Displaying publications 81 - 100 of 3429 in total

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  1. Zakaria R, Sutan R, Jaafar R
    PMID: 32642469 DOI: 10.4103/jehp.jehp_497_19
    INTRODUCTION: Educating a mother of a premature baby and providing a structured written educational information can enhance better understanding and practice. This article describes the development and implementation of a health educational package for preemie moms in the care of their premature baby after neonatal intensive care unit discharge.

    SUBJECTS AND METHODS: The package known as "Preemie Mom: A Guide for You" was designed based on Stufflebeam's model and has four phases: (1) content evaluation from available sources of information, (2) input evaluation based on mothers' need related to premature baby care, (3) process evaluation for package designing and content drafting, and (4) product evaluation to determine its feasibility. The contents were extracted and collated for validation by consulting various specialists in related fields. A final draft was drawn based on comments given by experts. Comments from the mothers were taken for formatting, visual appearance, and content flow for easy understanding and usage.

    RESULTS: All ten existing articles and eight relevant documents were gathered and critically appraised. The package was designed based on 11 main components related to the care of premature baby after discharge. The content validation was accepted at a minimum score of 0.85 for the item-level content validity index analysis. Both experts and mothers were agreed that the package is easy to use and well accepted as a guide after discharge. The agreement rate by the mothers was at 93.33% and greater for the front page, writing style, structure, presentation, and motives of the package.

    CONCLUSIONS: "Preemie Mom: A Guide for You" is a validated health educational package and ready to be used to meet the needs of the mother for premature baby care at home.

    Matched MeSH terms: Infant; Infant, Newborn; Infant, Newborn, Diseases; Infant, Premature, Diseases
  2. Lee WS, Wong SY, Wong SY, Koay ZL, Safuan NSK, Sam ZH, et al.
    Ann Acad Med Singap, 2021 Jul;50(7):580-582.
    PMID: 34342340 DOI: 10.47102/annals-acadmedsg.2020586
    Matched MeSH terms: Infant
  3. Chang CT, Shunmugam P, Abdul Aziz NA, Abdul Razak NS, Johari N, Mohamad N, et al.
    J Paediatr Child Health, 2020 Mar;56(3):426-431.
    PMID: 31654469 DOI: 10.1111/jpc.14646
    AIM: Bed sharing is defined as a newborn sleeping in the same bed with an adult. Bed sharing may put the newborn at risk of suffocation due to accidental smothering.

    METHODS: This was a quasi-experimental study conducted in a tertiary referral hospital. Healthy post-delivery Malaysian mothers were randomly selected and enrolled into the control or the intervention group. On the day of discharge, mothers in the intervention group were interviewed face-to-face in the post-natal ward on their plans for sleeping arrangement with their newborn. After the interview, mothers were advised not to bed share with their newborn and were given an educational leaflet on safe sleeping practices. One week after discharge, mothers in both groups were interviewed over the telephone regarding their actual sleeping arrangements with their newborn using the same questionnaire. Logistic regression was performed to determine factors associated with reduced bed sharing.

    RESULTS: A total of 94 mothers and 95 mothers were recruited to the control and intervention group, respectively. The baseline bed-sharing prevalence was similar between groups: 60.6% in the control group and 61.1% in the interventional group. The proportion of mothers who bed shared with their newborn reduced from 61.1 to 37.9% after the intervention (P 

    Matched MeSH terms: Infant; Infant, Newborn; Sudden Infant Death*
  4. Idris I, Sheryan M, Ghazali Q, Nawi A
    East Mediterr Health J, 2020 Nov 11;26(11):1415-1419.
    PMID: 33226110 DOI: 10.26719/emhj.20.061
    Background: Low birth weight can lead to infant death, especially during the first year of life.

    Aims: To assess risk factors related to low birth weight babies in Sana'a, Yemen.

    Methods: We conducted an unmatched case-control study of 252 women who came for delivery at Al Thawra Hospital, Sana'a, Yemen, between August and October 2016.

    Results: Significant risk factors for low birth weight were: birth interval < 2 years; history of pre-eclampsia during current pregnancy; preterm gestational age < 37 weeks; and khat chewing or smoking during pregnancy. After controlling for all the confounders, only birth interval < 2 years was significantly associated with low birth weight.

