scholarly journals Incidence of Natal Teeth in Sarlahi District of Nepal

2019 ◽  
Vol 17 (01) ◽  
pp. 100-102
Author(s):  
Nitin Kumar Agrawal ◽  
Subarna K Khatry ◽  
Steven C LeClerq ◽  
Joanne Katz ◽  
Luke C Mullany
Keyword(s):  
Health Care ◽  
Birth Weight ◽  
Environmental Factors ◽  
Low Birth Weight ◽  
Health Care Providers ◽  
Cleft Lip ◽  
Care Providers ◽  
Live Births ◽  
Hereditary Syndromes ◽  
Natal Teeth

Background: The presence of natal or neonatal teeth, which have been associated with environmental factors and hereditary syndromes, can have an impact on the psychosocial growth of children. Methods: We aimed to estimate the incidence of natal tooth in Sarlahi district of Nepal.Live births from Sarlahi district in Nepal were assessed for natal teeth and other related factors.Results: Among 28,695 live births between 2010 and 2017, we observed 7 cases of natal teeth accounting for an incidence rate of 2.44 per 10,000 (95% CI: 0.98 – 5.03). Out of 7 neonates with natal tooth, 4 were female and 3 were low birth weight (<2500 grams). None were preterm or had any associated cleft lip or palate.Conclusions: Incidence of natal tooth in Nepal is rare.It is important for health care providers to know about the possibility of occurrence of natal tooth and its management.Keywords: Incidence of natal tooth; natal tooth; neonatal tooth; Nepal.

Insulin Infusion for the Treatment of Hyperglycemia in Low Birth Weight Infants: Examining the Evidence

2008 ◽  
Vol 27 (2) ◽  
pp. 127-140 ◽  
Author(s):  
Mary Raney ◽  
Ann Donze ◽  
Joan Renaud Smith
Keyword(s):  
Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Health Care Providers ◽  
Insulin Infusion ◽  
Very Low Birth Weight ◽  
Extremely Low Birth Weight ◽  
Care Providers ◽  
Low Birth Weight Infants ◽  
Continuous Insulin Infusion

FORTY TO 80 PERCENT OF VERY LOW birth weight (VLBW) (infants <1,500 g) and extremely low birth weight (ELBW) (infants <1,000 g) infants will develop hyperglycemia when provided with glucose infusions adequate to meet basal metabolic needs.1,2 Avoiding hyperglycemia while providing adequate nutrition to promote growth and development is a major challenge for health care providers in the NICU. Some health care providers suggest that the judious use of continuous insulin infusion (CII) may provide the opportunity for increasing nutritional support while maintaining euglycemia. A systematic review of the literature is presented to evaluate the evidence supporting this practice.

scholarly journals Qualitative Assessment of the Quality of Care for Preterm, Low Birth Weight, and Sick Newborns in Ethiopia

2021 ◽  
Vol 14 ◽  
pp. 117863292110251
Author(s):  
Solomie Jebessa ◽  
James A Litch ◽  
Kirsten Senturia ◽  
Tedros Hailu ◽  
Amaha Kahsay ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Health Care Providers ◽  
System Capacity ◽  
Qualitative Assessment ◽  
Care Providers ◽  
Experience Of Care

This study assesses the quality of care for preterm, low birth weight (LBW), and sick newborns across the public health care system levels in 3 regions of Ethiopia. Qualitative data based on the WHO framework to assess provision and experience of care was collected using in-depth interviews and focus group discussions with women who recently delivered preterm, LBW, and sick newborns, as well as health care providers and health extension workers, and facility administrators associated with study health facilities. This qualitative approach revealed perspectives of patients, health care providers and facility administrators to assess what is actually happening in facilities. Clinical guidelines for the care of preterm, LBW, and sick newborns were not available in many facilities, and even when available, often not followed. Most providers reported little or no communication with parents following hospital discharge. Human resource challenges (shortage of skilled staff, motivation and willingness, lack of supervision, and poor leadership) inhibited quality of care. Participants reported widespread shortages of equipment and supplies, medication, physical space, water, electricity, and infrastructure. Economic insecurity was a critical factor affecting parents’ experience. Acceptance by users was impacted by the perceived benefits and cost. Users reported they were less likely to accept interventions if they perceived that there would be financial costs they couldn’t afford. The quality of care for preterm, LBW, and sick newborns in Ethiopia as reported by recently delivered women, health care providers and facility administrators is compromised. Improving quality of care requires attention to process of care, experience of care, and health system capacity, structure, and resources.

