巴西早产婴儿的混合发育随访:一项可行性研究
Isabella Saraiva Christovão1, Lara de Almeida Rodrigues1, Ana Carolina Cabral de Paula Machado2
1Graduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Early human development
|June 26, 2024
概括
巴西的一项针对早产婴儿的混合发育后续计划显示,家庭参与率高,学率低. 这种方法有效地识别了需要早期干预服务的婴儿,以治疗发育迟缓.
科学领域:
- 儿科发育神经学 儿科发育神经学
- 早期儿童发展研究研究早期儿童发展研究
- 巴西的公共卫生干预措施
背景情况:
- 在巴西,家庭对高危早产婴儿发育跟踪计划的参与度较低,这对巴西来说是一个重大挑战.
- 有效的早期检测和干预对于优化早产婴儿发育结果至关重要.
研究的目的:
- 评估在巴西为早产婴儿实施混合 (远程医疗和面对面) 发育后续计划的可行性.
- 评估参与率,坚持,并在这个新的程序格式内识别发育迟缓.
主要方法:
- 一项观察性,前性队列研究,涉及早产婴儿.
- 通过发育测试结果,计划参与频率和早期干预推来评估可行性.
- 利用远程医疗用于一般运动 (GMs) 评估,阿尔伯塔婴儿运动量表 (AIMS) 和幼儿福利调查 (SWYC) 里程碑;贝利-III亲自管理.
主要成果:
- 在34名早产婴儿中,有18名 (52.9%) 完成了所有评估.
- 观察到高出席率:76.5%的远程医疗和76.5%的面对面评估.
- 18名婴儿 (52.9%) 显示至少一个异常发育测试结果,导致迅速转诊为早期干预.
结论:
- 混合形式显示出高可行性,其特点是巴西早产婴儿随访中的强有力的参与率和最小的学率.
- 该计划有效地识别了发育迟缓的婴儿,强调了及时检测和转诊到早期干预服务的必要性.
相关概念视频
01:21Intrauterine Drug Delivery Systems
170
Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...
170
01:30Development of Human Microbiota
73
The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from...
73
01:28Development of the Oral Microbiota
75
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
75