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Sample records for anemia del prematuro

  1. Anemia del prematuro en la Clínica Humanitaria Fundación Pablo Jaramillo Crespo. Año 2012. Cuenca - Ecuador

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    Velasteguí Peralta, María Nathaly

    2013-01-01

    En la Clínica Humanitaria Fundación Pablo Jaramillo Crespo no existían datos sobre anemia en prematuros y los factores de riesgo asociados, mediante esta investigación se pretende solventar esta falencia y proponer medidas que contribuyan a la disminución de esta patología, reduciendo simultáneamente las complicaciones y consecuencias futuras. Se realizó un estudio descriptivo retrospectivo, se incluyeron a todos los niños prematuros atendidos en el servicio de neonatología de la Clínica Huma...

  2. Anemia muy precoz del prematuro con peso ≤ 1 500 g:: prevalencia y factores asociados Very early anemia in premature weighing ≤ 1 500 g:: prevalence and associated factors

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    Yusleivy Milagros López Negrín

    2010-06-01

    Full Text Available INTRODUCCIÓN. En el Hospital Ginecoobstétrico Docente «Ramón González Coro» no se ha estudiado la prevalencia de la anemia muy precoz de la prematuridad y los factores asociados a su aparición. Se decidió realizar esta investigación para dar respuesta a esta interrogante y proporcionar bases a las autoridades administrativas para el trazado de estrategias preventivas más eficaces, que reduzcan esta complicación y sus consecuencias. MÉTODOS. Se realizó un estudio prospectivo, de corte transversal, donde se incluyeron todos los recién nacidos (RN ≤ de 1 500 g nacidos antes de las 37 semanas y atendidos en el servicio de neonatología del hospital durante el año 2008. El universo de estudio estuvo constituido por 25 neonatos. Se determinó en cada uno la presencia o no de anemia muy precoz. Se determinó la prevalencia de esta enfermedad y los factores maternos, perinatales y posnatales asociados. RESULTADOS. Presentó anemia muy precoz el 52 % de los neonatos (13/25. La hemoglobina materna baja no se asoció a la anemia muy precoz (RP 0,62; IC 95 % 0,21-1,80. Ninguna variable perinatal se asoció a la anemia muy precoz, aunque se encontró que la prevalencia de esta enfermedad disminuye al aumentar la edad gestacional al nacer (tendencia lineal: X² 4,33; gl 1; p 0,037. Los RN con alguna morbilidad grave tuvieron 2,44 veces más probabilidad de presentar anemia muy precoz (RP 2,44; IC 95 % 1,01-5,87. La prevalencia de la anemia muy precoz se incrementó al aumentar los mililitros por kilogramo de peso de sangre extraída (tendencia lineal: X² 7,6195; gl 1; p 0,0058. Los RN con extracciones entre 5 y 10 mL/kg y > 10 mL/kg tuvieron 5,3 y 4,5 veces más probabilidad de presentar anemia (RP 5,33; IC 95 % 1,4739-19,2988 y RP4,5 ; IC 95 % 1,1254-17,9930, respectivamente. CONCLUSIONES. Un poco más de la mitad de los casos presentaron anemia muy precoz y los factores independientes asociados a su aparición fueron la presencia de

  3. Método madre canguro manejo ambulatorio del prematuro

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    Edgar Rey Sanabria

    1986-07-01

    Full Text Available En el Instituto Materno Infantil (lMI, donde se atienden aproximadamente 21.000 partos cada año, hay un índice de prematuros entre e114% y eI17%. Anteriormente los prematuros eran tratados de acuerdo con las normas convencionales. La alta mortalidad, que ocurría en ese entonces, obligó al IMI a cambiar esas normas y se obtuvieron los más positivos resultados, que sobrepasan los índices de las naciones más avanzadas. La alimentación natural se inicia, ofrecida directamente par la madre, en el servicio mismo. Sin consideración del peso del pequeño, y con base únicamente en su estado clínico, el niño va con su madre para que ella lo caliente, estimule y alimente, tanto orgánica como afectivamente, en su casa. Se hacen con troles domiciliarios especiales, y además se dan conferencias educativas como parte básica del programa. En dos años de experiencia se ha demostrado: la absoluta desaparición de enfermedades como la enterocolitis necrosante, y de diarreas, sepsis y entidades bacterianas del aparato respiratorio. Igualmente hay una baja significativa del índice de abandono y de los costos hospitalarios (cama, medicación, leches especiales, papillas, etc.. Se estableció estadísticamente que la supervivencia para niños con peso inferior a 1.000 gr. pas6 de 0% a 72.3%; para niños entre 1.001 gr. y 1.500 gr. subió de 27.3% a 89.04% y para niños entre 1.501 gr. y 2.000 gr. subi6 de 81.5% a 94%.

  4. Factores de riesgo asociados a osteopenia del prematuro en una terapia intensiva neonatal de referencia

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    MP Ríos-Moreno

    2016-03-01

    Full Text Available INTRODUCCIÓN: la enfermedad ósea metabólica del prematuro resulta de la desmineralización ósea. Existen factores que deben vigilarse con la finalidad de realizar diagnóstico y tratamiento temprano. OBJETIVO: determinar los factores de riesgo asociados a osteopenia en prematuros. MATERIALES Y MÉTODOS: estudio transversal comparativo de octubre del 2011 a octubre del 2013. Se incluyeron 120 prematuros 900 UI/L. Factores de riesgo determinados con razón de momios (OR. Estadística inferencial con c2 y t de Student. RESULTADOS: se diagnosticó enfermedad ósea metabólica en 58 prematuros (48%, peso 1067 ± 216 gramos, edad gestacional 28 ± 1.6 semanas, edad postnatal 41 ± 15.5 días. Género masculino 32 (55%. Factores de riesgo: peso < 1,000 gramos OR 4.64, (2.13-10.10, displasia broncopulmonar moderada o severa OR 3.13 (1.44-6.81, tres o más eventos de sepsis OR 3.43 (1.62 7.28, sedación prolongada OR 4.09 (1.06-15.73 y corticoide prolongado OR 9.54 (2.06-44.16.  CONCLUSIONES: nuestros resultados muestran que los factores de riesgo para enfermedad ósea metabólica del prematuro fueron peso al nacer menor de 1,000 gramos, displasia broncopulmonar moderada o severa, tres o más eventos de sepsis, sedación y corticoides durante tiempo prolongado.

  5. Cuidados centrados en el neurodesarrollo del recién nacido prematuro hospitalizado

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    Ruiz Fernández, Elsa

    2014-01-01

    Introducción: Durante las últimas dos décadas se ha ido introduciendo una nueva filosofía del cuidado del recién nacido prematuro más cálida y humana. La estancia en la Unidad de Cuidados Intensivos Neonatales (UCIN) produce unos efectos no deseados en el recién nacido y su familia, y para evitarlos se llevan a cabo unos Cuidados Centrados en el Neurodesarrollo (CCN). Estos cuidados incluyen la participación de los padres en el cuidado de su hijo, la utilización del método canguro y de la ana...

  6. Características del ultrasonido transfontanelar en recién nacidos prematuros, Hospital Vicente Corral Moscoso, Cuenca, 2013

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    Zhunio Zavala, Rafaél Abelardo

    2014-01-01

    Objetivo: Caracterizar los hallazgos ultrasonográficos del sistema nervioso central en los recién nacidos prematuros atendidos en el Hospital Vicente Corral Moscoso. Cuenca 2013. Material y métodos: El estudio incluyo 100 recién nacidos prematuros, remitidos para valoración por imagenología, en el periodo febrero-agosto del 2013. A todos se les realizó ultrasonografía transfontanelar, en donde se obtuvieron valores de frecuencias de tipo y características de la patología neurológica encont...

  7. La trombocitopenia como factor de riesgo en el ductus arteriosus persistente del recién nacido prematuro

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    Bas Suárez, Mª Pilar

    2016-01-01

    Programa de doctorado: Perspectivas actuales en la investigación en Perinatología, Ginecología y Pediatría. La fecha de publicación es la fecha de lectura [ES]A pesar de los esfuerzos y las décadas de investigación, el ductus arteriosus del prematuro continua siendo un desafío en términos de patobiología, consideraciones clínicas y opciones terapéuticas en el recién nacido prematuro. La presente Tesis trata de aportar nuevos datos sobre la relevancia de las alteraciones cuantitativas de l...

  8. Intervenciones enfermeras para el manejo del estrés en padres de niños prematuros en UCIN

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    Pérez Fernández, María

    2016-01-01

    Trabajo fin de grado en Enfermería El ingreso de un niño prematuro en la Unidad de Cuidados Intensivos Neonatales supone un gran estrés para sus padres. Esta unidad ha experimentado diversos cambios en sus rutinas durante los últimos años entre las que se incluyen unos cuidados centrados en el desarrollo del neonato pero también el cuidado de la familia. Existen ciertas intervenciones que benefician tanto al bebé como a los padres y que podrían minimizar la experimentación del estrés en lo...

  9. El primer encuentro del padre con el bebé prematuro en la Unidad de Cuidados Intensivos Neonatales

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    Fernanda Martins Castro

    2015-06-01

    Full Text Available Objetivo: Describir el primer encuentro del padre con el hijo en la Unidad de Cuidados Intensivos Neonatales (UCIN y analizar el significado de este momento en la perspectiva de los padres. Método: estudio cualitativo, con ocho padres de niños prematuros, a través de entrevistas semi-estructuradas. Los datos se analizaron a través del análisis temático. Resultados: Surgieron tres núcleos temáticos: "primer encuentro con hijo prematuro: sentimientos paternales y emociones", "construcción de la relación entre los profesionales y los padres de los recién nacidos a partir del primer encuentro" y reconocimiento de la paternidad en el contexto de la UCIN. Conclusión: El primer encuentro del padre con su hijo en la UCIN provoca sentimientos y sorpresa, dolor, incertidumbre, alegría y esperanza. El equipo de salud debe estar preparado para brindar apoyo emocional, información y establecer una comunicación efectiva desde la primera visita.

  10. Morbimortalidad del recién nacido prematuro hijo de madre adolescente en la Unidad de Cuidados Intensivos Neonatales

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    S. Carrera Muiños; E. Yllescas Medrano; G. Cordero González; S. Romero Maldonado; L. Chowath Degollado

    2015-01-01

    Introducción: El embarazo en mujeres adolescentes, por las complicaciones que se presentan en la madre y el recién nacido (RN), representa un problema de salud pública. Los estudios existentes no dejan claro si el comportamiento del prematuro hijo de madre adolescente es el mismo que el de la madre no adolescente. Objetivo: Se pretendió evaluar la evolución perinatal de embarazos pretérmino en madres adolescentes y analizar diferencias con los embarazos de madre no adolescente. Material...

  11. Evaluación del Surfacén en el síndrome de dificultad respiratoria del prematuro

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    Ramón Acosta Díaz

    2000-12-01

    Full Text Available Con el objetivo de evaluar la eficacia del uso del surfactante exógeno cubano "Surfacén" en el síndrome de distress respiratorio del prematuro, se estudiaron 48 niños con edad gestacional menor de 34 semanas y peso inferior a 2000 g, nacidos en el Hospital Ginecoobstétrico Provincial Docente "Justo Legón Padilla" de Pinar del Río, desde enero de 1997 hasta diciembre de 1998. Los datos que se obtuvieron se depositaron en la base de datos para el procesamiento estadístico, y se les aplicó la prueba de chi cuadrado y la prueba de comparación de medias, ambas con un nivel de significación del 5 %. Se usó Surfacén en 24 niños, los que constituyeron el grupo estudio y no se usó en 24, considerados el grupo control. Se observó una mejoría en la oxigenación de la enfermedad de la membrana hialina, pero no existió diferencia estadísticamente significativa en la mortalidad y las complicaciones, quizás porque los niños del estudio eran más inmaduros y de más bajo peso que los controles.48 children with gestational age under 34 weeks and less than 2000g of weight that were born at "Justo Legón Padilla" Provincial Gynecoobstetric Teaching Hospital, in Pinar del Río, between January, 1997, and December, 1999, were studied in order to evaluate the efficiency of the use of "Surfacén", a Cuban exogenous surfactant, in the respiratory distress syndrome of premature infants. The data were entered in the database for their statistical processing. The chi square test and the test of comparison of means, both with a level of significance of 5%, were applied. "Surfacén" was administered to 24 children (study group and it was not used in other 24 (control group. An improvement was observed in the oxygenation of the hyaline membrane disease, but there were no statistically significant differences as regards mortality and complications, maybe due to the fact that the children of the study group were more inmature and had a lower weight than

  12. El prematuro: una esperanza de vida

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    Betancur R., Diana Helena; Fundación Valle de Lili; Garzón F., Lucía

    1999-01-01

    Factores prenatales de riesgo para el feto/Alteraciones inherentes a la prematuréz/Manejo del niño prematuro/ ¿Existe relación entre la actividad física y los partos prematuros?/ ¿Cómo se puede prevenir la prematuréz?/ ¿El recién nacido prematuro puede llevar una vida normal una vez es dado de alta?/ ¿Qué tipo de alimentación deberá recibir el prematuro?/ ¿Cuándo debe usted consultar a su pediatra?

  13. Lack of association between iron status at birth and growth of preterm infants Ausência de associação entre indicadores de anemia ao nascimento e crescimento de prematuros

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    Rosely Sichieri

    2006-08-01

    Full Text Available OBJECTIVE: To assess the association between iron status at birth and growth of preterm infants. METHODS: Ninety-five premature babies (26 to 36 weeks of gestational age born from July 2000 to May 2001 in a public hospital in Rio de Janeiro, Southeastern Brazil, were followed up for six months, corrected by gestational age. Iron measurements at birth were available for 82 mothers and 78 children: hemoglobin, hematocrit, mean corpuscular volume and plasma iron. All children received free doses of iron supplement (2 mg/kg/day during the follow-up period and up to two years of age. Multivariate linear regression analyses with repeated measurements were performed to assess factors associated to linear growth. RESULTS: Growth was more pronounced up to 40 weeks of gestational age, increasing about 1.0 cm/week and then slowing down to 0.75 cm/week. The multivariate analysis showed growth was positively associated with birth weight (0.4 cm/100 g; p0.60 for all measures. Only two children had anemia at birth, whereas 43.9% of mothers were anemic (hemoglobin 0.20. CONCLUSIONS: Maternal anemia was not associated with anemia in preterm infants and iron status of mothers and children at birth was not associated with short-term growth of preterm infants.OBJETIVO: Avaliar a associação entre indicadores de anemia no nascimento e o crescimento de prematuros. MÉTODOS: Crianças prematuras (26-36 semanas de idade gestacional (n=95, nascidas de julho de 2000 a maio de 2001, em hospital público do Rio de Janeiro, foram seguidas por seis meses, corrigidos pela idade gestacional. Foram obtidos em 82 mães e 78 crianças os indicadores de anemia: hemoglobina, hematócrito, volume corpuscular médio e ferro plasmático. Os prematuros receberam suplemento de ferro (2 mg/kg/dia durante o seguimento. Análises de regressão linear multivariadas, com medidas repetidas, avaliaram os fatores associados ao crescimento linear. RESULTADOS: O crescimento dos prematuros foi

  14. Estrategia educativa para el cuidado domiciliario de los bebes prematuros: Madres usuarias del programa madre canguro de Tunja, Colombia

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    Sonia Sonia Araque Salazar

    2013-12-01

    Full Text Available Introducción: El objetivo de este estudio fue diseñar y aplicar una estrategia educativa sobre cuidados del RN en el hogar, con los componentes: contacto piel a piel, posición canguro, lactancia materna exclusiva, temperatura ideal y oxigenación ideal. Permitiendo identificar conocimientos y capacidades para cuidar a sus hijos. Se evidenció la necesidad de empoderar a las madres para que ofrecieran el cuidado a sus hijos en el hogar por medio de la Teoría de Mediano Rango de Kristen Swanson. Materiales y Métodos: Se diseñó y aplicó un formato de evaluación sobre conocimientos de componentes del PMC, a diez madres. Se realizó la intervención educativa, en varios etapas con demostraciones prácticas en talleres; detección de vacíos conceptuales y acompañamiento con intervenciones personalizadas. Resultados: Se encontró falta de conocimiento sobre los ítems básicos de posición del niño, contacto piel a piel, alimentación, manejo del oxígeno, evaluación de la temperatura y respiración, signos de alarma y beneficios del PMC. Se detectaron factores culturales y del sistema de salud como obstáculos para que las mamás asumieran compromisos para con el cuidado de los bebés. Discusión: El correcto desarrollo del PMC ambulatorio debe iniciar partiendo del diagnóstico de necesidades educativas relacionadas con el cuidado materno perinatal. El apoyo del profesional de enfermería, es fundamental para que las madres tengan seguridad y autonomía dentro del domicilio. Conclusiones: El diseño de la estrategia educativa debe ser flexible, disponer de recursos humanos dedicados a capacitación individualizada, visitas de monitoreo y evaluación familiar, ya que contribuyen a afianzar el apoyo, disipar dudas, temores y en la correcta aplicación de las actividades prácticas del PMC. (Rev Cuid 2013; 4(1: 467-74.Palabras clave: Recién Nacido de Muy Bajo Peso, Prematuro, Cuidado del Niño, Método Madre- Canguro. (Fuente: De

  15. Combinación de agentes tocolíticos para la inhibición del trabajo de parto prematuro

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    2014-11-01

    Conclusiones de los autores: No está claro si una combinación de fármacos tocolíticos para el trabajo de parto prematuro es más ventajosa para las embarazadas y los recién nacidos, debido a la falta de ensayos grandes bien diseñados que incluyan los resultados de interés. No hay ensayos de regímenes de combinación que utilicen los agentes tocolíticos usados con gran frecuencia como los bloqueantes de los canales de calcio (nifedipino y los antagonistas de los receptores de oxitocina (atosiban. Se necesitan ensayos adicionales antes de establecer conclusiones específicas sobre el uso del tratamiento con tocolíticos combinados para el trabajo de parto prematuro.

  16. Alimentación del recién nacido prematuro: lactancia materna vs. leche de fórmula. Bancos de leche

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    Mendoza Vicente, Irene

    2015-01-01

    La leche materna es, por excelencia, el mejor alimento para los recién nacidos y más aún para los prematuros, ya que supone un factor de protección frente a las infecciones y la enterocolitis necrotizante, además se tolera mejor, aporta defensas y contribuye a un mejor desarrollo cerebral del bebé. Ha sido redescubierta como uno de los factores claves en mejorar los resultados de estos recién nacidos pretérmino y es reconocida como un estándar de calidad para su cuidado en las Unidades de Neo...

  17. Estudio de factores de riesgo para la hemorragia de la matriz germinal del prematuro Risk factors for germinal matrix hemorrhage in preterm infants

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    Gladys P. Arango

    1997-01-01

    Full Text Available Con el propósito de facilitar el diagnóstico clínico de la hemorragia de la matriz germinal del prematuro, se diseñó un estudio de casos (n: 56 y controles (n: 66 para determinar los factores de riesgo de la madre y del niño; también se buscó asociación entre dichos factores y la gravedad del evento. No se halló relación entre los factores de riesgo maternos y la presencia o gravedad de la hemorragia. En cuanto a los niños, la edad gestacional menor de 31 semanas, el uso de ventilación mecánica y la persistencia del ductus arterioso mostraron una relación estadística con el evento (p < 0.05, mientras que la sumatoria de tres o más riesgos la tuvo con la gravedad del mismo (p < 0.05. Se concluye que los mencionados factores de riesgo pueden ser indicativos del desarrollo de la hemorragia de la matriz germinal en el prematuro. To facilitate clinical diagnosis of germinal matrix hemorrhage In preterm infants, a study of cases {n: 56 and controls {n: 66 was carried out. Association was investigated between hemorrhage and maternal and neonatal risk factors; also included was the correlation between such factors and seriousness of the hemorrhagic episode. No correlation was found between maternal risk factors and hemorrhage or its seriousness. Concerning neonatal risks, gestational age under 31 weeks, the use of mechanical ventilation and persistence of ductus arteriosus, independently, showed statistical correlation with the hemorrhage {p < 0.05, whereas the simultaneous presence of three or more risks correlated with intensity of hemorrhage {p < 0.05. We conclude that the abovementioned neonatal risk factors can be suggestive of the development of germinal matrix hemorrhage in preterm Infants.

  18. Acetaminofén intravenoso en el cierre del conducto arterioso permeable en prematuros

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    John J. Araújo

    2016-07-01

    Full Text Available Reportamos el caso de tres recién nacidos de 26, 29 y 32 semanas de edad gestacional, con pesos de 810, 1.300 y 1.670 gr, respectivamente. A quienes se les diagnosticó clínicamente conducto arterioso permeable con repercusión hemodinámica. Se confirmó con ecocardiograma transtorácico, mostrando conducto arterioso de 1.5, 3,2 y 3.9 mm. Por sus condiciones clínicas inestables que contraindicaban cierre farmacológico convencional con antiinflamatorios no esteroideos (AINES, y alto riesgo quirúrgico. Se optó por cierre farmacológico con acetaminofén intravenoso a 15 mg/kg una dosis cada 6 horas. Control ecocardiográfico cada 24 horas, se corroboró el cierre total del conducto arterioso a los 3, 5 y 7 días de tratamiento, respectivamente. Se les realizó enzimas hepáticas 24 horas antes y 48 horas posteriores a la administración del acetaminofén. Todos tuvieron seguimiento clínico y ecocardiográfico al mes, 3 y 6 meses. Descartando la reapertura del conducto arterioso.

  19. Retinopatía del prematuro mediante el análisis de retinografías: disparidad en el diagnóstico según el tipo de experto en visión

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    Navarro Blanco, Carolina

    2016-01-01

    Actualmente, la Retinopatía del Prematuro (ROP) es una de las principales causas de ceguera infantil potencialmente evitable. Se define como una retinopatía vasoproliferativa periférica que afecta a recién nacidos inmaduros, generalmente sometidos a oxigenoterapia y de etiopatogenia actualmente desconocida. El incremento de sobrevida de recién nacidos cada vez más prematuros hace de esta enfermedad un problema de Salud Pública. La mayoría de los casos evoluciona favorablemente, sin embargo un...

  20. Anemia

    Science.gov (United States)

    ... reason for blood cell counts to be low. Anemia of Chronic Disease Anemia of chronic disease is a result of chronic inflammation caused by ... benign or malignant tumors, or a variety of chronic medical conditions. Pernicious Anemia ... © 2018 Health ...

  1. Anemia

    Science.gov (United States)

    ... a shortage of iron. This condition is called iron deficiency anemia. There are a few other types of anemia, ... Try to avoid these foods if you have iron deficiency anemia. Foods high in vitamin B12 include: meat and ...

  2. Prevalence and correlates of preterm labor among young parturient women attending public hospitals in Brazil Prevalencia y factores correlativos del parto prematuro en las jóvenes parturientas que acuden a los hospitales públicos del Brasil

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    Angélica E. Miranda

    2012-11-01

    Full Text Available OBJECTIVE: To determine the prevalence of and risk factors for preterm labor (OBJETIVO: Determinar la prevalencia y los factores de riesgo de parto prematuro (menos de 37 semanas de gestación en las jóvenes embarazadas del Brasil. MÉTODOS: Se llevó a cabo un estudio transversal a escala nacional en jóvenes parturientas de 15 a 24 años de edad que acudieron a las maternidades públicas brasileñas en el 2009. Los entrevistadores administraron cuestionarios al ingresar la parturienta en la maternidad (o poco después de parto, si las mujeres participantes tenían demasiado dolor como para responder durante el trabajo del parto. Las participantes respondieron a un cuestionario que recopilaba datos demográficos, conductuales y clínicos. RESULTADOS: Se incluyeron en el estudio un total de 2 071 (86,3% parturientas de las 2 400 invitadas a participar. La media de edad fue de 20,2 años (desviación estándar [SD]: 2,7 y el promedio de años de enseñanza escolar fue de 8 (SD: 2,4. Se produjo un parto prematuro en 450 mujeres (21,7%. La proporción más alta de parto prematuro (36,1% se observó en la región del Norte y la proporción más baja (6,9% en la región del Sur. En el modelo final de regresión logística con variables múltiples, el vivir en la región del Norte (razón de posibilidades [OR]: 1,43; intervalo de confianza [IC] de 95%: 1,28-1,59; el tener ingresos mensuales inferiores a dos veces el salario mínimo brasileño (OR: 1,27, IC de 95%: 1,01-1,60; el haber sido víctima de violencia doméstica (OR: 2,27, IC de 95%: 1,23-4,18; y el haber recibido una atención prenatal inadecuada (OR: 3,17, IC de 95%: 2,54-3,97 seguían siendo factores correlativos significativos de parto prematuro en esta población. CONCLUSIONES: Los resultados muestran una alta prevalencia del parto prematuro en las mujeres jóvenes del Brasil. El parto prematuro presenta una etiología multifactorial. Se deben destinar más recursos de salud p

  3. Anemias.

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    Broadway-Duren, Jacqueline B; Klaassen, Hillary

    2013-12-01

    Anemias continue to present a challenge to the health care profession. Anemia is defined as a reduction in one or more of the RBC indices. Patients presenting with a mild form of anemia may be asymptomatic; however, in more serious cases the anemia can become life threatening. In many cases the clinical presentation also reflects the underlying cause. Anemia may be attributed to various causes, whereas autoimmune RBC destruction may be attributed to intrinsic and extrinsic factors. Laboratory tests are essential in facilitating early detection and differentiation of anemia. Published by Elsevier Inc.

  4. Feelings and expectations of mothers of preterm babies at discharge Sentimientos y expectativas de las madres en el alta hospitalaria del recién nacido prematuro Sentimentos e expectativas das mães na alta hospitalar do recém-nascido prematuro

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    Maria Zuleide da Silva Rabelo

    2007-09-01

    Full Text Available OBJECTIVE: To investigate the feelings and expectations of mothers of preterm babies at discharge. METHODS: This descriptive study used Bardin's framework to collect data among 11 mothers of preterm babies from a Neonatal Intensive Care Unit. Data were collected through interviews from December 2004 to January 2005. RESULTS: Four categories emerged: the moment of the discharge; mothers' knowledge and questions; mothers' preparation and orientation for discharge; and, mothers' desired orientation. CONCLUSION: Although mothers' experienced excitement and happiness at discharge, many reported being anxious and insecure on how to take care of their preterm babies.OBJETIVO: Investigar los sentimientos y expectativas de madres de recién nacidos prematuros en el momento del alta hospitalaria. MÉTODOS: Se trata de un estudio con abordaje cualitativo, desarrollado con madres de recién nacidos prematuros internados en una Unidad de Cuidados Intensivos Neonatal. Los datos fueron recolectados por medio de entrevista, en el período de diciembre/2004 a enero/2005. Los sujetos fueron 11 madres que vivenciaban el alta hospitalaria del hijo. La organización de los datos estuvo fundamentada en Bardin. RESULTADOS: Del análisis emergieron cuatro categorías: Momento del alta hospitalaria, Dudas maternas, Preparación y orientaciones para el alta, Orientaciones deseadas por las madres. CONCLUSION: Los sentimientos expresados por las madres fueron alegría, ansiedad e inseguridad en el alta hospitalaria del hijo.OBJETIVO: Investigar os sentimentos e expectativas das mães de recém-nascidos prematuros no momento da alta hospitalar. MÉTODOS: Estudo com abordagem qualitativa, desenvolvido com mães de recém-nascidos prematuros internados numa Unidade de Terapia Intensiva Neonatal. Os dados foram coletados por meio de entrevista, no período de dezembro/2004 a janeiro/2005. Os sujeitos foram 11 mães que vivenciavam a alta hospitalar do filho. A organiza

  5. Vivências paternas durante a hospitalização do recém-nascido prematuro na Unidade de Terapia Intensiva Neonatal Experiencias paternas durante la hospitalización del recién nacido prematuro en la Unidad de Cuidados Intensivos Neonatal Fathers' experiences during the hospitalization of the premature newborn in the Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Luciano Marques dos Santos

    2012-10-01

    Full Text Available Este estudo objetivou compreender as vivências paternas durante a hospitalização do recém-nascido prematuro na Unidade de Terapia Intensiva Neonatal de um hospital público de Feira de Santana, Bahia. Trata-se de um estudo descritivo, exploratório e qualitativo, aprovado por Comitê de Ética em Pesquisa e realizado com nove pais, na Unidade de Terapia Intensiva Neonatal de um hospital público. Os dados foram analisados através da Análise de Conteúdo, os quais apontaram que os partos prematuros causam sentimentos de surpresa, angústia e medo nos pais. É preciso repensar como ocorre a inserção dos pais do prematuro no processo de hospitalização, bem como mudanças nas rotinas estabelecidas para a visita e participação paterna no contexto do cuidado ao prematuro.Este estudio tuvo como objetivo comprender la experiencia de los padres durante la hospitalización de los bebés prematuros en la Unidad Neonatal de Cuidados Intensivos de un hospital público en Feira de Santana, Bahia. Se trata de un estudio descriptivo y cuantitativo, aprobado por el Comité de Ética en Investigación y actuó en la Unidad de Cuidados Intensivos Neonatales de un hospital público de Bahia, con nueve padres. Los datos fueron analizados utilizando el análisis de contenido que muestran que los nacimientos prematuros causan sentimientos de sorpresa en los padres, de dolor y de miedo. Tenemos que repensar cómo se está insertando a los padres de bebés prematuros en las cuestiones de la hospitalización y los cambios en las rutinas establecidas para la visita y la participación del padre en el contexto de la atención precoz.This study aimed to understand the fathers' experiences during the hospitalization of premature newborn in the Neonatal Intensive Care Unit at a public hospital in Feira de Santana, Bahia. This is a qualitative descriptive exploratory study that was approved by the Ethics Committee of the Faculty of Technology and Sciences, and

  6. Estudio multidisciplinario del paciente con anemia de Fanconi

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    Benilde García de Teresa

    2016-02-01

    Full Text Available La anemia de Fanconi es el trastorno medular hereditario más frecuente; sin embargo, es una enfermedad rara cuya prevalencia mundial se estima de 1 a 5 por millón de habitantes. Se ha calculado que la frecuencia de portadores es de 1 en 300, aunque en algunos grupos, como los judíos Askenazí o los gitanos españoles, la frecuencia de portadores es de hasta 1 en 70.1 En México se desconocen estos datos pero en el Laboratorio de Citogenética del Instituto Nacional de Pediatría se diagnostican anualmente cerca de 10 casos nuevos de entre unas 80 muestras provenientes de múltiples instituciones de salud de la República.

  7. Estudio multidisciplinario del paciente con anemia de Fanconi

    OpenAIRE

    Benilde García de Teresa; Alfredo Rodríguez; Sara Frías

    2016-01-01

    La anemia de Fanconi es el trastorno medular hereditario más frecuente; sin embargo, es una enfermedad rara cuya prevalencia mundial se estima de 1 a 5 por millón de habitantes. Se ha calculado que la frecuencia de portadores es de 1 en 300, aunque en algunos grupos, como los judíos Askenazí o los gitanos españoles, la frecuencia de portadores es de hasta 1 en 70.1 En México se desconocen estos datos pero en el Laboratorio de Citogenética del Instituto Nacional de Pediatría se diagnostican an...

  8. Visión de las madres en el cuidado del hijo prematuro en el hogar Visão das mães no cuidado do filho prematuro em casa Vision of mothers in care of premature babies at home

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    Nubia Castiblanco López

    2011-07-01

    Full Text Available Objetivo: describir el significado que tiene para las madres cuidar el recién nacido prematuro en el hogar, desde su contexto cultural. Diseño: estudio de tipo cualitativo etnográfico basado en la teoría de Madeleine Leininger. Muestra: la información, obtenida de observación y 23 entrevistas a las madres en su hogar, se recolectó y se analizó según la entrevista y análisis etnográficos de James Spradley. Participantes: ocho madres de recién nacidos prematuros que asistieron a control al Programa Madre Canguro Integral, Hospital Universitario San Ignacio, entre noviembre de 2007 y mayo de 2008. Resultados: surgen dos temas: cuidados directos al recién nacido prematuro y el camino hacia la adaptación. El cuidado directo al recién nacido prematuro en el hogar significa para la madre cangurear, masajear, proteger del frío, alimentar al niño, mantener la higiene, conservar la protección del medio, dar amor, suministrar oxígeno suplementario al bebé si lo requiere y saber sobre las señales del niño. El camino hacia la adaptación materna tiene para las madres un objetivo: "criar el niño". Ellas manifiestan lo difícil que son las noches, expresan sus sentimientos y finalmente describen la adaptación materna como el acostumbrarse. Conclusión: la visión de las madres cuidando el recién nacido prematuro es universal: significa "cuidar mucho al niño" y estar pendientes; por otra parte, la connotación de cuidado es diversa porque cada madre lo cataloga, desde su propia percepción, como cuidado extremo, básico, esencial y especial. También las madres dejaron conocer creencias, valores, tradiciones y mitos.Objetivo: descrever o significado do cuidado do recém nascido prematuro em casa para as mães desde seu contexto cultural. Desenho: estudo de tipo qualitativo etnográfico baseado na teoria de Madeleine Leininger. Amostra: a informação obtida da observação e 23 entrevistas às mães em casa, a informação foi reunida

  9. El progreso de la alimentación oral del recién nacido prematuro The susceptibility to infection by Leishmania panamensis and the sensitivity to drugs differ according to the macrophage type

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    Beatriz Villamizar Carvajal

    2010-12-01

    Full Text Available Con el aumento de partos antes del término de la gestación, es cada vez más frecuente enfrentar el reto de la alimentación del prematuro. Esta es una tarea compleja, pues se trata de la integración y coordinación de múltiples sistemas. La capacidad del prematuro para consumir por vía oral la nutrición que necesita sin comprometer la función cardiorrespiratoria es clave para determinar la duración de su hospitalización y el tipo de seguimiento que ha de recomendarse a la salida. El éxito implica la capacidad de tomar todo el volumen prescrito por succión dentro de un tiempo determinado y mantener un patrón sostenido de ganancia de peso. La seguridad implica una adecuada coordinación de la funciones de succión, deglución y respiración. El objetivo de esta revisión basada en la lectura crítica de la literatura científica es analizar cómo es el proceso que el prematuro desarrolla para llegar a una alimentación oral eficiente, al igual que los aspectos que pueden modificar este proceso a partir de las complicaciones de salud, como lo son los trastornos respiratorios, cardiovasculares, intestinales y neurológicos propios del prematuro. Salud UIS 2010; 42: 262-270With the increase of preterm births, actually is common to have the challenge of feeding premature. This is a complex task, because it is the integration and coordination of multiple systems. The ability to obtain early oral nutrition needs without compromising cardiorespiratory function is key in determining hospitalization length and activities to be recommended after discharge. Success involves the ability to take all the prescribed volume by suction within a given time and to maintain a sustained pattern of weight gain. Security involves proper coordination of the functions of sucking, swallowing and breathing. The purpose of this review based on the critical reading of the literature is to analyze what is the process that develops premature to reach efficient oral

  10. Transição alimentar por via oral em prematuros de um Hospital Amigo da Criança Transición de alimentación oral en bebés prematuros en un Hospital Amigo del Niño Oral feeding transition in preterm infants in a Child-Friendly Hospital

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    Carmen Gracinda Silvan Scochi

    2010-01-01

    Full Text Available OBJETIVO: Caracterizar a transição da alimentação gástrica por via oral quanto à maturidade e peso do prematuro, vias e técnicas de administração e duração da transição até a alimentação oral exclusiva. MÉTODOS: Estudo retrospectivo com dados levantados em prontuários de 116 prematuros assistidos nas unidades de cuidados intensivos e intermediários neonatais de um hospital universitário do município de Ribeirão Preto - SP. RESULTADOS: A idade gestacional corrigida média foi de 36 semanas ao início da alimentação oral e de 37 semanas quando a alimentação ocorreu total por via oral. O peso médio foi de 1.743 gramas ao início da alimentação oral e peso médio de 1.934 gramas quando a alimentação ocorreu total por via oral. Durante o período de transição foram utilizadas uma ou mais técnicas de administração do leite. O uso da gavagem em conjunto com outras técnicas (89,5% predominou em especial, complementada pelo seio materno e copo (56,9% e a duração da transição alimentar variou de menos de 1 a 47 dias. CONCLUSÃO: A maturidade e o peso ao nascer, além das condições clínicas decorrentes dessas variáveis, podem interferir no processo de transição da alimentação láctea do prematuro. Considerando as vantagens da amamentação materna, sua prática deve ser iniciada o mais precocemente possível neste segmento populacional de risco.OBJETIVO: Caracterizar la transición de la alimentación gástrica por vía oral en lo que se refiere a: madurez y peso del prematuro, vías y técnicas de administración y, duración de la transición hasta la alimentación oral exclusiva. MÉTODOS: Es un estudio retrospectivo con datos levantados en fichas de 116 prematuros asistidos en las unidades de cuidados intensivos e intermedios neonatales de un hospital universitario del municipio de Ribeirao Preto- SP. RESULTADOS: La edad de gestación corregida promedio fue de 36 semanas en el inicio de la alimentaci

  11. Transición de alimentación oral en bebés prematuros en un Hospital Amigo del Niño

    OpenAIRE

    SCOCHI, Carmen Gracinda Silvan; GAUY, Juliana Silva; FUJINAGA, Cristina Ide; FONSECA, Luciana Mara Monti; ZAMBERLAN, Nelma Ellen

    2010-01-01

    OBJETIVO: Caracterizar a transição da alimentação gástrica por via oral quanto à maturidade e peso do prematuro, vias e técnicas de administração e duração da transição até a alimentação oral exclusiva. MÉTODOS: Estudo retrospectivo com dados levantados em prontuários de 116 prematuros assistidos nas unidades de cuidados intensivos e intermediários neonatais de um hospital universitário do município de Ribeirão Preto - SP. RESULTADOS: A idade gestacional corrigida média foi de 36 semanas ao i...

  12. Estratégias para efetivar a continuidade do cuidado pós-alta ao prematuro: revisão integrativa Estrategias para efectivizar la continuidad del cuidado post alta al prematuro: revisión integrativa Strategies for implementing continuity of care after discharge of premature infants: an integrative review

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    Patrícia Pinto Braga

    2012-01-01

    Full Text Available OBJETIVO: Identificar as estratégias utilizadas para efetivar a continuidade do cuidado às crianças nascidas prematuras egressas de Unidades de Terapia Intensiva Neonatal. MÉTODOS: Estudo de revisão integrativa com busca nas bases de dados Cumulative Index to Nursing and Allied Health Literature, Literatura Latino-Americana e do Caribe em Ciências da Saúde, Scientific Eletronic Library on-line e Web of Science no período de 2001 e 2011. Dos 22 artigos selecionados para leitura, nove foram explorados, considerando o objetivo proposto. RESULTADOS: A necessidade de desenvolvimento de pesquisas sobre a continuidade do cuidado aos egressos de Unidades de Terapia Intensiva Neonatal (UTIN é evidente nos artigos analisados e confirmado pelo nível de evidência científica dos estudos incluídos nesta revisão. CONCLUSÃO: A intersetorialidade, o conhecimento tecnocientífico dos profissionais para cuidar dos egressos de UTIN, políticas públicas, pesquisas multicêntricas, bem como a construção de vínculo entre profissionais dos serviços de saúde e famílias, são estratégias importantes para a construção da assistência aos prematuros e suas famílias, após a alta hospitalar.OBJETIVO: Identificar las estrategias utilizadas para efectivizar la continuidad del cuidado a los niños nacidos prematuros egresados de Unidades de Cuidados Intensivos Neonatal. MÉTODOS: Estudio de revisión integrativa con búsqueda en las bases de datos Cumulative Index to Nursing and Allied Health Literature, Literatura Latino-Americana y del Caribe en Ciencias de la Salud, Scientific Eletronic Library on-line y Web of Science en el período de 2001 y 2011. De los 22 artículos seleccionados para lectura, nueve fueron explorados, considerando el objetivo propuesto. RESULTADOS: La necesidad de desarrollo de investigaciones sobre la continuidad del cuidado a los egresados de Unidades de Cuidados Intensivos Neonatal (UCIN es evidente en los art

  13. Influencia del hierro de reserva y sérico en la anemia del ternero neonato - - Influence of store and seric iron in neonatal calf anemia.

    OpenAIRE

    Figueredo, J.M; Faure, R; Capdevila J

    2010-01-01

    ResumenCon el objetivo de determinar los minerales de reserva que intervienenen la hematopoyesis, fueron estudiados 20 terneros recién nacidosdivididos en dos grupos experimentales, el grupo 1 (n=12) loconstituyeron terneros anémicos y el grupo 2, (n=8) terneros que nopresentaron anemia. A todos se les extrajo sangre para estudioshemáticos (serie roja), bioquímicos (proteinograma) y de mineralescobre y hierro sérico (capacidad de unión del hierro sérico, % desaturación de la transferrina, cap...

  14. Evaluación auditiva neurosensorial en un grupo de prematuros del programa madre conguro Sensorineural auditory evaluation in a group of preterm neonates from the "Kangaroo mother" program

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    Gabriel Hernández

    1997-01-01

    Full Text Available Entre agosto de 1989 y diciembre de 1991 se buscó asociación entre algunos factores de riesgo comunes a los prematuros con peso menor de 1.500 g al nacer y el hecho de presentar disminución de la agudeza auditiva, medida con los potenciales evocados del tallo cerebral a los 4 meses y luego entre los 8 y los 14 meses. Los factores de riesgo tenidos en cuenta en 133 prematuros del ";Programa madre canguro"; del Instituto de los Seguros Sociales, en Medellín, fueron: Peso inferior a 1.500 g, hiperbilirrubinemia superior a 10 mg/ml, sufrimiento fetal, membranas hialinas, uso de aminoglicósidos, hipoglucemia, hemorragia del tercer trimestre e hipertensión arterial materna. Se halló pérdida de la agudeza auditiva en la evaluación inicial en 54 nifíos (40.6% mientras en la final sólo la presentaban 10 (7.5%; no pudo detectarse asociación entre los factores de riesgo y la disminución de la agudeza auditiva en la evaluación inicial ni en la final. La mejoría de resultados de agudeza auditiva entre las pruebas iniciales y las finales puede explicarse, entre otras razones, por la maduración cerebral del prematuro. Se debe investigar más la razón de los déficits finales y, ojalá, establecer programas de seguimiento con pruebas auditivas en este grupo de niños en riesgo. A study was carried out to investigate the association between risk factors commonly found in preterm neonates with very low birth-weight (Iess than 1.500 g and decreased auditory acuteness; the latter was measured according to brain stem evoked potentiaJs (BERA test In 133 preterm neonates belonging to the "Kangaroo mother program", in 'Medellín,Colombla. The following risk factors we~ evaluated: Hyperbilirrubinemia, hyaline membrane, birth weight lower than 1.500g, fetal distress, hypoglycemia, use of aminoglycosldes, thlrd trimester hemorrhage, and maternal high blood presssure. Abnormal results in BERA test were found in 54 cases (40.6% at 4 months and in only 10 (7

  15. Evaluation of the virtual learning object "Diagnostic reasoning in nursing applied to preterm newborns" Evaluación del objeto virtual de aprendizaje "Raciocinio diagnóstico en enfermería aplicado al prematuro" Avaliação do objeto virtual de aprendizagem "Raciocínio diagnóstico em enfermagem aplicado ao prematuro"

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    Fernanda dos Santos Nogueira de Góes

    2011-08-01

    Full Text Available The potential use of computer technology in teaching and continuous education for nursing motivated the development of this study to evaluate the virtual learning object, "Diagnostic Reasoning in Nursing Applied to Preterm Newborns" at an intermediate neonatal care unit. This descriptive study evaluates the appearance and content of the virtual object concerning aspects related to presentation, organization, usability and overall impression. Experts from the fields of computer technology (12 and nursing (31 participated in the evaluation process. Each sub-item of the instrument was assessed on a Likert scale and blank space was provided for comments/suggestions. All items were positively evaluated by over 80% of the experts, except for the 'informational density' criterion in the evaluation performed by computer technology experts. The developed product is considered adequate to be used for teaching for nursing students and in continuous education of diagnostic reasoning in the development of Nursing Diagnoses for preterm newborns, in the problem-posing pedagogical framework.Vislumbrando el potencial de uso de la informática en la formación y educación permanente en enfermería, se realizó el presente estudio con el objetivo de evaluar el objeto virtual de aprendizaje "Raciocinio Diagnóstico en Enfermería Aplicado al Prematuro" en una unidad de cuidado intermedio neonatal. Se trata de un estudio descriptivo sobre la evaluación de la apariencia y contenido del objeto virtual en los aspectos relacionados a la presentación, organización, usabilidad e impresión general. Participaron peritos de las áreas de informática (12 y enfermería (31. Cada sub-ítem de los instrumentos contenía evaluación en escala tipo Likert y espacio para inclusión de comentarios/sugerencias. Todos los ítems fueron evaluados positivamente por más de 80% de los evaluadores, excepto el criterio densidad de información en la evaluación de los profesionales

  16. Delayed globin synthesis leads to excess heme and the macrocytic anemia of Diamond Blackfan anemia and del(5q) myelodysplastic syndrome.

