Synthesis and Validation of a Weatherproof Nursery Design That Eliminates Tropical Evening-Fever Syndrome in Neonates

Neonatal thermal stabilisation can become challenging when uncontrollable factors result in excessive body temperature. Hyperthermia can rapidly slow down baby’s progress and response to treatment. High sunlight intensity in tropical countries such as Nigeria manifests in incessant high neonatal tem...

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Main Authors: Hippolite O. Amadi, Lawal I. Mohammed, Mohammed B. Kawuwa, Abdulquddus Oyedokun, Hajjah Mohammed
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2014/986760
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author Hippolite O. Amadi
Lawal I. Mohammed
Mohammed B. Kawuwa
Abdulquddus Oyedokun
Hajjah Mohammed
author_facet Hippolite O. Amadi
Lawal I. Mohammed
Mohammed B. Kawuwa
Abdulquddus Oyedokun
Hajjah Mohammed
author_sort Hippolite O. Amadi
collection DOAJ
description Neonatal thermal stabilisation can become challenging when uncontrollable factors result in excessive body temperature. Hyperthermia can rapidly slow down baby’s progress and response to treatment. High sunlight intensity in tropical countries such as Nigeria manifests in incessant high neonatal temperatures towards early evenings. The ugly consequences of this neonatal evening-fever syndrome (EFS) can only be eradicated by the development of a controlled weatherproof nursery environment. Two laboratories and a ‘control ward’ were applied. Lab-2 was a renovation of an existing room in a manner that could correct an existing nursery. Lab-1 was an entirely new building idea. The laboratories were assessed based on comparative ability to maintain environmental coolness and neonatal thermal stability during hot days. Data collection continued for 12 full calendar months. On average, at evaluated out-wind peak temperature of 43°C (range: 41°C–46°C), the control-ward peak was at 39°C, Lab-2 peak at 36°C, and Lab-1 peak at 33°C. All incubators in the control overheated during the hot periods but there was no overheating in Lab-1. Forty-four (86%) of sampled babies were fever-quenched by water sponging 131 times in the control whilst only one baby received same treatment in Lab-1. Nursery designs patterned after Lab-1 can significantly reduce EFS-induced neonatal morbidity.
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institution Kabale University
issn 1687-9740
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publishDate 2014-01-01
publisher Wiley
record_format Article
series International Journal of Pediatrics
spelling doaj-art-5f5995018478440e86598116e74befa92025-02-03T01:20:40ZengWileyInternational Journal of Pediatrics1687-97401687-97592014-01-01201410.1155/2014/986760986760Synthesis and Validation of a Weatherproof Nursery Design That Eliminates Tropical Evening-Fever Syndrome in NeonatesHippolite O. Amadi0Lawal I. Mohammed1Mohammed B. Kawuwa2Abdulquddus Oyedokun3Hajjah Mohammed4Department of Bioengineering, Imperial College London, SW7 2AZ, UKNeonatal Unit, Department of Paediatrics, Federal Medical Centre Nguru, NigeriaDepartment of Obstetrics and Gynaecology, Federal Medical Centre Nguru, NigeriaNeonatal Unit, Department of Paediatrics, Federal Medical Centre Nguru, NigeriaNeonatal Unit, Department of Paediatrics, Federal Medical Centre Nguru, NigeriaNeonatal thermal stabilisation can become challenging when uncontrollable factors result in excessive body temperature. Hyperthermia can rapidly slow down baby’s progress and response to treatment. High sunlight intensity in tropical countries such as Nigeria manifests in incessant high neonatal temperatures towards early evenings. The ugly consequences of this neonatal evening-fever syndrome (EFS) can only be eradicated by the development of a controlled weatherproof nursery environment. Two laboratories and a ‘control ward’ were applied. Lab-2 was a renovation of an existing room in a manner that could correct an existing nursery. Lab-1 was an entirely new building idea. The laboratories were assessed based on comparative ability to maintain environmental coolness and neonatal thermal stability during hot days. Data collection continued for 12 full calendar months. On average, at evaluated out-wind peak temperature of 43°C (range: 41°C–46°C), the control-ward peak was at 39°C, Lab-2 peak at 36°C, and Lab-1 peak at 33°C. All incubators in the control overheated during the hot periods but there was no overheating in Lab-1. Forty-four (86%) of sampled babies were fever-quenched by water sponging 131 times in the control whilst only one baby received same treatment in Lab-1. Nursery designs patterned after Lab-1 can significantly reduce EFS-induced neonatal morbidity.http://dx.doi.org/10.1155/2014/986760
spellingShingle Hippolite O. Amadi
Lawal I. Mohammed
Mohammed B. Kawuwa
Abdulquddus Oyedokun
Hajjah Mohammed
Synthesis and Validation of a Weatherproof Nursery Design That Eliminates Tropical Evening-Fever Syndrome in Neonates
International Journal of Pediatrics
title Synthesis and Validation of a Weatherproof Nursery Design That Eliminates Tropical Evening-Fever Syndrome in Neonates
title_full Synthesis and Validation of a Weatherproof Nursery Design That Eliminates Tropical Evening-Fever Syndrome in Neonates
title_fullStr Synthesis and Validation of a Weatherproof Nursery Design That Eliminates Tropical Evening-Fever Syndrome in Neonates
title_full_unstemmed Synthesis and Validation of a Weatherproof Nursery Design That Eliminates Tropical Evening-Fever Syndrome in Neonates
title_short Synthesis and Validation of a Weatherproof Nursery Design That Eliminates Tropical Evening-Fever Syndrome in Neonates
title_sort synthesis and validation of a weatherproof nursery design that eliminates tropical evening fever syndrome in neonates
url http://dx.doi.org/10.1155/2014/986760
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