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Swallow–Breath Interaction and Phase of Respiration with Swallow during Non-Nutritive Suck in Infants Affected by Neonatal Abstinence Syndrome

Overview of attention for article published in Frontiers in Pediatrics, October 2017
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Title
Swallow–Breath Interaction and Phase of Respiration with Swallow during Non-Nutritive Suck in Infants Affected by Neonatal Abstinence Syndrome
Published in
Frontiers in Pediatrics, October 2017
DOI 10.3389/fped.2017.00214
Pubmed ID
Authors

Eric W. Reynolds, Debbie Grider, Cynthia S. Bell

Abstract

The development of suck-swallow-breath rhythms during non-nutritive suck (NNS) may be an indicator of neurologic integrity. We have described swallow-breath (SwBr) interaction and phase of respiration (POR) with swallow during NNS in low-risk preterm (LRP) infants. NNS in infants with neonatal abstinence syndrome (NAS) has not been described with our method. Suckle, swallow, thoracic motion, and nasal airflow were measured during NNS in 10 infants with NAS and 12 unaffected infants (control). Logistic regression models were fit to describe the three types of SwBr and five types of POR in terms of the independent variables (gender, gestational age, birth weight, postmenstrual age, weeks postfirst nipple feed and swallows per study). We also compared the NAS group to 16 LRP infants. In the NAS group, there were 94 swallows in 18 studies. In the control group, there were 94 swallows in 12 studies. There were statistical differences between groups for all three types of SwBr. The distribution of SwBr in NAS was similar to LRP infants with NAS having fewer swallows with attenuated respiration and more with central apnea. For POR, there were few differences. Over time, the distribution of SwBr in NAS infants approaches that of control infants. Variability in SwBr and POR during NNS may represent neurologic dysfunction in infants with NAS. Specifically, term infants with NAS display an immature pattern of SwBr making them more similar to preterm infants, rather than a unique pathology. The distribution of SwBr and POR in NAS infants becomes more like term infants, possibly representing catch-up development as the NAS symptoms resolve. SwBr in babies with NAS is different from that of unaffected term infants, actually being similar to preterm infants. Infants with NAS exhibit a dysmature pattern of NNS development which resolves over time.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 32 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 32 100%

Demographic breakdown

Readers by professional status Count As %
Other 6 19%
Student > Master 5 16%
Student > Bachelor 2 6%
Professor > Associate Professor 2 6%
Lecturer 1 3%
Other 4 13%
Unknown 12 38%
Readers by discipline Count As %
Medicine and Dentistry 8 25%
Nursing and Health Professions 7 22%
Chemistry 1 3%
Agricultural and Biological Sciences 1 3%
Unknown 15 47%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 04 October 2017.
All research outputs
#18,573,839
of 23,005,189 outputs
Outputs from Frontiers in Pediatrics
#3,400
of 6,063 outputs
Outputs of similar age
#247,414
of 323,110 outputs
Outputs of similar age from Frontiers in Pediatrics
#43
of 65 outputs
Altmetric has tracked 23,005,189 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 6,063 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.6. This one is in the 30th percentile – i.e., 30% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 323,110 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 65 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.