    Science.gov (United States)

    Yang, Zhantao; Keel, Siobán B; Shimamura, Akiko; Liu, Li; Gerds, Aaron T; Li, Henry Y; Wood, Brent L; Scott, Bart L; Abkowitz, Janis L

    2016-05-11

    Diamond Blackfan anemia (DBA) and myelodysplastic syndrome (MDS) with isolated del(5q) are severe macrocytic anemias; although both are associated with impaired ribosome assembly, why the anemia occurs is not known. We cultured marrow cells from DBA (n = 3) and del(5q) MDS (n = 6) patients and determined how heme (a toxic chemical) and globin (a protein) are coordinated. We show that globin translation initiates slowly, whereas heme synthesis proceeds normally. This results in insufficient globin protein, excess heme and excess reactive oxygen species in early erythroid precursors, and CFU-E (colony-forming unit-erythroid)/proerythroblast cell death. The cells that can more rapidly and effectively export heme or can slow heme synthesis preferentially survive and appropriately mature. Consistent with these observations, treatment with 10 μM succinylacetone, a specific inhibitor of heme synthesis, improved the erythroid cell output of DBA and del(5q) MDS marrow cultures by 68 to 95% (P = 0.03 to 0.05), whereas the erythroid cell output of concurrent control marrow cultures decreased by 4 to 13%. Our studies demonstrate that erythropoiesis fails when heme exceeds globin. Our data further suggest that therapies that decrease heme synthesis (or facilitate heme export) could improve the red blood cell production of persons with DBA, del(5q) MDS, and perhaps other macrocytic anemias. Copyright © 2016, American Association for the Advancement of Science.

  17. Educação em saúde e a família do bebê prematuro: uma revisão integrativa Educación en salud y la familia del bebé prematuro: una revisión integrativa Health education and the family of the premature baby: an integrative review

    Directory of Open Access Journals (Sweden)

    Lucilei Cristina Chiodi

    2012-01-01

    Full Text Available OBJETIVO: Identificar as necessidades de educação em saúde da família do recém-nascido pré-termo. MÉTODOS: Revisão integrativa de literatura, com buscas nas bases de dados PubMED e Literatura Latino-Americana e do Caribe em Ciências da Saúde, entre 1999 e 2011, e com uso dos descritores (prematuro, enfermagem neonatal, cuidados de enfermagem e alta hospitalar em inglês, espanhol e português. RESULTADOS: Os dez estudos selecionados foram categorizados em três temáticas: a participação nos cuidados do filho, o preparo para a alta hospitalar e uso de material educativo. A maioria das atividades de educação em saúde é direcionada às mães e está relacionada aos cuidados básicos diários e, ainda, é incipiente a participação nestas atividades, a fim de promover o vínculo e aumentar a confiança no cuidado. CONCLUSÃO: Observou-se a necessidade de elaborar estratégias, embasadas nas metodologias ativas de aprendizagem, auxiliadas por materiais educacionais que facilitem a inserção dos pais na unidade neonatal e nos cuidados com seu filho.OBJETIVO: Identificar las necesidades de educación en salud de la familia del recién nacido pretérmino. MÉTODOS: Revisión integrativa de literatura, con búsqueda en las bases de datos PubMED y Literatura Latino-Americana y del Caribe en Ciencias de la Salud entre 1999 y 2011, y con el uso de los descriptores (prematuro, enfermería neonatal, cuidados de enfermería y alta hospitalaria en inglés, español y portugués. RESULTADOS: Los diez estudios seleccionados fueron categorizados en tres temáticas: la participación en los cuidados del hijo, la preparación para el alta hospitalaria y uso de material educativo. La mayoría de las actividades de educación en salud está direccionada a las madres y está relacionada a los cuidados básicos diarios y, aun, es incipiente la participación en esas actividades, a fin de promover el vínculo y aumentar la confianza en el cuidado

  18. Emprego de soluções adocicadas no alívio da dor neonatal em recém-nascido prematuro: uma revisão integrativa Empleo de soluciones edulcoradas en el manejo del dolor neonatal en recién nacido prematuro: una revisión integrativa Use of sweet solutions for neonatal pain relief in premature newborns: an integrative review

    Directory of Open Access Journals (Sweden)

    Caroline de Oliveira Alves

    2011-12-01

    Full Text Available As experiências dolorosas repetida em recém-nascidos podem ter efeito a curto e a longo prazo, especialmente nos prematuros. Como uma medida de alívio da dor, tem sido recomendado o uso de soluções adocicadas em procedimentos dolorosos. Este estudo objetiva avaliar as evidências do efeito da sacarose e da glicose oral no alívio da dor aguda em recém-nascidos prematuros. Realizou-se uma revisão integrativa, nas bases de dados MEDLINE e LILACS, no período de 2005 a 2010, foram selecionados oito artigos. A análise destes revelou o efeito analgésico da glicose e da sacarose em procedimentos agudos. Nenhum efeito colateral foi encontrado nos recém-nascidos que receberam a glicose/sacarose. Ressalta-se a importância do uso da escala de avaliação da dor que mais se identifique com a população predominante nas unidades neonatais, que seja de fácil aplicação e manuseio pelos profissionais de saúde.Repetidas experiencias dolorosas en los recién nacidos pueden tener un efecto en el corto y largo plazo, especialmente en recién nacidos prematuros. Como una medida de aliviar el dolor, se ha recomendado el uso de soluciones azucaradas durante los procedimientos dolorosos. Así, este estudio tiene como objetivo evaluar la evidencia del efecto de la sacarosa o glucosa oral en el alivio del dolor agudo en niños recién nacidos prematuros. Se realizó una revisión integrativa en las bases de datos: MEDLINE y LILACS en el período 2005 a 2010, habiendo sido seleccionados ocho artículos. El análisis reveló el efecto analgésico de la glucosa y la sacarosa en los procedimientos agudos. No se encontró ningún efecto colateral significativo en los recién nacidos que recibieron la glucosa/sacarosa. Se resalta la importancia del uso de la escala de evaluación del dolor que más se identifique con la población predominante en la Unidad de Cuidados Intensivos Neonatales y que sea de fácil aplicación y manipulación para los profesionales

  19. Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale La validación clínica del Instrumento de Evaluación de la Prontitud de los Prematuros para Iniciación de la Alimentación por Vía Oral Validação clínica do Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral

    Directory of Open Access Journals (Sweden)

    Cristina Ide Fujinaga

    2013-02-01

    prematuros clínicamente estables y que no recibieron alimentación oral. La precisión global, la sensibilidad y la especificidad del instrumento, en comparación con la ingestión de leche por translactancia se estimaron mediante curvas ROC. RESULTADOS: La precisión global del instrumento fue del 74,38%. La mayor sensibilidad y especificidad se obtuvieron para tres puntos de corte: 28, 29 y 30. Como el punto de corte=30 del instrumento mostró mayor especificidad (75,68%, sugerimos que debe utilizarse para seleccionar los prematuros con prontitud para la alimentación oral. CONCLUSIÓN: El Instrumento se valida para ayudar a los profesionales de la salud en la iniciación de la alimentación en los prematuros, con vistas a la lactancia de manera segura y objetiva.INTRODUÇÃO: profissionais de saúde têm grande dificuldade para estabelecer o momento adequado e seguro para iniciar a amamentação em prematuros. Há necessidade de desenvolver um instrumento padronizado para auxiliar esses profissionais, na transição da alimentação gástrica para via oral do prematuro, incentivando a prática da amamentação nas unidades neonatais. Objetivo: avaliar a acurácia do Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral. MÉTODO: participaram do estudo 60 prematuros clinicamente estáveis e que não haviam recebido alimentação oral. A acurácia global, sensibilidade e especificidade do instrumento, em comparação à ingestão de leite por meio da translactação, foram estimadas através de curvas ROC (Receiver Operating Characteristic Curves. RESULTADOS: a acurácia global do instrumento foi de 74,38%. A maior sensibilidade e especificidade foram obtidas para três pontos de corte: 28, 29 e 30. Como o ponto de corte=30 do instrumento apresentou maior especificidade (75,68%, sugere-se, aqui, que deverá ser usado para selecionar os prematuros com prontidão para início da alimentação oral. CONCLUSÃO: o Instrumento de Avalia

  20. Anemia y estado nutricional en lactantes de dos a cinco meses atendidos en establecimientos del Ministerio de Salud del Perú, 2012

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    Guillermo Gómez-Guizado

    Full Text Available Objetivos. Determinar las características de los niveles de anemia en lactantes de dos a cinco meses de edad atendidos en los establecimientos del Ministerio de Salud del Perú durante el año 2012. Materiales y métodos. Estudio transversal utilizando la base de datos del Sistema de Información del Estado Nutricional del Centro Nacional de Alimentación y Nutrición del Instituto Nacional de Salud del Perú del año 2012. Se analizaron los registros de 7513 lactantes de dos a cinco meses de edad atendidos en puestos, centros y hospitales del Ministerio de Salud de las 25 regiones del Perú. Se utilizaron estadísticas descriptivas y de regresión logística. Resultados. El 10,2% (IC 95%: 9,5-10,9 de los lactantes presentaron anemia, con diferencias en las frecuencias según los meses de edad (p<0,001, altitud a nivel del mar (p<0,001, regiones (p<0,001 y tipo de establecimiento (p<0,001. En el análisis multivariable se encontraron como factores asociados con tener anemia la edad de 4 meses (OR 1,2; IC 95%: 1,0-1,5 y 5 meses (OR 1,4; IC 95%: 1,2-1,6, presentar obesidad (OR 0,7; IC 95%: 0,5-1,0 y desnutrición crónica (OR 1,3; IC 95%: 1,0-1,6. Conclusiones. Se evidencio la presencia de anemia y desnutrición crónica antes de los 6 meses de edad y que la probabilidad de tener anemia se incrementa conforme aumenta la edad y está asociada a algunos componentes del estado nutricional

  1. La confección del vestido por los padres para su hijo prematuro: Una herramienta para desarrollar cuidados centrados en la familia Premature infant parents clothing: A tool for developed family’s centered care

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    Pilar Borrero-Pachón

    2008-12-01

    Full Text Available Los cuidados del desarrollo son un modelo de enfermería de cuidado neonatal que integra el estado del desarrollo, las necesidades individuales y del ambiente circundante. Un objetivo de los cuidados del desarrollo es reducir el estrés y las experiencias dolorosas para ofrecer apoyo al desarrollo del niño. Las modificaciones ambientales, así como favorecer un posicionamiento adecuado y vestir al recién nacido son muy importantes para reducir este estrés. Otro aspecto fundamental de esta filosofía de cuidado es la importancia del papel desempañado por la familia. El estrés de los padres por el nacimiento y la experiencia del cuidado intensivo neonatal de un bebé prematuro ocasionan problemas en la relación padres-hijos. Implicar a los padres en el cuidado de sus hijos mediante la confección de su ropa, puede ser una herramienta clínica para ayudarles a aumentar sus sentimientos de control y fomentar el vínculo parental. Las enfermeras neonatales están en una posición única para valorar este proceso e intervenir terapéuticamente.Developmental care is a model for nursing in neonatal care that integrates developmental age, individual requirements and surroundings environment. One aim of developmental care is reduce stressful and painful experiences to support the development of the child. Environmental modifications such as the promotion of supported positioning and clothing infant are very important in stress reduction. Another key issue of this philosophy of care is the importance of the role played by the family. The parental stress caused by a premature baby birth and the neonatal intensive care experience may create problems in the parent - child relationship. Involving parents in the child’s caregiving, making clothes to dress the baby, could be a clinic tool to help increase parental feelings of control and improve bonding. Neonatal nurses are in a unique position to assess this process and intervene to promote these

  2. Valores del hematocrito y prevalencia de anemia en escolares jujeños

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    I. F. Bejeran

    2003-08-01

    Full Text Available El hematocrito (Hto, como indicador de anemia en individuos y poblaciones, experimenta variaciones en función de factores mesológicos y genéticos. La anemia constituye una enfermedad endémica cuya prevalencia en Argentina, en distintos grupos de edad y de riesgo y particularmente en escolares, es insuficientemente conocida. El objetivo de este trabajo fue conocer la variación del Hto en escolares de la ciudad de San Salvador de Jujuy localizada a 1200 m.s.n.m., evaluar la prevalencia de anemia y relacionar estas variaciones con las características socioeconómicas de la población. Los datos del Hto procedieron de 17.580 escolares de escuelas públicas y privadas. Para su análisis se agruparon por edad, sexo y nivel socio-económico. Se consideró como anémicos a los niños cuyo Hto se encontró por debajo de: a el valor mínimo aceptado para el nivel de 1200 m; b -2 desviaciones estándar. Para el análisis se empleó: ANOVA, c2 y coeficiente de correlación. Los valores promedio del Hto, independientemente de la edad, sexo y nivel socioeconómico, coinciden con los de la referencia ajustados para la altura. Se observaron: a diferencias intersexuales estadísticamente significativas, presentando los varones, valores superiores a los de las mujeres; b una tendencia al aumento del Hto con relación al incremento del nivel socioeconómico. La prevalencia de anemia, independientemente del criterio utilizado, fue baja en ambos sexos, grupos de edad y en todos los niveles socioeconómicos. Los valores del hematocrito: a son representativos de una población escolar situada a una altitud moderada; b pese a la tendencia a disminuir en el nivel socioeconómico bajo no superan, en la mayoría de los casos, el nivel crítico de anemia; c no indican presencia de desnutrición en la población escolar examinada.The hematocrit (Ht, as an indicator of anemia in individuals and populations, shows variations in relation to mesologic and genetic factors

  3. Anemia y deficiencia de hierro en mujeres en edad reproductiva usuarias del Hospital Regional de Villa Hayes, Paraguay

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    Jessica Riveros

    2015-08-01

    Full Text Available La anemia es un problema de salud pública a nivel mundial. En Paraguay, existen datos limitados sobre la frecuencia de anemia en mujeres en edad reproductiva no gestantes. Este estudio piloto descriptivo de corte transverso tuvo como objetivo determinar la frecuencia de anemia y deficiencia de hierro, el estado nutricional, hábitos alimentarios y tóxicos en 99 mujeres no gestantes en edad reproductiva de 18 a 48 años que acudieron al Hospital Regional de Villa Hayes en Octubre del 2.014. La anemia se determinó tomando como punto de corte una concentración de hemoglobina <12 g/dL. La deficiencia de hierro se evaluó según la saturación de la transferrina. Además, se evaluó el índice de masa corporal (IMC y los hábitos nutricionales a través de una encuesta. La frecuencia de anemia fue de 15,1% (IC95% 8,7-23,8%, de éste el 33,3% (IC95% 12,8-61,6% correspondió a anemia ferropénica. Se observó asociación entre la presencia de anemia y los niveles disminuidos tanto del hematocrito (<38% como del número de glóbulos rojos (<4,2x 106/uL. Todas las mujeres con anemia ferropénica tenían peso <64 kg e IMC <24,5 kg/m2. Además, se detectó una alta frecuencia de sobrepeso y obesidad (45,4%, alto consumo de grasas, y bajo consumo de legumbres, frutas y verduras. A partir de estos resultados, se sugiere mantener la vigilancia e implementar programas que incluyan a estas mujeres, tanto para evitar deficiencias nutricionales como excesos.

  4. Síndrome apneico en el recién nacido prematuro

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    Solari B. Francesca, Dra.; Pavlov N. Jovanka

    2013-01-01

    La apena del prematuro es un importante problema clínico, manifestado por un ritmo respiratorio inestable, reflejo de una inmadurez de los sistemas de control respiratorio. Esta revisión aborda definiciones, patogénesis y alternativas terapéuticas. Aún están en estudio y/o no son bien conocidos, los mecanismos neuronales que provocan apnea en el prematuro. En la reciente década, se ha conocido mejor la generación del ritmo respiratorio y su modulación en el neonato. Estos episodios de pérdida...

  5. The participation of parents in the care of premature children in a neonatal unit: meanings attributed by the health team Participación de madres/padres en el cuidado del niño prematuro en la unidad neonatal: significados atribuidos por el equipo de salud Participação das mães/pais no cuidado ao filho prematuro em unidade neonatal: significados atribuídos pela equipe de saúde

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    Josefina Gallegos Martínez

    2007-04-01

    Full Text Available This qualitative study aims to identify and analyze the meanings the health team attributes to the parents' participation in the care of premature children hospitalized at a public hospital. Data were recorded and collected through semi-structured interviews performed with 23 professionals. The results show that parents' participation in the care of these children is still in an initial stage at the hospital's neonatal unit. However, there is interest from the health team to implement it because its importance is recognized in improving the clinical stability, the growth and development process of premature children. In addition to allowing for mother-child interaction and affective bonding, it prepares the mother for the child's discharge. The presence of the mother helps the nursing team by giving maternal care to the hospitalized child. On the other hand, the parents' presence interferes in the environment of the neonatal unit. It affects the work dynamics and creates insecurity among team workers, who feel supervised. Besides, there is concern regarding hospital infection. Thus, in accordance with other studies from different countries, these meanings entail reflections on the need to base the premature care in terms of collectively building a care philosophy that restores concepts of human rights, citizenship, bonding and mother-child attachment, pediatric psychology and also expands the concept of training for a participative health education.El estudio tiene como objetivo identificar y analizar los significados atribuidos por el equipo de salud con relación a la participación de la madre/padre en el cuidado del niño prematuro hospitalizado en un hospital público. Se trata de un estudio con enfoque cualitativo. Los datos fueron recolectados a través de la entrevista semi-estructurada y grabada de 23 profesionales. Los resultados mostraron que, aún esta participación es incipiente dentro de la unidad neonatal hospitalaria, no

  6. Caligus rogercresseyi: posible vector en la transmisión horizontal del virus de la anemia infecciosa del salmón (ISAv)

    OpenAIRE

    Karin Oelckers; Siri Vike; Henrik Duesund; Javier González; Are Nylund; Gabriel Yany

    2015-01-01

    Chile el año 2007 se convirtió en el segundo país productor de salmónidos a nivel mundial. Al año siguiente la industria salmonera nacional comenzó a experimentar una severa crisis sanitaria producida por el virus causante de la anemia infecciosa del salmón. Este virus se presentó por primera vez en Noruega (1984), luego en Canadá, Escocia, Islas Faroe, Estados Unidos y Chile (2007). La anemia infecciosa del salmón (ISA), es una enfermedad altamente contagiosa entre los peces, producida por u...

  7. Eficiencia del programa de prevención de anemia falciforme en Ciudad de La Habana

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    Marcos Raúl Martín Ruiz

    2000-10-01

    Full Text Available Con vistas a evaluar la eficiencia del programa cubano de prevención de anemia falciforme en Ciudad de La Habana, se realizó un estudio retrospectivo en gestantes portadoras en 2 períodos: 1995-97 y 1998. Los parámetros evaluados fueron los siguientes: edad gestacional en la que la pareja concluye su estudio del riesgo, y causas de no terminación del estudio. El principal resultado fue que el 76,6 % en 1995-97 y 83,6 % en 1998 de las parejas de alto riesgo detectadas por primera vez concluyeron el estudio antes de las 22 semanas de edad gestacional. Asimismo, hubo disminución de la proporción de gestantes no localizadas del 12,6 % al 4,5 %. Se recoge un aumento de la proporción de inasistentes del 14,6 al 19,5 %, probablemente a causa de gestantes que ya conocían el riesgo con anterioridad. Estos resultados muestran un progresivo aumento en la eficiencia del programa. Se requiere continuar incrementando su eficienciaIn order to evaluate the efficiency of the Cuban Program of Prevention of Sickle Cell Anemia in Havana City, a retrospective study was conducted among pregnant carriers in 2 periods: 1995-97 and 1998. The following parameters were evaluated: gestational age at which the couple concluded their risk study and the causes not to end the study. The main result was that 76,6 % in 1995-97 and 83,6 % in 1998 of the high risk couples detected for the first time finished the study before the 22 weeks of gestational age. Likewise, it was observed a reduction of the number of non-localized expectants from 12,6 % to 4,5 %. There was an increase in the proportion of non-attendants from 14,6 to 19,5 %, probably due to the fact that some pregnant women already knew the risk. These results showed a progressive increase in the efficiency of the program. It is necessary to continue improving its efficiency

  8. Caracterización de la anemia durante el embarazo y algunos factores de riesgo asociados, en gestantes del municipio regla

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    Clara Irania San Gil Suárez

    Full Text Available Introducción: la anemia como problema mundial constituye un indicador general de pobre salud. En Latinoamérica la anemia ferripriva afecta a los grupos vulnerables como las embarazadas. Cuba no está exenta de esta carencia nutricional y su prevalencia alcanza el 25 % de las embarazadas. Objetivo: caracterizar la anemia durante la gestación y su relación con posibles factores asociados. Métodos: se realizó un estudio observacional, descriptivo y de corte transversal en 68 gestantes entre 28 y 32 semanas del Policlínico Lidia y Clodomiro, en el período de octubre a noviembre de 2010. Se aplicó una encuesta con datos sociodemográficos, antecedentes obstétricos y del embarazo actual y se determinó la hemoglobina. Resultados: se observó una disminución de los valores medios de hemoglobina entre el primer trimestre (112 g/L y el tercero (108 g/L. También se constató una alta frecuencia de anemia tanto en el primer trimestre (35,3 % como en el tercer trimestre del embarazo (56,0%, con una anemia moderada más alta. La anemia al inicio del embarazo resultó un factor de riesgo (ρ=0,02 de la existencia de anemia al tercer trimestre. Conclusiones: existió una alta frecuencia de anemia, siendo la anemia moderada la más frecuente, tanto en el primer trimestre como en el tercer trimestre de las embarazadas estudiadas. La anemia al inicio del embarazo resultó ser el factor de riesgo más importante encontrado en nuestro estudio a la existencia de anemia en el tercer trimestre, con independencia de otros posibles factores involucrados.

  9. Evaluación del impacto de los multimicronutrientes en polvo sobre la anemia infantil en tres regiones andinas del Perú

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    César V Munayco

    Full Text Available Con el objetivo de determinar el impacto de la administración con multimicronutrientes (MMN en polvo sobre la anemia infantil en tres regiones andinas del Perú, se estableció un sistema de vigilancia centinela en 29 establecimientos de Andahuaylas, Ayacucho y Huancavelica, en niños de 6 a 35 meses de edad, a quienes se les indicó MMN por un periodo de 12 meses, entre el 2009 y 2011. Además de los datos sociodemográficos de los menores y las madres, se determinó los niveles de hemoglobina al inicio y al final del estudio. Entre los menores que culminaron la suplementación, la prevalencia de anemia se redujo de 70,2 a 36,6% (p<0,01, y se evidenció que el 55,0% y el 69,1% de niños con anemia leve y moderada al inicio del estudio, la habían superado al término del mismo. Se concluye que la suplementación con MMN en polvo puede ser una estrategia efectiva en la lucha contra la anemia.

  10. Parasitosis intestinal y anemia en indígenas del resguardo Cañamomo-Lomaprieta, Colombia

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    Jaiberth Antonio Cardona Arias

    2014-07-01

    Full Text Available Introducción: Las parasitosis intestinales son un problema de salud pública; producen deficiencias nutricionales y se asocian a determinantes demográficos y socioeconómicos. Objetivo: Determinar la prevalencia de parasitosis intestinal y anemia y su asociación con determinantes demográficos, socioeconómicos y sanitarios en indígenas. Materiales y Métodos: Estudio observacional analítico transversal con fuente de información primaria. Se estimaron medidas de resumen, pruebas de estadística paramétrica y no paramétrica, proporciones y regresión logística multivariante. Resultados: Prevalencia de anemia del 23% y parasitosis intestinal del 73%. Hubo asociación significativa de la anemia con la parasitosis intestinal y se identificó la forma de eliminación de excretas, el nivel educativo y los ingresos económicos como los principales factores de riesgo para la parasitosis intestinal en el grupo de estudio. Conclusión: Existe una elevada prevalencia de parasitosis intestinal que se asocia con la presencia de anemia y se atribuye a condiciones higiénico-sanitarias de las comunidades del resguardo indígena.

  11. Complejos ventriculares prematuros frecuentes luego de ablación de fibrilación auricular y su relación con el tono autonómico medido por parámetros del Holter

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    Jorge A. Arroyave

    2017-07-01

    Conclusión: La ablación de venas pulmonares en el tratamiento de la fibrilación auricular puede conducir al desarrollo de complejos ventriculares prematuros frecuentes y taquicardia ventricular. El impacto sobre el sistema parasimpático y simpático puede ser un factor que precipite esta condición.

  12. ALEITAMENTO MATERNO DO PREMATURO EM DOMICÍLIO

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    Flávia Corrêa Porto de Abreu; Bruna de Souza Lima Marski; Natália Custódio; Soraya Cirilo Carvalho; Monika Wernet

    2015-01-01

    El presente estudio tuvo como objetivo analizar la experiencia de la madre que amamanta el bebé prematuro durante el primer mes después del alta de la unidad de cuidados intensivos neonatales. Fue adaptado como el marco teórico el Interaccionismo Simbólico y como el marco metodológico la análisis de contenido cualitativo. La entrevista tuvo lugar con nueve madres. Los resultados se muestran a partir de tres categorias: ‘Las relaciones profesionales y la lactancia materna’, ‘particularidades d...

  13. Principios de la bioética en la investigación del surfacén en recién nacidos prematuros

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    Manuel Díaz Álvarez

    1997-12-01

    Full Text Available RESUMEN Se hace un análisis desde el punto de vista de los principios de la bioética, sobre la investigación en la fase III de ensayo clínico de la aplicación del Surfacén para el síndrome de dificultad respiratoria del recién nacido, la cual se llevó a efecto en Cuba. El colectivo de investigadores tuvo que enfrentar una serie de disyuntivas bioéticas que pusieron de manifiesto la integridad de ese colectivo. Se demuestra que los principios de la bioética: beneficiencia, no mal eficiencia, autonomía y justicia, se tuvieron en cuenta en el protocolo de la investigación y durante la ejecución de ésta. Según este análisis, se justifica que se tomara un grupo control histórico, en lugar de un grupo control placebo, para las comparaciones de la utilización del Surfacén y que se optara por el consentimiento parental después de una información verbal por el médico, sin necesidad de utilizar un documento de consentimiento escrito.An analysis was made from the point of view of bioethic principles, on the investigation of a phase III clinical trial regarding the application of Surfacen for the treatment of the respiratory distress syndrome of the newborn in Cuba. The team of investigators had to face a series of bioethic alternatives which evidenced the integrity of the team of workers. It was demonstrated that bioethic principles such as beneficience, efficiency, autonomy, and justice were taken into account to conduct the protocol of the investigation and during the performance of it. According to such analysis, it was justified that a history control group will be taken instead of a placebo control group for the comparison of the utilization of Surfacen. Also the parents' consent will be obtained after a verbal information by the doctor without the need of using a document of informed written consent.

  14. Assistência humanizada ao neonato prematuro e/ou de baixo peso: implantação do Método Mãe Canguru em Hospital Universitário Asistencia humanizada al recién nacido prematuro y/o de bajo peso: implantación del Método Madre Canguro en el Hospital Universitario Humanized assistence to premature and/or low weigh newborn: implantation of Kangaroo-Mother Method at a University Hospital

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    Fabrícia Adriana Mazzo Neves

    2006-09-01

    Full Text Available Relato de experiência de enfermeiros e equipe multiprofissional no processo de implantação do Método Mãe Canguru no Hospital Universitário, da Universidade Estadual de Maringá, Paraná, em 2002, com os objetivos de: humanizar o cuidado ao recém-nascido prematuro e/ou de baixo peso, aprimorando o suporte familiar; promoção de maior nível de satisfação da equipe assistencial. O bebê fica em contato pele a pele com o peito da mãe, pai ou familiar significativo, com benefícios para seu peso, temperatura, afetividade, aleitamento materno, além da provável redução no tempo de internação e risco de infecção. Capacitada pelo Ministério da Saúde, uma equipe passou à implantação e multiplicação do Método; elaborado um Projeto de Extensão institucional, multiprofissional, como organizador e integrador do ensino à assistência. Dificuldades encontradas foram em relação à associação entre tecnologia, relacionamento interpessoal e entre as diversas áreas, cuidado humano e participação familiar.Se trata del relato de experiencia de enfermeros y grupo multiprofesional en el proceso de implantación del Método Madre Canguro en el Hospital Universitario, de la Universidad Estatal de Maringá, Paraná, en el 2002, con los objetivos de: humanizar el cuidado al recién nacido prematuro o bajo peso, mejorando el soporte familiar, promoción de mayor nivel de satisfacción del grupo asistencial. El bebé permanece en contacto piel a piel con el pecho de la madre, padre o familiar significativo, con beneficios para el peso, temperatura, afecto, amamantamiento, además de la probable reducción en el tiempo de internamiento y riesgos de infección. Capacitado por el Ministerio de Salud, un grupo pasó a la implantación y multiplicación del Método; elaborado un Proyecto de Extensión institucional multiprofesional como organizador e integrador de la enseñanza y asistencia. Fueron encontradas dificultades en relación a la

  15. Avaliação materna da dor em recém-nascidos prematuros

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    Maria Carolina Correia dos Santos

    2015-01-01

    Full Text Available Objetivo: identificar la percepción de madres sobre el dolor de hijos prematuros en Unidad de Cuidados Intensivos Neonatales. Métodos: investigación evaluativa, cuantitativa y de investigación con 19 madres de recién nacidos prematuros hospitalizados. Datos obtenidos a partir de preguntas cerradas, llenas por las madres. Resultados: de las participantes, dos (10,5% informaron que recién nacidos son incapaces de sentir dolor. De las 17 madres que dicen que el prematuro siente dolor, la mayoría (94,1% identificó el lloro como característico de sensación de dolor. Once (64,7% declararon que la crisis es un signo de dolor en recién nacido. Conclusión: para el manejo adecuado del dolor neonatal es esencial que las madres conozcan los signos de dolor en recién nacidos prematuros, y que los profesionales de salud las instruya a este reconocimiento, a través de la valoración de la presencia materna y práctica de comunicación efectiva entre profesionales y familia del recién nacido.

  16. Acceso a entrenamiento en técnicas de exploración para diagnosticar retinopatía del prematuro durante el programa de residencia en oftalmología: encuesta nacional

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    María A. Martinez-Castellanos

    2015-01-01

    Conclusiones: Se le ha dado poco énfasis a la enseñanza de las habilidades clínicas para el diagnóstico de RP lo que se traduce en falta de competencia para el manejo de pacientes prematuros. Nuestros hallazgos tienen importantes implicaciones en el desarrollo futuro de la fuerza de trabajo para el diagnóstico de una patología frecuente que es actualmente un problema de salud pública

  17. Dimensionamiento del refuerzo a flexión con laminados de polímeros reforzados con fibras (FRP evitando su desprendimiento prematuro

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    Oller, E.

    2013-12-01

    Full Text Available According to the available experimental research related to structures flexurally strengthened by bonding fiber reinforced polymer (FRP laminates, the laminate debonds in a brittle manner in most tests. This debonding failure usually initiates in the most loaded regions due the effect of intermediate cracks (intermediate crack debonding. From the beginning of this technique, several models have been developed to avoid this premature failure. However, some of them present a significant scatter in relation to the experimental data. This paper presents a comparative analysis of the existing formulations through a database of tests compiled by the authors. Afterwards, a design procedure based on a shear-bending moment interaction diagram related to intermediate crack debonding is presented. This interaction diagram depends on the maximum shear force between crack discontinuities. Finally, the proposed method is compared to the rest of the models obtaining satisfactory results when predicting the failure load.La investigación experimental de elementos de hormigón reforzados a flexión mediante la adhesión de laminados de polímeros reforzados con fibras (FRP muestra que en la mayor parte de ensayos, el laminado se desprende de forma prematura iniciándose normalmente el fallo en las regiones más solicitadas debido al efecto de las fisuras intermedias. Desde los inicios de esta técnica de refuerzo, se han desarrollado modelos para evitar este tipo de rotura, la mayoría de los cuales presentan una dispersión considerable comparando sus resultados con los experimentales. En este artículo se presenta un análisis comparativo de diferentes formulaciones existentes a partir de una base de datos de ensayos recopilada por los autores. Posteriormente, se propone un método de dimensionamiento basado en un diagrama de interacción cortante-flexión asociado al desprendimiento del refuerzo, que depende de la máxima fuerza rasante transmitida entre

  18. Prematuros e prematuros tardios: suas diferenças e o aleitamento materno

    OpenAIRE

    Silva,Waléria Ferreira da; Guedes,Zelita Caldeira Ferreira

    2015-01-01

    Resumo:OBJETIVO:verificar se há diferenças entre recém nascidos prematuros e prematuros tardios no que se refere ao tempo de aleitamento materno e aleitamento materno exclusivo causas e consequências do desmame precoce. Ademais, foi observado o uso de oxigenoterapia e sonda para alimentação, número de sessões de fonoterapia e o tempo de internação.MÉTODOS:pesquisa de campo, de caráter exploratório e longitudinal. Participaram do estudo 82 mães de prematuros. Os dados categóricos foram resumid...

  19. PREVALENCIA DEL VIRUS DE LA ANEMIA INFECCIOSA EQUINA (AIE EN DOS POBLACIONES DE CABALLOS DE TRABAJO DE LOS DEPARTAMENTOS DEL CHOCÓ Y LA GUAJIRA

    Directory of Open Access Journals (Sweden)

    P. Sarmiento

    2005-12-01

    Full Text Available El presente estudio tiene como objetivo fundamental establecer la prevalencia del virus causante de la anemia infecciosa equina (AIE en dos poblaciones diferentes de equinos utilizados para el transporte y carga, establecidas en los departamentos de La Guajira y el Chocó. Se analizaron 123 muestras de sangre de las poblaciones equinas anteriormente mencionadas, utilizando el test de Coggins con el fin de detectar la presencia de anticuerpos específicos para la proteína p26, la cual hace parte de la cápside del virus.

  20. ALEITAMENTO MATERNO DO PREMATURO EM DOMICÍLIO

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    Flávia Corrêa Porto de Abreu

    2015-01-01

    Full Text Available El presente estudio tuvo como objetivo analizar la experiencia de la madre que amamanta el bebé prematuro durante el primer mes después del alta de la unidad de cuidados intensivos neonatales. Fue adaptado como el marco teórico el Interaccionismo Simbólico y como el marco metodológico la análisis de contenido cualitativo. La entrevista tuvo lugar con nueve madres. Los resultados se muestran a partir de tres categorias: ‘Las relaciones profesionales y la lactancia materna’, ‘particularidades de la lactancia materna en prematuros’ y ‘La responsabilidad por alimentación de lo hijos’. Demostrar que la lactancia materna mixto es la forma como las madres alimentan al niño prematuro en el hogar, dada la inseguridad y la duda de la suficiencia de la leche materna. Profesionales de la salud contribuyen a esa comprensión con la necesidad de transformar las prácticas de salud.

  1. Incidence and risk factors of intraventricular hemorrhage in preterm newborns Evaluación de la incidencia y los factores de riesgo para hemorragia intraventricular (HIV en la cohorte de recién nacidos prematuros atendidos en la unidad neonatal del HUSVP, de Medellín, en el período comprendido entre ene. de 1999 y dic. de 2004

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    José William Cornejo Ochoa

    2007-12-01

    Full Text Available Introduction: intraventricular hemorrhage is the main neurological complication of preterm newborns. Its frequency and severity increase as gestational age and weight at birth decrease. Other factors have been described that may influence its incidence. Objective: to determine the incidence of intraventricular hemorrhage at the Neonatal Care Unit of the Hospital Universitario San Vicente de Paúl, in Medellín, Colombia, from 1999 to 2004, and to establish its association with maternal and newborn conditions. Results: an incidence of HIV of 29.8% was found. Cesarean section, labor in a third level attention center and pulmonary maturation were found to be protective factors. On the other hand, the incidence of HIV increased with the following circumstances: vaginal labor, gestational age under 28 weeks, use of surfactant, mechanical ventilation, acidosis, hypercapnia and umbilical catheterism. Conclusions: prenatal programs have to be reinforced in order to avoid preterm labor; high risk pregnant women ought to be opportunely referred to specialized centers; the antenatal use of steroids is to be encouraged and careful management of ventilatory parameters avoiding acidosis is mandatory. La hemorragia intraventricular (HIV es la principal complicación neurológica de los recién nacidos prematuros, cuyas frecuencia y gravedad aumentan con el menor peso al nacer y la menor edad gestacional. Se han encontrado otros factores asociados con el aumento o disminución de su frecuencia. Objetivo: determinar la incidencia de HIV en prematuros atendidos en el Hospital Universitario San Vicente de Paúl (HUSVP, de Medellín, Colombia, entre 1999 y 2004 y establecer su asociación con condiciones de la madre y del recién nacido. Metodología: estudio retrospectivo de los prematuros menores de 32 semanas y por debajo de 1.500 gramos, atendidos en el HUSVP entre 1999 y 2004. Se calculó una muestra de 330 historias clínicas, seleccionadas en forma aleatoria

  2. Caligus rogercresseyi: posible vector en la transmisión horizontal del virus de la anemia infecciosa del salmón (ISAv

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    Karin Oelckers

    2015-05-01

    Full Text Available Chile el año 2007 se convirtió en el segundo país productor de salmónidos a nivel mundial. Al año siguiente la industria salmonera nacional comenzó a experimentar una severa crisis sanitaria producida por el virus causante de la anemia infecciosa del salmón. Este virus se presentó por primera vez en Noruega (1984, luego en Canadá, Escocia, Islas Faroe, Estados Unidos y Chile (2007. La anemia infecciosa del salmón (ISA, es una enfermedad altamente contagiosa entre los peces, producida por un virus de la familia Orthomyxoviridae. La especie más vulnerable a este virus es el salmón del Atlántico (Salmo salar. La plaga parasitaria producida por el piojo de mar, Caligus rogercresseyi, copépodo ectoparásito, ha ido en aumento lo que favorece el contagio de enfermedades bacterianas y virales. De todas las especies cultivadas en Chile, el salmón del Atlántico, S. salar es una de las especies más susceptibles de ser infestadas por C. rogercresseyi. Durante el 2006, la industria presentó un aumento significativo en las tasas de infestación por Caligus; luego en el 2007, aparecieron brotes del virus ISA. En Noruega, se ha demostrado que el piojo de mar, Lepeophtherius salmonis puede tener un rol como vector en la transmisión del virus ISA, por lo que el objetivo de este trabajo fue determinar si C. rogercresseyi es un vector de transmisión del virus ISA en el salmón del Atlántico, cultivado en el sur de Chile.

  3. Caracterización epidemiológica de la retinopatía del prematuro en el Hospital de la Amistad Corea-México. Período 2005 a 2014

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    L.M. Cauich-Aragón

    2017-03-01

    Conclusiones: La prevalencia acumulada de ROP severa fue de 20.2%, semejante a la de otros países de Latinoamérica. La prevalencia elevada desde 2005 hasta 2009 es explicada por la evaluación de prematuros externos manejados en instituciones sin tamizaje para ROP y referidos solo para su evaluación oftalmológica. Detectamos un descenso en la prevalencia a partir de 2010, que incluyó únicamente pacientes tratados en nuestra institución. De 2011 a 2014 no se reportaron niños con ceguera por ROP.

  4. Seguimiento del desarrollo psicomotor de prematuros extremos mediante la Escala de Desarrollo Infantil de Kent (EDIK) cumplimentada por los padres y situación neuroevolutiva a los 2 y 5 años.

    OpenAIRE

    Alcover Bloch, Elena

    2010-01-01

    DE LA TESISLos prematuros extremos precisan un seguimiento detallado en el cual puede ser útil integrar a los padres mediante la cumplimentación de un cuestionario (escala de desarrollo infantil de Kent: EDIK). La EDIK valora el desarrollo psicomotor hasta los 15 meses, mediante 252 items repartidos en 5 áreas (cognitiva, lenguaje, autonomía, social y motora), que los padres contestan si han observado o no realizar a su hijo/a. La puntuación total es el número de comportamientos observados, y...

  5. La Mentalización como estrategia para promover la Salud Mental en bebés prematuros

    OpenAIRE

    Ana María Mesa; Ana Cristina Gómez

    2010-01-01

    En el presente trabajo pretendemos mostrar la importancia de la intervención con madres de bebés prematuros, como estrategia de promoción y prevención en salud mental. Sugerimos que la mentalización puede ser una forma de ayudar a las madres a pensar y a contener la experiencia emocional del bebé, y a reconocer la interacción de sus mentes. Primero, nos centramos en la problemática de los bebés prematuros y sus madres en las Unidades de Cuidado Intensivo Neonatal UCIN, porque las condiciones ...

  6. Síndrome apneico en el recién nacido prematuro

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    Solari B. Francesca, Dra.

    2013-05-01

    Full Text Available La apena del prematuro es un importante problema clínico, manifestado por un ritmo respiratorio inestable, reflejo de una inmadurez de los sistemas de control respiratorio. Esta revisión aborda definiciones, patogénesis y alternativas terapéuticas. Aún están en estudio y/o no son bien conocidos, los mecanismos neuronales que provocan apnea en el prematuro. En la reciente década, se ha conocido mejor la generación del ritmo respiratorio y su modulación en el neonato. Estos episodios de pérdida de respiración efectiva pueden conducir a cuadros de hipoxemia y bradicardia, que pueden ser lo suficientemente severos como para necesitar resucitación y el uso de ventilación asistida. La cafeína sigue siendo el principal tratamiento farmacológico. La Apnea del prematuro se resuelve típicamente con la maduración.

  7. PREVENCIÓN PRENATAL DE DAÑO NEUROLÓGICO EN PREMATURO EXTREMO

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    Dra. Lorena Quiroz

    2016-07-01

    Full Text Available La prevención del parto prematuro es uno de los desafíos de la obstetricia en el siglo XXI. Los prematuros tienen riesgo de morbimortalidad perinatal, sobre todos los nacidos antes de las 30 semanas, tienen mayor riesgo de lesiones neurológicas generalmente secundarias a isquemia o infección intrauterina ascendente. Existen estrategias para prevenir el daño neurológico fetal en el trabajo de parto prematuro. La administración de sulfato de magnesio endovenoso reduce en forma significativa la probabilidad de desarrollar parálisis cerebral y disfunciones motoras. También se ha mostrado la utilidad del pinzamiento tardío del cordón umbilical y la administración antenatal y postnatal de N-acetilcisteína. En estudios animales se ha observado un potencial efecto neuroprotector de stem cells mesenquimáticas, estradiol y progesterona, melatonina y creatina.

  8. PREVALENCIA DEL VIRUS DE LA ANEMIA INFECCIOSA EQUINA (AIE) EN DOS POBLACIONES DE CABALLOS DE TRABAJO DE LOS DEPARTAMENTOS DEL CHOCÓ Y LA GUAJIRA

    OpenAIRE

    P. Sarmiento; M. Quijano-Pinzón

    2005-01-01

    El presente estudio tiene como objetivo fundamental establecer la prevalencia del virus causante de la anemia infecciosa equina (AIE) en dos poblaciones diferentes de equinos utilizados para el transporte y carga, establecidas en los departamentos de La Guajira y el Chocó. Se analizaron 123 muestras de sangre de las poblaciones equinas anteriormente mencionadas, utilizando el test de Coggins con el fin de detectar la presencia de anticuerpos específicos para la proteína p26, la cual hace part...

  9. PREVALENCIA DEL VIRUS DE LA ANEMIA INFECCIOSA EQUINA (AIE) EN DOS POBLACIONES DE CABALLOS DE TRABAJO DE LOS DEPARTAMENTOS DEL CHOCÓ Y LA GUAJIRA

    OpenAIRE

    Sarmiento, P.; Departamento de Biología Facultad de Ciencias Pontificia Universidad Javeriana, Bogotá; Quijano Pinzón, M.; Departamento de Biología Facultad de Ciencias Pontificia Universidad Javeriana, Bogotá

    2005-01-01

    El presente estudio tiene como objetivo fundamental establecer la prevalencia del virus causante de la anemia infecciosa equina (AIE) en dos poblaciones diferentes de equinos utilizados para el transporte y carga, establecidas en los departamentos de La Guajira y el Chocó. Se analizaron 123 muestras de sangre de las poblaciones equinas anteriormente mencionadas, utilizando el test de Coggins con el fin de detectarla presencia de anticuerpos específicos para la proteína p26, la cual hace parte...

  10. Factores de riesgo para mortalidad en prematuros de 800 a 1.000 gramos, Hospital General de Medellín, Junio 1999- diciembre 2001

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    Juan Manuel Alfaro Velásquez

    2001-04-01

    Full Text Available

    Los recién nacidos prematuros y aquellos con bajo peso al nacer tienen mayor riesgo de mortalidad. Son de bajo peso si son menores de 2.500 gramos y de extremado bajo peso si son menores de 1.000 gramos. De acuerdo con la edad gestacional, es prematuro el recién nacido menor de 37 semanas y prematuro extremo el que tiene menos de 31 semanas. Los prematuros extremos generalmente pesan entre 800 y 1.200 gramos, y sus principales causas de muerte son: enfermedad de membrana hialina, infecciones, hipotermia, enterocolitis necrosante y trastornos metabólicos. Los factores de riesgo para un nacimiento prematuro y de bajo peso al nacer se relacionan con el matroambiente (cantidad de controles prenatales,
    escasez de nutrientes, enfermedades e infecciones maternas y drogadicción, el microambiente (anomalías uterinas, del cordón umbilical y del líquido amniótico, hemorragia del tercer trimestre y enfermedades fetales, el macroambiente (bajas condiciones socioeconómicas y el ambiente hospitalario (procedimientos
    invasivos e infección nosocomial.
    Estos neonatos tienen un pronóstico pobre: existe alta mortalidad
    neonatal, mayor morbimortalidad durante los dos primeros años de vida y minusvalía severa en algunos sobrevivientes.

