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Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030910159X
Category : Medical
Languages : en
Pages : 791
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Book Description
The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030910159X
Category : Medical
Languages : en
Pages : 791
Get Book Here
Book Description
The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.
Author: Géraldine Poncelet
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
Introduction : Le canal artériel persistant (CAP) chez l'extrême prématuré, son traitement et les conséquences à court et moyen terme, ont été largement étudiés mais restent controversés. Nous avons évalué leur morbimortalité néonatale et leur développement neurologique selon la présence d'un CAP et sa stratégie thérapeutique. Matériels et méthodes : Dans cette étude prospective, ont été inclus tous les prématurés nés entre 23 et 26 semaines d'âge gestationnel (AG) en 2010 et pris en charge en réanimation au CHU de Bordeaux. Le diagnostic et le traitement du CAP étaient réalisés selon le protocole du service. Nous avons comparé les caractéristiques de la population, la mortalité et les morbidités, selon la présence ou non d'un CAP, de son traitement curatif ou conservateur, médical ou chirurgical. Résultats : 70 patients d'un terme médian de 25 semaines d'AG [24 ; 25] et poids médian de 845g [751 ; 917] ont été inclus sur 12 mois. 82.9% présentaient un CAP, sans facteur de risque anténatal significatif. Le taux médian de dysplasie broncho-pulmonaire (DBP) sévère était significativement plus élevé chez les prématurés avec un CAP (20.7% versus 0%, p=0.0002) et qui ont subi une chirurgie (58.8% vs 9%, p=0.002), particulièrement quand celle-ci était précoce. Nous notions une tendance à plus de séquelles en présence d'un CAP (47% vs 28%, p=0.05) mais un risque plus faible de décès et/ou séquelles neurologiques en cas de chirurgie (24% vs 54%, p=0.05). Il n'y avait pas de différence significative entre les différents traitements concernant le taux d'entérocolite ulcéro-nécrosante (ECUN), d'hémorragie intra-ventriculaire (HIV), de rétinopathie oblitérante du prématuré (ROP), de mortalité et de séquelles globales. Conclusions : Chez l'extrême prématuré, la morbidité néonatale et les séquelles semblent augmenter en présence d'un CAP. La morbidité respiratoire augmente d e façon significative en cas de ligature chirurgicale, à l'inverse du risque de décès et/ou séquelles neurologiques. Ces résultats ne nous permettent pas de conclure sur un lien de cause à effet et seront à confronter à des études ultérieures.
Author: Begum Atasay
Publisher: Frontiers Media SA
ISBN: 2889668037
Category : Medical
Languages : en
Pages : 254
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Book Description
Author: Michael Obladen
Publisher: Springer Science & Business Media
ISBN: 3540265090
Category : Medical
Languages : en
Pages : 111
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Book Description
Over the past few years a remarkably rapid evolution in the professional level of neonatology and in the survival of immature infants has been witnessed. Persisting ductus arteriosus is common in this population and is associated with impaired longterm outcome. Many uncertainties exist concerning indication, approach, best time, and side effects of necessary measurements and interventions to avoid later neurodevelopmental handicaps of the survivors. Experts in neonatology and pediatric cardiology give their opinion in this book. We are sure it will help to define the level of evidence and to develop standards of intervention for persisting ductus arteriosus in Europe. Adequate dealing with the ductus will become a challenge for every perinatal center.
Author: Toshio Nakanishi
Publisher: Springer Nature
ISBN: 9811511853
Category : Medical
Languages : en
Pages : 374
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Book Description
This open access book focuses on the molecular mechanism of congenital heart disease and pulmonary hypertension, offering new insights into the development of pulmonary circulation and the ductus arteriosus. It describes in detail the molecular mechanisms involved in the development and morphogenesis of the heart, lungs and ductus arteriosus, covering a range of topics such as gene functions, growth factors, transcription factors and cellular interactions, as well as stem cell engineering technologies. The book also presents recent advances in our understanding of the molecular mechanism of lung development, pulmonary hypertension and molecular regulation of the ductus arteriosus. As such, it is an ideal resource for physicians, scientists and investigators interested in the latest findings on the origins of congenital heart disease and potential future therapies involving pulmonary circulation/hypertension and the ductus arteriosus.
Author: Adam C. Adler
Publisher: Cambridge University Press
ISBN: 110846551X
Category : Medical
Languages : en
Pages : 363
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Book Description
Covers the most important and relevant topics on the anesthetic care of children, using a question-and-answer format.
Author: Donald L. Shapiro
Publisher: Alan R. Liss
ISBN:
Category : Medical
Languages : en
Pages : 344
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Book Description
Author: Mary Ellen McCann
Publisher: Cambridge University Press
ISBN: 1107069777
Category : Medical
Languages : en
Pages : 465
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Book Description
A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia.
Author: Christian Poets
Publisher: Springer Science & Business Media
ISBN: 3642206239
Category : Medical
Languages : en
Pages : 168
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Book Description
The patent ductus arteriosus continues to pose a considerable challenge to clinicians and scientists alike. Why does it close spontaneously in most infants but remain open in others? How best can we select those infants who are most likely to benefit from treatment, i.e. are there echocardiographic criteria that would help in defining a more selective treatment approach? Would it be better to take an aggressive approach and prescribe prophylactic treatment to all extremely immature infants ‐ and if so, what is the best way to define such a subgroup? Or should we be more restrictive in defining treatment indications and adopt a 'wait and see' policy in most, if not all, premature infants? Finally, are there data to suggest that one of the treatment approaches that are available to close the patent ductus arteriosus is superior to the other? This book deals with these questions and tries to give some answers, based on the evidence currently available. It is intended for neonatologists, pediatric cardiologists and researchers.
Author: David J. Barron
Publisher: Cambridge University Press
ISBN: 1108632130
Category : Medical
Languages : en
Pages : 148
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Book Description
Featuring a combination of easily digestible sections, clinical images, and a text layout that assists rapid fact acquisition, this book highlights the core topics in congenital cardiac surgery. The text covers all the commonly encountered anomalies, with simple explanations of the underlying anatomy and management options. Readers are provided with strong support from the outset; including guidance on diagnosis, operative technique, and post-operative management. Aimed at trainees preparing for professional examination and newly appointed consultants, this invaluable handbook is a go-to resource for the busy practitioner. It will also be an ideal reference for cardiologists, intensivists, perfusionists, and cardiac nurses, requiring a concise and accessible summary of the surgical aspects of diagnosis and treatment. The book includes sections on transplantation, ECMO, hybrid procedures and adult congenital heart disease.
