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Recommandations relatives à l'usage de lait maternel cru pour les prématurés hospitalisés en Néonatologie - Administration du lait de la mère à son propre enfant - Avis 8734
; Rigo, Jacques ; Melin, Pierrette et al
Book published by Conseil Supérieur de la Santé (2016)
De nombreuses études ont démontré l'intérêt pour les prématurés de faible poids à la naissance d'une alimentation exclusive au LM qui diminue significativement la mortalité et la morbidité néonatale. Elle ... [more ▼]
De nombreuses études ont démontré l'intérêt pour les prématurés de faible poids à la naissance d'une alimentation exclusive au LM qui diminue significativement la mortalité et la morbidité néonatale. Elle offre également des avantages à moyen et à long terme tant sur le plan de la santé physique que du développement psychomoteur et cognitif de ces enfants. Dans ce sens, le lait de la mère pour son propre enfant constitue le lait de référence pour l'alimentation du prématuré, qu'il soit frais, congelé voire pasteurisé (AAP, 2012). L'utilisation de lait de don, nécessairement pasteurisé, n'a de sens qu'en cas d'indisponibilité complète ou partielle du lait de la propre mère et s'utilise principalement pendant les premières semaines de vie. Les risques éventuels (bactériologique, virologique et nutritionnel) qui imposent d'émettre des recommandations pour l'utilisation du lait de la propre mère dans les unités néonatales sont décrits dans les paragraphes suivants du présent document. [less ▲]Detailed reference viewed: 220 (4 ULiège)
Electrolyte and mineral homeostasis after optimizing early macronutrient intakes in VLBW infants on parenteral nutrition
SENTERRE, Thibault ; ; PIELTAIN, Catherine et al
in Journal of Pediatric Gastroenterology and Nutrition (2015), 6(14), 491-498Detailed reference viewed: 72 (24 ULiège)
Intrauterine-Like Growth Rates Can Be Achieved with Premixed Parenteral Nutrition Solution in Preterm Infants
Rigo, Jacques ; SENTERRE, Thibault
in Journal of Nutrition (2013), 143(12), 2066-2070Detailed reference viewed: 21 (4 ULiège)
Update on nutritional management of the premature infants
SENTERRE, Thibault ; Rigo, Jacques
in Proceedings of the Belgian Royal Academies of Medicine (2013), 2Detailed reference viewed: 17 (1 ULiège)
Variability in human milk composition: benefit of individualized fortification in very-low-birth-weight infants.
de HALLEUX, Virginie ; Rigo, Jacques
in American Journal of Clinical Nutrition (2013), 98(2), 529-35
BACKGROUND: Preterm infants fed fortified human milk (HM) grow more slowly than those fed preterm formulas. These differences could be related to the variability in the macronutrient composition of ... [more ▼]
BACKGROUND: Preterm infants fed fortified human milk (HM) grow more slowly than those fed preterm formulas. These differences could be related to the variability in the macronutrient composition of expressed HM, resulting in inadequate nutrient intake in relation to the estimated needs of the preterm infants. OBJECTIVES: The aim of this article was to show the variability in HM composition from an infant's own mother's milk (OMM) or pooled HM from the milk bank. The second objective was to evaluate the advantages of individual fortification on nutritional intakes over standard fortification. DESIGN: The macronutrient composition of 428 OMM, 138 HM pools from single donors, 224 pools from multiple donors, and 14 pools from colostral milk was determined by using a mid-infrared analyzer. Individualized fortification was performed after analysis of the milk samples in 2 steps: adjustment of fat content up to 4 g/dL, followed by the addition of an HM fortifier to provide 4.3 g . kg(-1) . d(-1) according to the daily prescribed volume of feeding. Nutritional intakes resulting from the individualized fortification were compared with calculated intakes resulting from standard fortification (HM fortifier: 4 packets/dL). RESULTS: The variability in contents of fat, protein, and energy was high for all types of HM samples. Compared with standard fortification, individual fortification significantly reduced the variability in nutritional intakes, allowing the maintenance of protein intake and the protein:energy ratio in the range of the nutritional recommendations. CONCLUSIONS: The variability in expressed HM with respect to its protein and energy content is high. This variability persists after standard fortification, possibly resulting in under- or overnutrition. Because both over- and undernutrition confer risks in later development, individualized fortification optimizes protein and energy intake. [less ▲]Detailed reference viewed: 117 (1 ULiège)
Prematurity and bone health
PIELTAIN, Catherine ; de HALLEUX, Virginie ; SENTERRE, Thibault et al
in World Review of Nutrition and Dietetics (2013), 106Detailed reference viewed: 36 (9 ULiège)
Automated respiratory cycles selection is highly specific and improves respiratory mechanics analysis.