     

     

  11. Evaluación de anemia ferropénica en la primera infancia del Municipio de Sonsón-Antioquia, 2007

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    Tulia Isabel Castillo Salgado

    2014-12-01

    Full Text Available Objetivo: Determinar la prevalencia de anemia por deficiencia de hierro en niños de la primera infancia del municipio de Sonsón – Antioquia, en el año 2007. Metodología: Se realizó un estudio descriptivo transversal en 391 niños de 0 a 84 meses de edad del Municipio de Sonsón, Antioquia. Se estudiaron los parámetros de hemoglobina y ferritina sérica utilizando puntos de corte de la Organización Mundial de la Salud (OMS. Se calcularon las medidas de frecuencia y de resumen y los intervalos de confianza para proporciones y las pruebas de estadística paramétrica y no paramétrica. Resultados: La prevalencia de anemia ferropénica fue de 4,3% y la media de ferritina sérica y de hemoglobina para la población del estudio fue de 29,9 ng/mL y 12,6 g/dL respectivamente. Adicionalmente se halló significancia estadística de la prevalencia de anemia ferropénica por grupo de edad (p<0,0001; pero no se encontró significancia estadística de la  prevalencia de anemia con el sexo (p= 1,0000.  Conclusión: La prevalencia de anemia ferropénica en los niños de la primera infancia del Municipio de Sonsón fue baja de acuerdo con los parámetros de hemoglobina y ferritina sérica establecidos por la OMS, hay variación de la anemia ferropénica por grupo de edad pero no por sexo.

  12. Metaanálisis: efecto de las intervenciones para disminuir el nivel de estrés en padres de prematuros

    OpenAIRE

    Beatriz Villamizar-Carvajal; Carolina Vargas-Porras; Olga Rocío Gómez-Ortega

    2016-01-01

    Introducción: el nacimiento prematuro de un bebé genera estrés en los padres, por el riesgo de aumento en la morbimortalidad que esto conlleva. Existen intervenciones que disminuyen el nivel de estrés en los padres beneficiando a su vez el neurodesarrollo del recién nacido. Objetivo: categorizar los principales componentes de los programas de intervención temprana y determinar el efecto de estas intervenciones en la disminución del nivel de estrés en padres de prematuros hospitalizados. Métod...

  13. XIV Conferencia : Anemias

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    Raúl Paredes Manrique

    1958-05-01

    Full Text Available La anemia es la disminución por debajo de lo normal de la Hb. o del número de globulos rojos o del hematocrito, pero es difícil encontrar un cuadro clínico que corresponda a la realidad de la anemia en el cual no estén descendidos los tres elementos.

  14. Evaluación del hierro endovenoso como terapéutica de la anemia ferropénica moderada/severa

    OpenAIRE

    Larregina, Norma Alejandra

    2013-01-01

    La anemia ferropénica es una de las enfermedades carenciales más frecuentes a nivel mundial, con un alto impacto en la calidad de vida de la población. El objetivo principal de esta tesis fue evaluar las relaciones beneficio/riesgo y costo/efectividad de la administración de hierro endovenoso en adultos con diagnóstico de anemia ferropénica atendidos en un hospital público. Como objetivos secundarios nos planteamos evaluar la efectividad del tratamiento con hierro endovenoso frente a la medic...

  15. Iron deficiency anemia in Tarahumara women of reproductive-age in Northern Mexico Anemia ferropriva en mujeres tarahumaras, en edad fértil, del norte de México

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    Joel Monárrez-Espino

    2001-10-01

    Full Text Available Objective. To determine the prevalence of iron deficiency anemia (IDA among Tarahumara women of reproductive age. Material and Methods. A cross-sectional survey was conducted in a representative sample of 481 women aged 12-49 years, residents of Guachochi Municipality, Chihuahua, from June to September 1998. The hemoglobin (Hb level was measured in capillary blood using the Hemocue technique, and the serum ferritin level in capillary serum spotted on filter paper, in a sub-sample of women. Central tendency and dispersion measures were estimated; the Chisquared test was used to test differences in proportions and ANOVA and Bonferroni's test for differences in means. Results. Prevalence of anemia (mean Hb±S.D. was 16.1% (140±16 g/l and 25.7% (129±12 g/l for non-pregnant and pregnant women, respectively. Pregnant women in the 3rd trimester and those who were breast-feeding their children during the first 6 months after delivery had the highest prevalence of anemia (38.5% and 42.9%, respectively. Iron deficiency was responsible for most of the anemia found in this sample. Conclusions. This study provides relevant information for the development of intervention programs to treat and prevent IDA in this ethnic group. The English version of this paper is available too at: http://www.insp.mx/salud/index.htmlObjetivo. Determinar la prevalencia de anemia ferropriva en mujeres tarahumaras de edad fértil. Material y métodos. Se realizó un estudio transversal en una muestra representativa de 481 mujeres, de edades entre 12 a 49 años, residentes del municipio de Guachochi, Chihuahua, de junio a septiembre de 1998. El nivel de hemoglobina (Hb se midió en sangre capilar mediante la técnica del Hemocue, además, en un subgrupo se midió el nivel de ferritina en suero capilar sobre papel filtro. Se obtuvieron medidas de tendencia central y de dispersión, se hicieron pruebas de ji cuadrada para diferencias de proporciones, además de ANOVA y prueba de

  16. Hemolytic Anemia

    Science.gov (United States)

    ... lead to hemolytic anemia in a fetus or newborn. Signs, Symptoms, and Complications The signs and symptoms of hemolytic anemia will depend on the type and severity of the disease. People who have mild hemolytic anemia often have ...

  17. Hemolytic anemia

    Science.gov (United States)

    Anemia - hemolytic ... bones that helps form all blood cells. Hemolytic anemia occurs when the bone marrow isn't making ... destroyed. There are several possible causes of hemolytic anemia. Red blood cells may be destroyed due to: ...

  18. Frequency of Fanconi anemia in Brazil and efficacy of screening for the FANCA 3788-3790del mutation

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    N. Magdalena

    2005-05-01

    Full Text Available Fanconi anemia (FA is an autosomal recessive genetic disease characterized by progressive bone marrow failure, susceptibility to cancer and multiple congenital anomalies. There is important clinical variability among patients and the knowledge of factors which might predict outcome would greatly help the decision making regarding the choices of treatment and the appropriate time to start it. Future studies of the possible correlation between specific mutations with specific clinical presentations will provide the answer to one of these factors. At our Center we standardized a rapid and precise screening test using a mismatch PCR assay for a specific mutation (3788-3790del in exon 38 of gene FANCA in Brazilian FA patients. We present the results obtained after screening 80 non-consanguineous FA patients referred from all regions of Brazil with a clinical diagnosis of FA supported by cellular hypersensitivity to diepoxybutane. We were able to detect the 3788-3790del allele in 24 of the 80 (30% FA patients studied. Thirteen of the 80 (16.25% were homozygotes and 11 of the 80 (13.75% were compound heterozygotes, thus confirming the high frequency of the FANCA 3788-3790del mutation in Brazilian FA patients. The identification of patients with specific mutations in the FA genes may lead to a better clinical description of this condition, also providing data for genotype-phenotype correlations, to a better understanding of the interaction of this specific mutation with other mutations in compound heterozygote patients, and ultimately to the right choices of treatment for each patient with improvement of the prognosis on future studies.

  19. Diagnosis of iron deficiency anemia in children of Northeast Brazil Diagnóstico de anemia por deficiencia de hierro en niños del Noreste de Brasil Diagnóstico de anemia por deficiência de ferro em crianças do Nordeste do Brasil

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    Antonio Geraldo Cidrão Carvalho

    2010-06-01

    Full Text Available OBJECTIVE: To diagnose iron deficiency anemia in children. METHODS: The study was conducted with a sample of 301 children aged six to 30 months attending public daycare centers in the city of Recife, Northeast Brazil, in 2004. The diagnoses of anemia were based on a combination of different hematological and biochemical parameters: hemoglobin, mean corpuscular volume, ferritin, C-reactive protein, transferrin saturation and transferrin receptor. The chi-square test and ANOVA were used in the statistical analysis. RESULTS: Of all children studied, 92.4% had anemia (Hb OBJETIVO: Diagnosticar anemia por deficiencia de hierro en niños. MÉTODOS: El estudio fue desarrollado con una muestra de 301 niños con edades entre seis y 30 meses, usuarios de guarderías públicas de Recife, Noreste de Brasil, en 2004. Para el diagnóstico de la anemia se utilizó la combinación de diferentes parámetros hematológicos y bioquímicos: hemoglobina, volumen corpuscular promedio, ferritina, proteína C-reactiva, saturación de la transferrina y receptor de la transferrina. Para el análisis estadístico se empleó la prueba de chi-cuadrado y ANOVA. RESULTADOS: Del total de niños, 92,4% tenían anemia (HbOBJETIVO: Diagnosticar anemia por deficiência de ferro em crianças. MÉTODOS: O estudo foi desenvolvido com uma amostra de 301 crianças com idade entre seis e 30 meses, usuárias de creches públicas de Recife, PE, em 2004. Para o diagnóstico da anemia utilizou-se a combinação de diferentes parâmetros hematológicos e bioquímicos: hemoglobina, volume corpuscular médio, ferritina, proteína C-reativa, saturação da transferrina e receptor da transferrina. Para a análise estatística empregou-se o teste do qui-quadrado e ANOVA. RESULTADOS: Do total de crianças, 92,4% tinha anemia (Hb < 110g/L e 28,9% apresentou anemia moderada/grave (Hb<90g/L. Níveis mais baixos de hemoglobina foram observados em crianças de seis a 17 meses. Encontrou-se defici

  20. O advento das incubadoras e os cuidados de enfermagem aos prematuros na primeira metade do século XX

    OpenAIRE

    Oliveira,Isabel Cristina dos Santos

    2004-01-01

    El estudio de abordaje histórica que tuve como objetivos describir los diferentes tipos de incubadoras existentes hasta la primera mitad del siglo XX y relacionar los cuidados de enfermería a los prematuros en cuanto al uso de las incubadoras. Las fuentes primarias son dos artículos existentes en la Biblioteca Nacional y tres artículos de la Revista Brasileña de Enfermería de las décadas del 40 y del 50; y las fuentes secundarias son libros y artículos de periódicos nacionais e in...

  1. Dificuldades maternas no processo de aleitamento materno de prematuros em uma UTI neonatal Las dificultades maternas en el proceso de amamantamiento materno de prematuros en una UTI neonato Mother's difficulties in breastfeeding premature babies in the neonatal ICU

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    Sueli Olívia Andreo Serra

    2004-08-01

    Full Text Available O estudo objetivou descrever a assistência e as dificuldades maternas no processo do aleitamento materno de prematuros assistidos em uma unidade de terapia intensiva neonatal (UTIN. Para tal, recorreu-se à abordagem qualitativa, obtendo-se os dados através da entrevista estruturada, gravada com cinco mães de bebês prematuros, com peso inferior a 2000g, assistidos no hospital universitário de Cuiabá-MT. Como resultados encontrou-se cinco subtemas: mantendo a produção láctea materna através da ordenha, enfrentando desconforto durante permanência na UTIN, convivendo com as condutas médicas alimentares para prematuros, enfrentando a fragilidade do prematuro e o ambiente da UTIN e precisando de apoio logístico para amamentar. Constatou-se a escassez de intervenções sistematizadas dirigidas ao incentivo do aleitamento materno, durante a hospitalização materna e do prematuro, sendo necessária a capacitação dos profissionais do hospital e a implantação de protocolo de intervenção, contemplando as necessidades e vivências maternas e a articulação das ações intra-hospitalares e interinstitucionais.La finalidad del estudio fue describir la asistencia y las dificultades maternas en el proceso de amamantamiento de prematuros. Para tal, recorrimos al abordaje cualitativo, realizada a través de la entrevista estructurada, grabada con cinco madres de ninõs prematuros con peso inferior a 2000 granos acompanãdos en la UTIN en Cuiabá-MT, Brasil. Como resultados verificamos cinco subtemas: mantener la producción de leche materna mediante ordeña, enfrentarse con desconforto durante la estadía en la UTIN, vivir con procedimientos médicos de alimentación para prematuros, enfrentarse con la fragilidad del prematuro y la UTIN y necesitar apoyo logístico para el amamantamiento. Fue observada una falta de intervenciones sistemáticas para estimular el amamantamiento durante la estadía de las madres y sus niños en el hospital. Es

  2. Anemia carencial y SIDA

    Directory of Open Access Journals (Sweden)

    Oscar Ruiz

    2003-12-01

    Full Text Available OBJETIVOS: Determinar el tipo mas frecuente de anemia en pacientes con SIDA y el grado de severidad de la anemia. MATERIAL Y MÉTODOS: Se estudió 100 pacientes, entre 18 y 60 años, infectados por virus de inmunodeficiencia humana (VIH en estadio SIDA, de Lima Metropolitana y el Callao, desde enero a diciembre 2001. Se realizó hemograma, mielograma, dosaje sérico de hierro, saturación de transferrina, ferritina, folato y vitamina B12. Las muestras fueron procesadas en el Departamento de Patología Clínica del Hospital Nacional Dos de Mayo. RESULTADOS: De los 100 pacientes, 60% presentaron anemia severa, 30% moderada y 10% leve. La tipificación del cuadro anémico fue carencial en 70% y por enfermedad crónica en 30%. En el caso de anemia carencial, 25% fue ferropénica, 30% carencial mixta (ferropénica y megaloblástica y 15% megaloblástica. De los casos con componente megaloblástico, 30 pacientes tuvieron deficiencia de folatos y 15 carencia de vitamina B12. CONCLUSIONES: La anemia prevalente fue la del tipo carencial. El grado de anemia predominante fue el severo.

  3. Pesquisaje y dilema del asesoramiento genético en parejas de riesgo de anemia a hematíes falciformes Screening and dilemma of the genetic counselling in couples at risk for sickle cell anemia

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    Mabel Domínguez Mena

    2005-04-01

    Full Text Available Se realizó un estudio descriptivo en la Consulta de Desarrollo de la Ginecología del municipio La Lisa, en el período comprendido de enero de 1999 hasta diciembre de 2003. La muestra la conformaron 338 embarazadas portadoras de anemia a hematíes falciformes, a las que se les brindó asesoramiento genético que incluyó la repetición del estudio de electroforesis de hemoglobina y la realización al esposo. Los datos fueron procesados en el cálculo porcentual. Se detectaron 28parejas de riesgo (7,4 %, de las cuales 21 (75, 0 % optaron por el diagnóstico prenatal de hemoglobina fetal. Se encontraron 4 fetos con anemia a hematíes falciformes (19 % y 9 portadores (42,8 %. No se realizaron diagnóstico prenatal 7 pacientes (25 %, de ellas 5 (71,4 % por edad gestacional avanzada y 2 (28, 5 % por negarse a la realización del proceder médico. El asesoramiento genético fue no directivo, respetando las decisiones personales, confiabilidad, explicando la relación riesgo/beneficio, y obteniendo en todos los casos el consentimiento informado para el diagnóstico prenatal.A descriptive study was undertaken at the Office of Genetics Development of La Lisa municipality from January 1999 to December 2003. The sample was composed of 338 pregnant women carriers of sickle cell anemia that received genetical counselling, which included the conduction of hemoglobin electrophoresis in the expectants and their husbands. The data were processed by percentage calculation. 28 risk couples were detected (7.2 %, of which 21 (75 % chose the prenatal diagnosis of fetal hemoglobin. 4 fetoes with sickle cell anemia (19 % and 9 carriers (42.8 % were found. 7 patients did not have prenatal diganosis (25 %, 5 of them (71.4 % due to advanced gestational age and 2 (28.5 % for rejecting to do so. The genetical counselling was not directive. The personal decisions were respected and reliability was guaranteed. The risk/benefit relation was explained and in all cases the

  4. Madres descubriendo el amor incondicional en el proceso adaptativo de hospitalización de su bebé prematuro

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    Beatriz Villamizar Carvajal

    2014-11-01

    Full Text Available Introducción: El nacimiento prematuro tiene un impacto social y emocional para la familia, por lo tanto, enfermería tiene el reto de indagar y profundizar sobre las diversas experiencias; para proponer intervenciones que favorezcan el desempeño del rol materno. Objetivo: Describir los resultados de un metaestudio sobre la adquisición del rol materno de la madre con un recién nacido prematuro hospitalizado. Materiales y Métodos: El metaestudio, involucra 3 fases analíticas: análisis metadatos, meta-método, meta-teoría, consideradas a la luz del contexto histórico, sociocultural y disciplinar. La búsqueda se realizó en: CINAHL, Medline, PsycINFO, Dissertation Abstracts. Resultados: Se incluyeron 26 investigaciones de 13 países publicadas en inglés, portugués y español (durante los años 2001-2013. Las expresiones categóricas que emergen de estas investigaciones, son: pérdida de autocontrol; experimentando dolor; buscando significado a los eventos; adaptándose a la situación; adquiriendo el rol materno y descubriendo el amor incondicional. Discusión: El metaestudio permitió el análisis crítico de la información, orientando la investigación dentro de un contexto de patrones sistemáticos, con la construcción de una alternativa de cambio del enfoque tradicional de pérdida y sufrimiento al del redescubrimiento desde la visión positiva y transformativa. Conclusiones: Reconocer la carga emocional de las madres de recién nacido prematuro obliga al equipo de salud a intervenir e idear estrategias de apoyo, para hacer menos doloroso el proceso de hospitalización de sus hijos.  Por ello el cuidado humanizado en la unidad neonatal, debe centrar sus acciones en un cuidado individual, singular, en la integralidad y respeto por la vida.Palabras clave: Maternidad, Recién Nacido Prematuro, Enfermería Neonatal. (Fuente: DeCs BIREME.Cómo citar este artículo: Villamizar B, Vargas C, Rueda E. Madres descubriendo el amor

  5. Unusual Anemias.

    Science.gov (United States)

    Daughety, Molly Maddock; DeLoughery, Thomas G

    2017-03-01

    Many processes lead to anemia. This review covers anemias that are less commonly encountered in the United States. These anemias include hemoglobin defects like thalassemia, bone marrow failure syndromes like aplastic anemia and pure red cell aplasia, and hemolytic processes such as paroxysmal nocturnal hemoglobinuria. The pathogenesis, diagnostic workup, and treatment of these rare anemias are reviewed. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. La Mentalización como estrategia para promover la Salud Mental en bebés prematuros

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    Ana María Mesa

    2010-01-01

    Full Text Available En el presente trabajo pretendemos mostrar la importancia de la intervención con madres de bebés prematuros, como estrategia de promoción y prevención en salud mental. Sugerimos que la mentalización puede ser una forma de ayudar a las madres a pensar y a contener la experiencia emocional del bebé, y a reconocer la interacción de sus mentes. Primero, nos centramos en la problemática de los bebés prematuros y sus madres en las Unidades de Cuidado Intensivo Neonatal UCIN, porque las condiciones adversas hacen de ellos una población de alto riesgo y vulnerabilidad a nivel de salud mental. Luego mostramos la importancia de los conceptos de vínculo afectivo, apego y mentalización, y sus posibles consecuencias en el desarrollo del niño o niña. Posteriormente presentamos los objetivos y destacamos los principios que deben guiar un programa que busca favorecer el desarrollo de una adecuada capacidad reflexiva o mentalización en madres de bebés prematuros.

  7. La Mentalización como estrategia para promover la Salud Mental en bebés prematuros

    Directory of Open Access Journals (Sweden)

    Ana María Mesa

    2010-10-01

    Full Text Available En el presente trabajo pretendemos mostrar la importancia de la intervención con madres de bebés prematuros, como estrategia de promoción y prevención en salud mental. Sugerimos que la mentalización puede ser una forma de ayudar a las madres a pensar y a contener la experiencia emocional del bebé, y a reconocer la interacción de sus mentes. Primero, nos centramos en la problemática de los bebés prematuros y sus madres en las Unidades de Cuidado Intensivo Neonatal UCIN, porque las condiciones adversas hacen de ellos una población de alto riesgo y vulnerabilidad a nivel de salud mental. Luego mostramos la importancia de los conceptos de vínculo afectivo, apego y mentalización, y sus posibles consecuencias en el desarrollo del niño o niña. Posteriormente presentamos los objetivos y destacamos los principios que deben guiar un programa que busca favorecer el desarrollo de una adecuada capacidad refexiva o mentalización en madres de bebés prematuros.

  8. Escala de riesgo Aristóteles como factor predictor de mortalidad en el cierre quirúrgico de persistencia de ductus arterioso en prematuros

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    Antonio Jimenez-Aceituna

    2017-07-01

    Conclusiones: La mortalidad asociada al cierre quirúrgico del ductus persistente depende más del estado de prematuridad que de la cirugía, siendo la escala Aristóteles el factor más útil para determinar el grado de prematuridad y predecir la mortalidad hospitalaria. Los prematuros con 15 o más puntos en esta escala tuvieron una mayor mortalidad, para los que se propone un manejo conservador.

  9. Factores de riesgo de la anemia ferropénica en lactantes del policlínico “Dr. Gustavo Aldereguía Lima”

    OpenAIRE

    Eldir Diéguez Velázquez; Emilio Diéguez Comendador; Arley Fajardo Ochoa; Mariela González Acosta

    2015-01-01

    La incidencia de lactantes con anemia ferropénica, a pesar de existir un programa de prevención de esta anemia en estas edades, sobre todo en el área de salud del policlínico “Dr. Gustavo Aldereguía Lima”, ha sido la motivación de un estudio, con el objetivo de determinar los factores de riesgo que guardan asociación causal con esta problemática. La investigación se llevó a cabo durante el período de enero de 2010 a junio de 2012; analítica de casos y controles. El grupo de enfermos estuvo fo...

  10. Magnitude, tendência temporal e fatores associados à anemia em crianças do Estado da Paraíba Magnitud, tendencia temporal y factores asociados a la anemia en niños del Estado de Paraíba Magnitude, time trends and factors associate with anemia in children in the state of Paraíba, Brazil

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    Sheila Sherezaide Rocha Gondim

    2012-08-01

    Full Text Available OBJETIVO: Estimar a prevalência da anemia em crianças, sua tendência temporal e identificar fatores associados. MÉTODOS: Estudo de corte transversal, de base populacional, envolvendo 1.108 crianças, com idade entre seis e 59 meses, de ambos os sexos, do Estado da Paraíba, em 2007. A hemoglobina foi analisada em sangue venoso com contador automático. Foram considerados para anemia valores OBJETIVO: Estimar la prevalencia de la anemia en niños, su tendencia temporal e identificar factores asociados. MÉTODOS: Estudio de corte transversal, de base poblacional, involucrando 1.108 niños, con edad entre 6 a 59 meses, de ambos sexos, del Estado de Paraíba, en 2007. La hemoglobina fue analizada en sangre venosa con contador automático. Se consideraron para anemia valores OBJECTIVE: To estimate the magnitude of the anemia, to analyze the time trends and investigate the factors associated with this disturbance in children in the state of Paraíba, Brazil. METHODS: A cross-sectional survey, of population-based, with 1108 children, aged 6 to 59 months, both sexes in the state of Paraíba. Hemoglobin (Hb in venous blood was analyzed with an automatic counter. The social-economic and demographic characteristics of children were obtained by questionnaire. Proportions were compared by Pearson's chi-squared test, and the association between hemoglobin concentrations and potential risk factors was tested by regression model Poisson. The time trend of anemia was assessed by the increase/decreased in the prevalence of anemia, using as comparison the prevalence observed in the years 1982, 1992 and 2007. RESULTS: The prevalence of anemia (Hb < 11.0 g/dl in the state of Paraíba was 36.5% (CI95% 33.7 to 39.3. It was observed that 1.3% (CI95% 0.7 to 1.8 were in severe form (Hb <7.0 g/dl, 11% (CI95% 9.4 to 13.5 in a moderate form and 87.6% (CI95% 79.1 to 91.2 in the mild form. There was an increase 88.5% in cases of anemia between the years 1982-1992 and

  11. La evaluación de políticas públicas en el nivel estratégico: sistema general de becas, abandono escolar prematuro y mejora del capital humano

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    Mª Luisa Merino Cuesta

    2011-05-01

    Full Text Available Este artículo tiene como objetivo contribuir al conocimiento de la evaluación de las políticas públicas en el nivel macro a través de un encargo de evaluación del campo educativo encomendado a la Agencia de Evaluación de Políticas Públicas y Calidad de los Servicios (AEVAL, cuyo informe está disponible en su página web. El trabajo examina las peculiaridades que tiene la evaluación en el nivel estratégico y en el operativo de gobierno, y expone la dificultad de evaluar grandes conglomerados. Las lecciones aprendidas se exponen a través de la concepción que tiene la Agencia del propio proceso evaluador: análisis del encargo, planificación, implementación y resultados

  12. Efectos del parto prematuro y retraso en el crecimiento fetal sobre los factores de riesgo cardiovascular durante el curso de la vida entre niños y adolescentes de escuelas oficiales de Bogotá, Colombia: Estudio FUPRECOL

    OpenAIRE

    Becerra Narváez, Ibelice Rocio

    2017-01-01

    Antecedentes. Tanto la restricción del crecimiento fetal y el parto pretérmino han sido asociados con el riesgo cardiometabólico en jóvenes y adultos. Sin embargo, sus efectos combinados sobre la salud cardiometabólica en niños y jóvenes son escasos. Objetivos. Este estudio tuvo como objetivo evaluar los efectos del peso al nacer y la edad gestacional combinados sobre los factores de riesgo cardiovascular durante el curso de la vida y la obesidad entre niños y jóvenes de edad escolar de C...

  13. Unidad de Cuidados Intensivos Neonatales: Morbimortalidad en Recién Nacidos Prematuros Unidad de Cuidados Intensivos Neonatales: Morbimortalidad en Recién Nacidos Prematuros

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    María Guadalupe Martínez León

    2012-02-01

    Full Text Available Objetivo: Conocer la morbimortalidad de los recién nacidos prematuros en la Unidad de Cuidados Intensivos Neonatales (UCIN del Hospital Materno Infantil del 01/01/05 al 01/01/06. Métodos: Revisión de casos, estudio retrospectivo, transversal y descriptivo. Mediante estadística descriptiva se analizó: edad gestacional, peso, diagnóstico de ingreso, tratamiento ventilatorio, días de estancia, complicaciones, motivo de egreso y causas de muerte. Resultados: En el período referido ingresaron 428 recién nacidos, de los cuales 96(22,4 % fueron prematuros, 10, 3/1 000 nacidos vivos. Su estancia promedio fue 16 días y 79,1 % requirió apoyo ventilatorio. En promedio la edad gestacional fue 32,7 semanas y el peso 1 750 g. La mayoría ingresó por síndrome de dificultad respiratoria (SDR (51,0 % y sepsis (26 %. El 55,2 % presentó peso bajo al nacimiento, el 26 % se complicó con sepsis y se observó un 23,9 % de mortalidad principalmente debida a SDR (14,58 % y a sepsis (11,4 %. Conclusiones: El SDR es la principal causa de ingreso y de muerte y Sepsis la segunda. Más de a mitad de los pacientes prematuros presentó bajo peso al nacimiento.Objective: To analyze morbidity and mortality of premature newborns in the Neonatal Intensive Care Unit (NICU of the Hospital Materno Infantil from 01/01/05 to 01/01/06. Methods: Retrospective, cross sectional cases review. By descriptive statistical methods we evaluated: gestational age, birth weight, admission diagnosis, ventilatory treatment, hospitalization length, complications, discharge diagnosis and death causes. Results: In the referred period 428 newborns were admitted, 96 (22,4 % of them were premature (10,3/1 000 live newborns, their hospitalization length averaged 16 days and 79,1 % required ventilatory assistance. The average gestational age was 32,7 weeks and the average birth weight was 1 750 g. Most of them were admitted because of respiratory difficulty syndrome (DRS (51,0 % and sepsis (26

  14. Aplastic Anemia

    Science.gov (United States)

    Aplastic anemia is a rare but serious blood disorder. If you have it, your bone marrow doesn't make ... blood cells. There are different types, including Fanconi anemia. Causes include Toxic substances, such as pesticides, arsenic, ...

  15. Alta hospitalar e o cuidado do recém-nascido prematuro no domicílio: vivência materna Alta hospitalaria y el cuidado de los recién-nacidos prematuros en el hogar: experiencias de la madre Hospital and care of the premature newborn at home: maternal experiences

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    Mirna Albuquerque Frota

    2013-06-01

    Full Text Available Objetivou-se conhecer a percepção da mãe sobre a alta hospitalar e o cuidado do recém-nascido prematuro no domicílio após a primeira semana de alta. Pesquisa descritiva, de abordagem qualitativa, com uso da entrevista semiestruturada para coleta de dados, desenvolvida no ambulatório de seguimento do prematuro (follow-up do Hospital da Rede Pública Estadual de Fortaleza, em outubro e novembro de 2011. As participantes foram nove mães de recém-nascido prematuro após primeira semana de alta. Aplicou-se análise do conteúdo. Os resultados apontaram para as categorias: Orientações sobre o cuidado com o prematuro durante a alta hospitalar; Sentimentos e dificuldades com a chegada do bebê no domicílio; e Apoio familiar no cuidado do prematuro. O estudo evidenciou que algumas mães não receberam orientações da equipe multiprofissional da neonatologia acerca do cuidado bebê após alta hospitalar, reforçando que elas levam o bebê para o domicílio sem estar preparadas para a nova realidade.Dirigido a aprender acerca de la percepción de la madre sobre el alta hospitalaria y el cuidado de los recién-nacidos prematuros en el hogar después de la primera semana de alta. Enfoque descriptivo, cualitativo, con entrevistas semiestructuradas para recopilar datos, desarrollado en el ambulatorio de seguimiento del prematuro (Follow Up del Hospital de la Red Pública del Estado de Fortaleza, en octubre y noviembre de 2011. Participaron nueve madres de bebés prematuros después de la primera semana de alta. Se aplicó el análisis de contenido para la observación de los datos. Los resultados apuntan para las siguientes categorías: Orientaciones para el cuidado con los bebés prematuros durante el alta; Sentimientos y dificultades con la llegada del bebé al hogar; Apoyo familiar en el cuidado de los bebés prematuros. El estudio demostró que algunas madres no recibieron instrucciones del equipo interdisciplinario de atención de neonatolog

  16. Avian anemia's

    OpenAIRE

    Raukar Jelena

    2005-01-01

    This paper deals with avian anemia's classified by MCHC/MCV and with types of anemia's. Father hematological and immunological research is needed to secure information on hematological parameters in different avian species at their earliest age. Anemia is a common clinical finding in birds because the avian erythrocyte half - life is much shorter than the mammalian. Therefore anemia should be determined as soon as possible. Researchers should standardize hematologica...

  17. Avian anemia's

    Directory of Open Access Journals (Sweden)

    Raukar Jelena

    2005-01-01

    Full Text Available This paper deals with avian anemia's classified by MCHC/MCV and with types of anemia's. Father hematological and immunological research is needed to secure information on hematological parameters in different avian species at their earliest age. Anemia is a common clinical finding in birds because the avian erythrocyte half - life is much shorter than the mammalian. Therefore anemia should be determined as soon as possible. Researchers should standardize hematological parameters for every single avian species.

  18. Factores de riesgo de la anemia ferropénica en lactantes del policlínico “Dr. Gustavo Aldereguía Lima”

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    Eldir Diéguez Velázquez

    2015-12-01

    Full Text Available La incidencia de lactantes con anemia ferropénica, a pesar de existir un programa de prevención de esta anemia en estas edades, sobre todo en el área de salud del policlínico “Dr. Gustavo Aldereguía Lima”, ha sido la motivación de un estudio, con el objetivo de determinar los factores de riesgo que guardan asociación causal con esta problemática. La investigación se llevó a cabo durante el período de enero de 2010 a junio de 2012; analítica de casos y controles. El grupo de enfermos estuvo formado por 25 pacientes diagnosticados clínicamente y por estudios hematológicos. El grupo de control estuvo constituido por 50 niños no afectados, escogidos al azar. Los resultados se expusieron en tablas de contingencia de 2 x 2, que permitieron determinar los antecedentes prenatales, natales y postnatales,  favorecedores de anemia.

  19. Amamentação de prematuros em uma unidade neonatal: a vivência materna Lactancia de prematuros en una unidad neonatal: la vivencia maternal Premature’s breastfeed in a beonatal unit: the maternal experience

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    Fernanda da Rocha Gorgulho

    2008-03-01

    Full Text Available Trata-se de um estudo qualitativo, cujos objetivos foram: identificar as dificuldades maternas em amamentar/aleitar seu filho prematuro em uma Unidade Neonatal (UN, tomar conhecimento de se essa mãe se sente estimulada a amamentar seu filho prematuro nesse ambiente e descrever como essa mãe está vivenciando a amamentação de seu filho prematuro em uma UN. O cenário foi uma Unidade Neonatal localizada no Rio de Janeiro. Os sujeitos foram oito mães de prematuros. O instrumento de coleta foi a entrevista semi-estruturada, realizada nos meses de fevereiro e março de 2006. A análise foi fundamentada na técnica de conteúdo de Bardin. Emergiram cinco categorias: vivenciando uma nova e difícil experiência ao amamentar; tendo dificuldade na ordenha; tendo dificuldade em cumprir os horários das mamadas; sentindo-se apoiada pelos profissionais de saúde; e sentindo-se excessivamente orientada por esses profissionais. O estudo nos aponta a necessidade de voltarmos nosso olhar para as dificuldades maternas de acordo com suas próprias demandas, interferindo o menos possível na relação mãe e filho.Se trata de un estudio cualitativo, cuyos objetivos fueron: identificar las dificultades maternales en amamantar su hijo prematuro en una unidad neonatal (UN ; conocer si esa madre se siente estimulada a amamantar su hijo prematuro en ese ambiente; y describir como esa madre experimenta la lactancia de su hijo prematuro en una UN. El escenario fue una UN situada en la ciudad del Rio de Janeiro - Brasil. Los sujetos fueron ocho madres de prematuros. El instrumento de recolección fue la entrevista semi estructurada. Los datos fueron recolectados en los meses de febrero y marzo de 2006. El análisis fue en la Técnica de Análisis de Contenido de Bardin(1977. Emergieron cinco categorías: viviendo una nueva y difícil experiencia al amamantar; teniendo dificultad en la ordeña; teniendo dificultad para cumplir los horarios de las mamadas; sinti

  20. Evaluación de anemia ferropénica en la primera infancia del Municipio de Sonsón-Antioquia, 2007

    OpenAIRE

    Castillo Salgado, Tulia Isabel; Pérez Escobar, Rocío

    2014-01-01

    Objetivo: Determinar la prevalencia de anemia por deficiencia de hierro en niños de la primera infancia del municipio de Sonsón – Antioquia, en el año 2007. Metodología: Se realizó un estudio descriptivo transversal en 391 niños de 0 a 84 meses de edad del Municipio de Sonsón, Antioquia. Se estudiaron los parámetros de hemoglobina y ferritina sérica utilizando puntos de corte de la Organización Mundial de la Salud (OMS). Se calcularon las medidas de frecuencia y de resumen y los intervalos de...

  1. Utilidad de una prueba cualitativa para la detección de fibronectina fetal en secreción cervicovaginal como predictor de parto prematuro

    Directory of Open Access Journals (Sweden)

    L.R. López-Ocaña

    2015-12-01

    Existen diversos marcadores para la predicción del parto prematuro, a fin de superar las debilidades del examen obstétrico y permitir así un diagnóstico y tratamiento oportuno. Entre estos marcadores se encuentra la determinación de fibronectina fetal en secreciones vaginales, por lo que el objetivo de este estudio fue evaluar la utilidad de la fibronectina fetal como un predictor de parto prematuro en embarazadas, así como establecer la sensibilidad, especificidad y los valores predictivos de la prueba, con el propósito de valorar su uso en embarazadas con factores de riesgo en las unidades de primer nivel de atención.

  2. Comparación de la ganancia de peso de neonatos prematuros alimentados con lactancia materna exclusiva con énfasis en la fracción emulsión, lactancia mixta y sucedáneos

    OpenAIRE

    Gloria Velásquez Barahona

    2014-01-01

    Objetivo: Determinar si los bebés prematuros que se alimentaban con lactancia materna exclusiva con énfasis en la fracción emulsión, ganaban peso adecuadamente, comparable a los que se alimentan con lactancia mixta o sucedáneos  y así obtener evidencia clínica que apoye el uso de lactancia materna exclusiva, utilizando esta técnica, en los neonatos prematuros. Método: El estudio fue de tipo experimental longitudinal por  2 meses y medio entre el 31 de agosto al 27 de septiembre del año 2007 e...

  3. Comparación de la ganancia de peso de neonatos prematuros alimentados con lactancia materna exclusiva con énfasis en la fracción emulsión, lactancia mixta y sucedáneos

    OpenAIRE

    Velásquez Barahona, Gloria

    2015-01-01

    Objetivo: Determinar si los bebés prematuros que se alimentaban con lactancia materna exclusiva con énfasis en la fracción emulsión, ganaban peso adecuadamente, comparable a los que se alimentan con lactancia mixta o sucedáneos  y así obtener evidencia clínica que apoye el uso de lactancia materna exclusiva, utilizando esta técnica, en los neonatos prematuros. Método: El estudio fue de tipo experimental longitudinal por  2 meses y medio entre el 31 de agosto al 27 de septiembre del año 2007 e...

  4. Epidemiología de la retinopatía del prematuro en Medellín, 2003-2008 = Retinopathy of prematurity: epidemiology in Medellín, Colombia, 2003-2008

    Directory of Open Access Journals (Sweden)

    Giraldo Restrepo, Mónica María

    2011-09-01

    Full Text Available Objetivo: describir las características clínicas y demográficas y los factores de riesgo de neonatos con retinopatía de la prematuridad (ROP, detectados en el programa de tamización de la Clínica Universitaria Bolivariana, en la ciudad de Medellín, Colombia, durante los años 2003 a 2008.Metodología: se revisaron los registros de 1.080 neonatos. Los criterios para tamización fueron: 32 o menos semanas de edad gestacional (EG y 1.600 gramos o menos de peso al nacer (PN. Se creó una base de datos en la que se registraron las variables demográficas, algunos factores de riesgo maternos y neonatales, la clasificación de la ROP y el tratamiento requerido. Se analizaron y compararon los resultados con la epidemiología regional e internacional.Resultados: la prevalencia global de ROP fue del 18,2% (197 neonatos, con EG media de 29,53 semanas y PN medio de 1.230 gramos. En menores de 1.250 gramos dicha prevalencia fue del 40%. Los factores de riesgo más frecuentes fueron la enfermedad de membrana hialina, la sepsis (p = 0,00 y la preeclampsia; 125 de los 197 niños (63,5% recibieron terapia con oxígeno (p = 0,00. El 10,2 % de los neonatos con ROP requirieron tratamiento quirúrgico.Conclusión: con el presente estudio, se aportan datos estadísticos actualizados referentes a la prevalencia de ROP y a los factores de riesgo en nuestra población.

  5. Inmunolocalización de la sustancia p y receptor nk1 en el intestino normal de recién nacidos prematuros y en prematuros con enterocolitis necrotizante

    OpenAIRE

    Solo De Zaldívar Tristancho, María

    2016-01-01

    La ECN es una enfermedad inflamatoria devastadora del TGI que afecta a un 4% a 11% de los RN de MBPN y es una causa importante de morbilidad y mortalidad en esta población. Se caracterizada por inflamación e isquemia de intestino delgado y colon que progresa hacia la necrosis transmural y perforación. Constituye la principal emergencia gastrointestinal en el prematuro y, junto con la prematuridad y el distrés respiratorio, es una de las causas más importantes de estancia hospitalaria prolonga...

  6. Caracterización de factores clínico-epidemiológicos en la retinopatía del prematuro Characterization of clinical-epidemiological factors present in premature retinopathy

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    Angelicia Crespo Campos

    2009-09-01

    Full Text Available INTRODUCCIÓN. La retina en desarrollo es muy sensible a toda clase de alteraciones en el aporte de oxígeno. La presente investigación buscó evaluar los factores clínico-epidemiológicos relacionados con dicha entidad en nuestro medio. MÉTODOS. Se realizó una investigación observacional, longitudinal, ambispectiva y descriptiva, en la Unidad de Cuidados Intensivos del Servicio de Neonatología del Hospital «Abel Santamaría», en el período comprendido entre los años 2001 y 2007. Se estudiaron los 48 recién nacidos con diagnóstico de retinopatía. Se analizaron las variables: sexo, edad gestacional, peso, crecimiento intrauterino, vía de nacimiento, antecedentes maternos, necesidad de ventilación u oxigenación y morbilidad asociada. Las variables se analizaron mediante pruebas de comparación de dos y k proporciones de grupos independientes. RESULTADOS. Se identificaron como principales factores de riesgo para el padecimiento de la retinopatía de la prematuridad: el sexo masculino, la edad gestacional por debajo de 31,6 semanas, el peso menor de 1499 g, la necesidad de ventilación mecánica u oxigenoterapia por más de 96 h, así como las patologías respiratorias y la sepsis. CONCLUSIONES. La enfermedad es compleja y su causa, probablemente multifactorial.INTRODUCTION: Developing retina is very sensitive to all types de alterations in oxygen support. Aim of present research was to assess the clinical-pathological factors related to such entity in our practice. METHODS: An observational, longitudinal, ambispective and descriptive research was conducted in Intensive Care Unit from Neonatology Service of "Abel Santamaría Cuadrado" Hospital during 2001 and 2007. A total of 48 newborn diagnosed with retinopathy was studied. Variables analyzed included sex, age, gestational age, weight, intrauterine development, birth route, maternal backgrounds, ventilation or oxygenation dependence, and associated morbidity using two

  7. Condilomatosis genital y embarazo asociada a corioamnionitis y parto prematuro Genital condylomatosis and pregnancy associated with chorioamnionitis and premature delivery

    OpenAIRE

    I. Martínez Montero; M.A. García Mutiloa; R. Ezcurra; G. Campo; E. Arpa; R. Obregozo

    2004-01-01

    Los condilomas genitales están producidos por el virus del papiloma humano. En muchas ocasiones se asocian a otras infecciones genitales (hongos, tricomonas y vaginosis). El embarazo favorece la aparición de condilomas en la región anogenital. A propósito de un caso de condilomatosis genital asociada a corioamnionitis y que desencadenó un parto prematuro realizamos una revisión de la literatura.Genital condylomas are produced by the human papilloma virus. On many occasions they are associated...

  8. Pregnancy Complications: Anemia

    Science.gov (United States)

    ... online community Home > Complications & Loss > Pregnancy complications > Anemia Anemia E-mail to a friend Please fill in ... anemia at a prenatal care visit . What causes anemia? Usually, a woman becomes anemic (has anemia) because ...

  9. PERCEPÇÃO DAS MÃES SOBRE ALEITAMENTO EM PREMATUROS DA UNIDADE CANGURU DE UMA MATERNIDADE DE FORTALEZA - CE

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    KARLA MARIA CARNEIRO ROLIM

    2008-01-01

    Full Text Available El objetivo de este estudio fue saber cómo perciben las madres el proceso de lactancia materna en prematuros asistidos en la Unidad Madre Canguro. Estudio descriptivo, con planteo cualitativo, realizado en una maternidad pública, en Fortaleza-CE, en el período de enero a mayo de 2007. Los sujetos sondeados fueron 10 madres que se hallaban con bebés internados en la Unidad. Se utilizó entrevista estructurada en parte, de la cual surgieron las categorías: conocimiento materno sobre el bebé prematuro, percepción de las madres sobre el método madre canguro, apreciación de las madres en amamantar un bebé prematuro y satisfacción con el servicio. El vínculo afectivo del binomio madre e hijo quedó en evidencia y, a su vez, considerado factor significativo en la recuperación del bebé.

