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Brain development in newborns and infants after ECMO

World Journal of Pediatrics 2024年第6期20卷 556-568页

作者： Kai Yan Lu-Kun Tang Fei-Fan Xiao Peng Zhang Guo-Qiang Cheng Lai-Shuan Wang Chun-Mei Lu Meng-Meng Ge Li-Yuan Hu Yuan-Feng Zhou Tian-Tian Xiao Yan Xu Zhao-Qing Yin Gang-Feng Yan Guo-Ping Lu Qi Li Wen-Hao Zhou Department of Neonatology Children Hospital of Fudan UniversityShanghai 201102China Kunming Medical University Affiliated Dehong Hospital DehongYunnanChina Graduate School Kunming Medical UniversityKunmingYunnanChina Department of Neurology Children's Hospital of Fudan UniversityShanghaiChina School of Medicine Chengdu Women's and Children's Central HospitalUniversity of Electronic Science and Technology of ChinaChengduSichuanChina Department of intensive care Medicine Children's Hospital of Fudan UniversityShanghaiChina Department of intensive care Medicine The Sixth Medical Center of PLA General HospitalBeijingChina Key Laboratory of Neonatology National Health Care CommissionShanghaiChina

Background Extracorporeal membrane oxygenation(ECMO)not only significantly improves survival rates in severely ill neonates but also is associated with long-term neurodevelopmental *** systematically review the available literature on the neurodevelopmental outcomes of neonates and infants who have undergone ECMO treatment,with a focus on motor deficits,cognitive impairments,sensory impairments,and developmental *** review aims to understand the incidence,prevalence,and risk factors for these problems and to explore current nursing care and management *** sources A comprehensive literature search was performed across PubMed,EMBASE,and Web of Science using a wide array of keywords and phrases pertaining to ECMO,neonates,infants,and various facets of *** initial screening involved reviewing titles and abstracts to exclude irrelevant articles,followed by a full-text assessment of potentially relevant *** quality of each study was evaluated based on its research methodology and statistical ***,citation searches were conducted to identify potentially overlooked *** the focus was primarily on neonatal ECMO,studies involving children and adults were also included due to the limited availability of neonate-specific *** About 50%of neonates post-ECMO treatment exhibit varying degrees of brain injury,particularly in the frontal and temporoparietal white matter regions,often accompanied by neurological *** occur in 18%–23%of neonates within the first 24 hours,and bleeding events occur in 27%–60%of ECMO procedures,with up to 33%potentially experiencing ischemic *** some studies suggest that ECMO may negatively impact hearing and visual development,other studies have found no significant differences;hence,the influence of ECMO remains *** terms of cognitive,language,and intellectual development,ECMO treatment may be associated with potential deve

关键词： Brain development Extracorporeal membrane oxygenation Infants Neonates Neurological outcomes

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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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Early neonatal complications in pregnant women with gestational diabetes mellitus and the effects of glycemic control on neonatal infection

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世界糖尿病杂志:英文版(电子版) 2023年第9期14卷 1393-1402页

作者： Bei-Bei Wang Mei Xue Department of neonatal intensive care unit Taizhou People’s Hospital of Jiangsu ProvinceTaizhou 225300Jiangsu ProvinceChina

BACKGROUND Gestational diabetes mellitus(GDM)has become increasingly prevalent *** control in pregnant women with GDM has a critical role in neonatal *** To analyze the early neonatal complications in GDM,and examine the effect of blood glucose control level on neonatal *** The clinical data of 236 pregnant women with GDM and 240 healthy pregnant women and newborns during from March 2020 to December 2021 the same period were retrospectively analyzed,and the early complications in newborns in the two groups were *** patients were divided into the conforming glycemic control group(CGC group)and the non-conforming glycemic control group(NCGC group)based on whether glycemic control in the pregnant women with GDM conformed to *** data,immune function,infectionrelated markers,and infection rates in neonates were compared between the two *** The incidence of neonatal complications in the 236 neonates in the GDM group was significantly higher than that in the control group(P0.05).Additionally,the NCGC group had significantly decreased peripheral blood CD3^(+),CD4^(+),CD8^(+)T cell ratios,CD4/CD8 ratios and immunoglobulin G in neonates compared with the CGC group(Pneonatal infection rate was also significantly increased in the NCGC group(Pneonatal complications increased in pregnant women with *** glycemic control decreased neonatal immune function,and increased the incidence of neonatal infections.

