Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.711
Emily M. Herzberg, J. Landers, K. Greco, H. Feldman, A. Sansevere, J. Soul
BACKGROUND: Encephalopathy severity in neonates evaluated for therapeutic hypothermia (TH) has traditionally been determined by neurologic exam, sometimes alongside amplitude-integrated electroencephalogram (aEEG). The original 1976 report describing the progressive stages of encephalopathy (PMID 987769) led to modified versions of the Sarnat exam, which were utilized in randomized trials evaluating TH, with or without aEEG. However, there has been minimal validation of exam scores as measures of encephalopathy, distinct from outcome, and the relationship between neurologic exam, aEEG, and conventional EEG (cEEG) is not fully understood. Determining the best method to identify encephalopathy severity is critical to select neonates for TH. We developed a novel, simplified encephalopathy scale at …
{"title":"Improving the Diagnosis of Neonatal Encephalopathy: Validation of a Novel Encephalopathy Scale for Hypoxic-Ischemic Encephalopathy (HIE) using Electroencephalogram (EEG)","authors":"Emily M. Herzberg, J. Landers, K. Greco, H. Feldman, A. Sansevere, J. Soul","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.711","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.711","url":null,"abstract":"BACKGROUND: Encephalopathy severity in neonates evaluated for therapeutic hypothermia (TH) has traditionally been determined by neurologic exam, sometimes alongside amplitude-integrated electroencephalogram (aEEG). The original 1976 report describing the progressive stages of encephalopathy (PMID 987769) led to modified versions of the Sarnat exam, which were utilized in randomized trials evaluating TH, with or without aEEG. However, there has been minimal validation of exam scores as measures of encephalopathy, distinct from outcome, and the relationship between neurologic exam, aEEG, and conventional EEG (cEEG) is not fully understood. Determining the best method to identify encephalopathy severity is critical to select neonates for TH. We developed a novel, simplified encephalopathy scale at …","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114667566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.695
M. Gray, AnnaMarie Arias-Shah, Eric Zucker, R. Dadiz, Melissa M. Carbajal, S. Izatt, M. Gillam-Krakauer, E. Bonachea, Margarita M. Vasquez, Alison J Falck, P. Chess, Allison H. Payne, Carly Gisondo, H. Karpen, L. Johnston, H. French
{"title":"Educational Barriers in Fellowship: Viewpoints of Learners, Educators, and Program Directors","authors":"M. Gray, AnnaMarie Arias-Shah, Eric Zucker, R. Dadiz, Melissa M. Carbajal, S. Izatt, M. Gillam-Krakauer, E. Bonachea, Margarita M. Vasquez, Alison J Falck, P. Chess, Allison H. Payne, Carly Gisondo, H. Karpen, L. Johnston, H. French","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.695","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.695","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125558885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.692
Ekta M. Patel, A. Lesher, R. Ryan
Background: For infants with NEC treated non-surgically, there is no consensus for when to re-initiate enteral feeds after NEC. In a previous meta-analysis, earlier refeeding (4-7 days after diagnosis of NEC) suggested a decreased incidence of the combined adverse outcome (NEC recurrence or stricture) and possible other benefits. Based on this analysis, we implemented a standardized guideline for non-surgical NEC through a consensus survey of key stakeholders involved in the decision to start refeeding at our institution. We aimed to implement and monitor a multidisciplinary clinical consensus guideline to …
{"title":"Development and Implementation of an Earlier Refeeding after Necrotizing Enterocolitis (NEC) Guideline for Non-Surgical NEC","authors":"Ekta M. Patel, A. Lesher, R. Ryan","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.692","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.692","url":null,"abstract":"Background: For infants with NEC treated non-surgically, there is no consensus for when to re-initiate enteral feeds after NEC. In a previous meta-analysis, earlier refeeding (4-7 days after diagnosis of NEC) suggested a decreased incidence of the combined adverse outcome (NEC recurrence or stricture) and possible other benefits. Based on this analysis, we implemented a standardized guideline for non-surgical NEC through a consensus survey of key stakeholders involved in the decision to start refeeding at our institution. We aimed to implement and monitor a multidisciplinary clinical consensus guideline to …","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128030179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.697
Alexis Hisey, Srinandini Sakhamuru, T. Tagliaferro, L. Barton, R. Ramanathan, M. Biniwale
{"title":"Effects of Perinatal Acidemia in Very Low Birth Weight Infants on Short- and Long-Term Outcomes","authors":"Alexis Hisey, Srinandini Sakhamuru, T. Tagliaferro, L. Barton, R. Ramanathan, M. Biniwale","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.697","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.697","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115935566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.706
S. Ham, J. Srinivasan, K. Fertitta, C. Mejia, E. Gurzenda, Xinhua Lin, N. Hanna