  10. Morbilidad asociada a la edad gestacional en neonatos prematuros tardíos

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    Luís Alfonso Mendoza Tascón

    2012-12-01

    Full Text Available Objetivo: comparar la morbilidad a corto plazo, intervenciones, estancia hospitalaria y los costos de prematuros de 34 semanas, con prematuros mayores a 34 semanas (35-36 semanas, hospitalizados en la Unidad de Cuidados Intensivos Neonatales de la Fundación Hospital San José de Buga, Colombia, entre el 19 de septiembre de 2005 y el 18 de septiembre de 2011. Métodos: estudio de cohorte retrospectivo, con 40 recién nacidos de 34 semanas de gestación y 129 de 35-36. Se evaluaron factores materno-neonatales y terapias aplicadas. El análisis incluyó estadísticas descriptivas y análisis bivariado. Para las asociaciones se empleó el riesgo relativo con su intervalo de confianza de 95 %, así como la prueba de chi² de Pearson de independencia. Resultados: se hallaron morbilidades respiratorias en el 32,5 %, ictericia en el 29 %, morbilidades gastrointestinales en el 13,6 %, metabólicas en el 13,6 %, cardiacas en el 1,8 %, hematológicas en el 1,2 %, e hipotermia y sepsis también en el 1,2 %. La falla renal se produjo en el 0,6 %, sin diferencias estadísticas entre los 2 grupos. Se halló diferencia estadísticamente significativa (p 2 días, administración de nutrición parenteral, horas de oxigenoterapia (> 2 y 5 días, horas de ventilación mecánica y estancia prolongada (> 7 días, y fueron los neonatos de 34 semanas los más afectados. El peso, talla y perímetro cefálico al nacer y egreso, fueron menores en aquellos de 34 semanas, mientras el retardo del crecimiento intrauterino fue superior en los de 35 y 36 semanas (26,4 vs. 7,5 %; RR: 1,3; IC 95 %: 1,1-1,5; p< 0,05. La atención hospitalaria de los neonatos de 34 semanas, resulta, por tanto, ser 1,6 y 0,6 veces más costosa en dinero, que la de los de 35 y 36 semanas. Conclusiones: el prematuro tardío debe considerarse inmaduro y con riesgo de morbilidad y mortalidad. Estos tienen gran incidencia de ictericia, morbilidad respiratoria, gastrointestinal y metabólica. Pero, los

  11. Hemorragia intraventricular en el neonato prematuro Intraventricular hemorrage in preterm infants

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    José William Cornejo Ochoa

    2005-01-01

    Full Text Available La hemorragia intraventricular (HIV es la principal complicación neurológica en los prematuros; consiste en sangrado de la matriz germinal y las regiones periventriculares del cerebro. Su frecuencia y gravedad aumentan en la medida en que es menor el peso al nacimiento; se la halla entre 10 y 20% de los neonatos de 1.000-1.500 gramos y hasta en 70% en los menores de 700 gramos; se presenta en 85% de las veces en las primeras 72 horas posparto y en 95% ya es evidente al finalizar la primera semana; son múltiples los factores maternos y fetales que se han encontrado asociados con el aumento o disminución de su frecuencia, además del uso de algunos medicamentos. Se han propuesto diversos mecanismos fisiopatogénicos asociados a la inmadurez neurológica para explicar la aparición de la HIV. Las manifestaciones clínicas son variables en cuanto a presentación y evolución. La confirmación diagnóstica, la clasificación y el pronóstico se basan en la ecografía transfontanelar. La principal medida preventiva es la disminución de la frecuencia del parto prematuro; los resultados de otras medidas como el uso prenatal y posnatal de algunos medicamentos para evitarla y tratarla han sido variables. El pronóstico depende de la extensión de la hemorragia, del desarrollo de leucomalacia periventricular y del grado de dilatación ventricular. Neonatal intraventricular hemorrage (IVH is the main neurological complication in preterm infants involving bleeding into the germinal matrix and the periventricular brain areas. Its incidence and severity are greater with lower birthweigth: from 10-20% in 1.000-1.500 g babies to 70% in those less than 700 g. Most often (85% it appears during the first 72 hours after birth and almost 95% of the cases are evident by the end of the first week of life. Many maternal and fetal risk factors are associated with the risk of neonatal IVH. Diferent pathogenic mechanisms associated with an immature central nervous

  12. Parasitosis intestinal y anemia en indígenas del resguardo cañamomo-lomaprieta, colombia

    OpenAIRE

    Cardona Arias, Jaiberth Antonio; Rivera Palomino, Yennifer; Llanes Agudelo, Osman Mauricio

    2014-01-01

    Introducción: Las parasitosis intestinales son un problema de salud pública; producen deficiencias nutricionales y se asocian a determinantes demográficos y socioeconómicos. Objetivo: Determinar la prevalencia de parasitosis intestinal y anemia y su asociación con determinantes demográficos, socioeconómicos y sanitarios en indígenas. Materiales y Métodos: Estudio observacional analítico transversal con fuente de información primaria. Se estimaron medidas de resumen, pruebas de estadística par...

  13. Pernicious Anemia

    Science.gov (United States)

    ... helps your body absorb vitamin B12. Have an autoimmune disorder that involves the endocrine glands, such as Addison's ... Research suggests a link may exist between these autoimmune disorders and pernicious anemia that's caused by an autoimmune ...

  14. [Hemolytic anemia].

    Science.gov (United States)

    Tuchscherer, A; Chemnitz, J

    2015-09-01

    Hemolytic anemia can be caused by various hereditary or acquired diseases. Classification is usually based on corpuscular or extracorpuscular defects. Beside the anemia, laboratory testing indicates increased lactate dehydrogenase, unconjugated bilirubin and reticulocytes as well as reduced or absent plasma haptoglobin. Knowledge of further diagnostic procedures (e.g., Coombs test, schistocytes, hemoglobin electrophoresis or flow cytometric analysis) leads in many cases to an underlying disease with differentiated therapeutic options. Autoimmune hemolytic anemia (AIHA) is often associated with diseases as HIV, connective tissue disease, lymphomas or malignant tumors and the hemolytic process is preexisting in many cases. Thrombotic microvascular diseases (e.g., thrombotic thrombocytopenic purpura or hemolytic-uremic syndrome) are further important causes of hemolytic anemia which need immediate diagnosis and treatment.

  15. O efeito clínico da chupeta no recém-nascido prematuro

    OpenAIRE

    Volkmer, Andréa Stradolini Freitas

    2008-01-01

    OBJETIVO: Avaliar o efeito clínico da chupeta em recém-nascidos prematuros em unidade de tratamento intensivo neonatal. DESENHO DO ESTUDO: Acompanhamos 50 recém-nascidos prematuros com idade gestacional V32semanas e peso de nascimento

  16. Programa de prevención de anemia falciforme (II: Evaluación del seguimiento de gestantes con hemoglobinas anormales

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    MarcosRaúl Martín Ruiz

    1996-04-01

    Full Text Available Algunos aspectos del Programa Cubano de Prevención de Anemia Falciforme fueron analizados en Ciudad de La Habana durante 1992. Todas las gestantes detectadas con hemoglobinas anormales fueron citadas por telegrama para explicarles el significado del hallazgo. El 62,2 % acudió con prontitud a la citación. El 21,6 % vino más tardíamente y se requirieron otros mecanismos de comunicación. El 16,2 % no acudió. Todas las gestantes que asistieron, aceptaron recibir asesoramiento genético y se hizo el seguimiento de los casos. El 47,6 % concluyó el estudio del cónyuge en tiempo útil para optar por diagnóstico prenatal. Los resultados muestran la necesidad de reducir la edad gestacional en que se determina el riesgo de la pareja. Ello sería posible mediante el pesquisaje en la primera consulta prenatal, métodos más eficientes en comunicar con las gestantes positivas, y más agilidad en la realización de los análisis y en informar los resultados.Some aspects of the Cuban Programme for Prevention of Sickle Cell Anemia were analyze in Havana City during 1992. All pregnants detected with abnormal hemoglobins received an appointment by telegram to get an explanation about the significance of findings; 62,2 % attended promptly to the appointment; 21,6 % came later, making necessary the use of other mechanisms of communication with pregnants; and 16,2 % never attended. All pregnants who went to the appointment accepted genetic counseling and were followed up. Only 47,6 % concluded testing of partner early enough for consideration of prenatal diagnosis. The results showed the need to reduce gestational age in order to determine the risk of the couple. This is possible by screaning pregnants at the first prenatal visit, by using more efficient methods for contacting with positive women, and by doing the test and informing the results faster.

  17. Un gene con intrones en vez de exones / Envejecimiento Prematuro de la Piel

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    Tobías Mojica

    1996-04-01

    Full Text Available Un gene con intrones en vez de exones. La noción de que los genes son discontinuos (compuestos de exones e intrones en forma alterna y en cuya organización los exones representan regiones presentes, por medio del código genético en las proteínas, y los intrones nadie sabe todavía que representan produjo una cierta cantidad de desasosiego entre los genetistas mayores de edad, pero hoy día es ampliamente aceptada, con poco o ningún dolor, y se ha convertido en parte del cánon científico. / Envejecimiento Prematuro de la Piel. La exposición a largo plazo de la piel a la luz ultravioleta proveniente del sol resulta en daño al colágeno de la piel y a la elastina de la matriz extracelular; se cree que este daño es responsable de la apariencia típicamente arrugadita de la piel expuesta al sol por mucho tiempo (como en los vaqueros de los comerciales de la televisión.

  18. Vitamin Deficiency Anemia

    Science.gov (United States)

    ... cancer can interfere with the metabolism of folate. Vitamin B-12 deficiency anemia risk factors include: Lack ... vitamin B-12 deficiency anemia called pernicious anemia. Vitamin C deficiency anemia risk factors include: Smoking. Smoking ...

  19. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... their experiences with clinical research. More Information Related Health Topics Anemia Aplastic Anemia Arrhythmia Blood Donation Blood Tests Blood Transfusion Heart-Healthy Lifestyle Changes Heart Failure Hemolytic Anemia Hemophilia Pernicious Anemia Restless ...

  20. What Is Fanconi Anemia?

    Science.gov (United States)

    ... and Your Body FA is one of many types of anemia . The term "anemia" usually refers to a condition ... disorder. Anemia The most common symptom of all types of anemia is fatigue (tiredness). Fatigue occurs because your body ...

  1. About Anemia (For Kids)

    Science.gov (United States)

    ... Safe Videos for Educators Search English Español About Anemia KidsHealth / For Kids / About Anemia What's in this ... to every cell in your body. What Is Anemia? Anemia happens when a person doesn't have ...

  2. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... food. Overview Iron-deficiency anemia is a common type of anemia . The term "anemia" usually refers to a condition ... symptoms of iron-deficiency anemia apply to all types of anemia . Signs and Symptoms of Anemia The most common ...

  3. Métodos de alimentação alternativos para recém-nascidos prematuros Métodos de alimentación alternativa para recién-nacidos prematuros Alternative feeding methods for premature newborn infants

    Directory of Open Access Journals (Sweden)

    Claudia Peyres Lopez

    2012-06-01

    Full Text Available OBJETIVO: Apresentar revisão de literatura sobre o uso do copo/xícara como método alternativo de alimentação para recém-nascidos prematuros e verificar se há consenso sobre sua indicação para essa população. FONTES DE DADOS: Revisão de literatura narrativa, tendo sido selecionados artigos nas bases de dados Medline, Lilacs, SciELO e Cochrane, independentemente do ano, usando descritores específicos: alimentação artificial, recém-nascido prematuro, aleitamento materno, métodos de alimentação. SÍNTESE DOS DADOS: Apesar de alguns estudos afirmarem que o método do copo/xícara é eficaz e seguro para alimentar recém-nascidos pré-termo e a termo, tais estudos não avaliam de forma objetiva o efeito do método sobre a deglutição desses pacientes. CONCLUSÕES: Verificou-se não haver consenso na literatura quanto à complementação da alimentação de recém-nascidos prematuros por meio do copo/xícara. Estudos controlados devem ser realizados com a finalidade de rever riscos e benefícios do uso de métodos alternativos na alimentação do recém-nascido prematuro.OBJETIVO: Presentar revisión de literatura sobre el uso de vaso/taza como método alternativo de alimentación para recién-nacidos prematuros y verificar si hay consenso sobre su indicación para esta población. FUENTES DE DATOS: Revisión de literatura narrativa, habiendo sido seleccionados artículos en las bases de datos Medline, Lilacs, SciELO y Cochrane, independientemente del año, usando descriptores específicos: alimentación artificial, recién-nacido prematuro, lactancia materna, métodos de alimentación. SÍNTESIS DE LOS DATOS: Aunque algunos estudios afirmen que el método vaso/taza es eficaz y seguro para alimentar a recién-nacidos pre-término y a término, tales estudios no evalúan de modo objetivo el efecto del método sobre la deglución de estos pacientes. CONCLUSIONES: Se verificó que no hay consenso en la literatura respecto a la

  4. Sideroblastic anemia

    Directory of Open Access Journals (Sweden)

    P Bhandari

    2016-03-01

    Full Text Available Sideroblastic anemias are a heterogenous group of disorders that have as a common feature with the presence of ringed sideroblasts in the marrow. We present a case of young female, nursing student who presented with increasing palpitation, fatigue and exertional shortness of breath for the last one year. She had a low hemoglobin and high serum iron. Anemia with iron overload prompted us to do bone marrow study and there were 19% ringed sideroblasts and iron overload fulfilling the diagnosis of sideroblastic anemia. We searched for secondary causes of ringed sideroblast but could not find any culprit. Her cytogenetics report was normal and genetic analysis was not done due to financial reason. Since the diagnosis 3 months back, patient is on pyridoxine, folic acid, deferasirox and still needs regular blood transfusion suggesting that she may be pyridoxine refractory and may develop iron overload.

  5. Variabilidade da frequência cardíaca em neonatos prematuros e de termo Variabilidad de la frecuencia cardíaca en neonatos prematuros y de término Heart rate variability in preterm and term neonates

    Directory of Open Access Journals (Sweden)

    Fabio Augusto Selig

    2011-06-01

    Full Text Available FUNDAMENTO: Várias publicações têm demonstrado a importância do sistema nervoso autônomo por meio dos componentes simpático e parassimpático na gerência da interação entre as diferentes partes do organismo humano. Esses estudos aplicaram técnicas lineares e não lineares (Teoria do Caos de avaliação em diferentes situações, doenças e faixas etárias, tendo como ferramenta a variabilidade da frequência cardíaca (VFC. OBJETIVO: Aplicar os conhecimentos das dinâmicas linear e não linear na avaliação de neonatos prematuros (NPT, analisando sua VFC e comparando com neonatos de termo (NT saudáveis. MÉTODOS: Quarenta e oito neonatos prematuros com diferentes idades gestacionais tiveram seus batimentos cardíacos captados com auxílio do equipamento Polar Advanced S810i e sua VFC obtida pelo registro dos intervalos RR. A VFC foi analisada nos domínios do tempo (SDNN, RMSSD, SD1/SD2, da frequência (VLF, LF, HF e a relação LF/HF e do caos (TAU e sua normalização [TAU(n], Expoente de Lyapunov e Entropia. Os NPT foram comparados com um grupo de 78 NT saudáveis e sem intercorrências perinatais com auxílio do teste não paramétrico de Kruskal-Wallis. RESULTADOS: Detectou-se diferença estatisticamente significante entre os grupos para todas as variáveis estudadas, tanto no domínio do tempo como nos da frequência e do caos. CONCLUSÃO: Neonatos prematuros exibem comportamento menos complexo da variabilidade da frequência cardíaca que neonatos de termo, fato comprovado nos domínios do tempo, da frequência e do caos. O estudo da variabilidade cardíaca nesse grupo pode ser considerado uma ferramenta a mais na avaliação da maturação autonômica e, consequentemente, da progressão para eutrofia.FUNDAMENTO: Varias publicaciones han demostrado la importancia del sistema nervioso autónomo por medio de los componentes simpático y parasimpático en el manejo de la interacción entre las diferentes partes del organismo

  6. Pernicious anemia

    Science.gov (United States)

    ... a type of vitamin B12 anemia. The body needs vitamin B12 to make red blood cells. You get ... shots in the beginning. Some people may also need to take vitamin B12 supplements by mouth. A certain type of ...

  7. Anemia Aplástica e Gravidez: Relato de Caso Aplastic Anemia and Pregnancy: A Case Report

    Directory of Open Access Journals (Sweden)

    Rosiane Alves de Sousa Teles

    2002-06-01

    Full Text Available A anemia aplástica é distúrbio caracterizado por pancitopenia e medula óssea hipocelular, com substituição gordurosa dos elementos e sem nenhum sinal de transformação maligna ou doença mieloproliferativa. Acomete geralmente adultos jovens e idosos, sem preferência sexual. A maioria dos casos é adquirida, mas pode ocorrer hereditariamente, por distúrbio molecular (anemia de Fanconi. A associação com gravidez é rara, estando relacionada com alta morbidade e mortalidade materna e fetal. Os autores descrevem o caso de uma paciente com anemia aplástica, diagnosticada previamente, cuja gestação complicou com infecção do trato urinário, doença hipertensiva específica da gestação e restrição de crescimento fetal, com parto prematuro eletivo. Apesar das condições adversas na gravidez e parto, mãe e recém-nascido tiveram evolução clínica satisfatória.Aplastic anemia is characterized by a circulating pancytopenia, hypocellularity, and fatty replacement of cellular marrow elements, without evidence of malignant transformation or myeloproliferative disease. It usually affects young and senior adults, without any sexual preference. Most cases of aplastic anemia are acquired, but the disease may also be inherited due to a molecular disorder (Fanconi's anemia. Aplastic anemia in pregnancy is an extremely rare condition with high maternal and fetal morbidity and mortality rates. The authors describe a case of a patient with previously diagnosed aplastic anemia, whose pregnancy was complicated with urinary tract infection, preeclampsia and fetal growth restriction, with elective preterm birth. In spite of the adverse conditions in pregnancy and delivery, mother and newborn had a satisfactory clinical evolution.

  8. A experiência da família ao interagir com o recém-nascido prematuro no domicílio La experiencia de la familia al interactuar con el recién nacido prematuro en el hogar The family's experience when interacting with the premature newborn at home

    Directory of Open Access Journals (Sweden)

    Suely Alves Fonseca Costa

    2009-12-01

    Full Text Available Estudo qualitativo que teve o objetivo de compreender como se dá a interação da família com o recém-nascido prematuro no domicílio, nas primeiras semanas após a alta hospitalar. O Interacionismo Simbólico foi o referencial teórico, e a Teoria Fundamentada nos Dados, o metodológico. Os dados foram coletados por observação participante e entrevistas com cinco famílias. A análise comparativa dos dados permitiu compreender que ter um filho, mesmo que prematuro, significa a realização de um sonho, cuja concretização faz com que a família vivencie dias de tristeza, angústia e dor decorrentes da prematuridade e hospitalização. Com a melhora clínica do bebê, ela se prepara para assumir seu cuidado no domicílio; acolhe-o com amor e carinho; vivencia mudanças no seu modo de ser, pensar e viver e sente-se recompensada. A compreensão dessa experiência oferece subsídios para repensar a assistência de enfermagem à família no seguimento do recém-nascido prematuro.El presente estudio de tipo cualitativo tuvo por objetivo comprender la forma en que se presenta la interacción de la familia con el recién nacido prematuro atendido en el hogar, durante las primeras semanas después del alta hospitalaria. El referencial teórico de esta investigación fue el Interaccionismo Simbólico y metodológico en la Teoría Fundamentada de los Datos. Los datos fueron recolectados por medio de la observación participante y de entrevistas con cinco familias. El análisis comparativo de los datos permitió comprender que tener un hijo, aunque sea prematuro, significa la realización de un sueño, cuya concretización hace que la familia viva días de tristeza, angustia y dolor como consecuencia del nacimiento prematuro y de la hospitalización del bebé. Con la mejoría clínica del infante, la familia se prepara para asumir su cuidado en el hogar; lo acoge con amor y cariño; vivencia cambios en su modo de ser, pensar y vivir y se siente

  9. Metaanálisis: efecto de las intervenciones para disminuir el nivel de estrés en padres de prematuros

    Directory of Open Access Journals (Sweden)

    Beatriz Villamizar-Carvajal

    2016-01-01

    Full Text Available Introducción: el nacimiento prematuro de un bebé genera estrés en los padres, por el riesgo de aumento en la morbimortalidad que esto conlleva. Existen intervenciones que disminuyen el nivel de estrés en los padres beneficiando a su vez el neurodesarrollo del recién nacido. Objetivo: categorizar los principales componentes de los programas de intervención temprana y determinar el efecto de estas intervenciones en la disminución del nivel de estrés en padres de prematuros hospitalizados. Método: metaanálisis con 9 ensayos clínicos controlados, que cumplieron los criterios de rigurosidad metodológica. Resultados: las intervenciones aplicadas a los padres de prematuros hospitalizados mostraron efecto de intensidad media-baja sobre el nivel de estrés percibido (d=0,36 IC [-0.68, -0,05]. Sin embargo, las pruebas de heterogeneidad indican alta variabilidad inter-estudio (Q(df=8 = p-val: <0,00001, I2=85% , explicada parcialmente por las características moderadoras codificadas para los estudios. Conclusiones: aunque las intervenciones mostraron efectos positivos en la disminución del nivel de estrés en los padres, se evidencia que la educación y el apoyo emocional en conjunto logran un mejor efecto. Las futuras investigaciones deben analizar aspectos como calidad de los estudios, intervenciones con apoyo emocional, edad de los padres y diversidad en los contextos de aplicación.

  10. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... To Health Topics / Iron-Deficiency Anemia Iron-Deficiency Anemia Leer en español What Is Iron-deficiency anemia ... all types of anemia . Signs and Symptoms of Anemia The most common symptom of all types of ...

  11. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... Research Home / < Back To Health Topics / Iron-Deficiency Anemia Iron-Deficiency Anemia Leer en español What Is Iron-deficiency anemia ... cases, surgery may be advised. Treatments for Severe Iron-Deficiency Anemia Blood Transfusion If your iron-deficiency anemia is ...

  12. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... Research Home / < Back To Health Topics / Iron-Deficiency Anemia Iron-Deficiency Anemia Also known as Leer en español Iron-deficiency ... iron-deficiency anemia. Blood tests to screen for iron-deficiency anemia To screen for iron-deficiency anemia, your doctor ...

  13. Anemia in Pregnancy

    OpenAIRE

    Umran Kucukgoz Gulec; Fatma Tuncay Ozgunen; Ismail Cuneyt Evruke; Suleyman Cansun Demir

    2013-01-01

    Iron deficiency anemia (IDA) is the most frequent form of anemia in pregnant women. Folic acid, vitamin B12 deficiency, and hemoglobinopathies are other causes of anemia in pregnancy. Finding the underlying cause are crucial to the management of the anemia. Anemia is defined as hemoglobin of

  14. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... To Health Topics / Iron-Deficiency Anemia Iron-Deficiency Anemia Also known as Leer en español Iron-deficiency ... anemia. Blood tests to screen for iron-deficiency anemia To screen for iron-deficiency anemia, your doctor ...

  15. Concepções das mães sobre os filhos prematuros em UTI Concepciones de las madres acerca de sus hijos prematuros en la UTI Mothers' conceptions about their premature children in ICU

    Directory of Open Access Journals (Sweden)

    Catarina Aparecida Sales

    2006-02-01

    Full Text Available Neste estudo, nossa proposta foi dirigir-nos às mães que tiveram bebês nascidos prematuros e necessitaram ser assistidas em UTI neonatal, buscando compreender os sentimentos suscitados nessas mães por tal situação e, assim, projetar novas possibilidades de cuidado a esses seres. Para tanto, optamos por um estudo qualitativo-descritivo, embasado nos princípios da fenomenologia existencial. Da análise emergiram quatro categorias; A dor de ver seu filho nascer prematuro e ser tirado de seus braços; padecimento ante a possibilidade de perder parte de si; sentimentos avivados a partir da compreensão da situação do filho e, a importância da equipe de saúde no processo de recuperação do filho. Depreendemos que escutar e olhar atentamente são instrumentos imprescindíveis para assistir a mãe e seu filho em suas singularidades.En este estudio nuestra propuesta fue dirigirnos a las madres que tuvieron bebés nacidos prematuros y necesitaron ser acompañados en UCI Neonatal, buscando comprender los sentimientos provocados en esas madres por tal situación y, así, proyectar nuevas posibilidad de cuidados a esos seres. Para eso, optamos por un estudio cualitativo descriptivo, con base en los principios de la fenomenología existencial. Del análisis emergieron cuatro categorías; El dolor de ver a su hijo nacer prematuro y ser arrancado de sus brazos; padecimientos ante la posibilidad de perder parte de sí misma; sentimientos avivados a partir de la comprensión de la situación del hijo y, la importancia del equipe de salud en el proceso de recuperación del hijo. Percibimos que escuchar y mirar atentamente son instrumentos imprescindibles para ayudar ala madre y a su hijo en sus singularidad.In this study, our purpose was to direct ourselves to the mothers who had babies that were born prematurely and needed to be assisted in a Neonatal Intensive Care Unit, searching for the comprehension of the feelings provoked in these mothers due to

  16. APLASTIC ANEMIA

    Directory of Open Access Journals (Sweden)

    Ni Made Dharma Laksmi

    2013-07-01

    Full Text Available Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 Aplastic Anemia describes a disorder of the clinical syndrome is marked by a deficiency of red blood cells, neutrophils, monocytes and platelets in the absence of other forms of bone marrow damage. Aplastic anemia is classified as a rare disease in developed countries the incidence of 3-6 cases / 1 million inhabitants / year. The exact cause of someone suffering from aplastic anemia also can not be established with certainty, but there are several sources of potential risk factors. Prognosis or course of the disease varies widely aplastic anemia, but without treatment generally gives a poor prognosis /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}

  17. Manejo exitoso con stent en un prematuro con síndrome de vena cava superior. Reporte de caso

    Directory of Open Access Journals (Sweden)

    Jhon J. Gómez, MD

    2012-07-01

    Full Text Available El síndrome de vena cava superior en la infancia es una complicación inusual al uso de catéter venoso central en la unidad de cuidados intensivos neonatales. Otras causas en niños son la cirugía para enfermedades congénitas del corazón la cual ocupa la mayoría de los casos, y los linfomas, que constituyen la segunda causa más frecuente de obstrucción. Se describe el caso de un recién nacido prematuro de 25 semanas, con síndrome de vena cava superior secundario al uso de catéter venoso central para manejo de sepsis. Se destaca la importancia de un diagnóstico y tratamiento precoz. Así mismo, se reporta el manejo exitoso con stent para el síndrome de vena cava superior.

  18. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... Blood Transfusion Heart-Healthy Lifestyle Changes Heart Failure Hemolytic Anemia Hemophilia Pernicious Anemia Restless Legs Syndrome Von Willebrand Disease Other Resources NHLBI resources Your Guide to Anemia [ ...

  19. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... may require intravenous (IV) iron therapy or a blood transfusion . Iron supplements Your doctor may recommend that you ... Anemia Aplastic Anemia Arrhythmia Blood Donation Blood Tests Blood Transfusion Heart-Healthy Lifestyle Changes Heart Failure Hemolytic Anemia ...

  20. Iron-Deficiency Anemia

    Science.gov (United States)

    ... Home / Iron-Deficiency Anemia Iron-Deficiency Anemia Also known as Leer en español ... bleeding Consuming less than recommended daily amounts of iron Iron-deficiency anemia can be caused by getting ...

  1. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... you are diagnosed with iron-deficiency anemia. Risk Factors You may have an increased risk for iron- ... iron-deficiency anemia if you have certain risk factors , including pregnancy. To prevent iron-deficiency anemia, your ...

  2. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... anemia is a common type of anemia . The term "anemia" usually refers to a condition in which ... to grow and develop. The iron that full-term infants have stored in their bodies is used ...

  3. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... to moderate iron-deficiency anemia, or red blood cell transfusion for severe iron-deficiency anemia. You may ... body needs iron to make healthy red blood cells. Iron-deficiency anemia usually develops over time because ...

  4. Toxic hemolytic anemias.

    OpenAIRE

    ZEMANOVÁ, Vendula

    2014-01-01

    This thesis deals with toxic hemolytic anemias which are often unheeded. There are described laboratory signs of hemolytic anemias, their dividing into the various groups and it focuses mainly to toxic and drug-related hemolytic anemias and their causations.

  5. Fanconi Anemia Research Fund

    Science.gov (United States)

    ... Support Publications Fundraising News What is the Fanconi Anemia Research Fund? Fanconi anemia is an inherited disease that can lead to ... population. Lynn and Dave Frohnmayer started the Fanconi Anemia Research Fund, in 1989 to find effective treatments ...

  6. Folate-deficiency anemia

    Science.gov (United States)

    ... medlineplus.gov/ency/article/000551.htm Folate-deficiency anemia To use the sharing features on this page, please enable JavaScript. Folate-deficiency anemia is a decrease in red blood cells (anemia) ...

  7. Representação social de pais sobre o filho prematuro na unidade de terapia intensiva neonatal Representación social de los padres sobre el hijo prematuro en la unidad de terapia intensiva neonatal Social representation of fathers regarding their premature child in the neonatal intensive care unit

    Directory of Open Access Journals (Sweden)

    Jovanka Bittencourt Leite de Carvalho

    2009-10-01

    Full Text Available Pesquisa qualitativaa que teve como objetivo conhecer a representação social do pai diante do filho prematuro. Os dados foram coletados no período de maio a junho de 2008 por meio de entrevista semi-estruturada, junto a 17 pais cujos filhos prematuros estavam internados na UTIN de duas instituições públicas de natal-RN. Os depoimentos foram tratados e analisados com base na teoria das representações sociais (TRS. Os resultados revelaram que os pais ao estarem com seus filhos internados vivenciam emoções que são traduzidas por medo, angústia, ansiedade, solidão e se entremeiam a fé, alegria e esperança. Para o pai a UTIN representa um ambiente assustador, mas necessário aos cuidados especializados requeridos pelas condições do recém nascido prematuro.Investigación cualitativa tiene como objetivo conocer la representación social del padre frente del hijo prematuro. Los datos fueron tomados en el periodo de mayo a junio de 2008 mediante entrevista semi-estructurada a 17 padres con hijos prematuros internados en la UTIN de dos instituciones públicas de Natal-RN. Las declaraciones fueron tratadas y analizadas con base en la teoría de las representaciones sociales (TRS. Los resultados revelaron que los padres al acompañar a sus hijos internados viven emociones que se traducen en miedo, angustia, ansiedad, soledad y se entreveran con fe, alegría y esperanza. Para el padre la UTIN representa un ambiente amedrentador, pero necesario.Qualitative study that aimed at understanding the social representation of a parent with a premature child. The data were collected between May and June 2008, in a semi-structured interview with 17 parents whose premature children were hospitalized in the NICU of two public institutions in Natal, Brazil. The reports were analyzed based on the Social Representations Theory (SRT. The results reveal that the hospitalization of their children causes parents to experience emotions of fear, anguish, anxiety

  8. Living with Aplastic Anemia

    Science.gov (United States)

    ... experiences with clinical research. More Information Related Health Topics Anemia Arrhythmia Blood and Bone Marrow Transplant Blood Tests Blood Transfusion Bone Marrow Tests Fanconi Anemia Heart Failure Other ...

  9. What Is Aplastic Anemia?

    Science.gov (United States)

    ... experiences with clinical research. More Information Related Health Topics Anemia Arrhythmia Blood and Bone Marrow Transplant Blood Tests Blood Transfusion Bone Marrow Tests Fanconi Anemia Heart Failure Other ...

  10. What Causes Aplastic Anemia?

    Science.gov (United States)

    ... experiences with clinical research. More Information Related Health Topics Anemia Arrhythmia Blood and Bone Marrow Transplant Blood Tests Blood Transfusion Bone Marrow Tests Fanconi Anemia Heart Failure Other ...

  11. Efecto terapéutico del extracto etanólico de Erythroxylum coca spp. en anemia ferropénica inducida en ratas Holtzman macho

    Directory of Open Access Journals (Sweden)

    Evelyn F. Gonzales-Carazas

    2013-01-01

    Full Text Available Introducción: La hoja de coca ha sido usada tradicionalmente con fines medicinales y contiene altos niveles de hierro. Objetivos: Determinar el efecto del extracto etanólico de Erythroxylum coca spp. frente a anemia ferropénica inducida por dieta deficiente en hierro, en ratas Holtzman macho. Diseño: Experimental. Lugar: Laboratorio del Instituto de Patología, Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Material biológico: Dieciocho ratas Holtzman macho de 16 días de edad recién destetadas. Intervenciones: Se formó tres grupos de seis ratas cada uno: a grupo hierro suficiente (HS, recibió 25 g/d de alimento balanceado durante 7 semanas; b grupo hierro deficiente (HD, recibió 25 g/d de dieta ferropénica durante 7 semanas; y, c el grupo hierro deficiente - extracto E. coca (HD-EC, recibió 25 g/d de dieta ferropénica durante 7 semanas y a partir de la semana 5 se agregó 18 g/d de extracto de E. coca. Principales medidas de resultados: Nivel sérico de hemoglobina, peso y talla. Resultados: Al finalizar el tratamiento, se observó aumento significativo de la hemoglobina en el grupo HD-EC (p=0,04. Se encontró diferencia significativa en los niveles séricos de hemoglobina entre los grupos HD-EC y HD (p=0,0062. No se encontró diferencia significativa en los valores de hemoglobina entre los grupos HD-EC y HS (p= 0,06. No se evidenció diferencia en el peso y la talla entre los grupos HD y HD-EC (p=0,20 y p=0,23, respectivamente. Conclusiones: E. coca presenta efecto antianémico experimental, sustentado en los resultados de los niveles de hemoglobina.

  12. Iron deficiency anemia in Tarahumara women of reproductive-age in Northern Mexico Anemia ferropriva en mujeres tarahumaras, en edad fértil, del norte de México

    OpenAIRE

    Joel Monárrez-Espino; Homero Martínez; Ted Greiner

    2001-01-01

    Objective. To determine the prevalence of iron deficiency anemia (IDA) among Tarahumara women of reproductive age. Material and Methods. A cross-sectional survey was conducted in a representative sample of 481 women aged 12-49 years, residents of Guachochi Municipality, Chihuahua, from June to September 1998. The hemoglobin (Hb) level was measured in capillary blood using the Hemocue technique, and the serum ferritin level in capillary serum spotted on filter paper, in a sub-sample of women. ...

  13. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... To Health Topics / Iron-Deficiency Anemia Iron-Deficiency Anemia Also known as Leer en español What Is ... all types of anemia . Signs and Symptoms of Anemia The most common symptom of all types of ...

  14. Anemia of chronic disease

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/000565.htm Anemia of chronic disease To use the sharing features on this page, ... body tissues. There are many types of anemia. Anemia of chronic disease (ACD) is anemia that is found in people ...

  15. Diagnosis of iron deficiency anemia in children of Northeast Brazil Diagnóstico de anemia por deficiencia de hierro en niños del Noreste de Brasil Diagnóstico de anemia por deficiência de ferro em crianças do Nordeste do Brasil

    OpenAIRE

    Antonio Geraldo Cidrão Carvalho; Pedro Israel Cabral de Lira; Maria de Fátima Alcântara Barros; Maria Luiza Martins Aléssio; Marília de Carvalho Lima; Marie Annette Carbonneau; Jacques Berger; Claude Louis Léger

    2010-01-01

    OBJECTIVE: To diagnose iron deficiency anemia in children. METHODS: The study was conducted with a sample of 301 children aged six to 30 months attending public daycare centers in the city of Recife, Northeast Brazil, in 2004. The diagnoses of anemia were based on a combination of different hematological and biochemical parameters: hemoglobin, mean corpuscular volume, ferritin, C-reactive protein, transferrin saturation and transferrin receptor. The chi-square test and ANOVA were used in the ...

  16. Diagnósticos de enfermagem de prematuros sob cuidados intermediários Diagnósticos de enfermería de prematuros bajo la atención intermediária Nursing diagnoses of premature infant under intermediary care

    Directory of Open Access Journals (Sweden)

    Natália Del'Angelo

    2010-10-01

    Full Text Available O estudo teve como objetivo identificar diagnósticos de enfermagem de prematuros assistidos em uma unidade de cuidado intermediário neonatal do interior de São Paulo, Brasil. Tratou-se de um estudo retrospectivo a partir de prontuários de 118 prematuros hospitalizados. Os diagnósticos de enfermagem mais frequentes foram: Privação do Sono (83,1%, Risco de Infecção (76,3% e Processos Familiares Alterados (75,4%, pertencentes aos respectivos domínios da NANDA: atividade/repouso, segurança/proteção e relacionamentos de papel. Os resultados do estudo articularam a frequência dos diagnósticos com os domínios da NANDA aos quais pertencem, identificando limitação da abordagem dos mesmos e principais domínios apontados na sistematização da assistência ao recém-nascido prematuro em cuidado intermediário.El estudio tuvo como objetivo identificar los diagnósticos de enfermería de prematuros asistidos en una unidad de cuidado intermediario neonatal del interior de Sao Paulo, Brasil. Re realizó un estudio retrospectivo a partir de los registros hospitalarios de prematuros hospitalizados. Los diagnósticos más frecuentes fueron: Perturbación del Sueño (83,1%, Riesgo de Infección (76,3% y Alteración de los Procesos Familiares (75,4%, pertenecientes a los dominios NANDA: actividad/reposo, seguridad/protección y papel/relación, en esta orden. Los resultados del estudio articularon la frecuencia de los diagnósticos con los dominios NANDA pertenecientes, identificando limitación del abordaje de los mismos y principales dominios apuntados en la sistematización de la asistencia al recién-nascido prematuro en cuidado intermediario.The study aims at identifying nursing diagnoses of premature infants attended in a neonatal intermediary care unit in the countryside of São Paulo State, Brazil. That was a retrospective study conducted from 118 patient records of hospitalized premature infants. The most frequent nursing diagnosis were

  17. A participação da família no cuidado ao prematuro em UTI Neonatal La participación de la familia en la asistencia al prematuro en UTI Neonatal Family participation in premature care in Neonatal ICU

    Directory of Open Access Journals (Sweden)

    Maria Aparecida Munhoz Gaíva

    2005-08-01

    Full Text Available Esse estudo tem como objetivo analisar a participação da família na assistência ao prematuro em uma UTI neonatal de um hospital universitário. Os dados foram coletados utilizando-se a observação participante. Os resultados mostraram que apesar da presença materna no cotidiano da internação do filho prematuro, a família não está inserida no processo de trabalho, sendo que somente a mãe participa dos cuidados. Esta participação se dá basicamente na execução dos cuidados de maternagem, principalmente na unidade de médio risco, a mãe e a família do prematuro são pouco acolhidas e não existe relação de parceria entre equipe e família, não há intervenções ampliadas da equipe em torná-la sujeito autônomo para promover a saúde e qualidade de vida do bebê.Este estudio tuvo como objetivo analizar la participación de la familia en la asistencia al prematuro en una UTI neonatal de un hospital universitario. La colecta de datos fue hecha a través de observación participante. Los resultados muestran que a pesar de la presencia materna en el cotidiano de internación del hijo prematuro, la familia no está inserida en el proceso de trabajo, siendo que solamente la madre participa de los cuidados. Esta participación ocurre básicamente en la ejecución de cuidados de maternidad, especialmente en la unidad de medio riesgo, la madre y familia del prematuro son poco acogidas y no existe parcería entre el equipo de salud y la familia, no hay intervenciones ampliadas del equipo con vistas a tornar la familia sujeto autónomo para promover la salud y cualidad de vida del bebe.This study aimed at analyzing the family participation in the premature assistance in a university hospital neonatal ICU. Data were collected from the participant observation. Results showed that despite of the mother's presence in the daily life of their premature children placed in a hospital, family isn't inserted in the work process and mothers are the

  18. Factores determinantes y presencia de anemia por deficiencia de hierro, en niños menores de tres años de madres o cuidador que participan en el Programaally Micuy del distrito de Catac, Recuay, Ancash, Perú, 2011.

    OpenAIRE

    Rodríguez López, Elisa Romy

    2016-01-01

    La anemia por deficiencia de hierro en niños de menores de 36 meses de edad, es un severo problema de salud pública, cuyo estudio fue realizado en el distrito de Catac, provincia de Ancash. El 33.9% de los niños y niñas menores de 36 meses presenta anemia ferropénica, los más afectados son los del grupo de 12 a 35 meses, esta situación coincide con el problema de desnutrición crónica en el rango de la edad mencionada. El 63.0% de los niños con anemia ferropénica presenta un nivel de anemia mo...

  19. Lesao pulmonar induzida pela ventilacao em recem-nascidos prematuros

    Directory of Open Access Journals (Sweden)

    Clarissa Gutierrez Carvalho

    2013-12-01

    Full Text Available A necessidade de intubação e do uso de ventilação mecânica na prematuridade está relacionada à chamada lesão pulmonar induzida pela ventilação e à consequente displasia broncopulmonar. Busca-se a melhor compreensão dos mecanismos de lesão envolvendo resposta inflamatória mediada pelas citocinas para o desenvolvimento de novas estratégias protetoras. Pesquisou-se na base de dados PubMed, incluindo artigos relevantes, os unitermos "ventilator induced lung injury preterm", "continuous positive airway pressure", "preterm" e "bronchopulmonary dysplasia". Dados e informações significativas foram compilados em tópicos, com o objetivo de formar uma visão crítica e plena acerca da lesão induzida pela ventilação e de suas consequências ao prematuro. Foi revisado o papel das citocinas pró-inflamatórias como mediadores da lesão, especialmente interleucinas 6 e 8, e fator de necrose tumoral alfa. Foram apresentadas evidências em estudos com animais e também em humanos, mostrando que breves períodos de ventilação mecânica são suficientes para a liberação dessas interleucinas inflamatórias. Também foram revisadas outras formas de ventilação mecânica e de ventilação não invasiva, como alternativas protetoras aos modos convencionais. Concluiu-se que o uso de ventilação não invasiva, a intubação com administração precoce de surfactante e a extubação rápida para CPAP nasal, além de estratégias que regulam o volume corrente evitando o volutrauma (como a ventilação com volume garantido, são medidas protetoras da lesão pulmonar induzida pela ventilação mecânica no prematuro.

  20. A manipulacao de prematuros em uma Unidade de Terapia Intensiva Neonatal

    Directory of Open Access Journals (Sweden)

    Fabiola Lima Pereira

    2013-12-01

    Full Text Available Os prematuros são submetidos a diversas manipulações e procedimentos durante internação em unidades neonatais, com consequências deletérias para a saúde. O objetivo do presente estudo foi descrever a manipulação a que são submetidos os prematuros durante as 24 horas em uma unidade de terapia intensiva neonatal (UTIN. Estudo observacional, descritivo, exploratório, realizado com 20 prematuros, filmados continuamente por um período de 24 horas, de setembro de 2008 a março de 2009 numa UTIN. Os prematuros foram submetidos a uma média de 768 manipulações e 1.341 procedimentos. A manipulação durou em média 2 horas e 26 minutos em um período de 24 horas. Cada manipulação agrupou uma média de 2,2 procedimentos, a maioria no turno matutino As manipulações isoladas representaram 65,6% do total de manipulações e a maioria teve duração inferior a um minuto. Conclui-se que nas 24 horas avaliadas, os prematuros foram submetidos a um excesso de manipulações na UTIN.

  1. Inborn anemias in mice

    International Nuclear Information System (INIS)

    Bernstein, S.E.; Barker, J.E.; Russell, E.S.

    1981-06-01

    hereditary anemias of mice have been the chief objects of investigation. At present under study are four macrocytic anemias, five hemolytic anemias, nonhemolytic microcytic anemia, transitory siderocytic anemia, sex-linked iron-transport anemia, an α-thalassemia, and a new target-cell anemia. Each of these blood dyscrasias is caused by the action of a unique mutant gene, which determines the structure of different intracellular molecules, and thus controls a different metabolic process. Thus our wide range of different hereditary anemias has considerable potential for uncovering many different aspects of hemopoietic homeostatic mechanisms in the mouse. Each anemia is studied through: (a) characterization of peripheral blood values, (b) determinations of radiosensitivity under a variety of conditions, (c) measurements of iron metabolism and heme synthesis, (d) histological and biochemical study of blood-forming tissue, (e) functional tests of the stem cell component, (f) examination of responses to erythroid stimuli, and (g) transplantation of tissue between individuals of differently affected genotypes

  2. Primary hyperparathyroidism and anemia.

    Science.gov (United States)

    Falko, J M; Guy, J T; Smith, R E; Mazzaferri, E L

    1976-08-01

    The frequency of anemia associated with primary hyperparathyroidism is uncertain. When anemia does occur, its mechanisms are obscure. Two patients with primary hyperparathyroidism and moderate normochromic, normocytic, reticulocytopenic anemia were studied in detail. Both had results of ferrokinetic studies that were consistent with the anemia of chronic disease; one had low serum iron concentrations and reduced normoblastic iron incorporation. Anemia in both patients resolved after parathyroidectomy. Clinical records of 100 nonuremic patients with primary hyperparathyroidism were reviewed and three other anemic patients were found. The cause of anemia in two of these individuals was bleeding in the upper gastrointestinal system, and the third had folate deficiency attributable to chronic alchoholism.

  3. ASSISTÊNCIA DE ENFERMAGEM AO PREMATURO: ALGUNS PROCEDIMENTOS BÁSICOS

    Directory of Open Access Journals (Sweden)

    Miriam Aparecida Barbosa Merighi

    Full Text Available São apresentados os procedimentos básicos de assistência de enfermagem ao prematuro, a saber: observação nas primeiras 24 horas de vida, hidratação, alimentação com mamadeira, alimentação por sonda nasogástrica, cuidados após a alimentação, técnica do banho na incubadora, cuidado com a pele, cuidado com o coto umbilical, cuidado do prematuro com monilíase, diarréia, vômito, problemas respiratórios, cuidado do prematuro em oxigenoterapia, limpeza e conservação da incubadora.

