Safaa ELMeneza

Al Azhar University,Egypt,Cairo · Pediatrics

Care of newborn infants who need resuscitation

Necrotizing enterocolitis is a devastating emergency, multifactorial disease. Inter-alpha inhibitor proteins are serine protease inhibitors involved in many physiological and pathological activities. Aim: this study was designed in order to assess the value of inter-alpha inhibitor proteins in predicting and improving accuracy of diagnosis of NEC i...

BACKGROUND: Patient safety is the core of quality of health care. Newborn infants who are admitted to NICU are liable to adverse events. Medical errors represent a serious public health problem and pose a threat to patient safety. Mechanical ventilation is a complex procedure that exposes newborn infants to adverse events and complications. AIM: Th...

Background: The frequency and length of breastfeeding may be effectively influenced by the professional guidance given to moms. Previous research has shown that healthcare professionals lacked the knowledge and abilities needed to assist and encourage breastfeeding. Objective: The primary goal of this research was to examine breastfeeding knowledge...

Background: Neonatal sepsis is a major cause of morbidity and mortality among neonates. Nod-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome is a core element for innate immune protection. The study aims to estimate the expression of NLRP3 inflammasome in full term newborn infants who suffer from late onset sepsis, in order to a...

The presentation Challenges faced medical educators Innovations during the pandemics Future

BACKGROUND: Prolonged and repeated untreated pain in newborn infant may produce a relatively permanent adverse long-term sequela. AIM: The aim of this study was to evaluate the potential role for neuropeptides substance P (SP) as neurochemical pain marker in newborn infants in order to decrease unnecessary use of analgesics and protect the developi...

Please refer to the journal for abstract just press the doi

Neonatal intensive care units (NICU), currently considered as technological driven environment, there is great advances and progress regarding respiratory support equipment as well as growing interest in training personnel regarding safe strategies and modalities involving use of mechanical ventilation. Still other care modalities do not have the s...

Objective: Apelin is a proinflammatory adipocyte-derived factor. The aim of this study was to evaluate the role and significance of serum apelin as a new sepsis marker in the identification of full-term and preterm newborn infants with early-onset sepsis. Material and Methods: This was a case-control study. We included 80 neonates. The cases were d...

Introduction Healthcare workers (HCWs)are more vulnerable to COVID-19 infection both physically and psychologically than the general population. The World Health Organization (WHO) reported that one in ten HCWs is infected with coronavirus in some countries [1]. The international council of nurses reported in May 2020 that at least 90,000 HCWs have...

Background: Necrotizing enterocolitis (NEC) is the most common neonatal gastrointestinal emergency. Ischemia-modified albumin (IMA) is a marker of oxidative stress and ischemia. Its role in early diagnosis of NEC has been little investigated so far. Aim: The objective of our research was to study the role of serum IMA in diagnosis of NEC in newborn...

ABSTRACT Background: Neonatal sepsis is an important cause of morbidity and mortality. Aim of work: Study the diagnostic value of early-onset sepsis risk calculator (EOSR) and vitamin D as markers for early diagnosis of sepsis among the newborn infants > 34 weeks who were exposed to premature rupture of membrane(PROM). Patients and Methods: This ob...

https://www.scirp.org/journal/paperinformation.aspx?paperid=107962 Rehan, L. , ELMeneza, S. and Okda, H. (2021) Comparison of Respiratory Outcome between Sustained Lung Inflation and Intermittent Positive Ventilation in Preterm Infants Requiring Resuscitation at Birth. Open Journal of Pediatrics, 11, 125-134. doi: 10.4236/ojped.2021.111012. Abstrac...

Background: Patient safety is fundamental to upholding the quality of health care. Health-care workers in neonatal intensive care units (NICUs) face daily challenges to sustain safe care for their patients and to counteract medical errors. Aims: The objectives were to develop the Egyptian Neonatal Safety Training Network (ENSTN) to promote safe...

