Page 709 - 16Neonatal Jaundice_compressed
P. 709

Abbreviations, glossary and references





              Intervention                      Healthcare action intended to benefit the patient, e.g. drug treatment,
                                                surgical procedure, psychological therapy, etc.
              Interventional procedure          A procedure used for diagnosis or treatment that involves making a
                                                cut or hole in the patient’s body, entry into a body cavity or using
                                                electromagnetic radiation (including  X-rays or lasers).  The  National
                                                Institute for Clinical Excellence (NICE) has the task  of producing
                                                guidance  about  whether  specific  interventional  procedures  are  safe
                                                enough and work well enough for routine use.
              Intravenous                       The giving of liquid substances intermittently or  continuously,
                                                directly into a vein.
              Isoimmunisation                   The situation which occurs when fetal erythrocytes  of a different
                                                blood group to the mother leak into her circulation during pregnancy,
                                                and are recognised  as foreign by the maternal immune system.
                                                Isoimmunisation is the  most common cause of severe early onset
                                                jaundice. See ABO incompatability, Rhesus.
              Jaundice                          The yellow colouration of the sclera caused by the accumulation of
                                                bilirubin in the skin and mucous membranes
              Jaundice, visible                 Jaundice detected by visual inspection
              Jaundice, prolonged               Jaundice lasting more than 14 days in term babies and more than
                                                21 days in preterm babies (see 1.1)
              Kernicterus                       A term from pathology which means ‘yellow staining of the basal
                                                nuclei of the brain’. This term is often used to refer to the acute and
                                                chronic brain effects of severe hyperbilirubinaemia. There are other
                                                causes of yellow staining of the brain other than jaundice. However,
                                                the term ioften  refers  to the clinical syndrome and sequelae of
                                                bilirubin encephalopathy
              LED (light emitting diode) phototherapy  A phototherapy unit that comprises light-emitting diodes rather than
                                                fluorescent or halogen tubes that is positioned above the baby..
              Level of evidence                 A code (e.g.  1++, 1+) linked to an individual study, indicating
                                                where it fits into the hierarchy of  evidence and how well it  has
                                                adhered to recognised research principles.
              Literature review                 A process of collecting,  reading and assessing the quality of
                                                published (and unpublished) articles on a given topic.
              Longitudinal study                A study of the same group of people at more than one point in time.
                                                (This type of study contrasts with a cross sectional  study  which
                                                observes a defined set of people at a single point in time.)
              Masking                           See Blinding.
              Meta-analysis                     Results from a collection of independent studies (investigating the
                                                same treatment) are pooled, using statistical techniques to synthesise
                                                their findings into a single estimate of a treatment  effect. Where
                                                studies  are  not  compatible e.g. because  of  differences in  the study
                                                populations or in the outcomes measured, it may be inappropriate or
                                                even misleading to statistically pool results in this  way. See also
                                                Systematic review & Heterogeneity.
              Methodology                       The overall approach of a research project, e.g. the study will be a
                                                randomised controlled trial, of 200 people, over one year.
              Methodological quality            The  extent to  which a study has conformed to recognised good
                                                practice in the design and execution of its research methods.
              Multicentre study                 A study where subjects  were selected from different locations or
                                                populations, e.g. a co-operative study between different hospitals; an
                                                international collaboration  involving patients from more than one
                                                country.





                                                                                                        503
   704   705   706   707   708   709   710   711   712   713   714