The study of neonatal gender differences in pain expression is important since behavior occurs prior to any learned reaction pattern. objective this was verify the presence preterm and term newborn infants. Sixty-five consecutive neonates (37 female 28 male infants) with gestational age between 42 weeks 25-120 h life were studied. Healthy required a capillary puncture for PKU screening clinically stable premature infants needed glucose dosage. Neonatal Facial Coding System (NFCS) Infant Pain...

summary . The goal of this research was to study the safety and efficacy transfusing citrate‐phosphate‐adenine anticoagulant‐preservative (CPDA‐1) RBC stored for up 28 days reduce donor exposures in premature infants. A prospective randomized two‐group conducted with very low‐birth‐weight infants that received at least one transfusion during hospital stay. Neonates randomly assigned Group 1 (26 infants) were transfused CPDA‐1 days; those 2 3 days. Demographic transfusion‐related data...

The objective of this study was to determine the epidemiology hospitalized pediatric sepsis in Brazil (1992-2006) and compare mortality caused by that other major childhood diseases.We performed a retrospective descriptive hospital admissions using government database all affiliated with Brazilian health system. We studied hospitalizations children from 28 days through 19 years diagnosis bacterial defined criteria International Classification Diseases (ICD), (Appendix S1). Based on data 1992...

To establish the prevalence and factors associated with developmental scores delays in premature infants.A cross-sectional study was conducted on 100 infants corrected ages of 18-24 months (actual 19.9 ± 2.0 months) birth weights 1500-1999 g. Bayley III scales were used to assess scores, percentage children <85, at least one domain.The percentages 95% confidence intervals those as follows: cognitive (2.0%; 0.6-7.0%), language (5.0%; 2.2-11.2%), motor (3.0%; 1.0-8.5%), socio-emotional (13.0%;...

CONTEXT: The subjectivity of pain causes enormous difficulties in evaluating neonatal with a single, practical and easy-to-apply tool. Pain evaluation the period should be performed by valid, safe, useful feasible methods. OBJECTIVE: To evaluate validity Neonatal Facial Coding System (NFCS), Infant Scale (NIPS), heart rate (HR) O2 saturation (O2 sat) for assessment. DESIGN: Prospective, double-blind randomized trial. SETTING: A secondary level maternity hospital. PARTICIPANTS: 70 healthy...

OBJECTIVE: To evaluate the prevalence of delay and factors associated with neurodevelopmental scores in premature infants. METHODS: Cross-sectional study to assess development by Bayley Scales III, including very low birth weight preterm infants aged 18 24 months who were under follow-up at outpatient clinic for Congenital malformation, genetic syndrome, symptomatic congenital infection birth, deafness, blindness excluded. Numerical variables compared Mann-Whitney or Student t test...

<h3>Objective</h3> To determine whether adults can recognize neonatal facial expression of pain. <h3>Design</h3> A cross-sectional study. <h3>Setting</h3> Neonatal intensive care unit, nursery, and outpatient clinic one university hospital private in São Paulo, Brazil. <h3>Patients</h3> Four hundred five divided into 2 groups: health nonhealth professionals. <h3>Intervention</h3> The faces 3 healthy full-term newborns who needed glucose screening were photographed at rest during light...

To analyze the knowledge of pediatricians who work with neonatal patients regarding evaluation and treatment pain in newborn infants.Cross-sectional study 104 (out 110) were working during 1999 to 2001 seven intensive care units 14 nurseries city Belém (Pará). The answered a questionnaire about their demographic profile relief methods period.100% believed that newborns feel pain, but only one-third them declared know any scale for this age group. majority interviewees perceived presence by...

Background and Objectives Very‐low‐birthweight infants are among the most heavily transfused patients. The objective of this study was to verify if introduction a strict guideline would reduce need for red blood cell transfusions in first 4 weeks life these neonates. Materials Methods This multicentre prospective two cohorts very‐low‐birthweight accordance with recommendations neonatologist (Phase 1) or according previously published guidelines 2). Results In 28 days life, 102 patients...