Background: Patient safety (PtS) is fundamental to upholding the quality of health care. Health care workers (HCWs) in neonatal intensive care units (NICUs) face daily challenges to sustain safe care for their patients and to counteract medical errors. Aims: The objectives were to develop the Egyptian Neonatal Safety Training Network (ENSTN) to pro...

Abstract Background: Neonatal sepsis results in death or major disability even with suitable therapy and optimal care. Purpose: The aim of this study was to evaluate the diagnostic value of neutrophil CD11b in early diagnosis of sepsis in full term newborn infants and to correlate between CD11b expression and other conventional markers. Methods:...

Edelweiss Pediatrics Journal Background: Neonatal Intensive Care Units (NICU) depends heavily on biomedical devices and instruments for monitoring, diagnosis, and treatment. The objective of this study was to assess the impact of medical errors due to use of medical device in NICU. Methods: This was prospective observational study to detect medica...

Evidence based resuscitation in delivery room for term and preterm Current and future changes

Introduction: Preterm infants are liable to various health problems including respiratory distress syndrome (RDS). There is variation in response to respiratory support. In preterm infants, cortisol hormone is secreted by the adre-nocortical gland in response to stress. Objectives: To compare the serum cortisol levels in blood among preterm infants...

This Guidelines for safe care in NICU

Second Guidelines for safe care inn NICU by SENSTN

published in Edelweiss Pediatrics Journal

These are trigger tools that may assist the neonatologist to identify and predict errors and incidents during respiratory assist or mechanical ventilation of the newborn in NICU . Knowledge the Jessor /Academy of science and technology for support project Sustainability of Egyptian Neonatal Safety Training Network

Background: ENSTN is the first database to collect incidents and medical errors in NICU in Egypt. To ensure confidential and anonymous reporting system, identify the nature of medical errors and grade of harm as well as the risk factors. To promote patient safety culture and aid to decrease mortality and morbidity due to medical errors in NICU. Met...

Manuscript no: ASJPCH-1-5-7 Volume: 1 Issue: 1 Asploro Journal of Pediatrics and Child Health Asp J Pediatrics Child Health Extubations is the final step in freeing newborn from mechanical ventilation at the proper time. Unplanned extubations (UE) is a state of accidental dislodgment of the endotracheal tube (EET) by chance and involuntary. UE is...

Perinatal asphyxia has been identified as an important cause of vasomotor nephropathy (VMPN) in the newborn infants. The aim of the study was to evaluate the rule of serum cystatin C, urinary β2 microglobulin and renal Doppler ultrasound in prediction of kidney injury and vasomotor nephropathy in asphyxiated newborn infants. Case control study was...

Early identification of newborns at risk of developing severe hyperbilirubinemia, continue to be a problem in neonatology. Objective: Study the role of cord blood haptoglobin in prediction of hyperbilirubinemia in healthy full term newborn infants. Patient and methods: This prospective study conducted in the delivery room and neonatal intensive car...

Enumerate most common renal disorders in newborn infants. Highlight the anatomy and physiology Enumerate pathogenesis/presentation of some disorders Describe pathogenesis and clinical picture of acute kidney injury. Plan for management of acute kidney injury.

Pulmonary care strategies during the first 60 minutes of life

Aim of this work was to study the incidence of septic arthritis among newborn infants who suffered from neonatal infection .

ACTA SCIENTIFIC PAEDIATRICS Volume 1 Issue 3 October 2018 The aim of this article is to introduce metabolomics as new field in clinical chemistry that may commence uprising in understanding the nature of diseases and hence therapy. It is important to direct attention of the neonatologist to understand this new omics technology to support their pat...

ACTA SCIENTIFIC PAEDIATRICS Volume 1 Issue 3 October 2018 Objective: It is important to differentiate early sepsis from non-infectious respiratory disorders. The aim of this work is to identify the reliability and utility of CD64 as novel immunological rapid indicator in diagnosis of early-onset neonatal infection among full term infants. Introduc...

