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William J Burns - One of the best experts on this subject based on the ideXlab platform.

  • the Moro reaction a scoring system for neonatal narcotic withdrawal
    Developmental Medicine & Child Neurology, 2008
    Co-Authors: Ira J Chasnoff, William J Burns
    Abstract:

    SUMMARY A Moro Scale was developed to evaluate the immediate and prolonged effects of neonatal addiction in two matched groups of infants, one delivered to women on low-dose methadone maintenance, the other delivered to drug-free mothers. The Moro reaction was elicited five times in succession in each infant and the most complete reactica was scored on a 20-point scale. There were significant differences between the two groups in mean Moro scores at all ages, and in the duration of the Moro reaction. Significant relationships also were found between total Moro scores and certain items on the Brazelton Scale. The Moro Scale score provides a method of following addicted newborns through the process of withdrawal, and of evaluating CNS irritability and possible early cerebral damage. RESUME La reaction de Moro comme systeme d'appreciation du retrait neo-natal sous stupefiants Une echelle des reponses de Moro a ete mise en place pour evaluer les effets immediats et prolonges de la dependance neonatale aus stupefiants dans deux groupes apparies de nourrissons I'une ne de femmes maintenues sous faibles doses de methadone, I'autre ne de femmes sans drogues. La reaction de Moro a ete provoquee cinq fois en succession chez chaque nourrisson et la reaction la plus complete a ete notee sur une echelle a 20 points. II a ete note des differences significatives entre les deux groupes aux scores moyens de Moro a tous les âges et dans la duree de reaction de Moro. Des relations significatives ont egalement ete trouvtes entre le score total au Moro et certains items de I'echelle de Brazelton. L'echelle de Moro fournit une methode pour suivre la dependance de nouveaux-nes a travers le processus de retrait et evaluer I'irritabilite du systbme nerveux central, I'eventualite d'un dommage cerebral prebcoce. ZUSAMMENFASSUNG Der Moro Reflex als Scoring System fur den Entrug von Narkotika beim Neugeborenen Es wurde ein Moro Scale Score entwickelt, um bei zwei entsprechenden Gruppen die sofortigen und spateren Auswirkungen einer Sucht auf das Neugeborene zu untersuchen. Die eine Gruppe der Mutter war auf eine Erhaltungsdosis Methadon eigestellt, die andere war drogenfrei. Bei jedem Kind wurde der Moro Reflex funfmal ausgelost und die vollstandigste Reaktion wurde nach einem 20 Punkte Schema bewertet. Es fanden sich zwischen den beiden Gruppen in allen Altersstufen signifikante Unterschiede bei den durchschnittlichen Moro Scores und in der Dauer der Moro Reaktion. Auβerdem fanden sich signifikante Beziehungen zwischen den Gesamt-Moro-Scores und bestimmten Punkten der Brazelton Scale. Der Moro Scale Score stellt eine Methode dar, abhangige Neugeborene in der Entzugsphase zu uberwachen und die ZNS Reizbarkeit und mogliche fruhe Hirnschaden zu beurteilen. RESUMEN La reaccion de Moro como sistema de puntaje para la supresidn neonatal de narcdtico Se construyo una escala de puntaje de Moro para evaluar los efectos inmediatos y prolongados de la adicion neonatal en dos grupos semejan tes de lactantes, uno formado con hijos de mujeres con dosis bajas de mantenimiento de metadona y otro con hijos de madres libres de droga. La reaccion de Moro fue explorada cinco veces seguidas en cada nino y la reaccion mas completa fue puntuada en una escala de 20 puntos. Habian diferencias significativas entre ambos grupos en el promedio de puntaje del Moro en todas las escalas y en la duracion de la reaccion de Moro. Tambien se hallaron unas relaciones significativas entre los puntajes totales del Moro y ciertos items de la escala de Brazelton. La escala de puntaje de Moro proporciona un metodo de segui miento de recien nacidos adictos a lo largo del proceso de supresion y de evaluacion de la irritabilidad del SNC y de una posible lesion precoz cerebral.

Avalos-huizar L.m. - One of the best experts on this subject based on the ideXlab platform.

