Academic literature on the topic 'Premature neonates'

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Journal articles on the topic "Premature neonates"

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Feitosa Chaves, Ana Carolina, Andréia Passos Santos, Karine De Magalhães Nogueira Ataíde, and Karla Joelma Bezerra Cunha. "Cuidado e manutenção da integridade da pele do neonato prematuro." Revista de Enfermagem UFPE on line 13, no. 2 (February 9, 2019): 378. http://dx.doi.org/10.5205/1981-8963-v13i2a237974p378-384-2019.

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Objetivo: descrever o cuidado de Enfermagem na manutenção da integridade da pele do recém-nascido prematuro dentro de uma Unidade de Terapia Intensiva Neonatal (UTIN). Método: trata-se de estudo qualitativo, exploratório, descritivo, em uma maternidade de referência, com 11 enfermeiros que atuam na UTIN. Coletaram-se os dados por meio de uma entrevista gravada semiestruturada, e, posteriormente, as falas foram transcritas e analisadas pela técnica de Análise de Conteúdo, na modalidade Análise Categorial. Resultados: analisaram-se e distribuíram-se os dados coletados em duas categorias: Assistência de Enfermagem ao neonato prematuro na UTIN e Cuidados de Enfermagem na manutenção da integridade da pele do recém-nascido prematuro na UTIN. Evidenciou-se, a partir desta pesquisa, que a Enfermagem é fundamental no cuidar dos neonatos prematuros, e que a equipe realiza diversos procedimentos no que diz respeito à prevenção de lesões de pele nos bebês, desenvolvendo um trabalho humanizado. Conclusão: acredita-se que este estudo possa contribuir para o conhecimento dos profissionais de saúde em relação ao risco ao qual o recém-nascido prematuro está exposto no desenvolvimento de lesões de pele quando internado em UTIN, de forma a contribuir no cuidado neonatal humanizado e de qualidade. Descritores: Enfermagem; Prematuro; Pele; Cuidados de Enfermagem; Unidade de Terapia Intensiva Neonatal; Assistência Integral à Saúde. ABSTRACT Objective: to describe Nursing care in maintaining premature newborn's skin integrity within a Neonatal Intensive Care Unit (NICU). Method: this is a qualitative, exploratory, descriptive study carried out in a reference maternity hospital, with 11 nurses working at the NICU. The data was collected by means of a semi-structured recorded interview, and later the speeches were transcribed and analyzed by the Content Analysis technique, in the Categorical Analysis modality. Results: the data collected was analyzed and distributed in two categories: Nursing Care to the premature neonates in the NICU and Nursing Care in the maintenance of the skin integrity of the premature newborn in the NICU. It was evidenced, from this research, that Nursing is fundamental in caring for premature neonates, and that the team performs several procedures regarding the prevention of skin lesions in babies, developing a humanized work. Conclusion: it is believed that this study may contribute to the knowledge of health professionals regarding the risk to which the premature newborn is exposed in the development of skin lesions when hospitalized in NICU, in order to contribute to the neonatal and humanized quality care. Descriptors: Nursing; Premature; Skin; Nursing care; Neonatal Intensive Care Unit; Comprehensive Health Care.RESUMEN Objetivo: describir el cuidado de enfermería en el mantenimiento de la integridad de la piel del recién nacido prematuro dentro de una Unidad de Terapia Intensiva Neonatal (UTIN). Método: se trata de un estudio cualitativo, exploratorio, descriptivo, realizado en una maternidad de referencia, con 11 enfermeros que actúan en la UTIN. Se recogieron los datos por medio de una entrevista grabada semiestructurada, y posteriormente, las palabras fueron transcritas y analizadas por la técnica de Análisis de Contenido, en la modalidad Análisis Categorial. Resultados: se analizaron y se distribuyeron los datos recogidos en dos categorías: Asistencia de Enfermería al neonato prematuro en la UTIN y Cuidados de Enfermería en el mantenimiento de la integridad de la piel del recién nacido prematuro en la UTIN. Se evidenció, a partir de esta investigación, que la Enfermería es fundamental en el cuidado de los recién nacidos prematuros, y que el equipo realiza diversos procedimientos en lo que se refiere a la prevención de lesiones de piel en los bebés, desarrollando un trabajo humanizado. Conclusión: se cree que este estudio puede contribuir al conocimiento de los profesionales de salud en relación al riesgo al que el recién nacido prematuro está expuesto en el desarrollo de lesiones de piel cuando es internado en UTIN, para contribuir en el cuidado neonatal humanizado y de calidad. Descritores: Enfermería en Salud Comunitaria; Desprendimiento Prematuro de la Placenta; Apósitos Biológicos; Atención de Enfermería; Unidades de Cuidado Intensivo Neonatal; Atención Integral de Salud.
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Lane, Alfred T., and Sharon S. Drost. "Effects of Repeated Application of Emollient Cream to Premature Neonates' Skin." Pediatrics 92, no. 3 (September 1, 1993): 415–19. http://dx.doi.org/10.1542/peds.92.3.415.

