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Current Controversies in Perinatology V by Michael R. Uhing,Robert Kliegman Pdf
Current Controversies in Perinatology is covered in this issue of Clinics in Perinatology, guest edited by Drs. Michael Uhing and Robert Kliegman. Authorities in the field have come together to pen articles on Strategies to prevent bacterial and fungal infection in the NICU, Drugs of choice for sedation and analgesia in the NICU, Iron therapy for preterm infants, Management of fetal arrhythmias, Inhaled nitric oxide for preterm infants, Racial disparity in low birth weight and infant mortality, Evaluation and treatment of hypotension in the preterm infant, Indications for home apnea monitoring, Short bowel syndrome: how short is too short?, Anemia in the preterm infant: the role of transfusions and erythropoietin, Evaluation and management of stroke in the neonate, Screening for postpartum depression in the NICU, Treatment of gastroesophageal reflux in the preterm and term infant, Optimizing growth in the preterm infant, The role of postnatal steroids in the treatment of bronchopulmonary dysplasia, and The role of genomics in the NICU.
Current Controversies in Perinatology, an Issue of Clinics in Perinatology by Robert H. Lane Pdf
Neonatal-perinatal medicine has a strong history of evidence based practice but unfortunately there remain many areas of uncertainty and unproven hypotheses and treatments that may harm our highly vulnerable patients. When new ideas are introduced into the labor and delivery room or the NICU we have to evaluate these procedures and therapies before they become accepted as standards of care. We need to learn from the past lessons of grey baby syndrome and chloramphenicol and of kernicterus and sulfonamide antibiotics where therapeutic good intentions actually did more harm than good and increased the mortality rate of premature babies in the NICU.This proposed edition addresses a broad range of current topics in perinatal neonatal practice. The AAP has just issued new guidelines for the approach to a neonate exposed to maternal genital herpes virus infection. The recommendations were not evidence based and are highly controversial as well as confusing. These topics are addressed in a scholarly and objective manner to both address the controversy and help the practitioner make informed decisions.
Author : Robert H. Lane Publisher : Elsevier Health Sciences Page : 321 pages File Size : 50,9 Mb Release : 2014-11-20 Category : Medical ISBN : 9780323326735
Current Controversies in Perinatology, An Issue of Clinics in Perinatology, by Robert H. Lane Pdf
Neonatal-perinatal medicine has a strong history of evidence based practice but unfortunately there remain many areas of uncertainty and unproven hypotheses and treatments that may harm our highly vulnerable patients. When new ideas are introduced into the labor and delivery room or the NICU we have to evaluate these procedures and therapies before they become accepted as standards of care. We need to learn from the past lessons of grey baby syndrome and chloramphenicol and of kernicterus and sulfonamide antibiotics where therapeutic good intentions actually did more harm than good and increased the mortality rate of premature babies in the NICU.This proposed edition addresses a broad range of current topics in perinatal neonatal practice. The AAP has just issued new guidelines for the approach to a neonate exposed to maternal genital herpes virus infection. The recommendations were not evidence based and are highly controversial as well as confusing. These topics are addressed in a scholarly and objective manner to both address the controversy and help the practitioner make informed decisions.
Neonatal Gastroenterology: Challenges, Controversies And Recent Advances, An Issue of Clinics in Perinatology by Sudarshan R. Jadcherla Pdf
Together with Consulting Editor Dr. Lucky Jain, Dr. Sudarshan R. Jadcherla has put together a comprehensive issue devoted to neonatal gastroenterology. Expert authors have contributed clinical review articles on the following topics: Neonatal Aerodigestive Disorders: Epidemiology and Economic Burden; Feeding and Swallowing Difficulties in Neonates: Developmental Physiology and Pathophysiology; Gastroesophageal Reflux Disease in the NICU Neonate: Controversies, Current Understanding and Future Directions; Feeding Difficulties and Tube-feeding Controversies in Complex Neonates: Evidence-Based Practices; Physiology and Pathological basis of Aerodigestive Difficulties in Chronic Lung Disease; Congenital Diarrheas in Infants: Pathophysiology, Consequences, and Potential Treatment Strategies; Short Gut syndrome: Recent Advances in Pathophysiology and Intestinal Support Practices; Neonatal Cholestasis in the Premature Infant: Approaches to Diagnosis and Management; Strategies for Prevention of TPN-related Liver Injury; Supplements and Additives to Human Milk: Principles and Practices, Current Controversies; Microbiome and Gut Injury in Neonates; Recent Advances in NEC Research: Strategies for Implementation in Clinical Practice; Transfusion-Related Gut Injury and NEC; Neonatal Endoscopy, Diagnosis and Intervention Procedures Crib-side; and Surgical Gastrointestinal Emergencies in Neonates: An overview. Readers will come away with the information they need to improve outcomes in the neonate.