  • Clinical course of children of mothers with addictions into a neonatal intensive care unit in western Mexico [Evolución clínica de hijos de madres con adicciones internados en una unidad de terapia intensiva neonatal del Occidente de México]
    Universidad de Guadalajara (UDG), 2014
    Co-Authors: Gutierrez-padilla J.a., Padilla-munoz H., Gutierrez-gonzalez H., Barrera-de Leon J.c., Aguirre-jauregui O.m., Martinez-veronica R., Avalos-huizar L.m.
    Abstract:

    Background: Pregnancy in women addicted represents, in itself, a major risk of destruction of physical and mental health of the unborn child; urgent prevention is the same as essential to providing quality care to the mother and child knowledge. Objective: Describe the physical and sociodemographic characteristics of neonates in intensive care units, born of mothers with addictions. Materials and Method: Cross-sectional, descriptive study of neonates with addict mothers, analyzing age, gender, clinical symptoms and complications. Findings for frequency-percentages with regard to qualitative variables, and medians and ranges for quantitative variables. SPSS-20.0-Windows Statistics software package. Results: 618 patients admitted to the NICU, 180(29%) showing withdrawal symptoms; irritability in 117(63%), intensive crying in 93(51%), spontaneous Moro Reflex 74(42%), diarrhea 61(30%), fever 61(30%). Birth defects 124(20%), from greater to lesser occurrence: disorders in central nervous system, digestive tract and abdominal wall, extremities, kidneys, and others. 309(50%) weight lower than 2600g. The most frequent metabolic disorders were hypoglycemia, Metabolic Acidosis and jaundice, among others. Conclusions: Every day, we see more children born of substancedependent mothers in the Mexico. Our study reveals high mortality rate and many complications for this group; thus, it becomes necessary to institute preventive measures among Mexican women of childbearing age in order to prevent illegal drug use and to increase treatment among pregnant addicts. Gynecologists, pediatricians and neonatologists must have extensive knowledge regarding the entire clinical-social spectrum of symptoms that may be observed in children of mothers suffering addictions

  • Clinical course of children of mothers with addictions into a neonatal intensive care unit in western Mexico [Evoluci�n cl�nica de hijos de madres con adicciones internados en una unidad de terapia intensiva neonatal del Occidente de M�xico]
    Universidad de Guadalajara (UDG), 2014
    Co-Authors: Gutierrez-padilla J.a., Padilla-munoz H., Gutierrez-gonzalez H., Barrera-de Leon J.c., Aguirre-jauregui O.m., Martinez-veronica R., Avalos-huizar L.m.
    Abstract:

    Background: Pregnancy in women addicted represents, in itself, a major risk of destruction of physical and mental health of the unborn child; urgent prevention is the same as essential to providing quality care to the mother and child knowledge. Objective: Describe the physical and sociodemographic characteristics of neonates in intensive care units, born of mothers with addictions. Materials and Method: Cross-sectional, descriptive study of neonates with addict mothers, analyzing age, gender, clinical symptoms and complications. Findings for frequency-percentages with regard to qualitative variables, and medians and ranges for quantitative variables. SPSS-20.0-Windows Statistics software package. Results: 618 patients admitted to the NICU, 180(29%) showing withdrawal symptoms; irritability in 117(63%), intensive crying in 93(51%), spontaneous Moro Reflex 74(42%), diarrhea 61(30%), fever 61(30%). Birth defects 124(20%), from greater to lesser occurrence: disorders in central nervous system, digestive tract and abdominal wall, extremities, kidneys, and others. 309(50%) weight lower than 2600g. The most frequent metabolic disorders were hypoglycemia, Metabolic Acidosis and jaundice, among others. Conclusions: Every day, we see more children born of substancedependent mothers in the Mexico. Our study reveals high mortality rate and many complications for this group; thus, it becomes necessary to institute preventive measures among Mexican women of childbearing age in order to prevent illegal drug use and to increase treatment among pregnant addicts. Gynecologists, pediatricians and neonatologists must have extensive knowledge regarding the entire clinical-social spectrum of symptoms that may be observed in children of mothers suffering addictions

Roma Toms - One of the best experts on this subject based on the ideXlab platform.