  4. Desnutrición crónica y anemia en niños menores de 5 años de hogares indígenas del Perú: análisis de la encuesta demográfica y de salud familiar 2013

    Directory of Open Access Journals (Sweden)

    Janet Flores-Bendezú

    2015-04-01

    Full Text Available Introducción: La desnutrición crónica y anemia infantil son un problema importante de salud pública, cuyas consecuencias se manifiestan a lo largo de todo el ciclo vital. El Estado peruano se caracteriza por albergar una de las mayores riquezas etnoculturales del continente americano, siendo la Amazonía Peruana la región que posee la mayor diversidad de grupos indígenas del país. Objetivo: Determinar la prevalencia de desnutrición crónica y anemia en niños menores de 5 años de hogares indígenas del Perú. Diseño: análisis secundario de los datos de la Encuesta Demográfica y de Salud Familiar (ENDES 2013, del Instituto Nacional de Estadística e Informática (INEI. Institución: Segunda Especialidad en Nutrición Pública, Facultad de Medicina, Universidad Nacional Mayor de San Marco. Lima, Perú. Participantes: Niños menores de 5 años de hogares de la región natural selva en los cuales el idioma principal es una lengua indígena. Principales medidas de resultados: Desnutrición crónica (<-2 DE para valores Z de talla para la edad y anemia (<11 g/dL de hemoglobina ajustado por altitud. Resultados: La desnutrición crónica afectó al 43,0%y la anemia al 43,5% de los niños menores de 5 años de hogares indígenas. No existió una asociación estadísticamente significativa entre desnutrición crónica con el sexo ni edad del niño, ni entre la anemia y sexo del niño. Sin embargo, sí se encontró asociación entre la edad del menor y la anemia (p <0,001. Conclusiones: La desnutrición crónica y anemia resultaron elevadas en niños menores de 5 años de hogares indígenas en la selva del Perú, siendo evidentes las grandes desigualdades en la situación de pobreza, servicios básicos y salud de los niños indígenas.

  5. Iron-Deficiency Anemia

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    Full Text Available ... at 1 year of age. Women and Girls Women of childbearing age may be tested for iron-deficiency anemia, especially if they have: A history of iron-deficiency anemia Heavy blood loss during ...

  6. Iron-Deficiency Anemia

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    Full Text Available ... condition. Women Women of childbearing age are at higher risk for iron-deficiency anemia because of blood ... iron-deficiency anemia. Pregnant women also are at higher risk for the condition because they need twice ...

  7. Anemia in the Newborn

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    ... Version Blood Problems in Newborns Anemia in the Newborn Hemolytic Disease of the Newborn Polycythemia in the Newborn (See ... faster. Blood Problems in Newborns Anemia in the Newborn Hemolytic Disease of the Newborn Polycythemia in the Newborn NOTE: ...

  8. Iron-Deficiency Anemia

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    Full Text Available ... absorb iron from the gastrointestinal tract (GI tract). Blood loss When you lose blood, you lose iron. ... other conditions that can cause iron-deficiency anemia. Blood tests to screen for iron-deficiency anemia To ...

  9. Iron-Deficiency Anemia

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    Full Text Available ... iron-deficiency anemia early in life affects later behavior, thinking, and mood during adolescence. Treating anemia in ... and is recruiting by invitation only. View more information about Donor Iron Deficiency Study - Red Blood Cells ...

  10. Iron-Deficiency Anemia

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    Full Text Available ... the first prenatal visit. For pregnant women, medical care during pregnancy usually includes screening for anemia. Also, ... while checking for other problems. Specialists Involved Primary care doctors often diagnose and treat iron-deficiency anemia. ...

  11. Iron-Deficiency Anemia

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    Full Text Available ... and young children and women are the two groups at highest risk for iron-deficiency anemia. Outlook Doctors usually can successfully treat iron-deficiency anemia. Treatment ... ...

  12. Iron-Deficiency Anemia

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    Full Text Available ... items, such as ice, dirt, paint, or starch. Restless legs syndrome Shortness of breath Weakness Complications Undiagnosed or ... Changes Heart Failure Hemolytic Anemia Hemophilia Pernicious Anemia Restless Legs Syndrome Von Willebrand Disease Other Resources NHLBI resources ...

  13. Iron-Deficiency Anemia

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    Full Text Available ... apply to all types of anemia . Signs and Symptoms of Anemia The most common symptom of all ... growth and development, and behavioral problems. Signs and Symptoms of Iron Deficiency Signs and symptoms of iron ...

  14. Iron-Deficiency Anemia

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    Full Text Available ... deficiency anemia can cause serious complications, including heart failure and development delays in children. Explore this Health ... to iron-deficiency anemia include: End-stage kidney failure, where there is blood loss during dialysis. People ...

  15. Iron-Deficiency Anemia

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    Full Text Available ... can lead to several conditions: irregular heartbeats called arrhythmias , a heart murmur , an enlarged heart, or even ... More Information Related Health Topics Anemia Aplastic Anemia Arrhythmia Blood Donation Blood Tests Blood Transfusion Heart-Healthy ...

  16. Iron-Deficiency Anemia

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    Full Text Available ... drawings also can cause iron-deficiency anemia. Poor Diet The best sources of iron are meat, poultry, ... more likely to develop iron-deficiency anemia. Vegetarian diets can provide enough iron if you eat the ...

  17. Iron-Deficiency Anemia

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    Full Text Available ... heavy menstrual periods. Individuals with a gene for hemophilia, including symptomatic female carriers who have heavy menstrual ... Heart-Healthy Lifestyle Changes Heart Failure Hemolytic Anemia Hemophilia Pernicious Anemia Restless Legs Syndrome Von Willebrand Disease ...

  18. Iron-Deficiency Anemia

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    Full Text Available ... Hemophilia Pernicious Anemia Restless Legs Syndrome Von Willebrand Disease Other Resources NHLBI resources Your Guide to Anemia [PDF, 1.54MB] Cardiovascular Health Study Recipient Epidemiology Donor Studies (REDS) program ...

  19. Iron-Deficiency Anemia

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    Full Text Available ... risk for the condition. Women Women of childbearing age are at higher risk for iron-deficiency anemia ... periods. About 1 in 5 women of childbearing age has iron-deficiency anemia. Pregnant women also are ...

  20. Iron-Deficiency Anemia

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    Full Text Available ... iron-deficiency anemia can lead to heart problems, infections, problems with growth and development in children, and ... of the mouth, an enlarged spleen, and frequent infections. People who have iron-deficiency anemia may have ...

  1. Iron-Deficiency Anemia

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    Full Text Available ... for iron-deficiency anemia. Lifestyle habits Certain lifestyle habits may increase your risk for iron-deficiency anemia, including: Vegetarian or vegan eating patterns. Not eating enough iron-rich foods, such ...

  2. Iron-Deficiency Anemia

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    Full Text Available ... have iron-deficiency anemia, you'll have a high level of transferrin that has no iron. Other ... may include dietary changes and supplements, medicines, and surgery. Severe iron-deficiency anemia may require a blood ...

  3. Iron-Deficiency Anemia

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    Full Text Available ... and paler than normal when viewed under a microscope. Different tests help your doctor diagnose iron-deficiency ... if you have iron-deficiency anemia or another type of anemia. You may be diagnosed with iron- ...

  4. Iron-Deficiency Anemia

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    Full Text Available ... and other symptoms. Severe iron-deficiency anemia can lead to heart problems, infections, problems with growth and ... Internal bleeding (bleeding inside the body) also may lead to iron-deficiency anemia. This type of blood ...

  5. Iron-Deficiency Anemia

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    Full Text Available ... also may help treat iron-deficiency anemia. Medical History Your doctor will ask about your signs and ... much of the transferrin in your blood isn't carrying iron. If you have iron-deficiency anemia, ...

  6. Iron-Deficiency Anemia

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    Full Text Available ... information, go to the Health Topics Blood Transfusion article. Iron Therapy If you have severe anemia, your ... and children talk about their experiences with clinical research. More Information Related Health Topics Anemia Blood Tests ...

  7. Iron-Deficiency Anemia

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    Full Text Available ... iron-deficiency anemia early in life affects later behavior, thinking, and mood during adolescence. Treating anemia in ... Visit Children and Clinical Studies to hear experts, parents, and children talk about their experiences with clinical ...

  8. Iron-Deficiency Anemia

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    Full Text Available ... iron-fortified foods that have iron added. Vegetarian diets can provide enough iron if you choose nonmeat ... Anemia in Chronic Kidney Disease (National Institute of Diabetes and Digestive and Kidney Diseases) Avoiding Anemia (National ...

  9. Iron-Deficiency Anemia

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    Full Text Available ... specialists also may help treat iron-deficiency anemia. Medical History Your doctor will ask about your signs ... information, go to the Health Topics Blood Transfusion article. Iron Therapy If you have severe anemia, your ...

  10. Iron-Deficiency Anemia

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    Full Text Available ... conditions that can cause iron-deficiency anemia. Blood tests to screen for iron-deficiency anemia To screen ... the size of your liver and spleen. Blood tests Based on results from blood tests to screen ...

  11. Iron-Deficiency Anemia

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    Full Text Available ... effects on brain health, the American Academy of Pediatrics recommends testing all infants for anemia at 1 ... heart murmur , an enlarged heart, or even heart failure . In infants and young children, signs of anemia ...

  12. Iron-Deficiency Anemia

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    Full Text Available ... and pregnancy. Good sources of iron are meat, poultry, fish, and iron-fortified foods that have iron ... Anemia Restless Legs Syndrome Von Willebrand Disease Other Resources NHLBI resources Your Guide to Anemia [PDF, 1. ...

  13. Iron-Deficiency Anemia

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    Full Text Available ... iron-deficiency anemia may require treatment in a hospital, blood transfusions , iron injections, or intravenous iron therapy. ... Treatment may need to be done in a hospital. The goals of treating iron-deficiency anemia are ...

  14. Anemia in the Newborn

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    ... Overview of Biliary Atresia Additional Content Medical News Anemia in the Newborn By Andrew W. Walter, MS ... for the Professional Version Blood Problems in Newborns Anemia in the Newborn Hemolytic Disease of the Newborn ...

  15. Iron-Deficiency Anemia

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    Full Text Available ... less hemoglobin than normal. Iron-deficiency anemia can cause fatigue (tiredness), shortness of breath, chest pain, and ... iron-deficiency anemia. Treatment will depend on the cause and severity of the condition. Treatments may include ...

  16. Iron-Deficiency Anemia

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    Full Text Available ... advised. Treatments for Severe Iron-Deficiency Anemia Blood Transfusion If your iron-deficiency anemia is severe, you may get a transfusion of red blood cells. A blood transfusion is ...

  17. The Anemias of Athletes.

    Science.gov (United States)

    Eichner, Edward R.

    1986-01-01

    Diagnosing anemia in athletes is complicated because athletes normally have a pseudoanemia that needs no treatment. Athletes, however, can develop anemia from iron deficiency or footstrike hemolysis, which require diagnosis and treatment. (Author/MT)

  18. Iron-Deficiency Anemia

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    Full Text Available ... endoscopy or colonoscopy, to stop bleeding. Healthy lifestyle changes To help you meet your daily recommended iron ... iron-deficiency anemia early in life affects later behavior, thinking, and mood during adolescence. Treating anemia in ...

  19. Sickle cell anemia.

    OpenAIRE

    ŘÍHOVÁ, Tereza

    2013-01-01

    This thesis is about the disease called sickle cell anemia, or drepanocytosis. In this thesis is described the history of the disease, pathophysiology, laboratory features, various clinical features, diferencial diagnosis, quality of life in sickle cell anemia and therapy.

  20. Sickle cell anemia

    Science.gov (United States)

    Anemia - sickle cell; Hemoglobin SS disease (Hb SS); Sickle cell disease ... Sickle cell anemia is caused by an abnormal type of hemoglobin called hemoglobin S. Hemoglobin is a protein inside red blood cells ...

  1. Side Effects: Anemia

    Science.gov (United States)

    Anemia is a side effect of cancer treatments, including chemotherapy and radiation therapy. It can make women and men feel fatigued, dizzy, and short of breath. Learn how to manage fatigue caused by anemia during cancer treatment.

  2. Vitamin Deficiency Anemia

    Science.gov (United States)

    ... are unique to specific vitamin deficiencies. Folate-deficiency anemia risk factors include: Undergoing hemodialysis for kidney failure. ... the metabolism of folate. Vitamin B-12 deficiency anemia risk factors include: Lack of intrinsic factor. Most ...

  3. Iron-Deficiency Anemia

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    Full Text Available ... as ice, dirt, paint, or starch. Restless legs syndrome Shortness of breath Weakness Complications Undiagnosed or untreated ... Failure Hemolytic Anemia Hemophilia Pernicious Anemia Restless Legs Syndrome Von Willebrand Disease Other Resources NHLBI resources Your ...

  4. Iron-Deficiency Anemia

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    Full Text Available ... Home / < Back To Health Topics / Iron-Deficiency Anemia Iron-Deficiency Anemia Also known as Leer en español ... bleeding Consuming less than recommended daily amounts of iron Iron-deficiency anemia can be caused by getting ...

  5. Iron-Deficiency Anemia

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    Full Text Available ... for iron-deficiency anemia if you have certain risk factors , including pregnancy. To prevent iron-deficiency anemia, your doctor may recommend you eat heart-healthy foods or control other conditions that can cause iron-deficiency anemia. ...

  6. Iron-Deficiency Anemia

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    Full Text Available ... Medicine (TOPMed) Program Non-NHLBI resources Anemia (National Library of Medicine, MedlinePlus) Anemia in Chronic Kidney Disease ( ... Supplement Fact Sheet (NIH) Iron-Deficiency Anemia (National Library of Medicine, MedlinePlus) Building 31 31 Center Drive ...

  7. Iron-Deficiency Anemia

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    Full Text Available ... anemia if you have certain risk factors , including pregnancy. To prevent iron-deficiency anemia, your doctor may recommend you eat heart- ... infections Motor or cognitive development delays in ... with chronic conditions, iron-deficiency anemia can make their condition worse or result ...

  8. Iron-Deficiency Anemia

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    Full Text Available ... if you are diagnosed with iron-deficiency anemia. Risk Factors You may have an increased risk for iron- ... for iron-deficiency anemia if you have certain risk factors , including pregnancy. To prevent iron-deficiency anemia, your ...

  9. Iron-Deficiency Anemia

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    Full Text Available ... exploring about iron-deficiency anemia. Read more New treatments for disorders that lead to iron-deficiency anemia. We are ... and other pathways. This could help develop new therapies for conditions that ... behavior, thinking, and mood during adolescence. Treating anemia in ...

  10. Iron-Deficiency Anemia

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    Full Text Available ... who have iron-deficiency anemia develop restless legs syndrome (RLS). RLS is a disorder that causes a ... Topics Anemia Blood Tests Blood Transfusion Restless Legs Syndrome Other Resources Non-NHLBI Resources Anemia (MedlinePlus) "Dietary ...

  11. Iron deficiency anemia

    Science.gov (United States)

    Anemia - iron deficiency ... iron from old red blood cells. Iron deficiency anemia develops when your body's iron stores run low. ... You may have no symptoms if the anemia is mild. Most of the time, ... slowly. Symptoms may include: Feeling weak or tired more often ...

  12. Iron-Deficiency Anemia

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    Full Text Available ... be at risk for iron-deficiency anemia. Lifestyle habits Certain lifestyle habits may increase your risk for iron-deficiency anemia, ... prevention and treatment of heart, lung, blood, and sleep disorders, including iron-deficiency anemia. Learn about the ...

  13. Incidencia de enterocolitis necrosante en niños prematuros alimentados precozmente

    Directory of Open Access Journals (Sweden)

    Luis Alfonso Pérez

    2011-06-01

    Conclusión. El iniciar en forma temprana la alimentación entérica en neonatos prematuros no aumenta el riesgo de enterocolitis necrosante ni el de mortalidad y sí representa grandes ventajas para estos pacientes.

  14. [Iron dysregulation and anemias].

    Science.gov (United States)

    Ikuta, Katsuya

    2015-10-01

    Most iron in the body is utilized as a component of hemoglobin that delivers oxygen to the entire body. Under normal conditions, the iron balance is tightly regulated. However, iron dysregulation does occasionally occur; total iron content reductions cause iron deficiency anemia and overexpression of the iron regulatory peptide hepcidin disturbs iron utilization resulting in anemia of chronic disease. Conversely, the presence of anemia may ultimately lead to iron overload; for example, thalassemia, a common hereditary anemia worldwide, often requires transfusion, but long-term transfusions cause iron accumulation that leads to organ damage and other poor outcomes. On the other hand, there is a possibility that iron overload itself can cause anemia; iron chelation therapy for the post-transfusion iron overload observed in myelodysplastic syndrome or aplastic anemia improves dependency on transfusions in some cases. These observations reflect the extremely close relationship between anemias and iron metabolism.

  15. Alteraciones proteómicas en suero de recién nacidos con retraso del crecimiento intrauterino

    OpenAIRE

    Ruiz González, M.D.

    2016-01-01

    La restricción del crecimiento intrauterino (RCIU), segunda causa de morbi-mortalidad perinatal, es una causa importante de parto prematuro y se asocia al aumento de morbilidad y anomalías metabólicas en la edad adulta1. Entre 30 y 50% de los RN prematuros son pequeños para la edad gestacional (EG), y tienen un riesgo mayor de retraso del crecimiento y del desarrollo postnatal que sus congéneres de peso adecuado2. Esto justifica la búsqueda de signos precoces de alarma que faciliten la compre...

  16. Las anemias clasificadas desde el punto de vista de los examenes de laboratorio

    Directory of Open Access Journals (Sweden)

    Bernardo de Castro Gómez

    1939-07-01

    Full Text Available 1-Se hace un hace un resumen de la fisiologia del eritrocito. 2-Se da una definición fisiológica de la anemia. 3-Se hace el estudio y la interpretación de varios métodos para medir la actividad fisiológica del eritrocito. 4-Se clasifican clínicamente las anemias. 5-Se clasifican las anemias tomando como base los exámenes de laboratorio.

  17. Las anemias clasificadas desde el punto de vista de los examenes de laboratorio

    OpenAIRE

    Castro Gómez, Bernardo de

    2011-01-01

    1-Se hace un hace un resumen de la fisiologia del eritrocito. 2-Se da una definición fisiológica de la anemia. 3-Se hace el estudio y la interpretación de varios métodos para medir la actividad fisiológica del eritrocito. 4-Se clasifican clínicamente las anemias. 5-Se clasifican las anemias tomando como base los exámenes de laboratorio.

  18. Anemia in Chronic Kidney Disease

    Science.gov (United States)

    ... artérielle Heart Disease Mineral & Bone Disorder Anemia in Chronic Kidney Disease What is anemia? Anemia is a condition in ... as they should. How is anemia related to chronic kidney disease? Anemia commonly occurs in people with chronic kidney ...

  19. Iron deficiency anemia and megaloblastic anemia in obese patients

    OpenAIRE

    Arshad Mahmoud; Jaberian Sara; Pazouki Abdolreza; Riazi Sajedeh; Rangraz Maryam Aghababa; Mokhber Somayyeh

    2017-01-01

    Background. The association between obesity and different types of anemia remained uncertain. The present study aimed to assess the relation between obesity parameters and the occurrence of iron deficiency anemia and also megaloblastic anemia among Iranian population.

  20. Genetics Home Reference: Fanconi anemia

    Science.gov (United States)

    ... Facebook Twitter Home Health Conditions Fanconi anemia Fanconi anemia Printable PDF Open All Close All Enable Javascript to view the expand/collapse boxes. Description Fanconi anemia is a condition that affects many parts of ...

  1. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... Precision Medicine Activities Obesity, Nutrition, and Physical Activity Population and ... Treatments may include dietary changes, medicines, and surgery. Severe iron-deficiency anemia may ...

  2. Congenital Hemolytic Anemia.

    Science.gov (United States)

    Haley, Kristina

    2017-03-01

    Red blood cell (RBC) destruction can be secondary to intrinsic disorders of the RBC or to extrinsic causes. In the congenital hemolytic anemias, intrinsic RBC enzyme, RBC membrane, and hemoglobin disorders result in hemolysis. The typical clinical presentation is a patient with pallor, anemia, jaundice, and often splenomegaly. The laboratory features include anemia, hyperbilirubinemia, and reticulocytosis. For some congenital hemolytic anemias, splenectomy is curative. However, in other diseases, avoidance of drugs and toxins is the best therapy. Supportive care with transfusions are also mainstays of therapy. Chronic hemolysis often results in the formation of gallstones, and cholecystectomy is often indicated. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. Anemia in Pregnancy

    Directory of Open Access Journals (Sweden)

    Umran Kucukgoz Gulec

    2013-06-01

    Full Text Available Iron deficiency anemia (IDA is the most frequent form of anemia in pregnant women. Folic acid, vitamin B12 deficiency, and hemoglobinopathies are other causes of anemia in pregnancy. Finding the underlying cause are crucial to the management of the anemia. Anemia is defined as hemoglobin of <11 g/dl in the first and third trimester and <10.5 g/dl in second trimester. According to the literature, anemia, particularly severe anemia (Hb<7g/dl is associated with increased risk of maternal and perinatal mortality and morbidity, and long term adverse effects in the newborn. The association of hemoglobin levels to perinatal outcome has been shown to be U shaped with both high and low hemoglobin levels being associated adverse perinatal outcome such as low birth weight, increased stillbirths. Anemia in pregnancy is a major public health problem. Ideally a woman should have adequate iron stores when she conceives, in order meet to additional requirements of pregnancy. This review focuses on the occurrence, types, maternal and perinatal outcomes, prevention and treatment of anemia during pregnancy. [Archives Medical Review Journal 2013; 22(3.000: 300-316

  4. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... hear experts, parents, and children talk about their experiences with clinical research. More Information Related Health Topics Anemia Blood Tests Blood Transfusion Restless Legs ...

  5. Indicadores de risco para o parto prematuro Risk predictors for preterm birth

    Directory of Open Access Journals (Sweden)

    Roberto Eduardo Bittar

    2009-04-01

    Full Text Available Entre os vários fatores clínicos para o parto prematuro, alguns apresentam riscos substanciais, tais como história de parto prematuro, gemelidade e sangramento vaginal do segundo trimestre. No entanto, tais fatores estão presentes na minoria das mulheres que evoluem para o parto prematuro e, portanto, possuem baixa sensibilidade. A dilatação, o esvaecimento e a posição do colo uterino diagnosticados pelo toque vaginal têm sido relacionados ao aumento do risco para o parto prematuro, mas possuem baixas sensibilidades e baixos valores preditivos positivos. A diminuição do comprimento do colo uterino detectada pela ultrassonografia transvaginal também constitui risco para parto prematuro. Sua sensibilidade é melhor quando são considerados outros testes, mas o valor preditivo positivo é baixo. A principal utilidade do teste da fibronectina fetal reside em seu valor preditivo negativo em mulheres sintomáticas. Observa-se aumento da sensibilidade para a detecção do parto prematuro quando a medida do colo do útero é utilizada juntamente com o teste da fibronectina fetal.Among the clinical factors for preterm birth, some confer substantial increased risk, including a history of preterm birth, multiple gestation and vaginal bleeding in the second trimester. However, these factors are present only in a minority of women who ultimately deliver preterm and thus have low sensitivity. Cervical dilatation, effacement and position as determined by manual examination have been related to an increased risk of preterm birth but also suffer from low sensitivity and positive predictive values. Cervical length measured with transvaginal ultrasound has also been related to an increased risk of preterm birth as cervical length decreases. The reported sensitivity is better than other tests, but positive predictive value is low. The principal utility of the fetal fibronectin assay lies in its negative predictive value in symptomatic women. Increased

  6. How Is Aplastic Anemia Diagnosed?

    Science.gov (United States)

    ... experiences with clinical research. More Information Related Health Topics Anemia Arrhythmia Blood and Bone Marrow Transplant Blood Tests Blood Transfusion Bone Marrow Tests Fanconi Anemia Heart Failure Other ...

  7. How Is Aplastic Anemia Treated?

    Science.gov (United States)

    ... experiences with clinical research. More Information Related Health Topics Anemia Arrhythmia Blood and Bone Marrow Transplant Blood Tests Blood Transfusion Bone Marrow Tests Fanconi Anemia Heart Failure Other ...

  8. [Preoperative management of anemia in oncologic surgery].

    Science.gov (United States)

    Díaz-Cambronero, O; Matoses-Jaén, S; García-Claudio, N; García-Gregorio, N; Molins-Espinosa, J

    2015-06-01

    Preoperative anemia in patients with cancer is highly prevalent, is associated with increased perioperative morbidity and is a risk factor for transfusion. There is evidence that patients who undergo transfusions have higher morbidity, increased cancer recurrence and poorer survival. The pathophysiology of anemia is multifactorial, with an inflammatory component to which chronic blood loss and nutritional deficiencies can be associated. Therefore, preoperative anemia in patients with cancer should be treated appropriately, given that there is sufficient time in the preoperative period. Of the currently available options, parenteral iron is an effective alternative, especially for those types of cancer that have an associated hemorrhagic component. Copyright © 2015 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Habilidades do desenvolvimento de prematuros Development abilities in preterm

    Directory of Open Access Journals (Sweden)

    Dionísia Aparecida Cusin Lamônica

    2009-01-01

    Full Text Available OBJETIVO: verificar o desempenho de habilidades do desenvolvimento linguístico, cognitivo, motor, de autocuidados e socialização em crianças prematuras. MÉTODOS: participaram 30 crianças nascidas prematuras, de ambos os sexos de seis a 24 meses. Os procedimentos de avaliação constaram de uma entrevista de anamnese e da aplicação do Inventário Portage Operacionalizado (IPO (Wilhiams & Aiello, 2001. As crianças foram divididas em dois grupos, conforme a faixa etária, para análise estatística dos dados, considerando as idades de seis a 11 meses e de 12 a 24 meses. A análise dos dados foi realizada por meio da aplicação do teste Manny-Whitney comparando os valores obtidos no grupo de crianças prematuras com escores previstos para crianças típicas. RESULTADOS: os resultados indicam que a área mais defasada do grupo na faixa etária de seis a 12 meses foi à linguística e autocuidados e na faixa etária de 12 a 24 meses as áreas mais defasadas foram linguística, cognitiva e de autocuidados. CONCLUSÃO: ressalta-se a necessidade de um acompanhamento rigoroso de recém-nascidos prematuros, por meio do desenvolvimento de programas de acompanhamento e por uma equipe multidisciplinar para promover a detecção e intervenção precoce, minimizando assim o impacto de problemas no desenvolvimento global destas crianças.PURPOSE: to check the performance of the linguistic, cognitive, motor, self-care and socialization development abilities in premature children. METHODS: 30 premature children participated, of both genders, from 6 to 24 months. The evaluation procedures consisted of an anamnesis interview and Operating Portage Inventory (OPI (Wilhiams & Aiello, 2001 application. The children were divided in two groups, according to age group, for statistical data analysis, considering the age groups from 6 to 11 months and from 12 to 24 months. Data analysis was accomplished through Manny-Whitney test application, comparing the values

  10. Prematuridad, bajo peso al nacer y patologías asociadas en niños nacidos prematuros en el Complejo Hospitalario de Navarra entre los años 2004-2006

    OpenAIRE

    Buldain Zozaya, Imelda

    2012-01-01

    En los últimos años se viene observando un incremento importante a nivel mundial de la prematuridad. Este hecho constituye un problema de salud importante ya que, aunque la atención en las unidades neonatales ha progresado en los últimos años, el problema se extiende en muchos casos a toda la vida del niño. Además de las secuelas en los primeros años de vida del niño, muchos de ellas aparecen más tarde. El conocimiento de todas las patologías del niño prematuro y su evolución p...

  11. Iron-Deficiency Anemia

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    Full Text Available ... funding on iron-deficiency anemia. We stimulate high-impact research. Our Trans-Omics for Precision Medicine (TOPMed) Program now includes participants with anemia, which may help us understand how genes contribute to differences in disease severity and how patients respond to treatment. The ...

  12. Iron-Deficiency Anemia

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    Full Text Available ... over 65 years of age had low hemoglobin levels. This was associated with a greater risk of death even with mild anemia. Now, anemia in older adults is recognized as an important condition. NHLBI Small Business Program. Through the NHLBI Small Business Program , we ...

  13. Iron-Deficiency Anemia

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    Full Text Available ... when used properly, can help prevent iron-deficiency anemia in infants and young children. Talk with your child's doctor ... and supplements, go to "How Is Iron-Deficiency Anemia Treated?" Infants and young children and women are the two ...

  14. Iron-Deficiency Anemia

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    Full Text Available ... term but can't take iron supplements by mouth. This therapy also is given to people who need immediate treatment for iron-deficiency anemia. Living With If you have iron-deficiency anemia, get ongoing care to make sure your iron levels are improving. ...

  15. Iron-Deficiency Anemia

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    Full Text Available ... ages of 14 and 50 years need more iron than boys and men of the same age. Women are at higher ... anemia. In iron-deficiency anemia, blood levels of iron will be low, or less than 10 micromoles per liter (mmol/L) for both men and women. Normal levels are 10 to 30 ...

  16. Iron-Deficiency Anemia

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    Full Text Available ... develop restless legs syndrome (RLS). RLS is a disorder that causes a strong urge to move the legs. This ... may be a sign of infection, a blood disorder, or another ... may be a clue as to the cause of your anemia. In iron-deficiency anemia, for ...

  17. Iron-Deficiency Anemia

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    Full Text Available ... for iron-deficiency anemia. Lifestyle habits Certain lifestyle habits may increase your risk for iron-deficiency anemia, including: Vegetarian or vegan eating patterns. Not eating enough iron-rich foods, such as meat and fish, may result in ...

  18. Iron-Deficiency Anemia

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    Full Text Available ... Home / < Back To Health Topics / Iron-Deficiency Anemia Iron-Deficiency Anemia Also known as Leer en español ... of growth and development. Inability To Absorb Enough Iron Even if you have enough iron in your ...

  19. Iron-Deficiency Anemia

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    Full Text Available ... iron-deficiency anemia early in life affects later behavior, thinking, and mood during adolescence. Treating anemia in premature or very small newborns . In collaboration with the Eunice Kennedy Shriver National Institute of Child Health and Human Development, we are investigating how best to treat ...

  20. Iron-Deficiency Anemia

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    Full Text Available ... other conditions to prevent you from developing iron-deficiency anemia. Foods that are good sources of iron include dried ... patterns. Increase your daily intake of iron-rich foods to help treat your iron-deficiency anemia. See Prevention strategies to learn about foods ...

  1. Iron-Deficiency Anemia

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    Full Text Available ... may be a sign of infection, a blood disorder, or another condition. Finally, the CBC looks at mean corpuscular (kor-PUS-kyu-lar) volume (MCV). MCV is a measure of the average size of your red blood cells. The results may be a clue as to the cause of your anemia. In iron-deficiency anemia, for ...

  2. Iron-Deficiency Anemia

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    Full Text Available ... how we are using current research and advancing research to prevent iron-deficiency anemia. Participate in NHLBI Clinical Trials will explain our ongoing clinical studies that are investigating prevention strategies for iron-deficiency anemia. Signs, Symptoms, and Complications ...

  3. Iron-Deficiency Anemia

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    Full Text Available ... Blood Disorders and Blood Safety Trans-Omics for Precision Medicine (TOPMed) Program Non-NHLBI resources Anemia (National Library of Medicine, MedlinePlus) Anemia in Chronic Kidney Disease (National Institute of Diabetes and Digestive and Kidney ...

  4. Iron-Deficiency Anemia

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    Full Text Available ... Precision Medicine Activities Obesity, Nutrition, and Physical Activity Population and Epidemiology Studies Women’s Health All Science A- ... to help your body absorb iron. Avoid drinking black tea, which reduces iron ... was associated with a greater risk of death even with mild anemia. Now, anemia in older ...

  5. Iron-Deficiency Anemia

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    Full Text Available ... even with mild anemia. Now, anemia in older adults is recognized as an important condition. NHLBI Small Business Program. Through the NHLBI Small Business Program , we fund research and development for domestic small businesses that have strong potential ...

  6. Iron-Deficiency Anemia

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    Full Text Available ... Are you curious about how inflammation from chronic diseases can cause iron-deficiency anemia? Read more When there is ... DBDR) is a leader in research on the causes, prevention, and treatment of blood diseases, including iron-deficiency anemia. Search the NIH Research ...

  7. Iron-Deficiency Anemia

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    Full Text Available ... women of childbearing age has iron-deficiency anemia. Pregnant women also are at higher risk for the condition ... for the fetus' growth. About half of all pregnant women develop iron-deficiency anemia. The condition can increase ...

  8. Iron-Deficiency Anemia

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    Full Text Available ... other conditions that can cause iron-deficiency anemia. Blood tests to screen for iron-deficiency anemia To screen ... check the size of your liver and spleen. Blood tests Based on results from blood tests to screen ...

  9. Hematologic Disorders: Anemia.

    Science.gov (United States)

    Baltierra, David; Harper, Tiffany; Jones, Matthew Page; Nau, Konrad C

    2015-06-01

    Anemia occurs in up to 25% of the US population. Normal hemoglobin levels vary by race, sex, and age. Classification of anemia by mean corpuscular volume guides the differential diagnosis and evaluation. Iron studies, reticulocyte count, the red blood cell distribution width index, and blood test results are used to make the diagnosis. Iron deficiency anemia is the most common microcytic anemia and is managed with iron therapy. Parenteral iron is available when the oral route cannot be used. Patients who do not benefit from therapy should be evaluated for adherence, malabsorption, occult bleeding, systemic disease, or less common inherited disorders. A source of gastrointestinal bleeding is found in 60% to 70% of patients with iron deficiency anemia who are referred for endoscopy. Normocytic anemia has a broad differential, including nutritional deficiencies, blood loss, renal disease, malignancy (solid tumors or hematologic cancer), rheumatologic disorders, endocrine disorders, and other systemic diseases. Macrocytic anemias are seen with vitamin B12 and folate deficiency, alcohol use, thyroid disease, hydroxyurea, antiretroviral drugs, myelodysplastic syndromes, and myeloma. Oral vitamin B12 is underused, and can be as effective as intramuscular vitamin B12 in managing anemia due to vitamin B12 deficiency. Written permission from the American Academy of Family Physicians is required for reproduction of this material in whole or in part in any form or medium.

  10. Iron-Deficiency Anemia

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    Full Text Available ... be advised. Treatments for Severe Iron-Deficiency Anemia Blood Transfusion If your iron-deficiency anemia is severe, you ... get a transfusion of red blood cells. A blood transfusion is a safe, common procedure in which blood ...

  11. Iron-Deficiency Anemia

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    Full Text Available ... issues. For more information, go to the Health Topics Blood Transfusion article. Iron Therapy If you have severe anemia, ... experiences with clinical research. More Information Related Health Topics Anemia Blood Tests Blood Transfusion Restless Legs Syndrome Other Resources Non-NHLBI Resources ...

  12. [Hemolytic anemias in adults].

    Science.gov (United States)

    Müller, A; Zimmermann, R; Krause, S W

    2011-11-01

    The erythrocyte lifespan in haemolytic anemia is shortened while erythropoesis is increased. Important labaratory findings are increased reticulocytes, LDH, indirect bilirubin and a decreased haptoglobin level. The most important diagnostic tool for further work up of hemolytic anemia is the direct antiglobulin test (DAT, Coombs test) to differentiate autoimmune hemolytic anemia (AIHA) from other causes. Another important group are fragmentation syndroms (hemolytic uremic syndrome and thrombotic thrombocytopenic purpura). In these forms of haemolytic anemia fragmented red blood cells can be found in the blood smear together with thrombocytopenia. A severe problem in paroxysmal nocturnal hematuria is the incidence of thrombosis. The following review describes the most important forms of hemolytic anemia in the adult and the diagnostic and therapeutic strategies. © Georg Thieme Verlag KG Stuttgart · New York.

  13. Percepções de mães de prematuros acerca da vivência em um programa educativo Percepciones de madres de prematuros acerca de la vivencia en un programa de educación en salud Perceptions of mothers of premature babies regarding their experience with a health educational program

    Directory of Open Access Journals (Sweden)

    Geovana Magalhães Ferecini

    2009-06-01

    posibilidades de socializar el conocimiento con la familia; el Programa como espacio para la relajación y la escucha; y desarrollando el vínculo afectivo con otras madres y con la enfermera. CONCLUSIÓN: Frente a los resultados positivos de este estudio, se recomienda que los programas educativos de esa naturaleza y ampliados con la participación de otros miembros de la familia del prematuro sean implantados en otras unidades neonatales.OBJECTIVE: To identify the perceptions of mothers of premature babies regarding their experience with a health educational program using participant observation methodology. METHODS: Thirty-eight mothers of inpatient premature babies of a neonatal unit participated in the health educational program. The goal of the educational program was to provide mothers with the knowledge and skills to care for their premature babies. Paulo Freire's theory of education served as the framework for the study. An educational booklet and group activities were used to stimulate mothers' perceptions regarding the educational program. A thematic analysis was used to identify the perceptions of mothers regarding the educational program through participants' talk. RESULTS: Four themes emerged: The development of mothers' knowledge by participating in the educational program; the potential for mothers to share the acquired knowledge with family members; the education program as a medium and place for relaxing and listening; and the development of an affective bond with other mothers and the nurse. CONCLUSION: Given the positive results of this study, it is recommended that such educational programs in neonatal units expand to include the participation of other family members or premature babies as well.

  14. Anemia in the elderly.

    Science.gov (United States)

    Pang, Wendy W; Schrier, Stanley L

    2012-05-01

    There have been several large-scale epidemiologic studies, including the National Health and Nutrition Examination Survey III (NHANES III), which have described the prevalence and impact of anemia in the elderly. The information derived has been critically important. However, given the large number of patients surveyed, these reports necessarily relied substantially on the laboratory-based screening evaluations. There are now two recent reports describing the cause of anemia in elderly outpatients, and although the numbers are smaller than the large scale surveys, they constitute comprehensive hematologic evaluations with therapeutic interventions and clinical follow-up. The purpose of this review is to compare these different analyses. There are distinct differences and similarities in the two types of studies, which are derived from patients seen in hematology clinics. Despite comprehensive hematologic evaluation, the puzzling entity of unexplained anemia of the elderly is confirmed and found to account for 30-46% of patients. NHANES III classified iron-deficiency anemia with other nutritional anemias, a classification that might be correct in the developing third world, but in North America and Western Europe, iron deficiency is more often caused by blood loss and the cause must be sought and dealt with. The myelodysplastic syndromes are an important cause of anemia in the elderly, with a prevalence of at least 4%. Large-scale screening studies of anemia in the elderly are of great importance, and when complemented by comprehensive hematologic evaluations, provide a more accurate picture of the clinical situation.

  15. [Anemia in children].

    Science.gov (United States)

    Muramatsu, Hideki; Kojima, Seiji

    2008-03-01

    Anemia is one of the most common symptoms in children caused by numerous underlying diseases. In majority of patients, these diseases can be correctly diagnosed through physical examination, history taking, and routine laboratory tests. Bone marrow failure syndromes associated with several genetic diseases are rare causes of anemia in childhood. We reviewed the recent progress of molecular mechanisms in bone marrow failure syndromes, such as Shwachman-Diamond syndrome (SDS), Diamond-Blackfan anemia (DBA), and dyskeratosis congenita (DC), which are all predicted to involve defective ribosome synthesis. Delineation of the precise role of each gene product in ribosomal biogenesis and hematopoiesis may have both therapeutic and prognostic significance.

  16. ANEMIA OF CENTRAL ORIGIN

    Science.gov (United States)

    Ishii, Kazusa; Young, Neal S.

    2015-01-01

    Hypoproliferative anemia results from the inability of bone marrow to produce adequate numbers of red blood cells. The list of conditions that cause hypoproliferative anemia is long, starting from common etiologies as iron deficiency to rarer diagnoses of constitutional bone marrow failure syndromes. There is no perfect diagnostic algorithm, and clinical data may not always clearly distinguish “normal” from “abnormal”, yet it is important for practicing clinicians to recognize each condition so that treatment can be initiated promptly. This review describes diagnostic approaches to hypoproliferative anemia, with particular emphasis on bone marrow failure syndromes. PMID:26404444

  17. Anemia as the Main Manifestation of Myelodysplastic Syndromes.

    Science.gov (United States)

    Santini, Valeria

    2015-10-01

    Myelodysplastic syndromes (MDS) are a constellation of different diseases sharing anemia in the great majority of cases, and this cytopenia defines these pathologies and their most dramatic clinical manifestations. Anemia in MDS is due to ineffective erythropoiesis, with a high degree of apoptosis of marrow erythroid progenitors. These progenitors show distinctive dysplastic features that consent diagnosis, and are recognizable and differentiated, although not easily, from other morphologic alterations present in other types of anemia. Reaching the diagnosis of MDS in a macrocytic anemia and alleviating the symptoms of anemia are therefore an essential objective of the treating physician. In this work, the signs and symptoms of anemia in MDS, as well as its peculiar pathophysiology, are discussed. Erythopoietic stimulating agents (ESAs) are providing the best treatment for anemic MDS patients, but their use is still not approved by health agencies. While still waiting for this waiver, their clinical use is widespread and their effectivness is well known, as well as the dismal prognosis of patients who do not respond to ESAs and require transfusions. MDS with del5q constitute a unique model of anemia whose complex pathophysiology has been clarified at least partially, defining its link to ribosomal alterations likewise what observed in hereditary anemias like Blackfan Diamond anemia. Lenalidomide is the agent that has shown striking and specific erythropoietic activity in del5q MDS, and the basis of this response is starting to be understood. Several new agents are under evaluation for ESA refractory/relapsed MDS patients, targeting different putative mechanisms of ineffective erythropoiesis, and are here reviewed. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Iron-Deficiency Anemia

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  19. Iron-Deficiency Anemia

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    Full Text Available ... an MCV of less than 80 femtoliters (fL). Prevention strategies If you have certain risk factors , such ... explain our ongoing clinical studies that are investigating prevention strategies for iron-deficiency anemia. Signs, Symptoms, and ...

  20. Iron-Deficiency Anemia

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    Full Text Available ... or an inability to absorb enough iron from food. Overview Iron-deficiency anemia is a common type ... or an inability to absorb enough iron from food. Blood Loss When you lose blood, you lose ...

  1. Iron-Deficiency Anemia

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    Full Text Available ... developing iron-deficiency anemia. Foods that are good sources of iron include dried beans, dried fruits, eggs, ... is needed, such as childhood and pregnancy. Good sources of iron are meat, poultry, fish, and iron- ...

  7. Iron-Deficiency Anemia

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    Full Text Available ... cells carry oxygen and remove carbon dioxide (a waste product) from your body. Anemia also can occur ... iron as they grow and begin to eat solid foods. Talk with your child's doctor about a ...

  8. Iron-Deficiency Anemia

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    Full Text Available ... screen for iron-deficiency anemia, your doctor may order a blood test called a complete blood count ( ... your risk factors , do a physical exam, or order blood tests or other diagnostic tests. Physical exam ...

  9. Iron-Deficiency Anemia

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    Full Text Available ... Heavy blood loss during their monthly periods Other risk factors for iron-deficiency anemia The Centers for Disease Control and Prevention (CDC) has developed guidelines for ...

  10. Iron-Deficiency Anemia

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    Full Text Available ... in which your blood has a lower than normal number of red blood cells. Red blood cells ... cells it does make have less hemoglobin than normal. Iron-deficiency anemia can cause fatigue (tiredness), shortness ...

  11. Equine Infectious Anemia

    OpenAIRE

    Hoopes, Karl H.

    2017-01-01

    This fact sheet gives information on equine infectious anemia, a blood-borne infectious viral disease of horses, donkeys, and mules. It describes transmission, clinical disease, diagnosis and control.

  12. Iron-Deficiency Anemia

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    Full Text Available ... you don't have enough iron in your body. Low iron levels usually are due to blood ... remove carbon dioxide (a waste product) from your body. Anemia also can occur if your red blood ...

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    Full Text Available ... making new blood cells. Visit our Aplastic Anemia Health Topic to learn more. ... recommend that you take iron supplements, also called iron pills or oral iron, by mouth once or several times a ...

  14. Iron-Deficiency Anemia

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    Full Text Available ... For this treatment, iron is injected into a muscle or an IV line in one of your ... body can damage your organs. You may have fatigue (tiredness) and other symptoms of iron-deficiency anemia ...

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  17. Iron-Deficiency Anemia

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    Full Text Available ... Search Form Search the NHLBI, use the drop down list to select: the entire site, the Health ... who have iron-deficiency anemia develop restless legs syndrome (RLS). RLS is a disorder that causes a ...

  18. Iron-Deficiency Anemia

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    Full Text Available ... Heavy Menstrual Bleeding (Centers for Disease Control and Prevention) Iron - Health Professional Fact Sheet (NIH) Iron Dietary Supplement Fact Sheet (NIH) Iron-Deficiency Anemia (National Library ...

  19. Iron-Deficiency Anemia

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    Full Text Available ... of blood loss during their monthly periods. About 1 in 5 women of childbearing age has iron- ... Pediatrics recommends testing all infants for anemia at 1 year of age. Women and Girls Women of ...

