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Visual Diagnosis: Skin Ulcerations in a Preterm Newborn (Click here)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - November 2, 2009 Category: Pediatrics Authors: Wambach, J., Morley, S. C. Tags: Fetus and Newborn Infant Visual Diagnosis Source Type: info

Strip of the Month: November 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - November 2, 2009 Category: Pediatrics Authors: Druzin, M. L., Peterson, N. Tags: Fetus and Newborn Infant Articles Source Type: info

Index of Suspicion in the Nursery: My Baby is Breathing Funny and Won't EatEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - November 2, 2009 Category: Pediatrics Authors: Posner, K. R. Tags: Fetus and Newborn Infant, Metabolic Disorders Articles Source Type: info

Dogma Disputed: Why Intravenous Sodium Bicarbonate Doesn't WorkEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sodium bicarbonate is an ideal buffer for the treatment of metabolic acidosis if the following conditions are present: 1) the desired pH is close to 6.1, 2) the recipient has the ability to excrete instantly any additional carbon dioxide generated, and 3) the additional osmoles do not shift the pKa of all buffers downward. Unfortunately, none of these three conditions are met. Intravenous sodium bicarbonate might provide a benefit if the patient who has metabolic acidosis needs more extracellular fluid volume (eg, those who have lactic acidosis). However, in trials comparing the effect of sodium bicarbonate with sodium chl...
Source: NeoReviews recent issues - November 2, 2009 Category: Pediatrics Authors: Poland, R. L. Tags: Fetus and Newborn Infant, Metabolic Disorders Articles Source Type: info

Retinopathy of Prematurity: Clinical Insights from Molecular StudiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Retinopathy of prematurity (ROP) is a clinically multifactorial process characterized by the aberrant vascularization of the retina that has potentially devastating effects on vision in preterm infants. Despite an appreciation for the postnatal risk factors that contribute to the development of ROP, this condition continues to be a major cause of childhood blindness. Studies using the mouse model of oxygen-induced retinopathy (OIR) have identified new therapeutic targets that may be used to guide treatment and determine which babies are at highest risk for ROP development. Such factors include the hypoxia-driven proteins v...
Source: NeoReviews recent issues - November 2, 2009 Category: Pediatrics Authors: Heidary, G., Lofqvist, C., Mantagos, I. S., Vanderveen, D. K., Hellstrom, A., Smith, L. E. Tags: Fetus and Newborn Infant, Disorders of the Eye Articles Source Type: info

Comprehensive First-trimester Prenatal AssessmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Comprehensive first-trimester pregnancy evaluation is a work in progress. The evolution of screening strategies has distilled a combination of maternal factors, early pregnancy analytes in maternal serum, and fetal sonographic parameters into carefully derived risk assessment algorithms. This integrated approach, almost continually supplemented by new information derived from large population-based studies, individualizes assessment to each mother-placenta-fetus triad. Early and accurate, this assessment potentiates informed decision-making and prenatal management. Invasive testing can be limited to those at high risk, dec...
Source: NeoReviews recent issues - November 2, 2009 Category: Pediatrics Authors: Miller, J., Harman, C. Tags: Fetus and Newborn Infant Articles Source Type: info

Neonatal Informatics--Dream of a Paperless NICU: Part Two: Understanding Clinical ExpertiseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Expert versus novice clinical data gathering, cognitive modeling strategies, and physical skills for evaluating medical problems differ markedly in complexity, clinical accuracy, and speed. Experts’ mental models develop during a decade of education and practical training. Clinical experts use data-based clinical information flow in near real-time to assess complex intensive care unit (ICU) situations and to act definitively and correctly within 2 to 30 seconds of acute problem recognition. Critical care bedside medical management of unstable neonates, when parents are present, challenges all existing clinical proces...
Source: NeoReviews recent issues - November 2, 2009 Category: Pediatrics Authors: Drummond, W. H. Tags: Fetus and Newborn Infant Articles Source Type: info

Visual Diagnosis: Cheek Redness in a Newborn (Click here)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - October 1, 2009 Category: Pediatrics Authors: Kitcharoensakkul, M., Najaf, T. A. Tags: Fetus and Newborn Infant Visual Diagnosis Source Type: info

