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2 results on '"Hira Shrestha"'

1. Pilot Study Comparing Adverse Cardiorespiratory Events among Pharmacologically and Nonpharmacologically Treated Infants Undergoing Monitoring for Neonatal Abstinence Syndrome

Author

Spoorthi Davala, BA, Aaron Hansbury, MPH, Melissa Miller, MPH, Jeffery Boateng, MPH, Hira Shrestha, MA, and Elisha M. Wachman, MD

Subjects
Neonatal opioid withdrawal syndrome, bradycardia, desaturation, apnea, Pediatrics, RJ1-570
Abstract

There is variation in cardiorespiratory monitoring practices for neonatal abstinence syndrome. We examined the incidence of cardiorespiratory adverse events in infants with neonatal abstinence syndrome who were treated or nontreated pharmacologically. Eight (10%) in the nontreated and 23 (19%) in the treated group experienced adverse events. This warrants further investigation in a larger cohort.

Published
2020
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2. Neonatal sleep development and early learning in infants with prenatal opioid exposure

Author

Nicole A. Heller, Deborah G. Morrison, Jonathan A. Paul, Hira Shrestha, Mark S. Brown, Katrina M. Daigle, Marie J. Hayes, and Beth A. Logan

Subjects
education.field_of_study, 05 social sciences, Population, Psychological intervention, Context (language use), Cognition, medicine.disease, Premature birth, medicine, 0501 psychology and cognitive sciences, Early childhood, Risk factor, education, Psychology, Socioeconomic status, 050104 developmental & child psychology, Clinical psychology
Abstract

The aim of this chapter is to examine the role of sleep and cognition in the context of the cumulative risk model examining samples of at-risk infants and maternal-infant dyads. The cumulative risk model posits that non-optimal developmental outcomes are the result of multiple factors in a child's life including, but not limited to, prenatal teratogenic exposures, premature birth, family socioeconomic status, parenting style and cognitions as well as the focus of this volume, sleep. We highlight poor neonatal sleep as both an outcome of perinatal risk as well as a risk factor to developing attentional and cognitive capabilities during early childhood. Outcomes associated with and contributing to poor sleep and cognition during infancy are examined in relation to other known risks in our clinical population. Implications of this research and recommendations for interventions for this population are provided.

Published
2021
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