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Pesquisa : M01.526.485.810.758.500 [Categoria DeCS]
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  1 / 17 MEDLINE  
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[PMID]:28463389
[Au] Autor:Domellöf M; Pettersson K
[Ad] Endereço:Umeå universitet, Institutionen för klinisk vetenskap - Pediatrik Umeå, Sweden Umea universitet Institutionen for Klinisk vetenskap - Pediatrics Umea, Sweden.
[Ti] Título:Riktlinjer vid hotande förtidsbörd ska ge bättre och mer jämlik vård - Konsensusdokument för enhetligt omhändertagande av gravida och extremt för tidigt födda barn..
[So] Source:Lakartidningen;114, 2017 Apr 25.
[Is] ISSN:1652-7518
[Cp] País de publicação:Sweden
[La] Idioma:swe
[Mh] Termos MeSH primário: Lactente Extremamente Prematuro
Guias de Prática Clínica como Assunto
Nascimento Prematuro
[Mh] Termos MeSH secundário: Reanimação Cardiopulmonar
Serviços Centralizados no Hospital
Cesárea
Consenso
Feminino
Glucocorticoides/administração & dosagem
Seres Humanos
Recém-Nascido
Neonatologistas
Gravidez
Taxa de Sobrevida
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Glucocorticoids)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171207
[Lr] Data última revisão:
171207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE


  2 / 17 MEDLINE  
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[PMID]:28298946
[Au] Autor:Valerio E; Grison A; Capretta A; Golin R; Ferrarese P; Bellettato M
[Ad] Endereço:Pediatric Intensive Care Unit, Ospedale San Bortolo, Vicenza, Italy.
[Ti] Título:Tissue Doppler Imaging in the evaluation of abdominal aortic pulsatility: a useful tool for the neonatologist.
[So] Source:J Ultrasound;20(1):69-71, 2017 Mar.
[Is] ISSN:1876-7931
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:Sonographic cardiac evaluation of newborns with suspected aortic coarctation (AoC) should tend to demonstrate a good phasic and pulsatile flow and the absence of pressure gradient along a normally conformed aortic arch from the modified left parasternal and suprasternal echocardiographic views; these findings, however, may not necessarily rule out a more distal coarctation in the descending aorta. For this reason, the sonographic exam of newborns with suspected AoC should always include a Doppler evaluation of abdominal aortic blood flow from the subcostal view. Occasionally, however, a clearly pulsatile Doppler flow trace in abdominal aorta may be difficult to obtain due to the bad insonation angle existing between the probe and the vessel. In such suboptimal ultrasonic alignment situation, the use of Tissue Doppler Imaging instead of classic Doppler flow imaging may reveal a preserved aortic pulsatility by sampling the aortic wall motion induced by normal flow. We propose to take advantage of the TDI pattern as a surrogate of a normal pulsatile Doppler flow trace in abdominal aorta when the latter is difficult to obtain due to malalignment with the insonated vessel.
[Mh] Termos MeSH primário: Aorta Abdominal/diagnóstico por imagem
Fluxo Pulsátil
Ultrassonografia Doppler/métodos
[Mh] Termos MeSH secundário: Aorta Abdominal/fisiologia
Aorta Abdominal/fisiopatologia
Coartação Aórtica/diagnóstico por imagem
Coartação Aórtica/fisiopatologia
Ecocardiografia/métodos
Seres Humanos
Recém-Nascido
Terapia Intensiva Neonatal
Neonatologistas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170421
[Lr] Data última revisão:
170421
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE
[do] DOI:10.1007/s40477-016-0238-x


