scholarly journals Beyond the First Wave: Consequences of COVID-19 on High-Risk Infants and Families

2020 ◽  
Vol 37 (12) ◽  
pp. 1283-1288
Author(s):  
Monica E. Lemmon ◽  
Ira Chapman ◽  
William Malcolm ◽  
Kelli Kelley ◽  
Richard J. Shaw ◽  
...  
Keyword(s):  
High Risk ◽  
Care Delivery ◽  
The Novel ◽  
High Risk Infant ◽  
Infant Outcomes ◽  
Developmental Care ◽  
Key Points ◽  
Centered Care ◽  
High Risk Infants ◽  
Novel Coronavirus

The novel coronavirus disease 2019 (COVID-19) pandemic is affecting care for high-risk newborns in ways that will likely be sustained beyond the initial pandemic response. These novel challenges present an urgent imperative to understand how COVID-19 impacts parent, family, and infant outcomes. We highlight three areas that warrant targeted attention: (1) inpatient care: visitation policies, developmental care, and communication practices; (2) outpatient care: high-risk infant follow-up and early intervention programs; and (3) parent psychosocial distress: mental health, social support, and financial toxicity. Changes to care delivery in these areas provide an opportunity to identify and implement novel strategies to provide family-centered care during COVID-19 and beyond. Key Points

scholarly journals Telemedicine and the Interdisciplinary Clinic Model: During the COVID-19 Pandemic and Beyond

2020 ◽  
Vol 163 (4) ◽  
pp. 673-675 ◽  
Author(s):  
Lisa A. Zughni ◽  
Amanda I. Gillespie ◽  
Jeanne L. Hatcher ◽  
Adam D. Rubin ◽  
John Paul Giliberto
Keyword(s):  
Care Delivery ◽  
Upper Airway ◽  
The Novel ◽  
Speech Language Pathology ◽  
Patient Centered ◽  
Speech Language Pathologist ◽  
Centered Care ◽  
Language Pathology ◽  
Novel Coronavirus ◽  
Improve Access

The emergence of the novel coronavirus disease 2019 (COVID-19) and the subsequent need for physical distancing have necessitated a swift change in health care delivery. Prior to the COVID-19 outbreak, many institutions utilized an interdisciplinary clinic model including both a laryngologist and a speech-language pathologist for the evaluation of patients with voice, swallowing, and upper airway disorders. To improve access, many providers are pursuing the use of interdisciplinary telemedicine to provide individualized patient-centered care while allowing for physical distancing. The purpose of this commentary is to review the current literature regarding telemedicine in laryngology and speech-language pathology as well as the current and future states of practice for interdisciplinary tele-evaluations.

scholarly journals High Risk Infants Follow-Up: A Case Study in Iran

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Mohammad Heidarzadeh ◽  
Behzad Jodeiry ◽  
Mohammad Baqer Hosseini ◽  
Kayvan Mirnia ◽  
Forouzan Akrami ◽  
...  
Keyword(s):  
High Risk ◽  
Clinical Evaluation ◽  
Care Program ◽  
Maternity Hospital ◽  
Control Group ◽  
High Risk Infant ◽  
Maternity Hospitals ◽  
Follow Up Care ◽  
High Risk Infants

Background. A follow-up program for high risk infants was initiated in Alzahra Maternity Hospital in Tabriz city, Iran, in 2013. The aim of this paper is to give a brief report of the program.Material and Methods. Two groups of high risk neonates were studied. The first group comprising 509 infants received services in Alzahra Maternity Hospital implemented by the follow-up program. This included a full package for family to look after high risk infant and periodic clinical evaluation at two and four weeks after birth and then two, three, four, five, and six months later again. The second group including 131 infants in Taleqani Maternity Hospital received routine services after birth with no specific follow-up care.Results. Some anthropometric indices showed a significant improvement in the intervention hospital compared to control group. These included the following: head circumference at first and second months; weight in the first, fourth, fifth, and sixth months; and height in sixth month only. Clinical evaluation of infants showed an improvement for some of the medical conditions.Conclusion. Follow-up care program for a minimum of six months after discharge from maternity hospitals may help to avoid adverse and life threatening consequences in high risk infants.

scholarly journals Coping by the healthcare workers during COVID-19 pandemic in developing countries - A review.