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Objective. Emollient cream moisturizers are often used on premature newborns in neonatal intensive care units without accurate knowledge of the risks or benefits to the neonate. Design. We prospectively compared premature neonates treated with a water-in-oil emollient cream for up to 16 days to untreated premature neonates. Setting. The study was completed in a neonatal intensive care unit on neonates admitted for respiratory distress and/or possible sepsis. Patients. Thirty-four neonates, between 29 and 36 weeks estimated gestational age, entered the study. Interventions. One-half of the neonates were treated twice a day with an water-in-oil emollient cream, and the other half served as controls. Outcome Measures. The skin condition of the neonates' hands, feet, and abdomen was evaluated on entering the study and twice a week. Fungal cultures and quantitative bacterial cultures were obtained from the axilla and abdomen on entering the study and twice a week. Results. The mean gestational age of the treated neonates was 32.3 weeks, whereas the mean gestational age of the control neonates was 32.5 weeks. The neonates treated with emollient cream demonstrated statistically less dermatitis of their hands (day 2 through day 11), their feet (day 2 through day 16), and their abdomen (day 7 through day 11). Fungal cultures and quantitative bacterial cultures of the abdomen and axilla were equivalent in both groups. Conclusions. These studies document that emollient cream moisturizer therapy of premature neonates decreases dermatitis without changing the microbiological flora.
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SOBEL, DANIEL B. "Burning of a Neonate due to a Pulse Oximeter: Arterial Saturation Monitoring." Pediatrics 89, no. 1 (January 1, 1992): 154–55. http://dx.doi.org/10.1542/peds.89.1.154.

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Monitoring of arterial hemoglobin saturations by pulse oximetry has become a fixture in neonatal and pediatric intensive care units, operating rooms, and in other hospital settings. Use with extremely premature neonates is especially beneficial because of their immature skin development and vulnerability to topical damage—whether due to chemicals, tape, or temperature.1,2 This report documents a case of a burn due to a presumed shorting of a pulse oximeter probe cable in an extremely premature neonate. CASE REPORT The patient was a 690-g Hispanic female neonate born prematurely at approximately 25 weeks' gestation with respiratory distress syndrome requiring mechanical ventilation and supplemental oxygen.
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Taylor, Laura, Carlos S. Mamani-García, Alexandra Gutiérrez-Pingo, Jerry K. Benites-Meza, Diego Chambergo-Michilot, Norma del Carmen Gálvez-Díaz, and Joshuan J. Barboza. "Infección metastásica por Staphylococcus aureus en neonatos: a propósito de un caso." Bionatura 3, no. 3 (August 15, 2021): 2038–42. http://dx.doi.org/10.21931/rb/2021.06.03.25.

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Metastatic infection as an infrequent complication of Staphylococcus aureus bacteremia in neonates is challenging due to the limited literature. To report the clinical case of a premature neonate who developed a metastatic infection as a complication of S. aureus bacteremia. We present the case of a premature neonate admitted to the Neonatal Intensive Care Unit, diagnosed with bacterial sepsis, neonatal respiratory distress syndrome, and involvement by premature rupture of the membrane. A patch catheter was inserted, and he was successfully treated for E. coli bacteremia. He was re-admitted for late sepsis due to infection with multi-sensitive S. aureus in a patch catheter. An abscess appears on the front of the chest due to S. aureus, confirming metastatic infection. The abscess was drained with a favorable resolution of the clinical picture. In neonates submitted to invasive procedures, it is essential to monitor the clinical evolution and early identification of metastatic infection after Staphylococcus aureus bacteremia and provide early treatment to avoid sequelae.
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Stanworth, Simon J. "Thrombocytopenia, bleeding, and use of platelet transfusions in sick neonates." Hematology 2012, no. 1 (December 8, 2012): 512–16. http://dx.doi.org/10.1182/asheducation.v2012.1.512.3798533.

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Abstract Survival rates for infants born prematurely have improved significantly, in part due to better supportive care such as RBC transfusion. The role of platelet transfusions in neonates is more controversial. Neonatal thrombocytopenia is common in premature infants. The primary causal factors are intrauterine growth restriction/maternal hypertension, in which the infant presents with thrombocytopenia soon after birth, and sepsis/necrotizing enterocolitis, which are the common morbidities associated with thrombocytopenia in neonates > 72 hours of age. There is no evidence of a relationship between platelet count and occurrence of major hemorrhage, and cardiorespiratory problems are considered the main etiological factors in the development of intraventricular and periventricular hemorrhage in the neonatal period. Platelet transfusions are used commonly as prophylaxis in premature neonates with thrombocytopenia. However, there is widespread variation in the pretransfusion thresholds for platelet count and evidence of marked disparities in platelet transfusion practice between hospitals and countries. Platelet transfusions are biological agents and as such are associated with risks. Unlike other patient groups, specifically patients with hematological malignancies, there have been no recent clinical trials undertaken comparing different thresholds for platelet transfusion in premature neonates. Therefore, there is no evidence base with which to inform safe and effective practice for prophylactic platelet transfusions. There is a need for randomized controlled trials to define the optimal use of platelet transfusions in premature neonates, who at present are transfused heavily with platelets.
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Lamoth, Frédéric, Sébastien Aeby, Antoine Schneider, Katia Jaton-Ogay, Bernard Vaudaux, and Gilbert Greub. "ParachlamydiaandRhabdochlamydiain Premature Neonates." Emerging Infectious Diseases 15, no. 12 (December 2009): 2072–75. http://dx.doi.org/10.3201/eid1512.090267.

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Silva, Davi Porfirio da, Itala Letice Pereira Lessa, Mirelle Alessandra Silva de Medeiros, Glaucia Alyne Nunes de Lacerda, Mércia Lisieux Vaz da Costa Mascarenhas, Anne Laura Costa Costa, Ingrid Martins Leite Lúcio, and Rossana Teotônio de Farias Moreira. "Infecções fúngicas em prematuros por leveduras do gênero malassezia." Revista de Enfermagem UFPE on line 12, no. 10 (October 7, 2018): 2836. http://dx.doi.org/10.5205/1981-8963-v12i10a236345p2836-2843-2018.

