The Journal of pediatrics
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The Journal of pediatrics · Jan 2014
Alterations in brain structure and neurodevelopmental outcome in preterm infants hospitalized in different neonatal intensive care unit environments.
To evaluate associations between neonatal intensive care unit (NICU) room type (open ward and private room) and medical outcomes; neurobehavior, electrophysiology, and brain structure at hospital discharge; and developmental outcomes at 2 years of age. ⋯ These findings raise concerns that highlight the need for further research into the potential adverse effects of different amounts of sensory exposure in the NICU environment.
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The Journal of pediatrics · Jan 2014
Comparative StudyMyocardial dysfunction in pediatric septic shock.
To evaluate the prevalence and significance of myocardial dysfunction in children with septic shock. ⋯ Myocardial dysfunction occurs frequently in children with septic shock but might not affect hospital length of stay.
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The Journal of pediatrics · Jan 2014
Concurrent bloodstream infections in infants with necrotizing enterocolitis.
To determine the incidence, microbiology, risk factors, and outcomes related to bloodstream infections (BSIs) concurrent with the onset of necrotizing enterocolitis (NEC). ⋯ BSI is a common, underappreciated complication of NEC occurring concurrent with the onset of disease and afterwards. The microbiologic etiology of NEC-associated BSI is different from post-NEC and late-onset BSI in infants without NEC with a predominance of gram-negative bacilli. Infants with NEC-associated BSI are significantly more likely to die than those with post-NEC BSI and NEC without BSI.