scholarly journals Children's Environmental Health Experience and Interest Among Pediatric Care Providers in Vietnam

2011 ◽  
Vol 1 (2) ◽  
pp. 24-36 ◽  
Author(s):  
Nancy J. Beaudet ◽  
Garry C. Alcedo ◽  
Quan C. Nguyen ◽  
Dan Jacoby ◽  
Quynh Kieu ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Environmental Factors ◽  
Environmental Health ◽  
Health Care Providers ◽  
Pediatric Care ◽  
Care Providers ◽  
Pediatric Health Care ◽  
The World ◽  
Children’S Environmental Health

Background. In rapidly developing regions of the world such as Southeast Asia, marked industrialization with insufficient regulation places children at increased risk for significant environmental exposures. Health care providers have a key role in identifying, treating and preventing environmentally-related illnesses. Objectives. The authors undertook a survey of pediatric health care providers in Vietnam in order to gain preliminary insight into environmental hazard knowledge, and attitudes and beliefs regarding the relative importance of environmental factors in child health that could guide future initiatives towards building up capacity for children's environmental health in the region. Methods. A formal written and self-administered survey instrument was adapted from the World Health Organization's Children's Environmental Health Survey and translated into Vietnamese. The survey was administered via convenience sampling after formal introduction to children's environmental health (CEH) was made through lectures or meetings with pediatric care providers affiliated with the major children's hospitals and pediatric departments in Vietnam. Results. One hundred forty-one pediatric care providers completed the survey. Most indicated environmental factors are considered to be very important in child health (84%); 98% felt the magnitude of the problem is increasing; and air pollution is seen as the top environmental health issue facing the country. The most commonly identified problems in their clinical experience included: food poisoning due to microbiological agents (85%); pesticide poisoning (77%); tobacco smoke exposure (75%); and inadequate sanitation (60%). Although most (80%) endorsed asking about children's environmental conditions in clinical practice, a little more than a third (39%) were confident taking an environmental exposure history. For most key topics, less than half had received specific training. A majority (63%) of survey respondents were very interested in more environmental health training. Conclusions. Pediatric health care providers in Vietnam believe that environmental hazards in child health is an important topic that is routinely encountered in their care of patients, but training, experience and self-efficacy in these topics are limited.

scholarly journals Determinants of low birth weight deliveries at five referral hospitals in Western Area Urban district, Sierra Leone

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
David Kabba Kargbo ◽  
Kofi Nyarko ◽  
Samuel Sackey ◽  
Adolphina Addo-Lartey ◽  
Ernest Kenu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Sierra Leone ◽  
Health Care Providers ◽  
Care Providers ◽  
Urban District ◽  
Factors Associated ◽  
Western Area ◽  
Inter Pregnancy Interval

