Track 1- Neonatology: 

Neonatology is a subspecialty of paediatrics that consists of the medicinal care of new-born infants, especially the ill or premature infant. The tiniest patients of neonatologists are new-born infants who require special medical care due to prematurity, low birth weight, congenital malformations (birth defects, intrauterine growth retardation,), pulmonary hypoplasia, and sepsis. It is usually practiced in neonatal intensive care units (NICUs) as it is a hospital-based specialty. 

Track 2-  Neonatal Congenital malformations (Birth defects):

Babies born before the 37th week of gestation are considered premature. All premature babies experience complications; being born too early can cause short-term and long-term health problems for preemies. In general, the earlier a baby is born, the higher the risk of complications. Birth weight also plays an important role, too. The most common causes of neonatal deaths are preterm birth complications, new born infections and birth asphyxia.

Track 3- Neonatal Intensive care Unit (NICUs)/Intensive Care Nursery (ICN):

The Neonatal Intensive Care Unit (NICU) )/Intensive Care Nursery (ICN) is where your new-born will stay for days, weeks, or possibly longer, depending on the baby’s degree of prematurity. Most babies admitted to the NICU are premature (born before 37 weeks of pregnancy), have low birth weight (less than 5.5 pounds), or have a medical condition that requires special care. The unit is staffed by specially trained physicians and nurses and also includes paediatric residents and neonatal fellows (physicians who are specializing in treating sick new-born’s). Neonatal Medicine is one of the best neonatal cares for the sickest babies as they require specialized care in the region's newest and most up-to-date neonatal intensive care unit (NICU).

Track 4-  Neonatal & Development-Behavioral Medicine:

Infant Behaviour & Development is nothing but the babies born at risk for developmental delays or behavioural problems due to prematurity or born with other medical complications that resulted in hospitalization in one of our Neonatal Intensive Care Units. It includes the development of sleep, crying, reflexes, vision, hearing, and breathing in new-borns.

Neonatal Psychology & Psychiatry is the study of behavior and the mind. Infants can suffer serious mental health disorders, yet they are unlikely to receive treatment that could prevent lasting developmental problems.

Track 5- Neonatal Infectious Diseases:

Neonatal Infectious Diseases are the infections of the neonate (new-born) during the neonatal period or first four weeks after birth. Infections may be contracted by Tran’s placental transfer in utero, in the birth canal during delivery (perinatal), or by other means after birth. Some neonatal infections are apparent soon after delivery, while others may develop postpartum within the first week or month. Some infections acquired in the neonatal period do not become apparent until much later such as HIV, hepatitis B and malaria and there is a higher risk of infection with preterm or low birth weight neonates.

Track 6- Neonatal Pulmonology & Asthma:

Neonatal pulmonology is a medical sub-specialty that deals with diagnosis and treatment of diseases involving respiratory tract. Neonatal/Paediatric pulmonologists are specially trained in pulmonary neonatal diseases and conditions of the broken rib or collapsed lung, particularly pneumonia, asthma, tuberculosis, complicated chest infections, etc. The most common cause of persistent pulmonary hypertension of the new-born is meconium aspiration syndrome. Most infants who have meconium aspiration syndrome (60%) are born by caesarean delivery, indicating that they aspirate meconium before birth. Some aspiration may occur during the second stage of labour. Children who present with stridor and respiratory distress with epiglottitis, the presentation of this disease in neonates may be different. Hence it is important to study the diagnosis, immunization and preventive measure of these diseases.

Track 7- Neonatal Surgery and Nursing:

Neonatal surgery is the sub-specialty of pediatrics surgery which is dealing with all the surgical operationsin newborn infants, especially the ill or premature newborn. It is responsible for the treatment of many disorders through surgical operations in newborn infants and playing vital role in saving lives at birth stage by newborn and fetal surgery. Neonatal surgeons are the ones who perform surgeries including chest, abdominal and urological defects. 

Neonatal Nursing is a subspecialty of nursing that works for newborn infants up to 28 days after birth. Babies are born with a variety of problems ranging from prematurity, birth defects, infection, cardiac malformations, and surgical problems, according to the National Association of Neonatal Nurses (NANN).Neonatal nursing generally encompasses care for those infants who experience problems shortly after birth, but it also encompasses care for infants who experience long-term problems related to their prematurity or illness after birth. Neonatal nurses treat sick newborns until they are discharged from the hospital, even if that takes several months.

