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Risk Factors for cognitive, motor and language development of preterm children ...
Hass,Júlia Vicente; Panceri,Carolina; Procianoy,Renato Soibelmann; Silveira,Rita de Cássia; Valentini,Nadia CristinaAbstract Objective: To perform a longitudinal investigation of risk factors in premature infants’ cognitive, motor, and language development. Methods: Thirty-three preterm infants were assessed at 4, 8, and 12 months of corrected age, using the Bayley-III Scales. Parents completed questionnaires regarding development opportunities at home, parenting practices and knowledge. Results: Significant associations wer...
The challenges of neonatal sepsis management
Procianoy,Renato Soibelmann; Silveira,Rita C.Abstract Objectives To present current evidence on the etiology, risk factors, diagnosis, and management of early and late neonatal sepsis. Source of data Non-systematic review of the Medline (PubMed), Scopus, Web of Science, Cochrane, and Google Scholar databases regarding the following terms: neonatal sepsis, early neonatal sepsis, late neonatal sepsis, empirical antibiotic therapy, sepsis calculator, vancomy...
Preterm newborn's postnatal growth patterns: how to evaluate them
Silveira,Rita C.; Procianoy,Renato SoibelmannAbstract Objectives: There are several factors that influence the postnatal growth of preterm infants. It is crucial to define how to evaluate the growth rate of each preterm child and its individual trajectory, the type of growth curve, either with parameters of prescriptive curves for healthy preterm infants with no morbidities or, in the case of preterm infants and their "bundle of vulnerabilities", growth c...
EVALUATION OF USABILITY OF A NEONATAL HEALTH INFORMATION SYSTEM ACCORDING TO TH...
Padrini-Andrade,Lucio; Balda,Rita de Cássia Xavier; Areco,Kelsy Catherina Nema; Bandiera-Paiva,Paulo; Nunes,Marynéa do Vale; Marba,Sérgio Tadeu MartinsABSTRACT Objective: To measure the level of satisfaction regarding the usability of a neonatal health information system and identify if demographic factors can influence the usability of a health information system. Methods: A cross-sectional, exploratory study was carried out with a convenience sample of 50 users of the Brazilian Neonatal Research Network. The instrument chosen for the usability evaluation wa...
Association between human breast milk and retinopathy of prematurity
Fonseca,Luciana Teixeira; Senna,Denise C.; Eckert,Gabriela Unchalo; Silveira,Rita de Cássia; Procianoy,Renato SoibelmannABSTRACT Purpose: To evaluate the possible protective effect of breast milk against retinopathy of prematurity by comparing the amount of breast milk received by patients who developed retinopathy of prematurity and those who did not and to determine both the required minimum amount of breast milk and the time of life during which neonates need to receive breast milk for this effect to be significant. Methods: ...
Comparison of two dose regimens of ibuprofen for the closure of patent ductus a...
Dornelles,Laura Vargas; Corso,Andréa Lúcia; Silveira,Rita de Cássia; Procianoy,Renato SoibelmannAbstract Objective: To compare the efficacy of intravenous ibuprofen at high (20-10-10 mg/kg/dose) and low doses (10-5-5 mg/kg/dose) the closure of patent ductus arteriosus in preterm newborns. Methods: A cohort study with historical control of newborns that received high- and low-dose intravenous ibuprofen, from 2010 to 2013 in a neonatal intensive care unit, for closure of the patent ductus arteriosus, docume...
Association of late-onset neonatal sepsis with late neurodevelopment in the fir...
Hentges,Cláudia Regina; Silveira,Rita C.; Procianoy,Renato Soibelmann; Carvalho,Clarissa Gutierrez; Filipouski,Gabriela RibeiroOBJECTIVE: To establish the influence of late-onset sepsis on neurodevelopment of preterm infants with very low birth weight (VLBW), according to the etiologic agent METHOD: This was a cohort of newborns with birth weight < 1,500 g and gestational age less than 32 weeks, admitted to the institutional intensive care unit (ICU) with up to 48 hours of life, and followed-up at the outpatient follow-up clinic for pr...
Lesao pulmonar induzida pela ventilacao em recem-nascidos prematuros
Carvalho,Clarissa Gutierrez; Silveira,Rita C; Procianoy,Renato SoibelmannA necessidade de intubação e do uso de ventilação mecânica na prematuridade está relacionada à chamada lesão pulmonar induzida pela ventilação e à consequente displasia broncopulmonar. Busca-se a melhor compreensão dos mecanismos de lesão envolvendo resposta inflamatória mediada pelas citocinas para o desenvolvimento de novas estratégias protetoras. Pesquisou-se na base de dados PubMed, incluindo artigos releva...
Prevention of retinopathy of prematurity
Fortes Filho,João Borges; Eckert,Gabriela Unchalo; Tartarella,Marcia Beatriz; Procianoy,Renato SoibelmannRetinopathy of prematurity (ROP) is related to oxygen-regulated vascular endothelial growth factor and to insulin-like growth factor-I. After premature birth, supplemental oxygen induces a retinal hyperoxic condition with vasoconstriction and to a definitive interruption of retinal vasculogenesis. Peripheral ischemia may stimulate retinal neovascularization and the onset of additional ROP-related complications....
Postconceptional age at the treatment of retinopathy of prematurity in inborn a...
Fortes Filho,João Borges; Eckert,Gabriela Unchalo; Valiatti,Fabiana Borba; Santos,Paula Gabriela Batista dos; Costa,Marlene Coelho daPURPOSE: The outcomes of the treatment of retinopathy of prematurity (ROP) seem to be better in inborn patients than in those patients who were referred for ROP treatment. This study aims to investigate the timing of treatment and the outcomes in inborn patients and in patients referred for treatment to the Hospital de Clínicas de Porto Alegre, Brazil. METHODS: An institutional prospective cohort study was cond...