JEADVCoV-2 antigens present in skin. Limitation of our observations was a lack of histology and MP serology. Further studies are expected to validate our findings. AcknowledgementThe patients in this manuscript have given written informed consent to publication of their case details.
SUMMARY Fifty normal, healthy, full‐term infants were allowed 45 minutes contact with their mothers immediately after birth at Victoria Jubilee Hospital, Kingston, Jamaica. The behaviour of these infants and their mothers was compared with matched controls at six and 12 weeks in a hospital follow‐up interview. More early‐contact mothers solely breast‐fed their infants than did control mothers. Early‐contact infants were less likely than controls to be restless or crying during the interviews. At 12 weeks, early‐contact mothers were more likely than control mothers to rise and follow when their babies were taken from them, gazed more frequently at their infants, and were more likely to vocalise to their infants during the interview. These differences indicate that early contact promotes a closer relationship between a woman and her infant. Given the importance of breast‐feeding as protection against gastro‐enteritis and malnutrition, this closer relationship may be especially valuable in developing countries where such diseases are common. RÉSUMÉ Contact précoce mère‐enfant: effets sur le comportement ultérieur 50 nourrissons normaux, nés à terme, en bonne santé bénéficièrent d'un contact de 45 minutes avec leur mere, immediatément après leur naissance au Victoria Jubilée Hospital, Kingston, Jamaíque. Le comportement de ces nourrissons et de leur mere fut comparéà celui de contrôles appariés à six et 12 semaines lors de visites hospitaliéres de surveillance. L'existence d'un contact précoce chez le nourrisson rendait moins fréquent que chez les contrô1es l'agitation et les pleurs au cours des entrevues. A 12 semaines, le contact précoce chez les meres rendait plus fréquent que chez les contrôles le fait de se lever et de suivre leur nourrisson quand il était pris, elles regardaient plus fréquemment leur nourrisson et vocalisaient avec eux plus fréquemment durant l'entrevue. Ces différences montrent que le contact précoce permet une relation plus étroite entre une mère et son enfant. Compte tenu de l'importance de l'alimentation au sein comme protection contre la gastro‐entérite et la malnutrition, cette relation plus étroite est particulierement intéressante dans les pays en voie de développment où ces affections sont fréquentes. ZUSAMMENFASSUNG Früher Mutter‐Kind Kontakt: Einflüsse auf das spätere Verhalten Im Victoria Jubilee Hospital in Kinston, Jamaica wurden 50 ganz gesunde, reife Neugeborene sofort nach der Geburt für 45 Minuten bei ihrer Mutter gelassen. Nach sechs und 12 Wochen wurde das Verhalten dieser Kinder und ihrer Mütter mit dem entsprechender Kontrollen verglichen. Fraüen, die fruhen Kontakt mit ihren Neugeborenen hatten, stillten ihre Kinder haufiger als Kontrollmütter. Die Säuglinge, die frühzeitigen Kontakt mit ihren Müttern hatten, waren bei der Untersuchung weniger unruhig und schrieen seltener. Bei der Vorstellung mit 12 Wochen konnte man haufiger beobachten, daβ die Mütter mit frühem Kindkontakt aufstanden und ihrem Kind folgten, wenn man es ihnen abnahm, daβ sie öfter zu ihren Kindern hin...
This retrospective study to determine the incidence of bacterial septicaemia in neonates at the Mount Hope Women's Hospital, Trinidad during a 2-year period, 1996 to 1997, included all neonates whose blood or cerebrospinal fluid cultured positive for bacteria. There were 9866 live births (LB), 102 of whom were diagnosed with bacterial sepsis, an incidence of 10/1000 LB. Thirty-one neonates had a positive culture for group B Streptococcus, an incidence of 3/1000 LB. Gram-negative organisms accounted for 63% of positive cultures. There were three outbreaks of nosocomial infection, two caused by Enterobacter spp with mortality rates of 37% and 50% and one outbreak caused by Pseudomonas aeruginosa with a mortality rate of 25%. The overall mortality rate was 27% (27/102), 63% were boys and 58% were preterm. The incidence of neonatal bacterial sepsis of 10/1000 LB is the highest recorded for the Caribbean and indicates that infection might be an important cause of the high perinatal mortality rate.
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