Birth asphyxia is an important cause of static developmental and neurological handicap in both full-term and preterm infants (3% to 13% with cerebral palsy has evidence of intrapartum as-Background: Birth asphyxia is an important cause of static developmental and neurological handicap both in term and preterm infants, despite the increasing underst...

EC Paediatrics 2018 ,volume 7 Issue 7 Background: Despite advances in medicine, neonates have high global rates of morbidity and mortality related to bacterial sepsis. Neonates are predisposed to infections during the perinatal period due to multiple exposures and a relatively compromised immune system and complex procedures. The aim of the study...

Abstract A medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient or consumer. Neonates are vulnerable for medication errors because neonates have a rapidly changing body surface area and weight; a rapidly develo...

Please visit our page for full description http://www.egyneosafety.net/Filemanager/connectors/ashx/userfiles/pdf/membertools/ENSTNphysciancourse.pdf

Background: Bronchopulmonary dysplasia (BPD) continues to be an important problem in neonates especially premature infants despite improved facilities of care, monitoring and treatment. Pulmonary hypertension (PH) is a major complicating factor and key cause of mortality in this population. Altered vascular and alveolar growth particularly in canal...

These data include all the activities and achievement of the Egyptian neonatal safety training network project

This study aims to investigate the value of two proposed sepsis markers; serum pro adrenomedullin (Pro ADM) and serum soluble triggering receptor expressed on myeloid cell-1 (sTREM-1) for early diagnosis and prognosis of early onset neonatal sepsis. This is case control study that was conducted on (80) full term newborn infants. They were divided...

These are alerts that were extracted from the reported incidents .We published to our participants to alert them to these errors .

Summery form Arabic and English ENSTN standard for safe care in NICU

Theses guidelines are specifically to be used in NICU

please read in the attached article J of childhood studies

Newsletter of ENSTN June 2015 Third newsletter

https://egyneosafety.net/newsletters/

Objective: Meconium aspiration syndrome (MAS) is one of the most important causes of neonatal intensive care unit admission for full-term newborn infants. We aimed to compare between meconium-stained infants who were intubated at birth and full-term infants who were subjected to oropharyngeal suction of meconium at birth in terms of mortality, MAS,...

To be used for training workshop of other health care workers

This document was a dream for all neonatologists and health care workers, who are participating in care of the newborn infants .We thanks all our beneficiaries and stakeholders who participated and supported us during the preparations of the standards whether during the foundation workshop on 17-18 May 2014 or through video conference and email. It...

Patient Safety Course to be used for training of physicians

It include all the data used to patient safety course s Module I Module II Module III

https://egyneosafety.net/newsletters/

Background: Birth asphyxia is an important cause of static developmental and neurological handicap both in term and preterm infants ,despite the increasing understanding of the mechanism leading to perinatal asphyxia, early determination of brain damage following hypoxic-ischemic events still remains one of the hardest problems in neonatal care .EE...

Background: Birth asphyxia is an important cause of static developmental and neurological handicap both in term and preterm infants ,despite the increasing understanding of the mechanism leading to perinatal asphyxia, early determination of brain damage following hypoxic-ischemic events still remains one of the hardest problems in neonatal care .EE...

Background and aims: Early onset sepsis can be presented as a fulminant, multisystemic illness during first few days of life or with nonspecific clinical signs of infection. Therefore the diagnosis of early sepsis in newborn infants may need to be differentiated from other conditions that mimic sepsis. Aims: The aim of this work is to identify the...

Background: Birth asphyxia is an important cause of static developmental and neurological handicap both in term and preterm infants ,despite the increasing understanding of the mechanism leading to perinatal asphyxia, early determination of brain damage following hypoxic-ischemic events still remains one of the hardest problems in neonatal care .EE...

Iatrogenesis is defined as any adverse condition in a patient occurring as a result of a diagnostic procedure or treatment by a medical team (including physicians, nurses, technicians, laboratories, and anyone involved in patient care). Iatrogenesis has become a major burden of health care systems. Medication error is any error, large or small, at...

