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How Long Do Late Preterm Infants Need Supplemental Feedings?

Discussion Premature infants have many problems to overcome because they just aren’t ready to live outside the uterine environment. Late premature infants are defined as birth between 34 0/7 weeks and 36 6/7 weeks gestation. In the U.S. this gestational age accounts for ~70% of all preterm births or ~300,000 births/year. Late preterm infants can have delayed oral feeding skills and failure to thrive along with increased hospital readmissions. Breastfeeding can be difficult as infants can have poor coordination and poor tone, along with decreased lactation in the mother. Learning Point Weight gain lags behind intrauterine weight gain in premature infants including late preterm infants. The intrauterine growth is ~15 g/day at this age and in one study only 2% of preterm infants achieved this weight gain. Late preterm infants have increased energy, protein, calcium and phosphorous needs as this is the time that the fetus would be storing fat and minerals. It is also a time when brain growth and volume are markedly increased. Late preterm infants need additional nutritional supplementation. Therefore it is recommended that late preterm infants be breastfed with fortified human milk until at least 40 weeks postconceptional age. Human milk fortifier or special preterm discharge formula are recommended for use as the supplements as they contain additional calories, protein and minerals compared to standard infant formula. Preterm infants that are born earlier and weigh less, ...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news

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Discussion: All comparisons between scale scores and PSG results showed poor or totally absent concordance between subjective and objective measures.Significance: The subjective evaluation of sleep in HD patients shows a poor correlation with PSG results.Neurodegener Dis 2017;17:330-337
Source: Neurodegenerative Diseases - Category: Neurology Source Type: research
Conclusiones: Es fundamental conocer métod os de evaluación de vía aérea que incluyen; un examen clínico, evaluación radiográfica y de Conebeam, éstos alertan de alteraciones que interfieren en el tratamiento.Abstract: Introduction: Upper airway assessment is particularly important in the daily work of orthodontists, pediatric dentists, ENT specialists, speech therapists, etc., because of its close connection with the development of craniofacial structures and with other pathologies such as Obstructive Sleep Apnea Syndrome (OSAS). Objective: To review the limits, func...
Source: Odontoestomatologia - Category: Dentistry Source Type: research
How sleep helps us adapt our memories for future experiences. • Try one of PsyBlog's ebooks, all written by Dr Jeremy Dean: Activate: How To Find Joy Again By Changing What You Do (NEW) The Anxiety Plan: 42 Strategies For Worry, Phobias, OCD and Panic Spark: 17 Steps That Will Boost Your Motivation For Anything
Source: PsyBlog | Psychology Blog - Category: Psychiatry & Psychology Authors: Tags: Sleep Source Type: blogs
Specific characteristics among nurses doing shift work can directly affect their sleep quality and risk of burnout, according to Italian researchers.
Source: Nursing Times - Category: Nursing Source Type: news
With smartphones now an integral part of our lives, and free apps readily available to help us track and manage everything from our money and social lives to diet and exercise, it’s vital we invest in research exploring how technology can help to improve treatment and care for people with arthritis of all ages.Two pilot studies, both supported by funding from Arthritis Research UK, have worked closely with people with inflammatory arthritis to design, develop and test apps to help with symptom tracking and monitoring. Positive feedback from patients suggests apps have potential to help people with arthritis to better...
Source: Arthritis Research UK - Category: Rheumatology Source Type: news
There is increasing evidence that sleep and circadian disruption can worsen the disease course in inflammatory bowel disease (IBD). Sleep and circadian disruption are prevalent in society and are associated with worse outcomes in IBD. Emerging research suggests sleep and circadian disruption can impact key components in IBD disease flares, including intestinal permeability, translocation of bacterial endotoxins, intestinal dysbiosis, and proinflammatory cytokines. Much of this research has been conducted in animal models. There is a clear need for large randomized controlled trials in human patients with IBD, where the pot...
Source: Gastroenterology Clinics of North America - Category: Gastroenterology Authors: Source Type: research
Authors: Lande RG, Gragnani CT, Pourzand M, Hangemanole D Abstract The views expressed in this presentation are those of the author and do not reflect the official policy of the Department of the Army/Navy/Air Force or the Department of Defense The identification of specific products or scientific instrumentation does not constitute an endorsement or implied endorsement on the part of the authors, DoD, or any component agency. While we generally excise references to products, companies, manufacturers, organizations, etc. in government produced works, the abstracts produced and other similarly situated researchers p...
Source: Substance Use and Misuse - Category: Addiction Tags: Subst Use Misuse Source Type: research
Loss‐of function mutations in NALCN on chromosome 13q, a sodium leak channel that maintains baseline neuronal excitability, cause infantile hypotonia with psychomotor retardation and characteristic faces 1 (IHPRF1, OMIM #615419). Here, we document two individuals with early onset hypotonia with poor feeding and intellectual disability who were compatible with a diagnosis of IHPRF1. The two patients had bi‐allelic mutations in NALCN through two different genetic mechanisms: Patient 1 had bi‐allelic splice site mutations, that is c.1267‐2A>G, derived from heterozygous parents, while Patient 2 had a partial materna...
Source: American Journal of Medical Genetics Part A - Category: Genetics & Stem Cells Authors: Tags: CLINICAL REPORT Source Type: research
Conclusion: In pediatric acute severe diarrheal dehydration, resuscitation with RL and NS was associated with similar clinical improvement and biochemical resolution. Hence, NS is to be considered as the fluid of choice because of the clinical improvement, cost, and availability.
Source: Journal of Pediatric Gastroenterology and Nutrition - Category: Gastroenterology Tags: Clinical Trials: Gastroenterology Source Type: research
This article provides instruction on the key anatomic landmarks and imaging protocols for radiographic airway evaluation. PMID: 29157546 [PubMed - in process]
Source: Radiologic Clinics of North America - Category: Radiology Authors: Tags: Radiol Clin North Am Source Type: research
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