PROBLEM Preterm neonates are highly susceptible to infection. Neonatal host defense against infection seems to be maintained by the temporal presence of immunosuppressive CD71+ erythroid cells. The aim of this study was to investigate whether umbilical cord CD71+ erythroid cells are reduced in neonates born to women who undergo spontaneous preterm labor/birth. METHOD OF STUDY Umbilical cord b...

Exposure to prenatal and early-life stress results in alterations in neural connectivity and an increased risk for neuropsychiatric disorders. In particular, alterations in amygdala connectivity have emerged as a common effect across several recent studies. However, the impact of prenatal stress exposure on the functional organization of the amygdala has yet to be explored in the prematurely-bo...

BACKGROUND Electrical activity of the diaphragm (E(di)) has been proposed as a parameter to evaluate respiratory function. Normative values of electrical activity of the diaphragm in full-term neonates are not known. This is a small case series to establish preliminary values of E(di) in term neonates and to determine how these values vary while awake and asleep and during feeding states. ME...

BACKGROUND Umbilical arterial blood gas (UABG) analysis is more objective than other methods for predicting neonatal outcome. Acidemic neonates may be at risk for unfavorable outcome after birth, but all neonates with abnormal arterial blood gas (ABG) analysis do not always have poor outcome. OBJECTIVES This study was carried out to determine the short term outcome of the neonates born with a...

Aim: Neonates born prematurely and sick full-term neonates are at risk of brain injury. Although advances in neonatal intensive care have greatly improved the survival and outcome of these vulnerable patients, brain injury remains of major concern. Early diagnosis is important for prognostication, optimal treatment, and predicting the neurological outcome. Objective: This study was done to desc...

The diagnosis of intussusception in neonates is difficult. It is less frequent than the other neonatal abdominal issues (Less than 1.3% of all cases of intussusception occur in term neonates). The clinical feautures show great similarities with necrotizing enterocolitis (NEC). Nevertheless this disease remains exceedingly rare in premature neonates. The intussusception is frequently located in ...

AIMS Inflammation and organ failure have been reported to have an impact on cytochrome P450 (CYP) 3A-mediated clearance of midazolam in critically ill children. Our aim was to evaluate a previously developed population pharmacokinetic model both in critically ill children and other populations, in order to allow the model to be used to guide dosing in clinical practice. METHODS The model was ...

BACKGROUND Hyperbilirubinemia is a common problem in newborn infants. It can progress to kernicterus in severe forms, unless an intervention is initiated. The objective of this study was to determine the therapeutic effect of clofibrate in full-term neonates with nonhemolytic jaundice. METHODS A randomized clinical trial was performed on two groups of full-term jaundiced neonates: the clofibr...

OBJECTIVES To review the evidence from controlled clinical trials of neonates given equal daily aminoglycoside doses as extended interval dosing (dosage interval typically 24 hours in term and 36-48 hours in immature neonates) compared with traditional dosing (dosage interval typically 8-12 hours in term and 12-24 hours in immature neonates). DESIGN Systematic review and meta-analysis of cont...

background: jaundice is a common condition among neonates. prolonged unconjugated hyperbilirubinemia occurs when jaundice persists beyond two weeks in term neonates and three weeks in preterm neonates. this study aimed to determine the etiologies of prolonged unconjugated hyperbilirubinemia in infants admitted to the neonatal ward of besat hospital in hamadan, iran. methods: this study was cond...