  20. Iron-Deficiency Anemia

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    Full Text Available ... more. Read less Reminders Return to Causes to review how blood loss, not consuming the recommended amount ... iron-deficiency anemia. Return to Risk Factors to review family history, lifestyle, unhealthy environments, or other factors ...

  1. Iron-Deficiency Anemia

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  7. Iron-Deficiency Anemia

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    Full Text Available ... Program. Through the NHLBI Small Business Program , we fund research and development for domestic small businesses that ... our Hematology Branch , performs research on anemia. We fund research. Our Division of Blood Diseases and Resources ( ...

  8. Iron-Deficiency Anemia

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    Full Text Available ... need for iron increases during these periods of growth and development, and it may be hard to get the ... iron-deficiency anemia, red blood cells will be small in size with an MCV of less than ...

  9. Iron-Deficiency Anemia

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  12. Iron-Deficiency Anemia

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  17. Iron-Deficiency Anemia

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  8. Iron-Deficiency Anemia

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    Full Text Available ... recommended amounts of iron, in milligrams (mg) at different ages and stages of life. Until the teen ... mean corpuscular volume (MCV) that would suggest anemia. Different tests help your doctor screen for iron-deficiency ...

  9. Iron-Deficiency Anemia

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  10. Iron-Deficiency Anemia

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    Full Text Available ... iron-deficiency anemia in blood donors affects the quality of donated red blood cells, such as how ... Cells From Iron-deficient Donors: Recovery and Storage Quality. Learn more about participating in a clinical trial . ...

  11. Iron-Deficiency Anemia

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    Full Text Available ... heart murmur , an enlarged heart, or even heart failure . In infants and young children, signs of anemia ... Usage No FEAR Act Grants and Funding Customer Service/Center for Health Information Email Alerts Jobs and ...

  12. Iron-Deficiency Anemia

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    Full Text Available ... improved health for people with iron-deficiency anemia. Recipient Epidemiology Donor Studies program findings help to protect blood donors . NHLBI’s Recipient Epidemiology Donor Studies (REDS) program , which began in ...

  13. Iron-Deficiency Anemia

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    Full Text Available ... complications, including heart failure and development delays in children. Explore this Health ... red blood cells. Iron-deficiency anemia usually develops over time because your body’s intake of iron ...

  14. Iron-Deficiency Anemia

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    Full Text Available ... from developing iron-deficiency anemia. Foods that are good sources of iron include dried beans, dried fruits, ... iron is needed, such as childhood and pregnancy. Good sources of iron are meat, poultry, fish, and ...

  15. Iron-Deficiency Anemia

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    Full Text Available ... mouth Pale skin Swelling or soreness of the tongue Common symptoms of iron-deficiency anemia include: Chest ... Check for bleeding. Look to see whether your tongue, nails, or inner lining of your eyelids are ...

  16. Iron-Deficiency Anemia

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    Full Text Available ... Safety Sleep Science and Sleep Disorders Lung Diseases Heart and Vascular Diseases Precision Medicine Activities Obesity, Nutrition, ... iron-deficiency anemia can cause serious complications, including heart failure and development delays in children. Explore this ...

  17. Iron-Deficiency Anemia

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    Full Text Available ... re more likely to develop iron-deficiency anemia. Vegetarian diets can provide enough iron if you eat ... which are the best sources of iron. However, vegetarian diets can provide enough iron if you eat ...

  18. Iron-Deficiency Anemia

    Science.gov (United States)

    ... re more likely to develop iron-deficiency anemia. Vegetarian diets can provide enough iron if you eat ... which are the best sources of iron. However, vegetarian diets can provide enough iron if you eat ...

  19. Iron-Deficiency Anemia

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    Full Text Available ... about their experiences with clinical research. More Information Related Health Topics Anemia Blood Tests Blood Transfusion Restless ... Get Email Alerts Receive automatic alerts about NHLBI related news and highlights from across the Institute. Learn ...

  20. Iron-Deficiency Anemia

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    Full Text Available ... may be at risk for iron-deficiency anemia. Lifestyle habits Certain lifestyle habits may increase your risk ... upper endoscopy or colonoscopy, to stop bleeding. Healthy lifestyle changes To help you meet your daily recommended ...

  1. Iron-Deficiency Anemia

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    Full Text Available ... cells carry oxygen and remove carbon dioxide (a waste product) from your body. Anemia also can occur ... Serum ferritin. Ferritin is a protein that helps store iron in your body. A measure of this ...

  2. Iron-Deficiency Anemia

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    Full Text Available ... Disorders Lung Diseases Heart and Vascular Diseases Precision Medicine Activities Obesity, Nutrition, and Physical Activity Population and ... of the condition. Treatments may include dietary changes, medicines, and surgery. Severe iron-deficiency anemia may require ...

  3. Iron-Deficiency Anemia

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    Full Text Available ... Blood Disorders and Blood Safety Sleep Science and Sleep Disorders Lung Diseases Heart and Vascular Diseases Precision Medicine ... prevention and treatment of heart, lung, blood, and sleep disorders, including iron-deficiency anemia. Learn about the current ...

  4. Iron-Deficiency Anemia

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    Full Text Available ... lead in their blood from their environment or water. Lead interferes with the body’s ability to make ... iron-deficiency anemia in blood donors affects the quality of donated red blood cells, such as how ...

  5. Iron-Deficiency Anemia

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    Full Text Available ... fatigue or tiredness, shortness of breath, or chest pain. If your doctor diagnoses you with iron-deficiency ... Common symptoms of iron-deficiency anemia include: Chest pain Coldness in the hands and feet Difficulty concentrating ...

  6. Iron-Deficiency Anemia

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    Full Text Available ... were born prematurely may be at an even higher risk, as most of a newborn’s iron stores ... men of the same age. Women are at higher risk for iron-deficiency anemia under some circumstances, ...

  7. Iron-Deficiency Anemia

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    Full Text Available ... can cause complications and may be life-threatening. Signs and Symptoms Common signs of iron-deficiency anemia ... abnormal heart rhythms and depression. Learn the warning signs of serious complications and have a plan Tell ...

  8. Iron-Deficiency Anemia

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    Full Text Available ... the cause and severity of the condition. Treatments may include dietary changes, medicines, and surgery. Severe iron-deficiency anemia may require treatment in a hospital, blood transfusions , iron ...

  9. Iron-Deficiency Anemia

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    Full Text Available ... iron-deficiency anemia. Learn about the current and future NHLBI efforts to improve health through research and ... blood donors. Cardiovascular Health Study identifies predictors of future health problems in older adults. The NHLBI-sponsored ...

  10. Iron-Deficiency Anemia

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    Full Text Available ... eating lead in paint or soil, or drinking water that contains lead. Teens Teens are at risk ... the first prenatal visit. For pregnant women, medical care during pregnancy usually includes screening for anemia. Also, ...

  11. Iron-Deficiency Anemia

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    Full Text Available ... often take other medicines—such as proton pump inhibitors, anticoagulants, or blood thinners—that may cause iron-deficiency anemia. Proton pump inhibitors interfere with iron absorption, and blood thinners increase ...

  12. Iron-Deficiency Anemia

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    Full Text Available ... MCV of less than 80 femtoliters (fL). Prevention strategies If you have certain risk factors , such as ... to iron-deficiency anemia. We are interested in studying in more detail how iron levels are regulated ...

  13. Iron-Deficiency Anemia

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    Full Text Available ... MCV of less than 80 femtoliters (fL). Prevention strategies If you have certain risk factors , such as ... infancy has lasting effects. We are interested in learning how having iron-deficiency anemia early in life ...

  14. Iron-Deficiency Anemia

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    Full Text Available ... GI tract. Inflammation from congestive heart failure or obesity . These chronic conditions can lead to inflammation that may cause iron-deficiency anemia. Are you curious about how ...

  15. Iron-Deficiency Anemia

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    Full Text Available ... more information about diet and supplements, go to "How Is Iron-Deficiency Anemia Treated?" Infants and young ... who should be screened for iron deficiency, and how often: Girls aged 12 to 18 and women ...

  16. Iron-Deficiency Anemia

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    Full Text Available ... disease also often take other medicines—such as proton pump inhibitors, anticoagulants, or blood thinners—that may cause iron-deficiency anemia. Proton pump inhibitors interfere with iron absorption, and blood ...

  17. Iron-Deficiency Anemia

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    Full Text Available ... MCV of less than 80 femtoliters (fL). Prevention strategies If you have certain risk factors , such as ... Learn about exciting research areas that NHLBI is exploring about iron-deficiency anemia. Read more New treatments ...

  18. Iron-Deficiency Anemia

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    Full Text Available ... carry oxygen and remove carbon dioxide (a waste product) from your body. Anemia also can occur if ... months. Tell your doctor if you have any new symptoms or if your symptoms get worse. Participate ...

  19. Iron-Deficiency Anemia

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    Full Text Available ... anemia at 1 year of age. Women and Girls Women of childbearing age may be tested for ... be screened for iron deficiency, and how often: Girls aged 12 to 18 and women of childbearing ...

  20. Iron-Deficiency Anemia

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    Full Text Available ... risk for iron-deficiency anemia if they're underweight or have chronic (ongoing) illnesses. Teenage girls who ... other dark green leafy vegetables Prune juice The Nutrition Facts labels on packaged foods will show how ...

  1. Iron-Deficiency Anemia

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    Full Text Available ... treat iron-deficiency anemia. These doctors include pediatricians, family doctors, gynecologists/obstetricians, and internal medicine specialists. A hematologist (a blood disease specialist), a gastroenterologist (a digestive system specialist), and ...

  2. Anemia (For Teens)

    Science.gov (United States)

    ... Feelings Expert Answers Q&A Movies & More for Teens Teens site Sitio para adolescentes Body Mind Sexual ... immune system can destroy red blood cells. Why Teens Get Anemia Because teens go through rapid growth ...

  3. Iron-Deficiency Anemia

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    Full Text Available ... When signs and symptoms do occur, they can range from mild to severe. Many of the signs ... hematocrit is a sign of anemia. The normal range of these levels varies in certain racial and ...

  4. Iron-Deficiency Anemia

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    Full Text Available ... of vitamin C are vegetables and fruits, especially citrus fruits. Citrus fruits include oranges, grapefruits, tangerines, and similar fruits. ... their experiences with clinical research. More Information Related Health Topics Anemia Blood Tests Blood Transfusion Restless Legs ...

  5. Iron-Deficiency Anemia

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    Full Text Available ... common type of anemia that occurs if you do not have enough iron in your body. People ... make it hard to find the energy to do normal activities. Headache Irregular heartbeat. This is a ...

  6. Iron-Deficiency Anemia

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    Full Text Available ... stomach also can interfere with iron absorption. Risk Factors Infants and Young Children Infants and young children ... blood loss during their monthly periods Other risk factors for iron-deficiency anemia The Centers for Disease ...

  7. Iron-Deficiency Anemia

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    Full Text Available ... iron-deficiency anemia can cause serious complications, including heart failure and development delays in children. Explore this Health ... bleeding in the GI tract. Inflammation from congestive heart failure or obesity . These chronic conditions can lead to ...

  8. Iron-Deficiency Anemia

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    Full Text Available ... Syndrome Other Resources Non-NHLBI Resources Anemia (MedlinePlus) "Dietary Supplement Fact Sheet: Iron" (Office of Dietary Supplements, National Institutes of Health) Building 31 31 Center ...

  9. Iron-Deficiency Anemia

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    Full Text Available ... All News NHLBI News NHLBI in the Press Research Features All Events Past Events Upcoming Events About ... NHLBI Entire Site Health Topics News & Resources Intramural Research Home / < Back To Health Topics / Iron-Deficiency Anemia ...

  10. Iron-Deficiency Anemia

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    Full Text Available ... the likelihood of bleeding in the GI tract. Inflammation from congestive heart failure or obesity . These chronic conditions can lead to inflammation that may cause iron-deficiency anemia. Are you ...

  11. Iron-Deficiency Anemia

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    Full Text Available ... blood loss during dialysis. People who have chronic kidney disease also often take other medicines—such as proton ... anemia or who have chronic conditions such as kidney disease or celiac disease may be more likely to ...

  12. Iron-Deficiency Anemia

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    Full Text Available ... iron-deficiency anemia may cause the following complications: Depression Heart problems. If you do not have enough ... prevent complications such as abnormal heart rhythms and depression. Learn the warning signs of serious complications and ...

  13. Iron-Deficiency Anemia

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    Full Text Available ... interferes with the body’s ability to make hemoglobin. Family history and genetics Von Willebrand disease is an ... deficiency anemia. Return to Risk Factors to review family history, lifestyle, unhealthy environments, or other factors that ...

  14. Iron-Deficiency Anemia

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    Full Text Available ... body to absorb iron from the gastrointestinal tract (GI tract). Blood loss When you lose blood, you ... to iron-deficiency anemia include: Bleeding in your GI tract, from an ulcer, colon cancer, or regular ...

  15. Iron-Deficiency Anemia

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    Full Text Available ... also may help treat iron-deficiency anemia. Medical History Your doctor will ask about your signs and ... Reticulocytes are young, immature red blood cells. Over time, reticulocytes become mature red blood cells that carry ...

  16. Iron-Deficiency Anemia

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    Full Text Available ... to prevent you from developing iron-deficiency anemia. Foods that are good sources of iron include dried ... tofu, dried fruits, and dark green leafy vegetables. Foods rich in vitamin C, such as oranges, strawberries, ...

  17. Iron-Deficiency Anemia

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    Full Text Available ... cells carry oxygen and remove carbon dioxide (a waste product) from your body. Anemia also can occur ... leafy green vegetables like turnip greens and spinach. Treatment To Stop Bleeding If blood loss is causing ...

  18. Iron-Deficiency Anemia

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    Full Text Available ... vegetables. During some stages of life, such as pregnancy and childhood, it may be hard to get ... prenatal visit. For pregnant women, medical care during pregnancy usually includes screening for anemia. Also, your doctor ...

  19. Iron-Deficiency Anemia

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    Full Text Available ... breastfeeding women older than 18 need 9 mg. Problems absorbing iron Even if you consume the recommended ... prevention and treatment of heart, lung, blood, and sleep disorders, including iron-deficiency anemia. Learn about the ...

  20. Immune hemolytic anemia

    Science.gov (United States)

    ... intravenous immunoglobulin (IVIG) or removal of the spleen (splenectomy) may be considered. You may receive treatment to ... need special treatment. In most people, steroids or splenectomy can totally or partially control anemia.

  1. Iron-Deficiency Anemia

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    Full Text Available ... Iron-Deficiency Anemia (National Library of Medicine, MedlinePlus) Building 31 31 Center Drive Bethesda, MD 20892 Learn ... and Usage No FEAR Act Grants and Funding Building 31 31 Center Drive Bethesda, MD 20892 Learn ...

  2. Iron-Deficiency Anemia

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    Full Text Available ... as ice, dirt, paint, or starch. Restless legs syndrome Shortness of breath Weakness Complications Undiagnosed or untreated iron-deficiency anemia may cause the following complications: Depression Heart problems. If you ...

  3. Iron-Deficiency Anemia

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    Full Text Available ... breastfeeding women older than 18 need 9 mg. Problems absorbing iron Even if you consume the recommended ... infancy has lasting effects. We are interested in learning how having iron-deficiency anemia early in life ...

  4. Iron-Deficiency Anemia

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    Full Text Available ... Diseases Heart and Vascular Diseases Precision Medicine Activities Obesity, Nutrition, and Physical Activity Population and Epidemiology Studies ... or an inability to absorb enough iron from food. Overview Iron-deficiency anemia is a common type ...

  5. Mouse models of Fanconi anemia

    International Nuclear Information System (INIS)

    Parmar, Kalindi; D'Andrea, Alan; Niedernhofer, Laura J.

    2009-01-01

    Fanconi anemia is a rare inherited disease characterized by congenital anomalies, growth retardation, aplastic anemia and an increased risk of acute myeloid leukemia and squamous cell carcinomas. The disease is caused by mutation in genes encoding proteins required for the Fanconi anemia pathway, a response mechanism to replicative stress, including that caused by genotoxins that cause DNA interstrand crosslinks. Defects in the Fanconi anemia pathway lead to genomic instability and apoptosis of proliferating cells. To date, 13 complementation groups of Fanconi anemia were identified. Five of these genes have been deleted or mutated in the mouse, as well as a sixth key regulatory gene, to create mouse models of Fanconi anemia. This review summarizes the phenotype of each of the Fanconi anemia mouse models and highlights how genetic and interventional studies using the strains have yielded novel insight into therapeutic strategies for Fanconi anemia and into how the Fanconi anemia pathway protects against genomic instability.

  6. Efeitos da corticoterapia materna nos valores hemogasométricos de cordeiros nascidos a termo e prematuros

    Directory of Open Access Journals (Sweden)

    Francisco Leydson Formiga Feitosa

    Full Text Available RESUMO: O objetivo do estudo foi avaliar as variáveis hemogasométricas de cordeiros nascidos a termo e prematuros do nascimento às 48 horas de vida. Foram constituídos quatros grupos experimentais: PN (cordeiros nascidos de parto normal, n=15, média de 146 dias de gestação; PNDEX (cordeiros nascidos de parto normal, cujas mães receberam 16 mg de dexametasona aos 141 de gestação, n=8, média de 143 dias de gestação; PRE (cordeiros prematuros nascidos de cesarianas aos 138 dias de gestação, n=10 e PREDEX (cordeiros prematuros nascidos de cesarianas aos 138 dias de gestação, cujas mães receberam 16 mg de dexametasona dois dias antes do parto, n=9. Imediatamente após o nascimento, os cordeiros de todos os grupos apresentaram quadro de acidose respiratória (pH baixo e pCO2 elevada, com maior ênfase nos animais prematuros. A concentração de HCO3 - diminuiu entre 15 e 60 minutos de vida, principalmente nos grupos PRE e PREDEX, com posterior aumento no M24h. Os valores de diferença de base foram menores nos cordeiros prematuros, os quais apresentaram respiração abdominal, intensa dispneia e grande quantidade de líquido pulmonar. A estabilização do equilíbrio ácidobase ocorreu em todos os animais ao longo das primeiras 24 horas de vida. A dexametasona teve influência positiva sobre a condição clínica dos animais prematuros, resultando em adequada ventilação e perfusão tecidual, o que garantiu maior taxa de sobrevivência.

  7. As representações sociais do aleitamento materno para mães de prematuros em unidade de cuidado canguru Representaciones sociales de la lactancia materna para madres de prematuros en el cuidado canguro Social representations on breastfeeding according to preterm infants' mothers in kangaroo care

    Directory of Open Access Journals (Sweden)

    Marly Javorski

    2004-12-01

    Full Text Available Os objetivos do estudo foram identificar as representações sociais sobre aleitamento materno de pré-termo, em unidade de Cuidado Canguru, sob a óptica das mães que estão amamentando, e descrever os conflitos e contradições que eles vivenciam nesse contexto institucional. A pesquisa utiliza-se de uma abordagem qualitativa em que foi empregado o primeiro estágio da análise de enunciação à luz da Teoria das Representações Sociais. As representações encontradas são: os bebês saudáveis são alimentados no peito, o leite materno confere a proteção e a preservação da vida de uma criança prematura, o aleitamento materno é o complemento da maternidade e amamentar um bebê prematuro é uma experiência difícil e desgastante. Os conflitos são decorrentes da assimilação de conteúdos e discurso técnico, sucção tardia e representações sobre leite materno.Los objetivos del estudio fueron identificar las representaciones sociales de la lactancia materna al bebe prematuro en la unidad de cuidado canguro bajo la óptica de las madres que están amamantando y describir los conflictos y contradicciones que vivencian en el contexto institucional. Fue adoptada una aproximación cualitativa, empleándose la primera fase del análisis de enunciación a la luz de la teoría de representaciones sociales. Las representaciones encontradas son: Los bebes saludables son alimentados a pecho, la leche materna da protección y preservación de la vida a un niño prematuro, la lactancia materna es el complemento de la maternidad y dar lactancia a un bebe prematuro es una experiencia difícil y desgastante. Los conflictos y contradicciones resultan de la asimilación de contenidos y discurso técnico, succión tardía y representaciones sobre la leche materna.This study aimed to identify the social representations on premature infants' breastfeeding at a Kangaroo Care Unit, from the perspective of mothers who are breastfeeding and describe the

  8. Estudo da associação de variaveis materno-fetais com a ocorrencia partos prematuros

    OpenAIRE

    Eugenio Pacelli de Barreto Teles

    1990-01-01

    Resumo: Estudamos a associação de vinte e uma variáveis materno-fetais com parto prematuro em 5689 partos assistidos na maternidade do Departamento de Tocoginecologia da UNICAMP no período de 1982 a 1988. Selecionamos dez variáveis pré-gestacionais (estado civil, escolaridade, idade, paridade, intervalo interpartal, altura peso pré-gravídico, antecedentes de abortos, de partos prematuros e de natimortos) e onze variáveis gestacionais (infecção, diabetes, hipertensão, cirurgia, hemorragia, rup...

  9. Metilxantina profiláctica para la prevención de la apnea en lactantes prematuros

    Directory of Open Access Journals (Sweden)

    David J Henderson-Smart

    2013-05-01

    Conclusiones de los autores: Los resultados de esta revisión no apoyan el uso de cafeína profiláctica para los lactantes prematuros en riesgo de apnea. Cualquier estudio futuro necesita examinar los efectos de las metilxantinas profilácticas en los lactantes prematuros en alto riesgo de apnea. Este procedimiento debe incluir el examen de resultados clínicos importantes, como la necesidad de VPPI, la morbilidad neonatal, la duración de la estancia hospitalaria y el desarrollo a largo plazo.

  10. Early neurobehavioral development of preterm infants Desenvolvimento neurocomportamental inicial de bebês prematuros

    Directory of Open Access Journals (Sweden)

    Paula Stefaneli Ziotti Gabriel

    2013-01-01

    Full Text Available The aim of the present study was to assess the very early neurobehavioral development of preterm infants and to examine differences regarding sex. Two-hundred and two preterm infants were assessed by the Neurobehavioral Assessment of the Preterm Infant (NAPI, which was carried out at 32-37 weeks post-conceptional age in the hospital setting. The infants' performance was compared to a norm-referenced sample and a comparison between groups regarding sex was also done. In comparison to the NAPI norm-reference, the preterm infants showed less muscular tonicity on the scarf sign, less vigor and spontaneous movement, higher alertness and orientation, weaker cry, and more sleep state. There was no statistical difference between males and females preterm infants at NAPI performances.O objetivo do estudo foi avaliar o desenvolvimento neurocomportamental inicial de bebês prematuros e examinar as diferenças quanto ao sexo. Foram avaliados 202 bebês nascidos pré-termo pela Avaliação Neurocomportamental para Prematuros (NAPI, que foi realizada na fase de 32-37 semanas de idade pós-concepcional no contexto hospitalar. O desempenho dos bebês no NAPI foi comparado com a amostra de padronização do instrumento e também foi feita a comparação entre grupos diferenciados pelo sexo. Em relação à amostra de padronização, os bebês deste estudo apresentaram menor tonicidade muscular no sinal de cachecol, menor vigor e movimento espontâneo, mais alerta e orientação, choro mais fraco e mais estado de sono. Houve um padrão semelhante de desempenho neurocomportamental dos meninos e meninas nascidos prematuros.

  11. Consejería de lactancia materna en niños prematuros

    OpenAIRE

    Sánchez García, Sara

    2014-01-01

    La consejería en lactancia materna consiste en proporcionar una información adecuada sobre la lactancia materna a las madres lactantes a través de una buena comunicación, esto permite a las madres que puedan expresar todas sus dudas y ser resueltas por el profesional. La comunicación entre el profesional y la madre lactante cobra más importancia cuando se tratan de madres de niños prematuros porque van a pasar por una experiencia complicada en el desarrollo de sus hijos y va...

  12. Factores de riesgo de displasia broncopulmonar en el recién nacido muy prematuro

    OpenAIRE

    Muga Zuriarrain, Oihana

    2015-01-01

    233 p. El aumento de la supervivencia de los recién nacidos más inmaduros ha condicionado cambios en la forma de presentación, evolución y probablemente etiopatogenia de la displasia broncopulmonar (DBP) en los últimos años.El objetivo de este proyecto es identificar los factores perinatales asociados al desarrollo de DBP, para lo que se ha contado con 16139 recién nacidos muy prematuros (RNMPT) pertenecientes a la base de datos europea de la European Neonatal Network.

  13. O efeito de um programa de fisioterapia na estabilização do prematuro

    OpenAIRE

    Conde, Maria Fernanda Esteves Nunes Amaral dos Santos Gil

    2012-01-01

    Mestrado em Fisioterapia. O número de bebés que nascem prematuros tem vindo a aumentar. É indiscutível a importância dos avanços tecnológicos e da pesquisa nas Unidade de Cuidados Intensivos de Neonatologia (UCIN), sendo essencial o papel ocupado pelos Fisioterapeutas nos cuidados prestados a estes bebés. As suas potencialidades só se desenvolvem na medida em que o bebé encontra estimulação e posicionamento adequado. Realizou-se um estudo quasi experimental na UCIN do Centro Hospitalar Lis...

  14. A vivência de mães de recém-nascidos prematuros no processo de lactação e amamentação La vivencia de las madres de recién nacidos prematuros en el proceso de la lactación y de amamentación The living of preterm newborn's mother in the process of lactation and breastfeeding

    Directory of Open Access Journals (Sweden)

    Rosangela Venancio da Silva

    2009-03-01

    Full Text Available Este estudo qualitativo teve como objetivo geral compreender a vivência da amamentação de mães de recém-nascidos prematuros durante a internação de seus filhos e como objetivo específico descrever a performance de amamentação e condições de suas mamas e lactação, por ocasião da alta dos filhos. Adotaram-se o modelo Pesando Riscos e Benefícios como referencial de análise e o método do Discurso do Sujeito Coletivo para organização dos dados. Participaram do estudo 11 mulheres, mães de bebês prematuros internados na Unidade Neonatal do HU-USP. A entrevista semiestruturada possibilitou a elaboração de oito Discursos do Sujeito Coletivo listados em dois blocos com os seguintes temas: "Lactação e amamentação" e "Contexto hospitalar e doméstico", que possibilitaram de compreensão de que as mães deste estudo vivenciam um processo de avaliação contínua das condições de saúde, crescimento e desenvolvimento da criança, que contribui para sua motivação para amamentar e direciona suas ações no prosseguimento da amamentação.Este estudio cualitativo ha tenido como objetivo general, comprender la vivencia de amamentación de madres de recién nacidos prematuros, durante la internación de sus hijos y como objetivos específicos describir el desempeño de la amamantación y condiciones de sus mamas y lactación, en el momento del alta de sus hijos. Se ha adoptado el modelo: Pesando riesgos y beneficios, como referencial de análisis y el método del Discurso del Sujeto Colectivo para organización de los datos. Han participado del estudio 11 mujeres, madres de bebes prematuros, internados en La Unidad Neonatal del HU-USP. La entrevista semi estructurada ha posibilitado la elaboración de ocho Discursos del Sujeto Colectivo listados en dos bloques con los siguientes temas: Lactación y Amamantación y Contexto de hospital y doméstico, que han posibilitado comprender, que las madres de este estudio han vivenciado un

  15. Cancer-related anemia

    International Nuclear Information System (INIS)

    Abdel-Rzaeq, Hikmat N.

    2004-01-01

    Anemia is the most common hematological abnormality in cancer patients is often under-recognized and undertreated. The pathogenesis of cancer anemia is complex and most of time multifactorial; involving factors related to the tumor itself or its therapy. While anemia can be present in a wide range of symptoms, involing almost every organ, it is beleived that it contributes much to cancer-related-fatigue, one of the most common symptoms in cancer patients. In addition there is increasing evidence to suggest that anemia is an independent factor adversely affecting tumor reponse and patient survival. While blood transfusion was the only option to treat cancer related anemia, the use of recombinant human erythropoietin (rHuEPO) is becomig the new standard of care, more so with the recent studies demonstrating the feasibility of a sigle weekly injection .Things are even getting better with the recent approval of a new form of rHuEPO; Darbepoetin an analogue with a 3-fold longer half-life. In addition to its effects in raising homoglobin, several well controlled studies demonstrated decrease in transfusion requirementsand better qualify of life assessed objectively using standard assesments scales. (author)

  16. Aplastic Anemia & MDS International Foundation

    Science.gov (United States)

    ... In Treatment at NIH "The Aplastic Anemia and MDS International Foundation is helping patients like me cope with bone marrow failure disease." Diseases Aplastic Anemia Myelodysplastic Syndromes (MDS) Paroxysmal Nocturnal Hemoglobinuria (PNH) Related Diseases Treatments ...

  17. Evaluation of Macrocytic Anemias.

    Science.gov (United States)

    Green, Ralph; Dwyre, Denis M

    2015-10-01

    Macrocytic anemia, defined as a mean cell volume (MCV) ≥100 fL in adults, has a narrow differential diagnosis that requires evaluation of the peripheral blood smear as well as additional laboratory testing taken in conjunction with clinical information that includes patient history and physical examination findings. This review is an update on the approach to a patient with macrocytic anemia with attention paid to the differentiation of megaloblastic and non-megaloblastic macrocytic anemias. Critical to the determination of the diagnosis is the judicious use of laboratory testing and the evaluation of those findings in conjunction with the patient medical, surgical, and medication history. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Severe anemia in Malawian children

    NARCIS (Netherlands)

    Calis, Job Cj; Phiri, Kamija S.; Faragher, E. Brian; Brabin, Bernard J.; Bates, Imelda; Cuevas, Luis E.; de Haan, Rob J.; Phiri, Ajib I.; Malange, Pelani; Khoka, Mirriam; Hulshof, Paul Jm; van Lieshout, Lisette; Beld, Marcel Ghm; teo, Yik Y.; Rockett, Kirk A.; Richardson, Anna; Kwiatkowski, Dominic P.; Molyneux, Malcolm E.; van Hensbroek, Michaël Boele

    2016-01-01

    Severe anemia is a major cause of sickness and death in African children, yet the causes of anemia in this population have been inadequately studied. We conducted a case-control study of 381 preschool children with severe anemia (hemoglobin concentration, <5.0 g per deciliter) and 757 preschool

  19. Nutritional anemias and the elderly.

    Science.gov (United States)

    Carmel, Ralph

    2008-10-01

    Nutritional anemias are important because they are easily reversed and because their underlying causes, most often unrelated to dietary intake, require individualized assessment. Iron-deficiency anemia (IDA) usually results from iron losses accompanying chronic bleeding, including loss to intestinal parasites, or from gastric disorders or malabsorption in the elderly. Cobalamin-deficiency anemia, the only nutritional anemia with predilection for the elderly, nearly always stems from failure of intrinsic factor (IF)-related absorption. Folate-deficiency anemia, the only nutritional anemia usually caused by poor intake, has nearly disappeared in countries that fortify food with folic acid. Copper-deficiency anemia, which usually results from malabsorptive disorders or from medical or nutritional interventions that provide inadequate copper or excess zinc, is uncommon but increasingly recognized. The prevalences of nutritional anemias, which are not always distinguished from non-anemic deficiency, are uncertain. The mean corpuscular volume (MCV) provides an essential diagnostic tool leading to judicious matching of relevant biochemical changes with relevant anemia. Nutritional anemias usually feature abnormal MCV, whereas the predominant anemias in the aged, especially the anemias of chronic disease/chronic inflammation (ACD/ACI), of renal failure, and of unknown causes, are typically normocytic.

  20. [Equine Infectious Anemia (EIA)].

    Science.gov (United States)

    Kaiser, A; Meier, H P; Straub, R; Gerber, V

    2009-04-01

    Equine Infectious Anemia (EIA) is a reportable, eradicable epizootic disease caused by the equine lentivirus of the retrovirus family which affects equids only and occurs worldwide. The virus is transmitted by blood, mainly by sanguivorous insects. The main symptoms of the disease are pyrexia, apathy, loss of body condition and weight, anemia, edema and petechia. However, infected horses can also be inapparent carriers without any overt signs. The disease is diagnosed by serological tests like the Coggins test and ELISA tests. Presently, Switzerland is offi cially free from EIA. However, Switzerland is permanently at risk of introducing the virus as cases of EIA have recently been reported in different European countries.

  1. Prevalencia de lesao do septo nasal em prematuros no uso de prongas nasais

    Directory of Open Access Journals (Sweden)

    Nayara Francisca Cabral de Sousa

    2013-12-01

    Full Text Available O objetivo do estudo foi investigar a prevalência e os fatores associados à lesão do septo nasal em prematuros sob uso de ventilação não invasiva. Estudo transversal, cujos dados foram coletados entre março e julho de 2012 por meio de busca em prontuários, entrevistas às mães e avaliação nasal de 47 prematuros, na Unidade Neonatal de um Hospital Universitário da cidade do Recife, Pernambuco, região nordeste do Brasil. Realizou-se análise estatística descritiva e bivariada por meio do teste qui-quadrado ou Exato de Fisher, utilizando o software SPSS. A prevalência de lesão nasal foi de 68,1%, associada ao baixo peso ao nascer e à duração do tratamento. A prevalência de lesão nasal na população estudada é elevada e associa-se ao baixo peso ao nascer e ao tempo de permanência em ventilação não invasiva. Infere-se a necessidade de ações preventivas, como cuidados de Enfermagem contínuos, adequação dos dispositivos e educação permanente em serviço.

  2. Rede de descanso e ninho: comparação entre efeitos fisiológicos e comportamentais em prematuros

    Directory of Open Access Journals (Sweden)

    Kassandra Silva Falcão Costa

    2017-03-01

    Full Text Available RESUMO Objetivo comparar os efeitos da aplicação de redes de descanso em prematuros, após a troca de fraldas, em comparação com o ninho. Métodos pesquisa quase experimental, crossover, com 30 prematuros internados em uma unidade de cuidados intermediários de um hospital público de Brasília, DF, no período de novembro de 2011 a março de 2012. Foram avaliados os efeitos das duas intervenções (ninho e rede após a troca de fraldas. Para análise dos dados utilizou-se o teste t de Student com nível de confiança de 95% (p < 0,05. Resultados os prematuros, quando em rede, se mostraram menos estressados (p=0,002, tiveram menos características definidoras para o diagnóstico de enfermagem “Comportamento Desorganizado do Bebê” (p=0,05 e permaneceram em postura terapêutica em relação ao ninho (p=0,04. Conclusão quando comparado ao ninho, os prematuros posicionados em redes estiveram menos estressados, mais organizados e em melhor postura terapêutica.

  3. A influência do nascimento prematuro no vínculo mãe-bebê

    Directory of Open Access Journals (Sweden)

    Gabriela Arruda Reinaux Pontes

    2014-12-01

    Full Text Available Objetivo Este estudo tem como objetivo analisar a relação entre o parto vivenciado como traumático em decorrência da prematuridade e o vínculo mãe-bebê. Métodos Um questionário de dados biossociodemográficos (idade, escolaridade, raça, estado civil, trabalho, obstétricos e do parto, elaborado pela própria pesquisadora com variáveis categóricas, foi utilizado para a caracterização dos dados maternos. Uma entrevista clínica estruturada foi aplicada para caracterizar o parto prematuro como traumático utilizando o Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I – Critério A e a escala de Ligação mãe-bebê, validada na literatura na versão portuguesa, para avaliar o vínculo mãe-bebê prematuro. Resultados O parto prematuro foi tomado como traumático em 43 (71,7% das puérperas analisadas. O sentimento de ligação materna “Triste” e a variável se a pesquisada trabalhava ou não foram as únicas que mostraram associação significativa com a ocorrência do parto prematuro traumático. Conclusão O parto prematuro pode ser considerado uma experiência traumática para a mãe e pode influenciar negativamente o desenvolvimento do vínculo mãe-bebê. Direções para pesquisas futuras são discutidas.

  4. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... deficiency anemia if they're underweight or have chronic (ongoing) illnesses. Teenage girls who have heavy periods ... because blood is lost during dialysis. Also, the kidneys are no longer able to make ... Centers for Disease Control and Prevention (CDC) has developed guidelines for ...

  5. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... woman's risk for a premature or low-birth-weight baby. Adults Who Have Internal Bleeding Adults who have internal bleeding, such as intestinal bleeding, can develop iron-deficiency anemia due to blood loss. Certain conditions, such as colon cancer and bleeding ...

  6. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... Follow a high-fiber diet. Large amounts of fiber can slow the absorption of iron. Screening and Prevention Eating a well-balanced diet that includes iron-rich foods may help you prevent iron-deficiency anemia. Taking ...

  7. Anemia and School Participation

    Science.gov (United States)

    Bobonis, Gustavo J.; Miguel, Edward; Puri-Sharma, Charu

    2006-01-01

    Anemia is among the most widespread health problems for children in developing countries. This paper evaluates the impact of a randomized health intervention delivering iron supplementation and deworming drugs to Indian preschool children. At baseline, 69 percent were anemic and 30 percent had intestinal worm infections. Weight increased among…

  8. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... Activities Obesity, Nutrition, and Physical Activity Population and Epidemiology Studies Women’s Health All Science A-Z Grants ... health for people with iron-deficiency anemia. Recipient Epidemiology Donor Studies program findings help to protect blood ...

  9. Iron-Deficiency Anemia

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    Full Text Available ... Science Science Home Blood Disorders and Blood Safety Sleep Science and Sleep Disorders Lung Diseases Heart and Vascular Diseases Precision ... prevention and treatment of heart, lung, blood, and sleep disorders, including iron-deficiency anemia. Learn about the ...

  10. Iron-Deficiency Anemia

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    Full Text Available ... Frequent blood tests, especially in infants and small children Heavy menstrual periods Injury or surgery Urinary tract bleeding Consuming less than recommended daily amounts of iron Iron-deficiency anemia ... iron intake for children and adults. The table lists the recommended amounts ...

  11. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... a lower than normal number of red blood cells. Red blood cells carry oxygen and remove carbon dioxide (a waste ... Anemia also can occur if your red blood cells don't contain enough hemoglobin (HEE-muh-glow- ...

  12. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... and Strategic Vision Leadership Scientific Divisions Operations and Administration Advisory Committees Budget and Legislative Information Jobs and ... Kennedy Shriver National Institute of Child Health and Human Development, we are investigating how best to treat premature newborns with low hemoglobin ... resources Your Guide to Anemia [PDF, 1. ...

  13. Autoimmune Hemolytic Anemia.

    Science.gov (United States)

    Liebman, Howard A; Weitz, Ilene C

    2017-03-01

    Autoimmune hemolytic anemia is an acquired autoimmune disorder resulting in the production of antibodies directed against red blood cell antigens causing shortened erythrocyte survival. The disorders can present as a primary disorder (idiopathic) or secondary to other autoimmune disorders, malignancies, or infections. Treatment involves immune modulation with corticosteroids and other agents. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... Site Health Topics News & Resources Intramural Research ... Is Iron-deficiency anemia is a common, easily treated condition that occurs if you don't have enough iron in your body. Low iron levels usually are due to blood loss, ...

  15. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... research and scientific discovery. Improving health with current research Learn about the following ways that NHLBI continues to translate ... Research Portfolio Online Reporting Tools (RePORT) to learn about research that NHLBI is funding on iron-deficiency anemia. ...

  16. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... Activity Population and Epidemiology Studies Women’s Health All Science A-Z ... usually are due to blood loss, poor diet, or an inability to absorb enough iron from food. Overview Iron-deficiency anemia is a common type ...

  17. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... infection. A history of gastrointestinal surgery, such as weight-loss surgery—especially gastric bypass—or gastrectomy. Certain rare ... prevention and treatment of heart, lung, blood, and sleep disorders, including iron-deficiency anemia. Learn about the ...

  18. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... or advise you to eat more iron-rich foods. This not only will help you avoid iron-deficiency anemia, but also may lower your risk of having a low-birth-weight baby. Signs, Symptoms, and Complications The signs and ...

  19. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... may ask whether you might be pregnant. Physical Exam Your doctor will do a physical exam to look for signs of iron-deficiency anemia. ... liver and spleen Do a pelvic and rectal exam to check for internal bleeding Diagnostic Tests and ...

  20. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... with the Eunice Kennedy Shriver National Institute of Child Health and Human Development, we are investigating how best to treat premature newborns with low hemoglobin levels. We also are hoping to determine which iron supplements work best to treat iron-deficiency anemia in children ...

  1. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... iron added). If you don't eat these foods regularly, or if you don't take an iron supplement, you're more likely to develop iron-deficiency anemia. Vegetarian diets can provide enough iron if you eat ...

  2. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... is blood loss during dialysis. People who have chronic kidney disease also often take other medicines—such as proton ... reduces iron absorption. Other treatments If you have chronic kidney disease and iron-deficiency anemia, your doctor may recommend ...

  3. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... Working at the NHLBI Contact and FAQs Accessible Search Form Search the NHLBI, use the drop down list to ... treatment of blood diseases, including iron-deficiency anemia. Search the NIH Research Portfolio Online Reporting Tools (RePORT) ...

  4. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... where there is blood loss during dialysis. People who have chronic kidney disease also often take other medicines—such as proton ... body. People with severe iron-deficiency anemia or who have chronic conditions such as kidney disease or celiac disease may be more likely to ...

  5. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... levels of red blood cells, hemoglobin, and iron. Dietary Changes and Supplements Iron You may need iron supplements to build ... Syndrome Other Resources Non-NHLBI Resources Anemia (MedlinePlus) "Dietary Supplement Fact Sheet: Iron" (Office of Dietary Supplements, National ...

  6. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... preventing, diagnosing, and treating heart, lung, blood, and sleep disorders. Are you a frequent blood donor living in New York City? This study is looking at how iron-deficiency anemia in blood donors affects the quality of donated red blood cells, such as how ...

  7. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... your doctor about delayed clamping of your newborn’s umbilical cord at the time of delivery. This may help ... Common symptoms of iron-deficiency anemia include: Chest pain Coldness in the hands and feet Difficulty concentrating ...

  8. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... normally stores but has used up. Increase your intake of vitamin C to help your body absorb iron. Avoid drinking black tea, which reduces iron absorption. Other treatments If you have chronic kidney disease and iron-deficiency anemia, your doctor may recommend ...

  9. Iron-Deficiency Anemia

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    Full Text Available ... Activities Obesity, Nutrition, and Physical Activity Population and Epidemiology Studies Women’s Health All Science A-Z Grants & ... health for people with iron-deficiency anemia. Recipient Epidemiology Donor Studies program findings help to protect blood ...

  10. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... iron-deficiency anemia, including: Vegetarian or vegan eating patterns. Not eating enough iron-rich foods, such as meat and fish, may result in you getting less than the recommended daily amount of iron. Frequent blood donation. Individuals who donate blood often may be ...

  11. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... blood cells. Iron-deficiency anemia usually develops over time because your body’s intake of iron is too ... clamping of your newborn’s umbilical cord at the time of delivery. This may help prevent iron-deficiency ...

  12. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... and low-birth-weight babies (weighing less than 5.5 pounds) are at even greater risk for iron- ... loss during their monthly periods. About 1 in 5 women of childbearing age has iron-deficiency anemia. ...

  13. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... with the Eunice Kennedy Shriver National Institute of Child Health and Human Development, we are investigating how best to treat premature newborns with low hemoglobin levels. We also are hoping to determine which iron ... anemia in children who do not consume the daily recommended amount ...

  14. Iron-Deficiency Anemia

    Medline Plus

    Full Text Available ... Severe iron-deficiency anemia can lead to heart problems, infections, problems with growth and development in children, and other ... poorly because of money, social, health, or other problems. Follow a very low-fat diet over a ...

  15. Sickle Cell Anemia Bibliography.

    Science.gov (United States)

    Christy, Steven C.

    Presents sources for the acquisition of medical, social, psychological, educational, and practical knowledge of sickle cell anemia. The materials listed are designed to help parents, educators, and public service workers. Materials include journal articles, films, brochures, slides, and fact sheets. The usual bibliographic information is given.…

  16. Multidisciplinary approach to anemia

    Directory of Open Access Journals (Sweden)

    Anca Ghiațău

    2015-08-01

    Full Text Available Introduction: We present the case of a 65 years- old woman who was admitted with a severe macrocytic anemia Hb= 5.7g/dl and diffuse bone pain. Biologically she has moderate thrombocytopenia 35 000/µl, a hepatic cytolysis and cholestatic syndrome. Material and method: The patient was extensively evaluated before presentation for a mild iron - deficiency anemia for which she underwent endoscopic examination of the upper and lower gastrointestinal tract- normal. The bone marrow aspiration on admission revealed a marked hyperplasia of the erythroblastic line with ~50% basophilic erythroblasts suggesting a regenerative erythroid hyperplasia. These changes along with the marked reticulocytosis on the peripheral blood smear oriented us towards a hemolytic anemia; Folic acid, vitamin B12, autoimmune tests and hemolytic tests were all normal. We continued the investigations with a thoraco-abdominopelvic computed tomography which identified diffuse demineralization, vertebral compactation and pelvic stress fractures. The breast examination revealed a right breast nodule, but the breast ultrasonography pleaded for benignity. Lacking a clear definitive diagnosis we decided to perform a bone marrow biopsy. Results: The osteo- medullary biopsy pointed towards a medullar invasion from a lobular mammary carcinoma; In these circumstances we performed an ultrasound guided biopsy of the right mammary lump thus histologically confirming a tumoral invasion of the bone marrow with subsequent anemia. The patient started chemotherapy in the Oncology ward. Conclusion: The particularity of this case consists in the pattern of anemia, which initially seemed iron deficient and afterwards macrocytic – apparently hemolytic and was actually due to the tumoral medullar invasion and also the nonspecific ultrasonographic appearance of the breast tumor.