    Conclusion: Shorter birth interval is an important risk factor for low birth weight; therefore, improving maternal awareness of this should be emphasized during postnatal follow-up.

    Matched MeSH terms: Infant; Infant, Low Birth Weight*; Infant, Newborn
  5. Musa Mohd Nordin, Mohd Sham Kasim, Wong, Swee Lan
    MyJurnal
    An analysis of perinatal statistics in Peninsular Malaysia from 1980 — 1989 was undertaken. The Perinatal Mortality Rate showed a 42% decrease over the 10 year period. The Perinatal Mortality Rate was higher among the Indian and Malay ethnic groups compared to the Chinese. This was largely contributed by the higher Stillbirth rate in the former 2 ethnic groups. The Indians have the highest rate of low birthweight babies. There is a decline in the rate of low birthweight babies born over the studied decade. The major causes of early neonatal mortality included problems asociated with prematurity, asphyxia neonatorum, septicaemia and congenital anomalies. Further epi-demiological research is required to identify other riskfactors which contribute to this ethnic biased perinatal mortality rates. Besides intensifying and upgrading current multifaceted approaches, interventional strategies need to be directed to the identified high risk groups. (Copied from article).
    Matched MeSH terms: Infant Mortality; Infant, Low Birth Weight; Infant, Newborn; Infant, Premature
  6. Mushawiahti, M., Rokiah, O., Umi, K.M.N., Leow, S.N.
    Medicine & Health, 2014;9(2):134-138.
    MyJurnal
    Retinopathy of prematurity (ROP) is a disorder describing an immature vascularisation
    of a developing retina in low birth weight preterm infants. This condition potentially
    leads to blindness. ROP developed as a response of hypoxia of the eye due to
    incomplete development of the retinal vessels. ROP is commonly reported as
    bilateral disease,a small percentage of infants have asymmetrical changes. We
    report a case of long-term outcome of a asymmetry ROP changes with peripheral
    retinal ablation in a single eye. This particular case demonstrates the possible longterm
    outcome of unilaterally treated ROP which could either be due to the severity
    of the disease itself or the treatment she received. It is important to highlight the
    possibility of unequal development of the eye in asymmetrical presentation of ROP.
    Matched MeSH terms: Infant; Infant, Low Birth Weight; Infant, Newborn; Infant, Premature
  7. Karimah Hanim Abd Aziz, Nurjasmine Aida Jamani, Zurainie Abllah
    MyJurnal
    Oral health care during pregnancy is greatly important as it is crucial to the health
    and well-being to both pregnant mother and baby. Studies showed that mothers with oral health
    problem have greater risk of prematurity and low birth weight babies. This study aimed to measure
    the associated factors of oral health problem among pregnant mothers. (Copied from article).
    Matched MeSH terms: Infant, Low Birth Weight; Infant, Newborn; Infant, Newborn, Diseases; Infant, Premature, Diseases
  8. Loh SG
    Med J Malaya, 1951;5.
    Report on 174 cases of tetanus neonatorum collected between 1946 and 1950 in the General Hospital, Singapore. There is a marked reduction in the incidence, which is attributed to a better maternity service. The results of treatment are bad – with a mortality of 90% of cases.
    Matched MeSH terms: Infant, Newborn
  9. Highet HC
    Lancet, 1895;146:1605.
    DOI: 10.1016/S0140-6736(01)98823-3
    Matched MeSH terms: Infant
  10. Haridas G
    Matched MeSH terms: Infant
  11. Rickeard JH
    Matched MeSH terms: Infant, Newborn
  12. Watson M
    Matched MeSH terms: Infant
  13. Binns C, Lee MK, Yun Low W, Baker P, Bulgiba A, Dahlui M, et al.
    Asia Pac J Public Health, 2020 05;32(4):179-187.
    PMID: 32475150 DOI: 10.1177/1010539520931328
    Good nutrition in the first "1000 days," including breastfeeding and appropriate complementary foods, prepares for a healthy childhood and adult life, also contributes to the prevention of the double burden of malnutrition. Exclusive breastfeeding provides all required nutrients until an infant is around 6 months of age when complementary foods are needed. A literature review was undertaken of complementary foods in the Asia Pacific region. The foods being used at present are often of low nutrient density may provide insufficient amounts of some critical nutrients, and generally the variety is limited. Guidelines for complementary feeding are provided to assist in education and in public health planning.
    Matched MeSH terms: Infant; Infant Nutritional Physiological Phenomena*; Infant, Newborn
  14. Abdul Hamid H, Szatkowski L, Budge H, Cheah FC, Ojha S
    BMJ Paediatr Open, 2021;5(1):e001153.
    PMID: 34514178 DOI: 10.1136/bmjpo-2021-001153
    Objective: To explore differences in nutritional practices and growth outcomes among preterm infants in neonatal units in Malaysia and the UK.

