The Patent or Persistent Ductus Arteriosus in the Preterm Neonate: Review of the Literature and A Pragmatic Approach to Management
During foetal life, blood flows through the ductus arteriosus (DA) from the pulmonary artery into the aorta, thereby bypassing the lungs. After birth, the DA undergoes active vasoconstriction and eventual closure. A patent ductus arteriosus (PDA) occurs when the DA does not close completely after delivery.
Thalassaemia becomes a global health problem. Most women with thalassaemia trait can be picked up by universal prenatal screening for thalassaemia using mean corpuscular volume/haemoglobin, followed by haemoglobin pattern with or without DNA analysis.
CMPA is a common form of food allergy during childhood. The goal of this activity is to educate doctors on CMPA and strategies to meet the nutritional needs of children suffering from this condition.
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Acute gastroenteritis (AGE) remains a significant contributor to paediatric disease burden across the world in the 21st century. Rehydration remains the mainstay of therapy, while pharmacotherapy may have adjunctive benefits. We seek to review the evolution in management strategies of paediatric AGE, in particular the child with viral AGE.
Advances in health care management of newborn babies have led to an improved survival rate. Improved survival can predispose to chronic health problems and neurodevelopmental disabilities. Hence complex decisions have to be made by the parents and neonatologists about treatment. These decisions might be made at the time of resuscitation at birth, during the continuum of care in the neonatal intensive care unit (NICU), or at the time of replacing intensive care with palliative care.
Perinatal asphyxia refers to a critical compromise in perfusion and oxygen delivery to the foetus most commonly at or around the time of birth.