Qualitative and Quantitative Crying Analysis of New Born Babies Delivered Under High Risk Gestation

2009 ◽  
pp. 320-327 ◽  
Author(s):  
Antonio Verduzco-Mendoza ◽  
Emilio Arch-Tirado ◽  
Carlos A. Reyes García ◽  
Jaime Leybón Ibarra ◽  
Juan Licona Bonilla
Keyword(s):  
High Risk ◽  
Qualitative And Quantitative ◽  
New Born

scholarly journals “Five-year changes in population newborn health associated with new preventive services in targeted risk-group pregnancies”

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Tormod Rimehaug ◽  
Karianne Framstad Holden ◽  
Stian Lydersen ◽  
Marit Sæbø Indredavik
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Psychosocial Support ◽  
False Negative ◽  
Preterm Births ◽  
Birth Cohorts ◽  
Similar Reduction ◽  
Apgar Scores ◽  
Developmental Problems ◽  
New Born

Abstract Backgrounds In 2009, the prevention service “Familieambulatoriet” (FA) was established in three pilot hospital areas offering psychosocial support and health monitoring to parents in high risk regarding mental health and substance use, for the purpose of preventing child mental health and developmental problems through preschool years. This study selected new-born health as a preliminary endpoint for evaluation of population effects in three pilot areas, utilizing national statistics for birth cohorts from 2005 to 2013. The aim of the study is to evaluate changes in population new born health incidences associated with the establishment of new supportive and preventive FA-services at three pilot sites from 2009 in contrast to previous years and the remaining country. This quasi-experimental design evaluated changes in populations with new services available not those receiving the services, and controlled for national historical changes, variation between hospital districts, and random variation across the years before or years after the pilot services were introduced. Our hypothesis was to expect reduced frequencies of preterm births, SGA births, low APGAR scores, pediatric transfer, and new born abstinence symptoms in the pilot areas. Methods The baseline was established through 4 years preceding 2009, contrasting changes at pilot sites the following 4 years 2009–2013 using the remaining hospital area populations in Norway 2005–2008 and 2009–2013 as contrasts. Results Related to the introduction of FA services, we found three significant improvements in new born health using mixed effects logistic regression. 1) In the population rate of babies born prematurely with small for gestational age (SGA), using the 10th percentile criteria as the definition; odds ratio (OR) = 0.73 (95% Cl: 0.60 to 0.88). 2) A similar reduction using the 2.5th percentile criteria, although with wider confidence limits; OR = 0.73 (95% Cl: 0.54 to 0.99). 3) A decrease in the frequency of low APGAR scores (0–6) 5 min. after birth; OR = 0.80 (95% Cl: 0.68 to 0.95). Thus, the FA-areas remained significantly lowered on SGA rates or Low APGAR rates across the years after FA establishment, despite considerable variation, in contrast to the baseline years and to the remaining country. No significant effect was found for the outcomes frequency of premature births (unrelated to SGA), SGA among full-term babies, child abstinence symptoms or pediatric transfer of the baby. False negative findings may result from low-rate outcomes or studying the population rather than users. Conclusions Population rates suggest that introducing FA services offering support and monitoring in high-risk families may contribute to improving aspects of new born infant health. Intervention components and strategies should be studied more closely using individual data.

The High Risk New Born

2008 ◽  
Author(s):  
MKC Nair
Keyword(s):  
High Risk ◽  
New Born

Prospective study of the incidence of post-transfusion hepatitis (PTH) in high risk new-born babyes (NB)

1998 ◽  
Vol 28 ◽  
pp. 192
Author(s):  
A. Ruiz-Extremera ◽  
ML. Rey ◽  
C. Torres ◽  
P. Muñoz de Rueda ◽  
I. Carmona ◽  
...  
Keyword(s):  
High Risk ◽  
Prospective Study ◽  
New Born ◽  
Post Transfusion Hepatitis

scholarly journals Universal hearing screening of newborn to detect hearing loss and aid in early intervention: multicentre study

2018 ◽  
Vol 5 (6) ◽  
pp. 2114
Author(s):  
Kamal K. Yenamandra ◽  
Pankaj K. Sahu ◽  
Anil Kumar ◽  
N. Rai ◽  
Pankaj K. Thakur
Keyword(s):  
Hearing Loss ◽  
High Risk ◽  
Confidence Interval ◽  
Hearing Impairment ◽  
Risk Group ◽  
Hearing Screening ◽  
New Born ◽  
Screening Protocol ◽  
Brainstem Response ◽  
Universal Hearing Screening

