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Neonatal Jaundice Case Study - Nursing Assignment

Paediatrics Internship

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Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia, 2016

The Clinical Practice Guidelines on Management of Neonatal Jaundice 2003 was updated by a multidisciplinary development group and approved by the Ministry of Health Malaysia in 2014. A systematic review of 13 clinical questions was conducted using evidence retrieved mainly from Medline and Cochrane databases. Critical appraisal was done using the Critical Appraisal Skills Programme checklist. Recommendations were formulated based on the accepted 103 evidences and tailored to local setting as stated below. Neonatal jaundice (NNJ) is a common condition seen in primary care. Multiple risk factors contribute to severe NNJ, which if untreated can lead to adverse neurological outcomes. Visual assessment, transcutaneous bilirubinometer (TcB) and total serum bilirubin (TSB) are the methods used for the detection of NNJ. Phototherapy remains the mainstay of the treatment. Babies with severe NNJ should be followed-up to detect and manage sequelae. Strategies to prevent severe NNJ include heal...

Indian pediatrics

Journal of Enam Medical College, 2015

Background: Jaundice is very common in the neonatal period of life. Although it is not a major cause of mortality, it is an important cause of morbidity. So, assessment of the causes and risk factors of neonatal jaundice is very important.Objectives: The objectives of the study were to find out the causes of jaundice, its clinical features, evaluation of the outcome of current management strategy and complications encountered by the participating subjects following treatment.Materials and Methods: This prospective study was conducted in the Neonatal Unit of Rangpur Medical College Hospital (RpMCH) during July to December 2006. A total of 100 neonates having jaundice on admission or who developed jaundice following admission were included in the study. A number of investigations were done for the purpose of assessment of neonates and their icteric condition. The test statistics used to analyse the data were descriptive statistics, Chi-square (?2) and correlation tests.Results: In the...

Women, Midwives and Midwifery

Background: Jaundice (neonatal icterus), known as yellowish baby is a condition where the yellowing of the skin and sclera in newborns, due to increased levels of bilirubin in the blood (hyperbilirubinemia) which subsequently causes an increase in bilirubin in the fluid outside the cell (extracellular fluid). Jaundice is one of the contributors to infant morbidity in Indonesia because it can cause the baby's body to become limp, unwilling to suck, increased muscle tone, stiff neck, muscle spasms, convulsions, sensory disturbances, mental retardation, disability, and even death. Objective: This study aimed to review the evidence related to the factors causing jaundice in neonates. Method: This research method was a literature review study. Journal searches were carried out by applying online database such as ScienceDirect and PubMed. Author also used google scholar for search engine. The inclusion criteria in this study were journals published in 2015-2020 using Indonesian and En...

Archives of Pediatrics & Adolescent Medicine, 2001

To explore whether mothers currently express concerns about neonatal jaundice and perceive it as a serious condition; if so, to identify factors influencing these perceptions; and to elicit maternal recommendations for improved health care interactions. Design: Ethnographic interviews using grounded theory methods. Audiotaped data were transcribed and analyzed for themes using a qualitative data analysis software program. Setting: University and community hospitals. Participants: Forty-seven Spanish-and Englishspeaking breastfeeding mothers of otherwise healthy infants with a diagnosis of neonatal jaundice and treated in inpatient and/or outpatient settings. Interventions: None. Main Outcome Measure: Qualitative descriptions of maternal experiences with neonatal jaundice. Results: Mothers continued to voice concerns about jaundice and perceive it as serious. They expressed misconceptions, wished to have jaundice explained further, and offered suggestions to improve communications with medical staff. Guilt was common, with mothers believing that they had caused the jaundice. Mothers voiced alarm about the yellow skin and discomfort about jaundice management and worried about perceived short-and long-term effects. Maternal perceptions were exacerbated by cultural differences, language barriers, and subtlety of language and its meaning. Key factors in creating perceptions of jaundice as serious included unexpectedness of and lack of knowledge about jaundice, quality of information received, levels of intervention, and prolonged duration of illness and yellow color. Interactions with health care professionals and other mothers with personal experience with jaundice were important mediators in the way mothers reacted to information. Conclusion: Practitioners need to address these persisting misconceptions and concerns about neonatal jaundice with mothers.

Jaundice usually appears in newborns approximately 24 hours after birth, as a result of the imbalance between bilirubin production and excretion. Normally the jaundice disappears or its intensity decreases spontaneously in one or two weeks, with no treatment and living no sequels. Children having dangerously high levels of blood bilirubin need treatment, as it causes cerebral lesions, situation referred to as nuclear jaundice.