Strip of the Month: October 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - October 1, 2009 Category: Pediatrics Authors: Druzin, M. L., Arafeh, J. M.R. Tags: Fetus and Newborn Infant Articles Source Type: info

Index of Suspicion in the NurseryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - October 1, 2009 Category: Pediatrics Authors: Smith, H., Vachharajani, A. Tags: Fetus and Newborn Infant, Genetics/Dysmorphology Articles Source Type: info

Asymmetric Crying FaciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Asymmetric crying facies (ACF) refers to a neonate or infant whose face appears symmetric at rest and asymmetric during crying as the mouth is pulled downward on one side while not moving on the other side. It is a minor anomaly found in 1 per 160 live births and is caused by hypoplasia or agenesis of the depressor anguli oris muscle (DAOM) or compression of one of the branches of the facial nerve. Associated major and minor malformations as well as deformations have been described. The risk of associated major anomalies with ACF is 3.5-fold higher compared with the general population. Such anomalies are most common in the...
Source: NeoReviews recent issues - October 1, 2009 Category: Pediatrics Authors: Shapira, M., Borochowitz, Z. U. Tags: Fetus and Newborn Infant, Genetics/Dysmorphology Articles Source Type: info

Neonatal Vocal Cord ParalysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Neonatal vocal cord paralysis (VCP) remains an important cause of acute and chronic respiratory compromise in infants. Despite a normal cry, infants who have bilateral VCP may present with marked respiratory distress, and emergency tracheostomy is a lifesaving procedure in the most severe cases. Unilateral VCP usually causes more pronounced abnormalities of the infant's voice, but respiratory symptoms are typically mild. VCP most commonly results from iatrogenic causes due to injury to the left recurrent laryngeal nerve during cardiac surgery. VCP also can result from congenital or neurologic disorders. Vocal cord dysfunct...
Source: NeoReviews recent issues - October 1, 2009 Category: Pediatrics Authors: Benjamin, J. R., Goldberg, R. N., Malcolm, W. F. Tags: Fetus and Newborn Infant, Respiratory Disorders Articles Source Type: info

Management of MicrognathiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Micrognathia and the associated retroposition of the tongue into the oropharynx (glossoptosis) can obstruct the upper airway, producing obstructive apnea. The primary management of respiratory compromise in patients who have micrognathia is controversial. Numerous modalities have been used, including prone positioning, nasopharyngeal airways, tongue-lip adhesion, mandibular distraction, and tracheostomy. The goal of any intervention is to relieve airway obstruction, with secondary goals reported in the literature including avoidance or early removal of tracheostomy, improvement in feeding, and accelerated growth. This revi...
Source: NeoReviews recent issues - October 1, 2009 Category: Pediatrics Authors: Thimmappa, B., Hopkins, E., Schendel, S. A. Tags: Fetus and Newborn Infant, Respiratory Disorders Articles Source Type: info

Neonatal Informatics--Dream of a Paperless NICU: Part One: The Emergence of Neonatal InformaticsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Attempts to "computerize neonatal intensive care units (NICUs)" emerged simultaneously with the development of neonatology, beginning in the 1960s. The academic underpinnings to inform prior computerization attempts awaited the birth of the newly emerging fields contained in "health-care informatics." Decades of attempts to computerize the NICU environment have produced local, partial successes, including successful installation of computerized monitors that report trends, buying or developing systems that produce letters from coded fact sheets, and development of many focused computer utilities to perform care task-relate...
Source: NeoReviews recent issues - October 1, 2009 Category: Pediatrics Authors: Drummond, W. H. Tags: Fetus and Newborn Infant Articles Source Type: info

Neonatal Informatics SeriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - October 1, 2009 Category: Pediatrics Authors: Philip, A. G.S. Tags: Fetus and Newborn Infant Commentaries Source Type: info

Visual Diagnosis: Respiratory Distress and Feeding Intolerance in a 3-day-old Newborn (Click here)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - August 31, 2009 Category: Pediatrics Authors: Wegner, J. L., Anderson, J. M. Tags: Fetus and Newborn Infant Visual Diagnosis Source Type: info

Strip of the Month: September 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - August 31, 2009 Category: Pediatrics Authors: Druzin, M. L., Peterson, N. Tags: Fetus and Newborn Infant Articles Source Type: info