Abstract Background Low birth weight (LBW) contributes significantly to infant and child mortality. Each year, about 20 1million deliveries are LBW with 96.5% occurring in developing countries. Whiles the incidence of LBW is reducing in other districts of Sierra Leone, it has been reported to be increasing in the Western Area Urban district. Determining the risk factors in a specific geographic area is important for identifying mothers at risk and thereby for planning and taking appropriate action. The current study sought to identify factors associated with LBW deliveries in the Western Area Urban district of Sierra Leone. Methods A hospital-based unmatched 1:2 case-control study was conducted among mothers who delivered live singleton babies from November, 2019 to February, 2020 in five referral health facilities. Mothers were conveniently sampled and sequentially enrolled into the study after delivery. Their antenatal care cards were reviewed and a pre-tested questionnaire administered to the mothers. Data analysis was done using Stata 15.0 and association between maternal socio-demographic, socio-economic, obstetric and lifestyle factors and LBW assessed using bivariable and multivariable logistic regression analyses. Results A total of 438 mothers (146 cases and 292 controls), mean age: 24.2 (±5.8) and 26.1 (±5.5) years for cases and controls respectively participated in the study. Multivariable analysis revealed that being unemployed (AoR = 2.52, 95% CI 1.16–5.49, p = 0.020), having anaemia during pregnancy (AoR = 3.88, 95% CI 1.90–7.90, p <  0.001), having less than 2 years inter-pregnancy interval (AoR = 2.53, 95% CI 1.11–5.73, p = 0.026), and smoking cigarettes during pregnancy (AoR = 4.36, 95% CI 1.94–9.80, p <  0.001) were significantly associated with having LBW babies. Conclusion Factors associated with LBW identified were unemployment, anaemia during pregnancy, < 2 years inter-pregnancy interval and cigarette smoking during pregnancy. Health care providers should screen and sensitize mothers on the risk factors of LBW during antenatal sessions.

Early Enteral Feeding for the Very Low Birth Weight Infant: The Development and Impact of a Research-Based Guideline

2005 ◽  
Vol 24 (4) ◽  
pp. 9-19 ◽  
Author(s):  
Joan Renaud Smith
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Care Providers ◽  
Neonatal Intensive Care ◽  
Very Low Birth Weight ◽  
Neonatal Period ◽  
Evidence Based ◽  
Care Providers ◽  
Vlbw Infant ◽  
The Impact

Providing optimal nutrition for the very low birth weight (VLBW) infant is critical during the neonatal period. Evidence-based practice guidelines are essential in managing these fragile infants. Putting scientific research into daily clinical practice may be arduous at times, however. A multidisciplinary team of health care providers successfully established a practical feeding guideline for a 52-bed, teaching-affiliated, Level III neonatal intensive care unit in St. Louis. This guideline identifies human milk as the recommended source of nutrition for the VLBW infant, a suggestion that has significantly affected lactation services in the unit. This article describes the process of developing, implementing, and evaluating a feeding guideline based on current research and describes the impact on lactation rates of having such a guideline in place within the unit.

scholarly journals Pengalaman Penerapan Kemampuan Berpikir Kritis Perawat Saat Memberikan Asuhan Keperawatan Pada Bayi Berat Lahir Rendah Di RSUD Dr. H. Moch. Ansari Saleh Banjarmasin

2020 ◽  
Vol 10 (1) ◽  
pp. 25-34
Author(s):  
Achmad Rif'at ◽  
Elly Nurachmah ◽  
Yustan Azidin
Keyword(s):  
At Risk ◽  
Critical Thinking ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Health Care Providers ◽  
Health Workers ◽  
Sampling Technique ◽  
Thinking Skills ◽  
Care Providers ◽  
Purposive Sampling

