Selenium and Vitamin A and E in the Nutrition of Very Low-Birth Weight Preterm Infants

Although studies on fetal and preterm infant nutrition have mainly focused on macronutrients, the investigation on micronutrients, also known as trace elements oroligo elements, especially those with antioxidant effect, is also important since they participate in preterm growth, metabolic functions and disease prevention.

Preterm infants have metabolic characteristics, diseases and complications due to immaturity that make the provision of appropriate nutrients a general concern, as inadequate food intake may have an impact on growth and disease development in later life. Difficulties in the ministration of vitamins and microelements are found because basic needs are not always well defined, variable doses have been used in clinical trials and dosage recommendations vary considerably in the literature.  Read more>>>>>>>>>>>

Importance of the Early Management of Omphalocele Minor

Omphalocele is a central defect of umbilical ring, resulting in persistent herniation of the abdominal content. The midgut, positioned in umbilical cord, rotates 90°counterclockwise around the superior mesenteric artery.

At 10 weeks of gestation, intestines return to the abdomen. The small intestines return first, followed by large intestines, which complete an additional 180° counterclockwise rotation. After the intestines return to the abdomen, they enlarge, lengthen, and fuse to the abdominal cavity. The abdominal wall then closes and the body stalk constricts to become umbilical cord. Omphalocele results due to either the developmental arrest of the abdominal wall or failure of the abdominal viscera to return to the abdominal cavity. Read more>>>>>>>>>>>>>>

Congenital Asymmetric Crying Face with Bilateral Microtia

Congenital asymmetric crying faces is a minor congenital anomaly due to absence or hypoplasia of the depressor anguli oris muscle on one side of the mouth which manifest in a newborn at birth. Microtia is a congenital malformation characterized by total or partial absence of the whole auricle or any of its components, varying from a small auricle to the total absence (anotia). 

We present a case of congenital asymmetric crying face with bilateral microtia.We performed an assessment of a newborn girl with a birth weight of 4020 gr, head circumference of 35 cm, chest circumference of 34.5 cm, abdominal circumference of 34 cm and length of 50 cm. The Apgar scorewas 8 and 9 at 1st and 5th minute. The infant was born to a 40 y/o African mother, multigravida (6 pregnancies, 5 full term deliveries), after 39 weeks of gestation. She had a history of gestational diabetes in her last pregnancy, that was controlled with diet only and the baby was born without any anomalies. She did not have a family history of diabetes. Read more>>>>>>>>>>>>>>