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RESUMOObjetivo: analisar em recém-nascidos prematuros internados em Unidades de Terapia Intensiva Neonatal por infecções fúngicas causadas por leveduras do gênero Malassezia. Método: trata-se de estudo bibliográfico, descritivo, tipo revisão integrativa, desenvolvido em seis etapas, com busca de artigos entre dezembro de 2017 e janeiro de 2018, nas bases de dados LILACS, BDENF, Science Direct, Medline e no Portal de Periódicos CAPES. Interpretaram-se os resultados e se sintetizou o conhecimento de forma crítica e descritiva. Resultados: incluíram-se 12 estudos publicados em inglês (84,61%), espanhol (7,69%) e francês (7,69%). Conclusão: considerou-se que o Malassezia spp. pode ser responsável pela colonização e infecção, cutânea e sanguínea, em neonatos prematuros hospitalizados, destacando-se as espécies M. fufur e M. pachydermatis. Recomenda-se a necessidade de mais estudos. Descritores: Malassezia; Microbiota Fungemia; Unidades de Terapia Intensiva Neonatal; Recém-Nascido Prematuro; Nutrição Parenteral. ABSTRACT Objective: to analyze in newborn infants hospitalized in Neonatal Intensive Care Units for fungal infections caused by yeasts of the genus Malassezia. Method: this is a bibliographical study, descriptive of integrative review, developed in six stages, with search of articles between December 2017 and January 2018, LILACS, BDENF, Science Direct, Medline and Portal of Journals CAPES. The results were interpreted and synthesized the knowledge critically and descriptive. Results: we included 12 studies published in English (84.61%), Spanish (7.69%) and French (7.69%). Conclusion: it was considered that the Malassezia spp. may be responsible for the colonization and infection, skin and blood, in hospitalized premature neonates, highlighting the species M. fufur and M. pachydermatis. It is recommended the need for further studies.Descriptors: Malassezia; Microbiota; Fungemia, Neonatal Intensive Care Units; Premature Infant; Parenteral Nutrition.RESUMEN Objetivo: analizar en neonatos hospitalizados en Unidades de Cuidados Intensivos Neonatales infecciones fúngicas causadas por levaduras del género Malassezia. Método: este es un estudio bibliográfico, descriptivo, examen integrador, desarrollado en seis etapas, con búsqueda de artículos entre diciembre de 2017 y enero de 2018 BDENF, Lilacs, Medline, Science Direct, Portal de Periódicos y CAPES. Los resultados son interpretados y sintetizan el conocimiento crítico y descriptivo. Resultados: se incluyeron 12 estudios publicados en inglés (84,61%), español (7,69%) y francés (7,69%). Conclusión: se consideró que la Malassezia spp. puede ser responsable de la colonización e infección, la piel y la sangre, en neonatos prematuros hospitalizados, destacando las especies M. fufur y M. pachydermatis. Se recomienda la necesidad de más estudios. Descriptores: Malassezia; Microbiota; Fungemia; Unidades de Cuidado Intensivo Neonatal; Recien Nacido Prematuro; Nutrición Parenteral.
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Metallinou, Dimitra, Grigorios Karampas, Eleftheria Lazarou, Nikoletta Iacovidou, Panagiota Pervanidou, Katerina Lykeridou, George Mastorakos, and Demetrios Rizos. "Serum Activin A as Brain Injury Biomarker in the First Three Days of Life. A Prospective Case—Control Longitudinal Study in Human Premature Neonates." Brain Sciences 11, no. 9 (September 20, 2021): 1243. http://dx.doi.org/10.3390/brainsci11091243.

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Disruption of normal intrauterine brain development is a significant consequence of premature birth and may lead to serious complications, such as neonatal brain injury (NBI). This prospective case-control longitudinal study aimed at determining the levels and prognostic value of serum activin A during the first three days of life in human premature neonates which later developed NBI. It was conducted in a single tertiary hospital and eligible participants were live-born premature (<34 weeks) neonates. Each case (n = 29) developed NBI in the form of an intraventricular haemorrhage, or periventricular leukomalacia, and was matched according to birth weight and gestational age to one neonate with normal head ultrasound scans. Serum activin A levels in both groups showed a stable concentration during the first three days of life as no difference was observed within the two groups from the first to the third day. Neonates diagnosed with NBI had significantly higher activin A levels during the first two days of life compared to control neonates and its levels correlated to the severity of NBI during the second and third day of life. Although serum activin A on the second day was the best predictor for neonates at risk to develop NBI, the overall predictive value was marginally fair (area under the ROC-curve 69.2%). Activin A, in combination with other biomarkers, may provide the first clinically useful panel for the early detection of premature neonates at high risk of NBI.
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Shakya, Amshu, and Sweta Kumari Gupta. "Neonatal outcome of maternal premature rupture of membranes more than 18 hours." Journal of Kathmandu Medical College 9, no. 2 (June 30, 2020): 81–86. http://dx.doi.org/10.3126/jkmc.v9i2.35526.

