Neonatal Feeding Behavior as a Complex Dynamical System

Eugene C Goldfield1, Jennifer Perez2, Katherine Engstler2

  • 1Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.

Insights

This study introduces a complex dynamical systems approach to understand neonatal feeding behaviors. Applying this framework is crucial for effectively translating future big data into improved clinical practice for neonates.

Area of Science:

  • Neonatology
  • Speech-Language Pathology
  • Complex Dynamical Systems Theory

Background:

  • Evidence-based practice in 2017 necessitates advanced methods for neonatal feeding behavior assessment.
  • Current challenges include determining oral feed initiation, respiratory support, swallow function assessment, and liquid viscosity for neonates.

Purpose of the Study:

  • To present a complex dynamical systems perspective for characterizing neonatal feeding behavior.
  • To frame key challenges faced by clinicians in neonatal feeding.

Main Methods:

  • Application of complex dynamical systems concepts.
  • Analysis of critical factors in neonatal feeding decisions.

Main Results:

  • A systems perspective offers a framework for addressing complex neonatal feeding issues.
  • Effective translation of big data into clinical practice requires a broader contextual understanding.

Conclusions:

  • A complex dynamical systems approach is vital for advancing neonatal feeding practice.
  • Understanding feeding within a larger systems context is essential for utilizing big data effectively.

Related Concept Videos

Parameters Affecting Nonlinear Elimination: Zero-Order Input, First-Order Absorption and Two-Compartment Model01:13

Parameters Affecting Nonlinear Elimination: Zero-Order Input, First-Order Absorption and Two-Compartment Model

Drugs administered through various routes can lead to nonlinear elimination, resulting in complex pharmacokinetic behaviors crucial to understanding efficacious drug dosing.
When a drug is administered through a constant intravenous infusion and eliminated via nonlinear pharmacokinetics, it follows zero-order input. For example, oral drugs undergo first-order absorption upon administration and are eliminated through nonlinear pharmacokinetics.
In the case of subcutaneously administered drugs,...
377
Parental Care00:55

Parental Care

Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
12.9K
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
1.3K
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
1.3K