Assessment of pain in newborn infants and response to painful procedures .Study included preterm and full term .The physiological , behavioral ,metabolic and hormonal measurement were done .Vagal tone and ECG data were also collected .Vagal tone was reliable pain index .. Original Article was published 1993

Introduction: Pulmonary graphics monitoring of lung during mechanical ventilation have shown a reliable data among many ventilated newborn infants. Exposure of the newborn infants and NICU staff to frequent radiation from X-ray chest carries great risk. Aim of work: The aim of this study is to correlate the chest X-ray changes to the pressure –volu...

Background: Ventilator-associated pneumonia (VAP) is the second most frequent hospital-acquired infection in critically ill neonates which occurs in people who are on mechanical ventilation through an endotracheal or tracheostomy tube for at least 48 hours and which was not developing at the time of admission.

Background: Health care acquired infections (HCAIs) are a common occurrence in the neonatal intensive care unit (NICU) and may be associated with morbidity and mortality. It has also been suggested that the hands of healthcare workers play a significant role in the transmission of nosocomial pathogens. Objective: 1 - Evaluate the current knowledg...

High risk newborn infants are liable to neurological complications, which may impair their motor,sensory and cognitive development. The primary focus of neurocritical care for CNS problems is the prevention, identification, and treatment. Therefore it is important to monitor high risk newborn infants for primary brain injury and for secondary brain...

https://www.scribd.com/presentation/14185957/Final-Mansoura-April-2-4-2009

Abstract N 408 : Introduction Septic arthritis is not a common manifestation of neonatal infection. It is rarely detected or may be passed unnoticed if accompanied with other overwhelming symptoms and sign of septicemia as respiratory distress, abdominal distension, cholestasis, irritability, fever or other neurological manifestation. Other cause m...

Introduction Septic arthritis is not a common manifestation of neonatal infection. It is rarely detected or may be passed unnoticed if accompanied with other overwhelming symptoms and sign of septicemia as respiratory distress, abdominal distension, cholestasis, irritability, fever or other neurological manifestation. Other cause may be participat...

Sc.J.Az.Med.Fac.(Girls).

BACKGROUND: High-risk neonates are vulnerable to abnormal bone formation due to deficiency of some micronutrients; calcium, and phosphorus which may cause osteopenia of prematurity . OBJECTIVE: Early detection of inadequate bone formation among high risk newborn infants as preterm,small for gestational age and large for gestational age infants . D...

To follow-up children who had been resuscitated at birth with either 21% or 100% oxygen (O2). A multicenter study with 10 participating centers recruited 609 infants to the Resair 2 study where resuscitation was performed with either 21% or 100% O2. A follow-up between ages 18 and 24 months was performed. However, during follow-up registration, it...

Sc.j Az.Med.Fac (girls) Volume 24, Number 2 May 2003 ,1281-1292 https://www.researchgate.net/publication/325195141_Study_of_cardiac_dysfunction_during_neonatal_sepsis

Sc.J. AZ.Med.Fac.(Girls) volume 23,N 3: Sep.2002,page 521-531

Sc.J.Az.Med.Fac.(Girls) 22:1; 2001

Source: Hepato-Gastroenterology Volume: 46 Issue: SUPPL. 2 Pages: 1480 Published: June, 1999

Birth asphyxia represents a serious problem worldwide, resulting in approximately 1 million deaths and an equal number of serious sequelae annually. It is therefore important to develop new and better ways to treat asphyxia. Resuscitation after birth asphyxia traditionally has been carried out with 100% oxygen, and most guidelines and textbooks rec...

New Orleans , AAP annual meeting 31/10 to 4/11/1997

Aim study levels of AT3, alph 2 macroglobulin in premature infants with RDS Journal name: The Gaz. Egypt Ped Ass volume 42,N1-2,April 1994 page 43-46

Please read the attached Full txet

Abstract The international j of artificial organs Full text :J Bio.Med.SCI.Ther.8(5)1May 1992

J.Bio.Med.Sci. Ther.