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Being a Father of a Premature Newborn: The Parental Experience and the Father/Premature Newborn Relationship: A Study Carried out in the Department of Neonatology Intensive Care Unit of Mohammed VI University Hospital

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Open Journal of Pediatrics 2024年第2期14卷 412-419页

作者： Hasnae Elhaddadi sahar messaoudi Anass Ayyad Rim Amrani Department of Neonatology Intensive Care Unit Mohammed VI University Hospital Faculty of Medicine and Pharmacy of Oujda Mohammed First University Oujda Morocco

Introduction: Despite advances in obstetrics and pediatrics over the past 20 years, premature birth remains an unpredictable event that can have a devastating impact on parenthood. This study aimed to analyze the psycho-affective experiences of fathers of premature newborns. Methods: This was a descriptive cross-sectional study, carried out in the department of neonatology and neonatal intensive care unit of the CHU Mohamed VI in OUJDA, over 6 months from March 2022 to August 2022. It focused on 30 fathers of premature newborns hospitalized in our department. Results: The majority of fathers described a state of fear and stress, and attributed their negative experience to the unexpected nature of the premature birth. At the first meeting, half the fathers had a positive image of their newborn’s physical appearance, while 22% of fathers reported feeling uncomfortable about their newborn’s low weight. Most fathers reported that they appreciated the welcome they received, the skill with which they cared for their newborn, and the availability of the pediatrician to provide information on their child’s state of health. Two fathers enjoyed skin-to-skin contact with their newborns. None of the fathers met a psychologist. When they returned home, half the fathers had a positive outlook, marked by happiness at being able to fully invest in their role as fathers, the other half reported being torn between the desire to see their child integrated into the family cocoon and the fear of not being able to manage delicate situations properly without a medical team. Conclusion: Bringing a premature baby into the world can be a difficult experience, leading to the development of even minor psychological distress in some fathers, and hence the need for specific psychological care.

关键词： Prematurity Psychiatrist Emotional Disorder Depression

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Fraser Syndrome: A Case Report

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Open Journal of Pediatrics 2024年第3期14卷 476-481页

作者： Chaimae Sajoura Mohammed Ech-Chebab Anass Ayyad sahar messaoudi Rim Amrani Department of Neonatology and Intensive Care Unit Mohammed VI University Hospital Oujda Morocco Faculty of Medicine and Pharmacy of Oujda University Mohammed First Oujda Morocco Maternal Child and Mental Health Research Laboratory Oujda Morocco

Fraser syndrome is a rare malformative genetic syndrome whose main manifestations are cryptophthalmia, syndactyly, laryngeal atresia and urogenital malformations. We report the observation of a newborn from a non-consanguineous marriage, admitted to the neonatology and neonatal intensive care unit at Day 1 of life for a poly-malformative syndrome. Clinically, the newborn presented with bilateral anophthalmia, cleft palate, dysmorphic facies with a rounded forehead, hypertelorism, micrognathia, low-set ears and a short neck, syndactility and bilateral cryptorchidism. Trans fontanellar ultrasound revealed tri ventricular hydrocephalus. Cerebral MRI angiography showed malformative tri-ventricular hydrocephalus, hypoplasia of the brainstem and cerebellum, and poly-microgyria. Transthoracic and renal ultrasonography were unremarkable, and the chest X-ray was normal. The authors discuss the malformative clinical and para-clinical aspects of this syndrome, multidisciplinary management and the importance of prenatal diagnosis.

关键词： Fraser Syndrome Cryptophthalmia Newborn Polymalformative Syndrome

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Congenital Hernia of the Diaphragmatic Dome with Neonatal Revelation, Experience from the Neonatology and Neonatal Intensive Care Unit at the University Hospital Center of Oujda

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Open Journal of Pediatrics 2024年第5期14卷 790-799页

作者： Addou Bebana Anass Ayyad Mohammed Ec-Chebab sahar messaoudi Rim Amrani Pediatrics/Residency Mohammed VI University Hospital Oujda Morocco Department of Neonatology and Neonatal Intensive Care Unit Mohammed VI University Hospital Medical School Mohammed First University Oujda Morocco The Maternal-Child & Mental Health Research Laboratory Oujda Morocco

Congenital hernia of the diaphragmatic dome (CHDD) is an embryonic malformation in which all or part of the diaphragmatic dome fails to develop properly. In the majority of cases (80% to 90%), this malformation affects the left posterolateral part of the diaphragm, while in 10% to 15% of cases it affects the right. Bilateral cases are extremely rare, accounting for less than 1% of cases. This malformation is estimated to occur at a frequency of around 1 in 3500 births, with a male predominance. The diaphragmatic defect causes the abdominal organs to rise into the thoracic cavity during critical phases of lung development. These anomalies result in bilateral pulmonary hypoplasia, a reduced number of pulmonary vessels, and pulmonary arterial hypertension (PAH). The combination of these anatomical and functional anomalies, in varying degrees, explains the wide variability of symptoms at birth. Diagnosis is usually made prenatally by ultrasound, which enables severe forms of the disease to be detected and appropriate management initiated. The prognosis remains generally grave, with a neonatal mortality rate of between 30% and 60% depending on the study, and around half of all children will have long-term sequelae.

