scholarly journals Sensory Stimulation in the NICU Environment: Devices, Systems, and Procedures to Protect and Stimulate Premature Babies

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 334
Author(s):  
Francesco Massimo Vitale ◽  
Gaetano Chirico ◽  
Carmen Lentini
Keyword(s):  
Music Therapy ◽  
Preterm Infants ◽  
Noise Pollution ◽  
Sensory Stimulation ◽  
Normative Values ◽  
Control Groups ◽  
Beneficial Effects ◽  
Stressful Environment ◽  
Premature Babies ◽  
Systematic Control

Prematurity deprives infants of the prenatal sensory stimulation essential to their correct development; in addition, the stressful environment of the NICU impacts negatively on their growth. The purpose of this review was to investigate the effects of NICU noise pollution on preterm infants and parents. We focused on the systems and projects used to control and modulate sounds, as well as on those special devices and innovative systems used to deliver maternal sounds and vibrations to this population. The results showed beneficial effects on the preterm infants in different areas such as physiological, autonomic, and neurobehavioral development. Although most of these studies highlight positive reactions, there is also a general acknowledgement of the current limits: small and heterogeneous groups, lack of structured variable measurements, systematic control groups, longitudinal studies, and normative values. The mother’s presence is always preferred, but the use of music therapy and the devices analyzed, although not able to replace her presence, aim to soften her absence through familiar and protective stimuli, which is a very powerful aid during the COVID-19 pandemic.

Transcutaneous Oxygen Tension During Nonnutritive Sucking in Preterm Infants

PEDIATRICS ◽  
1984 ◽  
Vol 74 (4) ◽  
pp. 539-542
Author(s):  
Roberto Paludetto ◽  
Steven S. Robertson ◽  
Maureen Hack ◽  
Chandra R. Shivpuri ◽  
Richard J. Martin
Keyword(s):  
Heart Rate ◽  
Respiratory Rate ◽  
Preterm Infants ◽  
Oxygen Tension ◽  
Sleep State ◽  
Transcutaneous Oxygen Tension ◽  
Transcutaneous Oxygen ◽  
Beneficial Effects ◽  
Nonnutritive Sucking ◽  
Postconceptional Age

The effects of nonnutritive sucking on transcutaneous oxygen tension, heart rate, and respiratory rate were studied sequentially in 14 sleeping preterm infants breathing room air. Transcutaneous oxygen tension increased during nonnutritive sucking in infants between 32 and 35 weeks postconceptional age, but not in those between 36 and 39 weeks. This response was not associated with a change in respiratory rate or sleep state, although heart rate tended to increase. These data offer further support for the beneficial effects of nonnutritive sucking in preterm infants.

scholarly journals Intralesional polysulphated glycosaminoglycan as treatment of equine collagenase induced tendinitis: clinical, ultrasonographic and histopathologic evaluation

2004 ◽  
Vol 56 (6) ◽  
pp. 701-708 ◽  
Author(s):  
S. Marxen ◽  
J.C. Lacerda Neto ◽  
J.C. Canola ◽  
J.R.E. Moraes ◽  
G. Ribeiro
Keyword(s):  
Intralesional Injection ◽  
Control Groups ◽  
Beneficial Effects ◽  
Thoracic Limb ◽  
Superficial Digital Flexor Tendon ◽  
Histopathologic Evaluation ◽  
Intralesional Injections ◽  
Males And Females ◽  
Histopathologic Analysis ◽  
And Control

The effect of intratendineous injections of polysulphated glycosaminoglycan (PSGAG) as treatment of collagenase-induced tendonitis was studied. Two groups (GI and GII) of five Arabian horses each, males and females, two to six year-old, were submitted to experimental tendinitis of the superficial digital flexor tendon of the left thoracic limb by intratendineous injection of 1.0ml of collagenase (2.5mg/ml). Seven days after the induced-lesions were created, the horses of GI received five intralesional injections of 1.0ml (125mg) of PSGAG, every four days. Horses of GII received injections of saline in the same dose and rate. Clinical and ultrasonographic evaluations were performed periodically, during 150 days. All animals showed lameness, increased local pain, heat and swelling 24 hours after the injury was created. All signs, except to swelling, which remained visible by the end of the study, showed regression in all animals. Lesions of variable size, shape and position were evidenced by the ultrasonographic evaluation, reaching maximum severity between the seventh and the 23rd days. By the end of the study, the echogenicity grade ranged from 1 to 2, and the grade of fiber alignment from 0 to 2. The histopathologic analysis demonstrated repair areas with intense fibroplasia and neovascularization, collagen fibers poorly organized, and thickened hypercellular endotenon. The data of this study did not show significant differences between the treated and control groups, therefore leading to the conclusion that the intralesional injection of PSGAG did not have beneficial effects in the treatment of collagenase-induced tendinitis.

scholarly journals Evaluation of the Short-Term Music Therapy on Brain Functions of Preterm Infants Using Functional Near-Infrared Spectroscopy