RIGO, Vincent ; Graas, Estelle ; Rigo, Jacques
in Pediatric Critical Care Medicine (2012), 13(4), 234-9
OBJECTIVE:: Selected optimal respiratory cycles should allow calculation of respiratory mechanic parameters focusing on patient-ventilator interaction. New computer software automatically selecting ... [more ▼]
OBJECTIVE:: Selected optimal respiratory cycles should allow calculation of respiratory mechanic parameters focusing on patient-ventilator interaction. New computer software automatically selecting optimal breaths and respiratory mechanic derived from those cycles are evaluated. DESIGN:: Retrospective study. SETTING:: University level III neonatal intensive care unit. SUBJECTS:: Ten mins synchronized intermittent mandatory ventilation and assist/control ventilation recordings from ten newborns. INTERVENTION:: The ventilator provided respiratory mechanic data (ventilator respiratory cycles) every 10 secs. Pressure, flow, and volume waves and pressure volume, pressure flow, and ventilator volume flow loops were reconstructed from continuous pressure/volume recordings. Visual assessment determined assisted leak-free optimal respiratory cycles (selected respiratory cycles). New software graded the quality of cycles (automated respiratory cycles). Respiratory mechanic values were derived from both sets of optimal cycles. We evaluated quality selection and compared mean values and their variability according to ventilatory mode and respiratory mechanic provenance. To assess discriminating power, all 45 "t" values obtained from interpatient comparisons were compared for each respiratory mechanic parameter. MEASUREMENTS AND MAIN RESULTS:: A total of 11,724 breaths are evaluated. automated respiratory cycle/selected respiratory cycle selections agreement is high: 88% of maximal kappa with linear weighting. Specificity and positive predictive values are 0.98 and 0.96, respectively. Averaged values are similar between automated respiratory cycle and ventilator respiratory cycle. C20/C alone is markedly decreased in automated respiratory cycle (1.27 +/- 0.37 vs. 1.81 +/- 0.67). Tidal volume apparent similarity disappears in assist/control: automated respiratory cycle tidal volume (4.8 +/- 1.0 mL/kg) is significantly lower than for ventilator respiratory cycle (5.6 +/- 1.8 mL/kg). Coefficients of variation decrease for all automated respiratory cycle parameters in all infants. "t" values from ventilator respiratory cycle data are two to three times higher than ventilator respiratory cycles. CONCLUSIONS:: Automated selection is highly specific. Automated respiratory cycle reflects most the interaction of both ventilator and patient. Improving discriminating power of ventilator monitoring will likely help in assessing disease status and following trends. Averaged parameters derived from automated respiratory cycles are more precise and could be displayed by ventilators to improve real-time fine tuning of ventilator settings. [less ▲]Detailed reference viewed: 27 (6 ULiège)
Precision of continuous neonatal ventilator respiratory mechanics is improved with selected optimal respiratory cycles.
