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Is universal ocular screening necessary in healthy, full-term newborns?

Submitted by usuario.ops on Tue, 30/07/2024 - 11:00

Universal neonatal screening for eye anomalies is recommended. This should be accompanied by diagnostic and treatment services for infants in whom an abnormality is detected.

An estimated 1.14 million children aged 0-15 years are blind or have severe visual impairment due to eye conditions. The main causes of blindness are congenital and developmental cataracts, corneal scarring, congenital ocular anomalies, retinal dystrophies, glaucoma, and retinopathy of prematurity.

Is it right to try to persuade pregnant women to breastfeed with evidence-based information?

Submitted by usuario.ops on Tue, 23/07/2024 - 11:34

Conveying the right information, for the informed decision of mothers and families, is correct and ethical.
Considerable scientific evidence is available on breastfeeding and human milk feeding as a public health strategy given its myriad benefits for both newborns and breast feeders. However, breastfeeding is often perceived by some health care professionals as simply a lifestyle choice. They fear creating guilt in those who choose not to breastfeed by "pushing" for breastfeeding.

What is the goal of the Baby-Friendly Hospital Initiative (BFHI) for small, sick or premature newborns and what are the Ten Steps to become one?

Submitted by usuario.ops on Mon, 01/07/2024 - 10:32

Since 1991, the Baby-Friendly Hospital Initiative (BFHI) has sought to motivate healthcare teams caring for newborns to provide the best support for successful breastfeeding, based on the Ten Steps.

What is birth defects surveillance as a public health tool?

Submitted by usuario.ops on Wed, 12/06/2024 - 09:46

Surveillance of congenital defects (CDs) consists of: case detection, data collection and submission, coding, classification, analysis, interpretation and dissemination of information. Developing surveillance systems allows countries to have their own data to assess the size of the problem, evaluate its impact from different perspectives and assess the effect of interventions.

Why is human milk the best food for small, sick or premature newborns?

Submitted by usuario.ops on Thu, 23/05/2024 - 11:42

Human milk (HM) is recognized for its safety, efficacy, availability and cost/effectiveness. Consequently, it is the best food for newborns, even if they are small, premature or sick.

Breastfeeding improves child survival, health and development.

HM has the potential to reduce morbidities and improve health, especially in those born extremely prematurely, as it contains bioactive substances with bactericidal, immunomodulatory, and gut maturation-inducing properties.

Who should be responsible for monitoring the implementation of the International Code of Human Milk Substitutes?

Submitted by usuario.ops on Wed, 10/04/2024 - 11:00

The primary responsibility for monitoring the implementation of the code rests with governments. Enforcement is most effective when this responsibility is shared among the main government agencies involved throughout the various stages of product commercialization.
- National legislation on the Code should indicate which government agencies are in charge of overseeing this and how it should be done.
- Manufacturers and vendors of human milk substitutes should monitor their own marketing practices at all levels.

What are the key moments in child development?

Submitted by usuario.ops on Tue, 26/03/2024 - 13:56

Early childhood (from birth to 8 years of age) is key to achieving the maximum development of the human being. This stage comprises the most sensitive period for brain development and extends from pregnancy (during organogenesis), until 3 years after birth, when the greatest number of neural connections and circuits are formed and the maturation of the central nervous system gets completed.

What are the key moments in child development?

Submitted by usuario.ops on Thu, 21/03/2024 - 20:20

Early childhood (birth to 8 years of age) is key to achieving a human being’s maximum developmental potential. This stage comprises the most sensitive period for brain development. This is the time of life when children's developmental potential is most susceptible to environmental stimuli and early experiences, which influence learning, health, behavior and, in the long term, adult social relationships and well-being.

Does prenatal information impact breastfeeding outcomes in premature, small and/or sick infants?

Submitted by usuario.ops on Tue, 12/03/2024 - 20:59

In gestations with high risk of prematurity or potentially needing admission to the Neonatal Care Unit, prenatal admission is an opportunity for communication with the pregnant women.
Evidence-based counseling about the benefits of human milk feeding is a public health intervention that improves breastfeeding rates. Repeated prenatal informational interviews are more effective than isolated interventions and should be documented in the medical record.

Is it possible to prevent neural tube defects as a cause of morbidity and mortality?

Submitted by usuario.ops on Wed, 06/03/2024 - 01:10

Neural tube defects (NTDs) are the most common defects of the central nervous system, with a strong impact on infant morbidity and mortality.
These are some of the milestones that can be highlighted about their evolution:
- 70s: advances in medical/surgical therapies lead to a significant reduction of sequelae and disability.