  • a comparison between the neonatal sound evoked startle response and the head drop Moro Reflex
    Developmental Medicine & Child Neurology, 2008
    Co-Authors: John Bench, Yvonne Collyer, Cheryl Langford, Roma Toms
    Abstract:

    SUMMARY Twelve clinically normal neonates were exposed to the stimuli of head-drop (D) and to 96 dB spl (startle-inducing) sound (S). Their behaviour was recorded on videotapes and viewed by eight experienced observers, according to three different sets of instructions. Comparing the behaviour elicited by the two stimuli, it was found that 1 there was more head-turning in response to S; 2 there were more outward, followed by inward, arm movements in response to D; 3 arm movements were more simultaneous and more symmetrical in angular pathway and in distance of movement in relation to the body midline in response to D; and 4 there was more activity in the arms than in the legs in response to D. The description of all sound-evoked startle responses as ‘Moro’ Reflexes is questioned. RESUME Comparaison entre le sursaut neo-natal au son et le reSjlexe de chute de tete (Moro) 12 nouveaux-nes cliniquement normaux ont fait l'objet de stimuli de chute de tete (D) et de sons (brusques) de 96 dB (S). Leur comportement a ete enregistre en videoscope et visualise par 8 observateurs experimentes selon trois differents programmes. En comparant les comportements provoques par les deux stimuli, il a pu etre observe que: 1 il y avait davantage de rotation de la tete en reponse a S. 2 II y avait plus de mouvements de bras en abduction, suivis d'adductions en reponse a D. 3 Les mouvements des bras etaient davantage simultanes et symetriques en angle et en ecartement de la ligne mediane du corps en reponse a D. 4 II y avait plus d'activite des bras que des jambes en rCponse B D. Le fait de considerer toutesA les reponses de sursaut au son comme Reflexe de Moro est remis en question. ZUSAMMENFASSUNG Ein Vergleich neonataler Reflexe, die durch akustische Schreckreaktion und durch das Zuruckfallenlassen des Kopfes (Moro) hervorgerufen werden Bei zwolf klinisch normalen Neugeborenen wurde der Moro-Reflex (durch ‘headdrop’) (D) ausgelost und durch einen Ton von 96 dB spl eine Schreckreaktion (S) hervorgerufen. Ihr Verhalten wurde auf einem Fernsehband festgehalten und von acht erfahrenen Leuten angeschaut, die dabei drei verschiedene Richtlinien beachteten. Wenn man das Verhalten, das durch die zwei Stimuli hervorgerufen wird, vergleicht, findet man folgendes: 1 mehr Kopfdrehen als Antwort auf (S) 2 mehr Abduktion gefolgt von Adduktion der Arme als Antwort auf (D) 3 mehr simultane und symmetrische freie Armbewegungen bezogen auf die Mittellinie des Korpers als Antwort auf (D) 4 mehr Aktivitat in den Armen als in den Beinen als Antwort auf (D). Die Interpretation aller akustischen Schreckreaktionen als Moro-Reflex wird hierrnit in Frage gestellt. RESUMEN Comparacion del sobresalto evocado por el sonido en el recien nacido y el reflejo de caida de la cabeza (Moro) Doce recien nacidos clinicamente normales fueron expuestos a estimulos de caida de cabeza (D) y de sonido (S) de 96 dB spl (inductor de sobresalto). Su comportamiento se registro en video-tape y fue visionado por 8 observadores experimentados, de acuerdo con tres series diferentes de instrucciones. Comparando el comportamimto obtenido por los dos estimulos se encontro que: 1 La cabeza giraba mis como respuesta a (S) 2 Habia mayor movimiento de brazos hacia afuera y luego hacia adentro como respuesta a (D) 3 Los movimientos de los brazos eran mis simultaneos y simetricos en angulacion y distancia de movimiento en relacion con la linea media del cuerpo, como respuesta a (D) 4 habia mayor actividad en 10s brazos que en las piernas como respuesta a (D). No aparece Clara la descripcion de todas las respuestas de sobresalto evocadas por el sonido, como si se trataran todas de reflejos de Moro.