    Design: Prospective exploratory study of infants born at <34 weeks gestational age (GA).

    Setting: Two neonatal units, one in Malaysia and one in the UK (May 2019 to March 2020).

    Methods: Data collected from birth until discharge and compared between units.

    Results: From 100 infants included, median GA (IQR) was 31 (30-33) and mean±SD birth weight was 1549±444 g. There were more small-for-gestational age infants in Malaysian unit: 12/50 (24%) vs UK: 3/50 (6%), p=0.012 and more morbidities. More Malaysian infants received breast milk (Malaysia: 49 (98%) vs UK: 38 (76%), p=0.001), fortified breast milk (Malaysia: 43 (86%) vs UK: 13 (26%), p<0.001) and exclusive breast milk at discharge (Malaysia: 26 (52%) vs UK: 16 (32%), p=0.043). There was higher parenteral nutrition use among Malaysian infants (40/50 (80%)) vs UK (19/50 (38%)) (p<0.001) with higher protein intake (mean±SD Malaysia: 3.0±0.5 vs UK: 2.7±0.6 g/kg/d, p=0.004) in weeks 1-4 and smaller cumulative protein deficits (mean±SD Malaysia: 11.4±6.1 vs UK: 15.4±8.0 g/kg, p=0.006). There were no significant differences in short-term growth between units and more than half of the infants in both units had ≥1.28 changes in weight-for-age Z-score at discharge (p=0.841).

    Conclusions: An exploratory comparison of practices showed differences in patient characteristics and nutritional practices which impacted growth. Future studies with larger sample sizes and detailed analysis of maternal characteristics and infants' outcomes are needed for improving care of preterm infants in all settings.

    Matched MeSH terms: Infant; Infant, Newborn; Infant, Premature*
  15. Yun WZ, Kassab YW, Yao LM, Khairuddin N, Ming LC, Hadi MA
    Int J Clin Pharm, 2022 Oct;44(5):1140-1148.
    PMID: 35915341 DOI: 10.1007/s11096-022-01437-0
    BACKGROUND: Early administration of intravenous (IV) caffeine (initiation within 2 days of life) is an effective treatment strategy for the management of apnoea of prematurity among infants. However, the safety and effectiveness of early administration of oral caffeine treatment is not be fully established.

    AIM: We aimed to compare the effectiveness and safety of early versus late caffeine therapy on preterm infants' clinical outcomes.

    METHOD: A retrospective matched cohort study was conducted using data of patients admitted to neonatal intensive care units of two tertiary care hospitals between January 2016 and December 2018. The clinical outcomes and mortality risk between early caffeine (initiation within 2 days of life) and late caffeine (initiation ≥ 3 days of life) were compared.

    RESULTS: Ninety-five pairs matched based on gestational age were included in the study. Compared to late initiation, preterm infants with early caffeine therapy had: a shorter duration of non-invasive mechanical ventilation (median 5 days vs. 12 days; p infants with apnoea of prematurity. However, an increase in mortality associated with early caffeine therapy requires further investigation.

