Neonatal critical care nurse practitioner: a new role in neonatology.
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The eyes of 1 466 children (88.3% of the total) who were admitted to the Centre for premature babies and the neonatal intensive care unit at Rennes between 1973-1975 were re-examined at the age of 2 years. There were 839 premature and 226 term babies whose weight was appropriate for gestational age, and 74 premature and 327 term babies who were small for dates. 95 (6.5%) had eye disorders at the age of 2. Abnormalities were more common in infants with a Birth weight of less than 1 500 g and in those with a gestional age of less than 28-30 weeks. Boys were more commonly affected than girls. 38% of the children with eye disorders had other problems of which the commonest was mental retardation (75%). There was no relation between perinatal complication and the incidence of eye disorders. The most common abnormality was squint (94%) but other problems were major (blindness, cataracts, retrolental fibroplasia). 37% of the abnormalities had not been diagnosed until found in the survey at the age of 2 years.
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The authors report about their experiences in the bed-side monitoring and registration of different vital parameters by means of apparatuses produced in GDR. The following parameters were recorded: electroencephalogram, myogram, electrocardiogram, phonocardiogram, electrocardiotachogram, respirogram, tidal volume, flow-volue and esophageal pressure. Special attention was payed to the problems of electrodes and the practical construction of the systems for the discontinuing and the continuing registration in order to realize an automatical trend-analysis and data-documentation in a neonatal ICU.
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Cord serum AFP levels have been determined in 66 newborn samples, between 30 to 42 weeks of gestational age. Results showed some relation between AFP rate and newborn maturity degree, so it was possible to foresay the gestational age with some limits of error +/- 17 days in full-term newborn, and +/- 10 days in premature ones. Cuantification in the amniotic fluid of 18 high risk gestation gave normal AFP rates. AFP of thirty patients with respiratory distress was tested. An AFP increase was present in 14 of 15 cases of hyaline membrane. On the remaining 15 cases of respiratory distress only 3 gave high levels. These facts point that AFP can be used as a suitable parameter in the biochemical diagnosis of hyaline membrane.
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MOTIVATION: Phecodes are widely used and easily adapted phenotypes based on International Classification of Diseases codes. The current version of phecodes (v1.2) was designed primarily to study common/complex diseases diagnosed in adults; however, there are numerous limitations in the codes and their structure. RESULTS: Here, we present phecodeX, an expanded version of phecodes with a revised structure and 1,761 new codes. PhecodeX adds granularity to phenotypes in key disease domains that are under-represented in the current phecode structure-including infectious disease, pregnancy, congenital anomalies, and neonatology-and is a more robust representation of the medical phenome for global use in discovery research. AVAILABILITY AND IMPLEMENTATION: phecodeX is available at https://github.com/PheWAS/phecodeX.