RIGO, Vincent ; ; RIGO, Jacques
in European Journal of Pediatrics (2012), 171(4), 689-96
Given their high apparent variability, bedside continuous respiratory mechanics (RM) parameters (excepting tidal volume (VT)) remain infrequently used for adjustment of neonatal ventilatory settings. RM ... [more ▼]
Given their high apparent variability, bedside continuous respiratory mechanics (RM) parameters (excepting tidal volume (VT)) remain infrequently used for adjustment of neonatal ventilatory settings. RM parameters provided by ventilator (VRC) from 10 recordings of newborns (10 minutes in synchronized intermittent mandatory ventilation and Assist/control (A/C)) were compared to those computed from visually selected assisted leak-free optimal respiratory cycles (SRC). Mean values, variability and ability to distinguish patients were compared between VRC and SRC. Dynamic resistances were more correlated (r²=0.95) than compliances (r²=0.42). VT's were correlated only in A/C (r²=0.78). C20/C was significantly higher in VRC (1.81±0.67) than in SRC (1.23±0.36) and frequently out of neonatal reference range. In A/C ventilation, VT was higher in VRC (5.6 ±1.8 ml/kg) than in SRC (4.8 ±1.0 ml/kg) (p<0.05). Displayed VT's don't reflect those found in optimal assisted breaths and therefore have incomplete value in assessing adequacy of ventilator settings. The variability of RM parameters provided by the ventilator is large, and coefficients of variation were significantly lower with optimal respiratory cycles (for Resistance, Compliance, VT and C20/C: 27, 26, 18, 24% in SRC, 36, 35, 40, 33% in VRC). Selecting optimal cycles yields RM with a 2-3 times higher discriminating power between patients. Conclusion: Current ventilator's RM parameters have limited clinical use. Using optimal breaths to calculate RM parameters improves precision and discriminating power. For integration to ventilatory care, automation of this selection must be implemented first. [less ▲]Detailed reference viewed: 68 (1 ULiège)
Calcium and Phosphorus Homeostasis: Pathophysiology
RIGO, Jacques ; PIELTAIN, Catherine ; VIELLEVOYE, Renaud et al
in BUONOCORE, Giuseppe; BRACCI, Rodolfo; WEINDLING, Michael (Eds.) Neonatology. A practical approach to neonatal diseases. (2012)Detailed reference viewed: 47 (5 ULiège)
Neuroprotection par hypothermie contrôlée dans l'encéphalopathie anoxo-ischémique du nouveau-né
GARSPARD, Valérie ; VIELLEVOYE, Renaud ; RIGO, Jacques
in Revue Médicale de Liège (2012), 67(4), 186-191
Neonatal hypoxic, ischemic encephalopathy is a major cause of death and neurodevelopmental delay. Brain cooling by mild controlled hypothermia is currently the most promising therapy.Detailed reference viewed: 43 (9 ULiège)
Optimizing early nutritional support based on recent recommendations in VLBW infants and postnatal growth restriction
SENTERRE, Thibault ; Rigo, Jacques
in Journal of Pediatric Gastroenterology and Nutrition (2011), 53(5), 536-542Detailed reference viewed: 43 (2 ULiège)
L'allo-immunisation fœto-maternelle ABO peut être sévère
SENTERRE, Thibault ; ; Rigo, Jacques
in Archives de Pédiatrie (2011), 18Detailed reference viewed: 66 (3 ULiège)
Influence of HIV-1 and placental malaria co-infection on newborn biometry and Apgar scores in Kinshasa Democratic Republic of Congo
; Foidart, Jean-Michel ; RIGO, Jacques
in Journal de Gynécologie, Obstétrique et Biologie de la Reproduction (2011), 40(5), 460-4
Objective The aim of this study was to assess the impact of HIV-1 and placental malaria co-infection on newborn biometry and Apgar scores. Methods 146 HIV-1 infected and 149 HIV-1 uninfected consent ... [more ▼]
Objective The aim of this study was to assess the impact of HIV-1 and placental malaria co-infection on newborn biometry and Apgar scores. Methods 146 HIV-1 infected and 149 HIV-1 uninfected consent mothers and their newborns were recruited. Placental biopsies examination confirmed the presence or absence of placental malaria. Birth weight (BW), placental weight, cranial circumference, brachial perimeter, height, Body Mass Index (BMI) and Apgar scores at 1', 5', 10' were taken. The Chi2 test and t -Student test were used for data statistical analysis. Results The global placental malarial infection prevalence was 72% but was 91% in HIV-1 infected vs. 53.7% in HIV-1 uninfected mothers (p <0.0001). The mean BW of HIV-1 co-infected mother's newborns was slightly inferior to that of HIV-1 uninfected mother's babies (3,033±524g vs. 3,236±565g) but this difference was not statistically significant (p >0.05). No other significant biometric differences were noted (p >0.05). But, the co-infection influenced negatively Apgar scores at 5' (p <0.05). Conclusion HIV-1 co-infected mothers were more frequently exposed to placental malaria infection. The co-infection reduced the Apgar scores taken at the fifth minute. [less ▲]Detailed reference viewed: 45 (1 ULiège)
Postnatal growth restriction may be limited in very-low-birth-weigth infants.
