Newborns Jaundice And Cerebral Palsy – Part 3 of 3
And “It was reassuring that leader injury due to high bilirubin was rare and that only those infants whose levels were well above exchange transfusion guidelines developed kernicterus,” Newman said in the flash release. “Based on our study, the current guidelines for when to perform exchange transfusions have been quite successful in preventing kernicterus,” said the study’s lead author, Dr Yvonne W Wu, a professor of clinical neurology and pediatrics at UC San Francisco, in the release. “However, our meditate on also raises the question whether the threshold for exchange transfusion could be higher for infants with merry bilirubin levels who are otherwise healthy and who have no other risk factors for brain injury arabia.
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Newborns Jaundice And Cerebral Palsy – Part 2 of 3
The babies were delivered at one of 15 hospitals between 1995 and 2011. One platoon of nearly 1900 newborns had bilirubin levels above the American Academy of Pediatrics’ threshold for exchange transfusion. Babies in this group were followed for an general of seven years. A second group included more than 104000 newborns who were born at least 35 weeks’ gestation and had lower bilirubin levels. This group of infants was followed for six years.
The study, published on Jan 5, 2015 in JAMA Pediatrics, revealed three cases of kernicterus occurred amidst the babies with the highest bilirubin levels. However, the researchers distinguished all three of these children had additional risk factors for brain damage. “We found that cerebral palsy consistent with kernicterus did not occur in a single infant with high bilirubin without the presence of additional peril factors,” said the study’s second author, Dr Michael W Kuzniewicz, an assistant professor of neonatology in the department of pediatrics at UC San Francisco, in a university release release.
So “This was the case even in infants with very high bilirubin,” said Kuzniewicz, who is also head of the perinatal research unit of the division of research at Kaiser Permanente Northern California. “Our muse about was the first to evaluate how well the exchange transfusion guidelines predicted risk of cerebral palsy and kernicterus in babies with jaundice,” said the study’s principal investigator, Dr Thomas B Newman, with the departments of epidemiology and pediatrics at UC San Francisco.
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Newborns Jaundice And Cerebral Palsy – Part 1 of 3
Newborns Jaundice And Cerebral Palsy. Newborns with significant jaundice are not acceptable to develop a rare and life-threatening type of cerebral palsy if American Academy of Pediatrics’ treatment guidelines are followed, according to a callow study. Jaundice is yellowing of the eyes and skin due to high levels of the liver-produced pigment bilirubin. In most cases, jaundice develops among newborns because their liver is too rudimentary to break down the pigment quickly enough. Usually, this condition resolves without treatment.
Some babies, however, must receive phototherapy. Exposure to special lights changes bilirubin into a compound that can be excreted from the body, according to the researchers. If phototherapy fails, a scheme called exchange transfusion may be required. During this invasive procedure, the infant’s blood is replaced with donor blood. Recommendations for exchange transfusions are based on bilirubin level, the life-span of the infant and other risk factors for brain damage.
Exchange transfusion isn’t without risk. Potential complications from the treatment include blood clots, blood on instability, bleeding and changes in blood chemistry, according to the researchers. High bilirubin levels are also risky. They’ve been associated with a serious form of cerebral palsy called kernicterus. In reserve to investigate this association, researchers from the University of California, San Francisco and the Kaiser Permanente Northern California Division of Research examined data from two groups of more than 100000 infants.
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Children Watch Television Instead Of Games If Obese Mothers – Part 3 of 3
For these reasons, the American Academy of Pediatrics discourages TV viewing before the duration of 2 years. Christakis noted that 50 percent of kids from this type of background start kindergarten lacking basic skills. “We know there is nothing better for young children’s brains than real-world compassionate interaction,” he said, adding that the brain develops in direct response to external stimulation.
The extended TV watching among these children comes at a big cost. “Both in terms of displaced alien activity, such as play or being read to, but also television is overly stimulating – inappropriately stimulating to the developing brain”. Melissa Salgueiro, a psychologist at Miami Children’s Hospital, concurred that “children should not be exposed to TV before seniority 2 brainpill.gdn. Even then TV should be limited to 30 minutes per day, with parents finding other activities – such as play – to halcyon their children.
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Children Watch Television Instead Of Games If Obese Mothers – Part 2 of 3
Mothers with more schooling were less likely to keep the TV on during meals. Obese mothers are more likely to be inactive or suffer from depression. “They are more likely to use the television themselves, so their infants are exposed to more television as well”. Thompson is currently doing a think over to see if play and other alternatives can help these moms get their babies away from the television.
Another expert said the study sheds more light on the issue of TV overexposure at such a young age. “This is further confirmation that certain children, particularly vulnerable children, have environments early on that are not conducive to optimizing their mental health,” said Dr Dimitri Christakis, director of the Center for Child Health, Behavior and Development at the Seattle Children’s Research Institute and a professor of pediatrics at the University of Washington School of Medicine.
