[Maternal nutritional status and smoking habits, intrauterine and postnatal growth].
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Biomedical subjects
Publications and source records attributed to M C de Araújo.
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INTRODUCTION: Peak and trough serum concentrations of vancomycin were determined in term newborn infants with confirmed or suspected Staphylococcus sp sepsis by high performance liquid chromatography and flourescence polarization immunoassay. OBJECTIVE: To statistically compare the results of the high performance liquid chromatography and flourescence polarization immunoassay techniques for measuring serum vancomycin concentrations. METHODS: Eighteen peak and 20 trough serum samples were assayed for vancomycin concentrations using high performance liquid chromatography and flourescence polarization immunoassay from October 1995 to October 1997. RESULTS: The linear correlation coefficients for high performance liquid chromatography and flourescence polarization immunoassay were 0.27 (peak, P = 0.110) and 0.26 (trough, P = 0.1045) respectively, which were not statistically significant. CONCLUSION: There was wide variation in serum vancomycin concentrations determined by high performance liquid chromatography as compared with those determined by flourescence polarization immunoassay. There was no recognizable pattern in the variability; in an apparently random fashion, the high performance liquid chromatography measurement was sometimes substantially higher than the flourescence polarization immunoassay measurement, and at other times it was substantially lower.
The purpose of this article is to present a recent advance in phototherapy employed on newborn babies with jaundice. The efficacy of this treatment depends on the intensity of emitted light; it is believed that a dose between 6-12 nm is necessary. The usefulness of phototherapy in healthy, full-term infants is currently being questioned. Therefore, the adequate use of this therapy should be emphasized until a consensus is reached on its advantages and disadvantages.
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The authors made a retrospective analysis of 136 cases of premature rupture of membranes (RPM) to check for the presence of neonatal infection, anoxia, and prematurity according to the latency period between rupture of membranes and parturition. Neonatal infection due to RPM has been the cause of 8.8% of clinically and laboratorily confirmed cases; in 6.6% of the cases, laboratorial confirmation was not possible. Neonatal infection was not influenced by the latency period between RPM and parturition. Maternal symptoms of infection were more frequent in the group with latency period longer than 24 hours and there was a significant relationship between maternal infection symptoms and neonatal symptoms. Prematurity and anoxia were detected in 20% of the cases, but no relation to RPM was observed.