Ira J Chasnoff - One of the best experts on this subject based on the ideXlab platform.

  • the Moro reaction a scoring system for neonatal narcotic withdrawal
    Developmental Medicine & Child Neurology, 2008
    Co-Authors: Ira J Chasnoff, William J Burns
    Abstract:

    SUMMARY A Moro Scale was developed to evaluate the immediate and prolonged effects of neonatal addiction in two matched groups of infants, one delivered to women on low-dose methadone maintenance, the other delivered to drug-free mothers. The Moro reaction was elicited five times in succession in each infant and the most complete reactica was scored on a 20-point scale. There were significant differences between the two groups in mean Moro scores at all ages, and in the duration of the Moro reaction. Significant relationships also were found between total Moro scores and certain items on the Brazelton Scale. The Moro Scale score provides a method of following addicted newborns through the process of withdrawal, and of evaluating CNS irritability and possible early cerebral damage. RESUME La reaction de Moro comme systeme d'appreciation du retrait neo-natal sous stupefiants Une echelle des reponses de Moro a ete mise en place pour evaluer les effets immediats et prolonges de la dependance neonatale aus stupefiants dans deux groupes apparies de nourrissons I'une ne de femmes maintenues sous faibles doses de methadone, I'autre ne de femmes sans drogues. La reaction de Moro a ete provoquee cinq fois en succession chez chaque nourrisson et la reaction la plus complete a ete notee sur une echelle a 20 points. II a ete note des differences significatives entre les deux groupes aux scores moyens de Moro a tous les âges et dans la duree de reaction de Moro. Des relations significatives ont egalement ete trouvtes entre le score total au Moro et certains items de I'echelle de Brazelton. L'echelle de Moro fournit une methode pour suivre la dependance de nouveaux-nes a travers le processus de retrait et evaluer I'irritabilite du systbme nerveux central, I'eventualite d'un dommage cerebral prebcoce. ZUSAMMENFASSUNG Der Moro Reflex als Scoring System fur den Entrug von Narkotika beim Neugeborenen Es wurde ein Moro Scale Score entwickelt, um bei zwei entsprechenden Gruppen die sofortigen und spateren Auswirkungen einer Sucht auf das Neugeborene zu untersuchen. Die eine Gruppe der Mutter war auf eine Erhaltungsdosis Methadon eigestellt, die andere war drogenfrei. Bei jedem Kind wurde der Moro Reflex funfmal ausgelost und die vollstandigste Reaktion wurde nach einem 20 Punkte Schema bewertet. Es fanden sich zwischen den beiden Gruppen in allen Altersstufen signifikante Unterschiede bei den durchschnittlichen Moro Scores und in der Dauer der Moro Reaktion. Auβerdem fanden sich signifikante Beziehungen zwischen den Gesamt-Moro-Scores und bestimmten Punkten der Brazelton Scale. Der Moro Scale Score stellt eine Methode dar, abhangige Neugeborene in der Entzugsphase zu uberwachen und die ZNS Reizbarkeit und mogliche fruhe Hirnschaden zu beurteilen. RESUMEN La reaccion de Moro como sistema de puntaje para la supresidn neonatal de narcdtico Se construyo una escala de puntaje de Moro para evaluar los efectos inmediatos y prolongados de la adicion neonatal en dos grupos semejan tes de lactantes, uno formado con hijos de mujeres con dosis bajas de mantenimiento de metadona y otro con hijos de madres libres de droga. La reaccion de Moro fue explorada cinco veces seguidas en cada nino y la reaccion mas completa fue puntuada en una escala de 20 puntos. Habian diferencias significativas entre ambos grupos en el promedio de puntaje del Moro en todas las escalas y en la duracion de la reaccion de Moro. Tambien se hallaron unas relaciones significativas entre los puntajes totales del Moro y ciertos items de la escala de Brazelton. La escala de puntaje de Moro proporciona un metodo de segui miento de recien nacidos adictos a lo largo del proceso de supresion y de evaluacion de la irritabilidad del SNC y de una posible lesion precoz cerebral.

Gutierrez-padilla J.a. - One of the best experts on this subject based on the ideXlab platform.