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Background: Premature Rupture of Membranes has been known to complicate pregnancy since ages. Several risk factors may be associated with occurrence of premature rupture of membranes. It is associated with varied neonatal complications, neonatal sepsis and prematurity being the most hazardous ones. Objectives: This study was conducted to evaluate the incidence of neonatal sepsis following premature rupture of membranes, risk factors and neonatal complications associated with premature rupture of membrane of more than 18 hours in the neonates admitted in a tertiary care center. Methodology: Descriptive observational study was undertaken for 18 months from August 2013 to January 2015 in the College of Medical Sciences, Chitwan, Nepal. This study included 82 neonates admitted to the Neonatal Intensive Care Unit with maternal history of premature rupture of membranes of more than 18 hours with medical conditions excluded. Results: The incidence of premature rupture of membranes in this hospital was 8.9%. Frequently associated maternal risk factors were history of prior abortion (16, 19.5%), urinary tract infection (7, 8.5%), and antecedent coitus (7, 8.5%). In the study population, 68 (83%) neonates had complications and 14 (17%) neonates had no complication. The incidence of neonatal sepsis following PROM in present study was 6.1%. Neonatal sepsis was significantly associated with chorioamnionitis (p<0.001). The most frequently occurring complication was probable neonatal sepsis (53, 64.6%), followed by prematurity (31, 37.8%) and perinatal asphyxia (15, 18.3%). There was a directly proportional relation of neonatal sepsis, chorioamnionitis, respiratory distress syndrome and mortality with duration of premature rupture of membranes. Conclusion: Commonly occurring maternal risk factors with PROM were prior abortion, UTI and antecedent coitus. In the study population, infectious morbidity was highest. Chorioamnionitis was significantly associated with culture proven neonatal sepsis. Prolonged duration of premature rupture of membranes increased the risk of neonatal sepsis, meningitis, respiratory distress syndrome and perinatal death. Prevention of these risk factors, appropriate and timely management including improved obstetric and neonatal care can provide intact survival of the neonates.
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DUNN, MICHAEL S. "Surfactant Replacement Therapy: Prophylaxis or Treatment?" Pediatrics 92, no. 1 (July 1, 1993): 148–50. http://dx.doi.org/10.1542/peds.92.1.148.

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After extensive preclinical and clinical testing, surfactant replacement therapy for premature neonates has become routine in modern neonatal intensive care units. Even though "everyone's doing it," there is nevertheless wide variation in how this therapy is applied. Future studies will be needed to help sort out some of the unresolved issues such as the best preparation, optimal delivery method, how best to ventilate the surfactant-treated neonate, when to retreat with surfactant, and the role of adjunctive therapies such as indomethacin or corticosteroids. Considerable controversy also exists over when surfactant should be administered. This issue has been studied in some depth, both in animals and premature neonates.
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Dissertations / Theses on the topic "Premature neonates"

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Diesel, Holly Johanna. "Soothability and growth in preterm neonates." Diss., St. Louis, Mo. : University of Missouri--St. Louis, 2009. http://etd.umsl.edu/r4401.

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Walden, Marlene. "Changes over six weeks in multivariate responses of premature neonates to a painful stimulus /." Digital version accessible at:, 1997. http://wwwlib.umi.com/cr/utexas/main.

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Jewell, Victoria C. "Importance of lutein and zeaxanthin as antioxidants in early life, particularly in premature infants." Thesis, University of Ulster, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.274417.

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Agala, D., and O. N. Jane. "Structure of perinatal pathology premature neonates with extremely low weight (ELBW)." Thesis, Sumy State University, 2014. http://essuir.sumdu.edu.ua/handle/123456789/36150.

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In most countries of the world achieved a significant decrease for perinatal and infant mortality in ELBW. Survival of ELBW children in different countries is 10–85 %. When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/36150
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Keraan, Qaunitah. "Retinopathy of Prematurity in a cohort of neonates at Groote Schuur Hospital." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20362.

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Background: Screening for Retinopathy of Prematurity (ROP) is recommended to prevent possible blindness. Prior to 2016, resource limitations precluded routine ROP screening at Groote Schuur Hospital (GSH). Previous pilot studies at GSH did not detect ROP requiring treatment. However, improved survival of very low birth weight infants may affect the prevalence of ROP. Objectives: The study objectives were to: i) Determine the prevalence and severity of ROP in a prospective cohort of premature infants; ii) Describe the association with pre-specified potential risk factors; iii) Assess the feasibility of screening for ROP in our resource-limited setting. Methods Infants with a birth weight of < 1251 g or gestational age < 31 weeks admitted to the GSH neonatal unit from November 2012 to May 2013 were screened. A paediatric ophthalmologist examined the infants at 4 weeks chronological age or 32 weeks corrected gestational age, with follow-up examinations as indicated. Results: Screening was performed in 135 of 191 eligible infants. A total of 313 ROP examinations were performed; 38.5% of infants required a single examination and 16.3% required more than four. The mean gestational age and weight at birth were 30.1 ± 1.9 weeks and 1056 ± 172 g respectively. Seventy-four infants were female (54.8%). Only black (57.0%) and coloured (42.9%) infants were represented. ROP was diagnosed in 40 (29.6%) infants: Eight (5.9%) infants had clinically significant ROP. No infants had stage 4 or 5 ROP. No infants weighing more than 1250 g required treatment. Two infants received laser treatment. Infants with ROP had a lower mean gestational age and lower mean birth weight than those without ROP: 29.2 ± 1.6 vs. 30.5 ± 1.9 weeks (P < 0.002) and 988 ± 181 g vs. 1085 ± 160 g (P = 0.001) respectively. Infants with ROP were more likely to have received a blood transfusion (P < 0.002); to have late onset sepsis (P = 0.024); and to have receive d exclusive breast milk feeds (P = 0.005). There were no significant differences in the level of respiratory support, the need for oxygen therapy, the occurrence of apnoea, early sepsis or severe intraventricular haemorrhage in infants with ROP compared to no ROP. On multivariate analysis, only gestational age was independently associated with ROP was gestational age (RR 0.85; 95% CI 95% 0.740 - 0.988; p=0.03). When gestational age was excluded in post-hoc analysis, birth weight (RR 0.99; 95% CI 0.997 - 0.999; P=0.03) and blood transfusions (RR 1.71; 95% CI 1.0 27 - 2.859; P=0.03) were independently associated with ROP. Infants <1000 g had a 2.5 times higher risk of having ROP than their larger counterparts (95% CI 1.05 - 5.90, P=0.03). ROP screening was completed in 91.1% (123/135) of infants. Conclusion Clinically significant ROP was found in this study. In contrast to previous studies conducted in this setting, two patients received laser treatment. Extensive resources were required for successful screening. The strong association with birth weight and gestational age suggests that infants with lower birth weights and gestational ages should be prioritized for screening in our resource-limited setting.
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Brown, Nancy Claire. "The uncertain best interests of premature neonates, an exploration of medical ethics." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ62698.pdf.