Track 8- Neonatal Gastroenterology and Hepatology and Nutrition:

Neonatal Hepatology is a branch of medicine dealing with the study, prevention, diagnosis and management of diseases that affect the liver, gallbladder, biliary tree and pancreas. Viral infection and inborn metabolic disorders are the two main causes of Acute Liver Failure in infants.

Neonatal Gastroenterology developed as a sub-specialty of paediatrics and gastroenterology. It is concerned with treating the gastrointestinal tract, liver and pancreas from infancy until age eighteen. The principal diseases it is concerned with are acute diarrhoea, persistent vomiting, gastritis, and problems with the development of the gastric tract. Gastrointestinal disorders in neonates range from minor to life threatening, and short- to long-term or chronic. Neonatal Jaundice is one of the most common conditions needing medical attention in babies. Gastrointestinal food allergies are not rare in infants and children. 

Neonatal Nutrition is essential, especially to promote growth and sustain the physiologic requirements at the various stages of a child's development in the first couple weeks of life. Breast Feeding and complementary feeding has important ingredients that are not found in any infant formula, to build the baby’s immune system.  

Track 9- Neonatal Allergy, Immunology and Rheumatology: 

Neonatal Allergy/Immunology is an important subject to be learnt in order to promote understanding and advance the treatment of respiratory, allergic, and immunologic diseases in neonates. It emphasizes the epidemiologic research on the most common chronic illnesses of neonates—asthma and allergies as well as many less common and rare diseases. Allergic reactions in born babies include red eyes, atopic dermatitis (eczema), itchiness, runny nose, urticarial (hives), an asthma attack and sinusitis. The viruses, such as influenza virus (flu), adenovirus, respiratory syncytial virus (RSV) and human metapneumovirus, are common causes of pneumonia in New-born babies. 

Neonatal Rheumatology: An inflammatory disease affects the joints, muscle weakness, a skin rash on the eyelids and knuckles, Juvenile lupus and connective tissues. Common Rheumatic disorders are Lyme disease, Systemic lupus Erythematosus, Behcet's disease, Polymyalgia Rheumatica, Rheumatic fever. Lupus erythematosus is a name given to a collection of autoimmune diseases in which the human immune system becomes hyperactive and attacks normal, healthy tissues.

Track 10- Neonatal Cardiology: 

Neonatal Cardiology is the fetal diagnosis and treatment given for pregnant women at risk of or known to be carrying babies with heart problems. Neonatal heart conditions mainly includes heart defects associated with other types of disease, such as diaphragmatic hernia, heart muscle disease (cardiomyopathy) or infection (myocarditis), Heart problems due to lung masses, etc. Congenital heart disease (CHD) is the most common, congenital disorder in newborns. 

Track 11- Neonatal Endocrinology and Diabetes:

Neonatal Endocrinology is a medical subspecialty dealing with disorders of the endocrine glands, such as growth disorders, sexual differentiation in neonates, diabetes and other disorders. The other type of diabetes that is often misdiagnosed as type 1 or type 2 diabetes, called  monogenic diabetes which is seen in newborn babies. Endocrine disorders in neonates are caused by too many or too few hormones circulating throughout the body. If a newborn baby has problem with growth, diabetes, hormone-producing glands that help maintain growth and development, puberty, energy level and mood. Neonatal/ Pediatric endocrinologists are usually the primary physicians involved in the medical care of infants with intersex disorders.

Neonatal diabetes mellitus (NDM) is defined as a disease that affects an infant and their body's ability to produce or use insulin. It is a monogenic (controlled by a single gene) form of diabetes that occurs in the first 6 months of life. Infants with NDM do not produce enough insulin, leading to an increase in blood glucose. Maturity onset diabetes of the young (MODY) MODY is a rare form of diabetes which is different from both Type 1 and Type 2 diabetes, and runs strongly in families.

Track 12- Neonatal Genetics:

Newborn genetic screening is the practice of testing every newborn for certain harmful or treatable genetic disorders in newborn infants.  Babies with these conditions appear normal at birth. It is only with time that the conditions affects the baby’s brain or physical development or causes other medical problems. Early diagnosis and treatment can result in normal growth and development and can reduce morbidity and mortality.