2021 ◽  
Vol 12 ◽  
Author(s):  
Haoran Ren ◽  
Liangyan Zou ◽  
Laishuan Wang ◽  
Chunmei Lu ◽  
Yafei Yuan ◽  
...  
Keyword(s):  
Infrared Spectroscopy ◽  
Functional Connectivity ◽  
Music Therapy ◽  
Preterm Infants ◽  
Near Infrared ◽  
Music Intervention ◽  
Short Term ◽  
Functional Near Infrared Spectroscopy ◽  
Brain Functions ◽  
The Brain

Music contains substantial contents that humans can perceive and thus has the capability to evoke positive emotions. Even though neonatal intensive care units (NICUs) can provide preterm infants a developmental environment, they still cannot fully simulate the environment in the womb. The reduced maternal care would increase stress levels in premature infants. Fortunately, music intervention has been proved that it can improve the NICU environment, such as stabilize the heart rate and the respiratory rate, reduce the incidence of apnea, and improve feeding. However, the effects of music therapy on the brain development of preterm infants need to be further investigated. In this paper, we evaluated the influence of short-term music therapy on the brain functions of preterm infants measured by functional near-infrared spectroscopy (fNIRS). We began by investigating how premature babies perceive structural information of music by calculating the correlations between music features and fNIRS signals. Then, the influences of short-term music therapy on brain functions were evaluated by comparing the resting-state functional connectivity before and after the short-term music therapy. The results show that distinct brain regions are responsible for processing corresponding musical features, indicating that preterm infants have the capability to process the complex musical content. However, the results of network analysis show that short-term music intervention is insufficient to cause the changes in cerebral functional connectivity. Therefore, long-term music therapy may be required to achieve the deserved effects on brain functional connectivity.

scholarly journals Pengaruh Terapi Musik Klasik Beethoven untuk Mengurangi Kecemasan pada Ibu Bersalin Pre Operasi Sectio Caesar

JKEP ◽  
2018 ◽  
Vol 3 (2) ◽  
pp. 96-107
Author(s):  
Keumalahayati Keumalahayati ◽  
Supriyanti Supriyanti
Keyword(s):  
Cesarean Section ◽  
Music Therapy ◽  
Classical Music ◽  
Statistical Test ◽  
Spiritual Health ◽  
Sectio Caesarea ◽  
Test Results ◽  
Control Groups ◽  
Cesarean Section Delivery ◽  
And Control

Anxiety in preoperative patients with Sectio Caesarea is a specific anxiety, namely concern about operating procedures, anesthesia procedures, information deficits, and concerns about family financial problems, concerns about themselves and the baby to be born. Music is applied into therapy, because music can restore, and maintain physical, mental, emotional, social and spiritual health. The provision of classical music therapy can releases pain and reduces stress levels, so that it can cause a decrease in anxiety. The purpose of this study was to determine the effect of Beethoven classical music therapy to reduce anxiety in cesarean section. This study used a pre-experimental design with the design of two group control interventions. The number of samples in this study were 10 people each in the intervention and control groups. Sampling is done using accidental techniques. Data analysis using the t-dependent test. The t-dependent statistical test results can be concluded that there is a significant influence of classical music therapy to reduce anxiety in cesarean section delivery mothers in the intervention and control groups (P = 0.041). From the results of this study it is known that Beethoven classical music therapy is effective for reducing anxiety, so that nurses can apply classical music therapy in providing care to cesarean section mothers.

Development of Attention in Preterm Infants

PEDIATRICS ◽  
1976 ◽  
Vol 58 (5) ◽  
pp. 669-674
Author(s):  
Maureen Hack ◽  
Ann Mostow ◽  
Simon B. Miranda
Keyword(s):  
Human Brain ◽  
Preterm Infants ◽  
Visual Stimuli ◽  
Sensory Stimulation ◽  
Progressive Increase ◽  
Visual Fixation ◽  
Awake State

The quality of the awake state and attention in preterm infants has been evaluated by rating indices of attention such as widening of the eye, type of fixation, brightening, scanning, and cessation of sucking measured during visual fixation of patterns. Twenty-six infants ranging from 28 to 32 weeks' gestation at birth (mean, 31 weeks) were tested from one to four weeks postnatally until 36 weeks' gestation. Indices of attention were rated on a scale of 4 with an optimal mean index of 4. A progressive increase in behaviors associated with fixation of visual stimuli has been shown from 32 to 36 weeks of conceptual age. Mean scores ranged from 0.7 at 31 weeks' gestation to 1.8 at 34 weeks' and 2.7 at 36 weeks' gestation. The possibility therefore exists that by as early as 31 to 32 weeks from conception the human brain may be capable of waking states and thus able to process some sensory stimulation.