Index of Suspicion in the NurseryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - August 31, 2009 Category: Pediatrics Authors: Arevalo, A., Wetzel, G. T., Cabrera, A. G. Tags: Fetus and Newborn Infant, Cardiovascular Disorders Articles Source Type: info

Preeclampsia and Neonatal NeutropeniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Neutropenia is a common hematologic disorder in the newborn intensive care unit, particularly in preterm neonates. Although its cause varies, a significant proportion of the episodes are associated with pregnancy complicated by preeclampsia. In this review, we provide a brief overview of preeclampsia and neonatal neutropenia, with a focus on the neonatal neutropenia associated with maternal preeclampsia. We discuss potential contributory mechanisms to and the natural history of this type of neutropenia, as well as reasonable management strategies in affected neonates. (Source: NeoReviews recent issues)
Source: NeoReviews recent issues - August 31, 2009 Category: Pediatrics Authors: Moallem, M., Koenig, J. M. Tags: Fetus and Newborn Infant, Disorders of Blood/Neoplasms Articles Source Type: info

Immune-mediated Neutropenia in the NeonateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the clinical presentation, laboratory diagnosis, and treatment options for these three disorders. (Source: NeoReviews recent issues)
Source: NeoReviews recent issues - August 31, 2009 Category: Pediatrics Authors: Black, L. V., Maheshwari, A. Tags: Fetus and Newborn Infant, Disorders of Blood/Neoplasms Articles Source Type: info

Thrombocytopenia in the Neonatal Intensive Care UnitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides state-of-the art information on the pathophysiology, diagnosis, and treatment of neonatal thrombocytopenia. Specifically, the risks associated with low platelet counts in neonates are discussed, and a practical approach to the differential diagnosis of neonates who develop thrombocytopenia is provided. Current recommendations for the management of immune and nonimmune varieties of thrombocytopenia also are reviewed, with an emphasis on the risks and benefits associated with platelet transfusions in this age group. (Source: NeoReviews recent issues)
Source: NeoReviews recent issues - August 31, 2009 Category: Pediatrics Authors: Saxonhouse, M. A., Sola-Visner, M. C. Tags: Fetus and Newborn Infant, Disorders of Blood/Neoplasms Articles Source Type: info

Educational Perspectives: Modeling Expertise in Medical EducationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - August 31, 2009 Category: Pediatrics Authors: Leonard, D. T., Anderson, J. M. Tags: Fetus and Newborn Infant Articles Source Type: info

Visual Diagnosis: Elevated Right Hemi-diaphragm in a Newborn (Click here)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - July 30, 2009 Category: Pediatrics Authors: Vachharajani, A., Keswani, S. G., Warner, B. W. Tags: Fetus and Newborn Infant Visual Diagnosis Source Type: info

Strip of the Month: August 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - July 30, 2009 Category: Pediatrics Authors: Druzin, M. L., Arafeh, J. M.R. Tags: Fetus and Newborn Infant Articles Source Type: info

Index of Suspicion in the NurseryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - July 30, 2009 Category: Pediatrics Authors: Podraza, J. Tags: Fetus and Newborn Infant, Endocrine Disorders Articles Source Type: info

Metabolic Bone Disease of PrematurityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The incidence of metabolic bone disease (MBD) in preterm infants has been declining due to advances in nutritional care. Although the terms osteopenia and rickets have been used in the literature, MBD of prematurity is the preferred terminology for this condition. Despite the use of human milk fortifiers and commercial infant formulas specified for this population, MBD remains an important cause of morbidity in preterm infants. This review focuses on the physiology of intrauterine bone growth, the development of MBD in preterm infants, the various risk factors for MBD, pitfalls in diagnosis, prevention, and treatment of MB...
Source: NeoReviews recent issues - July 30, 2009 Category: Pediatrics Authors: Vachharajani, A. J., Mathur, A. M., Rao, R. Tags: Fetus and Newborn Infant, Musculoskeletal Disorders, Metabolic Disorders Articles Source Type: info

