Skin Disorders inNewborn Infants
KEY POINTS 1. Neonatal skin matures with gestational age with increasing thickness, less permeability, and higher density of sweat and sebaceous glands. Keratinization begins at 24 weeks and matures near…
PEDIATRICS
Use of Neuroimaging to Predict Adverse Developmental Outcomes in High-Risk Infants
KEY POINTS 1. Nearly half of all very low birth weight infants may have had brain injury due to hypoxia-ischemia, arterial ischemic stroke(s), inflammation, infection, and intraventricular hemorrhages (IVHs). 2….
Leadership and OrganizationalCulture in Healthcare
KEY POINTS 1. All organizations, be it in healthcare or in any other sector(s) of society, strive for effective, potentially transformational leadership. 2. In any health-care system, infants receiving care…
Neurodevelopmental Impairment in Specific Neonatal Disorders
KEY POINTS 1. Neonatal intensive care unit graduates are at risk of neurodevelopmental impairment (NDI). 2. NDI can occur in cognitive, motor, vision, hearing, or language domains and can seriously…
Organization of Neonatal Intensive Care
KEY POINTS 1. Neonatal intensive care units (NICUs) are organized for the clinical care of premature and critically ill newborn infants. 2. Healthcare centers require a well-considered structure to enable…
Early Detection of Cerebral Palsy
Key Points 1. Cerebral Palsy (CP) originates from an injury or abnormality in the developing brain, resulting in abnormal muscle tone, and consequently, in altered movement, posture, and motor function….
Serious Communication in the Neonatal Intensive Care Unit: Evidence for Strategies and Training
KEY POINTS 1. With a high incidence of morbidity and mortality, the care of critically ill newborns brings unique complexities in communication between the care providers and families. 2. Because…
Early Diagnosis and Intervention in Neonatal Intensive Care Units
KEY POINTS 1. Most infants who develop neurodevelopmental disability (NDD) are normal on examination at birth. 2. Surveillance for NDD must start with neurologic examination in the neonatal intensive care…
Designing Clinical Trials in Neonatology—International Trials
KEY POINTS 1. Assessing therapeutic safety and efficacy of a drug/device or technology requires carefully designed trials that are sufficiently powered to detect differences in outcomes. 2. International trials can…
Early Diagnosis and Intervention—On Neonatal Follow-Up
KEY POINTS 1. The care of a sick infant must continue into childhood, and families must be guided just as diligently after discharge as they were during intensive care. 2….
