sheyoroniyen:

believe kee you their........one JW spotted

Hefy4real:

Well, you’ve won. My motive was never to win any argument.
For more information about High-intensity phototherapy for the treatment of severe nonhaemolytic neonatal hyperbilirubinemia click the secular link below
https://www.ncbi.nlm.nih.gov/m/pubmed/21251060/#fft

That’s not all i got though. I’ll need somone who’s not dogmatic to pm me or request for more convincing proofs (not experiments)

Conclusions: High‐intensity phototherapy significantly reduces TSB in nonhaemolytic severe hyperbilirubinaemia and decreases the need for exchange transfusion

Authoreety:
Donkey!

Authoreety:
Donkey!

Hefy4real:


Now we getting serious. I said read all the articles in the link, then you slyly quoted what suited you. This might be my last response, fellow! Read all the article on the link. A quick one below

High-dose intravenous immunoglobulin therapy in neonatal immune haemolytic jaundice.
Randomized controlled trial
Alpay F, et al. Acta Paediatr. 1999.
Show full citation
Abstract
A controlled study was conducted to assess the role of high-dose i.v. immunoglobulin (HDIVIG) therapy in neonatal immune haemolytic jaundice. Patients with ABO and/or Rh incompatibilities proved by significant hyperbilirubinaemia (>204 mmol l(-1)), positive direct antiglobulin test and high reticulocyte count (> or =10%) were randomly assigned to receive either conventional phototherapy alone or phototherapy with high-dose i.v. immunoglobulin (1 g kg(-1), over 4 h) as soon as the diagnosis was established. Exchange transfusions were performed if serum bilirubin concentrations exceeded 290 mmol l(-1) and increased by more than 17 mmol l(-1) per h despite both treatment manoeuvres. Eight of 58 patients in the HDIVIG group required exchange transfusions, whereas it became necessary in 22 of 58 patients in the control group (p<0.001). The durations of phototherapy and hospitalization in terms of hours were significantly shorter in the HDIVIG group (p<0.05). No side effects of HDIVIG therapy were observed.
In conclusion, HDIVIG therapy in newborns with ABO or Rh haemolytic diseases reduces haemolysis, serum bilirubin levels and the need for blood exchange transfusion, a procedure which has potential complications and carries a risk of mortality.

PMID 10102158 [Indexed for MEDLINE]
Full text
Full text at journal site
Comment in
Acta Paediatr. 2000 Mar;89(3):371-2.
Similar articles

High-dose intravenous immune globulin therapy for hyperbilirubinemia caused by Rh hemolytic disease.
Randomized controlled trial
Rübo J, et al. J Pediatr. 1992.
[High-dose immunoglobulin therapy of hyperbilirubinemia in rhesus incompatibility].
Randomized controlled trial
Rübo J, et al. Infusionsther Transfusionsmed. 1993.
Intravenous immunoglobulin in ABO and Rh hemolytic diseases of newborn.
Randomized controlled trial
Nasseri F, et al. Saudi Med J. 2006.
Systematic review of intravenous immunoglobulin in haemolytic disease of the newborn.
Review article
Gottstein R, et al. Arch Dis Child Fetal Neonatal Ed. 2003.
Immunoglobulin infusion for isoimmune haemolytic jaundice in neonates.
Review article
Alcock GS, et al. Cochrane Database Syst Rev. 2002.

https://www.ncbi.nlm.nih.gov/m/pubmed/10102158/

Romanoff:
Na wa o

I watched an episode of Grey's anatomy where a Jehovah's Witness parent refused their child treatment because of their belief. Guess what?

The mother went behind the husband's back, dropped the boy at the hospital and ran away.

Dr Karev did the surgery and transfusion on the boy, dad came threatening to sue the hospital, the mother spoke up and said I gave birth to him, I will not let him die if something can be done to save him.

.

Hairyrapunzel:


I am still laughing. You showed me an abstract o. Lol




At the end of the day it's non hemolytic severe hyperbilirubinemia.