Treatment of Latent Tuberculosis InfectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Latent tuberculosis infection (LTBI) is the most common source for active tuberculosis (TB), and its treatment remains an important cornerstone of global TB eradication. Although pregnancy may represent a unique time during which LTBI may be treated successfully, pregnancy and the postpartum period have been recognized as periods during which the risk of hepatitis from isoniazid (INH), the drug of choice for LTBI, may be increased. Thus, recommendations have suggested postponing treatment of LTBI until the postpartum period. Recent programs indicate that in properly designed surveillance programs, the risk of INH-induced h...
Source: NeoReviews recent issues - July 30, 2009 Category: Pediatrics Authors: Kessler, M., Smith, J. F. Tags: Fetus and Newborn Infant, Infectious Diseases, Respiratory Disorders Articles Source Type: info

Epigenetics and Neonatology: The Birth of a New EraEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although an individual's cells all have the same DNA, each cell type has a different pattern of active (expressed) and inactive genes. Such patterns are established or programmed during development by epigenetic modifications involving small molecules that covalently bind to specific sites in DNA or DNA-packaging proteins. The modifications regulate gene activity without changing the DNA sequence. Diet, lifestyle factors, and exposure to toxins or other adverse factors as well as random epigenetic mutations can result in de novo epigenetic modifications that may influence the course of development. The perinatal period is ...
Source: NeoReviews recent issues - July 30, 2009 Category: Pediatrics Authors: Morley, R., Saffery, R., Hacking, D. F., Craig, J. M. Tags: Fetus and Newborn Infant, Genetics/Dysmorphology Articles Source Type: info

International Perspectives: Late-onset Circulatory Collapse in Very Low-birthweight Infants: A Japanese PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The number of reports of sudden deterioration in blood pressure with concomitant decrease of urine output among extremely low-birthweight (ELBW) infants whose general condition is stable have increased recently in Japan. This disorder is clearly different from an unstable circulatory status during the acute phase soon after delivery. The disorder usually occurs more than 1 week after birth, when the infant's circulatory status already is stable. Blood pressure in such hypotensive infants cannot be restored with volume expanders or inotropic agents; it only improves with glucocorticoid administration. The efficacy of steroi...
Source: NeoReviews recent issues - July 30, 2009 Category: Pediatrics Authors: Miwa, M., Kusuda, S., Ikeda, K. Tags: Fetus and Newborn Infant, Critical Care, Cardiovascular Disorders Articles Source Type: info

Visual Diagnosis: Large Neck and Chest Mass in a Newborn (Click here)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - June 30, 2009 Category: Pediatrics Authors: Hossein, F. S., Mohammad, K., Shahin, N. Tags: Fetus and Newborn Infant Visual Diagnosis Source Type: info

Strip of the Month: July 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - June 30, 2009 Category: Pediatrics Authors: Druzin, M. L., Peterson, N. Tags: Fetus and Newborn Infant Articles Source Type: info

Index of Suspicion in the NurseryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - June 30, 2009 Category: Pediatrics Authors: Moussa, A., Smyth, J. Tags: Fetus and Newborn Infant, Disorders of Blood/Neoplasms Articles Source Type: info

Core Concepts: Respiratory Distress SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Respiratory distress syndrome (RDS) is seen primarily in the preterm neonate and is due mostly to pulmonary surfactant deficiency. Lung atelectasis leads to ventilation-perfusion mismatching, hypoxia, and eventual respiratory failure in the untreated infant who has RDS. RDS is diagnosed by physical findings consistent with respiratory distress and characteristic radiographic findings. Treatment of RDS begins antenatally with the administration of maternal steroids to women at risk of preterm delivery between 24 and 34 weeks’ gestation. The use of repeat doses of antenatal steroids is under investigation but is curren...
Source: NeoReviews recent issues - June 30, 2009 Category: Pediatrics Authors: Warren, J. B., Anderson, J. M. Tags: Fetus and Newborn Infant, Respiratory Disorders Articles Source Type: info

Short Bowel Syndrome: Complications, Treatment, and Remaining QuestionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This review deals with the complications and treatment of short bowel syndrome (SBS), addressing the psychosocial, medical, and surgical complications in children receiving long-term parenteral nutrition (PN) support, as well as factors that affect the intestinal adaptation process. Whenever possible, as much of the colon as possible is retained in continuity because the colon is an avid absorber of sodium. It is also important for clinicians to be aware of the important absorption mechanisms in the different regions of the bowel. For example, resection of the terminal ileum removes vitamin B12 transporters and active sodi...
Source: NeoReviews recent issues - June 30, 2009 Category: Pediatrics Authors: Navarro, F., Gleason, W. A., Rhoads, J. M., Quiros-Tejeira, R. E. Tags: Fetus and Newborn Infant, Gastrointestinal Disorders Articles Source Type: info

