Objectives: To determine whether late-preterm and full-term neonates in the neonatal intensive care unit (NICU) with diagnosed gastroesophageal reflux (GERD) have an increased incidence of feeding difficulties, dysphagia, and oral aversion. To determine the incidence of reflux medication use in late-preterm and full-term neonates in the NICU.
Methods: Neonates greater than 34 weeks gestational age (GA) diagnosed with reflux, who were hospitalized for at least five days, were included in the study. Neonates with anatomical anomalies that interfere with feeding are excluded. The control group included neonates greater than 34 weeks GA not diagnosed with reflux. The key outcome variables were subjective ease of feeding, oral aversion, and placement on nasogastric (NG), orogastric (OG), or requirement of total parenteral nutrition (TPN). Statistical analysis was performed using chi-squared and t-test to compare incidence of feeding difficulties between the groups. A p-value <0.05 was considered significant.
Results: In neonates with a diagnosis of reflux, 42.02% had feeding difficulties (66 patients). In the control group, 30.49% of neonates had feeding difficulties (218 patients). Feeding difficulties in neonates with reflux was 11.55% higher than in the control group (p = 0.001).
Conclusion: Late-preterm and full-term neonates diagnosed with reflux have a higher incidence of feeding difficulties than those who did not have reflux. Only 0.86% of neonates diagnosed with reflux were treated with anti-reflux medications at this large tertiary care children's hospital.
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http://dx.doi.org/10.1016/j.ijporl.2023.111734 | DOI Listing |
Nicotine Tob Res
December 2024
Department of Anesthesiology, Duke University School of Medicine, Durham, NC, USA.
Introduction: Artificial sweeteners, sucralose and acesulfame-k, are listed as ingredients of oral nicotine pouches (ONPs), a product category with rapidly growing market share. The exact quantities of these sweeteners in ONPs remain unknown. Artificial sweeteners in ONPs may reduce aversion, facilitate initiation and encourage consumption behavior.
View Article and Find Full Text PDFJ Biosci
December 2024
Editor-in-Chief, Journal of Biosciences,Centre for Ecological Sciences, Indian Institute of Science,Bengaluru 560012,India.
The well-known English naturalist John Ray wrote more than 200 years ago about the curious reaction of cats to a plant in the mint or Lamiaceae family, the catnip plant . Ray even wrote a short verse about the relationship between cats and catnip: 'If you set it the cats will eat it; If you sow it the cats can't know it' (Considine 2016). When leaves of this plant are bruised and release their volatiles, cats react by attempting to rub and roll over on the leaves, seeming to be in a state of ecstasy.
View Article and Find Full Text PDFJ Neurosci
December 2024
Department of Neurobiology, School of Medicine, University of Maryland, Baltimore, Maryland 21201, USA.
Women are disproportionately affected by chronic pain compared to men. While societal and environmental factors contribute to this disparity, sex-based biological differences in the processing of pain are also believed to play significant roles. The central lateral nucleus of the amygdala (CeLC) is a key region for the emotional-affective dimension of pain, and a prime target for exploring sex differences in pain processing since a recent study demonstrated sex differences in CGRP actions in this region.
View Article and Find Full Text PDFElife
December 2024
Department of Bio & Fermentation Convergence Technology, Kookmin University, Seoul, Republic of Korea.
Sour taste, which is elicited by low pH, may serve to help animals distinguish appetitive from potentially harmful food sources. In all species studied to date, the attractiveness of oral acids is contingent on concentration. Many carboxylic acids are attractive at ecologically relevant concentrations but become aversive beyond some maximal concentration.
View Article and Find Full Text PDFThromb Haemost
December 2024
St. George's University of London, London, United Kingdom.
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