  17. Social representations of mothers about gestational hypertension and premature birth Representaciones sociales de las madres sobre la hipertensión gestacional y parto prematuro Representações sociais de puérperas sobre as síndromes hipertensivas da gravidez e nascimento prematuro

    Directory of Open Access Journals (Sweden)

    Nilba Lima de Souza

    2013-06-01

    Full Text Available OBJECTIVE: To identify the meanings attributed by mothers to hypertensive disorders of pregnancy (HDPs and their consequences, such as premature birth and hospitalization of the infant in the neonatal intensive care unit (NICU. METHOD: A qualitative study, based on the Central Nucleus Theory, with 70 women who had hypertensive disorders of pregnancy and preterm delivery. We used the technique of free word association (FWAT with three stimuli: high blood pressure during pregnancy, prematurity and NICU. RESULTS: We obtained 1007 evocations, distributed as follows: high blood pressure during pregnancy (335 prematurity (333 and NICU (339. These constituted three thematic units: representation of HDPs, prematurity and the NICU. The categories death and negative aspects were inherent to the three units analyzed, followed by coping strategies and needs for care present in HDPs and prematurity. CONCLUSION: The study had death as its central nucleus, and highlighted the subjective aspects present in the high risk pregnancy and postpartum cycle. It is hoped that this research will contribute to qualifying nursing care for women confronting the problem of HDPs, so that they can cope with less impacts from the adverse effects of high risk pregnancy and birth. OBJETIVO: Identificar los significados atribuidos por las madres de los trastornos hipertensivos del embarazo (THE y sus consecuencias, y sus consecuencias, tales como el nacimiento prematuro y hospitalización del recién nacido en la unidad de cuidados intensivos neonatales (UCIN. Metodo: Un estudio cualitativo, basado en la teoría del núcleo central, con 70 mujeres que tenían trastornos hipertensivos del embarazo y parto prematuro. Se utilizó la técnica de la asociación libre de palabra (TALP con tres estímulos: presión arterial alta durante el embarazo, nacimiento prematuro y UCIN. RESULTADOS: Se obtuvieron 1007 evocaciones, distribuidos de la siguiente manera: presión arterial alta

  18. Prevalencia de anemia y factores asociados en adultos mayores peruanos

    Directory of Open Access Journals (Sweden)

    Carolina Tarqui-Mamani

    Full Text Available Objetivos. Determinar la prevalencia de anemia y factores asociados en los adultos mayores del Perú. Materiales y métodos. Se realizó un estudio transversal durante el año 2011. El muestreo fue probabilístico, estratificado y multietápico. La muestra de viviendas fue 5792 y se incluyó 2172 adultos mayores. Se definió anemia como hemoglobina 23 a 80 años (OR 2,1; IC 95%: 1,4-3,0 y la delgadez (OR 1,7; IC 95%:1,2-2,3 se asociaron con la anemia. Los departamentos con mayor prevalencia de anemia fueron Ayacucho (57,6%, Ancash (40,1%, Lambayeque (37,7% y Apurímac (36,9%. Conclusiones. Aproximadamente la cuarta parte de los adultos mayores tuvieron anemia, siendo más predominante en los analfabetos, procedentes de áreas rurales y pobres. La mayor edad y la delgadez se asocian con la presencia de anemia en los adultos mayores peruanos

  19. Anemia en la enfermedad renal crónica: protocolo de estudio, manejo y derivación a Nefrología

    OpenAIRE

    Aleix Cases; M. Isabel Egocheaga; Salvador Tranche; Vicente Pallarés; Raquel Ojeda; José Luis Górriz; José María Portolés

    2018-01-01

    El objetivo del protocolo es conocer qué estudios deben solicitarse ante una anemia en un paciente con enfermedad renal crónica, el diagnóstico diferencial de la anemia renal, conocer y corregir otras anemias carenciales y los criterios de remisión del paciente anémico con enfermedad renal crónica a Nefrología u otras especialidades.

  20. Anemia en la enfermedad renal crónica: protocolo de estudio, manejo y derivación a Nefrología

    Directory of Open Access Journals (Sweden)

    Aleix Cases

    2018-01-01

    Full Text Available El objetivo del protocolo es conocer qué estudios deben solicitarse ante una anemia en un paciente con enfermedad renal crónica, el diagnóstico diferencial de la anemia renal, conocer y corregir otras anemias carenciales y los criterios de remisión del paciente anémico con enfermedad renal crónica a Nefrología u otras especialidades.

  1. Enterocolitis necrosante en un niño prematuro hijo de padres VIH+ Necrotizing enterocolitis observed in a premature newborn with HIV+parents

    Directory of Open Access Journals (Sweden)

    Ida González Núñez

    2009-06-01

    Full Text Available En Cuba, entre el 1ero. de enero de 1986 y el 30 de abril de 2007 nacieron 280 niños hijos de madres VIH+. De ellos solo 22 (7,8 % nacieron con edad gestacional menor de 37 semanas y solo uno (4,5 % presentó una enterocolitis necrosante. En el presente artículo se describe un episodio de esta enfermedad en un niño prematuro hijo de padres VIH+, supuestamente asociado al uso profiláctico de zidovudina en las madres seropositivas por la posibilidad de producir toxicidad mitocondrial en el feto. Con el tratamiento quirúrgico empleado, la evolución del niño fue favorable. El caso presentado constituye una evidencia que el personal médico debe tener en cuenta para el cuidado y diagnóstico de estos pacientes.In Cuba, from January 1, 1986 to April 30, 2007 were born 280 children from HIV+ mothers. Only 22 (7, 8% had a gestational age under 37 weeks and only one (4, 5% presented with a necrotizing enterocolitis. In present paper we describe an episode of this disease in a premature baby son of HIV+ parents, supposedly associated with prophylactic use of Zidovudine in seropositive mothers by possibility to produce mitochondria toxicity in fetus. This case is an evidence that family physician must to assess for care and diagnosis of these patients.

  2. Variabilidade da frequência cardíaca em neonatos prematuros e de termo

    Directory of Open Access Journals (Sweden)

    Fabio Augusto Selig

    2011-06-01

    Full Text Available FUNDAMENTO: Várias publicações têm demonstrado a importância do sistema nervoso autônomo por meio dos componentes simpático e parassimpático na gerência da interação entre as diferentes partes do organismo humano. Esses estudos aplicaram técnicas lineares e não lineares (Teoria do Caos de avaliação em diferentes situações, doenças e faixas etárias, tendo como ferramenta a variabilidade da frequência cardíaca (VFC. OBJETIVO: Aplicar os conhecimentos das dinâmicas linear e não linear na avaliação de neonatos prematuros (NPT, analisando sua VFC e comparando com neonatos de termo (NT saudáveis. MÉTODOS: Quarenta e oito neonatos prematuros com diferentes idades gestacionais tiveram seus batimentos cardíacos captados com auxílio do equipamento Polar Advanced S810i e sua VFC obtida pelo registro dos intervalos RR. A VFC foi analisada nos domínios do tempo (SDNN, RMSSD, SD1/SD2, da frequência (VLF, LF, HF e a relação LF/HF e do caos (TAU e sua normalização [TAU(n], Expoente de Lyapunov e Entropia. Os NPT foram comparados com um grupo de 78 NT saudáveis e sem intercorrências perinatais com auxílio do teste não paramétrico de Kruskal-Wallis. RESULTADOS: Detectou-se diferença estatisticamente significante entre os grupos para todas as variáveis estudadas, tanto no domínio do tempo como nos da frequência e do caos. CONCLUSÃO: Neonatos prematuros exibem comportamento menos complexo da variabilidade da frequência cardíaca que neonatos de termo, fato comprovado nos domínios do tempo, da frequência e do caos. O estudo da variabilidade cardíaca nesse grupo pode ser considerado uma ferramenta a mais na avaliação da maturação autonômica e, consequentemente, da progressão para eutrofia.

  3. [Treatment of anemia in hip fracture surgery].

    Science.gov (United States)

    García Pascual, E

    2015-06-01

    Repairing hip fractures is one of the most common surgical procedures and has greater morbidity and mortality. This procedure is also a process that involves a greater need for blood products. Numerous factors influence morbidity, mortality and the use of blood products: patient age, concomitant diseases and drug treatments that change hemostasis and hemorrhaging (preoperative, intraoperative and postoperative), which are usually significant. On top of all this is the presence in a high percentage of cases of preoperative anemia, which can have one or more causes. It is therefore essential to establish an appropriate management of perioperative anemia and optimize the transfusion policy. The aim of this review is to briefly analyze the epidemiology of hip fractures as well as establish a basis for treating perioperative anemia and transfusion policies, proposing guidelines and recommendations for clinical management based on the most current studies. Copyright © 2015 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.

  4. [Anemia in the elderly].

    Science.gov (United States)

    Maerevoet, M; Sattar, L; Bron, D; Gulbis, B; Pepersack, T

    2014-09-01

    Anaemia is a problem that affects almost 10% over 65 years and 20% over 85 years. There is no physiological anaemia in the elderly. Any anaemia expresses the existence of a pathological process, regardless of its severity. Anaemia in the elderly is always associated with a poor prognosis that is in terms of mortality, morbidity and risk of fragility. The diagnostic approach to anemia in the elderly is the same as in younger individual. There are many causes of anaemia; anaemia balance is a complex diagnostic process. Most anaemias are due to a deficiency, chronic inflammation or comorbidity. However, in the elderly, the etiology of anaemia is often multifactorial. In a number of cases remain unexplained anaemia. In a number of cases, anemia remain unexplained. Treatment of anaemia is the treatment of the cause, but specific therapeutic aspects to the elderly should be considered, as among other martial substitution or use of erythropoietin (EPO).

  5. Thiamine– Responsive Megaloblastic Anemia Syndrome

    Directory of Open Access Journals (Sweden)

    F Motavaselian

    2009-01-01

    Full Text Available Thiamine Responsive megaloblastic anemia in DIDMOA (Wolfram syndrome has an autosomal- recessive mode of inheritance . Megaloblastic anemia and sideroblastic anemia is accompanied by diabetes insipidus (DI, diabetes mellitus (DM ,optic atrophy (OA and deafness (D. Neutropenia and thrombocytopenia are also present. We report a 7 month old girl with congenital macrocytic anemia; a rare clinical feature of Wolfram,s syndrome with increased plasma levels of blood glucose, both of which dramatically responded to administration of thiamine in large doses . The patient also had neurosensorial deafness, but no improvement was observed in the deafness. We presented the case because thiamine-responsive megaloblastic anemia is a rare clinical presentation of Wolfram syndrome and after institution of treatment with thiamine, the anemia and hyperglycemia returned to normal.

  6. [Anemia: guidelines comparison].

    Science.gov (United States)

    Del Vecchio, Lucia

    2009-01-01

    The development of recombinant human erythropoietin and its introduction into the market in the late 1980s has significantly improved the quality of life of patients with chronic kidney disease (CKD) and reduced the need for blood transfusions. Starting from a cautious target, a progressive increase in the recommended hemoglobin levels has been observed over the years, in parallel with an increase in the obtained levels. This trend has gone together with the publication of findings of observational studies showing a relationship between the increase in hemoglobin levels and a reduction in the mortality risk, with the conduction of clinical trials testing the effects of complete anemia correction, and with the compilation of guidelines on anemia control in CKD patients by scientific societies and organizations. In the last two years, evidence of a possible increase in the mortality risk in those patients who were randomized to high hemoglobin levels has resulted in a decrease in the upper limit of the recommended Hb target to be obtained with erythropoietin stimulating agents (ESA), and consequently in a narrowing of the target range. Comparison of guidelines on anemia control in CKD patients is an interesting starting point to discuss single recommendations, strengthen their importance, or suggest new topics of research to fill up important gaps in knowledge.

  7. Anemia, Growth Failure and Hypothyroidism

    OpenAIRE

    Chaytors, Richard Gordon; Higgins, Gerald

    1980-01-01

    A 12-year-old Caucasian female presented to her family physician with an old complaint of anemia and a new complaint of failure to grow. The anemia, first observed four years previously, had been diagnosed as iron deficiency, but had never satisfactorily responded to adequate iron therapy. Investigation of the failure to grow resulted in a diagnosis of hypothyroidism with related normochromic normocytic anemia.

  8. [Nutritional anemias in elderly patients].

    Science.gov (United States)

    Serraj, Khalid; Federici, Laure; Kaltenbach, Georges; Andrès, Emmanuel

    2008-09-01

    Nutritional deficiencies cause one third of the cases of anemia in the elderly. The urgency of anemia management in elderly patients depends on tolerance and repercussions, rather than only on the hemoglobin level. Iron, vitamin B12 and folate are the most common deficiencies, and their levels should be tested. Chronic gastrointestinal bleeding is the principal cause of iron-deficiency anemia. Management is based on supplementation combined with effective etiological treatment.

  9. Anemia of Inflammation and Chronic Disease

    Science.gov (United States)

    ... is anemia of inflammation and chronic disease (AI/ACD)? Anemia of inflammation and chronic disease is a ... after iron-deficiency anemia. 1 Who gets AI/ACD? While AI/ACD can affect people at any ...

  10. Avoiding Anemia: Boost Your Red Blood Cells

    Science.gov (United States)

    ... Issues Subscribe January 2014 Print this issue Avoiding Anemia Boost Your Red Blood Cells En español Send ... Disease When Blood Cells Bend Wise Choices Preventing Anemia To prevent or treat iron-deficiency anemia: Eat ...

  11. Special Issues for People with Aplastic Anemia

    Science.gov (United States)

    ... Menu Donate Special Issues for People with Aplastic Anemia Because you have aplastic anemia , everyday events can ... bleeding, such as contact sports. Pregnancy and Aplastic Anemia Pregnancy is possible for women who have been ...

  12. [Autoimmune hemolytic anemia in children].

    Science.gov (United States)

    Becheur, M; Bouslama, B; Slama, H; Toumi, N E H

    2015-01-01

    Autoimmune hemolytic anemia is a rare condition in children which differs from the adult form. It is defined by immune-mediated destruction of red blood cells caused by autoantibodies. Characteristics of the autoantibodies are responsible for the various clinical entities. Classifications of autoimmune hemolytic anemia include warm autoimmune hemolytic anemia, cold autoimmune hemolytic anemia, and paroxysmal cold hemoglobinuria. For each classification, this review discusses the epidemiology, etiology, clinical presentation, laboratory evaluation, and treatment options. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  13. Anemia of Chronic Liver Diseases

    International Nuclear Information System (INIS)

    Shin, Hyun Chung; Lee, Jhung Sang; Koh, Chang Soon; Lee, Mun Ho

    1971-01-01

    The pathogenetic mechanisms of anemia in patients with chronic liver disease were observed. Seventeen patients with moderate to advanced hepatic diseases were studied by various methods. Only patients without previous blood loss were included : 14 had cirrhosis, 2 had active chronic hepatitis, and one had inferior vena cava obstruction with associated liver cirrhosis. The followings were the results: 1. The anemia based on red blood cell count, Hb., and Ht. was found in 76.5-78.6% of the patients. 2. Red cell indices indicated that normo-macrocytic and normochromic anemia was present is the majority of the patients. 3. No evidence of megaloblastic anemia was found on the basis of the morphological examinations. 4. Serum iron, TIBC, % saturation and iron content in the bone marrow indicated that iron deficiency anemia was present in about half of the patients. 5. In the view of the erythrocyte dynamics, primary increase in the red cell destruction was ascribed to the cause of the anemia. 6. Decrease in the red cell survival time was not correlated with MCV, % saturation and S.L. ratio. Also, hemoglobin level was not correlated with MCV, % saturation and T 50 Cr. Therefore, multiple causes may be involved in the pathogenesis of the anemia. 7. Anemia as determined by the red cell volume was found in only 60% of the patients. It may be possible that hemodilutional anemia is present.

  14. Equine infectious anemia virus in China

    OpenAIRE

    Wang, Hua-Nan; Rao, Dan; Fu, Xian-Qiu; Hu, Ming-Ming; Dong, Jian-Guo

    2017-01-01

    Equine infectious anemia is an equine disease caused by equine infectious anemia virus, which was first reported in 1840. Equine infectious anemia virus research in China started in the 1960s, focusing on etiology, pathology, diagnosis, and immunology. Notably, in 1978 an attenuated vaccine was successfully developed for equine infectious anemia virus, effectively preventing equine infectious anemia virus in China. This article will review equine infectious anemia virus in China, including pa...

  15. [Diagnosis and treatment of hemolytic anemia].

    Science.gov (United States)

    Kamesaki, Toyomi

    2015-10-01

    Hemolytic anemia is defined as anemia due to a reduction of the RBC lifespan to less than the normal range of approximately 120 days. Patients with anemia and jaundice are often suspected to have hemolysis. Herein, different causes of hemolysis and the diagnostic algorithm are reviewed. Currently, there is no generic treatment for hemolytic anemia. Appropriate management of a patient with hemolytic anemia requires determination of the underlying cause. Treatments for the different causes of hemolytic anemia are also reviewed.

  16. Fisioterapia motora no tratamento do prematuro com doença metabólica óssea

    OpenAIRE

    Moreno,Juliana; Fernandes,Luciana Volpiano; Guerra,Camila Campos

    2011-01-01

    OBJETIVO: Revisar o papel da fisioterapia motora no prematuro com risco de desenvolver doença metabólica óssea. FONTES DE DADOS: Trata-se de uma revisão de literatura publicada entre 1986 e 2009, utilizando as seguintes palavras-chave: prematuro, calcificação fisiológica, modalidades de fisioterapia, doenças ósseas metabólicas e os respectivos descritores no idioma inglês. Foram selecionados 29 artigos científicos, via PubMed e ISI Web, além de um capítulo de livro nacional. SÍNTESE DOS DADOS...

  17. Ser pai de recém-nascido prematuro na unidade de terapia intensiva neonatal: da parentalidade a paternidade

    Directory of Open Access Journals (Sweden)

    Rachel Leite de Souza Ferreira Soares

    2015-09-01

    Full Text Available ResumoObjetivo:Compreender os significados atribuídos pelo pai ao ter um filho prematuro internado na Unidade de Terapia Intensiva Neonatal.Métodos:Estudo qualitativo com abordagem etnográfica realizado em uma unidade neonatal no Rio de Janeiro. Foram entrevistados 22 homens pais que tinham o filho prematuro internado. Os dados foram coletados por meio de diário de campo, observação participante e entrevista semiestruturada.Resultados:O pai desempenha papel fundamental durante o processo reprodutivo. Coloca-se como protetor da mulher na gestação e puerpério e vivencia intensa realização ao nascimento, mesmo que prematuramente. Entretanto, ter um filho prematuro internado seja uma experiência inesperada e difícil.Conclusão:Os pais demonstraram viver a transição social e cultural da paternidade, com superação ainda tímida do modelo hegemônico. Ao mesmo tempo, entendem seu papel fundamental de provisão financeira e demonstram desejo em cuidar do seu filho. Os profissionais de saúde devem proporcionar essa aproximação para fortalecimento da paternidade.

  18. Ser pai de recém-nascido prematuro na unidade de terapia intensiva neonatal: da parentalidade a paternidade

    Directory of Open Access Journals (Sweden)

    Rachel Leite de Souza Ferreira Soares

    Full Text Available ResumoObjetivo:Compreender os significados atribuídos pelo pai ao ter um filho prematuro internado na Unidade de Terapia Intensiva Neonatal.Métodos:Estudo qualitativo com abordagem etnográfica realizado em uma unidade neonatal no Rio de Janeiro. Foram entrevistados 22 homens pais que tinham o filho prematuro internado. Os dados foram coletados por meio de diário de campo, observação participante e entrevista semiestruturada.Resultados:O pai desempenha papel fundamental durante o processo reprodutivo. Coloca-se como protetor da mulher na gestação e puerpério e vivencia intensa realização ao nascimento, mesmo que prematuramente. Entretanto, ter um filho prematuro internado seja uma experiência inesperada e difícil.Conclusão:Os pais demonstraram viver a transição social e cultural da paternidade, com superação ainda tímida do modelo hegemônico. Ao mesmo tempo, entendem seu papel fundamental de provisão financeira e demonstram desejo em cuidar do seu filho. Os profissionais de saúde devem proporcionar essa aproximação para fortalecimento da paternidade.

  19. Protocolo de manejo en pacientes con amenaza de parto prematuro en clínica las condes

    Directory of Open Access Journals (Sweden)

    DR. S. Jorge Andrés Robert

    2014-11-01

    Full Text Available El parto prematuro, definido como aquel que ocurre antes de las 37 semanas de gestación, tiene una incidencia entre 7–10% y es la principal causa de morbimortalidad perinatal, excluida las malformaciones congénitas. Clínica Las Condes (CLC, recientemente reacreditada por la Joint Comission International, compromete su misión de otorgar a sus pacientes una atención en salud de la mejor calidad y seguridad. Una forma de cumplir con los objetivos antes mencionados, es protocolizar y estandarizar los modos de proceder frente a distintas patologías médicas y evaluar sus resultados. En consideración a la relevancia que tiene en nuestro medio el parto prematuro y la patología que puede condicionar, se ha implementado un protocolo de manejo en pacientes con amenaza de parto prematuro con énfasis en aspectos generales, exámenes diagnósticos y tratamiento. El objetivo de este artículo es describir dicho protocolo y colocarlo a disposición de la comunidad médica, donde esperamos pueda contribuir en el manejo de esta condición.

  20. Percepções maternas sobre o nascimento de um filho prematuro e cuidados após a alta

    Directory of Open Access Journals (Sweden)

    Lucy Sobieski dos Anjos

    2012-08-01

    Full Text Available Estudo qualitativo que objetivou conhecer percepções maternas sobre o nascimento do filho prematuro e os cuidados após a alta. Os dados foram coletados por meio de entrevista semiestruturada com 16 mães de prematuros internados em UTIN, ou em acompanhamento pelo ambulatório de seguimento de recém-nascidos egressos de UTIN. As entrevistas foram gravadas, transcritas e interpretadas com base na Análise de Conteúdo. Os resultados revelaram sentimentos de tristeza, angústia, culpa e impotência. Registrou-se, ainda, confiança na equipe de saúde, insegurança com os cuidados ao filho em casa, a importância da rede de apoio social e da espiritualidade para as famílias. Profissionais que trabalham com prematuros devem dedicar maior atenção às suas famílias, compreendendo experiências críticas e acolhendo de forma humanizada.

  1. Cirugía fetal del mielomeningocele

    Directory of Open Access Journals (Sweden)

    Felipe Otayza M., Dr.

    2015-07-01

    Full Text Available El Mielomeningocele (MMC es una malformación congénita frecuente asociada a morbimortalidad importante. El manejo post natal estándar no ha ofrecido cambios significativos en sus resultados en los últimos años. La publicación del MOMS (Management of Myelomeningocele study en 2011 demostró que la cirugía fetal del MMC disminuía la necesidad de derivativa de líquido cefalorraquídeo, revertía la herniación del tronco cerebral y mejoraba la calidad de la marcha a los 30 meses de vida, a pesar de un mayor número de parto prematuro y complicaciones maternas. Estos resultados motivaron a nuestro grupo a iniciar una experiencia en cirugía fetal del MMC. Este trabajo generó un protocolo de manejo en Clínica Las Condes contabilizando a la fecha 26 casos operados con resultados alentadores. Los avances en esta técnica siguen adelante en pos de disminuir la incidencia de parto prematuro, abriendo la posibilidad al tratamiento intrauterino de otras patologías.

  2. Correction of anemia in pregnancy

    Directory of Open Access Journals (Sweden)

    Analía Cánepa

    2015-11-01

    Se observó que en el 50% de las pacientes estudiadas no se logró corregir la anemia. Concluimos que existe una dificultad en la corrección de la anemia y una necesidad de realizar futuros estudios que permitan conocer las causas de este problema e implementar acciones en base a ellas.

  3. Aplastic anemia due to radiation

    International Nuclear Information System (INIS)

    Sakai, Kunio; Saito, Akira

    1978-01-01

    The relationship between radiation exposure and aplastic anemia, clarified previously, is discussed. When persons such as radiological technicians receive whole-body irradiation in rather large doses, it is possible that aplastic anemia will result later on. However, this is difficult to determine because the irradiated region is limited despite large doses of radiation. (Bell, E.)

  4. Os diagnósticos de enfermagem da taxonomia da NANDA em mulheres com o filho prematuro hospitalizado e o sistema conceitual de King Los diagnosticos de enfermería de la taxonomía de la NANDA de mujeres con hijo prematuro hospitalizado y el sistema conceptual de King Nursing diagnoses from NANDA's taxonomy in women with a hospitalized preterm child and King's conceptual system

    Directory of Open Access Journals (Sweden)

    Cláudia Silveira Viera

    2000-12-01

    Full Text Available Os objetivos deste estudo foram identificar os diagnósticos de enfermagem em mães com o filho prematuro hospitalizado em UTI Neonatal, mediante a utilização do Sistema Conceitual de King e da Taxonomia I dos diagnósticos de enfermagem da NANDA (1999. Para tanto utilizou-se a metodologia de estudo de caso aplicada a 35 puérperas. Foram identificados oito diagnósticos de enfermagem com freqüência igual ou maior que 50%, a saber, Risco para Infecção, Risco para Injúria, Integridade Tissular Prejudicada, Manutenção da Saúde Alterada, Risco para Amamentação Ineficaz; Risco para Alteração no Desenvolvimento do Apego entre Pais e Filho; Medo; Conflito no Desempenho de Papéis dos Pais.Los objetivos de este estudio fueron: identificar los diagnósticos de enfermería de madres con hijo prematuro hospitalizado en una Unidad de Tratamiento Intensivo Neonatal mediante la utilización del Sistema Conceptual de King y la Taxonomía I de los diagnósticos de enfermeria de la NANDA (1999. Para esto se utilizó la metodología del estudio de caso a 35 puerperas. Fueron identificados ocho diagnósticos con frecuencia igual o mayor de 50%, el Riesgo para Daño, Riesgo para Lesión, Integridad del Tejido Dañada, Mantenimiento de la Salud Alterada, Riesgo para lactancia Ineficaz; Riesgo para Alteración en el Desarrollo del Apego entre Padres e Hijo; Miedo; Conflicto en el desempeño del Papel Paternal.This study aimed at identifying nursing diagnoses presented by mothers with a hospitalized preterm child in an NICU by the use of King's Conceptual System and Taxonomy I of NANDA's nursing diagnoses. The case-study methodology was applied to 35 puerperal women. Eight diagnoses were identified, the frequency of which was over 50%, as follows: Risk of Infection, Risk of Injury, Impaired Tissue Integrity, Altered Health Maintenance, Risk of Inefficient Breast-feeding; Risk of Altered Parent/Infant Attachment; Fear; Parental Role Conflict and Impaired

  5. Warm autoimmune hemolytic anemia.

    Science.gov (United States)

    Naik, Rakhi

    2015-06-01

    Warm autoimmune hemolytic anemia (AIHA) is defined as the destruction of circulating red blood cells (RBCs) in the setting of anti-RBC autoantibodies that optimally react at 37°C. The pathophysiology of disease involves phagocytosis of autoantibody-coated RBCs in the spleen and complement-mediated hemolysis. Thus far, treatment is aimed at decreasing autoantibody production with immunosuppression or reducing phagocytosis of affected cells in the spleen. The role of complement inhibitors in warm AIHA has not been explored. This article addresses the diagnosis, etiology, and treatment of warm AIHA and highlights the role of complement in disease pathology. Copyright © 2015 Elsevier Inc. All rights reserved.

  6. A experiência de tornarem-se pais de prematuro: um enfoque etnográfico La experiencia de tornarse padres de recién nacido prematuro: un enfoque etnográfico The experience of becoming parents of premature infant: an etnographic approach

    Directory of Open Access Journals (Sweden)

    Dayse Maria Rizatto Tronchin

    2005-02-01

    Full Text Available Estudo com objetivo de compreender a experiência de pais de prematuro de muito baixo peso egresso da terapia intensiva neonatal de um hospital de ensino. Como referencial metodológico foi utilizado a etnografia na perspectiva interpretativa. Os dados foram coletados por meio de observação participante e entrevista realizadas com seis casais. Da análise emergiram seis categorias e dois temas culturais: "a capacidade para tornarem-se pais: momentos de luta e crescimento" e "o cuidar e conviver com o filho". Os pais vivenciaram todo o processo permeado pela ambivalência de sentimentos onde o medo e a esperança predominaram, como experiência marcante e transformadora. Sentiram-se capacitados para cuidar da criança e reconheceram obstáculos socioculturais para desempenharem os papéis de pai e mãe.Este estudio se realizó con el objetivo de comprender la experiencia de padres de recién nacido prematuro de muy bajo peso egresado de la unidad de cuidado intensivo neonatal de un hospital de enseñanza. Como referencial metodológico se utilizó la etnografía en la perspectiva interpretativa. Los datos fueron recoletados por medio de observación participante y entrevistas realizadas a seis parejas. Del análisis emergieron seis categorías culturales que evidenciaron dos temas: "la capacidad para tornarse padres: momentos de lucha y crecimiento" y "el cuidar y convivir con el hijo". Los padres vivenciaron todo el proceso permeado por la ambivalencia de sentimientos donde el miedo y la esperanza predominaron, como experiencia marcante y transformadora. Se sintieron capacitados para cuidar al niño y reconocieron obstáculos socioculturais para desempeñar los papeles de padre y madre.The aim of this study was to understand the experience of the parents of premature newborn infant of very low birth weight, dischargedfrom Neonatal and Pediatric Intensive Care of the University Hospital. It was conducted through qualitative approach, using

  7. Diferencias entre la hemoglobina observada y estimada por hematocrito y su importancia en el diagnóstico de anemia en población costera venezolana: análisis del segundo estudio nacional de crecimiento y desarrollo humano (SENACREDH Differences between observed and estimated by hematocrit hemoglobin and its relevance in the diagnosis of anemia among coastal population in Venezuela: analysis of the second national study of human growth and development (SENACREDH

    Directory of Open Access Journals (Sweden)

    Jessica Flores-Torres

    2011-03-01

    Full Text Available Objetivos. Evaluar las diferencias entre el valor de hemoglobina observada y el valor estimado a partir del hematocrito en el marco del Segundo Estudio Nacional de Crecimiento y Desarrollo Humano de la Población Venezolana (SENACREDH en el eje centro norte costero del país. Materiales y métodos. Por medio de un muestreo probabilístico multietápico por conglomerados se seleccionó un total de 6004 sujetos que representan 7 286 781 habitantes del eje Centro Norte Costero (Vargas, Carabobo, Distrito Capital, Aragua y Miranda. Se compararon medias de la hemoglobina observada y hemoglobina estimada (hematocrito/3, usando la prueba t para muestras relacionadas. Se realizaron regresiones lineales entre hemoglobina observada y hematocrito. Resultados. Se observó que el promedio de las diferencias entre la asignadas a la hemoglobina observada y la estimada por el hematocrito fue de -0,3446 ± 0,0002 (pObjectives. To evaluate the differences between the observed hemoglobin levels and those estimated based on hematocrit in the context of the 2nd National Study of Human Growth and Development of the Venezuelan Population (SENACREDH. Materials and methods. 6,004 individuals were chosen by a probabilistic multistage cluster sampling representing 7,286,781 inhabitants from North Central Coastal area (Vargas, Carabobo, Capital District, Aragua and Miranda. Means of observed and estimated hemoglobin (hematocrit/3 were compared, using t test for related samples and linear regression. Results. Mean difference between the values of observed and estimated hemoglobin was -0.3446 ±0.0002 (p<0.001; significantly overestimating the hemoglobin values. Regression models of hemoglobin on hematocrit showed an r2=0,87. In order to correct the estimation, we propose a new formula for calculating hemoglobin based on haematocrit values: estimated hemoglobin=(Haematocrit/3.135+ 0.257. Conclusions: There is an overestimation of hemoglobin levels from hematocrit levels and

  8. Desenvolvimento cerebral em recém-nascidos prematuros Cerebral development in preterm newborn infants

    Directory of Open Access Journals (Sweden)

    Andrea Peterson Zomignani

    2009-06-01

    Full Text Available OBJETIVO:Rever a literatura atual que aborda o crescimento e o desenvolvimento cerebral de crianças prematuras e as alterações cognitivas e motoras que podem decorrer da prematuridade. FONTES DE DADOS: Foram utilizadas as bases de dados Medline e Lilacs, selecionados artigos publicados entre os anos de 2000 e 2007 e livros-texto com conteúdo relevante. SÍNTESE DOS DADOS: A evolução do recém-nascido pré-termo diferencia-se da evolução apresentada pela população a termo. Estudos têm demonstrado que ex-prematuros apresentam alterações anatômicas cerebrais que se associam a prejuízos cognitivos. Várias regiões do sistema nervoso central (substância cinzenta, substância branca, corpo caloso, núcleo caudado, hipocampo e cerebelo têm seus volumes avaliados por neuroimagem e, apesar de resultados controversos, parecem ter desenvolvimento alterado nessa população. Diante disso, espera-se haver repercussão funcional e/ou cognitiva em crianças, adolescentes e adultos nascidos prematuramente. Ex-prematuros avaliados na infância tardia e na adolescência demonstram alterações de quociente de inteligência, memória, capacidade para cálculos e função cognitiva global. Déficits motores, na capacidade de planejamento e de associação, na coordenação motora e na atenção também foram relatados na literatura. CONCLUSÕES: A prematuridade pode levar a alterações anatômicas e estruturais do cérebro devido à interrupção das etapas de desenvolvimento pré-natal. Tais alterações podem causar déficits funcionais, tornando os ex-prematuros sujeitos a problemas cognitivos e motores, assim como suas repercussões nas atividades de vida diária, mesmo na adolescência e idade adulta.OBJECTIVE:To review the current literature about brain growth and development of premature children, as well as the motor and cognitive changes that may result from prematurity. DATA SOURCES: Medline and Lilacs were searched between 2000 and

  9. Beneficios del Método Madre Canguro

    OpenAIRE

    Bacigalupe Martínez, Ana

    2017-01-01

    Introducción. El Método Madre Canguro es el medio natural por el cual se realizan atenciones y cuidados a los bebés prematuros y a los que presentan bajo peso al nacer. Consta de dos pilares fundamentales, la lactancia materna y el contacto piel con piel. Constituye una técnica eficaz, fácil de realizar, económica, además de cubrir las necesidades del niño y de ser una alternativa óptima al cuidado en la incubadora. Se inicia tras el parto, dejando al neonato sobre el pecho de ...

  10. O leito placentário no descolamento prematuro da placenta

    Directory of Open Access Journals (Sweden)

    Mesquita Maria Rita de Souza

    2003-01-01

    Full Text Available OBJETIVO: análise histopatológica das artérias espiraladas do leito placentário em gestações complicadas pelo descolamento prematuro da placenta (DPP associado à hipertensão, comparando-as com a estrutura vascular dos leitos placentários normais. MÉTODO: a biópsia do leito placentário foi realizada em 23 gestantes com diagnóstico de descolamento prematuro de placenta associado à hipertensão (G/HA e idade gestacional maior ou igual a 28 semanas, submetidas ao parto cesáreo. O grupo controle (GC foi constituído por 30 pacientes, sem doenças, submetidas a parto cesáreo por indicação obstétrica. As variáveis histológicas selecionadas para estudo foram: padrão inalterado, modificações fisiológicas, desorganização da camada média, alterações hiperplásicas, necrose e aterose aguda. RESULTADOS: nas pacientes com DPP associado à hipertensão ocorreu uma predominância significativa de desorganização da camada média, detectada em 50% das pacientes, e de alterações hiperplásicas, em comparação ao GC, ao passo que a presença de modificações fisiológicas foi estatisticamente mais significante no GC. Achados como necrose e aterose aguda foram observados em menores proporções no G/HA, mas sem diferenças significantes entre os dois grupos. CONCLUSÕES: os achados histológicos vasculares predominantes em grávidas com diagnóstico de DPP associado à hipertensão foram desorganização da camada média e alterações hiperplásicas. A presença do padrão patológico foi significativamente maior no G/HA, sendo o mais prevalente a desorganização da camada média. Houve predomínio do padrão normal, isto é, modificações fisiológicas no GC.

  11. Iron-Deficiency Anemia (For Parents)

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español Iron-Deficiency Anemia KidsHealth / For Parents / Iron-Deficiency Anemia ... anemia, a common nutritional deficiency in children. About Iron-Deficiency Anemia Every red blood cell in the ...

  12. Anemia of Inflammation and Chronic Disease

    Science.gov (United States)

    ... ACD is the second most common form of anemia, after iron-deficiency anemia. 1 1 Agarwal N, Prchal JT. Anemia of ... advances. Therefore, most people with kidney failure have anemia. Kidney ... develop iron deficiency due to blood loss during hemodialysis, a type ...

  13. Equine infectious anemia virus in China.

    Science.gov (United States)

    Wang, Hua-Nan; Rao, Dan; Fu, Xian-Qiu; Hu, Ming-Ming; Dong, Jian-Guo

    2018-01-02

    Equine infectious anemia is an equine disease caused by equine infectious anemia virus, which was first reported in 1840. Equine infectious anemia virus research in China started in the 1960s, focusing on etiology, pathology, diagnosis, and immunology. Notably, in 1978 an attenuated vaccine was successfully developed for equine infectious anemia virus, effectively preventing equine infectious anemia virus in China. This article will review equine infectious anemia virus in China, including past and recent research, and commemorate scientists who have made great contributions to equine infectious anemia virus prevention.

  14. Severe autoimmune hemolytic anemia with renal neoplasm.

    Science.gov (United States)

    Rhodes, Emily C; Parikh, Sahil P; Bhattacharyya, Nishith

    2014-02-01

    Autoimmune hemolytic anemia is a type of hemolytic anemia characterized by autoantibodies directed against red blood cells shortening their survival. When autoimmune hemolytic anemia is secondary to a paraneoplastic process, severe anemia can occur leading to significant morbidity and even mortality. Here we discuss the literature and present the case of a child with autoimmune hemolytic anemia from a paraneoplastic syndrome secondary to a renal tumor.

  15. Metformin Therapy for Fanconis Anemia

    Science.gov (United States)

    2017-08-01

    AWARD NUMBER: W81XWH-16-1-0300 TITLE: Metformin Therapy for Fanconis Anemia PRINCIPAL INVESTIGATOR: Markus Grompe CONTRACTING ORGANIZATION... Anemia 5a. CONTRACT NUMBER 5b. GRANT NUMBER W81XWH-16-1-0300 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Markus Grompe 5d. PROJECT NUMBER 5e. TASK...298 (Rev. 8-98) Prescribed by ANSI Std. Z39.18 This award pertains to the treatment of the inherited bone marrow failure syndrome Fanconi’s Anemia

  16. Anemia in the general population

    DEFF Research Database (Denmark)

    Martinsson, Andreas; Andersson, Charlotte; Andell, Pontus

    2014-01-01

    Low hemoglobin concentration is associated with increased mortality, but there is disagreement with regard to the clinical definition of anemia. We aimed to evaluate the prevalence, clinical correlates and association with total and cause-specific long-term mortality across the hemoglobin...... distribution and for previously proposed definitions of anemia. Blood hemoglobin concentration and mean corpuscular volume was measured in participants of the Malmö diet and cancer study-a prospective cohort study, and related to baseline characteristics and outcomes during follow-up. Primary endpoints were...... of anemia, hazard ratio: 1.36, 1.94 and 2.16 for hemoglobin

  17. O alojamento de mães de recém-nascidos prematuros: uma contribuição para a ação da enfermagem Alojamiento para madres de recién nacidos prematuros: un aporte a la acción de la enfermería The accommodation for mothers of preterm newborns: a contribution to the Nursing action

    Directory of Open Access Journals (Sweden)

    Bárbara Bertolossi Marta de Araújo

    2010-06-01

    Full Text Available O estudo teve o objetivo de apreender o "motivo porquê" de a mãe permanecer na unidade hospitalar durante a internação do filho prematuro na Unidade de Terapia Intensiva Neonatal. Foi realizado com 12 mães de recém-nascidos prematuros, em um hospital maternidade municipal do Rio de Janeiro, em 2007. Adotou-se como suporte metodológico a Fenomenologia Sociológica de Alfred Schutz. A Entrevista Fenomenológica foi a técnica utilizada para captar o contexto vivencial das mães na unidade hospitalar, compreendendo que a sua permanência está ligada à ação de cumprir seu papel de ser mãe. A vivência das mulheres é retratada como um processo difícil, triste e conflituoso. Concluímos que as mães atualmente estão presentes, mas não estão inseridas nesta realidade intensiva. Dessa forma, entendemos que é necessário mudar esse paradigma intensivista incorporando o cuidado humanizado, inserindo a mãe e sua família no ambiente neonatal.El presente estudio tuvo como objetivo comprender la razón por la cual la madre permanece en el hospital durante la hospitalización del bebé prematuro en la unidad de cuidados intensivos neonatal. La investigación se realizó con un grupo de 12 madres de recién nacidos prematuros en un hospital municipal de maternidad en Río de Janeiro en el aòo de 2007. Como base metodológica se utilizó la sociología fenomenológica de Alfred Schutz. La técnica de la entrevista fenomenológica fue aplicada para captar el contexto de vida de las madres durante su estancia en el hospital. Esto nos permitió entender que su presencia está ligada a la acción de cumplir con su papel de madre. La experiencia de estas mujeres se presenta como un proceso difícil, triste y polémico. Llegamos a la conclusión de que a pesar de que estas madres están presentes, no están siendo incluidas en esta realidad intensiva. Por lo tanto, creemos que es necesario cambiar este paradigma de la incorporación de cuidados

  18. Prognóstico pulmonar em prematuros Pulmonary prognosis in preterm infants

    Directory of Open Access Journals (Sweden)

    Luciana Friedrich

    2005-03-01

    Full Text Available OBJETIVO: O aumento da sobrevida de prematuros traz o desafio de lidar com um amplo espectro de doenças pulmonares crônicas, incluindo displasia broncopulmonar, síndrome de Wilson-Mikity e sibilância recorrente. Este artigo discute o prognóstico pulmonar clínico e funcional de prematuros na infância e na adolescência. FONTE DE DADOS: Foi realizada pesquisa no MEDLINE de publicações entre 1970 e 2004 que abordassem função e crescimento pulmonar de prematuros, bem como a evolução clínica dos mesmos. SÍNTESE DOS DADOS: Eventos pré e pós-natais como insuficiência placentária, tabagismo, infecções, oxigênio e ventilação mecânica exercem efeitos importantes no desenvolvimento pulmonar, podendo conduzir a doenças pulmonares crônicas, sendo a displasia broncopulmonar a complicação clínica mais severa. No entanto, perdas significativas de função pulmonar também podem ocorrer em prematuros sem critérios de displasia broncopulmonar e que não apresentaram doença respiratória neonatal significativa. Nestes pacientes, o impacto da prematuridade sobre o sistema respiratório é freqüentemente subestimado. Clinicamente, observa-se incidência aumentada de pneumonias e bronquiolites, re-hospitalizações por doenças respiratórias, tosse e sibilância crônicas e hiper-reatividade brônquica. Posteriormente, percebe-se uma tendência à normalização da função pulmonar, mas persistem fluxos reduzidos, menor tolerância a exercícios e hiper-reatividade brônquica. CONCLUSÕES: A prematuridade, os eventos que a provocam e as intervenções que dela decorrem alteram de maneira permanente, em maior ou menor grau, o desenvolvimento do sistema respiratório. São necessários estudos adicionais para esclarecer o efeito de cada um desses insultos perinatais no desenvolvimento do sistema respiratório.OBJECTIVE: The increased survival of preterm infants poses the challenge of dealing with a wide range of chronic pulmonary

  19. Iron refractory iron deficiency anemia

    Science.gov (United States)

    De Falco, Luigia; Sanchez, Mayka; Silvestri, Laura; Kannengiesser, Caroline; Muckenthaler, Martina U.; Iolascon, Achille; Gouya, Laurent; Camaschella, Clara; Beaumont, Carole

    2013-01-01

    Iron refractory iron deficiency anemia is a hereditary recessive anemia due to a defect in the TMPRSS6 gene encoding Matriptase-2. This protein is a transmembrane serine protease that plays an essential role in down-regulating hepcidin, the key regulator of iron homeostasis. Hallmarks of this disease are microcytic hypochromic anemia, low transferrin saturation and normal/high serum hepcidin values. The anemia appears in the post-natal period, although in some cases it is only diagnosed in adulthood. The disease is refractory to oral iron treatment but shows a slow response to intravenous iron injections and partial correction of the anemia. To date, 40 different Matriptase-2 mutations have been reported, affecting all the functional domains of the large ectodomain of the protein. In vitro experiments on transfected cells suggest that Matriptase-2 cleaves Hemojuvelin, a major regulator of hepcidin expression and that this function is altered in this genetic form of anemia. In contrast to the low/undetectable hepcidin levels observed in acquired iron deficiency, in patients with Matriptase-2 deficiency, serum hepcidin is inappropriately high for the low iron status and accounts for the absent/delayed response to oral iron treatment. A challenge for the clinicians and pediatricians is the recognition of the disorder among iron deficiency and other microcytic anemias commonly found in pediatric patients. The current treatment of iron refractory iron deficiency anemia is based on parenteral iron administration; in the future, manipulation of the hepcidin pathway with the aim of suppressing it might become an alternative therapeutic approach. PMID:23729726

  20. Validade concorrente e confiabilidade da Alberta Infant Motor Scale em lactentes nascidos prematuros Concurrent validity and reliability of the Alberta Infant Motor Scale in premature infants

    OpenAIRE

    Kênnea Martins Almeida; Maria Virginia Peixoto Dutra; Rosane Reis de Mello; Ana Beatriz Rodrigues Reis; Priscila Silveira Martins

    2008-01-01

    OBJETIVO: Verificar a validade concorrente e a confiabilidade interobservador da Alberta Infant Motor Scale (AIMS) em lactentes prematuros acompanhados no ambulatório de seguimento do Instituto Fernandes Figueira, Fundação Oswaldo Cruz (IFF/Fiocruz). MÉTODOS: Foram avaliados 88 lactentes nascidos prematuros no ambulatório de seguimento do IFF/Fiocruz entre fevereiro e dezembro de 2006. No estudo de validade concorrente, 46 lactentes com 6 (n = 26) ou 12 (n = 20) meses de idade corrigida foram...