关键词： Gestational diabetes mellitus Early neonatal complications Glycemic control neonatal infection

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Mothers’ Knowledge of Health Caring for Premature Infants after Discharge from neonatal intensive care units in the Gaza Strip, Palestine

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Open Journal of Pediatrics 2019年第3期9卷 239-252页

作者： Ali Aldirawi Ali El-Khateeb Ayman Abu Mustafa Samer Abuzerr neonatal intensive care unit Al-Shifa Hospital Ministry of Health Gaza Palestine Department of Nursing University College of Applied Science Gaza Palestine Palestine College of Nursing Ministry of Health Gaza Palestine Department of Environmental Health Engineering School of Public Health International Campus Tehran University of Medical Sciences Tehran Iran Quality Improvement and Infection Control unit Ministry of Health Gaza Palestine

Background: Preterm labor is one of the most public health problems related to neonates admitted to neonatal intensive care unit (NICU). Poor knowledge among mothers about the care requirements of a preterm neonate is immediate cause for post-discharge medical problems in premature and neonates readmission to NICU. Hence, this study aims to evaluate mothers’ knowledge of caring for premature infants post-discharge from neonatal intensive care units in the Gaza strip. Methods: A Quantitative-based cross-sectional designs study was used to survey 120 mothers of preterm neonates at the time of preterm neonates discharge by face-to-face interview at Al-Shifa medical complex and Nasser hospital between February and June 2018. Results: The results showed that only about 58.4% of mothers of premature babies had good knowledge about health care needed for premature infants after discharge from NICU. Furthermore, there was no statistically significant difference between the level of knowledge and mother’s sociodemographic characteristics (P-values > 0.05). Conclusion: Mothers’ knowledge of premature infants care was not at the optimal level, which might put the newborns at risk. Therefore, the study emphasizes the necessity of thoughtful exchange of health information between team members and mothers and establishing pre- and post-discharge plans with mothers to start their healthy transition of preterm neonate to home and to ameliorate family concerns.

关键词： Mother’s Knowledge Preterm Neonates Post-Discharge Health care neonatal intensive care unit

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Genomic investigation and nationwide tracking of pediatric invasive nontyphoidal Salmonella in China

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mLife 2024年第1期3卷 156-160页

作者： Yefang Ke Lin Teng Zhe Zhu Wenbo Lu Wenyuan Liu Haiyang Zhou Qi Yu Lina Ye Pan Zhu Guoping Zhao Min Yue Deparment of Clinical Laboratory Ningbo Women and Children's HospitalNingboChina Department of Veterinary Medicine Zhejiang University Cllege of Animal SciencesHangzhouChina Department of Blood Transfusion Ningbo No.2 HospitalNingboChina Office of Screening Ningbo Women and Children's HospitalNingboChina neonatal intensive care unit Ningbo Women and Children's HospitalNingboChina School of Life Science Hangzhou Institute for Advanced StudyUniversity of Chinese Academy of SciencesHangzhouChina CAS Key Laboratory of Synthetic Biology Institute of Plant Physiology and EcologyShanghai Institutes for Biological SciencesChinese Academy of SciencesShanghaiChina Department of Microbiology and Microbial Engineering School of Life SciencesFudan UniversityShanghaiChina State Key Laboratory for Diagnosis and Treatment of Infectious Diseases National Clinical Research Center for Infectious DiseasesNational Medical Center for Infectious DiseasesThe First Affiliated HospitalCollege of MedicineZhejiang UniversityHangzhouChina Hainan Institute of Zhejiang University SanyaChina

Impact Statement。Invasive nontyphoidal Salmonella(iNTS)causes significant concern with~15%morbidity,affecting populations mainly in African countries.

关键词： pediatric nationwide morbidity

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Urinary tract infections in neonates with jaundice in their first two weeks of life

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World Journal of Pediatrics 2014年第2期10卷 164-167页

作者： Mehmet Mutlu Yasemin Cayır Yakup Aslan Department of Neonatology Erzurum Regional Training and Research HospitalNeonatal Intensive Care UnitErzurumTurkey Department of Family Physician Erzurum Regional Training and Research HospitalNeonatal Intensive Care UnitErzurumTurkey Department of Neonatology Karadeniz Technical UniversityNeonatal Intensive Care UnitTrabzonTurkey

Background:Hyperbilirubinemia is a frequently seen condition in *** study was undertaken to determine the role of urinary tract infections(UTIs)in the etiology of indirect hyperbilirubinemia in neonates with jaundice in their fi rst two weeks of ***:The study was conducted *** subjects were neonates aged 4-14 days with hyperbilirubinemia which could not be detected by routine tests and was suffi ciently severe to necessitate ***:The study was performed in 104 neonates,of whom 18%(n=19)had *** most frequently identified micro-organism was Escherichia coli(43%).Phototherapy duration and rebound bilirubin level were higher in neonates with UTI(P<0.05).Conclusion:UTI should be investigated in neonates with hyperbilirubinemia of unknown etiology in the fi rst two weeks of life.