International Journal of Biomedical and Advance Research, 2011

Ibrahim Medical College Journal, 2010

Neonatal jaundice is a common cause of newborn hospital admission. The risk factors, the characteristics and outcomes related to neonatal jaundice in Bangladesh has not been studied so far. This study addressed the outcomes, characteristics and risks of the jaundiced newborn admitted into hospital. The babies who had significant jaundice and required phototherapy and /or exchange transfusion were investigated. A detailed history of delivery with gestational age was noted and clinical examination of the admitted newborn was done. Birth weight was recorded. The investigations included complete blood count, ABO and Rh compatibility, serum bilirubin, glucose 6 phosphate dehydrogenase (G6PD), thyroid stimulating hormone (TSH) and ultrasonography (USG) of brain. The newborns were closely monitored for the prognosis. The requirement of individualized phototherapy and exchange transfusion were also noted. Finally, the outcomes were recorded. Overall, 60 (m v. f = 58.3 v. 41.7%) newborns wer...

Journal of Pre-Clinical and Clinical Research

Introduction. This study assesses the occurrence of neonatal jaundice among neonates admitted between January 2007-December 2016 in a tertiary health institution in Ondo State, Nigeria. Materials and method. A descriptive retrospective research design was used for the study conducted in the Neonatal Ward of a tertiary health institution in Ondo State. Data were collected using a self-structurd checklist. Ethical clearance was obtained from the hospital Ethical Committee. Data was analyzed using SPSS; both descriptive and inferential statistics were used. Results. Results showed that a total of 715 neonates were admitted in the hospital during the period, 88 (34.2%) were admitted on their first day of birth. There were more male neonates admitted for jaundice than female 146 (56.8%). The highest incidence of neonatal jaundice in the hospital during the years under review occurred in 2008 (32 neonates); while the least was recorded in 2016-9 neonates. A total of 257 neonates were admitted for neonatal jaundice over the 10 year period under review. The serum bilirubin level reduced from 13.76±8.04 on admission to 3.43±2.34 at discharge. Only 61 (23.7%) of the neonates had exchange blood transfusion performed. Also, 36 (14.0%) neonates developed complications of neonatal jaundice, of which 25 (69.4%) died from these complications. Conclusions. A concerted effort should be made to create awareness about neonatal jaundice among women of reproductive age, and emphasis should be placed on the importance of early diagnosis and treatment of NNJ.

YENİ MEDYA ÇALIŞMALARI VE YAPAY ZEKA -I, 2024

İletişim, insan varoluşunun temel taşlarından biridir ve zamanla teknolojinin ilerlemesiyle birlikte sürekli olarak dönüşmüş ve yenilenmiştir. Bu evrimsel yolculukta, teknoloji sayesinde, kişiler artık sadece bilgi alıcısı olmanın ötesine geçmiş; bilgi üreticisi ve katılımcısı olarak da yerini almıştır. Bu dönüşümle birlikte, interaktif, bağlantılı ve anlık iletişim imkanı sunan yeni medya kavramı hayatımıza girmiştir. Yeni medya, sosyalleşme, iletişim kurma ve dijital dünyaya dahil olma araçları olarak hızla günlük yaşantımızın bir parçası haline gelmiştir. Bu süreçte, yapay zeka gibi devrim yaratan teknolojiler, otomotivden sağlığa, eğitime ve eğlenceye kadar geniş bir yelpazede etkisini göstermiş, ve bu gelişmeler, derin öğrenme, doğal dil işleme gibi kavramlarla insan-makine etkileşimini yeni bir boyuta taşımıştır. "Yeni Medya Çalışmaları ve Yapay Zeka-I" adlı çalışmamız, yeni medya ve yapay zekanın kesişim noktasında yer alan önemli bir eserdir. Bu kitap, çeşitli disiplinlerden katkılarla, pazarlamadan basına, film endüstrisinden tasarıma, radyo yayıncılığından eğitime ve daha pek çok alanda yapay zekanın rolünü ele alarak, iletişim alanına yenilikçi bir bakış açısı sunmayı amaçlamaktadır. Her biri kendi alanında uzman 23 değerli bilim insanının katkıda bulunduğu bu eser, teorik derinliği ve pratik uygulamalarıyla, geleceğin iletişimcilerine, genç akademisyenlere ve konu hakkında derinlemesine bilgi edinmek isteyen herkese rehberlik etmeyi hedeflemektedir.

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