    Matched MeSH terms: Infant; Infant, Newborn; Infant, Premature*
  16. Haranal M, Febrianti Z, Latiff HA, Rahman SA, Sivalingam S
    Asian Cardiovasc Thorac Ann, 2021 Oct;29(8):816-818.
    PMID: 33641433 DOI: 10.1177/0218492321998500
    Primary cardiac tumors are one of the rare causes of intracardiac masses in pediatric population. Cardiac papillary fibroelastomas are benign cardiac tumors with predilection for valvular endocardium, and the presentation is dictated by the cardiac structure involved and the tumor characteristics. We report an infant with cardiac papillary fibroelastoma manifesting as an asymptomatic left ventricular outflow tract mass. This case is being presented to emphasize the rare occurrence of cardiac papillary fibroelastoma in pediatric population and to be cognizant of this entity when considering differential diagnosis of intracardiac masses in this subgroup.
    Matched MeSH terms: Infant
  17. Boo NY
    Malays J Pathol, 2016 Dec;38(3):223-227.
    PMID: 28028291 MyJurnal
    Necrotising enterocolitis (NEC) is the most commonly acquired gastrointestinal disease of neonates, particularly the very preterm (gestation <32 weeks) and/or very low birth weight (<1500g). It is associated with high morbidity and mortality. Despite improvement in neonatal care and increased use of expressed breast milk (EBM), the incidence remains high in many neonatal intensive care units (NICU), and even shows increasing trend in some countries. Numerous studies have pointed to the infective nature of NEC. Some investigators have reported an increase in the incidence of NEC in their NICU when the percentage of infants with pathogens isolated from their gut increased, and decreased when gut colonisation rate was low. Both bacteria and viruses have been reported to be associated with outbreaks of NEC. The majority (>90%) of the NEC cases occurred in neonates on enteral feeding. Studies have shown that milk (whether EBM or formula) fed to neonates was not sterile and were further contaminated during collection, transport, storage and/or feeding. Other investigators have reported a reduction in the incidence of NEC when they improved infection control measures and hygienic procedures in handling milk. It is, therefore, hypothesised that the most common cause of NEC is due to the feeding of neonates, particularly the vulnerable very preterm small neonates, with milk heavily contaminated during collection at source, transport, storage and/or feeding. Because of the immaturity of the immune system of the neonates, excessive inflammatory response to the pathogen load in the gut leads to the pathogenesis of NEC.
    Matched MeSH terms: Infant, Low Birth Weight; Infant, Newborn; Infant Formula/microbiology*
  18. Singla M, Chalak L, Kumar K, Hayakawa M, Mehta S, Neoh SH, et al.
    Neonatology, 2022;119(6):712-718.
    PMID: 36202069 DOI: 10.1159/000526404
    INTRODUCTION: We aimed to determine global professional opinion and practice for the use of therapeutic hypothermia (TH) for treating infants with mild hypoxic-ischaemic encephalopathy (HIE).

    METHODS: A web-based survey (REDCap) was distributed via emails, social networking sites, and professional groups from October 2020 to February 2021 to neonatal clinicians in 35 countries.

    RESULTS: A total of 484 responses were obtained from 35 countries and categorized into low/middle-income (43%, LMIC) or high-income (57%, HIC) countries. Of the 484 respondents, 53% would provide TH in mild HIE on case-to-case basis and only 25% would never cool. Clinicians from LMIC were more likely to routinely offer TH in mild HIE (25% v HIC 16%, p < 0.05), have a unit protocol for providing TH (50% v HIC 26%, p < 0.05), use adjunctive tools, e.g., aEEG (49% v HIC 32%, p < 0.001), conduct an MRI post TH (48% v HIC 40%, p < 0.05) and less likely to use neurological examinations as a HIE severity grading tool (80% v HIC 95%, p < 0.001). The majority of respondents (91%) would support a randomized controlled trial that was sufficiently large to examine neurodevelopmental outcomes in mild HIE after TH.

    CONCLUSIONS: This is the first survey of global opinion for TH in mild HIE. The overwhelming majority of professionals would consider "cooling" an infant with mild HIE, but LMIC respondents were more likely to routinely cool infants with mild HIE and use adjunctive tools for diagnosis and follow-up. There is wide practice heterogeneity and a sufficiently large RCT designed to examine neurodevelopmental outcomes, is urgently needed and widely supported.

    Matched MeSH terms: Infant, Newborn
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