Birth, Suffering, and Death by Kevin Wm. Wildes S.J.,Francesc Abel S.J.,John Collins Harvey Pdf
For centuries the Roman Catholic Church has been concerned with the moral implications of medical practice. Indeed, until two decades ago, Catholic moral theologians were the major source of moral guidance, scholarly reflection and teaching on a variety of medical-moral topics, particularly those bearing on human life. Many, not only those within the Catholic communion, turned to the Church for guidance as each new possibility for altering the conditions of human life posed new challenges to long held moral values. Two decades ago, the center of gravity of ethical reflection shifted sharply from theologians and Christian philosophers to more secular thinkers. A confluence of forces was responsible for this metamorphosi- an exponential rate of increase in medical technologies, expanded education of the public, the growth of participatory democracy, the entry of courts and legislation into what had previously been private matters, the trend of morality towards pluralism and individual freedom and the depreciation of church and religious doctrines generally. Most significant was the entry of professional philosophers into the debate, for the first time. It is a curious paradox that, until the mid-sixties, professional philosophers largely ignored medical ethics. Today they are the most influential shapers of public and professional opinion.
Biochemical and Molecular Basis of Pediatric Disease by Edward C.C. Wong,Dennis J. Dietzen,Michael J. Bennett,Shannon Haymond Pdf
Biochemical and Molecular Basis of Pediatric Disease, Fifth Edition has been a well-respected reference in the field for decades. This revision continues the strong focus on understanding the pathogenesis of pediatric disease, emphasizing not only the important role of the clinical laboratory in defining parameters that change with the disease process, but also the molecular basis of many pediatric diseases. Provides a fully-updated resource with more color illustrations Focuses on the biochemical and molecular basis of disease as well as the analytical techniques Defines important differences in the pathophysiology of diseases, comparing childhood with adult
Author : George A. Macones Publisher : John Wiley & Sons Page : 568 pages File Size : 51,6 Mb Release : 2016-01-13 Category : Medical ISBN : 9781118327296
Management of Labor and Delivery by George A. Macones Pdf
The process of labor and delivery has been one of the most perilous activities in human life. The awkward evolutionary compromises giving rise to humans makes birthing potentially life threatening for both mother and child. Despite the development of modern care, labor and delivery continues to be a dangerous process even though the levels of fatality have decreased over the past several decades. This clinically focused guide to modern labor and delivery care covers low and high-risk situations, the approach of the team in achieving a successful outcome and what to consider when quick decisions have to be made. Aimed at both trainee and practicing obstetrician-gynecologists, this new edition includes practical guidance such as algorithms, protocols, and quick-reference summaries. It is squarely focused on the process of birth and concentrates on modern clinical concerns, blending science with clinical applications.
Choosing Cesarean by Magnus Murphy, M.D.,Pauline McDonagh Hull Pdf
Obstetrician and gynecologist Magnus Murphy, MD, and journalist/advocate Pauline McDonagh Hull offer a compelling case for surgical delivery as a legitimate birth choice for informed women. By offering a wealth of medical evidence from around the world and thoughtfully countering the many objections detractors have lodged against it, the authors convincingly demonstrate that a planned cesarean birth at thirty-nine- plus weeks is a safe and often preferred alternative to a planned vaginal delivery. An indispensable guide for women, their families, and medical professionals.