Short Bowel Syndrome: Epidemiology, Pathophysiology, and AdaptationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Short bowel syndrome (SBS) is a relatively common, often lethal, and highly costly medical problem in North America. Necrotizing enterocolitis (NEC) is the leading cause of SBS in the United States. An important fact to remember is that the length of the small bowel in a 28-week preterm infant is about 150 cm and in a term infant is about 250 cm. Twenty percent of this length is generally sufficient to allow dependence on parenteral nutrition (PN) via intestinal adaptation. This process is driven by significant increases in circulating trophic hormones, such as cholecystokinin, epidermal and keratinocyte growth factors, gr...
Source: NeoReviews recent issues - June 30, 2009 Category: Pediatrics Authors: Navarro, F., Gleason, W. A., Rhoads, J. M., Quiros-Tejeira, R. E. Tags: Fetus and Newborn Infant, Gastrointestinal Disorders Articles Source Type: info

International Perspectives: Neonatology Above the Arctic CircleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - June 30, 2009 Category: Pediatrics Authors: Klingenberg, C., Kaaresen, P. I., Dahl, L. B. Tags: Fetus and Newborn Infant Articles Source Type: info

Visual Diagnosis: Irregular Heart Rate in a 3-hour-old Newborn (Click here)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - June 1, 2009 Category: Pediatrics Authors: Akula, V. P. Tags: Fetus and Newborn Infant Visual Diagnosis Source Type: info

Strip of the Month: June 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - June 1, 2009 Category: Pediatrics Authors: Druzin, M. L., Arafeh, J. M.R. Tags: Fetus and Newborn Infant Articles Source Type: info

Index of Suspicion in the NurseryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - June 1, 2009 Category: Pediatrics Authors: George, M., Sheroff, A., Ewald, M. B., Shannon, M. Tags: Fetus and Newborn Infant, Poisoning Articles Source Type: info

Infants Born Late Preterm: Indications and Recommendations for Obstetric CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The preterm birth rate in the United States continues to rise, and the long-term consequences of prematurity are innumerable. Late preterm births account for most of the rise in preterm births, and such infants have increased morbidity and mortality compared with their term counterparts. Delivery indications for late preterm births include preterm labor, maternal comorbidities (diabetes, hypertensive disorders), multiple gestations, and fetal problems (abnormal growth, amniotic fluid abnormalities). In a pregnancy with these high-risk issues, delivery timing is determined to optimize maternal and fetal health and minimize ...
Source: NeoReviews recent issues - June 1, 2009 Category: Pediatrics Authors: Kominiarek, M. A. Tags: Fetus and Newborn Infant Articles Source Type: info

Infants Born Late Preterm: Epidemiology, Trends, and Morbidity RiskEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Late preterm infants, defined as infants delivered from 34 through 36 completed weeks’ gestation, are less mature developmentally and physiologically than term infants (37 to 41 completed weeks’ gestation). Such immaturity places infants born late preterm at higher risk of morbidity and mortality than term infants during infancy and potentially throughout life. The purpose of this article is to review the epidemiology of infants born late preterm by describing the frequency of late preterm births; trends over time; and differences according to maternal age, race, and ethnicity. In addition, the article describe...
Source: NeoReviews recent issues - June 1, 2009 Category: Pediatrics Authors: Shapiro-Mendoza, C. K. Tags: Fetus and Newborn Infant Articles Source Type: info

Infants Born Late Preterm: Definition, Physiologic and Metabolic Immaturity, and OutcomesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Infants born late preterm are immature and have significant risks for short-term and long-term morbidities. During the birth hospitalization and first weeks after birth, hypothermia, respiratory distress, apnea, temperature instability, hypoglycemia, hyperbilirubinemia, and feeding problems may result in prolonged hospital stays or readmission for additional care. Mortality risk is also greater during the first postnatal year. A higher risk for long-term complications, including developmental delays, school failure, behavior disorders, and social disabilities, has been identified in children and young adults. Priorities in...
Source: NeoReviews recent issues - June 1, 2009 Category: Pediatrics Authors: Engle, W. A. Tags: Fetus and Newborn Infant, Fluid and Electrolyte Metabolism Articles Source Type: info

