The study aimed to analyze the profile of service providers in the Brazilian Unified National Health System (SUS) in relation to high-risk neonatal care procedures, based on data from the public-access database on Authorizations for Hospital Admissions (AIH) without identification of the neonatal patient. This cross-sectional study used data on AIH of unidentified newborns up to one day old, issued from January 2013 to December 2015, and from the National Registry of Healthcare Establishments. The TwoStep Cluster method was used to classify the establishments with similar characteristics. Regional differences were observed in the frequency of use of neonatal intensive care units and in special procedures recorded in the databases. The TwoStep Cluster method identified three groupings of providers: the first with 1,151 establishments and with low-complexity hospitalizations, the second with 84 establishments and surgical-profile hospitalizations, and the third with 393 establishments and higher complexity hospitalizations in neonatal care, including surgeries. The records on admissions jointly with multivariate analytical techniques have the potential to support decision-making by SUS administrators in the organization of neonatal care.
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http://dx.doi.org/10.1590/0102-311X00219618 | DOI Listing |
PLoS One
December 2024
School of Public Health, College of Medicine and Health sciences, Arba Minch University, Arba Minch, Ethiopia.
Background: Almost everywhere, neonatal mortality can be decreased with ease if competent obstetricians give the necessary treatment. Unfortunately, observational techniques were not used to examine basic essential newborn care practice among obstetric care providers in Ethiopia. Thus, the purpose of this study was to evaluate factors related to essential newborn care practice using observational techniques among obstetric care providers in public hospitals in the Gamo, Gofa, and Wolayta zones, southern Ethiopia.
View Article and Find Full Text PDFJ Mol Neurosci
December 2024
Department of Neurosurgery, National Children's Medical Center (Shanghai), Children's Hospital of Fudan University, No.399 Wan Yuan Avenue, Minhang District, Shanghai, 201102, China.
Focal cortical dysplasia (FCD) II is a cortical malformation characterized by cortical architectural abnormalities, dysmorphic neurons, with or without balloon cells. Here, we systematically explored the pathophysiological role of the GATOR1 subunit NPRL3 variants including a novel mutation from iPSCs derived from one FCD II patient. Three FCD II children aged 0.
View Article and Find Full Text PDFEur J Clin Pharmacol
December 2024
Neonatal Intensive Care Unit, CHI Créteil, 40 Avenue de Verdun, 94000, Créteil, France.
Purpose: Opioids are frequently used to treat pain in neonatal intensive care units (NICU) with fentanyl, morphine and sufentanil being mainly used agents. Equianalgesic potency between opioids is not clearly described in the neonatal population. The aim of this study was to compare theoretical and actual equipotent conversion ratios between morphine, sufentanil and fentanyl based on prescriptions.
View Article and Find Full Text PDFMethods Protoc
December 2024
Department of Health Promotion, NUTRIM Institute of Nutrition and Translational Research in Metabolism, Maastricht University, 6211 LK Maastricht, The Netherlands.
Background: About 287,000 women died globally during their pregnancy journey in 2020, yet most of these deaths could have been prevented. In Uganda, studies show that using Community Health Worker (CHW) visits to households with a pregnant woman can support the prevention of adverse maternal and neonatal outcomes. One such intervention is through the timed and targeted counselling (ttC) approach, where CHWs deliver tailored messages to mothers and their male caregivers at key stages of pregnancy.
View Article and Find Full Text PDFInt J Neonatal Screen
November 2024
Department of Pediatrics, Chongqing Health Center for Women and Children, Women and Children's Hospital of Chongqing Medical University, Chongqing 401147, China.
Newborn congenital hypothyroidism (CH) screening has been widely used worldwide. The objective of this study was to evaluate the effectiveness of applying biochemical and gene panel sequencing as screening tests for CH and to analyze the mutation spectrum of CH in China. Newborns were prospectively recruited from eight hospitals in China between February and December 2021.
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