Beyond the NICU: Comprehensive Care of the High-Risk Infant by William Ferris Malcolm Pdf
Improve medical and developmental outcomes in high-risk infants with evidence-based management strategies Beyond the NICU is the first book to deliver practical, evidence-based strategies for healthcare providers caring for the NICU graduate during convalescence and after discharge. It is a guide to the successful transition of a high-risk infant from intensive care to the intermediate-level nursery, and then, to help the child thrive outside of the hospital in a home environment. To advance the standard of care of these vulnerable patients, Beyond the NICU draws together clinically focused guidelines to improve patient outcomes and reduce hospital readmissions. Drawing on an international team of respected authorities, Beyond the NICU provides the strategies necessary to ensure the success of convalescing NICU graduates in both inpatient and outpatient settings.
Obstetric Triage and Emergency Care Protocols, Second Edition by Diane J. Angelini, EdD, CNM, FACNM, FAAN,Donna LaFontaine, MD, FACOG Pdf
First Edition Named a 2013 Doody’s Core Title! First Edition Second Place AJN Book-of-the-Year Award Winner in Maternal and Child Health! With more women than ever seeking obstetric triage and emergency services in obstetric triage units, obstetric providers need to be aware of triage assessment and evaluation protocols. This prize-winning pocket guide, containing management guidelines for obstetric triage/emergency settings, delivers critical information on obstetrics, midwifery, emergency, and family care for both students and seasoned clinicians. As with the first edition, all of the newly revised chapters take a strong collaborative and interprofessional approach to clinical conditions in the obstetric triage setting. With specific clinical protocols for more than 30 clinical situations, this fully updated second edition includes two completely new chapters on sepsis in pregnancy and triage acuity tools, along with updated guidelines for hypertension, sepsis, and postpartum complications. Each protocol comprises presenting symptomatology, patient history and data collection, physical exam findings, laboratory and imaging studies, differential diagnosis, and clinical management protocol/follow up. Plentiful figures and images, reference tables and standardized forms for reference and usage, algorithms, and clinical pathways illustrate chapter content. Esteemed contributors include midwives, nurse practitioners, obstetricians, gynecologists, and maternal fetal medicine faculty who evaluate nearly 30,000 OB visits per year. New to the Second Edition: New chapters on sepsis in pregnancy and triage acuity tools Key updates on ectopic pregnancy, nausea and hyperemesis in pregnancy, severe preeclampsia, sexually transmitted and other infections, substance abuse, and psychiatric disorders in pregnancy Expanded information on periviable obstetric management Information on Zika and Ebola Clinical callouts in each chapter highlighting key points Enhanced narrative protocols Key Features: Provides interprofessional triage protocol guidance for ED and OB triage settings Delivers protocols and guidelines for over 30 emergent care situations Includes plentiful diagnostic and imaging guidelines with accompanying figures Formatted consistently for quick access Offers algorithms, protocols, diagnostic imaging, and best evidence for each condition
Family Medicine Obstetrics by Stephen D. Ratcliffe Pdf
Whether you offer comprehensive pregnancy care in your primary care facility, or provide prenatal and postpartum care, this book delivers the guidance you need to optimize health for both mothers and their babies. It covers all aspects of birth care, from preconception counseling and prenatal care, through labor and delivery (both low-risk and complicated), to postpartum care and the first month of life. The completely revised third edition includes the most up-to- date, evidence-based standards of care. It offers information that is patient centered, prevention oriented, educational, and sensitive to the care of the whole woman and her family. Features a reader-friendly outline/narrative format for ease of use in daily clinical practice. Describes how to care for patients with a wide range of medical conditions during pregnancy as well as pregnancy-related conditions. Takes a whole-family approach to maternity care, with discussions of maternal and paternal adjustment, marital adjustment, sibling adjustment, single-parent families, and return-to-work issues. Provides patient and family education materials on a full range of topics, from nutrition in pregnancy to breastfeeding. Features a section on alternative medicine in maternity care. Provides detailed instruction for a wide array of procedures, including cesarean delivery, perineal repair of simple and complex lacerations, circumcision, assisted deliveries, and amnioinfusion. A continued strong emphasis on evidence-based medicine includes an ongoing summary of Level A recommendations throughout the text. A new chapter summarizes practical applications of how to incorporate continuous quality improvement and enhanced medical safety into the maternity care setting. A new section details which immunizations can be used safely during pregnancy. A section on "Centering Pregnancy" discusses this new model of care and how it incorporates longitudinal group.