That so many kids are watching TV ancient is “shocking and disconcerting”. He pungent out that children this age are awake for only 10 or 12 hours a day, but 40 percent of these kids are spending a third of their waking hours in front of a television. “In many cases they’re strapped in. Early box viewing is associated with attention problems and with cognitive delays, and it’s harmful to babies’ brain development”.
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Children Watch Television Instead Of Games If Obese Mothers – Part 1 of 3
Children Watch Television Instead Of Games If Obese Mothers. Many babies fritter away almost three hours in front of the TV each day, a new mug up finds, especially if their mothers are obese and TV addicts themselves, or if the babies are fussy or active. “Mothers are using television as a way to soothe these infants who might be a little bit more difficult to deal with,” said ranking study author Amanda Thompson, assistant professor of anthropology at the University of North Carolina, in Chapel Hill. Other studies have shown that TV watching at such an early age can be harmful adding that TV can hinder important developmental milestones.
The report was published online Jan 7, 2013 and in the February print issue of the journal Pediatrics. For the study, Thompson’s tandem looked at more than 200 pairs of low-income black mothers and babies who took part in a study on obesity risk in infants, for which families were observed in their homes. Researchers found infants as young as 3 months were parked in mien of the TV for almost three hours a day.
And 40 percent of infants were exposed to TV at least three hours a day by the time they were 1 year old. Mothers who were obese, who watched a lot of TV and whose youth was fussy were most likely to put their infants in front of the TV, Thompson’s group found. TV viewing continued through mealtime for many infants, the researchers found.
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Passive Smoking Of Children Is Possible Through General Ventilation – Part 3 of 3
But such initiatives have already angered advocates of smokers’ rights and are likely to do so again. A supporter study in the same issue of Pediatrics found that as smoke-free laws get tougher, kids’ asthma symptoms, though not asthma rates, are declining.
Researchers from the Harvard School of Public Health examined US health details from 1999 to 2006, and found a 33 percent decline in symptoms, including persistent wheeze and chronic night cough, among kids who weren’t exposed to smoke. Prior research from the same assemble had found that tougher laws were also linked with lower cotinine levels in children and adolescents, down about 60 percent between 2003 and 2006 in children living in smoke-free homes extreme. According to the study authors, 73 percent of US residents are now covered by smoke-free laws.
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Passive Smoking Of Children Is Possible Through General Ventilation – Part 2 of 3
But a important limitation of the study is that the authors couldn’t separate other potential sources of exposure, such as family members who only smoked outside but might carry particles indoors on their clothes. Nor did it take into esteem day-care centers or other forms of child care that might contribute to smoke exposure.
Even so “It’s critical that we take additional action to protect our children from secondhand smoke,” especially in light of a recent publish from the US Centers for Disease Control and Prevention stating that more than half of children aged 3-11 are exposed to secondhand smoke. “Some municipalities, especially in California and Washington, have started moving close to restricting smoking in multi-unit housing, and in New York City some private apartment buildings and condominium complexes have banned smoking”.
Noting that some consider a smoking ban in apartments an infringement upon adverse rights and privacy, the authors say the civil liberties argument only holds if the smoke has no impact on one’s neighbors. “We also feel very strongly that if we’re going to be putting restrictions on smoking in people’s homes – we necessary to be sure we have the resources in place for smokers to either cut down or smoke in other places”.
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Passive Smoking Of Children Is Possible Through General Ventilation – Part 1 of 3
Passive Smoking Of Children Is Possible Through General Ventilation. Children who remain in smoke-free apartments but have neighbors who light up suffer from exposure to smoke that seeps through walls or shared ventilation systems, uncharted research shows. Compared to kids who live in detached homes, apartment-dwelling children have 45 percent more cotinine, a marker of tobacco exposure, in their blood, according to a go into published in the January issue of Pediatrics. Although this study didn’t look at whether the health of the children was compromised, previous studies have shown physiologic changes, including cognitive disruption, with increased levels of cotinine, even at the lowest levels of exposure, said ponder author Dr Karen Wilson.
And “We think that this research supports the efforts of people who have already been moving on the way banning smoking in multi-unit housing in their own communities,” added Wilson, an assistant professor of pediatrics at Golisano Children’s Hospital at the University of Rochester Medical Center in New York. Vince Willmore, degeneracy president of communications at the Campaign for Tobacco-Free Kids, agreed. “This study demonstrates the importance of implementing smoke-free policies in multi-unit housing and of parents adopting smoke-free policies in all homes”. Since smoke doesn’t thwart in one place, Willmore said only comprehensive smoke-free policies provide effective protection.
The authors analyzed data from a subject survey of 5002 children between 6 and 18 years old who lived in nonsmoking homes. The children lived in detached houses, attached homes and apartments, which allowed the researchers to determine if cotinine levels varied by types of housing. About three-quarters of children living in any kind of housing had been exposed to secondhand smoke, but apartment dwellers had 45 percent more cotinine in their blood than residents of impersonal houses. For white apartment residents, the difference was even more startling: a 212 percent increase vs 46 percent in blacks and no increase in other races or ethnicities.
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