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Rogers, Jacquelyn A. "Multiparous perceptions of full term and preterm neonates." Virtual Press, 1990. http://liblink.bsu.edu/uhtbin/catkey/722790.

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The purpose of this study was to investigate whether multiparous mothers of full term infants perceived newborns differently than multiparous mothers of premature infants. A convenience sample of 32 multiparous mothers was selected and placed into one of two groups according to the gestational age. Group 1 was comprised of 25 full term mothers and Group 2 was comprised of 7 preterm mothers.The Neonatal Perception Inventory - I was utilized to elicit mother's perceptions of the newborn. The instrument was found to be valid and reliable for use with multiparas. Demographic data was gathered on age, educational level, number of previous pregnancies and the classification of a high-risk pregnancy.Differences between the two groups were analyzed utilizing a ttest and Analysis of Covariance. The study's results indicated that there is no significant difference between neonatal perceptions of multiparous mothers of full term infants and multiparous mothers of premature infants.
School of Nursing
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Sim, Kathleen. "Defining the gastrointestinal microbiota in premature neonates : its development and relation to necrotizing enterocolitis." Thesis, Imperial College London, 2015. http://hdl.handle.net/10044/1/31587.

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Background: Necrotizing enterocolitis (NEC) is an inflammatory bowel disease affecting premature infants. The disease can progress rapidly and is associated with high mortality. Early diagnosis can be difficult as the early manifestations of NEC can be very similar to sepsis. There is currently no pre-symptomatic screening method available. The aim of the work reported in this thesis was to identify microbial signatures in the gastrointestinal microbiota preceding NEC diagnosis in premature infants. Methods: Longitudinal (≥ daily) faecal samples and daily clinical data from throughout their neonatal intensive care unit stay were collected from 369 premature infants born at < 32 weeks gestation over a two-year period. The faecal microbiota of 12 infants with definite/severe NEC, 8 with suspected NEC, and 44 control infants was characterised using next-generation sequencing of 16S ribosomal RNA gene regions. Clinical characteristics and operational taxonomical units (OTUs) that discriminated cases from controls were identified using logistic regression. Bacteria isolated from stored faecal samples underwent selective culture, and the resulting isolates were identified using Matrix-Assisted Laser Desorption Ionization Time-of-Flight. Isolates identified as Clostridium perfringens were additionally typed and screened for the presence of toxin genes. Results: Faecal samples collected from four NEC infants just prior to diagnosis were found to contain a higher abundance of a clostridial OTU compared to matched control samples. Culture investigation identified this OTU as Clostridium perfringens. No two Clostridium perfringens isolates were found to be identical, as determined by fluorescent amplified fragment length polymorphism. Infants with NEC who did not have an over-abundance of the clostridial OTU (n=7) prior to diagnosis had a faecal microbiota dominated by a Klebsiella OTU. Only one infant did not have an abundance of either the clostridial OTU or the Klebsiella OTU. The use of prolonged continuous positive airway pressure therapy with supplemental oxygen (CPAP oxygen) was also found to be associated with NEC risk. Conclusions: Two OTUs (Clostridium and Klebsiella) were identified at high levels in faecal samples collected from infants prior to NEC diagnosis. A screening tool incorporating these biomarkers with the duration of CPAP oxygen use may aid the clinician in making an early diagnosis of NEC.
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Ritrosky, Zulay. "Prevalence of and Risk Factors for Intraoperative Non-Euglycemia Events in Premature Neonates <2500 Grams." Doctoral diss., University of Central Florida, 2010. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2195.