  3 / 17 MEDLINE  
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[PMID]:28287812
[Au] Autor:Nayeri F; Asghari F; Baser A; Janani L; Shariat M; Eabrhim B
[Ad] Endereço:Family Health Institute, Maternal-Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran.
[Ti] Título:Views and Decisions of Physicians in Encountering Neonates with Poor Prognosis.
[So] Source:Arch Iran Med;20(3):172-177, 2017 Mar.
[Is] ISSN:1735-3947
[Cp] País de publicação:Iran
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: With the development of neonatal intensive care units (NICUs), new issues have emerged for physicians working in this area, including the ethical aspects of providing invasive and advanced care to neonates with extremely poor prognosis. This research was undertaken with the aim of investing the factors affecting physicians' practice in management of newborns in such complicated circumstances. METHODS: A cross-sectional study was carried out over a period of 5 months (Jan 2012 to Jun 2012) in 9 different tertiary levels and academic NICUs affiliated to Tehran University of Medical Sciences in Tehran, Iran. Checklists related to management of 3 hypothetical cases with very poor prognosis and factors affecting pertinent decisions were administered to 88 neonatologists and pediatricians. RESULTS: Totally, 81.4% of participants approved the use of advanced invasive methods of treatment in the premature neonate. Concerning the neonate with genetic malformations, 51.3% recommended advanced methods. In severe asphyxia, 42.1% disagreed with use of advanced invasive procedures. Overall, 34.2% of the target physicians approved the use of aggressive procedures in all 3 cases. Age, gender, marital status, parental status, and work experience were identified as influencing factors. CONCLUSIONS: With the prediction of acceptable levels of survivability in very premature infants, physicians are more inclined to treat this group. However, they do not favor aggressive measures in infants with severe asphyxia and advanced anomalies.
[Mh] Termos MeSH primário: Asfixia Neonatal/terapia
Atitude do Pessoal de Saúde
Anormalidades Congênitas/terapia
Tratamento Conservador
Doenças Genéticas Inatas/terapia
Neonatologistas
Cuidados Paliativos
Pediatras
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos
Adulto
Fatores Etários
Lista de Checagem
Tomada de Decisão Clínica
Estudos Transversais
Gerenciamento Clínico
Feminino
Seres Humanos
Lactente Extremamente Prematuro
Recém-Nascido
Recém-Nascido Prematuro
Unidades de Terapia Intensiva Neonatal
Irã (Geográfico)
Masculino
Estado Civil
Pais
Prognóstico
Ressuscitação
Ordens quanto à Conduta (Ética Médica)
Índice de Gravidade de Doença
Fatores Sexuais
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170322
[Lr] Data última revisão:
170322
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170314
[St] Status:MEDLINE
[do] DOI:0172003/AIM.0010


  4 / 17 MEDLINE  
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[PMID]:28168998
[Au] Autor:Henner N; Boss RD
[Ad] Endereço:Division of Neonatology, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E, Chicago Ave, Box 36, Chicago, IL 60611-2605. Electronic address: nhenner@luriechildrens.org.
[Ti] Título:Neonatologist training in communication and palliative care.
[So] Source:Semin Perinatol;41(2):106-110, 2017 Mar.
[Is] ISSN:1558-075X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Neonatologists receive highly varied and largely inadequate training to acquire and maintain communication and palliative care skills. Neonatology fellows often need to give distressing news to families and frequently face unique communication challenges. While several approaches to teaching these skills exist, practice opportunities through simulation and role play will likely provide the most effective learning.
[Mh] Termos MeSH primário: Comunicação
Neonatologistas/educação
Cuidados Paliativos
Relações Profissional-Família
[Mh] Termos MeSH secundário: Educação de Pós-Graduação em Medicina/métodos
Bolsas de Estudo
Feminino
Seres Humanos
Recém-Nascido
Neonatologia/educação
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170208
[St] Status:MEDLINE


  5 / 17 MEDLINE  
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[PMID]:27814911
[Au] Autor:Myers P; Laventhal N; Andrews B; Lagatta J; Meadow W
[Ad] Endereço:Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address: PMyers@luriechildrens.org.
[Ti] Título:Population-Based Outcomes Data for Counseling at the Margin of Gestational Viability.
[So] Source:J Pediatr;181:208-212.e4, 2017 Feb.
[Is] ISSN:1097-6833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To survey neonatologists as to how many use population-based outcomes data to counsel families before and after the birth of 22- to 25-week preterm infants. STUDY DESIGN: An anonymous online survey was distributed to 1022 neonatologists in the US. Questions addressed the use of population-based outcome data in prenatal and postnatal counseling. RESULTS: Ninety-one percent of neonatologists reported using population-based outcomes data for counseling. The National Institute of Child Health and Human Development Neonatal Research Network Outcomes Data is most commonly used (65%) with institutional databases (14.5%) the second choice. Most participants (89%) reported that these data influence their counseling, but it was less clear whether specific estimates of mortality and morbidity influenced families; 36% of neonatologist felt that these data have little or no impact on families. Seventy-one percent reported that outcomes data estimates confirmed their own predictions, but among those who reported having their assumptions challenged, most had previously been overly pessimistic. Participants place a high value on gestational age and family preference in counseling; however, among neonatologists in high-volume centers, the presence of fetal complications was also reported to be an important factor. A large portion of respondents reported using prenatal population-based outcomes data in the neonatal intensive care unit. CONCLUSION: Despite uncertainty about their value and impact, neonatologists use population-based outcomes data and provide specific estimates of survival and morbidity in consultation before and after extremely preterm birth. How best to integrate these data into comprehensive, family-centered counseling of infants at the margin of viability is an important area of further study.
[Mh] Termos MeSH primário: Aconselhamento/estatística & dados numéricos
Neonatologistas/estatística & dados numéricos
Avaliação de Resultados (Cuidados de Saúde)/métodos
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Feminino
Idade Gestacional
Inquéritos Epidemiológicos
Seres Humanos
Lactente
Recém-Nascido
Recém-Nascido Prematuro
Masculino
Neonatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161106
[St] Status:MEDLINE