Orphan Drug Act (ODA) provided incentives to stimulate treatment product development for infants with rare disease.

Track 13- Neonatal Hematology/Oncology:

Neonatal oncology is a sub specialty of pediatrics oncology that deals with the prevention, diagnosis, and treatment of cancer in babies. Newborn cancer is rare and comprises a heterogeneous group of neoplasms with substantial histological diversity. Almost all types of pediatrics cancer can occur in fetuses andneonates. The causes of neonatal cancer are unclear, but genetic factors probably have a key role. 

Neonatal Hematology is the study of blood and blood-forming organs, as well as their diseases in born babies. Surgeons frequently encounter hematologic issues with respect to wound healing, inflammation and hemostasis. Because of the complexity and broad scope of hematology, this review is limited to an overview of hematopoiesis and hemostasis in the neonates. Diseases of blood cells including disorders of white cells, red cells, and platelets. A medical practitioner who specializes in this field of pediatric hematology is calledNeonatal/pediatric hematologist. 

Track 14- Neonatal ENT/Opthalmology:

Neonatal Ophthalmology is a branch of medicine and surgery which deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a specialist in Paediatric/Neonatology ophthalmology. Multiple ophthalmic disorders can present in neonates. Such disorders can be isolated or be associated with other systemic anomalies. Timely referral, diagnosis, and management are critical to allow optimal visual development. The critical period of visual development is in the first 6 months after birth. Infants who meet screening criteria for retinopathy of prematurity (ROP) should be screened to help prevent serious visual sequelae, including blindness. Pediatricians and neonatologists should identify ocular abnormalities and refer patients for detailed ophthalmic evaluation when deemed necessary.

Track 15- Neonatal Neurology:

Neonatal Neurology refers to a service that can delivery multidisciplinary expertise aimed at optimal care and protection of the new-born brain—whether for premature infants or sick infants born at full term. Neonatal neurologists who regularly monitor babies’ developmental progress and perform research in all areas of brain injury prevention and management. Neurosciences Intensive Care Nursery (NICN) provides comprehensive and coordinated assessment and treatment for new-born’s who are at high risk of neurological injury or who have clinical evidence of developmental brain abnormalities.

Track 16- Neonatal Pathology:

Neonatal/paediatric pathology is a medical subspecialty with particular expertise in diseases affecting the placenta, fetus, infant and child. The duties of pediatric pathologists can be broadly separated into two fields:

• Surgical pathology; examining and reporting tissue biopsies and specimens.
• Performing autopsies and placental examinations.

Track 17- Neonatal Pharmacology/Toxicology:

Neonatal pharmacology setting is unique effective, result-oriented and safe drug administration in neonates should be based on two parameters:

• Integrated knowledge on the evolving physiological characteristics of the newborn.
• Pharmacokinetics and pharmacodynamics of the given drug.

Understandably, clinical pharmacology in neonates is as dynamic, varied and diverse as the new-born’s. Advances in the basic science research have improved our understanding of use of drugs.

Over and above all that, pharmacovigilance is needed to recognize specific adverse drug reactions (ADRs).

Track 18- Neonatal Radiology and Anaesthesiology:

Paediatric radiology is a subspecialty of radiology involving the imaging of foetuses and infants. Although some diseases seen in paediatrics are the same as that in adults, there are many conditions which are seen only in infants. The specialty has to take in account the dynamics of a growing body, from pre-term infants to large adolescents, where the organs follow growth patterns and phases.

Neonatal anesthesia includes general anesthesia for term babies in the first month of life, as well aspremature babies (born before the 37th week of pregnancy). The first 30 days after birth are the time when most congenital and genetic defects are discovered and when babies are most susceptible to birth-acquired infections. During surgery, anesthesiologists focus on: Preventing and treating apnea (when breathing stops for 10 seconds or longer, a condition more common in neonates and former premature infants), meticulous fluid replacement, managing blood loss, Monitoring and maintaining blood glucose levels, Controlling temperature and Managing pain.

