No description available.

Dissertation (Ph.D.).--University of Texas Graduate School of Biomedical Sciences at San Antonio, 2006. / Vita. Includes bibliographical references.

Thesis (Ph. D.)--University of Washington, 1994. / Vita. Includes bibliographical references (leaves [80]-85).

Thesis (M.S.)--University of Wisconsin--Madison, 1988. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

No description available.

Diss. (sammanfattning) Uppsala : Uppsala universitet, 2007. / Härtill 4 uppsatser.

Thesis (Ph. D.)--University of Alabama at Birmingham, 2008. / Title from first page of PDF file (viewed Sept. 22, 2008). Includes bibliographical references (p. 116-128).

This descriptive comparative and correlational study was designed to determine the degree of environmental stress perceived by mothers and fathers during the first week of their infant's admission to a Special Care Nursery (SCN) and to determine the differences in their perceptions. In addition, the variables of gestational age, birth weight and paternal attitude toward caregiving were investigated for their relationship to the perceived degree of environmental stress. A convenience sample of 31 sets of parents was selected from a tertiary level SCN in a large urban children's hospital. Both parents completed the Neonatal Intensive Care Unit Parental Stress Scale and an information sheet; fathers also completed the Paternal Attitude Scale. Overall, mothers and fathers perceived the SCN environment as a low source of stress. Mothers were moderately stressed by their altered parental role. In addition, mothers were significantly more stressed by the environmental aspects of SCN and the total SCN experience than were fathers. Environmental stress arising from staff communications and relations was significantly negatively related to birth weight and gestational age. No significant relationship was found between paternal attitude toward care giving and the fathers' perception of environmental stress. / Applied Science, Faculty of / Nursing, School of / Graduate

Objetivo: Descrever os aspectos clínicos, etiológicos e terapêuticos da candidíase sistêmica em recém-nascidos. Casuística e Métodos: Estudo observacional, em 60 neonatos com candidíase sistêmica, durante 10 anos. Resultados: Freqüência global = 1,8%;sintomas: alterações respiratórias, febre, hipotermia, letargia, hepatomegalia. A C. albicans ocorreu em 83,3% dos casos. Conclusão: A freqüência global da candidíase foi alta, os fatores de risco observados concordam com os citados na literatura, os sinais e sintomas mais freqüentes foram alterações respiratórias, a espécie mais freqüentemente identificada foi C.albicans (83,3%). A mortalidade foi elevada (33,3%), a sobrevida foi maior nos neonatos tratados com formulação lipídica da anfotericina / Objetives: To describe the clinical, etiologic and therapeutical aspects of systemic candidiasis in newborns. Casuistic and methods: Observacional study in 60 neonates with systemic candidiasis during 10 years. Results: Global frequency = 1,8%,symptoms: respiratory alterations, fever, hipotermia, lethargy, hepatomegalia. The C.albicans occurred in 83,3% of the cases. Conclusions: The global frequency of candidiasis was high, the observed fators of risk agrees to the cited ones to literature, the signal and more frequent symptoms had been respiratory alterations, the species more frequently identified were C.albicans(83,3%).The mortality was high (33,3%), the survival was highest in neonates treated with lipid formulation of amphotericin