Effects of Guitar Accompaniment Patterns on Hospitalized Infants: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Kory Antonacci ◽  
Nicole Steele ◽  
Jacob Wheatley ◽  
Donna M Weyant ◽  
Beverly Brozanski ◽  
...  
Keyword(s):  
Heart Rate ◽  
Randomized Controlled Trial ◽  
Music Therapy ◽  
Neonatal Intensive Care ◽  
Controlled Trial ◽  
Pain Scale ◽  
Post Intervention ◽  
Randomized Controlled ◽  
Stressful Environment ◽  
The Difference

Abstract A neonatal intensive care unit (NICU) can be an extremely stressful environment for infants receiving complex medical care at a pediatric facility. Music therapy can help address the stressful environment by increasing comfort and relaxation as well as decreasing a patient’s physiological response of heart rate and respiratory rate. A randomized controlled trial was completed, examining the effects of 2 guitar accompaniment patterns on infants (an arpeggiated pattern and a bass/chord pattern) in a NICU. There were 180 infants enrolled with mean chronological ages of 7.4 ± 6.1 weeks and postmenstrual ages (gestational age at birth + their chronological age) of 39.8 ± 7.9 weeks. All subject enrollees participated in a 12-minute initial music therapy session. Outcome measures included heart rate, respirations, and comfort responses. The results of the research study demonstrated that the arpeggiated guitar pattern had a lower mean heart rate and respiratory across all 3 data points (pre, during, and post intervention); however, the difference in means between the 2 accompaniment pattern groups was not statistically significant. Using the Neonatal Infant Pain Scale (NIPS) to measure comfort response, the results demonstrated no difference between the 2 group accompaniment patterns. Although the results show no significant differences among accompaniment pattern groups, the researchers describe the clinical significance that supports the use of both accompaniment patterns as suitable interventions for infants in the NICU receiving music therapy intervention.

scholarly journals Effects of supplemental phytase on performance and tibia ash of broilers fed different cereals based diets

2011 ◽  
Vol 49 (No. 12) ◽  
pp. 542-548 ◽  
Author(s):  
J. Pintar ◽  
B. Homen ◽  
K. Gazić ◽  
D. Grbeša ◽  
M. Sikirić ◽  
...  
Keyword(s):  
Body Weight ◽  
Weight Gain ◽  
Body Weight Gain ◽  
Dietary Calcium ◽  
Feed Consumption ◽  
Feed Conversion ◽  
Control Groups ◽  
Broiler Performance ◽  
Beneficial Effects ◽  
Tibia Ash

A 21-day experiment with day-old broilers was conducted in order to assess the effect of phytase supplementation to different cereals-soybean meal based diets on broiler performance and tibia ash. Diets were formulated to contain 4 different cereals (maize, wheat, triticale and barley), 2 levels of dietary calcium (0.6 and 1.0%) and 3 levels of supplemental phytase (0, 500 and 1 000 PU/kg). Supplemented phytase had beneficial effects on broiler performance. It significantly increased body weight gain (P < 0.0003) and feed consumption (P < 0.0361) by 6 and 7% in comparison with the control groups, respectively. No influence on feed conversion ratio and tibia ash was detected. Both body weight gain and feed intake were also significantly influenced by different cereals (P < 0.0001 and 0.0348, respectively). The increasing dietary calcium level resulted in a significant increase in body weight gain (P < 0.0024) and tibia ash (P < 0.0016). Effects of 500 and 1 000 PU/kg were not statistically different between themselves.  

scholarly journals Music Therapy in Pain and Anxiety Management during Labor: A Systematic Review and Meta-Analysis

Medicina ◽  
2020 ◽  
Vol 56 (10) ◽  
pp. 526
Author(s):  
Rocio Santiváñez-Acosta ◽  
Elena de las Nieves Tapia-López ◽  
Marilina Santero
Keyword(s):  
Music Therapy ◽  
Pain Intensity ◽  
Fixed Effects ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Final Analysis ◽  
Beneficial Effects ◽  
Quasi Experimental ◽  
Vas Scores ◽  
Mean Differences

Background and Objective: The study of music therapy in labor is unknown. The main objective of this research was to evaluate the effectiveness of music therapy to manage pain and anxiety during labor. Materials and Methods: A search strategy was used with PubMed/MEDLINE, LILACS, Cochrane, TRIPDATABASE, and Google Scholar. The selection criteria were based on randomized clinical trials; quasi-experimental research on pain intensity and anxiety during labor was evaluated. The primary outcomes were measured by the Visual Analogue Scale (VAS). A meta-analysis of the fixed effects was performed using mean differences (MD). Twelve studies were included for the final analysis, six (778 women) of which were meta-analyzed. Results: Decreased VAS scores for pain intensity associated with music therapy were found in the latent (MD: −0.73; 95% CI −0.99; −0.48) and active (MD: −0.68; 95% CI −0.92; –0.44) phases of labor. VAS scores for anxiety decreased both in the latent (MD: −0.74; 95% CI −1.00; −0.48) and active (MD: −0.76; 95% CI −0.88; −0.64) phases. Conclusion: Music therapy seems to have beneficial effects on pain intensity and anxiety during labor, especially for women giving birth for the first time. However, the evidence is qualified as low.

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