• Title/Summary/Keyword: Premature Infant

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Enteral nutrition of the premature infant

  • Cho, Su Jin
    • Clinical and Experimental Pediatrics
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    • v.53 no.1
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    • pp.7-13
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    • 2010
  • Early nutritional support for preterm infants is critical because such support influences long-term outcome. Minimal enteral feeding should be initiated as soon as possible if an infant is stable and if feeding advancement is recommended as relevant to the clinical course. Maternal milk is the gold standard for enteral feeding, but fortification may be needed to achieve optimal growth in a rapidly growing premature infant. Erythromycin may aid in promoting gastrointestinal motility in cases that exhibit feeding intolerance. Selected preterm infants need vitamins, mineral supplements, and calorie enhancers to meet their nutritional needs. Despite all that is known about this topic, additional research is needed to guide postdischarge nutrition of preterm infants in order to maintain optimal growth and neurodevelopment.

Effects of a oral stimulation program for oral feeding performance in premature infants : case study (구강자극프로그램이 조산아의 구강식이수행 촉진에 미치는 효과: 사례 보고)

  • Lee, Mi-Jee;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.3 no.2
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    • pp.49-57
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    • 2014
  • Objective : The purpose of this study was ro identify the effects of an oral stimulation program on premature infant's oral feeding performance. Methods : The subject was one premature infant(25wks). Oran stimulation program consisting of stimulation of the oral structures involved stroking the cheeks, lips, gums, and tongue. Oral feeding performance factors were weight, overall intake per day, overall intake per one time, overall time per one time. Each factors was measured weekly. Results : The subject's weight were higher than pre-intervention. The overall intake per day, overall intake per one time were increased. And overall time per one time was shorter than pre-intervention. Conclusion The results indicate that oral stimulation program for premature infant was helpful oral feeding. Thus oral stimulation program can be use in home and practice setting.

Pain Response to Procedural Pain in Premature Infants (미숙아의 시술 관련 통증 반응)

  • Kim, Jung-Sook;Lee, Eun-Jung;Ham, Eun-Ha;Kim, Ji-Hyun;Yi, Young-Hee
    • Child Health Nursing Research
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    • v.16 no.4
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    • pp.352-359
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    • 2010
  • Purpose: To explore premature infants' pain response to routine procedures in the neonatal intensive care unit (NICU). Methods: The participants were 56 preterm infants who showed 149 pain responses to 8 high frequency routine procedures which were evaluated using the Premature Infant Pain Scale (PIPS). Videotaped recording was used for data collection. Data were analyzed with descriptive analysis, paired t-test, and Pearson's correlation coefficient. Results: PIPS scores for each procedure were as follows; for removal of central catheter dressing, 6.17 (2.04), venous sampling, 6.12 (2.87), intramuscular injection, 6.05 (2.38), insertion of a peripheral line, 5.38 (2.16), insertion of feeding tube, 4.40 (1.34), heel stick, 4.33 (1.23), insertion of central line, 4.00 (2.12), and endotracheal suctioning, 2.90 (1.25). PIPS score was negatively correlated with gestational age (r=-.218, p=.007) and birth weight (r=-.249, p=.002) among general characteristics of the infants. Conclusion: The majority of 8 routine procedures were found to be painful for premature infants in the NICU. Therefore, adequate pain management related to procedures should be provided to premature infant in the NICU.

A Low-cost IoT based Infant Incubator: A Case of Mount Meru Referral Hospital in Tanzania

  • Daniel Wilson Rwechungura;Michael Kisangiri;Judith Leo
    • International Journal of Computer Science & Network Security
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    • v.24 no.11
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    • pp.192-199
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    • 2024
  • Physical adjustment to life for a premature baby outside of the mother's body is challenging due to health issues and other environmental factors. Prematurity is one of the most crucial problems in Tanzania since it contributes to a greater infant mortality rate. Despite the vital function that infant incubators play, the majority are too expensive for low-income countries to obtain and rely only on mains electricity. The fundamental goal of this project is to create an inexpensive, efficient, and dual-powered incubator that saves premature infants' lives. We are developing the system utilizing ESP32 as the MCU interfaced with DHT22, a thermistor for skin temperature, MAX30102 to evaluate heart rate and oxygen saturation in the blood. An oxygen sensor measures the air quality in the chamber, and a UV sensor records the light intensity of the phototherapy unit used to treat jaundice. The computed information is displayed and transferred to a webpage that tracks the infant's data. When the system detects a critical condition, it sounds an alarm and sends an SMS to medical personnel via GSM. The system adjusts the environment using a heater, humidifier, and oxygen valve included. The final design was implemented on a PCB and tested after a circuit was designed and simulated. The sensors are calibrated against standard sensors to receive accurate measured data, as then transferred via Wi-Fi through the ESP32 to a webpage for remote monitoring and control. The system saves the lives of premature babies, is low-cost, and is applicable in areas with limited resources.