Background: Significant hearing loss is one of the most common major abnormalities present at birth. Screening for hearing loss in new-born is based on two concepts. First, a critical period exists for optimal language skills to develop, and Second, earlier intervention produces better outcomes.Methods: A two-stage screening protocol, in which new-born are screened first with two staged Transient Evoked Oto-acoustic Emissions TEOAE, using handheld TEOAE device, followed by confirmation with Auditory Brainstem Response (ABR). The objective was to study the incidence of hearing impairment in “healthy” and “high risk‟ newborns. A prospective observational study of hearing impairment screening was conducted on 4400 newborns, the study was done as a multi-centre study in 3 different hospitals during January 10 - December 14.Results: 4400 new born, born during the study period were screened, which included 4162(94.7%) healthy neonates and remaining 238(5.3%) high risk neonates. 24 newborn among the cohort of 4400, had hearing impairment confirmed by ABR. The overall incidence of hearing impairment is 5.45/ 1000 screened with 95 % confidence interval between 4.28-11.6. Incidence of hearing impairment in the "no risk‟ group was 2.4/1000 with 95 % confidence interval between 2.01- 4.66. Whereas incidence of 58.8/1000 with 95 % confidence interval is between 1.96-10.32 was seen in "at risk‟ group. Also, this study shows Universal hearing screening of newborns with a two staged screening protocol using TEOAE followed by confirmation with ABR is not only cost effective for detection of hearing loss but also aids in early intervention.Conclusions: The incidence of hearing impairment in our study (5.45 per 1000) is much higher than results shown in previous studies and national average of 4/1000.

scholarly journals Predictors of 18F-sodium fluoride uptake in patients with stable coronary artery disease and adverse plaque features on computed tomography angiography

2019 ◽  
Vol 21 (1) ◽  
pp. 58-66 ◽  
Author(s):  
Jacek Kwiecinski ◽  
Damini Dey ◽  
Sebastien Cadet ◽  
Sang-Eun Lee ◽  
Balaji Tamarappoo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
High Risk ◽  
Sodium Fluoride ◽  
Computed Tomography Angiography ◽  
Stable Coronary Artery Disease ◽  
Qualitative And Quantitative ◽  
Fluoride Uptake ◽  
Artery Disease

Abstract Aims In patients with stable coronary artery disease (CAD) and high-risk plaques (HRPs) on coronary computed tomography angiography (CTA), we sought to define qualitative and quantitative CTA predictors of abnormal coronary 18F-sodium fluoride uptake (18F-NaF) by positron emission tomography (PET). Methods and results Patients undergoing coronary CTA were screened for HRP. Those who presented with ≥3 CTA adverse plaque features (APFs) including positive remodelling; low attenuation plaque (LAP, <30 HU), spotty calcification; obstructive coronary stenosis ≥50%; plaque volume >100 mm3 were recruited for 18F-NaF PET. In lesions with stenosis ≥25%, quantitative plaque analysis and maximum 18F-NaF target to background ratios (TBRs) were measured. Of 55 patients, 35 (64%) manifested coronary 18F-NaF uptake. Of 68 high-risk lesions 49 (70%) had increased PET tracer activity. Of the APFs, LAP had the highest sensitivity (39.4%) and specificity (98.3%) for predicting 18F-NaF uptake. TBR values were higher in lesions with LAP compared to those without [1.6 (1.3–1.8) vs. 1.1 (1.0–1.3), P = 0.01]. On adjusted multivariable regression analysis, LAP (both qualitative and quantitative) was independently associated with plaque TBR [LAP qualitative: β = 0.47, 95% confidence interval (CI) 0.30–0.65; P < 0.001] and (LAP volume: β = 0.20 per 10 mm3, 95% CI 0.13–0.27; P < 0.001). Conclusion In stable CAD patients with HRP, LAP is predictive of 18F-NaF coronary uptake, but 18F-NaF is often seen in the absence of LAP. If 18F-NaF uptake is shown to be associated with adverse outcomes and becomes clinically used, the presence of LAP may define patients who would not benefit from the added testing.

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