Training in neonatal neurocritical care: A case-based interdisciplinary approach

Seminars in Fetal and Neonatal Medicine, Journal Year: 2024, Volume and Issue: 29(1), P. 101530 - 101530

Published: Feb. 1, 2024

Language: Английский

---

Interdisciplinary fetal-neonatal neurology training improves brain health across the lifespan

Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15

Published: July 4, 2024

Integrated fetal, neonatal, and pediatric training constitute an interdisciplinary fetal-neonatal neurology (FNN) program. A dynamic neural exposome concept strengthens curriculum content. Trainees participate in mentoring committee selection for guidance during a proposed two-year Prenatal to postnatal clinical learning re-enforces early toxic stressor interplay that influences gene-environment interactions. Maternal-placental-fetal triad, or childhood diseases require diagnostic therapeutic decisions the first 1,000 days when 80 % of connections contribute life-course phenotypic expression. Pediatric follow-up through 3 years adjusts gestational ages preterm survivors. Cumulative reproductive, pregnancy, adult effects educational experiences emphasize principle-to-practice approach brain capital strategy across lifespan. More rigorous rotations will be offered full time trainees. Adult residents, medical students, trainees from diverse disciplines learn essential topics time-limited rotations. Curriculum content periodic re-assessments using science standards maintain competence while promoting creative collaborative problem-solving. Continued career-long by FNN graduates strengthen shared healthcare all stakeholders. Recognition adaptive maladaptive neuroplasticity mechanisms requires analytic skills identify phenotypes associated with disease pathways. Developmental origins concepts health developmental-aging continuum, applicable research collaborations. Social determinants recognize diversity, equity, inclusion priorities each neurological intervention, particularly those challenged disparities. Diagnostic strategies must address resource challenges throughout Global South effectively lower worldwide burden neurologic disease. Sustainable development goals World Health Organization offer universally guidelines response ongoing global regional polycrises. Gender, race, ethnicity, socio-economic equality promote effective preventive, rescue reparative neuroprotective interventions. synergistic efforts can enhanced establishing leadership within academic teaching hubs assist structure smaller facilities community improve practice, education objectives. Reduced mortality improved quality life prioritize maternal-pediatric well-being sustain lifespan transgenerational benefits.

Language: Английский

---

Neonatal encephalopathy multiorgan scoring systems: systematic review

Frontiers in Pediatrics, Journal Year: 2024, Volume and Issue: 12

Published: Oct. 1, 2024

Introduction Neonatal encephalopathy (NE) is a condition with multifactorial etiology that causes multiorgan injury to neonates. The severity of dysfunction (MOD) in NE varies, therapeutic hypothermia (TH) as the standard care. aim identify current approaches used assess and determine an optimum scoring system for MOD NE. Methods systematic review conformed Preferred Reporting Items Systematic Reviews Meta-Analyses (PRISMA) guidelines. An electronic search was conducted using PubMed, EMBASE, MEDLINE, Cochrane Central Register Controlled Trials, Scopus, CINAHL studies systems Results yielded 628 articles which 12 were included data extraction analysis. Five found positive correlation between MOD. There significant heterogeneity across systems, including eligibility criteria participants, methods assessing specific organ length follow-up, adverse outcomes. neurological, hepatic, cardiovascular, respiratory, hematological, renal most while gastrointestinal only three studies. definitions renal, respiratory consistent cardiovascular varied most. Discussion A should ideally include systems. Despite studies, these provide potential candidates standardization Validation needed parameters adequate follow-up beyond neonatal period. Additionally, evaluation may be affected by TH considering its effects.

Language: Английский

---

BRAIN CARE BUNDLES APPLIED OVER EACH AND SUCCESSIVE GENERATIONS

Seminars in Fetal and Neonatal Medicine, Journal Year: 2024, Volume and Issue: unknown, P. 101558 - 101558

Published: Nov. 1, 2024

Language: Английский

---

Executive Functioning and Language in a Pediatric Population with Autism Spectrum Disorders and Epilepsy: A Comparative Study

Children, Journal Year: 2024, Volume and Issue: 11(3), P. 306 - 306

Published: March 5, 2024

In recent years, there has been an increase in the prevalence of comorbidity between ASD and epilepsy pediatric population. Children with often exhibit greater impairments executive functions such as cognitive flexibility, planning, inhibition, emotional control, well language dimensions phonology, semantics, morphosyntax, pragmatics. These can significantly impact their maturation development. The aim this study was to assess compare functioning skills 150 participants, divided into three groups: one only, another third group both epilepsy. utilized Behavior Rating Inventory Executive Function (BRIEF-2) Neuropsychological Evaluation Functions (ENFEN) functions, Clinical Language Fundamentals 5 (CELF-5) evaluate skills. results indicated that participants had lower scores compared children only or presence limits linguistic performance ASD, negatively affecting acquisition, functionality, ability carry out basic life activities independently.

Language: Английский

---

Epilepsy and Fertility

Published: Jan. 1, 2024

Language: Английский

---

Internet-Based Abnormal Chromosomal Diagnosis During Pregnancy Using a Noninvasive Innovative Approach to Detecting Chromosomal Abnormalities in the Fetus: Scoping Review (Preprint)

Published: March 15, 2024

Chromosomal abnormalities are genetic disorders caused by chromosome errors, leading to developmental delays, birth defects, and miscarriages. Currently, invasive procedures such as amniocentesis or chorionic villus sampling mostly used, which carry a risk of miscarriage. This has led the need for noninvasive innovative approach detect prevent chromosomal during pregnancy. review aims describe appraise potential internet-based abnormal preventive measures detecting preventing A thorough existing literature research on approaches prenatal diagnosis therapy was conducted. Electronic databases PubMed, Google Scholar, ScienceDirect, CENTRAL, CINAHL, Embase, OVID MEDLINE, PsycINFO, Scopus, ACM, IEEE Xplore were searched relevant studies articles published in last 5 years. The keywords used included <i>chromosomal abnormalities</i>, <i>prenatal diagnosis</i>, <i>noninvasive</i>, <i>internet-based</i>, <i>diagnosis</i>. revealed that is involves use advanced technology, including high-resolution ultrasound, cell-free DNA testing, bioinformatics, analyze fetal from maternal blood samples. It allows early detection abnormalities, enabling timely interventions treatment adverse outcomes. Furthermore, with advancement emerged safe alternative benefits its cost-effectiveness, increased accessibility convenience, earlier intervention, ethical considerations. Internet-based revolutionize care offering procedures. improve better pregnancy outcomes reduced Further development this field needed make more accessible affordable pregnant women.

Language: Английский

---

Epilepsy and Fertility

Published: Jan. 1, 2024

Language: Английский

---