The route of delivery had no effect on TBL. While bupivacaine was found to have no effect on neonatal bilirubin levels, levobupivacaine increased neonatal biluribin levels, but further studies are needed for definite results.
Slow-healing wounds contain insufficient amounts of intrinsic collagenases to provide sufficient wound debridement, so that the use of products containing synergistic collagenases and proteases may be helpful. We report the successful use of collagenase clostridipeptidase A in two newborns, a premature infant with 3rd degree burns, and a term neonate with an extravasation necrosis caused by calcium gluconate. Surgical excision of necrotic tissue is a serious intervention and prolongs the duration of hospitalization. Enzymatic eschar removal may have an advantage over surgery especially in newborns with a high risk for surgery, with its possible complications, need for anesthesia, and perhaps for blood transfusion.
With the increase of education level of parents an increase in the rate of parents who said 'I don't threatened'. We asked to parents 'How to punish your children?' 47.0% of families said not to punish. Conclusion The majority of neglect and abuse suffered by the parents and they think that they deserve punishment was the same group of children. Emotional and physical abuse in our society children are still being used as an education and disciplinary methods.
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