  6 / 17 MEDLINE  
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[PMID]:27940720
[Au] Autor:Blumenthal-Barby JS; Loftis L; Cummings CL; Meadow W; Lemmon M; Ubel PA; McCullough L; Rao E; Lantos JD
[Ad] Endereço:Baylor College of Medicine, Houston, Texas.
[Ti] Título:Should Neonatologists Give Opinions Withdrawing Life-sustaining Treatment?
[So] Source:Pediatrics;138(6), 2016 Dec.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:An infant has a massive intracranial hemorrhage. She is neurologically devastated and ventilator-dependent. The prognosis for pulmonary or neurologic recovery is bleak. The physicians and parents face a choice: withdraw the ventilator and allow her to die or perform a tracheotomy? The parents cling to hope for recovery. The physician must decide how blunt to be in communicating his own opinions and recommendations. Should the physician try to give just the facts? Or should he also make a recommendation based on his own values? In this article, experts in neonatology, decision-making, and bioethics discuss this situation and the choice that the physician faces.
[Mh] Termos MeSH primário: Tomada de Decisão Clínica/ética
Tomada de Decisões/ética
Lactente Extremamente Prematuro
Ordens quanto à Conduta (Ética Médica)/ética
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Recém-Nascido
Unidades de Terapia Intensiva Neonatal
Neonatologistas/ética
Papel do Médico
Qualidade de Vida
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170621
[Lr] Data última revisão:
170621
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161213
[St] Status:MEDLINE


  7 / 17 MEDLINE  
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[PMID]:27915314
[Au] Autor:Grover S; Katoch D; Dogra MR; Kumar P
[Ad] Endereço:Neonatal Unit, Department of Pediatrics, and #Department of Ophthalmology, Advanced Eye Centre, PGIMER, Chandigarh, India. Correspondence to: Dr Praveen Kumar, Professor, Neonatal unit, Department of Pediatrics, Postgraduate Institute of Medical education and Research, Chandigarh 160 012, India. drpkumarpgi@gmail.com.
[Ti] Título:Programs for Detecting and Treating Retinopathy of Prematurity: Role of the Neonatal Team.
[So] Source:Indian Pediatr;53 Suppl 2:S93-S99, 2016 Nov 07.
[Is] ISSN:0974-7559
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:High quality perinatal-neonatal care can prevent severe Retinopathy of Prematurity (ROP) in most cases. Preterm infants who do develop retinopathy can also have good visual outcomes if screening and treatment are done timely. National Neonatology Forum published clinical practice guidelines for timely screening and treatment of ROP in neonatal care units in the country in 2010. It is also listed as one of the condition under Rashtriya Bal Swasthya Karyakram for early identification and early intervention, and is currently a focus area under the National Program for Control of Blindness. Technical and operational guidelines for screening and treatment have been released. Programs like home-based neonatal care can be utilized for ensuring timely screening and follow-up of high-risk infants. Prevention, timely diagnosis and treatment requires well-coordinated teamwork between neonatologists, ophthalmologists, nurses and obstetricians. The neonatal care team should have an evidence-based screening policy, must coordinate and facilitate screening by ophthalmologist, and provide pre and post-operative support, if treatment is required. The neonatologist also has an important responsibility of educating the healthcare workers and the families. A team approach and inter-sectoral coordination are the keys to success of a national drive to decrease the burden of preventable blindness due to ROP.
[Mh] Termos MeSH primário: Cegueira
Triagem Neonatal
Neonatologia/organização & administração
Papel do Médico
Retinopatia da Prematuridade
[Mh] Termos MeSH secundário: Cegueira/etiologia
Cegueira/prevenção & controle
Seres Humanos
Índia
Recém-Nascido
Recém-Nascido Prematuro
Neonatologistas
Retinopatia da Prematuridade/diagnóstico
Retinopatia da Prematuridade/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161205
[St] Status:MEDLINE