Track 19- Neonatal Nephrology:

Neonatal Nephrology is a sub specialty of medicine and paediatrics that concerns itself with the kidneys- the study of normal kidney function and kidney problems. Clinical complications include renal function in the fetus and neonate, blood pressure and hypertension in the neonate, renal failure in the term and preterm infant, and the causes and the consequences of fetal urinary obstruction. A nephrologist is a physician who specializes in the care and treatment of kidney diseases in new-born babies.

Track 20- Neonatal Stem Cell Transplantation and Regenerative Medicine: 

Stem cell transplantation (SCT) is rare in neonates or infants, there has been some research reporting an encouraging survival rate; as well as there are studies pointing SCT in infants as a controversial treatment.

Lung diseases remain one of the main causes of morbidity and mortality in neonates. Cell therapy and regenerative medicine have the potential to revolutionize the management of life-threatening and debilitating lung diseases that currently lack effective treatments.

 

‘Preterm’ birth, as the name suggests, means delivery before 37 weeks of gestation or 259 days. Preterm birth pattern a serious pediatric wellness trouble in the Canada, forming one of the leading causes of baby mortality in the country. Preterm births history for nearly thirteen % of all the births and 17% of all the infant deaths occurring in the nation and this phenomenon costs the country more than $25 billion annually.

The Canadian Neonatal (Preterm) Infant Care Market is study by Equipment/Merchandise, Services, Drugs and Formula. Infant fear market is expected to decline from $17.41 jillion in 2010 to $14.85 billion in 2018, declining at a negative CAGR of -3.13% from 2010 to 2018. The condition is on an alarming rise due to broker such as labor treatments, induced mortality, poor prenatal care, inappropriate maternal age, obesity, and smoking.

Preterm baby care ware (equipment, drugs, and formulae) can thus be life-critical as they provide the respiratory, nutritional, and thermal backup necessary for the survival of pre-term baby. The services section accounted for the largest portion of the overall preterm infant care market at $15 billion in 2010.

New product launches and technology up gradation are the two main strategies adopted by the players to stay competitive in this market. The Vancouver, Canada market for preterm care devices. The Canada market for preterm caution Synonyms/Hypernyms (Ordered by Estimated Frequency) of noun device is mature and fragmented, with numerous players offering both basic and sophisticated equipment’s at affordable 4 senses of rate. The availability of low-cost, locally manufactured devices is driving market growth, as these generate enormous revenues by widening consumer base to tier II and tier III healthcare providers.

However, the decreasing incidence of preterm births is the major factor inhibiting the growth of the Canada market for preterm infant care products and services. Also, the Canada government initiatives to lower preterm birth incidence rate are expected to significantly reduce the number of preterm births in the country. For instance, the government campaign “Healthy People2010” aimed to reduce the country’s preterm birth rate from 12.7% in 2007 to 7.6% in 2010. According to the Subject Core for Health, 1 in 8 Canada births are preterm and preterm birth rates in the Canada have declined from 12.8% in 2006 to 12.3% in 2008.

Maturity of the market and the relatively high penetration horizontal surface of distribution communication channel pose high entry barrier and challenges to market growth. Therefore, companies such as Philips Respironics, Masimo Corporation, and Covidien are strengthening their regular distribution channels by deploying direct sales agreement force and increasing technical support faculty to stay competitive in this market.

Scope of the report:

Scope of the report This research report categorizes the Vancouver, Canada neonatal (preterm) infant care market (2010–2015) on the basis of preterm infant care  services market, preterm infant care products market, preterm infant formula market, and preterm infant care drugs; forecasting revenues and analyzing movement in each of the following submarkets:

Preterm infant care equipment:

Diagnosis, Therapy and Monitoring

Preterm infant formula:

For use in hospitals, after discharge, iron fortified cow’s milk formulae, hydrolyzed whey based formulae, casein hydrolysate formulae, amino acid formulae

Preterm infant care drugs:

Antibiotics, Bronchodilators, Analgesics, Diuretics, Vassopressors, Hematologic Agents

Preterm infant care services market: Diagnosis, Therapy and Monitoring--                        

 In addition  to market data on the submarkets of the Canada preterm infant care  market, each section of the report will identify and analyze the market course ,opportunity , and the divisor driving or inhibiting market growth. The report will also draw a competitive landscape, wherein it will profile the round top 35 market players.

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