  1. Análise comparativa dos cuidados NIDCAP e convencional nas unidades de cuidados intensivos, analisando a maturação do sono de prematuro

    OpenAIRE

    Pimentel Filho, João da Costa

    2011-01-01

    A privação do sono tem sido descrita como um fator de estresse nas Unidades de Cuidados Intensivos Neonatais (UCIN), e pode estar associada ao retardo na maturação e no aumento da mortalidade e outras morbidades. Em 1986, o programa NIDCAP, Programa de Avaliação e Cuidados Individualizados para o Desenvolvimento do Neonato, foi proposto com o objetivo de melhorar o cuidado hospitalar do prematuro hospitalizado em UCIN. Poucos estudos analisaram o efeito do NIDCAP no sono do prematuro, tendo a...

  2. A relação entre posicionamento do prematuro no Método Mãe-Canguru e desenvolvimento neuropsicomotor precoce

    OpenAIRE

    Barradas,Juliana; Fonseca,Antonietta; Guimarães,Carmen Lúcia N.; Lima,Geisy Maria de S.

    2006-01-01

    OBJETIVO: Analisar as posturas adotadas pelos prematuros em decúbito ventral (DV) e lateral (DL) no Método Mãe-Canguru, relacionando-as com o desenvolvimento neuromotor precoce da criança. MÉTODOS: Uma amostra de 80 bebês prematuros, nascidos no Instituto Materno-Infantil de Pernambuco e que permaneceram na Unidade Mãe-Canguru no período de julho a outubro de 2004, foi dividida em dois grupos. Um grupo de 40 bebês foi posicionado em DV, e o outro, também de 40 bebês, em DL. Ambas as amostras ...

  3. Understanding anemia of chronic disease.

    Science.gov (United States)

    Fraenkel, Paula G

    2015-01-01

    The anemia of chronic disease is an old disease concept, but contemporary research in the role of proinflammatory cytokines and iron biology has shed new light on the pathophysiology of the condition. Recent epidemiologic studies have connected the anemia of chronic disease with critical illness, obesity, aging, and kidney failure, as well as with the well-established associations of cancer, chronic infection, and autoimmune disease. Functional iron deficiency, mediated principally by the interaction of interleukin-6, the iron regulatory hormone hepcidin, and the iron exporter ferroportin, is a major contributor to the anemia of chronic disease. Although anemia is associated with adverse outcomes, experimental models suggest that iron sequestration is desirable in the setting of severe infection. Experimental therapeutic approaches targeting interleukin-6 or the ferroportin-hepcidin axis have shown efficacy in reversing anemia in either animal models or human patients, although these agents have not yet been approved for the treatment of the anemia of chronic disease. © 2015 by The American Society of Hematology. All rights reserved.

  4. Mieloma Múltiplo e anemia Multiple Myeloma and anemia

    Directory of Open Access Journals (Sweden)

    Rodolfo D. Cançado

    2007-03-01

    Full Text Available Anemia é uma complicação comum em pacientes com mieloma múltiplo (MM e ocorre em mais de 2/3 dos pacientes. Anemia de doença crônica, deficiência de eritropoetina (EPO devido à insuficiência renal e efeito mielossupressivo da quimioterapia são os principais mecanismos patofisiológicos que contribuem para o desenvolvimento de anemia no MM. Nos pacientes que obtêm remissão completa com tratamento quimioterápico, anemia usualmente se normaliza. Nos pacientes que não respondem ou apresentam recaída do mieloma, anemia freqüentemente persiste. As opções de tratamento dos pacientes anêmicos com MM incluem transfusões de hemácias e EPO recombinante humana. Essa proteína é biologicamente equivalente à EPO endógena e sua administração promove aumento dos valores de hemoglobina por tempo mais prolongado sem os riscos das transfusões de sangue. Vários estudos têm relatado melhora significante da eritropoese, redução da necessidade transfusional e melhora da qualidade de vida com o uso da EPO como tratamento a longo prazo da anemia associada ao mieloma. Nesse artigo, propomos o tratamento da anemia do MM baseado nas recomendações propostas pela Sociedade Americana de Hematologia (ASH em conjunto com a Sociedade Americana de Oncologia Clínica (ASCO, pela Organização Européia para Pesquisa e Tratamento do Câncer (EORTC, pelo IMF (Internacional Myeloma Foundation e pelo NCCN (National Comprehensive Cancer Network.Anemia is a common complication in patients with multiple myeloma (MM occurring in more than two thirds of all patients. Anemia of chronic diseases, erythropoietin (EPO deficiency due to renal impairment and the myelosuppressive effect of chemotherapy are the most important pathophysiological mechanisms contributing to the development of anemia in MM. In patients who achieve complete remission after chemotherapy, anemia usually normalizes. Non-responders and relapsing myeloma patients often continue to suffer

  5. Cerebral abscess caused by Serratia marcescens in a premature neonate Abscesso cerebral causado por Serratia marcescens em prematuro

    Directory of Open Access Journals (Sweden)

    Tatiana Mattos Hirooka

    2007-12-01

    Full Text Available BACKGROUND: Cerebral abscesses are extremely rare in neonates. Serratia marcescens is an unusual cause of sepsis and neurological spread is especially ominous. PURPOSE: To report the case of a 34-week neonate who developed this rare condition and to discuss diagnostic and therapeutic measures. CASE REPRT: A 34-week male neonate sequentially developed respiratory distress syndrome, early sepsis and necrotizing enterocolitis; later cultures revealed S. marcescens. After deterioration, a cerebral abscess became evident, which revealed S. marcescens. Clinical improvement ensued after high-dose amikacin and meropenem. CONCLUSION: Clinical signs are often non-specific. Proper diagnostic measures, neurosurgical consultation and aggressive antibiotic therapy are essential for these high-risk neonates.INTRODUÇÃO: Abscessos cerebrais são extremamente raros em neonatos. Serratia marcescens é causadora incomum de sepse nestes pacientes e a disseminação no sistema nervoso central é grave. OBJETIVO: Relatar um prematuro de 34 semanas que desenvolveu esta condição e discutir as medidas diagnósticas e terapêuticas. RELATO DE CASO: Prematuro masculino de 34 semanas desenvolveu síndrome do desconforto respiratório, sepse neonatal e enterocolite necrotizante; hemoculturas revelaram S. marcescens. Após deterioração clínica, evidenciou-se um abscesso cerebral cuja drenagem revelou S. marcescens. Houve melhora após introdução de amicacina e meropenem. CONCLUSÃO: Os sinais clínicos são inespecíficos. Passos diagnósticos apropriados, avaliação neurocirúrgica precoce e antibioticoterapia agressiva são essenciais para estes prematuros.

  6. Concepts of anemia among low income Nicaraguan women Conceptos de anemia entre mujeres nicaragüenses de baja renta Conceitos de anemia entre mulheres nicaragüenses de baixa renda

    Directory of Open Access Journals (Sweden)

    Rita L. Ailinger

    2009-04-01

    Full Text Available Anemia is a common health problem among women throughout the world, however, there has been minimal research on women's concepts of anemia. The purpose of this study was to examine concepts of anemia in low income Nicaraguan women. A qualitative design was used. Audio-taped open-ended interviews in Spanish with 14 women were used to obtain data. Tapes were transcribed and content analyzed. The findings indicate that few of the women had biomedically accurate concepts of anemia, such as that it was due to lack of iron from poor eating. Others held folk medical beliefs including home remedies, for example drinking the milk of a mare or beet juice and eating certain foods such as bean soup. Most of the women did not know any symptoms of anemia and a few reported that it can develop into leukemia. These concepts of anemia are instructive for nurses working with patients from Nicaragua and will be useful in developing nursing interventions to alleviate this public health problem.La anemia es un problema de salud común entre las mujeres alrededor del mundo, sin embargo, se han realizado pocas investigaciones sobre los conceptos de anemia entre las mujeres. El propósito de este estudio fue examinar los conceptos de anemia en mujeres Nicaragüenses de bajos ingresos económicos. La investigación fue de orden cualitativa. Para la recolección de datos, se realizaron entrevistas semiestructuradas, grabadas en castellano, con 14 mujeres. Las cintas grabadas fueron transcritas y se realizó un análisis de contenido. Los resultados indican que pocas mujeres poseen conocimientos biomédicos sobre anemia, por ejemplo, la ingestión de alimentos pobres en hierro. Otras expresaron creencias populares, como remedios caseros, ingestión de leche de yegua o jugo de remolacha y ciertos alimentos como sopa de judías. La mayoría de las mujeres no conocía ningún síntoma de anemia y pocas relataron que creían que esta enfermedad podría transformarse en

  7. Enterocolitis necrotizante complicada con neumatosis portal en un recién nacido prematuro: Reporte de caso

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    Sendy Montes

    2014-07-01

    Full Text Available La enterocolitis necrotizante es una enfermedad grave que afecta a recién nacidos en especial prematuros con una incidencia y morbimortalidad elevada. Constituye la emergencia gastrointestinal más frecuente en las unidades de cuidados intensivos neonatales. Presentamos el caso de un recién nacido con 8 semanas de edad que presentó una enfermedad gastrointestinal grave con neumatosis intestinal asociado a neumatosis portal, que fue confirmado por los hallazgos clínicos y quirúrgicos.

  8. Enterocolitis necrotizante complicada con neumatosis portal en un recién nacido prematuro. Reporte de caso

    OpenAIRE

    Montes, Sendy; Carrasco, Carlos

    2014-01-01

    La enterocolitis necrotizante es una enfermedad grave que afecta a recién nacidos en especial prematuros con una incidencia y morbimortalidad elevada. Constituye la emergencia gastrointestinal más frecuente en las unidades de cuidados intensivos neonatales. Presentamos el caso de un recién nacido con 8 semanas de edad que presentó una enfermedad gastrointestinal grave con neumatosis intestinal asociado a neumatosis portal, que fue confirmado por los hallazgos clínicos y quirúrgicos.

  9. O advento das incubadoras e os cuidados de enfermagem aos prematuros na primeira metade do século XX

    OpenAIRE

    Oliveira, Isabel Cristina dos Santos

    2004-01-01

    O estudo tem como objetivos descrever os diferentes tipos de incubadoras existentes até a primeira metade do século XX, e relacionar os cuidados de enfermagem aos prematuros quanto à utilização das incubadoras. Trata-se de um estudo histórico. As fontes primárias são dois artigos existentes na Biblioteca Nacional e três artigos da Revista Brasileira de Enfermagem nos anos 40 e 50; e as secundárias são os livros e artigos de periódicos nacionais e internacionais relacionados à história da pedi...

  10. Genetics Home Reference: iron-refractory iron deficiency anemia

    Science.gov (United States)

    ... refractory iron deficiency anemia Iron-refractory iron deficiency anemia Printable PDF Open All Close All Enable Javascript ... expand/collapse boxes. Description Iron-refractory iron deficiency anemia is one of many types of anemia , which ...

  11. Fanconi anemia and radiation

    Energy Technology Data Exchange (ETDEWEB)

    Nakamura, Asako; Komatsu, Kenshi [Hiroshima Univ. (Japan). Research Inst. for Nuclear Medicine and Biology

    1999-09-01

    Aplastic Fanconi anemia (FA) accompanying malformation was firstly reported in 1927. This review concerns the recent findings on FA. FA belongs to the chromosomal instability syndrome and its detailed molecular mechanism is still unknown. The disease has been defined to be highly sensitive to radiation, however, which is quite an important problem since irradiation with a large dose of radiation is required before its radical treatment (bone marrow transplantation). FA cells are also mitomycin C-sensitive and FA patients are said to be the mosaic of the sensitive and normal cells. This enables to classify FA into 8 types of A-H groups, whose genotypes (FAA-FAH, FANCA-FANCH) are becoming clear. However, the intracellular function of the FANC-expressed protein, although known to form a big complex, is not elucidated yet. There is an abnormality in DNA processing such as re-linkage of the double strand-broken DNA in FA cells. FA causal gene FANCG is found identical to XRCC9 which is associated to high sensitivity to radiation. Analysis of FANC genes will provide useful findings on molecular mechanism of DNA-repair. (K.H.)

  12. Neonatal nonimmune hemolytic anemia.

    Science.gov (United States)

    Yaish, Hassan M; Christensen, Robert D; Lemons, Richard S

    2017-02-01

    As in adults and older children, anemia in newborn infants can be the result of erythropoietic failure, hemorrhage, or hemolysis. When hemolysis is the prime consideration, it can be challenging for physicians caring for neonates to choose from the wide variety of available diagnostic tests. This review describes the authors' opinions regarding rational, consistent, and cost-effective means of making an exact diagnosis of a neonatal hemolytic condition. Two recent advances in the diagnosis of neonatal nonimmune hemolytic disorders are highlighted in this review: introduction of flow cytometry-based Eosin-5-maleimide (EMA) uptake as a screening test to identify RBC membrane defects and next-generation sequencing (NGS)-based panels to uncover exact mutations causing hemolysis. The availability of newer tools such as EMA and NGS to diagnose specific hemolytic conditions, which might otherwise remain unknown, enables neonatal practitioners not only to identify the exact cause of hemolysis but also to discover novel mutations that can be implicated in the cause of neonatal hemolytic processes.

  13. Congenital dyserythropoietic anemias.

    Science.gov (United States)

    Iolascon, Achille; Russo, Roberta; Delaunay, Jean

    2011-05-01

    Congenital dyserythropoietic anemias (CDAs) are rare hereditary disorders characterized by ineffective erythropoiesis and by distinct morphological abnormalities of erythroblasts in the bone marrow. Characteristic morphological aberrations were the cornerstone of diagnosis, but following the identification of several causative genes, the molecular approach could represent a rapid tool for the identification of these conditions. This review presents advances in diagnosis and classification of CDAs. The classification of CDAs has long been based on morphological features. Now, the discovery of some of the responsible genes allows reconsideration of part of the classification. The first CDA partly accounted for genetically has been CDA 1, through the discovery in 2002 of the gene responsible, CDAN1, encoding codanin-1. Recently, the dramatic identification of the genes responsible for CDA II, SEC23B, and for a hitherto unnamed CDA, KLF1, took place. SEC23B encodes SEC23B which is a component of the coated vesicles transiting from the endoplasmic reticulum to the cis compartment of the Golgi apparatus. A unique mutation in KLF1, which encodes the erythroid transcription factor KLF1, causes major ultrastructural abnormalities, the persistence of embryonic and fetal hemoglobins, and the absence of some red cell membrane proteins. Studies of genotype-phenotype relationship, as has already been done for CDA II, will allow a more accurate prognosis. Identification of the responsible genes has opened new vistas for research on CDAs.

  14. Comparación de la ganancia de peso de neonatos prematuros alimentados con lactancia materna exclusiva con énfasis en la fracción emulsión, lactancia mixta y sucedáneos

    Directory of Open Access Journals (Sweden)

    Gloria Velásquez Barahona

    2014-09-01

    Full Text Available Objetivo: Determinar si los bebés prematuros que se alimentaban con lactancia materna exclusiva con énfasis en la fracción emulsión, ganaban peso adecuadamente, comparable a los que se alimentan con lactancia mixta o sucedáneos  y así obtener evidencia clínica que apoye el uso de lactancia materna exclusiva, utilizando esta técnica, en los neonatos prematuros. Método: El estudio fue de tipo experimental longitudinal por  2 meses y medio entre el 31 de agosto al 27 de septiembre del año 2007 en la consulta externa de niño sano del Hospital Roosevelt.  Se enroló a un total de 48 pacientes.  A cada paciente se le tomó las medidas antropométricas de peso y talla, y se siguieron por el período necesario para que alcanzaran un peso de 2.5kg. Resultados: El total de neonatos estudiados fue de 40.  La mayoría pesaron al nacer entre 1000 a 1500g  Los neonatos que recibían lactancia mixta conformaron el mayor grupo.  La media de ganancia diaria de peso de los neonatos que recibía LM exclusiva fue de 32g, los que utilizaban LM mixta fue de 32.4g y los que utilizaban sucedáneos fue de 36.2 g.  Al comparar la media de ganancia de peso de los tres grupos, se encontró que no existía diferencia estadísticamente significativa (p = 0.32.  Así mismo,  no existió  diferencia estadísticamente significativa en la ganancia diaria de talla. (p = 0.44. Conclusiones: Se  evidenció clínicamente que se obtienen ganancias de peso y talla adecuadas utilizando lactancia materna exclusiva comparables a las obtenidas utilizando lactancia mixta y sucedáneos.

  15. Sucção não nutritiva em bebês prematuros: estudo bibliográfico Succión no-nutritiva en bebes prematuros: un estudio bibliográfico Non-nutritive sucking in pre-term infants: a bibliographic study

    Directory of Open Access Journals (Sweden)

    Laise Conceição Caetano

    2003-03-01

    Full Text Available Estudo bibliográfico sobre sucção não-nutritiva em bebês prematuros. Objetivos: caracterizar e analisar a produção científica sobre sucção não-nutritiva em bebês prematuros e identificar como se processa a transição da alimentação gástrica para a oral, considerando a estimulação da sucção não-nutritiva, seu início e evolução. Metodologia: revisão de fonte secundária (MEDLINE e LILACS. Resultado: condição clínica estável dos bebês pré-termo, sem alterações cardiorespiratórias, neurológicas e gastrointestinais. A idade gestacional variou de 30 a 35 semanas, e o peso, de 1400 a 1800g. O estímulo utilizado para sucção não-nutritiva foi chupeta ou bico de mamadeira, havendo variação quanto ao tempo e freqüência de aplicação do estímulo. Como impacto dos programas de estimulação, houve alta hospitalar precoce e maior ganho de peso. Os autores ressaltam a escassa literatura sobre o assunto, principalmente a nacional, registrando que os artigos encontrados não descrevem, detalhadamente, a transição da alimentação gástrica para oral, deixando uma lacuna que exige estudos posteriores.Estudio bibliográfico sobre succión no-nutritiva en bebes prematuros. Objetivos: caracterizar y analizar la producción científica sobre succión no-nutritiva en bebes prematuros e identificar como se procesa la transición de alimentación gástrica para oral considerando la estimulación de la succión no-nutritiva, su inicio y evolución. Metodología: revisión de fuentes secundarias (MEDLINE e LILACS. Resultado: condición clínica de los bebes pretermino estables, sin alteraciones cardio-respiratorias, neurológicas y gastrointestinales. Edad gestacional varió entre 30 y 35 semanas y el peso de 1400 a 1800 g. El estímulo para la succión no-nutritiva utilizado fue chupo de tetero. Los autores encontraron variación en relación con el tiempo y frecuencia de aplicación del estímulo. Como impacto de los

  16. Classification of anemia for gastroenterologists.

    Science.gov (United States)

    Moreno Chulilla, Jose Antonio; Romero Colás, Maria Soledad; Gutiérrez Martín, Martín

    2009-10-07

    Most anemia is related to the digestive system by dietary deficiency, malabsorption, or chronic bleeding. We review the World Health Organization definition of anemia, its morphological classification (microcytic, macrocytic and normocytic) and pathogenic classification (regenerative and hypo regenerative), and integration of these classifications. Interpretation of laboratory tests is included, from the simplest (blood count, routine biochemistry) to the more specific (iron metabolism, vitamin B12, folic acid, reticulocytes, erythropoietin, bone marrow examination and Schilling test). In the text and various algorithms, we propose a hierarchical and logical way to reach a diagnosis as quickly as possible, by properly managing the medical interview, physical examination, appropriate laboratory tests, bone marrow examination, and other complementary tests. The prevalence is emphasized in all sections so that the gastroenterologist can direct the diagnosis to the most common diseases, although the tables also include rare diseases. Digestive diseases potentially causing anemia have been studied in preference, but other causes of anemia have been included in the text and tables. Primitive hematological diseases that cause anemia are only listed, but are not discussed in depth. The last section is dedicated to simplifying all items discussed above, using practical rules to guide diagnosis and medical care with the greatest economy of resources and time.

  17. Drug-induced immune hemolytic anemia

    Science.gov (United States)

    Immune hemolytic anemia secondary to drugs; Anemia - immune hemolytic - secondary to drugs ... In some cases, a drug can cause the immune system to mistake your own red blood cells for foreign substances. The body responds by making ...

  18. Hemolytic anemia caused by chemicals and toxins

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/000590.htm Hemolytic anemia caused by chemicals and toxins To use the sharing features on this page, please enable JavaScript. Hemolytic anemia caused by chemicals and toxins is a lack ...

  19. Anemia caused by low iron - children

    Science.gov (United States)

    ... to prevent and treat iron deficiency. Alternative Names Anemia - iron deficiency - children Images Red blood cells, target cells Formed elements of blood Hemoglobin References Fleming MD. Disorders of iron and copper metabolism, the sideroblastic anemias, and lead toxicity. In: Orkin ...

  20. Genetics Home Reference: congenital dyserythropoietic anemia

    Science.gov (United States)

    ... Facebook Twitter Home Health Conditions CDA Congenital dyserythropoietic anemia Printable PDF Open All Close All Enable Javascript ... view the expand/collapse boxes. Description Congenital dyserythropoietic anemia ( CDA ) is an inherited blood disorder that affects ...

  1. Vivências paternas durante a hospitalização do recém-nascido prematuro na Unidade de Terapia Intensiva Neonatal

    Directory of Open Access Journals (Sweden)

    Luciano Marques dos Santos

    2012-10-01

    Full Text Available Este estudo objetivou compreender as vivências paternas durante a hospitalização do recém-nascido prematuro na Unidade de Terapia Intensiva Neonatal de um hospital público de Feira de Santana, Bahia. Trata-se de um estudo descritivo, exploratório e qualitativo, aprovado por Comitê de Ética em Pesquisa e realizado com nove pais, na Unidade de Terapia Intensiva Neonatal de um hospital público. Os dados foram analisados através da Análise de Conteúdo, os quais apontaram que os partos prematuros causam sentimentos de surpresa, angústia e medo nos pais. É preciso repensar como ocorre a inserção dos pais do prematuro no processo de hospitalização, bem como mudanças nas rotinas estabelecidas para a visita e participação paterna no contexto do cuidado ao prematuro.

  2. Etiological study of microcytic hypochromic anemia

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    S Kafle

    2016-09-01

    Full Text Available Background: Microcytic hypochromic anemia is a distinct morphologic subtype of anemia with well- de ned etiology and treatment. The objective of this study was to determine the etiology and frequency of microcytic hypochromic anemia. Materials and Methods: This cross-sectional observational study was conducted at Kathmandu Medical College Teaching Hospital. One hundred cases of microcytic hypochromic anemia were included. Relevant clinical history, hemogram, reticulocyte count, iron pro les were documented in a proforma. Bone marrow aspiration and hemoglobin electrophoresis was conducted when required. Data was analysed by Microsoft SPSS 16 windows. Result: Iron de ciency was the commonest etiology (49%. Dysfunctional uterine bleeding (20.8% was the commonest cause of iron de ciency, malignancy (24.3% was the commonest cause of anemia of chronic disease. Mean value of Mean Corpuscular Volume was lowest in hemolytic anemia (71.0 . Mean Red cell Distribution Width was normal (14.0% in hemolytic anemia but was raised in other types. Mean serum iron was reduced in iron de ciency anemia (32.2μg/dl and chronic disease (34.8μg/dl, normal in hemolytic anemia (83μg/dl and raised in sideroblastic anemia (295μg/dl. Mean serum ferritin was reduced in iron de ciency anemia (7.6ng/ml, raised in chronic disease (158.6ng/ml and normal in hemolytic anemia (99.2ng/ml. Serum ferritin was normal in sideroblastic anemia (93ng/ml. Mean Total Iron Binding Capacity was raised in iron de ciency anemia (458μg/dl and normal in other microcytic hypochromic anemias. Conclusion: Diagnosis of microcytic hypochromic anemia requires a standardized approach which includes clinical details, hemogram, peripheral blood smear, reticulocyte count, iron pro le, hemoglobin electrophoresis and bone marrow examination. 

  3. [Immune pathophysiology of refractory anemias].

    Science.gov (United States)

    Nakao, Shinji

    2008-03-01

    Among different immune pathophysiologies of anemia, those of bone marrow failure syndromes such as aplastic anemia and myelodysplastic syndrome are most difficult to understand. An increase in the proportion of glycosylphosphatidyl-inositol anchored protein-deficient cells has been identified as the best marker for the presence of immune pathophysiology in this elusive syndrome. The significance of detecting small populations of such paroxysmal nocturnal hemoglobinuria (PNH)-type cells was substantiated by a recent observation that PNH-type cells arose from a donor-derived hematopoietic stem cell with a PIG-A mutation in an aplastic anemia patient with late graft failure which responded well to immunosuppressive therapy. Identification of auto-antigens capable of inducing cytotoxic T cells against hematopoietic stem cells is necessary to prove the escape of PIG-A mutant clone from the immune system attack using animal models.

  4. Pernicious Anemia with Autoimmune Hemolytic Anemia: A Case Report and Literature Review

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    Sri Lakshmi Hyndavi Yeruva

    2016-01-01

    Full Text Available Pernicious anemia is a common cause of vitamin B12 deficiency. Here, we discuss a case of a young woman who presented with severe anemia along with a history of iron deficiency anemia. After a review of her clinical presentation and laboratory data, we identified an autoimmune hemolytic anemia and a concomitant pernicious anemia. The concurrence of both these hematological diagnoses in a patient is rare.

  5. Pernicious Anemia with Autoimmune Hemolytic Anemia: A Case Report and Literature Review

    Science.gov (United States)

    Manchandani, Raj Pal; Oneal, Patricia

    2016-01-01

    Pernicious anemia is a common cause of vitamin B12 deficiency. Here, we discuss a case of a young woman who presented with severe anemia along with a history of iron deficiency anemia. After a review of her clinical presentation and laboratory data, we identified an autoimmune hemolytic anemia and a concomitant pernicious anemia. The concurrence of both these hematological diagnoses in a patient is rare. PMID:27559485

  6. [The characteristics of iron metabolism under iron-deficiency anemia and chronic disorders anemia].

    Science.gov (United States)

    Smorkalova, E V; Aznabaeva, L F; Nikulicheva, V I; Safuanova, G Sh; Chepurnaia, A N

    2011-07-01

    The study investigated the issues of iron metabolism under iron-deficiency anemia and chronic disorders anemia and dependencies of production of IL-1? and sICAM-1 immunoinflammatory markers from degree of severity and duration of anemia. The study data indicates that under iron-deficiency anemia lactoferrin and sICAM-1 are the negative regulators of hemopoiesis. The inhibition of transferrin expression by the proinflammatory cytokines is one of the causes of inefficient hemopoiesis under chronic disorders anemia.

  7. Anemias hemolíticas

    OpenAIRE

    Cediel Ángel, Ricardo

    2011-01-01

    Hayem (1898) y más tarde Widal (1907) señalaron que, al paso que la forma congénita clásica de anemia hemolítica de Minkowski y Chauffard a menudo causaba pocos síntomas, otro tipo que ellos clasificaron como adquirido, con frecuencia' se asociaba con anemia severa y acentuada incapacidad. Incluyeron allí casos de excesiva destrucción de sangre asociada a diversas infecciones ó intoxicaciones lo mismo que casos de etiología desconocida. Chauffard fue capaz de demostrar autohemolisinas en el s...

  8. Pagophagia in iron deficiency anemia.

    Science.gov (United States)

    Uchida, Tatsumi; Kawati, Yasunori

    2014-04-01

    The relationship between pagophagia (ice pica) and iron deficiency anemia was studied. All 81 patients with iron deficiency anemia defined as hemoglobin Pagophagia was defined as compulsive and repeated ingestion of at least one tray of ice or ice eating which was relieved after iron administration. Pagophagia was present in 13 patients (16.0%). All patients who received oral iron were periodically assessed employing a questionnaire on pagophagia and laboratory data. Iron therapy can cure the pagophagia earlier than hemoglobin recovery and repair of tissue iron deficiency. Although the pathogenesis of pagophagia is unclear, a biochemical approach involving the central nervous system might elucidate the mechanism underlying these abnormal behaviors.

  9. Syngeneic transplantation in aplastic anemia

    DEFF Research Database (Denmark)

    Gerull, Sabine; Stern, Martin; Apperley, Jane

    2013-01-01

    Aplastic anemia is usually treated with immunosuppression or allogeneic transplant, depending on patient and disease characteristics. Syngeneic transplant offers a rare treatment opportunity with minimal transplant-related mortality, and offers an insight into disease mechanisms. We present here...... a retrospective analysis of all syngeneic transplants for aplastic anemia reported to the European Group for Blood and Marrow Transplantation. Between 1976 and 2009, 88 patients received 113 transplants. Most transplants (n=85) were preceded by a conditioning regimen, 22 of these including anti-thymocyte globulin...

  10. O sentido do ser-mãe-que-tem-a-possibilidade-de-tocar-o-filho-prematuro na unidade intensiva: contribuições para a enfermagem neonatal El significado de ser la madre-que-tiene-la-posibilidad-de-tocar-al-hijo-prematuro en la unidad de cuidados intensivos: contribuciones para la enfermería neonatal The meaning of being the mother-that-has-the-possibility-to-touch-the-premature-baby in the intensive unit: contributions for the neonatal nursing

    Directory of Open Access Journals (Sweden)

    Rita de Cássia de Jesus Melo

    2012-06-01

    Full Text Available Estudo na abordagem teórico-metodológica heideggeriana com o objetivo de desvelar o sentido do ser-mãe que tem a possibilidade de tocar o filho prematuro na UTIN. Após aprovação foi desenvolvida entrevista fenomenológica com nove mulheres-mães. A análise compreensiva constituiu oito unidades de significação, e a hermenêutica permitiu desvelar o movimento existencial do sermãe em sua cotidianidade, nos modos de ser da inautenticidade e impessoalidade, movida pelo falatório, ambiguidade e temor, modos de ocupação. Ao compreender como sua a possibilidade de ter um filho prematuro, toca-o cautelosamente e cuidadosamente, transita para um entendimento no qual não mais se ocupa, se preo-cupa. Ao pre-ocupar, o ser-mãe estabelece a possibilidade de ser-aí-com-o-filho. Foi possível entender este modo de ser mãe, no qual passa por estágios antes de ver o bebê como seu e confiar em si. Possibilitar que toque seu filho, compreendendo-a em sua individualidade, singularidade, mostrou-se como um cuidado ao RNP em sua complexidade como ser-aí.Estudio en el enfoque teórico-metodológico heideggeriana con el objetivo de revelar el sentido del ser la madre que tiene la possibilidad de tocar el hijo prematuro en una Unidad de Cuidados Intensivos Neonatal. Después de la aprobación, fue desarrollada una entrevista fenomenológica con nueve madres. El análisis comprehensivo constituyó ocho unidades de significación, la hermenéutica permitió revelar el movimiento existencial del ser madre en su cotidianidad, en los modos de ser de la falta de autenticidad e impersonalidad, movida por el chisme, la ambigüedad y miedo, modos de ocupación. Al comprender como de ella la posibilidad de tener un bebé prematuro, lo toca con cautela y cuidado, transita para un entendimiento en el cual no más se ocupa, se preocupa. Al preocuparse, el ser madre establece la posibilidad de ser-ahí-con-el-hijo. Fue posible entender este modo de ser madre, que

  11. Clinico-aetiologic profile of macrocytic anemias with special reference to megaloblastic anemia.

    Science.gov (United States)

    Unnikrishnan, Vineetha; Dutta, Tarun Kumar; Badhe, Bhawana A; Bobby, Zachariah; Panigrahi, Ashish K

    2008-12-01

    This study was conducted to study the clinical and laboratory parameters in patients with macrocytic anemia and to determine the etiology of macrocytic anemia with special reference to megaloblastic anemia. This study was a cross-sectional descriptive study carried over a period of 18 months on 60 adult patients (age ≥13 years) of macrocytic anemia. Macrocytic anemia was identified when peripheral blood examination showed anemia with a mean red blood corpuscular volume of >95 fl. The most common cause of macrocytic anemia was megaloblastic anemia (38.4%). The major causes of nonmegaloblastic macrocytic anemia were primary bone marrow disorders (35%), liver diseases (15%) and hemolytic anemia (8.3%). There was a significant male preponderance in the study (65%). The megaloblastic anemias observed were due to either vitamin B(12) deficiency (78.3%) or combined B(12) and folate deficiency (21.7%). A significant proportion of non-vegetarians (73.9%) had megaloblastic anemia. Patients with an MCV of >110fl were more likely to have megaloblastic anemia (p value 0.0007). Three patients (mean age 55 years) with a megaloblastic marrow did not respond to vitamin replacement and were found to have myelodysplastic syndrome. Megaloblastic anemia due to Vitamin B(12) or folate deficiency remains the most important cause of macrocytic anemia. In settings with limited laboratory facilities, a therapeutic trial of vitamins B(12) or folic acid is useful in determining the specific vitamin deficiency.

  12. Fatores prognósticos para o desenvolvimento cognitivo de prematuros de muito baixo peso

    Directory of Open Access Journals (Sweden)

    Maria Dalva Barbosa Baker Méio

    2003-06-01

    Full Text Available OBJETIVO: Crianças prematuras, de muito baixo peso, podem apresentar alterações em seu desenvolvimento cognitivo. No Brasil, pouco se conhece sobre a evolução dessas crianças na idade pré-escolar. O objetivo do estudo foi descrever o desenvolvimento cognitivo de uma população de recém-nascidos prematuros de muito baixo peso e verificar possíveis fatores prognósticos para desenvolvimento cognitivo anormal. MÉTODOS: Um estudo de coorte foi realizado com uma população de crianças pré-escolares, nascidas prematuras, de muito baixo peso, entre janeiro de 1991 e setembro de 1993. O desenvolvimento cognitivo foi avaliado por meio do teste WPPSI-R (Wechsler Preschool and Primary Intelligence Scales aplicado por psicólogas, utilizando dois pontos de corte para definição de anormalidade: escores abaixo de 1 e 2, desvios padrões da média (DP. RESULTADOS: Foram avaliadas 79 crianças de quatro a cinco anos de idade. A média do escore total do teste WIPPSI-R foi de 75,6 (±11,9. A incidência de escore total anormal foi de 77,2% e de 32,9% (1DP e 2 DP, respectivamente. Após o ajuste por "tipo de parto", ser pequeno para a idade gestacional (OR=6,19; IC95% 1,60-23,86, ultra-som transfontanela anormal (OR=5,90; IC95% 1,04-9,83 e ser do sexo masculino (OR=3,20; IC 95% 1,32-26,35 foram os fatores que predisseram escore total <70 (2 DP. CONCLUSÃO: Houve maior comprometimento do desenvolvimento cognitivo nas crianças estudadas do que o descrito na literatura. Ser pequeno para idade gestacional, ultra-som transfontanela anormal e sexo masculino foram fatores prognósticos de pior evolução.

  13. Anemia and survival in human immunodeficiency virus

    DEFF Research Database (Denmark)

    Lundgren, Jens Dilling; Mocroft, Amanda

    2003-01-01

    The prospective, multicenter cohort study EuroSIDA has previously reported on predictors and outcomes of anemia in patients infected with human immunodeficiency virus. In a Cox proportional-hazards model with serial measures of CD4+ cell count, plasma viral load, and degrees of anemia fitted...... as time-dependent variables, the relative hazard of death increased markedly for patients with anemia versus no anemia. A clinical scoring system was developed and validated for patients receiving highly active antiretroviral therapy using the most recent laboratory measures. Mild and severe anemia were...... independently (Panemia. The mechanisms underlying why hemoglobin is such a strong prognostic...

  14. Algunas determinaciones del pregnandiol urinario en el aborto amenazante

    OpenAIRE

    Castillo Vega, Eudoro

    2011-01-01

    El presente trabajo tiene por objeto hacer algunas "determinaciones del pregnandiol urinario en enfermas con síntomas evidentes de aborto amenazante", o bien, en enfermas en cuya historia anamnésica se encuentre el antecedente de uno o más abortos anteriores, así como también de partos prematuros y que, ni en los primeros ni en los últimos se haya encontrado una causa bien determinada. En lo posible, se han escogido pacientes con antecedente Serológico Negativo y de constitución topográfica a...

  15. Efficacy of intravenous iron in treating iron deficiency anaemia in patients with inflammatory bowel disease: Are there predictors of response? Eficacia del hierro intravenoso en el tratamiento de la anemia ferropénica en pacientes con enfermedad inflamatoria intestinal: ¿Existen factores predictivos de respuesta?

    Directory of Open Access Journals (Sweden)

    Rocío Ferreiro Iglesias

    2011-05-01

    Full Text Available Introduction: in inflammatory bowel disease (IBD iron deficiency anaemia (IDA is a very common disorder. Until recently, oral iron has been the mainstay therapy, nevertheless it has been associated with intolerance and noncompliance. Therefore, the goal of our study was to evaluate the efficacy of intravenous iron in IDA in IBD patients and the secondary aim was to investigate whether other potential factors could influence in the response to the treatment. Design: an open-label, prospective, consecutive, single centre study. Material and methods: we performed our study in patients with ulcerative colitis (UC or Crohn's disease (CD with severe anaemia or intolerance with oral iron. All of them received intravenous sacarose iron and did biochemistry profile with haemoglobin (Hb. Moreover, the correlation with other variables was studied: age, sex, smoking habit, IBD type, previous surgery and type of surgery and other treatments. Response was defined as Hb increase of ≥ 2 g/dL or normalization of the levels. Results: fifty-four patients were included into the study, 34 (63% with UC y 20 (37% with CD, 18 (33.3% men and 36 women (66.6% and the average was 48 ± 14 years. The total proportion of responders was 52% (SD ± 05; 43% of the patients reached Hb ≥ 2 g/dl and y 9% of them normalized Hb. Only the utilization of 5-ASA was associated with low response to iron treatment (p Introducción: la anemia por déficit de hierro es un problema frecuente en la enfermedad inflamatoria intestinal (EII. Un número no despreciable de pacientes no responde o presenta intolerancia al hierro oral. El objetivo de nuestro estudio es evaluar la eficacia del hierro sacarosa intravenoso (Venofer® en los pacientes con EII así como los potenciales factores que pueden influir en la respuesta al mismo. Diseño: estudio abierto, unicéntrico y con una inclusión consecutiva de casos. Material y métodos: se incluyeron pacientes con colitis ulcerosa (CU y enfermedad

  16. Cooley's Anemia: A Psychosocial Directory.

    Science.gov (United States)

    National Center for Education in Maternal and Child Health, Washington, DC.

    The directory is intended to aid patients and their families who are coping with the genetic disorder of Cooley's anemia. A brief review of the disease covers background, genetics, symptoms, effect on the patient, treatment, and current research. The next section looks at psychosocial needs at various times (time of diagnosis, infancy and toddler…

  17. Anemias hemolíticas

    Directory of Open Access Journals (Sweden)

    Ricardo Cediel Ángel

    1957-04-01

    Full Text Available Hayem (1898 y más tarde Widal (1907 señalaron que, al paso que la forma congénita clásica de anemia hemolítica de Minkowski y Chauffard a menudo causaba pocos síntomas, otro tipo que ellos clasificaron como adquirido, con frecuencia' se asociaba con anemia severa y acentuada incapacidad. Incluyeron allí casos de excesiva destrucción de sangre asociada a diversas infecciones ó intoxicaciones lo mismo que casos de etiología desconocida. Chauffard fue capaz de demostrar autohemolisinas en el suero de unos pocos casos de anemia hemolítica aguda adquirida y se refirió a ellos como "ictericias hemolisínicas". Sin embargo por muchos años existió la duda de que hubiera un verdadero tipo de anemia hemolítica adquirida y muy poco fue tenida en cuenta la posibilidad de que pudiera jugar papel en estos casos una reacción inmunológica.

  18. Management of Iron Deficiency Anemia

    Science.gov (United States)

    Jimenez, Kristine; Kulnigg-Dabsch, Stefanie

    2015-01-01

    Anemia affects one-fourth of the world’s population, and iron deficiency is the predominant cause. Anemia is associated with chronic fatigue, impaired cognitive function, and diminished well-being. Patients with iron deficiency anemia of unknown etiology are frequently referred to a gastroenterologist because in the majority of cases the condition has a gastrointestinal origin. Proper management improves quality of life, alleviates the symptoms of iron deficiency, and reduces the need for blood transfusions. Treatment options include oral and intravenous iron therapy; however, the efficacy of oral iron is limited in certain gastrointestinal conditions, such as inflammatory bowel disease, celiac disease, and autoimmune gastritis. This article provides a critical summary of the diagnosis and treatment of iron deficiency anemia. In addition, it includes a management algorithm that can help the clinician determine which patients are in need of further gastrointestinal evaluation. This facilitates the identification and treatment of the underlying condition and avoids the unnecessary use of invasive methods and their associated risks. PMID:27099596

  19. [Hemolytic anemias and vitamin B12 deficieny].

    Science.gov (United States)

    Dietzfelbinger, Hermann; Hubmann, Max

    2015-08-01

    Hemolytic anemias consist of corpuscular, immun-hemolytic and toxic hemolytic anemias. Within the group of corpuscular hemolytic anemias, except for the paroxysmal nocturnal hemoglobinuria (PNH), all symptoms are caused by underlying heredetiary disorders within the red blood cell membran (hereditary spherocytosis), deficiencies of red cell enzymes (G6PDH- and pyrovatkinase deficiency) or disorders in the hemoglobin molecule (thalassaemia and sickle cell disease). Immune-hemolytic anemias are acquired hemolytic anemias and hemolysis is caused by auto- or allo-antibodies which are directed against red blood cell antigens. They are classified as warm, cold, mixed type or drug-induced hemolytic anemia. Therapy consists of glucocorticoids and other immunsuppressive drugs. Pernicious anemia is the most important vitamin B12 deficiency disorder. Diagnosis relies on cobalamin deficiency and antibodies to intrinsic factor. The management should focus on a possibly life-long replacement treatment with cobalamin. © Georg Thieme Verlag KG Stuttgart · New York.

  20. [Neuropsychiatric manifestations ushering pernicious anemia].

    Science.gov (United States)

    Mrabet, S; Ellouze, F; Ellini, S; Mrad, M F

    2015-12-01

    Biermer disease or pernicious anemia is an autoimmune atrophic gastritis characterized by the lack of secretion of gastric intrinsic factor. This leads to an insufficient absorption of vitamin B12 in the ileum. Clinical manifestations are mainly hematologic. Neuropsychiatric manifestations are known but are less frequent especially early in the disease. Inaugural neuropsychiatric arrays are rare and various thus making diagnosis difficult. In this article, we report through two clinical cases different neuropsychiatric manifestations revealing pernicious anemia. Mrs. C.O., aged 56, presented after surgery for gallstones, an acute psychiatric array associated with gait disorders. She had no history of neurological or psychiatric problems. The psychiatric interview revealed delirious syndrome, depressive symptoms and anxiety. Neurological examination noted a flaccid paraplegia with peripheral neuropathic syndrome and myoclonus in the upper limbs. At the full blood count, a macrocytosis (VGM: 112.2fl) without anemia was found. The level of vitamin B12 in the blood was low. Cerebro-spinal MRI was suggestive of a neuro-Biermer and showed hyper signal in the cervical cord on T2-weighted sagittal section. In axial section, hyper signal appears at the posterior columns in the form of V. There were no brain abnormalities. A sensorimotor axonal polyneuropathy was diagnosed. The patient received vitamin B12 intramuscularly for ten days associated with neuroleptic treatment. Mrs. R.M., aged 40, was brought to the psychiatry consultation for acute behavioral disorders progressively worsening over a month. An anxiety syndrome, depressive syndrome and delirious syndrome were identified. Neurological examination showed a posterior cordonal syndrome with quadripyramidal syndrome. Full blood count showed a macrocytic anemia. Serum B12 level was collapsed. Cerebro-spinal MRI was normal. She received vitamin B12 with clinical and biological improvement. Features of pernicious anemia