关键词： hyperbilirubinemia neonate urinary tract infection

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Weaning preterm infants from continuous positive airway pressure: evidence for best practice

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World Journal of Pediatrics 2015年第3期11卷 212-218页

作者： Hesham Abdel-Hady Basma Shouman Nehad Nasef neonatal intensive care unit Mansoura University Children's HospitalMansouraEgypt

Background:Nasal continuous positive airway pressure(NCPAP)is frequently used in preterm ***,there is no consensus on when and how to wean them from *** sources:Based on recent publications,we have reviewed the criteria of readiness-to-wean and factors affecting weaning success.A special focus is placed on the methods of weaning from NCPAP in preterm ***:Practical points of when and how to wean from NCPAP in preterm infants are *** infants are ready to be weaned from NCPAP when they are stable on a low NCPAP pressure with no(or minimal)oxygen *** used to wean from NCPAP include:sudden weaning of NCPAP,gradual decrease of NCPAP pressure,graded-time-off NCPAP(cycling),weaning to high or low flow nasal cannula,and a combination of these *** best strategy for weaning is yet to be ***-off NCPAP increases the duration of NCPAP and length of hospital stay without beneficial effect on success of *** decrease of NCPAP pressure is more physiological and better tolerated than cycling-off ***:Further studies are needed to reach a consensus regarding the optimal timing and the best method for weaning from NCPAP in preterm infants.

关键词： continuous positive airway pressure preterm infant weaning

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Knockdown of 11β-hydroxysteroid dehydrogenase type 1 alleviates LPS-induced myocardial dysfunction through the AMPK/SIRT1/PGC-1αpathway

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The Journal of Biomedical Research 2023年第4期37卷 290-301页

作者： Dongmei Zhu Lingli Luo Hanjie Zeng Zheng Zhang Min Huang Suming Zhou Department of Geriatrics intensive care unit the First Affiliated Hospital of Nanjing Medical UniversityNanjingJiangsu

Sepsis-induced myocardial dysfunction is primarily accompanied by severe sepsis,which is associated with high morbidity and mortality.11β-hydroxysteroid dehydrogenase type 1(11β-HSD1),encoded by Hsd11b1,is a reductase that can convert inactive cortisone into metabolically active cortisol,but the role of 11β-HSD1 in sepsis-induced myocardial dysfunction remains poorly *** current study aimed to investigate the effects of 11β-HSD1 on a lipopolysaccharide(LPS)-induced mouse model,in which LPS(10 mg/kg)was administered to wild-type C57BL/6J mice and 11β-HSD1 global knockout *** asscessed cardiac function by echocardiography,performed transmission electron microscopy and immunohistochemical staining to analyze myocardial mitochondrial injury and histological changes,and determined the levels of reactive oxygen species and biomarkers of oxidative *** also employed polymerase chain reaction analysis,Western blotting,and immunofluorescent staining to determine the expression of related genes and *** investigate the role of 11β-HSD1 in sepsis-induced myocardial dysfunction,we used LPS to induce lentivirus-infected neonatal rat ventricular *** found that knockdown of 11β-HSD1 alleviated LPS-induced myocardial mitochondrial injury,oxidative stress,and inflammation,along with an improved myocardial function;furthermore,the depletion of 11β-HSD1 promoted the phosphorylation of adenosine 5′-monophosphate-activated protein kinase(AMPK),peroxisome proliferator-activated receptor gamma coactivator 1α(PGC-1α),and silent information regulator 1(SIRT1)protein levels both in vivo and in ***,the suppression of 11β-HSD1 may be a viable strategy to improve cardiac function against endotoxemia challenges.

关键词： 11β-HSD1 LPS sepsis-induced myocardial dysfunction inflammation oxidative stress

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Use of antenatal corticosteroids among infants with gestational age at 24 to 31 weeks in 57 neonatal intensive care units of China: a cross-sectional study

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Chinese Medical Journal 2023年第7期136卷 822-829页

作者： Jing Zhao Zongtai Feng Yun Dai Wanxian Zhang Siyuan Jiang Yanchen Wang Xinyue Gu Jianhua Sun Yun Cao Shoo KLee Xiuying Tian Zuming Yang on behalf of the Chinese neonatal Network(CHNN) Division of Neonatology Tianjin Central Hospital of Obstetrics and GynecologyTianjin 300052China Tianjin Key Laboratory of Human Development and Reproductive Regulation Tianjin 300052China Nankai University Maternity Hospital Tianjin 300052China Division of Neonatology The Affiliated Suzhou Hospital of Nanjing Medical UniversitySuzhouJiangsu 215002China Division of Neonatology Children’s Hospital of Fudan UniversityShanghai 201102China NHC Key Laboratory of neonatal Diseases Fudan UniversityChildren’s Hospital of Fudan UniversityShanghai 201102China Department of Neonatology Shanghai Children’s Medical CenterSchool of MedicineShanghai Jiao Tong UniversityShanghai 200127China Maternal-Infants care Research Centre Mount Sinai HospitalTorontoON M5G 1X5Canada University of Toronto TorontoON M5T 3M7Canada 不详