2020 ◽  
Vol 24 (3) ◽  
Author(s):  
Alka Chandra ◽  
Hemant Vanjare
Keyword(s):  
Developing Countries ◽  
High Risk ◽  
Healthcare Workers ◽  
The Novel ◽  
Front Line ◽  
Outbreak Response ◽  
Duty Hours ◽  
Novel Coronavirus

In December 2019, an outbreak of the novel coronavirus (COVID-19) occurred in Wuhan, China. To date, this has spread across the globe, raising a number of significant challenges for healthcare workers (HCW). They are at the front line of the outbreak response and as such are exposed to hazards including the high risk of contracting the infection. Long and irregular duty hours in very constrained environment can contribute to increased levels of stress and ultimately precipitate burnout.

scholarly journals Changing Clusters of Indian States with respect to number of Cases of COVID-19 using incrementalKMN Method

2020 ◽  
Author(s):  
Rabinder Kumar Prasad ◽  
Rosy Sarmah ◽  
Subrata Chakraborty
Keyword(s):  
Growth Rate ◽  
High Risk ◽  
Doubling Time ◽  
The Other ◽  
Risk Category ◽  
The Novel ◽  
Indian States ◽  
High Risk Category ◽  
First Case ◽  
Novel Coronavirus

Abstract The novel Coronavirus (COVID-19) incidence in India is currently experiencing exponential rise with apparent spatial variation in growth rate and doubling time. We classify the states into five clusters with low to high-risk category and identify how the different states moved from one cluster to the other since the onset of the first case on $30^{th}$ January 2020 till the end of $15^{th}$ September 2020. We cluster the Indian states into $5$ groups using incrementalKMN clustering \cite{b1}. We observed and comment on the changing scenario of the formation of the clusters starting from before lockdown, through lockdown and the various unlock phases.

scholarly journals Developmental Screening Tools for Motor Developmental Delay in High Risk Preterm Infants

2016 ◽  
Vol 35 (2) ◽  
pp. 162-167 ◽  
Author(s):  
Selvam Ramachandran ◽  
Sudip Dutta
Keyword(s):  
High Risk ◽  
Developmental Delay ◽  
Very Low Birth Weight ◽  
Screening Tools ◽  
Intervention Programs ◽  
Developmental Screening ◽  
Functional Skills ◽  
Predictive Tool ◽  
Developmental Care ◽  
High Risk Infants

The preterm very low birth weight infants are at high risk of motor developmental delays. The developmental screening tools used by health professionals in pediatric practice serves several purposes viz. as a discriminative screening tool to identify the developmental delay in such high risk infants; as an evaluation tool to quantify the levels of functional skills achieved; as a prognostic tool to quantify the changes in levels of functional skills following specific developmental care interventions and as a predictive tool to predict the quantum of existing or impending neuro-developmental disability in high risk infants. Thus developmental screening tools serves as an integral part of early intervention programs. Such screening tools also serve as program evaluation strategy in quantifying the efficacy of early developmental care intervention programs. This review is aimed at describing the properties of developmental screening tools for motor developmental delay in preterm infants.J Nepal Paediatr Soc 2015;35(2):162-167

Opportunities and Challenges of Telehealth in Disease Management during COVID-19 Pandemic: A Scoping Review

2021 ◽  
Vol 12 (04) ◽  
pp. 864-876
Author(s):  
Jahanpour Alipour ◽  
Mohammad Hosein Hayavi-Haghighi
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Access ◽  
Care Delivery ◽  
Meta Analysis ◽  
The Novel ◽  
Public Health Emergencies ◽  
Care Access ◽  
Legal Challenges ◽  
Novel Coronavirus

Abstract Objective The novel coronavirus disease 2019 (COVID-19) pandemic is an unexpected universal problem that has changed health care access across the world. Telehealth is an effective solution for health care delivery during disasters and public health emergencies. This study was conducted to summarize the opportunities and challenges of using telehealth in health care delivery during the COVID-19 pandemic. Methods A structured search was performed in the Web of Science, PubMed, Science Direct, and Scopus databases, as well as the Google Scholar search engine, for studies published until November 4, 2020. The reviewers analyzed 112 studies and identified opportunities and challenges. This review followed the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) protocols. Quality appraisal was done according to the Mixed Methods Appraisal Tool (MMAT) version 2018. Thematic analysis was applied for data analysis. Results A total of 112 unique opportunities of telehealth application during the pandemic were categorized into 4 key themes, such as (1) clinical, (2) organizational, (3) technical, and (4) social, which were further divided into 11 initial themes and 26 unique concepts. Furthermore, 106 unique challenges were categorized into 6 key themes, such as (1) legal, (2) clinical, (3) organizational, (40 technical, (5) socioeconomic, and (6) data quality, which were divided into 16 initial themes and 37 unique concepts altogether. The clinical opportunities and legal challenges were the most frequent opportunities and challenges, respectively. Conclusion The COVID-19 pandemic significantly accelerated the use of telehealth. This study could offer useful information to policymakers about the opportunities and challenges of implementing telehealth for providing accessible, safe, and efficient health care delivery to the patient population during and after COVID-19. Furthermore, it can assist policymakers to make informed decisions on implementing telehealth in response to the COVID-19 pandemic by addressing the obstacles ahead.