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This study examined the rates and risks of premature neonates <2500grams developing intraoperative non-euglycemia events (IONEE). A retrospective chart review of 26 premature neonates <2500 grams who underwent surgical procedures between January 1 and December 31, 2009 was conducted. Statistical analysis was done using Chi square and t-tests. Ten of the 26 subjects (38%) experienced an IONEE. Hyperglycemia was the primary IONEE that was noted in the neonates. (Mean: 143.19; sd: 56.041) Length of surgery was significantly longer in those premature neonates with IONEE than those with euglycemia (71.7 0± 27.03 vs. 45.62 ± 17.98 minutes). All IONEE subjects received general anesthesia (n=10) while none of those with only intravenous anesthesia had an IONEE (X2 (1) = 4.875, p=.027). Subjects with IONEE had a higher mean preoperative glucose level (127.11 gm/dL ± 31.66) than those who did not experienced IONEE (86.36 gm/dL ± 29.39; t(21) = 3.151, p=.005). A higher proportion of subjects who developed IONEE had the capillary heel (60%) as opposed to an arterial (40%) site for blood collection (X2 (1) = 6.518, p =.001). Also, subjects free of preoperative pulmonary complications were more prone to develop IONEE (X2 (1)= 8.60, p = .003). The presence of IONEE was associated with development of metabolic acidosis (X2 (1)= 5.426, p=.020) and lower postoperative pH values (7.19 ± 0.20 vs. 7.35 ± 0.11). Anesthesia providers need to establish intraoperative guidelines for the monitoring and treatment of IONEE to protect these premature neonates from having complications such as developmental delay.
D.N.P.
School of Nursing
Other
Nursing Practice DNP
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Pereira, Silvana Alves. "Avaliação precoce do comportamento oculomotor em bebês com displasia broncopulmonar." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/47/47135/tde-20042012-115806/.

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O presente estudo avaliou o sistema oculomotor medido por movimentos oculares em bebês com diagnóstico de Displasia Broncopulmonar (DBP). Bebês com idade gestacional 37 semanas, dependentes de oxigênio em concentrações acima de 21% por mais de 28 dias foram incluídos no grupo DBP, bebês nascidos a Termo (idade gestacional > 37 semanas), não internados foram incluídos no grupo nascido a termo e bebês prematuros (idade gestacional < 37 semanas), que permaneceram internados e que não fizeram uso de oxigênio por mais de 10 dias foram incluídos no grupo prematuro. Os bebês dos três grupos tinham exame oftalmológico de biomicroscopia e de fundo de olho com resultados normais. Foram excluídos do estudo, bebês em uso de oxigênio sob ventilação mecânica e/ou drogas vasoativas, com diagnóstico de hemorragia intracraniana, retinopatia da prematuridade e malformações motoras e/ou neurológicas congênitas ou adquiridas identificadas no exame neonatal ou durante a estadia no berçário. Todos os bebês realizaram uma única avaliação binocular. As avaliações foram realizadas com os bebês sentados confortavelmente e eram compostas pela avaliação de quatro movimentos oculares: sacadas (SAC), perseguição lenta (PL), reflexo vestíbulo-ocular (RVO) e nistagmo optocinéticos (NOC). Os movimentos oculares foram transcritos em variável categórica (presente ou ausente) e para análise estatística foram feitas comparações entre o grupo DBP, grupo nascido a termo e grupo prematuro (Teste Cochran Q), para garantir a confiabilidade dos resultados apresentados durante a avaliação, 28% da amostra foi avaliada por três observadores e um teste de aderência X2 foi utilizado para medir a confiabilidade entre os três observadores. Durante o estudo foram avaliados 109 bebês, 107 foram incluídos no estudo, dois bebês, com IG < 37 semanas, foram excluídos por usarem oxigênio por um tempo igual há 15 dias. Dos 107 bebês avaliados, 23 foram inclusos no grupo DBP, 47 no grupo nascido a termo e 37 no grupo prematuro. Os bebês do grupo DBP tiveram IG média de 32 semanas ± 3 semanas, APGAR 1° minuto 6 ± 1, 5° minuto 8 ± 2, 37 dias em oxigênio ± 10 dias, na quantidade média de 2 L/min ± 0,5 L/min. O peso de nascimento, idade gestacional, APGAR NO 1° e 5° minutos do grupo nascido a termo, DBP e Prematuro diferem significativamente entre si (Teste Kruskal-Wallis p = 0.0000, 0.0000, 0.0000, 0.0013 e 0.0001, respectivamente). O grupo nascido a termo apresentou maiores valores quando comparado ao grupo DBP e prematuro. Bebês com DBP manifestam ausência de três dos quatro tipos de movimentos oculares medidos quando comparado com o grupo nascido a termo e prematuro (Teste Q Cochran onde Q > 2 e p, < 0,05)
This study evaluated the oculomotor system measured by eye movements in infants diagnosed with bronchopulmonary dysplasia (BPD). Infants 37 weeks gestational age, oxygen-dependent at concentrations above 21% for more than 28 days were included in the BPD group, term infants (gestational age > 37 weeks), not hospitalized were included in term groups and preterm infants (gestational age < 37 weeks), who remained hospitalized and did not use oxygen for more than 10 days were included in the premature group. The three groups of babies had eye examination and biomicroscopy of the fundus with normal results. Excluded from the study, babies on oxygen in mechanical ventilation and/ or vasoactive drugs; with a diagnosis of intracranial hemorrhage, retinopathy of prematurity, motor and/or neurological congenital or acquired malformations identified in neonatal or during the stay in the nursery. All infants made a single binocular assessment. The evaluations were conducted with babies seated comfortably and were composed by the evaluation of four eye movements: saccades (SAC), slow pursuit (PL), vestibuloocular reflex (VOR) and optokinetic nystagmus (NOC). Eye movements were transcribed into a categorical variable (present or absent) and statistical analysis were made between BPD group, term group and premature group (Cochran Q test) to ensure reliable of the results presented during the evaluation, 28 % of the sample was evaluated by three observers and an adherence X2 test was used to measure the reliable between three observers. During the study, 109 infants were evaluated, 107 were included in the study, two infants with GA < 37 weeks, were excluded by using oxygen for a time equal to 15 days. Of the 107 infants evaluated, 23 were included in the BPD group, 47 in the term group and 37 in the premature group. Babies in the BPD group had GA of 32 weeks ± 3 weeks, APGAR 1st minute 6 ± 1, 5th minutes 8 ± 2, 37 days ± 10 days in oxygen, in the median amount of 2 L / min ± 0.5 L / min. Birth weight, gestational age, APGAR score at 1st and 5th minutes from the term group, DBP and Premature differ significantly (Kruskal-Wallis test p = 0.0000, 0.0000, 0.0013 and 0.0001, respectively). The term group had higher values when compared to the BPD and premature. Babies with BPD manifest absence of three of the four types of eye movements measured when compared with the term group and preterm (Cochran Q test where Q > 2 and p < 0.05)
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Books on the topic "Premature neonates"

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Young, Jeanine. Developmental care of the premature baby. London: Ballière Tindall, 1996.

