MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Neonatal Network' source. Fri, 19 Mar 2010 17:26:23 +0100 http://www.medworm.com/index.php?rid=3354765&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211827%26dopt%3DAbstract Authors: Rait S 2010* "FASTER THAN A SPEEDING BULLET..." Neonatal Network(R) is now in its 29th year of publication. Our daughter who we rocked in the cradle while handling those first articles and subscriptions has graduated from college and is now an administrative assistant in our office. Neonatal nursing has remained the same in many ways: nurses working as a team to care for premature infants, unit camaraderie, learning and doing, mentoring, caring and sharing. And, in many ways it has changed: research that once was all medical and that took place in laboratories, has been enhanced by nursing research in the units; developmental care enhances outcomes; evidence-based practice is beginning to come into its own. PMID: 20211827 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354765 Mon, 01 Mar 2010 00:00:00 +0100 3354765 http://www.medworm.com/index.php?rid=3354764&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211828%26dopt%3DAbstract This article differentiates among the various intersex disorders and their treatments, and discusses physical findings, embryologic development, incidence, and treatment plans for male pseudohermaphroditism, true hermaphroditism, gonadal dysgenesis, and female pseudohermaphroditism. Current management strategies are contrasted with protocols of the 1950s to show changes over time. PMID: 20211828 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354764 Mon, 01 Mar 2010 00:00:00 +0100 3354764 http://www.medworm.com/index.php?rid=3354763&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211829%26dopt%3DAbstract This article describes a neonate with S. aureus bacteremia that resolved with treatment who died secondary to decreased left ventricular function. At autopsy, organizing microthrombi were seen within both atria, the left ventricle, and the left coronary arterial system. Extensive infarcts were noted throughout the entire myocardium of the left ventricle. It was suspected, but not proven, that the thrombotic sequelae from septicemia caused this neonate's death. PMID: 20211829 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354763 Mon, 01 Mar 2010 00:00:00 +0100 3354763 http://www.medworm.com/index.php?rid=3354762&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211830%26dopt%3DAbstract Authors: Matook SA, Sullivan MC, Salisbury A, Miller RJ, Lester BM Purpose/Aims. The primary aim of this study was to identify time periods of sound levels >45 decibels (dB) in a large Level III NICU. The second aim was to determine whether there were differences in decibel levels across the five bays of the NICU, the four quadrants within each bay, and two 12-hour shifts.Design. A repeated measures design was used. Bay, quadrant, and shift were randomly selected for sampling. Staff and visitors were blinded to the location of the sound meter, which was placed in one of five identical wooden boxes and was preset to record for 12 hours.Sample. Sound levels were recorded every 60 seconds over 40 12-hour periods, 20 during the day shift and 20 during the night shift. Total hours measur... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354762 Mon, 01 Mar 2010 00:00:00 +0100 3354762 http://www.medworm.com/index.php?rid=3354761&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211831%26dopt%3DAbstract Authors: Brott SJ PMID: 20211831 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354761 Mon, 01 Mar 2010 00:00:00 +0100 3354761 http://www.medworm.com/index.php?rid=3354760&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211832%26dopt%3DAbstract Authors: PMID: 20211832 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354760 Mon, 01 Mar 2010 00:00:00 +0100 3354760 http://www.medworm.com/index.php?rid=3354759&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211833%26dopt%3DAbstract Authors: Milcic TL THE COMPLETE BLOOD COUNT (CBC) is one of the more common laboratory tests ordered during the neonatal period. The CBC may be obtained to evaluate for anemia, infection, and thrombocytopenia.1 The test offers a wealth of clinical information about the hematopoietic system, including erythrocyte, leukocyte, and thrombocyte values. Establishing normal neonatal ranges has been difficult because blood has not been drawn on healthy neonates of similar ages.2 Reference ranges that consist of the 5th to 95th percentile compiled from various studies have been used to approximate normal neonatal values.3 A variety of factors such as sample site, timing of the sample, gestational age, and the neonate's degree of health can affect the CBC.1 Therefore, the astute practitioner mus... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354759 Mon, 01 Mar 2010 00:00:00 +0100 3354759 http://www.medworm.com/index.php?rid=3354758&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211834%26dopt%3DAbstract Authors: Bradshaw WG Our patients depend on us to do the best on their behalf. If we do not take accountability for our practice, continually examining what is the best way to deliver care, we are limiting our role to technical skills and not fully actualizing our professional role. [Evidence-based practice] is essential to practicing safely as nurses (p. 53).1. PMID: 20211834 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354758 Mon, 01 Mar 2010 00:00:00 +0100 3354758 http://www.medworm.com/index.php?rid=3354757&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211835%26dopt%3DAbstract Authors: Smalls HT YOU'VE JUST RECEIVED A SUBPOENA and a notice that you are to be deposed. The notice informs you of the time and place of the deposition. The subpoena is, in effect, an order of the court requiring you to be present. It may also require you to bring certain documents with you. As bad as that may sound, if you are prepared, it does not have to be your worst nightmare. Knowing what to expect and doing your homework will help you feel more confident and less anxious. PMID: 20211835 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354757 Mon, 01 Mar 2010 00:00:00 +0100 3354757 http://www.medworm.com/index.php?rid=3354756&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20211836%26dopt%3DAbstract Authors: Discenza D WE ARE ALL FAMILIAR WITH THE media image of the fumbling father handed his newborn-born at term and without complications-for the very first time. But what about the father of a baby born prematurely and immediately moved to the NICU? At least the fumbling father gets the chance to hold his baby. Fathers of preterm infants are often shuffled aside and made to feel completely useless. Many go back to work and visit their baby only every so often. That needs to change. PMID: 20211836 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3354756 Mon, 01 Mar 2010 00:00:00 +0100 3354756 http://www.medworm.com/index.php?rid=3194599&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085871%26dopt%3DAbstract This article reports a case of pulmonary hypertension in 37-week-gestational-age, pygopagus conjoined twins where B-type natriuretic peptide (BNP) was used as a cost-effective and important tool to aid effective management. Pulmonary hypertension in neonates is associated with high morbidity and mortality and multiplies the challenge of caring for conjoined twins. BNP is a peptide hormone secreted by cardiac ventricles that have undergone stress related to ventricular filling, volume overload, and pressure. BNP is commonly used in adults to assess heart failure, but its utility is less established in infants receiving neonatal intensive care. In this case, BNP testing was used as an adjunct to standard assessments for rapid diagnosis which was critical to expediting appropriate treatment m... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194599 Fri, 01 Jan 2010 00:00:00 +0100 3194599 http://www.medworm.com/index.php?rid=3194598&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085872%26dopt%3DAbstract Authors: Kalyn A PMID: 20085872 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194598 Fri, 01 Jan 2010 00:00:00 +0100 3194598 http://www.medworm.com/index.php?rid=3194597&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085873%26dopt%3DAbstract This article provides a detailed example of a successful ROP program based on the AAP recommendations and utilizing a multidisciplinary approach to ensure optimal ROP care for the preterm infant. It also discusses the role of the ROP coordinator assigned to the NICU. PMID: 20085873 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194597 Fri, 01 Jan 2010 00:00:00 +0100 3194597 http://www.medworm.com/index.php?rid=3194596&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085874%26dopt%3DAbstract DISCUSSION: More studies are needed to generalize findings. PICC line tips should be located in the superior vena cava or inferior vena cava close to the junction with the right atrium (0.5-1 cm outside of the cardiac chambers in premature infants and 1-2 cm outside of the cardiac chambers in larger infants). Arm position is very important when performing radiographs for placement because movement of the arm can cause migration of the catheter. There is also significant inter-observer variability when identifying line tip position. PMID: 20085874 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194596 Fri, 01 Jan 2010 00:00:00 +0100 3194596 http://www.medworm.com/index.php?rid=3194595&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085875%26dopt%3DAbstract This article offers research-based suggestions for caring for these infants in the newborn nursery and the postpartum unit as well as parent teaching guidelines. PMID: 20085875 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194595 Fri, 01 Jan 2010 00:00:00 +0100 3194595 http://www.medworm.com/index.php?rid=3194594&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20085877%26dopt%3DAbstract Authors: Hardy PE PMID: 20085877 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=3194594 Fri, 01 Jan 2010 00:00:00 +0100 3194594 http://www.medworm.com/index.php?rid=2972214&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892632%26dopt%3DAbstract Authors: Fraser D PMID: 19892632 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972214 Sun, 01 Nov 2009 00:00:00 +0100 2972214 http://www.medworm.com/index.php?rid=2972213&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892633%26dopt%3DAbstract We present a case that illustrates the need for better education of mothers taking valproate and the medical staff prescribing it. PMID: 19892633 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972213 Sun, 01 Nov 2009 00:00:00 +0100 2972213 http://www.medworm.com/index.php?rid=2972212&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892634%26dopt%3DAbstract This article examines this defect and discusses its embryologic origin. A systemic physical assessment guide serves as a tool to enhance early recognition of this defect. Pictorial examples increase understanding of the defect. A discussion of treatment and nursing implications, with an emphasis on family support, is provided. PMID: 19892634 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972212 Sun, 01 Nov 2009 00:00:00 +0100 2972212 http://www.medworm.com/index.php?rid=2972211&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892636%26dopt%3DAbstract This study explores the breastfeeding experiences of mothers of these at-risk infants to determine their breastfeeding patterns and to better understand reasons they prematurely stop breastfeeding and/or human-milk feeding (HMF). DESIGN: A qualitative, longitudinal, descriptive design was used. SAMPLE: The sample consisted of 144 mothers whose preterm or ill infants were cared for in either an NICU or an intermediate care nursery in a large central Canadian city; 112 mothers completed data collection to six weeks after their infants were discharged from the hospital. MAIN OUTCOME VARIABLE: The main outcome variable was continued breastfeeding or HMF of formerly ill or preterm infants at one and six weeks after their discharge from the hospital. RESULTS: Of infants who were being fed mother... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972211 Sun, 01 Nov 2009 00:00:00 +0100 2972211 http://www.medworm.com/index.php?rid=2972210&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892637%26dopt%3DAbstract Authors: Semelsberger CF Catheter-related bloodstream infections (CR-BSIs) are a significant cause of morbidity and mortality in the NICU, occurring at rates ranging from 11.3 per 1,000 catheter days in infants <1,000 g to 4 per 1,000 catheter days in infants >2,500 g. Cost-effective and successful educational interventions aimed at nurses have been shown to decrease CR-BSIs with adults, but no such studies address neonatal nurses. This literature review examined how educational interventions could help neonatal nurses reduce infection rates in patients with central venous catheters. Four databases were searched: PubMed, CINAHL, Cochrane, and OVID. Of ten studies that measured CR-BSIs before and after educational interventions, nine showed a postintervention reduction in the rate... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972210 Sun, 01 Nov 2009 00:00:00 +0100 2972210 http://www.medworm.com/index.php?rid=2972209&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892639%26dopt%3DAbstract Authors: Smalls HT PMID: 19892639 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972209 Sun, 01 Nov 2009 00:00:00 +0100 2972209 http://www.medworm.com/index.php?rid=2972208&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892640%26dopt%3DAbstract Authors: Discenza D PMID: 19892640 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972208 Sun, 01 Nov 2009 00:00:00 +0100 2972208 http://www.medworm.com/index.php?rid=2972207&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892641%26dopt%3DAbstract Authors: Gunn J PMID: 19892641 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972207 Sun, 01 Nov 2009 00:00:00 +0100 2972207 http://www.medworm.com/index.php?rid=2972206&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19892642%26dopt%3DAbstract Authors: National Institute Of Nursing Research National Institutes Of Health Department Of Health And Human Services This annotated bibliography summarizes recent findings from studies supported by the National Institute of Nursing Research (NINR) related to a broad range of maternal and neonatal health issues. By sharing this bibliography, we at NINR hope to increase the awareness of these valuable research findings within the health care community and support the continued development of evidence-based nursing practice in antenatal, postpartum, neonatal, and family care settings. PMID: 19892642 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2972206 Sun, 01 Nov 2009 00:00:00 +0100 2972206 http://www.medworm.com/index.php?rid=2759060&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19720592%26dopt%3DAbstract Authors: Fraser D PMID: 19720592 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2759060 Mon, 31 Aug 2009 23:00:00 +0100 2759060 http://www.medworm.com/index.php?rid=2759059&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19720593%26dopt%3DAbstract Authors: Gardner DL, Shirland L The endotracheal tube (ETT) is the most common artificial airway used in NICUs. Suctioning of the ETT is imperative to maintain patency and prevent complications. An extensive review of the literature revealed a lack of standardized criteria or guidelines for suctioning the ETT of neonates and infants in the NICU. The purpose of this article is to report the implementation of an evidence-based guideline that can be utilized in NICU care. PMID: 19720593 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2759059 Mon, 31 Aug 2009 23:00:00 +0100 2759059 http://www.medworm.com/index.php?rid=2759058&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19720594%26dopt%3DAbstract We report an infection with the dermatophyte Trichophyton tonsurans, the most common cause of tinea capitis in children but not yet described in a premature baby who has never left the nursery. Our case illustrates the need to consider this diagnosis among the causes of dermatitis in the newborn, especially in at-risk populations such as indigenous Australians. Though our infant's presentation was the classic "ring" shape, a literature review revealed varied presentations. In contrast to the usual need for long-term antifungal medication, our case responded rapidly to a topical azole preparation. Although we did not screen visiting family members, screening would have been appropriate, and those found positive might have benefited from at least antifungal shampoo. PMID: 19720594 [PubMe... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2759058 Mon, 31 Aug 2009 23:00:00 +0100 2759058 http://www.medworm.com/index.php?rid=2759057&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19720595%26dopt%3DAbstract Authors: Pineda RG, Foss J, Richards L, Pane CA PURPOSE: To assess the effectiveness of an educational intervention aimed at staff and parents in changing breastfeeding practices in the NICU. DESIGN: The breastfeeding education initiative consisted of three parts: breastfeeding training for NICU staff, issuance of complementary breastfeeding materials to mothers of infants in the NICU, and addition of a breastfeeding pathway to the individualized care plan. Infants admitted before and after the initiative were compared to evaluate for changes in breastfeeding practices. SAMPLE: The study sample included very low birth weight (VLBW) infants hospitalized in the NICU for more than seven days and born weighing <1,500 g. Infants were grouped based on whether they were admitted before (pr... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2759057 Mon, 31 Aug 2009 23:00:00 +0100 2759057 http://www.medworm.com/index.php?rid=2759056&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19720596%26dopt%3DAbstract Authors: Dougherty D, Nash A Breast milk errors have received increasing attention in the literature in terms of the potential infectious risk posed to the recipient baby and also the stress that results for both the donor and recipient families. Beginning in the mid-1990s, one Level III NICU began making changes in how feedings were prepared and distributed in an attempt to reduce breast milk errors. Despite these changes, breast milk errors continued to occur, and, in 2005, this NICU introduced a bar coding system to further reduce the risk of administering breast milk to the wrong infant. Breast milk errors have subsequently been substantially reduced. PMID: 19720596 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2759056 Mon, 31 Aug 2009 23:00:00 +0100 2759056 http://www.medworm.com/index.php?rid=2759055&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19720599%26dopt%3DAbstract Authors: Nash P PMID: 19720599 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2759055 Mon, 31 Aug 2009 23:00:00 +0100 2759055 http://www.medworm.com/index.php?rid=2759054&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19720600%26dopt%3DAbstract Authors: Smith JR, Donze A PMID: 19720600 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2759054 Mon, 31 Aug 2009 23:00:00 +0100 2759054 http://www.medworm.com/index.php?rid=2759053&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19720601%26dopt%3DAbstract Authors: Discenza D NICU NURSES HAVE CHALLENGING jobs working with both extremely fragile newborns and their families. The mother in this family unit is one of the most important people to take care of, in addition to the newborn. So much has happened and continues to happen to her child(ren) that she is in a tailspin of physical and emotional pain. There are many ways to help the new mother through this trying time, and the NICU nurse is often the one who can be the most effective in getting mom on a solid path forward. Here are some suggestions for NICU nurses working with these shell-shocked mothers. PMID: 19720601 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2759053 Mon, 31 Aug 2009 23:00:00 +0100 2759053 http://www.medworm.com/index.php?rid=2602791&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592362%26dopt%3DAbstract Authors: Reynolds RD, Pilcher J, Ring A, Johnson R, McKinley P Care practices during the first hour of life, the Golden Hour, can have a significant impact on outcomes of low birth weight infants. Although the latest edition of the Neonatal Resuscitation Program added guidelines for preterm infants, additional care is often indicated. Complications that could potentially be impacted by care in the first hour of life include thermoregulation, intraventricular hemorrhage, chronic lung disease, and retinopathy of prematurity. Our unit has implemented and revised a Golden Hour evidence-based care process that includes the use of realistic videotaped simulations, followed by team debriefing sessions. Early results of the revised process show reductions in the targeted complications. PMI... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2602791 Tue, 30 Jun 2009 23:00:00 +0100 2602791 http://www.medworm.com/index.php?rid=2602790&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592363%26dopt%3DAbstract This article provides bedside clinicians with foundational information related to acute lung injury and the sequence of events that can ultimately lead to neonatal chronic lung disease and bronchopulmonary dysplasia. PMID: 19592363 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2602790 Tue, 30 Jun 2009 23:00:00 +0100 2602790 http://www.medworm.com/index.php?rid=2602789&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592364%26dopt%3DAbstract This article examines the prevalence of the problem. It also discusses the possible impact of parenting skills classes, as part of recovery efforts, for women seeking recovery who have recently given birth. Several programs already in place in the U.S have shown positive results for these mothers and their infants. Infants exposed in utero to illicit drugs need to be given all of the resources society can provide in an effort to stop the intergenerational cycle of drug addiction. PMID: 19592364 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2602789 Tue, 30 Jun 2009 23:00:00 +0100 2602789 http://www.medworm.com/index.php?rid=2602788&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592365%26dopt%3DAbstract DISCUSSION: The studies that have been done need to be repeated in different centers, with greater sample sizes, and with subjects of different cultures, ethnicities, and socioeconomic status. There is a need for more research into parental perceptions of preparedness for their infant's discharge and ways to increase parental preparedness for discharge home from the NICU. PMID: 19592365 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2602788 Tue, 30 Jun 2009 23:00:00 +0100 2602788 http://www.medworm.com/index.php?rid=2602787&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592367%26dopt%3DAbstract Authors: Mandell I PMID: 19592367 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2602787 Tue, 30 Jun 2009 23:00:00 +0100 2602787 http://www.medworm.com/index.php?rid=2602786&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592369%26dopt%3DAbstract Authors: Smalls HT PMID: 19592369 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2602786 Tue, 30 Jun 2009 23:00:00 +0100 2602786 http://www.medworm.com/index.php?rid=2602785&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592370%26dopt%3DAbstract Authors: Wirth JL PMID: 19592370 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2602785 Tue, 30 Jun 2009 23:00:00 +0100 2602785 http://www.medworm.com/index.php?rid=2602784&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592371%26dopt%3DAbstract Authors: Nyqvist KH PMID: 19592371 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2602784 Tue, 30 Jun 2009 23:00:00 +0100 2602784 http://www.medworm.com/index.php?rid=2602783&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19592372%26dopt%3DAbstract Authors: Discenza D PMID: 19592372 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2602783 Tue, 30 Jun 2009 23:00:00 +0100 2602783 http://www.medworm.com/index.php?rid=2548090&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19451072%26dopt%3DAbstract Authors: Askin DF These articles review the physiologic adaptations occurring during the transition from fetal to neonatal life and examine common red flags which may alert care providers to an infant experiencing delayed transition or an underlying disease process, congenital abnormality, or birth injury. PMID: 19451072 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2548090 Thu, 30 Apr 2009 23:00:00 +0100 2548090 http://www.medworm.com/index.php?rid=2548087&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19451074%26dopt%3DAbstract Authors: McCain GC PMID: 19451074 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2548087 Thu, 30 Apr 2009 23:00:00 +0100 2548087 http://www.medworm.com/index.php?rid=2548084&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19451075%26dopt%3DAbstract This article explains why women choose this type of delivery, notes the risks of CDMR for the infant, and suggests ways neonatal nurses can minimize the risks for well infants, as well as for those who must be admitted to the NICU. PMID: 19451075 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2548084 Thu, 30 Apr 2009 23:00:00 +0100 2548084 http://www.medworm.com/index.php?rid=2548081&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19451076%26dopt%3DAbstract Authors: Curry S, Honeycutt M, Goins G, Gilliam C The neonatal population is at a particularly high risk for catheter-associated bloodstream infections (CABSI). Chlorhexidine for skin antisepsis is well documented to effectively decrease the incidence of bloodstream infections associated with central venous catheters in other populations. The project described in this article demonstrates that chlorhexidine for central venous catheter insertion and line maintenance in the neonatal population safely and effectively reduces CABSI. PMID: 19451076 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2548081 Thu, 30 Apr 2009 23:00:00 +0100 2548081 http://www.medworm.com/index.php?rid=2548078&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19451077%26dopt%3DAbstract Authors: Jarrell JR, Ludington-Hoe SM, Abouelfettoh A PURPOSE: The purposes were to relate responses (including unacceptable ones) of twins to shared kangaroo care (KC), to provide explanations for the unexpected responses, and to offer suggestions for safe nursing practice. DESIGN: A descriptive, evaluative case study was conducted. Both twins received KC while their vital signs and maternal breast temperatures were manually recorded every 30 seconds. Descriptive statistics were computed. SAMPLE: Identical twins, born to a 19-year-old African-American primigravada, were 34 3/7 weeks postconceptional age with weights of 1,760 and 1,480 g, respectively, when tested. Preterm labor resulted in spontaneous vaginal birth at 30 weeks gestation. MAIN OUTCOME VARIABLES: Infant heart and respir... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2548078 Thu, 30 Apr 2009 23:00:00 +0100 2548078 http://www.medworm.com/index.php?rid=2548075&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19451078%26dopt%3DAbstract Authors: Brown G Premature infants in the NICU are often exposed to continuous loud noise despite research documenting the presence and damaging effects of noise on the preterm infant's development. Excessive auditory stimulation creates negative physiologic responses such as apnea and fluctuations in heart rate, blood pressure, and oxygen saturation. Preterm infants exposed to prolonged excessive noise are also at increased risk for hearing loss, abnormal brain and sensory development, and speech and language problems. Reducing noise levels in the NICU can improve the physiologic stability of sick neonates and therefore enlarge the potential for infant brain development. Recommendations include covering incubators with blankets, removing noisy equipment from the incubator environment,... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2548075 Thu, 30 Apr 2009 23:00:00 +0100 2548075 http://www.medworm.com/index.php?rid=2548072&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19451080%26dopt%3DAbstract Authors: Trotter CW PMID: 19451080 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2548072 Thu, 30 Apr 2009 23:00:00 +0100 2548072 http://www.medworm.com/index.php?rid=2548069&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19451082%26dopt%3DAbstract Authors: Bell SG PMID: 19451082 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2548069 Thu, 30 Apr 2009 23:00:00 +0100 2548069 http://www.medworm.com/index.php?rid=2548066&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19451083%26dopt%3DAbstract Authors: Smith JR, Donze A, Cole FS, Johnston J, Giebe JM PMID: 19451083 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2548066 Thu, 30 Apr 2009 23:00:00 +0100 2548066 http://www.medworm.com/index.php?rid=2548062&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19451084%26dopt%3DAbstract Authors: Discenza D PMID: 19451084 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2548062 Thu, 30 Apr 2009 23:00:00 +0100 2548062 http://www.medworm.com/index.php?rid=2326911&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19332405%26dopt%3DAbstract Authors: De Lisle-Porter M, Podruchny AM There is a need in the NICU for an end-of-life care guideline that nurses can follow when working with dying infants and their families. Maintaining intravenous access to relieve the infant's pain, communicating sensitively to the family, and creating precious, everlasting memories are goals that should be part of every dying infant's care. The nurse's ability to partner with the family in caring for the infant is integral to helping the family take the first steps in their grief journey. Evidence-based literature provides NICU nurses with the knowledge that they are the facilitators of end-of-life care for dying infants. New mothers and fathers are not aware of the caring parental tasks they can perform for their dying baby. They look to and de... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2326911 Sun, 01 Mar 2009 05:00:00 +0100 2326911 http://www.medworm.com/index.php?rid=2326907&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19332406%26dopt%3DAbstract This article presents the physiologic rationale for dressing infants in the NICU. It reports interview responses from mothers and nurses on their feelings about one infant dressing program, proposes a care plan, discusses the advantages and disadvantages of infant dressing, and suggests ideas for related research. The goals of the program described here are to provide preterm and/or sick infants with increased insulation to improve thermoregulation, personalize and normalize care, promote developmentally appropriate care, promote discharge planning, and support all families equally, regardless of socioeconomic status. PMID: 19332406 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2326907 Sun, 01 Mar 2009 05:00:00 +0100 2326907 http://www.medworm.com/index.php?rid=2326903&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19332407%26dopt%3DAbstract This article briefly reviews the history of ROP, discusses its pathophysiology, and addresses the risk factors and strategies for prevention. PMID: 19332407 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2326903 Sun, 01 Mar 2009 05:00:00 +0100 2326903 http://www.medworm.com/index.php?rid=2326899&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19332408%26dopt%3DAbstract This article reviews a case study of an infant diagnosed with coarctation of the aorta on day 8 of life. It includes an overview of the etiology, clinical presentation, and management plus an account of the infant's transport to a regional pediatric intensive care unit (PICU). PMID: 19332408 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2326899 Sun, 01 Mar 2009 05:00:00 +0100 2326899 http://www.medworm.com/index.php?rid=2326895&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19332409%26dopt%3DAbstract Authors: Heyman A PMID: 19332409 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2326895 Sun, 01 Mar 2009 05:00:00 +0100 2326895 http://www.medworm.com/index.php?rid=2326891&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19332411%26dopt%3DAbstract Authors: Sharpe EL PMID: 19332411 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2326891 Sun, 01 Mar 2009 05:00:00 +0100 2326891 http://www.medworm.com/index.php?rid=2326887&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19332412%26dopt%3DAbstract Authors: Farmand M PMID: 19332412 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2326887 Sun, 01 Mar 2009 05:00:00 +0100 2326887 http://www.medworm.com/index.php?rid=2326884&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19332413%26dopt%3DAbstract Authors: Discenza D PMID: 19332413 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2326884 Sun, 01 Mar 2009 05:00:00 +0100 2326884 http://www.medworm.com/index.php?rid=2326879&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19332414%26dopt%3DAbstract Authors: Lord A PMID: 19332414 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2326879 Sun, 01 Mar 2009 05:00:00 +0100 2326879 http://www.medworm.com/index.php?rid=2326877&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19332415%26dopt%3DAbstract Authors: Smalls HT PMID: 19332415 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2326877 Sun, 01 Mar 2009 05:00:00 +0100 2326877 http://www.medworm.com/index.php?rid=2173165&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176309%26dopt%3DAbstract Authors: Norris SC, Barnes AK, Roberts TD PMID: 19176309 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2173165 Thu, 01 Jan 2009 05:00:00 +0100 2173165 http://www.medworm.com/index.php?rid=2147667&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176298%26dopt%3DAbstract Authors: National Institute Of Nursing Research National Institutes Of Health And Department Of Health And Human Services A new program designed to help nurses teach parents, family members, and child care providers about risks and protective practices for Sudden Infant Death Syndrome (SIDS) is now available from the National Institutes of Health. The Continuing Education Program on Sudden Infant Death Syndrome (SIDS) Risk Reduction was developed by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the National Institute of Nursing Research (NINR), in collaboration with national nursing and infant health organizations. (Represented by Jeanette Xaichkin, RNC, MSN, The Academy of Neonatal Nursing Participated in the process.). PMID: 1917... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147667 Thu, 01 Jan 2009 05:00:00 +0100 2147667 http://www.medworm.com/index.php?rid=2147666&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176299%26dopt%3DAbstract Authors: These podium abstracts summarize the topics that were presented at the recent 8th National Neonatal Nurses Meeting in Washington, D.C. They represent a broad range of neonatal and perinatal issues. By sharing this information we hope to increase awareness of research and innovative programs within the neonatal health care community, and support evidencebased nursing practice in a neonatal intensive care setting. PMID: 19176299 [PubMed - as supplied by publisher] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147666 Thu, 01 Jan 2009 05:00:00 +0100 2147666 http://www.medworm.com/index.php?rid=2147665&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176300%26dopt%3DAbstract Authors: These poster abstracts summarize the topics that were presented at the recent 8th National Neonatal Nurses Meeting in Washington, D.C. They represent a broad range of neonatal and perinatal issues. By sharing this information we hope to increase awareness of research and innovative programs within the neonatal health care community, and support evidence-based nursing practice in a neonatal intensive care setting. PMID: 19176300 [PubMed - as supplied by publisher] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147665 Thu, 01 Jan 2009 05:00:00 +0100 2147665 http://www.medworm.com/index.php?rid=2147664&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176301%26dopt%3DAbstract Authors: Askin DF, Rait S, Berman U, Parker T 2009 WHEN WE FIRST STARTED OUR nursing careers in local NICUs, we didn't even think about what neonatal care would be like in 2009! (Would there even be premies any more?) We took care of 30-week premature infants that we were happy "made it." Developmental care was birthing itself; fabulous research was being done. It was an incredible job-taking care of premature infants. As the years went by, premies became smaller; technology became "bigger"; fertility drugs seemed to help create more multiple pregnancies: smaller, earlier births; and it seemed that more cesarean sections were needed. PMID: 19176301 [PubMed - as supplied by publisher] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147664 Thu, 01 Jan 2009 05:00:00 +0100 2147664 http://www.medworm.com/index.php?rid=2147663&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176302%26dopt%3DAbstract Authors: McMullen SL, Lipke B, Lemura C Health care providers' opinions can influence how parents place their infant to sleep. Neonatal nurses can improve how they teach and model safe infant sleep practices to parents. To increase neonatal nurses' knowledge, a sudden infant death syndrome (SIDS) prevention program was implemented. Program components included a computerized teaching tool, a crib card, sleep sacks, and discharge instructions. Initial program evaluation showed that 98 percent of infants slept supine and 93 percent slept in sleep sacks in open cribs. However, nurses continued to swaddle some infants with blankets to improve thermoregulation. To increase nursing compliance in modeling safe infant sleep practices, Halo SleepSack Swaddles were provided for nurses to use in p... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147663 Thu, 01 Jan 2009 05:00:00 +0100 2147663 http://www.medworm.com/index.php?rid=2147662&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176303%26dopt%3DAbstract Authors: Squires AJ, Hyndman M Improved technology and management approaches that have reduced bronchopulmonary dysplasia (BPD) have decreased mortality and morbidity in extremely low birth weight (ELBW) infants. Early extubation to nasal continuous positive airway pressure (NCPAP) decreases the complications associated with long-term oral/nasal endotracheal intubation, including BPD, ventilatorassociated pneumonia, volutrauma, subglottic stenosis, oral palatal grooves, and nasal septum erosion. Research and anecdotal evidence have shown that iatrogenic injuries to the nose also occur with extended time on NCPAP. Research observing associations between the patient interface and nasal injury has shown duration of therapy to be the most significant risk factor. Immature skin and developi... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147662 Thu, 01 Jan 2009 05:00:00 +0100 2147662 http://www.medworm.com/index.php?rid=2147661&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176304%26dopt%3DAbstract Authors: McDonald KQ, Bears CM Intestinal lymphangiectasia (IL) is a potentially fatal disorder of the lymphatic system if it is not recognized and proper treatment initiated. The disease is characterized by lymphocytopenia, peripheral edema, and hypoalbuminemia. Because IL is a rare disease, the symptoms, diagnostic workup, and treatment are unfamiliar to many clinicians. Current literature documents only a few reported cases of IL in a preterm infant. This case report of a preterm infant reviews history, symptomatology, and the diagnostic workup performed. The steps in making the diagnosis, the treatment, and the prognosis of this condition are also presented. PMID: 19176304 [PubMed - as supplied by publisher] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147661 Thu, 01 Jan 2009 05:00:00 +0100 2147661 http://www.medworm.com/index.php?rid=2147660&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176305%26dopt%3DAbstract Authors: Brott SJ Come join us this spring in Boston, Massachusetts, for the 6th National Advanced Practice Neonatal Nurses Conference at the Westin Boston Waterfront, April 3-5, 2009. The Westin is just three miles from Logan International Airport. The Westin is not only convenient for those coming from out of town, it is a beautiful hotel loaded with amenities and located close to Boston's historical landmarks, shopping, and restaurants. PMID: 19176305 [PubMed - as supplied by publisher] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147660 Thu, 01 Jan 2009 05:00:00 +0100 2147660 http://www.medworm.com/index.php?rid=2147659&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176306%26dopt%3DAbstract Authors: Bell SG CYTOMEGALOVIRUS (CMV), a member of the herpesvirus family, is the most common virus passed from the mother to the fetus. According to the Centers for Disease Control and Prevention (CDC), approximately 1 in 150 children is born with congenital CMV infection.1 Neonates may also acquire CMV during delivery, via blood transfusions, or through breast milk. Both prenatally and perinatally infected infants are at risk for developing short-term effects and