Decision-making in Neonatal Intensive Care: Interventions on Behalf of Preterm InfantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This review traces the history of judicial and legislative interventions into proxy decision-making by parents and physicians on behalf of neonates in intensive care units. The doctrine of parens patriae is traced from the first governmental intrusions into life-support decisions for newborns who had congenital anomalies during the 1980s to the 2002 federal legislation on the legal status of "born-alive" infants. Ethical problems inherent in decisions to resuscitate and provide neonatal intensive care for extremely preterm infants are discussed. A formal shared decision-making approach to care in the neonatal intensive car...
Source: NeoReviews recent issues - June 1, 2009 Category: Pediatrics Authors: Partridge, J. C., Dickey, B. J. Tags: Fetus and Newborn Infant Articles Source Type: info

Educational Perspectives: Generational Synchronicity: Improving the Medical Work EnvironmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Currently, four generations are actively working in today's health-care environment. Differences between these generations are creating conflicts and negatively affecting communication, productivity, and the satisfaction of all ages. Each of the generations has different values. Being aware and respecting these values is the first step in improving the academic and work environment. Practical solutions that address the generational preferences then can be developed. (Source: NeoReviews recent issues)
Source: NeoReviews recent issues - June 1, 2009 Category: Pediatrics Authors: Gilhooly, J., Gilhooly, J. Tags: Fetus and Newborn Infant Articles Source Type: info

Visual Diagnosis: Seizures in a 1-day-old Newborn (Click here)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - May 1, 2009 Category: Pediatrics Authors: Hackmann, H., Anderson, J. M. Tags: Fetus and Newborn Infant Visual Diagnosis Source Type: info

Strip of the Month: May 2009Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - May 1, 2009 Category: Pediatrics Authors: Druzin, M. L., Arafeh, J. M.R. Tags: Fetus and Newborn Infant Articles Source Type: info

Index of Suspicion in the NurseryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - May 1, 2009 Category: Pediatrics Authors: West, K. W., Shulman, S. T., Cadichon, S. B. Tags: Fetus and Newborn Infant, Infectious Diseases Articles Source Type: info

Parallel Circulations: Managing Single-ventricle PhysiologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Infants born with single-cardiac ventricle physiology frequently are treated preoperatively and postoperatively in neonatal intensive care units (NICUs), which requires neonatologists to be familiar with their unique anatomy, physiology, and consequent nonconventional principles of management. This case report reviews single-ventricle anatomy and physiology to explain appropriate interventions in the setting of cardiopulmonary arrest. (Source: NeoReviews recent issues)
Source: NeoReviews recent issues - May 1, 2009 Category: Pediatrics Authors: Mastropietro, C. W., Tourner, S. P. Tags: Fetus and Newborn Infant, Cardiovascular Disorders Articles Source Type: info

Fetal Alcohol Spectrum DisorderEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Alcohol is the most common teratogen. Its actions have significant physical and neurodevelopmental consequences on a developing fetus that result in substantial expenditures for the health-care system. This review examines the epidemiology of alcohol-exposed pregnancies as well as the myriad obstacles endured by affected infants. Methods of alcohol detection and mechanisms of the deleterious effects of alcohol on the fetus also are discussed. This review also elaborates both sides of the controversial issue of whether there is a "safe" level of alcohol exposure for a developing fetus. (Source: NeoReviews recent issues)
Source: NeoReviews recent issues - May 1, 2009 Category: Pediatrics Authors: Dannaway, D. C., Mulvihill, J. J. Tags: Fetus and Newborn Infant, Genetics/Dysmorphology Articles Source Type: info

Neonatal Abstinence SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the signs of NAS from various substances, existing abstinence scoring systems, current treatment and weaning strategies, and relevant points for prenatal counseling. (Source: NeoReviews recent issues)
Source: NeoReviews recent issues - May 1, 2009 Category: Pediatrics Authors: Burgos, A. E., Burke, B. L. Tags: Fetus and Newborn Infant, Pharmacology, Psychosocial Issues and Problems Articles Source Type: info