Senterre, Thibault ; ; Rigo, Jacques
in Journal of Maternal-Fetal and Neonatal Medicine (2010, May), 23(S1), 325-326Detailed reference viewed: 11 (1 ULiège)
Automated respiratory cycles selection improves the variability of respiratory mechanics monitoring.
Rigo, Vincent ; ; Rigo, Jacques
in Rimensberger, Peter (Ed.) 10th European Conference on Pediatric and Neonatal Ventilation program (2010, April)Detailed reference viewed: 28 (5 ULiège)
Macronutrients supply during Lactation and Infant Growth
Senterre, Thibault ; Rigo, Jacques
in Symonds, M.; Ramsay, M. (Eds.) Maternal-Fetal Nutrition during Pregnancy and Lactation (2010)Detailed reference viewed: 29 (3 ULiège)
Immunoglobulines intraveineuses et maladie hémolytique allo-immune du nouveau-né.
Senterre, Thibault ; Viellevoye, Renaud ; Rigo, Jacques
in Archives de Pédiatrie (2010), 17(3), 299-300Detailed reference viewed: 74 (11 ULiège)
Nutrition du prématuré après la sortie: lait, vitamines, fer, diversification
Rigo, Jacques ; ; Senterre, Thibault et al
in Archives Françaises de Pédiatrie (2010), 17Detailed reference viewed: 60 (2 ULiège)
Amélioration de la variabilité des paramètres continus de mécanique ventilatoire en sélectionnant les respirations de bonne qualité.
Rigo, Vincent ; Rigo, Jacques
in Storme, Laurent (Ed.) JFRN 2009 (2009, November 23)Detailed reference viewed: 31 (2 ULiège)
Newborns need another tune: « I will survive » sets neonatal resuscitation rhythm.
Rigo, Vincent ; Rigo, Jacques
in Annals of Emergency Medicine (2009), 53(6), 837Detailed reference viewed: 88 (17 ULiège)


text:
Check the map.
Four area girls� basketball coaches in their first seasons with their teams were on the bench for road victories Monday night.
That list is Southern Alamance�s Chris Miller, Eastern Guilford�s Kris Britton, Graham�s Melinda Goodson and Cummings High School�s Porscha Graves.
Those four teams head to the road again tonight.
But in the case of Eastern Guilford (playing at Northern Guilford) and Cummings (going to Jordan-Matthews), they�ll know the way because they�re involved in rematches from their respective regular-season conference assignments.
The Cummings / Jordan-Matthews matchup comes two nights after a first-round boys� meeting between the schools, with Cummings winning.
-- LET�S DO THIS AGAIN: They played the Mid-State 3-A Conference Tournament last week at Williams High School.
They�re doing it again in the Class 3-A Mideast Region bracket of the state playoffs.
That�s because four remaining teams are all from the conference and they�re clustered together. Tonight, Williams goes to Eastern Alamance, while Eastern Guilford visits Northern Guilford.