Drawbacks

It didn't talk about hemolytic anemia
The children were term and very near term
They were normal birth weight babies
No kernicterus or BIND
It didn't say whether the jaundice was 1st day or not.
No rise rate
No sepsis

Straight forward neonatal jaundice that didn't need EBT.

Hairyrapunzel:


Still laughing so 8 children still needed EBT in the group that got immunoglobulin and on phototherapy while 22 babies got EBT in the group that got only phototherapy.

Last last EBT is the procedure when everything else has failed.

At the end of the day if baby meets the criteria for absolute EBT the baby has to get it.

Key word here: absolute indications for EBT

atoleybaba:
if u genuinely need an answer you would go to the website, it is certain you just want the answer not because u really want to hear it but u just want to tackle the doctrine of the witnesses...besides the issue about drugs taaken instead of transfusion iss long to start writing....the best I can do for u is to direct u to the site to read about the drug used . Besides which drug are d witnesses using that contain blood? Go to that website if u really need an answer

donbachi:
"GOD"...is the greatest physician...wen him wan form eve,na surgery him carry out and na blood from Adam em use form eve...make dem no dey deceive dem sef...how can I watch my child or wife die,cos my religion condemns blood transfusion...but will be shouting "blood of Jesus" everytime.

Hairyrapunzel:


Still laughing so 8 children still needed EBT in the group that got immunoglobulin and on phototherapy while 22 babies got EBT in the group that got only phototherapy.

Last last EBT is the procedure when everything else has failed.

At the end of the day if baby meets the criteria for absolute EBT the baby has to get it.

Key word here: absolute indications for EBT

Addenn:
I have to applaud the calmness of words used by 'masking' all along despite the hotness of this topic and the enthusiasm to defend the truth. The likes of joyandfaith choice of word is not really healthy. While will all like to stand by the truth, our manner of defending the truth goes a long way to say something about our belief. For the likes of 'ucham' and others who keep asking about 'fractions' 'masking'have answered you to a greater extent that it is base on 'conscience'. Perhaps you are not completely fine with that, that's why 'atolayeba' possibly direct you to the website. In summary, it is understandable that we cannot all sleep and face one direction, but with calmness and mutual respect we can accommodate other peoples' position on matters.

PVision2020:


https://mobile.twitter.com/followlasg/status/1214252677917544449

Hefy4real:


A quack who cannot fully comprehend a simple abstract and its conclusion spotted. Lemme alao see how you’ll explain the next one o

Intravenous immunoglobulin G (IVIG) therapy for significant hyperbilirubinemia in ABO hemolytic disease of the newborn.
Randomized controlled trial
Miqdad AM, et al. J Matern Fetal Neonatal Med. 2004.
Show full citation
Abstract
BACKGROUND: Although intravenous immunoglobulin G (IVIG) therapy has been reported in hyperbilirubinemia of Rh hemolytic disease, its use in ABO hemolytic disease has been reported in only a few studies. In our institute we have observed that almost 30% of babies with hyperbilirubinemia due to ABO hemolytic disease required exchange transfusion.

OBJECTIVE: To determine whether administration of IVIG to newborns with significant hyperbilirubinemia due to ABO hemolytic disease would reduce the need for exchange transfusion as a primary goal in these babies.

DESIGN: This was a prospective study involving all newborns with significant hyperbilirubinemia due to direct Coombs-positive ABO hemolytic disease.

METHODS: All healthy term babies with ABO hemolytic disease with positive direct Coombs test in the period between 2000 and 2002 were identified. Significant hyperbilirubinemia was defined as hyperbilirubinemia requiring phototherapy and/or rising by 8.5 micromol/l per h (0.5 mg/dl per h) or more to require exchange transfusion. Babies were randomly assigned into two groups: group 1 (study group) received phototherapy plus IVIG (500 mg/kg); and group 2 (control group) received phototherapy alone. Exchange transfusion was carried out in any group if at any time the bilirubin level reached 340 micromol/l (20 mg/dl) or more, or rose by 8.5 micromol/l per h (0.5 mg/dl per h) in group 2.