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Young, Jeanine. Developmental care of the premature baby. London: Ballière Tindall, 1996.

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Jack, Allen, and Wilson Janet R. N, eds. Premature infants and their families: Developmental interventions. San Diego: Singular Pub. Group, 1995.

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Clancy, Jo. Premature birth: A family survival guide. Madison, Conn: Psychosocial Press, 2003.

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Bissinger, Robin Louise. Golden hours: Care of the very low birth weight infant. Chicago: The National Certification Corporation, 2014.

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ill, Tate Diane, ed. Watching Bradley grow: A story about premature birth. Atlanta, Ga: Longstreet Press, 1996.

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Wiltgen, Trotter Carol, Wieczorek Rita Reis, and Freda Margaret Comerford, eds. The premature infant: Nursing assessment and management. 2nd ed. White Plains, NY: Education & Health Promotion, March of Dimes, 2005.

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Vargo, Lyn E. The premature infant: Nursing assessment and management. Edited by Trotter Carol Wiltgen, Wellman Lynn G, and Freda Margaret Comerford. White Plains, N.Y: Education Services Dept., March of Dimes Birth Defects Foundation, 1998.

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ill, Connelly Gwen, ed. No bigger than my teddy bear. Nashville: Abingdon Press, 1987.

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ill, Harvill Kitty 1958, ed. Believe in Katie Lynn. Nashville, Tenn: Eggman Pub., 1995.

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Book chapters on the topic "Premature neonates"

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Neu, J., and Y. Huang. "Nutrition of Premature and Critically Ill Neonates." In Nutrition and Critical Care, 171–85. Basel: KARGER, 2003. http://dx.doi.org/10.1159/000072754.

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Singh, Yogen. "Cardiovascular Physiology in Premature and Term Neonates." In Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care, 1–18. London: Springer London, 2021. http://dx.doi.org/10.1007/978-1-4471-4999-6_254-1.

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Hirasawa, Kyoko. "Mismatch Negativity in Healthy Neonates and Premature Babies." In Sudden Infant Death Syndrome, 117–28. Tokyo: Springer Japan, 2013. http://dx.doi.org/10.1007/978-4-431-54315-2_8.

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Mathur, Amit M., and Robert C. McKinstry. "Intraventricular Hemorrhage Spectrum in Premature Neonates: Evidence-Based Neuroimaging." In Evidence-Based Neuroimaging Diagnosis and Treatment, 331–42. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-3320-0_21.

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Hendrikx, Dries, Liesbeth Thewissen, Anne Smits, Gunnar Naulaers, Karel Allegaert, Sabine Van Huffel, and Alexander Caicedo. "Nonlinear Transfer Entropy to Assess the Neurovascular Coupling in Premature Neonates." In Advances in Experimental Medicine and Biology, 11–17. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-34461-0_2.

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Corpeleijn, Willemijn E., Ruurd M. van Elburg, Ido P. Kema, and Johannes B. van Goudoever. "Assessment of Intestinal Permeability in (Premature) Neonates by Sugar Absorption Tests." In Methods in Molecular Biology, 95–104. Totowa, NJ: Humana Press, 2011. http://dx.doi.org/10.1007/978-1-61779-191-8_6.

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Sennhauser, F., A. Balloch, M. Shelton, L. Doyle, V. Yu, and D. Roberton. "A longitudinal study of immunoglobulin and antibody concentrations in lower respiratory tract secretions from very premature neonates." In Advances in Mucosal Immunology, 463–64. Dordrecht: Springer Netherlands, 1990. http://dx.doi.org/10.1007/978-94-009-1848-1_133.

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Jungerwirth, Robert, Hao Wu, and Hannah J. Hsieh. "Blood Management in the Premature Neonate." In Essentials of Blood Product Management in Anesthesia Practice, 411–22. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-59295-0_43.

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Tovar, Juan A. "Gastroesophageal Reflux in Newborns and Premature Infants." In Rickham's Neonatal Surgery, 577–93. London: Springer London, 2018. http://dx.doi.org/10.1007/978-1-4471-4721-3_25.

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Ting Fu, Ting, Kera McNelis, Carrie Smith, and Jae H. Kim. "Care of the Premature and Ill Neonate." In Pediatric Nutrition for Dietitians, 153–64. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781003147855-12.

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Conference papers on the topic "Premature neonates"

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Reddy, Prasika I., Ahmed M. Al-Jumaily, and Geoff T. Bold. "A Viscoelastic Model of the Neonatal Respiratory System to Assess the Efficacy of CPAP Devices." In ASME 2008 International Mechanical Engineering Congress and Exposition. ASMEDC, 2008. http://dx.doi.org/10.1115/imece2008-66212.