The winners meet Friday night for the right to advance to regionals.
Northern Guilford started the playoffs Monday night by defeating league member Rockingham County for the third time this season.
-- WE�LL PLAY ANYWAY: Southern Alamance finally got around to playing Northwest Guilford for a second time this season in girls� basketball and it was well worth it for the Patriots.
Southern Alamance won 40-37 in Monday night�s Class 4-A first-round clash in the state playoffs.
The Patriots also won a matchup with the host Vikings to start the season, winning that one by 13 points.
In between, they were scheduled to meet last month in the Tony Perrou Classic at Southern Alamance. But Southern Alamance had a scheduling glitch by potentially playing too many games as permitted by the North Carolina High School Athletic Association.
So that encounter was nixed, but it just so happened that they ended up together on the state-playoff bracket.
-- LOSING ALUM: When Graham�s girls went to East Duplin and won Monday night�s state-playoff game, it came against a team coached by Graham alum Mark Lane.
Lane is a 1979 graduate of Graham.
-- TIME TO PLAY: Graham�s boys� game tonight against visiting Clinton will start at 7 p.m.
Graham played its first-round game an hour earlier at the request of visiting East Bladen, which didn�t want a late-night return home.

subset: commoncrawl


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VANCOUVER - Vancouver police are investigating a disturbing smartphone video of an incident on the Granville Strip where a man appears to pay another man cash to kick him in the groin while a rowdy closing-time crowd howls and cheers.
The man then chased after the victim and took back the cash, according to bystanders.
Sgt. Randy Fincham said officers were not called out to the scene in the Granville Street Entertainment District Sunday evening for that particular incident, but added that police are taking the contents of the video seriously and it will be reviewed by investigators.
"The video is very disturbing. We have referred the incident to an investigative team for review," Fincham said, in an email.
In the video, a man repeatedly tries to kick another man in the groin while asking him if he "wants his f — ing money." Then a second man steps forward and says, "I'll do it," and the heavy-set assailant does the same to the next man.
After several attempts, a heavy blow hits the man square in the groin. As the victim reels backward from the punt, the assailant can be seen chasing the victim across Granville Street, where he falls to the ground. Then the video cuts out.
Jens Petersen, who told The Sun he knew the victim, was standing near The Roxy when the commotion began on the sidewalk in front of the popular nightclub.
Petersen said the assailant had paid the victim to kick him. But after he chased and caught up with the fleeing victim, the assailant took back the money.
Riley Speers, who posted footage of the incident to YouTube, told The Sun it all took place around 3 a.m. when the clubs let out.
Speers said he did not believe the assailant came out of The Roxy, but rather approached the area alone from somewhere down Granville Street. He said he thought the man did take back the money he paid before he left the area.
Several other people witnessed the victims receive kicks. Many people laughed while some shot video with their smartphones. Their howling continues as the man chases the victim down the street.
The anonymous person who sent the video to The Sun said he was horrified by what happened and he hoped the police would investigate the incident as an assault.
The video may be difficult for some people to watch.


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FREMONT — Police are looking for a masked gunman who robbed a woman as she walked along a busy city street here Monday evening.
The woman was not injured, but the armed bandit did make off with a pocketful of cash, police said.
Officers responded at 6:40 p.m. to the intersection of Fremont Boulevard and Sundale Drive just east of the Crossroads Shopping Center for a report of an armed robbery, said Detective Bill Veteran.
A preliminary investigation revealed a man approached a 27-year-old Fremont woman as she walked home and pointed a black handgun at her, Veteran said.
The suspect, who wore a black bandana over his face, took $40 from the woman took off on foot. Officers searched the area, but did not find the him, Veteran said.
Police did not release full description of the supsect.
Anyone who witnessed the armed robbery or who has information about the crime is asked to call 510-790-6800 or the anonymous tip line at 510-494-4856.