RESULTS: A total of 112 babies were enrolled over 2 years, 56 in each group. Exchange transfusion was carried out in four babies in the study group, while 16 babies in the control group required exchange. Late anemia was not of concern in either group. No adverse effects related to IVIG administration were recorded.

CONCLUSION: Administration of IVIG to newborns with significant hyperbilirubinemia due to ABO hemolytic disease with positive direct Coomb's test reduces the need for exchange transfusion without producing immediate adverse effects.

https://www.ncbi.nlm.nih.gov/m/pubmed/15590442/

Hefy4real:


A quack who cannot fully comprehend a simple abstract and its conclusion spotted. Lemme alao see how you’ll explain the next one o

Intravenous immunoglobulin G (IVIG) therapy for significant hyperbilirubinemia in ABO hemolytic disease of the newborn.
Randomized controlled trial
Miqdad AM, et al. J Matern Fetal Neonatal Med. 2004.
Show full citation
Abstract
BACKGROUND: Although intravenous immunoglobulin G (IVIG) therapy has been reported in hyperbilirubinemia of Rh hemolytic disease, its use in ABO hemolytic disease has been reported in only a few studies. In our institute we have observed that almost 30% of babies with hyperbilirubinemia due to ABO hemolytic disease required exchange transfusion.

OBJECTIVE: To determine whether administration of IVIG to newborns with significant hyperbilirubinemia due to ABO hemolytic disease would reduce the need for exchange transfusion as a primary goal in these babies.

DESIGN: This was a prospective study involving all newborns with significant hyperbilirubinemia due to direct Coombs-positive ABO hemolytic disease.

METHODS: All healthy term babies with ABO hemolytic disease with positive direct Coombs test in the period between 2000 and 2002 were identified. Significant hyperbilirubinemia was defined as hyperbilirubinemia requiring phototherapy and/or rising by 8.5 micromol/l per h (0.5 mg/dl per h) or more to require exchange transfusion. Babies were randomly assigned into two groups: group 1 (study group) received phototherapy plus IVIG (500 mg/kg); and group 2 (control group) received phototherapy alone. Exchange transfusion was carried out in any group if at any time the bilirubin level reached 340 micromol/l (20 mg/dl) or more, or rose by 8.5 micromol/l per h (0.5 mg/dl per h) in group 2.

RESULTS: A total of 112 babies were enrolled over 2 years, 56 in each group. Exchange transfusion was carried out in four babies in the study group, while 16 babies in the control group required exchange. Late anemia was not of concern in either group. No adverse effects related to IVIG administration were recorded.

CONCLUSION: Administration of IVIG to newborns with significant hyperbilirubinemia due to ABO hemolytic disease with positive direct Coomb's test reduces the need for exchange transfusion without producing immediate adverse effects.

https://www.ncbi.nlm.nih.gov/m/pubmed/15590442/

Hefy4real:


If only you knew what is called data privacy law for patients

Anyways, For your level that’s what you need for now. As we progress i might give you real lives scenarios. You have to proove you are worthy of it. Check my last post please, what have you deduced

Hefy4real:


If only you knew what is called data privacy law for patients

Anyways, For your level that’s what you need for now. As we progress i might give you real lives scenarios. You have to proove you are worthy of it. Check my last post please, what have you deduced

Hairyrapunzel:


Which other options are used when the newborn meets the criteria for absolute indications of exchange blood transfusion?

Another baby killer spotted.
Did the child tell you he is against it?

donbachi:
"GOD"...is the greatest physician...wen him wan form eve,na surgery him carry out and na blood from Adam em use form eve...make dem no dey deceive dem sef...how can I watch my child or wife die,cos my religion condemns blood transfusion...but will be shouting "blood of Jesus" everytime.