One of the main difficulties in adequately treating pain neonatal patients is scarcity validated evaluation methods for this population.To analyze reliability two behavioral scales neonates.Cross-sectional.University hospital intensive care unit.22 preterm neonates were studied, with gestational age 34 +/- 2 weeks, birth weight 1804 584 g, 68% female, 30 12 hours life, and 30% intubated.Two neonatologists (A B) observed at bedside on video films 10 minutes. The Neonatal Facial Coding System...

Platelet transfusions are performed almost entirely according to expert experience. This study assessed the effectiveness of a restrictive guideline reduce platelet in preterm infants.A retrospective cohort infants with birth weight <1500 g had been born 2 periods. In Period 1, transfusion was indicated for count <50,000/ml clinically stable neonates or <100,000/ml bleeding unstable infants. 2, indications were restricted <25,000/ml neonates, newborns who either on mechanical ventilation,...

Although the benefits of antenatal corticosteroids have been widely demonstrated in other countries, there are few studies among Brazilian newborn infants.To evaluate effectiveness on incidence respiratory distress syndrome and intra-hospital mortality neonates with a gestational age less than 34 weeks.Cross-sectional.A tertiary-care hospital.Neonates exposed to any dose for fetal maturation up 7 days before delivery, newborns paired by sex, birth weight, time that were not corticosteroids....

O nascimento de um bebê com doenças orgânicas graves tem profundas implicações na constituição do vínculo inicial mãe-bebê. objetivo desta pesquisa é a investigação das representações psíquicas maternas acerca desse nascimento. Este estudo qualitativo está fundamentado no campo teórico-psicanalítico. Foram realizadas entrevistas semi-estruturadas, individuais, 11 mães período internação Unidade Terapia Intensiva Neonatal. Os dados obtidos foram submetidos ao método análise conteúdo e...

Background and Objectives Benefits of adopting restrictive guidelines for erythrocyte transfusions are still controversial. The objective this study was to verify if a very strict guideline could reduce in preterm infants without adverse outcomes. Materials Methods Two prospective cohorts neonates with gestational age &lt; 37 weeks birth weight 1500 g were studied. Neonates born Period 1 submitted transfusions. In 2, new stricter protocol introduced. Infants both periods compared regarding...

This study was designed to verify if breast milk collected at home is appropriate for raw consumption by neonates in a Brazilian public neonatal intensive care unit (NICU). From May 1998 February 2000, microbiological characteristics of samples were analyzed. The considered mesophilic bacteria count < 2500 CFU/mL and potential pathogens not detected. Of 90 from 32 mothers hospitalized neonates, 36 (40%) rejected because potentially pathogenic (72.2%), > or = (13.9%), both conditions (13.9%)....

Psychometric researches increase in Brazil. Bayley Infant Neurodevelopment Screener – BINS (Aylward, 1995) is a low cost, fast instrument. In 10’ it classifies children under developmental risk degrees. This research purpose was investigating psychometric properties. 61 low-income Brazilian preterm, were divided groups: 31 (12 months) and 30 (24 months), both sex, birth weight <2000 g. Socio-demographic-psychological profile previously registered. Neurologists examined them through...

This study aimed to estimate the prevalence of psychoactive substance use by adolescents from public schools. is a cross-sectional that used random sample five schools located in municipality central-west region São Paulo Metropolitan Area, Brazil. Information on demographic, socioeconomic, and drug was collected using self-report questionnaires. The consisted 1,460 students, 716 (49%) males, aged 10-19 years (13.19±2.04 years). last month 51% for analgesics; 48.8% alcohol; 37.3% tobacco;...

This study evaluated the vaccination response to Haemophilus influenzae type b (Hib) in malnourished pregnant women (MN), cord blood (CB) and infants at two six months of age for comparison with a control group (C). Twenty-eight 29 controls were immunized conjugated Act-HIB® third trimester pregnancy. Blood samples collected from all before immunization, during labor (post immunization), CB. All Hib vaccine according normal schedule sera age. Antibody levels polyribosylribitol phosphate...