Latar Belakang: Rumah Sakit sebagai pemberi layanan kesehatan bertanggung-jawab untuk memberikan pelayanan yang bermutu dan aman. Permasalahan yang kompleks pada Bayi Berat Lahir Rendah (BBLR) menjadi alasan untuk diteliti. Bayi BBLR berisiko mengalami ketidaksempurnaan fungsi organ, sistem imun bayi atau pertahanan tubuh yang belum sempurna sehingga berisiko infeksi, tumbuh kembang bayi yang mungkin terlambat pasca perawatan. Perawat sebagai salah satu profesional pemberi asuhan bertanggung-jawab memberikan asuhan yang bermutu dan aman.  Oleh karena itu kemampuan perawat dalam memberikan asuhan, pengetahuan yang di miliki, pengalaman selama merawat, hubungan dengan petugas kesehatan lain, kesiapan orang tua untuk merawat  di rumah pasca perawatan menjadi sangat penting untuk di teliti.Tujuan: Penelitian  ini mengeksplorasi  pengalaman penerapan kemampuan berpikir kritis perawat saat memberikan asuhan keperawatan  pada bayi berat lahir rendah.Metode: Penelitian  ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Pengumpulan data di lakukan dengan wawancara mendalam pada tujuh partisipan yang diambil dengan teknik purposive sampling. Partisipan adalah perawat yang bekerja di Ruang Mutiara Lantai 2  RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Hasil: Hasil analisis didapatkan empat tema : kemampuan perawat mengenali BBLR, kemampuan perawat memberikan asuhan BBLR, kebutuhan dokumentasi pada BBLR, dan keterlibatan keluarga, petugas kesehatan dan unit kerja dalam asuhan BBLR. Rekomendasi hasil penelitian ini adalah pendidikan. Pendidikan berkelanjutan dapat meningkatkan pengetahuan dan kompetensi perawat. Pengetahuan dan kompetensi  memberikan dampak pada sikap perawat untuk berpikir kritis pada asuhan yang diberikan. Abstract Background:Hospitals as health care providers are responsible for providing quality and safe services. Complex problems in Low Birth Weight (LBW) clients are reasons to be investigated. Low Birth Weight babies are at risk of developing imperfections in organ function, the baby's immune system or body defenses, so they are at risk of infection, delay growth and development post hospitalization. Nurses as one of the professionals care providers are responsible for providing  a quality and safe care.. Therefore the ability of nurses to provide care, possessed knowledge, experience during caring, relationships with other health workers, and the readiness of parents to care for their babies at home after hospitalization are very important to be examined. Aim: The aim of the study was to explore the perceived experience of nurses' critical thinking skills when providing nursing care to low-birth- baby clients. Method: This study used a qualitative method with a phenomenological approach. Data collection was conducted through in-depth interviews with seven participants taken by a purposive sampling technique. Participants were nurses who worked and care for neonatal babies in Mutiara Room 2nd floor of RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Result: The results of the analysis found four themes: the ability of nurses to recognize LBW, the ability of nurses to provide care to LBW, requirements of documentation on LBW, and the involvement of families, health workers and work units in providing care. The recommendation of this research is education. Continuing education can improve nurses' knowledge and competence. Knowledge and competence have an impact on nurses' attitudes to think critically on care providing Keywords: critical thinking, Low Birth Weight 

scholarly journals Interprofesional Collaborative Practice in Healthcare of Low-Birth-Weight Cases

2020 ◽  
Author(s):  
Umu Faizah ◽  
◽  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Health Care Providers ◽  
Service Providers ◽  
Health Workers ◽  
Flow Diagram ◽  
Professional Collaboration ◽  
Care Providers ◽  
Poor Access ◽  
Professional Health

ABSTRACT Background: Inter-professional health care providers play an essential role in the treatment of Low Birth Weight (LBW) cases. Collaboration between doctors, nurses, midwives and social service providers is significant for the care of LBW. This study aimed to find out the role and barriers of inter-professional health practice collaboration in LBW care cases. Subjects and Method: A scoping review was conducted by selecting published articles years 2004-2019, from PubMed, EBSCO, Willey, Science Direct databases. The inclusion criteria were full text and using English or Indonesian language. Keywords used low birth weight, delay of referral, health workers, and inter-professional collaboration. The data were analyzed by PRISMA flow diagram. Results: 9 articles were selected from 2,407. There were 2 main issues related to low birth weight management, including role and barrier of inter-professional collaboration. Common barriers to inter-professional collaboration were lack of knowledge, health personnel abstinence, delay of referral, and poor access to health service. Conclusion: Role and low barrier of inter-professional collaboration are essential to provide good LBW management. Keywords: inter-professional collaboration, barriers, role, low birth weight Correspondence: Umu Faizah. Universitas ‘Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi Nogotirto, Gamping, Area Sawah, Nogotirto, Gamping, Sleman district, Yogyakarta 55592. Email: [email protected] Mobile: 081217831458 DOI: https://doi.org/10.26911/the7thicph.03.37

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