{"title":"Hypoxia Induction of Anti-Inflammatory Placenta-Specific miRNAs","authors":"S. Ham, J. Srinivasan, K. Fertitta, C. Mejia, E. Gurzenda, Xinhua Lin, N. Hanna","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.706","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.706","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127414438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.682
Lumeng J. Yu, Victoria H. Ko, A. Pan, P. Mitchell, J. Secor, D. Dao, L. Anez-Bustillos, Bennet S. Cho, M. Puder
{"title":"Assessment of Long-Term Functional Outcomes In A Murine Model Of Bronchopulmonary Dysplasia","authors":"Lumeng J. Yu, Victoria H. Ko, A. Pan, P. Mitchell, J. Secor, D. Dao, L. Anez-Bustillos, Bennet S. Cho, M. Puder","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.682","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.682","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121238833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.743
A. Scheele, A. Herbig, Andrea Hadley
Introduction Recreational Marijuana legalization has become more popular with each election season. Despite strong recommendations from the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists against the use of marijuana in pregnancy, use by this population is increasing. The 2016 National Survey on Drug Use and Health revealed that 4.9% of pregnant women 15 through 44 years of age reported use of marijuana, a 3.4% increase from the prior year Objective The objective of …
每到选举季，娱乐性大麻合法化都变得越来越受欢迎。尽管美国儿科学会(American Academy of Pediatrics)和美国妇产科学会(American College of Obstetricians and Gynecologists)强烈反对在怀孕期间使用大麻，但这一人群的使用量仍在增加。2016年全国药物使用和健康调查显示，4.9%的15至44岁的孕妇报告使用大麻，比前一年增加3.4%。
{"title":"Trend in Marijuana Exposure in Newborns before and after Legalization of Recreational Marijuana","authors":"A. Scheele, A. Herbig, Andrea Hadley","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.743","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.743","url":null,"abstract":"Introduction Recreational Marijuana legalization has become more popular with each election season. Despite strong recommendations from the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists against the use of marijuana in pregnancy, use by this population is increasing. The 2016 National Survey on Drug Use and Health revealed that 4.9% of pregnant women 15 through 44 years of age reported use of marijuana, a 3.4% increase from the prior year Objective The objective of …","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128775271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.753
Ziad Alhassen, Payam Vali, Amy L. Lesneski, Morgan E Hardie, Peggy Chen, Deepika Sankaran, S. Lakshminrusimha
TITLE: What is the optimal heart rate cut-off for initiating chest compressions in neonatal bradycardia? Background: Newborns who receive chest compressions (CCs) and/or epinephrine in the delivery room have a greater incidence of neurological morbidity. Cerebral autoregulation is impaired in newborns and further lost during asphyxia placing them at high risk of ischemia-reperfusion injury. The newborn has a diminished ability to increase stroke volume to improve cardiac output and, therefore, relies primarily on increasing heart rate (HR) to …
{"title":"What Is the Optimal Heart Rate Cut-Off For Initiating Chest Compressions In Neonatal Bradycardia?","authors":"Ziad Alhassen, Payam Vali, Amy L. Lesneski, Morgan E Hardie, Peggy Chen, Deepika Sankaran, S. Lakshminrusimha","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.753","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.753","url":null,"abstract":"TITLE: What is the optimal heart rate cut-off for initiating chest compressions in neonatal bradycardia? Background: Newborns who receive chest compressions (CCs) and/or epinephrine in the delivery room have a greater incidence of neurological morbidity. Cerebral autoregulation is impaired in newborns and further lost during asphyxia placing them at high risk of ischemia-reperfusion injury. The newborn has a diminished ability to increase stroke volume to improve cardiac output and, therefore, relies primarily on increasing heart rate (HR) to …","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117267905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.677
Issa Hanna, M. Mansour, A. Eiges, Priya Sharma, S. Shukla, J. Cortez, M. Hudak
{"title":"A Quality Improvement Project to Increase Parental Knowledge About Neonatal Abstinence Syndrome.","authors":"Issa Hanna, M. Mansour, A. Eiges, Priya Sharma, S. Shukla, J. Cortez, M. Hudak","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.677","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.677","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127000412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-02-24DOI: 10.1542/PEDS.147.3_MEETINGABSTRACT.715
G. Casaburi, R. Duar, H. Brown, Ryan D. Mitchell, S. Kazi, Stephanie Chew, Órla Cagney, Robin L. Flannery, S. Frese, B. Henrick, Samara L. Freeman
{"title":"Metagenomic Analysis of The Gut Microbiome of Term Infants In The United States Reveals Widespread Dysbiosis","authors":"G. Casaburi, R. Duar, H. Brown, Ryan D. Mitchell, S. Kazi, Stephanie Chew, Órla Cagney, Robin L. Flannery, S. Frese, B. Henrick, Samara L. Freeman","doi":"10.1542/PEDS.147.3_MEETINGABSTRACT.715","DOIUrl":"https://doi.org/10.1542/PEDS.147.3_MEETINGABSTRACT.715","url":null,"abstract":"","PeriodicalId":275302,"journal":{"name":"Section on Neonatal-Perinatal Medicine Program","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126667715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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