  8 / 17 MEDLINE  
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[PMID]:27834784
[Au] Autor:Studer EM; Marc-Aurele KL
[Ad] Endereço:Kaiser Permanente San Diego Medical Center, San Diego, CA, USA.
[Ti] Título:Lost in explanation: Lessons learned from audio-recordings and surveys of the antenatal consultation.
[So] Source:J Neonatal Perinatal Med;9(4):393-400, 2016.
[Is] ISSN:1878-4429
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Determine content of antenatal prematurity consultations and identify factors associated with satisfaction. DESIGN: This is an observational study of consultations for possible preterm delivery. Consultations were audio-recorded and analyzed. Parents and physicians were surveyed post-consultation. RESULTS: We analyzed 17 audio-recordings. Mean gestation was 28 weeks. Frequency of topics discussed were: antenatal steroids 82%, intubation 82%, breast milk 76%, time in NICU 65%, development 59%, and survival 53%. Parents frequently asked about length of hospitalization stay, feeding, and separation concerns. Parents' greatest fears were developmental problems, survival, separation from baby, infant health, and length of hospitalization. The parent satisfaction score was 8.9, and physician satisfaction score was 4.8 on a ten-point scale. No factors were found to be associated with satisfaction. Physicians felt 82% of consultations could be improved. CONCLUSIONS: In consultations for possible preterm delivery, physicians discussed resuscitation details and initial neonatal care. Parental greatest fears involved more global issues. Despite content variability, parents were highly satisfied. No specific factors (such as topics discussed or length of consultation) were found to be statistically associated with parent satisfaction. Physicians were less satisfied. Providing too much/too little information was a repeated physician concern.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Pais
Educação de Pacientes como Assunto
Satisfação do Paciente
Nascimento Prematuro
Cuidado Pré-Natal
Encaminhamento e Consulta
[Mh] Termos MeSH secundário: Corticosteroides
Adulto
Desenvolvimento Infantil
Feminino
Idade Gestacional
Seres Humanos
Recém-Nascido
Unidades de Terapia Intensiva Neonatal
Terapia Intensiva Neonatal
Intubação Intratraqueal
Tempo de Internação
Masculino
Leite Humano
Neonatologistas
Profissionais de Enfermagem
Gravidez
Pesquisa Qualitativa
Inquéritos e Questionários
Taxa de Sobrevida
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Adrenal Cortex Hormones)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170602
[Lr] Data última revisão:
170602
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161112
[St] Status:MEDLINE
[do] DOI:10.3233/NPM-16168


  9 / 17 MEDLINE  
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[PMID]:27567649
[Au] Autor:Jain A
[Ad] Endereço:Department of Neonatology, Maulana Azad Medical College, New Delhi, India neoashish2008@gmail.com.
[Ti] Título:Can Breastfeeding in Early Life Protect Infants and Children from Kawasaki Disease, Neonatologists Viewpoint.
[So] Source:Indian Pediatr;53(8):725-6, 2016 Aug 08.
[Is] ISSN:0974-7559
[Cp] País de publicação:India
[La] Idioma:eng
[Mh] Termos MeSH primário: Aleitamento Materno
Síndrome de Linfonodos Mucocutâneos/prevenção & controle
[Mh] Termos MeSH secundário: Seres Humanos
Lactente
Recém-Nascido
Neonatologistas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160829
[St] Status:MEDLINE


  10 / 17 MEDLINE  
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[PMID]:27524453
[Au] Autor:Glass HC; Rowitch DH
[Ad] Endereço:Department of Neurology, Benioff Children's Hospital, University of California San Francisco, 675 Nelson Rising Lane, Room 494, Box 0663, San Francisco, CA 94158, USA; Department of Pediatrics, Benioff Children's Hospital, University of California San Francisco, San Francisco, CA, USA; Department of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, CA, USA. Electronic address: Hannah.Glass@ucsf.edu.
[Ti] Título:The Role of the Neurointensive Care Nursery for Neonatal Encephalopathy.
[So] Source:Clin Perinatol;43(3):547-57, 2016 Sep.
[Is] ISSN:1557-9840
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Neonatal encephalopathy due to intrapartum events is estimated at 1 to 2 per 1000 live births in high-income countries. Outcomes have improved over the past decade due to implementation of therapeutic hypothermia, the only clinically available neuroprotective strategy for hypoxic-ischemic encephalopathy. Neonatal encephalopathy is the most common condition treated within a neonatal neurocritical care unit. Neonates with encephalopathy benefit from a neurocritical care approach due to prevention of secondary brain injury through attention to basic physiology, earlier recognition and treatment of neurologic complications, consistent management using guidelines and protocols, and use of optimized teams at dedicated referral centers.
[Mh] Termos MeSH primário: Hipóxia-Isquemia Encefálica/terapia
Unidades de Terapia Intensiva Neonatal
Neonatologistas
Neurologistas
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Unidades Hospitalares
Seres Humanos
Recém-Nascido
Neurologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160816
[St] Status:MEDLINE



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