenoids. The clinically important loss of fat during tube feeding is probably the most important contributing factor to the decrease in lutein and β-carotene in tube feeding, with only a small role for peroxidation during light-exposure. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915571 Wed, 21 Oct 2009 17:02:02 +0100 2915571 http://www.medworm.com/index.php?rid=2915570&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF443%3Frss%3D1 Conclusions: Bilateral multiple subependymal pseudocysts or choroid plexus cysts suggest an underlying disease. Further investigations should be undertaken even if the patient is otherwise normal. Parents of well newborns with a single cyst should be reassured. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915570 Wed, 21 Oct 2009 17:02:02 +0100 2915570 http://www.medworm.com/index.php?rid=2915569&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF439%3Frss%3D1 Conclusion: Atropine, fentanyl and succinylcholine before non-urgent intubations in newborns has led to a low number of attempts and good intubation conditions with no adverse events. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915569 Wed, 21 Oct 2009 17:02:02 +0100 2915569 http://www.medworm.com/index.php?rid=2915568&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF434%3Frss%3D1 Conclusions: Analgesics and sedatives are generally increased after the end-of-life decision to treat pain and suffering and rarely to hasten death. Neuromuscular blockers were administered in 16% of deaths. Medical files provide insufficient documentation of considerations leading to the increase of medication, which hinders (external) review. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915568 Wed, 21 Oct 2009 17:02:02 +0100 2915568 http://www.medworm.com/index.php?rid=2915567&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF429%3Frss%3D1 Conclusions: The incidence of neonatal fungal infection was low in Australia and New Zealand, even without antifungal prophylaxis. Antifungal prophylaxis with oral nystatin was associated with a significantly lower incidence of fungal infection compared with no prophylaxis. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915567 Wed, 21 Oct 2009 17:02:02 +0100 2915567 http://www.medworm.com/index.php?rid=2915566&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF427%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915566 Wed, 21 Oct 2009 17:02:02 +0100 2915566 http://www.medworm.com/index.php?rid=2915565&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF423%3Frss%3D1 Conclusions: Measures to alleviate deprivation and to improve the preterm birth and IUGR rates in deprived groups would have the greatest potential to reduce inequality in need for NIC admission. Efforts to achieve targets for reduction in infant mortality need to take account of the different effects of socioeconomic inequalities for different conditions and groups of infants. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915565 Wed, 21 Oct 2009 17:02:02 +0100 2915565 http://www.medworm.com/index.php?rid=2915564&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF419%3Frss%3D1 Conclusion: All macrosomic infants represent a high-risk group, regardless of maternal diabetes status. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915564 Wed, 21 Oct 2009 17:02:02 +0100 2915564 http://www.medworm.com/index.php?rid=2915563&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF414%3Frss%3D1 Conclusions: Perinatal risk factors have small overall impact on length of hospital stay in moderately preterm infants. Organisation of care is probably an important factor. The number of bed-days differs significantly between centres, which may have effects on quality of care and health economy. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915563 Wed, 21 Oct 2009 17:02:02 +0100 2915563 http://www.medworm.com/index.php?rid=2915562&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF407%3Frss%3D1 Conclusions: The publication of the Swiss guidelines was followed by significantly improved survival of extremely preterm infants but had no impact on centre-to-centre differences. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915562 Wed, 21 Oct 2009 17:02:02 +0100 2915562 http://www.medworm.com/index.php?rid=2915561&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF402%3Frss%3D1 Conclusions: A single repeat dose of antenatal BM tended not to influence physical growth or neurodevelopment at 2 years of age. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915561 Wed, 21 Oct 2009 17:02:02 +0100 2915561 http://www.medworm.com/index.php?rid=2915560&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF397%3Frss%3D1 Conclusions: FC-sIPPV may safely result in a better patient ventilator synchrony. Inspiratory time usually set in neonatal critical care is higher than that decided by the baby during spontaneous effort. This should be considered when establishing time-cycled ventilation. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915560 Wed, 21 Oct 2009 17:02:01 +0100 2915560 http://www.medworm.com/index.php?rid=2915559&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF394%3Frss%3D1 Conclusion: Joint immobilisation with splint at cannula site did not improve the functional duration of peripheral IV cannula. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915559 Wed, 21 Oct 2009 17:02:01 +0100 2915559 http://www.medworm.com/index.php?rid=2915558&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF392%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915558 Wed, 21 Oct 2009 17:02:01 +0100 2915558 http://www.medworm.com/index.php?rid=2915557&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F6%2FF391%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2915557 Wed, 21 Oct 2009 17:02:01 +0100 2915557 http://www.medworm.com/index.php?rid=2851007&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF384%3Frss%3D1 Screening for fetal anomalies by an ultrasound scan was introduced in many maternity units in the UK in the late 1970s and has become routine in most since then although there is little uniformity as to how the scan is performed and when it is offered. Up to 5% of babies are born with a congenital abnormality. In this review article we will focus on what is already known about screening for the commonest and most serious structural fetal anomalies at the 11–14 and 18–23 week scans, and discuss new techniques that promise to improve the accuracy of screening and diagnosis. Chromosomal abnormalities, "soft markers" and biochemical screening are beyond the scope of this review. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2851007 Fri, 21 Aug 2009 17:02:03 +0100 2851007 http://www.medworm.com/index.php?rid=2851006&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF379%3Frss%3D1 Gastrooesophageal reflux disease (GORD) provides a diagnostic and therapeutic challenge to many neonatologists. Reflux of gastric contents is common in preterm infants but usually not pathological. GORD is frequently diagnosed despite the lack of a fully identified clinical syndrome and of a truly valid diagnostic test. Treatment modalities, for which there is little convincing evidence regarding efficacy, are commonly instigated for troublesome symptoms attributed to GORD. Diagnosis is so problematic in preterm infants that GORD is starting to be described as the clinical syndrome that responds to anti-reflux treatment. We discuss the dilemmas facing us when dealing with this condition, summarise the best available evidence regarding diagnosis and management, and use it to inform a sugges... Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2851006 Fri, 21 Aug 2009 17:02:03 +0100 2851006 http://www.medworm.com/index.php?rid=2851005&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF377%3Frss%3D1 Sudden unexplained collapse within the first 12 h of life is a rare but recognised event. Over a 2-year period, five infants, previously assessed as healthy, were found collapsed in our maternity unit in the care of their primiparous mothers. Two were found prone on their mother’s chest, and two were in their mother’s bed. The outcomes were poor, with four neonatal deaths and one death at 18 months. The rate of sudden unexplained neonatal collapse was 0.4 per 1000 live births. No cause for collapse was identified despite extensive investigations, which included postmortem in all the neonatal deaths. One infant, however, showed widespread antenatal brain damage at postmortem. It is postulated that some infants with an underlying vulnerability may maladapt to extrauterine life fo... Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2851005 Fri, 21 Aug 2009 17:02:03 +0100 2851005 http://www.medworm.com/index.php?rid=2851004&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF373%3Frss%3D1 Conclusion: Pasteurellosis is a rare bacterial infection in neonates and should be considered in the cases of sepsis with history of exposure to domestic animal in either the patient or the mother. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2851004 Fri, 21 Aug 2009 17:02:03 +0100 2851004 http://www.medworm.com/index.php?rid=2851003&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF368%3Frss%3D1 Conclusions: Preterm infants, born small for gestational age, appear to be at risk for increased adiposity, which is a risk factor for the development of the metabolic syndrome. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2851003 Fri, 21 Aug 2009 17:02:03 +0100 2851003 http://www.medworm.com/index.php?rid=2851002&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF363%3Frss%3D1 Conclusion: Extremely preterm SGA infants had excess neonatal mortality and morbidity in terms of necrotising enterocolitis and chronic lung disease. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2851002 Fri, 21 Aug 2009 17:02:03 +0100 2851002 http://www.medworm.com/index.php?rid=2851001&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF360%3Frss%3D1 Conclusions: The efficacy of VCV in very preterm and low birth babies appears to be maintained on longer term evaluation. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2851001 Fri, 21 Aug 2009 17:02:03 +0100 2851001 http://www.medworm.com/index.php?rid=2851000&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF355%3Frss%3D1 Conclusions: IVF-C and to a lesser extent OA-C prematurely born children are taller than otherwise NC children. After ruling out postnatal and parental causes, we speculate that pre- or early implantation factors might have contributed to the taller stature of IVF-C children. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2851000 Fri, 21 Aug 2009 17:02:03 +0100 2851000 http://www.medworm.com/index.php?rid=2850999&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF349%3Frss%3D1 Conclusions: The heterogeneity in study populations, interventions and outcomes precludes definitive conclusions around efficacy. There is preliminary evidence for some therapeutic benefits of music for specific indications; however, these findings need to be confirmed in methodologically rigorous trials. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2850999 Fri, 21 Aug 2009 17:02:02 +0100 2850999 http://www.medworm.com/index.php?rid=2850998&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF345%3Frss%3D1 Conclusion: Rapid measurement of PCT could help to rule out nosocomial infection in newborn infants hospitalised in intensive care units. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2850998 Fri, 21 Aug 2009 17:02:02 +0100 2850998 http://www.medworm.com/index.php?rid=2850997&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2F339%3Frss%3D1 Conclusions: A substantial proportion of preschool children born very preterm show clinically significant problems in at least one neurodevelopmental domain, with impairment in multiple domains being common. There is a need to monitor preschool development across a range of functional domains and to consider the likely cascading effects of multiple impairments on later development. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2850997 Fri, 21 Aug 2009 17:02:02 +0100 2850997 http://www.medworm.com/index.php?rid=2850996&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF336%3Frss%3D1 Conclusions: When giving surfactant during AC/VG ventilation, complete obstruction is common. PIPs increased and remain elevated for 30–60 min. The Pmax setting may restrict tidal volume delivery. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2850996 Fri, 21 Aug 2009 17:02:02 +0100 2850996 http://www.medworm.com/index.php?rid=2850995&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF332%3Frss%3D1 Conclusions: There has been substantial growth over the last decade in the number of UK neonatal units that provide some premedication for non-emergent newborn intubation, increasing from 37% in 1998 to 93% in 2007. This includes a concomitant increase in the use of paralytic drugs from 22% to 78%. However, the variety of drugs used merits further research. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2850995 Fri, 21 Aug 2009 17:02:02 +0100 2850995 http://www.medworm.com/index.php?rid=2850994&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF328%3Frss%3D1 Conclusion: Umbilical cord milking may facilitate early stabilisation of both blood pressure and urine output in very low birth weight infants. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2850994 Fri, 21 Aug 2009 17:02:02 +0100 2850994 http://www.medworm.com/index.php?rid=2850993&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF327%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2850993 Fri, 21 Aug 2009 17:02:02 +0100 2850993 http://www.medworm.com/index.php?rid=2850992&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF323%3Frss%3D1 Conclusions: For such a vitally important topic it is disappointing that there is little existing consensus and no national guidance in the UK. Guidelines for England, Wales and Northern Ireland will be available from 2010, when the National Institute for Health and Clinical Excellence completes its review. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2850992 Fri, 21 Aug 2009 17:02:02 +0100 2850992 http://www.medworm.com/index.php?rid=2850991&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF317%3Frss%3D1 Conclusions: Clinicians should not use extent of cephalocaudal jaundice progression to estimate bilirubin levels during the birth hospitalisation, especially in late preterm infants. However, the complete absence of jaundice can be used to predict with very high accuracy which infants will not develop significant hyperbilirubinaemia. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2850991 Fri, 21 Aug 2009 17:02:02 +0100 2850991 http://www.medworm.com/index.php?rid=2850990&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF314%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2850990 Fri, 21 Aug 2009 17:02:02 +0100 2850990 http://www.medworm.com/index.php?rid=2850989&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF313%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2850989 Fri, 21 Aug 2009 17:02:02 +0100 2850989 http://www.medworm.com/index.php?rid=2724257&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF384%3Frss%3D1 Screening for fetal anomalies by an ultrasound scan was introduced in many maternity units in the UK in the late 1970s and has become routine in most since then although there is little uniformity as to how the scan is performed and when it is offered. Up to 5% of babies are born with a congenital abnormality. In this review article we will focus on what is already known about screening for the commonest and most serious structural fetal anomalies at the 11–14 and 18–23 week scans, and discuss new techniques that promise to improve the accuracy of screening and diagnosis. Chromosomal abnormalities, "soft markers" and biochemical screening are beyond the scope of this review. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724257 Thu, 20 Aug 2009 23:00:00 +0100 2724257 http://www.medworm.com/index.php?rid=2724256&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF379%3Frss%3D1 Gastrooesophageal reflux disease (GORD) provides a diagnostic and therapeutic challenge to many neonatologists. Reflux of gastric contents is common in preterm infants but usually not pathological. GORD is frequently diagnosed despite the lack of a fully identified clinical syndrome and of a truly valid diagnostic test. Treatment modalities, for which there is little convincing evidence regarding efficacy, are commonly instigated for troublesome symptoms attributed to GORD. Diagnosis is so problematic in preterm infants that GORD is starting to be described as the clinical syndrome that responds to anti-reflux treatment. We discuss the dilemmas facing us when dealing with this condition, summarise the best available evidence regarding diagnosis and management, and use it to inform a sugges... Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724256 Thu, 20 Aug 2009 23:00:00 +0100 2724256 http://www.medworm.com/index.php?rid=2724255&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF377%3Frss%3D1 Sudden unexplained collapse within the first 12 h of life is a rare but recognised event. Over a 2-year period, five infants, previously assessed as healthy, were found collapsed in our maternity unit in the care of their primiparous mothers. Two were found prone on their mother’s chest, and two were in their mother’s bed. The outcomes were poor, with four neonatal deaths and one death at 18 months. The rate of sudden unexplained neonatal collapse was 0.4 per 1000 live births. No cause for collapse was identified despite extensive investigations, which included postmortem in all the neonatal deaths. One infant, however, showed widespread antenatal brain damage at postmortem. It is postulated that some infants with an underlying vulnerability may maladapt to extrauterine life fo... Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724255 Thu, 20 Aug 2009 23:00:00 +0100 2724255 http://www.medworm.com/index.php?rid=2724254&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF373%3Frss%3D1 Conclusion: Pasteurellosis is a rare bacterial infection in neonates and should be considered in the cases of sepsis with history of exposure to domestic animal in either the patient or the mother. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724254 Thu, 20 Aug 2009 23:00:00 +0100 2724254 http://www.medworm.com/index.php?rid=2724253&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF368%3Frss%3D1 Conclusions: Preterm infants, born small for gestational age, appear to be at risk for increased adiposity, which is a risk factor for the development of the metabolic syndrome. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724253 Thu, 20 Aug 2009 23:00:00 +0100 2724253 http://www.medworm.com/index.php?rid=2724252&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF363%3Frss%3D1 Conclusion: Extremely preterm SGA infants had excess neonatal mortality and morbidity in terms of necrotising enterocolitis and chronic lung disease. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724252 Thu, 20 Aug 2009 23:00:00 +0100 2724252 http://www.medworm.com/index.php?rid=2724251&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF360%3Frss%3D1 Conclusions: The efficacy of VCV in very preterm and low birth babies appears to be maintained on longer term evaluation. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724251 Thu, 20 Aug 2009 23:00:00 +0100 2724251 http://www.medworm.com/index.php?rid=2724250&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF355%3Frss%3D1 Conclusions: IVF-C and to a lesser extent OA-C prematurely born children are taller than otherwise NC children. After ruling out postnatal and parental causes, we speculate that pre- or early implantation factors might have contributed to the taller stature of IVF-C children. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724250 Thu, 20 Aug 2009 23:00:00 +0100 2724250 http://www.medworm.com/index.php?rid=2724249&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF349%3Frss%3D1 Conclusions: The heterogeneity in study populations, interventions and outcomes precludes definitive conclusions around efficacy. There is preliminary evidence for some therapeutic benefits of music for specific indications; however, these findings need to be confirmed in methodologically rigorous trials. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724249 Thu, 20 Aug 2009 23:00:00 +0100 2724249 http://www.medworm.com/index.php?rid=2724248&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF345%3Frss%3D1 Conclusion: Rapid measurement of PCT could help to rule out nosocomial infection in newborn infants hospitalised in intensive care units. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724248 Thu, 20 Aug 2009 23:00:00 +0100 2724248 http://www.medworm.com/index.php?rid=2724247&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2F339%3Frss%3D1 Conclusions: A substantial proportion of preschool children born very preterm show clinically significant problems in at least one neurodevelopmental domain, with impairment in multiple domains being common. There is a need to monitor preschool development across a range of functional domains and to consider the likely cascading effects of multiple impairments on later development. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724247 Thu, 20 Aug 2009 23:00:00 +0100 2724247 http://www.medworm.com/index.php?rid=2724246&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF336%3Frss%3D1 Conclusions: When giving surfactant during AC/VG ventilation, complete obstruction is common. PIPs increased and remain elevated for 30–60 min. The Pmax setting may restrict tidal volume delivery. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724246 Thu, 20 Aug 2009 23:00:00 +0100 2724246 http://www.medworm.com/index.php?rid=2724245&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF332%3Frss%3D1 Conclusions: There has been substantial growth over the last decade in the number of UK neonatal units that provide some premedication for non-emergent newborn intubation, increasing from 37% in 1998 to 93% in 2007. This includes a concomitant increase in the use of paralytic drugs from 22% to 78%. However, the variety of drugs used merits further research. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724245 Thu, 20 Aug 2009 23:00:00 +0100 2724245 http://www.medworm.com/index.php?rid=2724244&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF328%3Frss%3D1 Conclusion: Umbilical cord milking may facilitate early stabilisation of both blood pressure and urine output in very low birth weight infants. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724244 Thu, 20 Aug 2009 23:00:00 +0100 2724244 http://www.medworm.com/index.php?rid=2724243&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF327%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724243 Thu, 20 Aug 2009 23:00:00 +0100 2724243 http://www.medworm.com/index.php?rid=2724242&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF323%3Frss%3D1 Conclusions: For such a vitally important topic it is disappointing that there is little existing consensus and no national guidance in the UK. Guidelines for England, Wales and Northern Ireland will be available from 2010, when the National Institute for Health and Clinical Excellence completes its review. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724242 Thu, 20 Aug 2009 23:00:00 +0100 2724242 http://www.medworm.com/index.php?rid=2724241&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF317%3Frss%3D1 Conclusions: Clinicians should not use extent of cephalocaudal jaundice progression to estimate bilirubin levels during the birth hospitalisation, especially in late preterm infants. However, the complete absence of jaundice can be used to predict with very high accuracy which infants will not develop significant hyperbilirubinaemia. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724241 Thu, 20 Aug 2009 23:00:00 +0100 2724241 http://www.medworm.com/index.php?rid=2724240&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF314%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724240 Thu, 20 Aug 2009 23:00:00 +0100 2724240 http://www.medworm.com/index.php?rid=2724239&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F5%2FF313%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2724239 Thu, 20 Aug 2009 23:00:00 +0100 2724239 http://www.medworm.com/index.php?rid=2504535&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF312-a%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504535 Thu, 18 Jun 2009 23:00:00 +0100 2504535 http://www.medworm.com/index.php?rid=2504534&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF312%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504534 Thu, 18 Jun 2009 23:00:00 +0100 2504534 http://www.medworm.com/index.php?rid=2504533&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF311%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504533 Thu, 18 Jun 2009 23:00:00 +0100 2504533 http://www.medworm.com/index.php?rid=2504532&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF307%3Frss%3D1 Meticillin resistant Staphylococcus aureus (MRSA) can cause serious infections in the newborn. While audit may show that a neonatal unit’s main cause of infective morbidity is the coagulase negative staphylococcus, health authorities and politicians fear the implications of MRSA and its impact on the general public. MRSA causes mortality and morbidity in other areas of hospitals in the UK and in many other countries and there is an uneasy acceptance that this is now the established norm. However, MRSA in the neonatal unit carries sensitivities which have a huge impact on the reactions of health authorities, politicians and the press. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504532 Thu, 18 Jun 2009 23:00:00 +0100 2504532 http://www.medworm.com/index.php?rid=2504531&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF304%3Frss%3D1 Conclusions: The IL-6 (–174) C/C and G/C genotypes were associated with mental retardation in cPVL and seem to modify the severity of perinatal brain injury. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504531 Thu, 18 Jun 2009 23:00:00 +0100 2504531 http://www.medworm.com/index.php?rid=2504530&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF301%3Frss%3D1 To investigate whether valid respiratory data can be extracted from the pulse oximeter plethysmographic (pleth) trace in healthy newborn infants, pleth data were collected from the foot, and respiratory airflow was simultaneously measured using a facemask. The pleth waveform was analysed using fast Fourier transform (FFT), low-pass filtering (LPF), and by plotting the peak-to-peak amplitude variation (PtP). Using FFT in 14 term infants, the median (range) respiratory rate from the pleth signal was 43 (30–65) breaths/min, and from the flow signal it was 44 (30–67) breaths/min (median difference 0.01 breaths/min, p>0.05). Both LPF and PtP analysis yielded waveforms with a frequency similar to the respiratory rate. Respiratory information, including respiratory rate and a respi... Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504530 Thu, 18 Jun 2009 23:00:00 +0100 2504530 http://www.medworm.com/index.php?rid=2504529&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF298%3Frss%3D1 Conclusions: Polyurethane central venous catheters have a greater pressure tolerance than silicone catheters and are less likely to rupture under experimental conditions. Obstructed silicone catheters rupture easily when flushed. Catheters were not tested in human infants. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504529 Thu, 18 Jun 2009 23:00:00 +0100 2504529 http://www.medworm.com/index.php?rid=2504528&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF294%3Frss%3D1 Conclusions: Close supervision and follow-up by paediatric nurse specialists of preterm infants discharged early with tube feeding appears to increase duration of breast feeding. A randomised controlled trial to confirm these findings is warranted. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504528 Thu, 18 Jun 2009 23:00:00 +0100 2504528 http://www.medworm.com/index.php?rid=2504527&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF290%3Frss%3D1 Conclusions: Neonates requiring surgical care in England often need transfer beyond the local network. The reasons for this need further investigation by a prospective audit of access to neonatal surgical care. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504527 Thu, 18 Jun 2009 23:00:00 +0100 2504527 http://www.medworm.com/index.php?rid=2504526&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF283%3Frss%3D1 Conclusions: Extremely preterm survivors remain at high risk for learning impairments and poor academic attainment in middle childhood. A significant proportion require full-time specialist education and over half of those attending mainstream schools require additional health or educational resources to access the national curriculum. The prevalence and impact of SEN are likely to increase as these children approach the transition to secondary school. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504526 Thu, 18 Jun 2009 23:00:00 +0100 2504526 http://www.medworm.com/index.php?rid=2504525&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF279%3Frss%3D1 Conclusions: Despite permissive hypercapnia, VT requirement rises with advancing postnatal age in ELBW infants. The increase is greatest during the third week of life, which is probably due to distension of the upper airways (acquired tracheomegaly) and increasing heterogeneity of lung inflation (increased alveolar dead space). (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504525 Thu, 18 Jun 2009 23:00:00 +0100 2504525 http://www.medworm.com/index.php?rid=2504524&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF275%3Frss%3D1 Conclusions: The introduction of a prophylactic nystatin administration policy for babies born before 33 weeks was associated with a significant reduction in fungal colonisation and invasive fungal infection. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504524 Thu, 18 Jun 2009 23:00:00 +0100 2504524 http://www.medworm.com/index.php?rid=2504523&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF268%3Frss%3D1 Conclusion: Current available evidence suggests that fetuses with isolated gastroschisis and bowel dilatation are not at increased risk of adverse perinatal outcome compared to those without bowel dilatation. However, there is a paucity of studies, and a randomised controlled trial is urgently needed. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504523 Thu, 18 Jun 2009 23:00:00 +0100 2504523 http://www.medworm.com/index.php?rid=2504522&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF265%3Frss%3D1 Conclusion: The presence of isolated SUA is associated with increased risk of prematurity and fetal growth restriction. In this largest series of isolated SUA, there was no excess of significant renal malformations among infants with isolated SUA. Postnatal renal ultrasonography is not routinely warranted in such infants. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504522 Thu, 18 Jun 2009 23:00:00 +0100 2504522 http://www.medworm.com/index.php?rid=2504521&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF260%3Frss%3D1 Conclusion: In the UK, therapeutic hypothermia following perinatal asphyxia is increasingly being provided. The target body temperature is successfully achieved and the clinical complications observed were not attributed to hypothermia. Treatment with hypothermia may have prevented the worsening of the encephalopathy that is commonly observed following asphyxia. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504521 Thu, 18 Jun 2009 23:00:00 +0100 2504521 http://www.medworm.com/index.php?rid=2504520&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF257%3Frss%3D1 Conclusions: These data suggest that the TNF (–308A) polymorphism is not strongly associated with the risk of developing BPD in very preterm infants. The 95% confidence interval is consistent with an association no stronger than a relative increase in risk of 25%. Future research efforts to define genetic predisposition to BPD should focus on alternative candidate genes. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504520 Thu, 18 Jun 2009 23:00:00 +0100 2504520 http://www.medworm.com/index.php?rid=2504519&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF253%3Frss%3D1 Conclusions: Variation in the rate of very preterm delivery has a major influence on reported neonatal death rates. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504519 Thu, 18 Jun 2009 23:00:00 +0100 2504519 http://www.medworm.com/index.php?rid=2504518&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF249%3Frss%3D1 Conclusions: The majority of units currently use an opiate as the drug of first choice as recommended. Doses utilised and second agents added vary significantly between units. Many of our findings reflect the lack of high-quality randomised studies regarding management of NAS. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504518 Thu, 18 Jun 2009 23:00:00 +0100 2504518 http://www.medworm.com/index.php?rid=2504517&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF245%3Frss%3D1 Conclusion: A variable flow NCPAP device may be more effective in treating AOP in preterm infants than a conventional ventilator in NIPPV mode. It remains unclear whether synchronised NIPPV would be even more effective. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504517 Thu, 18 Jun 2009 23:00:00 +0100 2504517 http://www.medworm.com/index.php?rid=2504516&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF241%3Frss%3D1 Conclusions: Blood pressure spontaneously improves in ELBW infants during the first 24 h. Infants hypotensive on GA criteria but with clinical evidence of good perfusion had as good an outcome as normotensive patients. Treated low blood pressure was associated with adverse outcome. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504516 Thu, 18 Jun 2009 23:00:00 +0100 2504516 http://www.medworm.com/index.php?rid=2504515&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF240%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504515 Thu, 18 Jun 2009 23:00:00 +0100 2504515 http://www.medworm.com/index.php?rid=2504514&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF236%3Frss%3D1 Conclusions: Preterm infants are commonly exposed to excipients, some of which are potentially toxic. Strategies aimed at reducing excipient load in preterm infants are urgently required (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504514 Thu, 18 Jun 2009 23:00:00 +0100 2504514 http://www.medworm.com/index.php?rid=2504513&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F4%2FF235%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2504513 Thu, 18 Jun 2009 23:00:00 +0100 2504513 http://www.medworm.com/index.php?rid=2353156&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF233-a%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353156 Tue, 21 Apr 2009 04:00:00 +0100 2353156 http://www.medworm.com/index.php?rid=2353155&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF233%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353155 Tue, 21 Apr 2009 04:00:00 +0100 2353155 http://www.medworm.com/index.php?rid=2353154&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF232%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353154 Tue, 21 Apr 2009 04:00:00 +0100 2353154 http://www.medworm.com/index.php?rid=2353153&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF231%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353153 Tue, 21 Apr 2009 04:00:00 +0100 2353153 http://www.medworm.com/index.php?rid=2353152&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF230%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353152 Tue, 21 Apr 2009 04:00:00 +0100 2353152 http://www.medworm.com/index.php?rid=2353151&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF229-a%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353151 Tue, 21 Apr 2009 04:00:00 +0100 2353151 http://www.medworm.com/index.php?rid=2353150&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF229%3Frss%3D1 (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353150 Tue, 21 Apr 2009 04:00:00 +0100 2353150 http://www.medworm.com/index.php?rid=2353149&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF226%3Frss%3D1 Clinician, physiologist and teacher, Smith may be justly regarded as the father of modern neonatal medicine. He also appreciated the importance of prenatal medicine. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353149 Tue, 21 Apr 2009 04:00:00 +0100 2353149 http://www.medworm.com/index.php?rid=2353148&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF218%3Frss%3D1 A considerable body of human and animal experimental evidence links antenatal inflammation to both accelerated maturation and adverse development of the lung. Initial reports suggest that in preterm infants histological chorioamnionitis is associated with a decreased incidence of respiratory distress syndrome (RDS), while the incidence of bronchopulmonary dysplasia (BPD) is increased. Considerable variation exists in the findings of subsequent human studies, largely dependent on differences in inclusion and exclusion criteria. Taking these differences into account, recent studies generally seem to confirm the effect of chorioamnionitis on RDS incidence, while no effect on BPD is seen. The increased use of antenatal steroids and the diminished effects of secondary pro-inflammatory hits seem... Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353148 Tue, 21 Apr 2009 04:00:00 +0100 2353148 http://www.medworm.com/index.php?rid=2353147&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF216%3Frss%3D1 Conclusions: Benzoate infusion of the mother shortly before birth is safe and results in therapeutic levels of benzoate in umbilical cord blood. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353147 Tue, 21 Apr 2009 04:00:00 +0100 2353147 http://www.medworm.com/index.php?rid=2353146&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF210%3Frss%3D1 Conclusions: Incidents occur much more frequently in Dutch NICUs than has been previously observed, and their impact on patient morbidity is considerable. Reported incidents concerning mechanical ventilation, blood products, intravascular lines, parenteral nutrition and medication dosing errors pose the highest risk to patients in the NICU. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353146 Tue, 21 Apr 2009 04:00:00 +0100 2353146 http://www.medworm.com/index.php?rid=2353145&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF205%3Frss%3D1 Conclusion: Exhaled nitric oxide levels are raised in infants with established BPD, particularly in those developing moderate or severe BPD, and may reflect ongoing inflammation. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353145 Tue, 21 Apr 2009 04:00:00 +0100 2353145 http://www.medworm.com/index.php?rid=2353144&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF201%3Frss%3D1 Conclusion: Neonatal and developmental outcome of fetuses treated for severe anaemia is comparable to cases of mild anaemia. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353144 Tue, 21 Apr 2009 04:00:00 +0100 2353144 http://www.medworm.com/index.php?rid=2353143&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF196%3Frss%3D1 Conclusions: Prematurity as well as the timing of growth retardation are important for later intelligence. Parental education, however, best predicted later intelligence in very preterm or very low birthweight infants. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353143 Tue, 21 Apr 2009 04:00:00 +0100 2353143 http://www.medworm.com/index.php?rid=2353142&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF193%3Frss%3D1 Conclusions: SGA infants who underwent eye screening in the Lothian region of south east Scotland from 1990 to 2004 were significantly more likely to develop ROP and more severe disease than AGA infants. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353142 Tue, 21 Apr 2009 04:00:00 +0100 2353142 http://www.medworm.com/index.php?rid=2353141&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF188%3Frss%3D1 Conclusions: Our data show that a variable rate of apnoeas can be triggered by GER in very preterm infants. Further studies are needed to recognise clinical features that identify those patients who are more susceptible to GER-triggered apnoeas. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353141 Tue, 21 Apr 2009 04:00:00 +0100 2353141 http://www.medworm.com/index.php?rid=2353140&cid=s_32766_69_f&fid=32766&url=http%3A%2F%2Ffn.bmj.com%2Fcgi%2Fcontent%2Fshort%2F94%2F3%2FF183%3Frss%3D1 Conclusion: Screening for PVG-US is a useful, easy and quick bedside test with a high specificity for NEC. Moreover, these results question the value of the Walsh criteria in the diagnosis of NEC. (Source: Archives of Disease in Childhood - Fetal and Neonatal Edition) Archives of Disease in Childhood - Fetal and Neonatal Edition journals http://www.medworm.com/rss/comments.php?id=2353140 Tue, 21 Apr 2009 04:00:00 +0100 2353140