Page 710 - 16Neonatal Jaundice_compressed
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Neonatal jaundice





              Multiple phototherapy             Phototherapy that is given using more than one light source
                                                simultaneously; for example two or more conventional units, or a
                                                combination of conventional and fibreoptic units.
              Near-term                         35 to 36 weeks gestational age (see key terms 1.1)
              Necrotising enterocolitis         A gastrointestinal condition that mostly affects  preterm  babies. It
                                                involves infection and inflammation which causes destruction of all
                                                or part of the bowel (intestine)
              Neonatal                          Related to the first 28 days of life
              Neurotoxicity                     Neurotoxicity occurs when the exposure to natural or artificial toxic
                                                substances, called neurotoxins, damages nerve tissue  and alters its
                                                normal activity
              Nominal group technique           A decision making method for use among groups of many sizes, who
                                                want  to  make  their  decision  quickly,  as  by  a  vote,  but  want
                                                everyone's opinions taken into account
              Number Needed to Treat (NNT)      This measures the impact of a treatment or intervention. It states how
                                                many patients  need to  be treated  with the treatment  in question in
                                                order to prevent an event which would otherwise occur. E.g. if the
                                                NNT=4, then 4 patients would have to be treated to prevent one bad
                                                outcome. The closer the  NNT is to 1, the better the  treatment is.
                                                Analogous to the NNT is the Number Needed to Harm (NNH), which
                                                is the number of patients that would need to receive a treatment to
                                                cause one additional adverse event  e.g. if the  NNH=4, then 4
                                                patients would have to be treated for one bad outcome to occur.
              Objective measure                 A measurement that follows a standardised procedure which is less
                                                open to subjective interpretation by potentially biased observers and
                                                study participants.
              Observation                       A research technique used to help understand complex situations. It
                                                involves  watching, listening to and recording behaviours, actions,
                                                activities and interactions. The settings are usually natural, but they
                                                can be laboratory settings, as in psychological research.
              Observational study               In research about diseases or treatments, this refers to a study in
                                                which nature is allowed to take its course. Changes or differences in
                                                one characteristic (e.g. whether or not  people received a specific
                                                treatment  or  intervention)  are  studied  in  relation  to  changes  or
                                                differences in other(s) (e.g. whether or not they died), without the
                                                intervention of the investigator. There is a greater risk of selection
                                                bias than in experimental studies.
              Odds ratio                        Odds are a way of representing probability,  especially familiar for
                                                betting. In recent  years odds ratios have become widely used in
                                                reports of clinical studies. They provide an estimate (usually with a
                                                confidence  interval)  for  the  effect  of  a  treatment.  Odds  are  used  to
                                                convey the idea of ‘risk’ and an odds ratio of 1 between two
                                                treatment groups would imply that the risks of an adverse outcome
                                                were the same in each group. For rare events the odds ratio and the
                                                relative risk (which uses actual risks and not odds)  will be  very
                                                similar. See also Relative risk, Risk ratio.
              Outcome                           The  end  result  of  care  and  treatment  and/or  rehabilitation.  In  other
                                                words, the change in health, functional ability, symptoms or situation
                                                of a person,  which can be used to measure the effectiveness of
                                                care/treatment/rehabilitation.  Researchers  should  decide  what
                                                outcomes to  measure before a study begins; outcomes are then
                                                assessed at the end of the study.
              Parenteral                        Refers to a route of treatment administration that involves giving
                                                drugs into body cavities, usually the blood (by intravenous infusions).




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