Background:Antenatal corticosteroids(ACS)can significantly improve the outcomes of preterm *** study aimed to describe the ACS use rates among preterm infants admitted to Chinese neonatal intensive care units(NICU)and to explore perinatal factors associated with ACS use,using the largest contemporary cohort of very preterm infants in ***:This cross-sectional study enrolled all infants born at 24^(+0)to 31^(+6)weeks and admitted to 57 NICUs of the Chinese neonatal Network from January 1st,2019 to December 30th,*** ACS administration was defined as at least one dose of dexamethasone and betamethasone given before *** logistic regressions were applied to determine the association between perinatal factors and ACS ***:A total of 7828 infants were enrolled,among which 6103(78.0%)infants received *** use rates increased with increasing gestational age(GA),from 177/259(68.3%)at 24 to 25 weeks’gestation to 3120/3960(78.8%)at 30 to 31 weeks’*** infants exposed to ACS,2999 of 6103(49.1%)infants received a single complete course,and 33.4%(2039/6103)infants received a partial *** use rates varied from 30.2%to 100%among different *** regression showed that increasing GA,born in hospital(inborn),increasing maternal age,maternal hypertension and premature rupture of membranes were associated with higher likelihood to receive ***:The use rate of ACS remained low for infants at 24 to 31 weeks’gestation admitted to Chinese NICUs,with fewer infants receiving a complete *** use rates varied significantly among different *** are urgently needed to propose improvement measures and thus improve the usage of ACS.

关键词： Infant,newborn Antenatal corticosteroids Adrenal cortex hormones Betamethasone Dexamethasone Gestational age Maternal age Very preterm infant intensive care unit,neonatal China

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Variations in length of stay among survived very preterm infants admitted to Chinese neonatal intensive care units

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World Journal of Pediatrics 2022年第2期18卷 126-134页

作者： Min Zhang Yan-Chen Wang Jin-Xing Feng Ai-Zhen Yu Jing-Wei Huang Si-Yuan Jiang Xin-Yue Gu Jian-Hua Sun Yun Cao Wen-Hao Zhou Shoo KLee Li-Li Wang Rong Yin Division of Neonatology The First Affiliated Hospital of Anhui Medical UniversityNo.218Jixi RoadShushan DistrictHefei 230022China NHC Key Laboratory of neonatal Diseases Fudan UniversityChildren's Hospital of Fudan UniversityShanghai 201102China Division of Neonatology Shenzhen Children's HospitalShenzhen 518038China Division of Neonatology.Children's Hospital of Fudan University 399 Wanyuan RoadMinhang DistrictShanghai 201102China Division of Neonatology Shanghai Children's Medical CenterShanghai Jiao Tong University School of MedicineShanghai 200127China Maternal-Infants care Research Centre and Department of Pediatrics Mount Sinai HospitalTorontoON M5G 1X5.Canada Professor Emeritus University of Toronto.TorontoON M5T 3M7Canada

Background This study aimed to describe length of stay(LOS)to discharge and site variations among very preterm infants(VPIs)admitted to 57 Chinese neonatal intensive care units(NICUs)and to investigate factors associated with LOS for *** This retrospective multicenter cohort study enrolled all infantsneonatal Network,within 7 days after birth in *** criteria included major congenital anomalies,NICU deaths,discharge against medical advice,transfer to non-participating hospitals,and missing discharge *** multivariable linear models were used to estimate the association of infant characteristics and *** A total of 6580 infants were included in our *** overall median LOS was 46 days[interquartile range(IQR):35-60],and the median corrected gestational age at discharge was 36 weeks(IQR:35-38).LOS and corrected gestational age at discharge increased with decreasing gestational *** median corrected gestational age at discharge for infants at 24 weeks,25 weeks,26 weeks,27-28 weeks,and 29-31 weeks were 41 weeks,39 weeks,38 weeks,37 weeks and 36 weeks,*** site variation of LOS was identified with observed median LOS from 33 to 71 days in different *** The study provided concurrent estimates of LOS for VPIs which survived in Chinese NICUs that could be used as references for medical staff and *** variation of LOS independent of infant characteristics existed,indicating variation of care practices requiring further investigation and quality improvement.

关键词： Length of stay to discharge home neonatal intensive care Preterm Risk factors

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