关键词： Congenital Diaphragmatic Hernia Prenatal Diagnosis Pulmonary Hypoplasia Pulmonary Hypertension Medical-Surgical Treatment

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Case Report: Bilateral Intra-Parenchymal Hematomas Caused by Ventricular Flood Complicating Neonatal Salmonella typhi Meningitis

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Open Journal of Pediatrics 2024年第5期14卷 873-877页

作者： Oussama Hnini sahar messaoudi Mohammed Ech-Chebab Anass Ayyad Rim Amrani Department of Neonatology and Intensive Care Unit Mohammed VI University Hospital Oujda Morocco Faculty of Medicine and Pharmacy of Oujda University Mohammed First Oujda Morocco Maternal Child and Mental Health Research Laboratory Oujda Morocco

Salmonella meningitis is an uncommon condition in neonates, and when it does occur, it is often linked to serious complications, such as subdural collections and abscesses. We present a case involving a 23-day-old neonate diagnosed with Salmonella meningitis, who developed complications including bilateral intra-parenchymal hematomas with ventricular involvement. The infant showed significant improvement following an extended course of systemic antibiotics and supportive care.

关键词： Neonate Meningitis Salmonella Complications

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A Typical Case of Classic Potter’s Syndrome: A Case Report

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Open Journal of Pediatrics 2024年第3期14卷 482-487页

作者： Mohamed El Kerim Mahy Mohammed Ech-Chebab Anass Ayyad sahar messaoudi Rim Amrani Pediatrics/Residency Mohammed VI University Hospital Oujda Morocco Department of Neonatology and Neonatalintensive Care Unit Mohammed VI University Hospital Medical School University Mohammed 1st Oujda Morocco The Maternal-Child & Mental Health Research Laboratory Oujda Morocco

Potter syndrome is a rare congenital malformation that primarily affects male fetuses;it is characterized by pulmonary hypoplasia, skeletal malformation, and kidney abnormalities. The pressure of the uterine wall due to oligohydramnios leads to an unusual facial appearance, abnormal limbs in abnormal positions, or contractures. The fetus generally dies soon after birth due to respiratory insufficiency. The baby was a live preterm male, born to a 30-year-old multigravida, out of a non-consanguineous marriage via cesarean section. There was no liquor at the time of delivery. The baby did not cry immediately after birth and required resuscitation, followed by mechanical ventilation. Multiple congenital anomalies suggestive of Potter’s syndrome were noted including facial features, flattened nose, low protruding ear, retrognathism, and epicanthal folds with unilateral atresia of the choana. Chest X-ray showed small volume lung fields suggestive of pulmonary hypoplasia, and we had on ultrasonography bilateral polycystic kidney disease on ultrasonography. At 42 hours of life, the baby developed tachypnea and severe chest retractions and died due to respiratory insufficiency. Our case highlights the importance of regular prenatal checks and examinations in each pregnancy, which helps to collect suspected cases and improve knowledge of this syndrome for better management.

关键词： Potter Syndrome Pulmonary Hypoplasia Potter’s Facies Polycystic Kidney Oligohydramnios

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Open Journal of Pediatrics（儿科学期刊） 2024年第2期 412页

作者： Hasnae Elhaddadi sahar messaoudi Anass Ayyad Rim Amrani

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Fraser Syndrome: A Case Report

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Open Journal of Pediatrics（儿科学期刊） 2024年第3期 476页

作者： Chaimae Sajoura Mohammed Ech-Chebab Anass Ayyad sahar messaoudi Rim Amrani

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A Typical Case of Classic Potter’s Syndrome: A Case Report

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Open Journal of Pediatrics（儿科学期刊） 2024年第3期 482页

作者： Mohamed El Kerim Mahy Mohammed Ech-Chebab Anass Ayyad sahar messaoudi Rim Amrani

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Factor VII Deficiency: A Rare Cause of Severe Bleeding Disorder in a Newborn

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Open Journal of Pediatrics 2023年第6期13卷 894-899页

作者： Hanane Hajaj Hanae Bahari Anass Ayyad sahar messaoudi Rim Amrani Department of Neonatology Intensive Care Unit Mohammed VI University Hospital Oujda Morocco Medical School University Mohammed First Oujda Morocco Maternal Child and Mental Health Research Laboratory Oujda Morocco

Factor VII deficiency is rare. It is an autosomal recessive inherited disease with an estimated prevalence of 1/1,000,000. We report the case of a newborn male from first-degree consanguineous parents admitted at 15 days of life due to a hemorrhagic syndrome. Hemostasis tests showed low prothrombin time (PT) and normal activated partial thromboplastin time (aPTT). A coagulation panel revealed isolated factor VII deficiency. In this case, we highlight the clinical, biological, and therapeutic aspects of this condition during the neonatal period.

关键词： Congenital Deficiency Factor VII Hemorrhage

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Alobar Holoprosencephaly in a Neonate: A Rare Case Report and Review of the Literature

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Open Journal of Pediatrics 2023年第6期13卷 929-933页

作者： Hanae Bahari Hanane Hajaj Anass Ayyad sahar messaoudi Rim Amrani Department of Neonatology Intensive Care Unit University Mohammed First Oujda Morocco The Maternal-Child & Mental Health Research Laboratory Oujda Morocco

Holoprosencephaly (HPE) is a rare brain malformation with multiple etiologies and is often associated with suggestive facial anomalies. This pathology is the result of a defect in the early development of the forebrain. There are three clinical forms: lobar, semi-lobar, alobar and another milder subtype of HPE called middle interhemispheric. In this clinical case, we present a newborn with alobar holoprosencephaly and we highlight the clinical, radiological and progressive clinical aspects of this illness during the neonatal period.

关键词： Polymalformative Syndrome Holoprosencephaly Hydrocephalus

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