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The objectives of this research were to; develop a validated mathematical model of the premature neonatal lung. A description of the multi-compartmental, branched airway model of the neonatal lung is presented and shown to compare well with existing in-vivo data from the literature. The model described will be used in engineering practice to assess the design of conventional and emerging forms of continuous positive airway pressure (CPAP) devices in treating respiratory distress syndrome (RDS) in premature neonates.
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Soffer, Omri David, Diniece Barran, and Philip Roth. "Transcutaneous Bilirubin on Premature Neonates , Can We Rely on It?" In Selection of Abstracts From NCE 2016. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/peds.141.1_meetingabstract.567.

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van den Berg, W., M. Peters, C. Breederveld, J. W. ten Cate, and J. G. Koppe. "PREDICTIVE VALUE OF LOW AT III LEVELS FOR THE OCCURRENCE OF IVH, IRDS AND DEATH IN PREMATURE NEONATES." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644268.

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The observation of AT III deficiency in premature neonates with Idiopathic Respiratory Distress Syndrome (IRDS), suggests a positive predictive value for a poor outcome. The underlying diffuse intravascular coagulation could generate serious hemorrhagic complications like Peri/Intraventricular Hemorrhage (IVH).A prospective study was performed in consecutively born neonates to assess the predictive value of low AT III for theoccurrence of IVH, (gr. III/IV), IRDS, and death. Eighty-one neonates were included in the study during a period of 5 months. AT III levels were determined immediately after birth by a chromogenic substrate assay. Values in umbilical cord blood were identical with values in capillary or peripheral vein blood samples taken within 6 hours after birth. There was no correlation between AT III values and gestational age (r: 0.18). Twenty-four neonates with IRDS showed a mean AT III value of 0.23 U/ml (S. D. ± 0.07 U/ml) which was significantly lower than a mean AT III value of 0.35 U/ml (S. D. ± 0.1 U/ml) for neonates without IRDS (p ≺0.00005). When IVH gr. III/IV was diagnosed in neonates having IRDS (8/24) no significant difference in mean AT IIIact was observed with respect to jnean AT III levels of remaining neonates without this complication. No death occurred in neonates without IRDS. Mean AT IIIact (0.21 U/ml) in neonates with IRDS who died (9/24) was low compared with mean AT III levels of neonates with IRDS who survived (0.25 U/ml), but did not reach significance (p≻0.1). Assuming a critical value of AT III of 20% a positive predictive value of 89% for IRDS, 44% for IVH, and 56% for death was calculated. It is concluded that low AT Illact levels have a high predictive value for IRDS.
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Joglekar, Ashish, Alok Rawat, Vasanth Raiaraman, Bharadwai Amrutur, Prem Mony, Prashanth Thankachan, Tony Raj, and Suman Rao. "A Wearable Sensor for Monitoring Kangaroo Mother Care Treatment for Premature Neonates." In 2018 IEEE Sensors. IEEE, 2018. http://dx.doi.org/10.1109/icsens.2018.8589633.

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Hajjar, Yasser Al, Abd El Salam Al Hajjar, Bassam Daya, and Pierre Chauvet. "Predication of premature neonates prognosis based on their electroencephalogram using artificial neural network." In 2015 SAI Intelligent Systems Conference (IntelliSys). IEEE, 2015. http://dx.doi.org/10.1109/intellisys.2015.7361190.

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Gschwandtner, Laura, Manfred Hartmann, Lisa Oberdorfer, Franz Furbass, Katrin Klebermas-Schrehof, Tobias Werther, Nathan Stevenson, et al. "Deep learning for estimation of functional brain maturation from EEG of premature neonates." In 2020 42nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) in conjunction with the 43rd Annual Conference of the Canadian Medical and Biological Engineering Society. IEEE, 2020. http://dx.doi.org/10.1109/embc44109.2020.9175380.

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Paget-Brown, AO, M. Davis, B. Gaston, and JF Hunt. "The Use of Continuous Exhaled Breath Condensate Monitoring in Mechanically Ventilated Premature Neonates." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a1387.

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Rittey, L., S. Pryad, P. Bustani, and JDR Thomson. "36 Outcomes in premature or small for dates neonates with congenital heart disease." In British Congenital Cardiac Association, Annual meeting abstracts 9–10 November 2017, Great Ormond Street Institute of Child Health, London, UK. BMJ Publishing Group Ltd and British Cardiovascular Society, 2018. http://dx.doi.org/10.1136/heartjnl-2017-bcca.36.

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Kao, Tzu-Jen, Bruce Amm, Jeffrey Ashe, and David Davenport. "Pulmonary Ventilation and Pulsatile Perfusion Imaging on Premature Neonates using Simultaneous Multi-Source EIT." In 2020 42nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) in conjunction with the 43rd Annual Conference of the Canadian Medical and Biological Engineering Society. IEEE, 2020. http://dx.doi.org/10.1109/embc44109.2020.9176446.

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Ijaz, Aisha, Mohammed Abu Bakar, Rizwan Khan, and Ghulam Raza. "P483 Home oxygen referral in premature neonates born in UMHL over two years period." In Faculty of Paediatrics of the Royal College of Physicians of Ireland, 9th Europaediatrics Congress, 13–15 June, Dublin, Ireland 2019. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-epa.819.

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Reports on the topic "Premature neonates"

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Monroy-Torres, Rebeca. Ganancia de peso e impacto metabólico como resultados de la terapia nutricional en neonatos prematuros hospitalizados. Buenos Aires: siicsalud.com, August 2015. http://dx.doi.org/10.21840/siic/137991.

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