nÃo hà / A captaÃÃo da comunicaÃÃo cinÃsica de recÃm-nascidos (RNs) internados em Unidades Neonatais (UNs) à necessÃria para um cuidado pautado na humanizaÃÃo. Objetivou-se avaliar a comunicaÃÃo cinÃsica dos RNs em uma UN, relacionada ao manuseio dos profissionais de saÃde e ruÃdos produzidos na Unidade, segundo Birdwhistell (1985). Estudo exploratÃrio-descritivo de carÃter quantitativo, realizado em UN de hospital pÃblico de Fortaleza. A amostra foi composta de 20 RNs, no perÃodo de julho a setembro de 2010. Na primeira fase da coleta, analisaram-se prontuÃrios. Na segunda, filmaram-se os RNs, por seis horas distribuÃdas na manhÃ, tarde e noite. Os achados revelaram que a maioria dos RNs tinha entre 30,1 e 34 semanas gestacionais, 4 a 15 dias de vida, nasceram com peso entre 1.000g-1.499g, sexo masculino; apresentaram diagnÃstico de prematuridade e foram reanimados com O2 inalatÃrio. A principal fonte de ruÃdo em todos os turnos do dia foi lixeira, mÃdia de 84,5 vezes pela manhÃ, 86 à tarde e 78,9 à noite. A bomba de infusÃo apresentou maior mÃdia de tempo de ruÃdo pela manhà e noite (14,4 e 16,1 minutos, respectivamente); e a incubadora à tarde (36,1 minutos). O manuseio mais realizado, em mÃdia, em todos os turnos foi a organizaÃÃo: manhà â 2,7 vezes; tarde â 3,1 e noite â 2,4. A organizaÃÃo somou maior tempo de realizaÃÃo, em mÃdia, pela manhà (12,1 minutos); à tarde prevaleceu a troca de fralda (10,6 minutos); e à noite a dieta (7 minutos). Antes da pancada, a comunicaÃÃo cinÃsica mais adotada pelo RN foi o movimento de flexÃo (230), durante, foi o sobressalto (48) e depois, novamente o movimento de flexÃo (276). A correlaÃÃo estatisticamente significante entre o tipo de comunicaÃÃo cinÃsica e as caracterÃsticas do perfil do RN foi constatada: o ruÃdo da lixeira produziu relaÃÃo inversa entre o sobressalto e a Idade Gestacional (p=0,024, r=-0,871), o peso de nascimento (p=0,024, r=-0,871) e o de avaliaÃÃo (p=0,024, r=-0,871). Antes, durante e depois do manuseio da sonda orogÃstrica, o movimento de flexÃo foi mais presente, com os seguintes valores, respectivamente: 36 vezes, 169 vezes, 44 vezes. Igualmente, o movimento de flexÃo prevaleceu antes, durante e depois da administraÃÃo da dieta, com os seguintes valores, respectivamente: 15 vezes, 149, 15. A correlaÃÃo estatisticamente significante ocorreu diante da administraÃÃo da dieta entre a comunicaÃÃo cinÃsica e o perfil do RN: manhà â o movimento de flexÃo foi mais observado em RNs com maior Idade CronolÃgica (p=0,034, r=0,744); à tarde â o movimento de sucÃÃo foi mais observado em RNs com maior Idade CronolÃgica (p=0,023, r=0,822) e o peso durante a avaliaÃÃo (p=0,049, r=0,757); à noite â o movimento de sobressalto foi mais captado em RNs com maior Idade Gestacional (p=0,002, r=-0,998) e CronolÃgica (p=0,047, r=0,760). Seguindo-se essa linha de raciocÃnio todos os ruÃdos e manuseios captados foram avaliados quanto aos mesmos fatores descritos acima. Concluiu-se que o recÃm-nascido, por meio da comunicaÃÃo cinÃsica revelada por sinais como a expressÃo facial, a movimentaÃÃo corporal, o choro e o estado de consciÃncia e de atividade, exprime suas emoÃÃes e comunica o que està sentindo. / The kinesics capture of newborns admitted to Neonatal Units (NUs) is necessary for a care based on humanization. The objective was to assess the kinesics of newborns in a NU, related to the handling of health professionals and noise produced in the Unit, according to Birdwhistell (1985). Descriptive exploratory study of quantitative approach carried out at NU in a public hospital of Fortaleza-CE, Brazil. The sample consisted of 20 newborns who were daily filmed from July to September 2010. In the first phase of data collection medical records were analyzed, in the second the newborns were filmed six hours a day, divided in the morning, afternoon and evening. The results revealed that most of the newborns were between 30.1 and 34 gestational weeks, 4 to 15 days old, were born weighing between 1,000g and 1,499g, male, with a diagnosis of prematurity and were resuscitated with O2 inhalation. The main source of noise in all day shifts was the trash can, an average of 84.5 times in the morning, 86 in the afternoon and 78.9 in the evening. The infusion pump presented a higher average length of noise in the morning and evening (14.4 and 16.1 minutes, respectively), and the incubator in the evening (36.1 minutes). The handling most performed in average on every shift was the organization: morning, 2.7 times; afternoon, 3.1 and evening, 2.4. The organization added more time of performance, on average, in the morning (12.1 minutes); in the afternoon prevailed diaper change (10.6 minutes) and in the evening diet (7 minutes). Before the hit the kinesics most adopted by the newborn was the flexion motion (230), during was the shock (48) and after the flexion motion again (276). A statistically significant correlation between the type of kinesics and the profile characteristics of the newborn was verified: the noise of the trash can produced an inverse relation between the hit and gestational age (p=0.024, r=-0.871), birth weight (p=0.024, r=-0.871) and assessment weight (p=0.024, r=-0.871). Before, during and after handling the orogastric probe, the flexion motion was more present, with the following values, respectively: 36 times, 169 times, 44 times. Also, the flexion motion prevailed before, during and after diet administration with the following values, respectively, 15 times, 149, 15. A statistically significant correlation occurred with the diet administration between the kinesics and the newborn profile: morning - the flexion motion was more observed in newborns with oldest chronological age (p=0.034, r=0.744); afternoon - the suction movement was more observed in newborns with oldest chronological age (p=0.023, r=0.822) and weight during the evaluation (p=0.049, r=0.757); evening - the shock movement was more detected in newborns with oldest gestational (p=0.002, r=-0.998) and chronological age (p=0.047, r=0.760). Following this line of thought all the noise and handling captured were assessed concerning the same factors described above. It was concluded that the newborn, through kinesics reveals by signs like facial expression, body movements, crying and state of consciousness and activity, expresses his emotions and communicates how he feels.