RESUMEN
Introduction : Recent advances and improvements in technology in Neonatal Intensive Care Unit (NICU) over the past few decades have increased th survival of preterm infants. India ranks first amongst the number of preterm birth. Though the survival of preterm babies have increased Neuro-developmental morbidity amongst such babies still persist. Through this study we aim to establish a risk stratification tool and predict neurodevelopmental delay at 1 year of age. Materials and Methods : A total number of 77 babies were enrolled in the study after fulfilment of inclusion and exclusion criteria. Follow up till 1 year of age of corrected gestational age was done. Development assessment was done through Child Development Centre (CDC) grading, Amile-Tison Angle, Developmental Observation Card, Trivandrum Developmental Screening Chart and development quotient. Vision and Hearing Assessment was also done. Conclusion : Neuro-developmental outcome prediction at 1 year of age is inadequate and proper long term follow p is needed. Overall preterm babies needing extensive resuscitation and 5 minute APGAR <6 had much poor neurological outcome.
RESUMEN
El presente trabajo aborda los primeros pasos hacia la conexión informática de las entidades que conforman la Consulta Provincial del Neurodesarrollo Infantil y la Discapacidad (CPNDI) en Santiago de Cuba. Se propone un sistema basado en tecnología Web para su uso en infraestructuras de comunicación limitadas como ocurre en zonas rurales, desarrollado en colaboración con la Universidad de Ciencias Aplicadas de Dus-seldorf y la Univ. Benemérita de Puebla, México. El sistema se basa en el acoplamiento de un sistema de gestión de pacientes con acceso a equipos médicos ambulatorios con un sistema de asistencia especializada orientado al tratamiento de pacientes vía un navegador de internet. La combinación efectiva de aplicaciones web remotas y locales facilita una integración efectiva del equipamiento médico ambulatorio requerido en el sitio remoto donde se encuentra el paciente con el sistema de asistencia especializada donde se encuentran los doctores y especialistas todo a través de tecnología web(AU)
In this paper are discussed, the first steps for a telemedicine network which connects the units and places within the Medical Consultation for Infant Neurodevelopment and Handicap (CPNDI) in Santiago de Cuba. A web-based system for use to connect sites within the CPNDI structure and to access rural areas with limited communication infrastructures is finally proposed. The system consists of a patient management system and a medical device system that are available to the doctor and the patient-side assistant during treatment via an Internet browser. The combination of local and remote web applications enables a seamless integration of the medical devices required at the patient's location into the doctor's remote station based on browser technology(AU)