Contact Natalie Neysa Alund at 510-293-2469. Follow her at Twitter.com/nataliealund.


text:
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CHARLESTON, S.C.— In a story of political redemption, Mark Sanford is headed back to Congress after his career was derailed by scandal four years ago.
"I am one imperfect man saved by God's grace," the Republican told about 100 cheering supporters Tuesday after defeating Democrat Elizabeth Colbert Busch to win back the 1st District seat he held for three terms in the 1990s. "It's my pledge to all of you going forward I'm going to be one of the best congressmen I could have ever been."
On Wednesday, Sanford told NBC's "Today" show he thinks his record as a watchdog for taxpayers was more important than his personal redemption story.
"I think I have an incredibly strong track record with regard to watching out for people's pocketbook," he said.
Although the race was thought to be close going into the voting, Sanford collected 54 per cent of the vote against Colbert Busch, the sister of political satirist Stephen Colbert, in a district that hasn't elected a Democratic congressman in more than three decades. About 32 per cent of the district's voters went to the polls. Green Party candidate Eugene Platt finished far behind.
"Some guy came up to me the other day and said you look a lot like Lazarus," Sanford told the crowd Tuesday night, referring to the man who, according to the Bible, Christ raised from the dead. "I've talked a lot about grace during the course of this campaign," he said. "Until you experience human grace as a reflection of God's grace, I don't think you really get it. And I didn't get it before."
While he credited his conservative credentials on Wednesday, he did not back away from his problems.
"I let a lot of folks down back in 2009 and yet I've been on a remarkable personal journey since then and I hope my life will reflect that going forward," Sanford said.
Sanford, who turns 53 later this month, has now never lost a race in four runs for Congress and two for governor. And he said before the votes were counted Tuesday that if he lost this one, he wouldn't run for office again.
He saw his political career disintegrate in summer 2009 when he disappeared for five days, telling his staff he was hiking the Appalachian Trail. He returned to admit in a tearful news conference he had been in Argentina with his mistress, Maria Belen Chapur. He is now engaged to her, and she stood by his side Tuesday night after flying in from Argentina.
After the affair was revealed, Sanford paid a $70,000 ethics fine, the largest in state history, for using public money to fly for personal purposes. His wife and political ally, Jenny, divorced him.
Three weeks before the special election, news surfaced that Sanford's ex-wife had filed a court complaint alleging he was in her house without permission in violation of their divorce decree, leading the National Republican Congressional Committee to pull its support from the campaign. Sanford must appear in court Thursday on the complaint.
Sanford said he tried to get in touch with his ex-wife and was in the house so his youngest son would not have to watch the Super Bowl alone.
The congressional seat became vacant when U.S. Sen. Jim DeMint resigned from his Senate seat late last year. Governor Nikki Haley then appointed the sitting congressman, Tim Scott, to fill DeMint's seat.
"We put up a heck of a fight, didn't we?" Colbert Busch told a crowd of supporters at a hotel in Charleston. "The people have spoken, and I respect their decision."
Although the district is strongly Republican, Colbert Busch raised more money than Sanford. And national Democrats flooded the airwaves with ads attacking Sanford's past indiscretions.
Steve Israel, the chairman of the Democratic Congressional Campaign Committee, said Sanford now becomes the face of the Republican efforts to reach out to women voters and the GOP will have to defend him.
"In this deep red Republican district that Mitt Romney won by 18 points, the fact that the Democrat made this competitive is a testament to the strength of Elizabeth Colbert Busch as a candidate and the Republican habit of nominating flawed candidates," he said in a statement.
But Greg Walden, his counterpart at the National Republican Congressional Committee countered that the "results demonstrate just how devastating the policies of Barack Obama and Nancy Pelosi are for House Democrats in 2014. Democrats spent more than $1 million trying to elect a candidate who was backed by the Democrat machine, but at the end of the day, running on the Obama-Pelosi ticket was just too toxic for Elizabeth Colbert Busch."