Sound Level Exposure of High-Risk Infants in Different Environmental Conditions

2006 ◽  
Vol 25 (1) ◽  
pp. 25-32 ◽  
Author(s):  
Jacqueline Byers ◽  
W. Randolph Waugh ◽  
Linda Lowman
Keyword(s):  
High Risk ◽  
Environmental Conditions ◽  
Sound Level ◽  
Outcome Variable ◽  
Improvement Program ◽  
Convenience Sample ◽  
Sound Levels ◽  
Centered Care ◽  
High Risk Infants ◽  
The Impact

Purposes: To provide descriptive information about the sound levels to which high-risk infants are exposed in various actual environmental conditions in the NICU, including the impact of physical renovation on sound levels, and to assess the contributions of various types of equipment, alarms, and activities to sound levels in simulated conditions in the NICU.Design: Descriptive and comparative design.Sample: Convenience sample of 134 infants at a southeastern quarternary children’s hospital.Main Outcome Variable: A-weighted decibel (dBA) sound levels under various actual and simulated environmental conditions.Results: The renovated NICU was, on average, 4–6 dBA quieter across all environmental conditions than a comparable nonrenovated room, representing a significant sound level reduction. Sound levels remained above consensus recommendations despite physical redesign and staff training. Respiratory therapy equipment, alarms, staff talking, and infant fussiness contributed to higher sound levels.Conclusion: Evidence-based sound-reducing strategies are proposed. Findings were used to plan environment management as part of a developmental, family-centered care, performance improvement program and in new NICU planning.

scholarly journals Emerging prophylaxis strategies against COVID-19

2020 ◽  
Vol 90 (1) ◽  
Author(s):  
Sumita Agrawal ◽  
Akhil Dhanesh Goel ◽  
Nitesh Gupta
Keyword(s):  
High Risk ◽  
The Novel ◽  
Corona Virus ◽  
The World ◽  
Novel Coronavirus

The Novel corona virus 2019 which started as an outbreak in China in December 2019 has rapidly spread all over the world, such that on 11th March 2020 WHO declared this disease as pandemic. The emergency that the world faces today demands that we develop urgent and effective measures to protect people at high risk of transmission. WHO has accelerated research in diagnostics, vaccines and therapeutics for this novel coronavirus.

Physiological regulation in high-risk infants: A model for assessment and potential intervention

1996 ◽  
Vol 8 (1) ◽  
pp. 43-58 ◽  
Author(s):  
Stephen W. Porges
Keyword(s):  
High Risk ◽  
Self Regulation ◽  
Abnormal Development ◽  
Neural Regulation ◽  
Older Children ◽  
High Risk Infant ◽  
Physiological Regulation ◽  
Initial Task ◽  
High Risk Neonate ◽  
High Risk Infants

AbstractThe model presented identifies the importance of neural regulation of autonomic state as an antecedent substrate for emotional, cognitive, and behavioral regulation. It is proposed that individual differences in neural regulation of autonomic state are related to normal and abnormal development. Establishing nervous system regulation of autonomic state is the infant's initial task of self-regulation. Survival for the high-risk infant is based primarily on physiological self-regulation. Although the methods described focus on the high-risk neonate, the model provides insight into normal development and may be generalized to the study of older children and adults with behavioral and psychological problems. Moreover, the model may contribute to assessment and intervention strategics for normal and abnormal development.

scholarly journals The Teaching Design and Application of Online - Offline Hybrid Curriculum under the Influence of the Novel Coronavirus Pneumonia Epidemic

2021 ◽  
Vol 245 ◽  
pp. 03065
Author(s):  
Wenjia Xie ◽  
Kun Han ◽  
Xiaoli Zhang ◽  
Xinwei Gao ◽  
Meimei He
Keyword(s):  
The Novel ◽  
Hybrid Courses ◽  
Course Content ◽  
Teaching Objectives ◽  
Key Points ◽  
Hybrid Teaching ◽  
Teaching Design ◽  
Key Issues ◽  
Hybrid Curriculum ◽  
Novel Coronavirus

This paper analyzes the differences between online and offline courses in teaching organization, course content and practice, as well as the differences between hybrid teaching and hybrid courses in concept and emphasis. This paper puts forward the basic principles and requirements of hybrid courses teaching design, and discusses the key points and application scenarios of hybrid courses teaching design from three aspects: teaching objectives, teaching elements and teaching activities. And the key issues that need to be figured out are explained.

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