Neuroimaging of Germinal Matrix and Intraventricular Hemorrhage in Premature Infants

  • Sun Kyoung You
    • Journal of Korean Neurosurgical Society
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    • v.66 no.3
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    • pp.239-246
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    • 2023
  • Germinal matrix and intraventricular hemorrhage (GM-IVH) are the major causes of intracranial hemorrhage in premature infants. Cranial ultrasound (cUS) is the imaging modality of choice for diagnosing and classifying GM-IVH. Magnetic resonance imaging (MRI), usually performed at term-equivalent age, is more sensitive than cUS in identifying hemorrhage in the brain. Post-hemorrhagic ventricular dilatation is a significant complication of GM-IVH and correlates with adverse neurodevelopmental outcomes. In this review, we discuss the various imaging findings of GM-IVH in premature infants, focusing on the role of cUS and MRI.

The Effects of the Systemic Follow up Health Care Program on the Health Promotion and the Risk Reduction in Premature Infants and Their Mothers (체계적 건강관리프로그램이 모성과 미숙아의 건강증진 및 질병예방에 미치는 영향에 관한 연구)

  • Ahn Young-Mee
    • Journal of Korean Academy of Nursing
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    • v.34 no.6
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    • pp.1129-1142
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    • 2004
  • Purpose: This research was conducted to evaluate the effects of asystemic follow-up care program on health promotion and risk reduction in 64 high-risk infants(HRI) including premature infants and their mothers. Method: The intervention consisted of systemic NICU education, tele-counseling and 3 home visits in 6 months. The subjects were divided into either the intervention group or the control group receiving the conventional NICU education without the tele-counseling and home visiting. Infant health promotion was measured using physical assessment, types of health problems, reflexes, OPD visiting history, DDST, immunization, feeding assessment, Infant death rate, etc. Maternal self-esteem, postpartum depression and family function were measured using the maternal self-report inventory(MRI), EPDS, and family apgar score(Fapgar), retrospectively. Result: All premature infants in the intervention group were in the normal range of growth and development, and the regular vaccination schedule. The health problems in the intervention group were addressed early so not to develop into adverse effects. The follow-up program for 6 months showed beneficial effects on MRI, EPDS, and Fapgar. Conclusion: A systemic follow-up health care program is beneficial on health promotion and risk reduction in 64 HRI including premature infants and their mothers.

Surgical Closure of Patent Ductus Arteriosus in Premature Infant -A report of two cases - (미숙아에서 동맥관 개존증 수술 2례)

  • 김삼현;서필원
    • Journal of Chest Surgery
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    • v.29 no.7
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    • pp.777-779
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    • 1996
  • Recently we operated on two cases of PDA in premature infant. In both cases, indomethacin therapy had failed to close the PDA. The extremely small baby(body weight 540gm) died 28hrs postoperatively by unexpe ted intrathoracic bleeding probably due to coagulopathy related to septic condition and thrombocytopenia. The clinical course of the second case(body weight 1395gm) was complicated by ileal perforation sec- ondary to necrotizing enterocolitis. The baby underwent segmental resection of ileum with ileostomy on the 8th hospital day. On the 34th hospital day surgical closure of the PDA was done and the ile'ostomy was repaired simultaneously. Ventilator weaning was possible on the postoperative 6th day. The baby discharged on the postoperative 33th day with the body weight of 2050gm.

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A Case of Hemophilia A Diagnosed in a Premature Infant (미숙아에서 진단된 혈우병 A 1례)

  • Oh, Ki-Won;Lee, Kyung-Yeon;Kim, Ja-Hyeong;Rhee, Kang-Won;Jeong, Jin-Young;Park, Sang-Kyu
    • Neonatal Medicine
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    • v.17 no.1
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    • pp.132-135
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    • 2010
  • Although the majority of abnormal bleeding during the neonatal period results from acquired coagulation disorders, inherited coagulation disorders can also manifest at this time. Hemophilia is the most common of inherited coagulation disorder. Although 40-70% of cases with hemophilia are diagnosed in the neonatal period, few cases have been reported in premature infants. We report a case of a premature infant born at 31 weeks of gestation, diagnosed with hemophilia A by blood coagulation test, coagulation factor assay and study of the F8 gene. The baby was treated with recombinant factor VIII (Recombinate$^{(R)}$, USA) because of repeated seizures and intramuscular hematoma.

Life-Threatening Congenital Cystic Adenomatoid Malformation in the Premature Neonate

  • Chong, Yooyoung;Rhee, Youn Ju;Han, Sung Joon;Cho, Hyun Jin;Kang, Shin Kwang;Kang, Min-Woong
    • Journal of Chest Surgery
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    • v.49 no.3
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    • pp.210-213
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    • 2016
  • Congenital cystic adenomatoid malformation is a rare, but well-known disease. It can be managed conservatively in patients without symptoms or require surgical removal when symptomatic. The surgical option of choice is en bloc resection of the affected lesion. We report an experience of life-threatening congenital cystic adenoid malformation in a low-birth-weight (1,590 g) premature neonate who was successfully treated with a lobectomy of the lung.