PVision2020:


https://mobile.twitter.com/followlasg/status/1214252677917544449

headTO:
so you are a braindirty sensible. Learn not to talk like a slowpoke when u have problem with people's belief. Can you show me where in the scripture we were commanded to take blood as a form of treatment?

Hairyrapunzel:


Spiritual growth now means killing babies because of your illiterate leaders assumption?

Jewessgratitude:
This JW are so awkward in their beliefs.


They dont celebrate birthdays and dont take birthday goodies. But their girls shack beer.
They dont marry outside their religion
They dont sing praises
They don't do blood transfusion

Originalsly:


The place of the doctor is to inform the parents of the options. It is for the parents to choose the options. If exchange blood transfusion is the last option and the parents opt out of that one... then they should use the others and not apply that one by force.
If a child is in an accident and is placed on life support.... is it the doctor / hospital that makes the decision to cut life support? If the parent decides to pull the plug.... should the doctors prevent them from doing so? .... prevent the parent from killing their child?

xaggar:


Who knows you with your level of literacy?

Deluded!

Barristter07:


You know the funniest thing about this whole brouhaha is that 80% of those speaking against the Witnesses actually believed that when someone dies they go to heaven, Isn't it ironic that if a person dies as a baby or kid . Their heaven is automatic according to their belief , Yet they don't want to reject transfusion and allow the baby go to heaven and be saved, Rather for the baby to grow and become a Potential Hellfire Candidate ?

donbachi:
"GOD"...is the greatest physician...wen him wan form eve,na surgery him carry out and na blood from Adam em use form eve...make dem no dey deceive dem sef...how can I watch my child or wife die,cos my religion condemns blood transfusion...but will be shouting "blood of Jesus" everytime.

Hefy4real:


Says who?

Hefy4real:


A quack who cannot fully comprehend a simple abstract and its conclusion spotted. Lemme alao see how you’ll explain the next one o

Intravenous immunoglobulin G (IVIG) therapy for significant hyperbilirubinemia in ABO hemolytic disease of the newborn.
Randomized controlled trial
Miqdad AM, et al. J Matern Fetal Neonatal Med. 2004.
Show full citation
Abstract
BACKGROUND: Although intravenous immunoglobulin G (IVIG) therapy has been reported in hyperbilirubinemia of Rh hemolytic disease, its use in ABO hemolytic disease has been reported in only a few studies. In our institute we have observed that almost 30% of babies with hyperbilirubinemia due to ABO hemolytic disease required exchange transfusion.

OBJECTIVE: To determine whether administration of IVIG to newborns with significant hyperbilirubinemia due to ABO hemolytic disease would reduce the need for exchange transfusion as a primary goal in these babies.

DESIGN: This was a prospective study involving all newborns with significant hyperbilirubinemia due to direct Coombs-positive ABO hemolytic disease.

METHODS: All healthy term babies with ABO hemolytic disease with positive direct Coombs test in the period between 2000 and 2002 were identified. Significant hyperbilirubinemia was defined as hyperbilirubinemia requiring phototherapy and/or rising by 8.5 micromol/l per h (0.5 mg/dl per h) or more to require exchange transfusion. Babies were randomly assigned into two groups: group 1 (study group) received phototherapy plus IVIG (500 mg/kg); and group 2 (control group) received phototherapy alone. Exchange transfusion was carried out in any group if at any time the bilirubin level reached 340 micromol/l (20 mg/dl) or more, or rose by 8.5 micromol/l per h (0.5 mg/dl per h) in group 2.

RESULTS: A total of 112 babies were enrolled over 2 years, 56 in each group. Exchange transfusion was carried out in four babies in the study group, while 16 babies in the control group required exchange. Late anemia was not of concern in either group. No adverse effects related to IVIG administration were recorded.

CONCLUSION: Administration of IVIG to newborns with significant hyperbilirubinemia due to ABO hemolytic disease with positive direct Coomb's test reduces the need for exchange transfusion without producing immediate adverse effects.

https://www.ncbi.nlm.nih.gov/m/pubmed/15590442/