By Gordon B Avery; Mhairi G MacDonald; Mary M K Seshia; Martha D Mullett
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Extra info for Avery's neonatology : pathophysiology & management of the newborn
NPM in the United States is also part of a global community of science, medicine, and humanitarian outreach. The moral priorities of the field ought to include commitment to global infant health. An editorial by Sidney Brenner, a leading figure in genetics, also applies to neonatal medicine. He wrote: “Somehow, in our abstruse discussions about the high technology of the developed world, we need to balance the equation by thinking about the rest of the world as well” (2). Nations where newborns are in greatest danger of death or lifelong disability could benefit from transferable knowledge and technology, for example, maternal folic acid supplementation, prevention of HIV transmission, vitamin K prophylaxis, eye prophylaxis for gonorrhea, and prevention of neonatal tetanus.
Congress. Over the years, there has been a steady increase in the intensity of illness observed in the ICN. With this rise has come an increase in the number and variety of personnel and the amount of technically sophisticated equipment. In the 1950s, premature care was a major concern. The principal interventions were resuscitation, thermoregulation, careful feeding, simple and exchange transfusion, and supportive care of respiratory distress. By the 1960s, electronic monitors came into use, and blood gases began to be measured.
45% of all neonates have a very low-birth-weight (<1500 g) compared with approximately 1% in the other nations. Newborns weighing less than 2500 g are born more frequently in the United States. Low-birth-weight is the single most accurate predictor of neonatal death. 8% in England and Wales.