  • Clinical course of children of mothers with addictions into a neonatal intensive care unit in western Mexico [Evolución clínica de hijos de madres con adicciones internados en una unidad de terapia intensiva neonatal del Occidente de México]
    Universidad de Guadalajara (UDG), 2014
    Co-Authors: Gutierrez-padilla J.a., Padilla-munoz H., Gutierrez-gonzalez H., Barrera-de Leon J.c., Aguirre-jauregui O.m., Martinez-veronica R., Avalos-huizar L.m.
    Abstract:

    Background: Pregnancy in women addicted represents, in itself, a major risk of destruction of physical and mental health of the unborn child; urgent prevention is the same as essential to providing quality care to the mother and child knowledge. Objective: Describe the physical and sociodemographic characteristics of neonates in intensive care units, born of mothers with addictions. Materials and Method: Cross-sectional, descriptive study of neonates with addict mothers, analyzing age, gender, clinical symptoms and complications. Findings for frequency-percentages with regard to qualitative variables, and medians and ranges for quantitative variables. SPSS-20.0-Windows Statistics software package. Results: 618 patients admitted to the NICU, 180(29%) showing withdrawal symptoms; irritability in 117(63%), intensive crying in 93(51%), spontaneous Moro Reflex 74(42%), diarrhea 61(30%), fever 61(30%). Birth defects 124(20%), from greater to lesser occurrence: disorders in central nervous system, digestive tract and abdominal wall, extremities, kidneys, and others. 309(50%) weight lower than 2600g. The most frequent metabolic disorders were hypoglycemia, Metabolic Acidosis and jaundice, among others. Conclusions: Every day, we see more children born of substancedependent mothers in the Mexico. Our study reveals high mortality rate and many complications for this group; thus, it becomes necessary to institute preventive measures among Mexican women of childbearing age in order to prevent illegal drug use and to increase treatment among pregnant addicts. Gynecologists, pediatricians and neonatologists must have extensive knowledge regarding the entire clinical-social spectrum of symptoms that may be observed in children of mothers suffering addictions

  • Clinical course of children of mothers with addictions into a neonatal intensive care unit in western Mexico [Evoluci�n cl�nica de hijos de madres con adicciones internados en una unidad de terapia intensiva neonatal del Occidente de M�xico]
    Universidad de Guadalajara (UDG), 2014
    Co-Authors: Gutierrez-padilla J.a., Padilla-munoz H., Gutierrez-gonzalez H., Barrera-de Leon J.c., Aguirre-jauregui O.m., Martinez-veronica R., Avalos-huizar L.m.
    Abstract:

    Background: Pregnancy in women addicted represents, in itself, a major risk of destruction of physical and mental health of the unborn child; urgent prevention is the same as essential to providing quality care to the mother and child knowledge. Objective: Describe the physical and sociodemographic characteristics of neonates in intensive care units, born of mothers with addictions. Materials and Method: Cross-sectional, descriptive study of neonates with addict mothers, analyzing age, gender, clinical symptoms and complications. Findings for frequency-percentages with regard to qualitative variables, and medians and ranges for quantitative variables. SPSS-20.0-Windows Statistics software package. Results: 618 patients admitted to the NICU, 180(29%) showing withdrawal symptoms; irritability in 117(63%), intensive crying in 93(51%), spontaneous Moro Reflex 74(42%), diarrhea 61(30%), fever 61(30%). Birth defects 124(20%), from greater to lesser occurrence: disorders in central nervous system, digestive tract and abdominal wall, extremities, kidneys, and others. 309(50%) weight lower than 2600g. The most frequent metabolic disorders were hypoglycemia, Metabolic Acidosis and jaundice, among others. Conclusions: Every day, we see more children born of substancedependent mothers in the Mexico. Our study reveals high mortality rate and many complications for this group; thus, it becomes necessary to institute preventive measures among Mexican women of childbearing age in order to prevent illegal drug use and to increase treatment among pregnant addicts. Gynecologists, pediatricians and neonatologists must have extensive knowledge regarding the entire clinical-social spectrum of symptoms that may be observed in children of mothers suffering addictions