long-term sequelae and are candidates for antiviral therapy.2 Each year, approximately 8,000 children suffer permanent disabilities secondary to CMV infection.1. PMID: 19176306 [PubMed - as supplied by publisher] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147659 Thu, 01 Jan 2009 05:00:00 +0100 2147659 http://www.medworm.com/index.php?rid=2147658&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176307%26dopt%3DAbstract HOME STUDY COURSE. Neonatal Netw. 2009 January-February 1;28(1):47-50 Authors: PMID: 19176307 [PubMed - as supplied by publisher] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147658 Thu, 01 Jan 2009 05:00:00 +0100 2147658 http://www.medworm.com/index.php?rid=2147657&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176308%26dopt%3DAbstract We presented detailed examples of applying EBP to answer these reallife clinical practice problems: PMID: 19176308 [PubMed - as supplied by publisher] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147657 Thu, 01 Jan 2009 05:00:00 +0100 2147657 http://www.medworm.com/index.php?rid=2147656&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19176309%26dopt%3DAbstract This article focuses on the occurrence and prevention of ventilator-associated pneumonia, better known as VAP, which is an infection of the lung occurring in patients who are being mechanically ventilated at the onset of the infection or have been mechanically ventilated within 48 hours of its onset.1. PMID: 19176309 [PubMed - as supplied by publisher] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2147656 Thu, 01 Jan 2009 05:00:00 +0100 2147656 http://www.medworm.com/index.php?rid=2033376&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19065965%26dopt%3DAbstract Authors: Gibbins S PMID: 19065965 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2033376 Sat, 01 Nov 2008 04:00:00 +0100 2033376 http://www.medworm.com/index.php?rid=2033375&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19065966%26dopt%3DAbstract Authors: Dougherty D, Luther M Breast milk has been shown to contribute significantly to positive neurodevelopmental and medical outcomes in the extremely low birth weight (ELBW) infant population. It is crucial that ELBW infants receive their mother's colostrum as a first feeding, followed by expressed breast milk for as long as possible. Evidence-based literature supports the difficult challenges both mothers and ELBW infants face if they are to succeed at breast pumping and breastfeeding. Influencing factors include the medical fragility of the infant, limited frequency and duration of kangaroo care between mother and infant, lack of an adequate volume of breast milk, as well as inconsistent or incorrect information surrounding the use of breast milk and breastfeeding. A feeding car... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2033375 Sat, 01 Nov 2008 04:00:00 +0100 2033375 http://www.medworm.com/index.php?rid=2033374&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19065967%26dopt%3DAbstract This article addresses postnatal adaptation and all aspects of fluid and electrolyte management of the preterm infant. PMID: 19065967 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2033374 Sat, 01 Nov 2008 04:00:00 +0100 2033374 http://www.medworm.com/index.php?rid=2033373&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19065968%26dopt%3DAbstract This article reviews the current state of knowledge of cerebellar development, risk factors for injury, and long-term developmental consequences of injury. Implications for nursing practice, education, and research are discussed. PMID: 19065968 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2033373 Sat, 01 Nov 2008 04:00:00 +0100 2033373 http://www.medworm.com/index.php?rid=2033372&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19065969%26dopt%3DAbstract This article briefly reviews the pathogenesis of NEC and examines studies of various feeding practices for their relationship to the development of NEC. It also highlights the potential benefits of breast milk in NEC prevention. PMID: 19065969 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2033372 Sat, 01 Nov 2008 04:00:00 +0100 2033372 http://www.medworm.com/index.php?rid=2033371&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19065970%26dopt%3DAbstract Authors: Pacatte K PMID: 19065970 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2033371 Sat, 01 Nov 2008 04:00:00 +0100 2033371 http://www.medworm.com/index.php?rid=2033370&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19065971%26dopt%3DAbstract Authors: Simons SL Nurse leaders in NICUs need to make improving crucial conversations one of their top priorities. AACN points out that sustainable change in challenging interpersonal communication will take the combined commitment of nurses and of medical and business leaders of health care organizations. No matter how good a strategy is, execution is the key to success. Empowering health care team members to use the two-challenge rule, CUS, or both will foster patient safety. A by-product of that success will be greater work environment satisfaction for health care team members. PMID: 19065971 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2033370 Sat, 01 Nov 2008 04:00:00 +0100 2033370 http://www.medworm.com/index.php?rid=2033369&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19065972%26dopt%3DAbstract Authors: Shirland L PMID: 19065972 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=2033369 Sat, 01 Nov 2008 04:00:00 +0100 2033369 http://www.medworm.com/index.php?rid=1825984&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18807409%26dopt%3DAbstract Authors: Johnson PJ PMID: 18807409 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1825984 Mon, 01 Sep 2008 04:00:00 +0100 1825984 http://www.medworm.com/index.php?rid=1825983&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18807410%26dopt%3DAbstract This article presents the design process as it occurred. Unique to this process are the involvement of NJCU-graduate families and the use of transition teams. Guidelines and recommendations are offered to others interested in designing and practicing in an individual-room NJCU. Outcome data demonstrate staff adjustment to the new design and practice model. A comparison of this NICU design is made with the Recommended Standards for Newborn ICU Design. PMID: 18807410 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1825983 Mon, 01 Sep 2008 04:00:00 +0100 1825983 http://www.medworm.com/index.php?rid=1825982&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18807411%26dopt%3DAbstract This article reports a case of cranial molding in one extremely low birth weight infant. He was placed on a viscoelastic mattress and a twice weekly developmental care program. Cranial molding was measured using the cranial index (CI), a ratio of width to length. Initially, the patient presented with dolichocephaly (CI=72 percent). y week 2, CI measurements approached normal limits (CI=75 percent). When placed on continuous positive airway pressure, the infant presented with substantial dolichocephaly (CI=66.7 percent). Following position changes to midline, CI measurements continued to improve and remained within normal limits until discharge. This dual-element program was feasible, acceptable to parents and staff and may be effective for identifying and managing dolichocephaly. PMID:... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1825982 Mon, 01 Sep 2008 04:00:00 +0100 1825982 http://www.medworm.com/index.php?rid=1825981&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18807412%26dopt%3DAbstract This article presents evidence supporting the use of music with preterm infants as well as criticism of same. Recommendations for music interventions with preterm infants are discussed, although fUrther research is needed before specific guidelines can he established. PMID: 18807412 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1825981 Mon, 01 Sep 2008 04:00:00 +0100 1825981 http://www.medworm.com/index.php?rid=1825980&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18807413%26dopt%3DAbstract Authors: Lavery SV, Randal KS Continuously monitoring brain ftinction at the bedside in the NICU for term infants at risk of brain injury has become part of routine clinical practice in many countries. These monitors offer invaluable information about the sick infant's neurologic status by providing real-time measurements of the brain's electrical activity and identifring or confirming seizure activity. With the increasing availability of bedside electroencephalogram technology, it is essential for neonatal intensive care nursing staff to understand the rationale for its use, as well as the fundamentals of application and interpretation of this new technology. PMID: 18807413 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1825980 Mon, 01 Sep 2008 04:00:00 +0100 1825980 http://www.medworm.com/index.php?rid=1825979&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18807414%26dopt%3DAbstract Authors: Nash PL PMID: 18807414 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1825979 Mon, 01 Sep 2008 04:00:00 +0100 1825979 http://www.medworm.com/index.php?rid=1825978&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18807415%26dopt%3DAbstract Authors: Bell SG PMID: 18807415 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1825978 Mon, 01 Sep 2008 04:00:00 +0100 1825978 http://www.medworm.com/index.php?rid=1825977&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18807416%26dopt%3DAbstract Authors: Scott C, Wittmann-Price R, Thear G PMID: 18807416 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1825977 Mon, 01 Sep 2008 04:00:00 +0100 1825977 http://www.medworm.com/index.php?rid=1825976&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18807417%26dopt%3DAbstract Authors: Colborn K PMID: 18807417 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1825976 Mon, 01 Sep 2008 04:00:00 +0100 1825976 http://www.medworm.com/index.php?rid=1704855&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18697652%26dopt%3DAbstract CONCLUSION: In this sample, smaller neonates were given comfort medication less often while they were dying than were their larger counterparts. PMID: 18697652 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1704855 Tue, 01 Jul 2008 04:00:00 +0100 1704855 http://www.medworm.com/index.php?rid=1704854&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18697653%26dopt%3DAbstract This article reviews the principles of adult education and their application to the process of teaching critical thinking in the NICU. One unit's experience of critical thinking education is used to provide concrete examples of how NICU education can be transformed from a traditional didactic methodology to a more dynamic experiential approach. PMID: 18697653 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1704854 Tue, 01 Jul 2008 04:00:00 +0100 1704854 http://www.medworm.com/index.php?rid=1704853&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18697654%26dopt%3DAbstract This article presents the male perspective and approach to caring, including the unique relationship that male nurses can have with fathers in the NICU. PMID: 18697654 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1704853 Tue, 01 Jul 2008 04:00:00 +0100 1704853 http://www.medworm.com/index.php?rid=1704852&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18697655%26dopt%3DAbstract Authors: Paulson PR, Miller KM Peripherally inserted central catheters (PICCs) continue to be necessary in neonatal care. They benefit many premature infants and those needing long-term intravenous access. An experienced inserter, early recognition of PICC candidates, early PICC placement, knowledge of anatomy, and correct choice of vein all increase placement success. As with any invasive procedure, there are risks. These include pain, difficulty advancing the catheter, damage to vessels, catheter malposition, and bleeding. Utilizing assessment skills, following the product manufacturer's instructions, and carefully placing the catheter should minimize most of these risks. Additional risks include postinsertion complications such as occlusions, thrombosis, catheter failure, infection,... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1704852 Tue, 01 Jul 2008 04:00:00 +0100 1704852 http://www.medworm.com/index.php?rid=1704851&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18697656%26dopt%3DAbstract Authors: Shaw AM PMID: 18697656 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1704851 Tue, 01 Jul 2008 04:00:00 +0100 1704851 http://www.medworm.com/index.php?rid=1704850&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18697657%26dopt%3DAbstract Authors: Mathur AM, Smith JR, Donze A PMID: 18697657 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1704850 Tue, 01 Jul 2008 04:00:00 +0100 1704850 http://www.medworm.com/index.php?rid=1531485&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18557261%26dopt%3DAbstract Authors: McCain GC PMID: 18557261 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1531485 Thu, 01 May 2008 04:00:00 +0100 1531485 http://www.medworm.com/index.php?rid=1531484&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18557262%26dopt%3DAbstract Authors: Hake-Brooks SJ, Anderson GC PURPOSE: To determine the effects of kangaroo care (KC) (skin-to-skin contact) on breastfeeding status in mother-preterm infant dyads from postpartum through 18 months. DESIGN: Randomized, controlled trial. The control group received standard nursery care; in the intervention group, unlimited KC was encouraged. SAMPLE: A subsample of 66 mothers and their preterm infants (32-36 completed weeks gestation, 1,300-3,000 g, 5 minute Apgar > or = 6) who intended to breastfeed. MAIN OUTCOME VARIABLES: Breastfeeding status at hospital discharge and at 1.5, 3, 6, 12, and 18 months as measured by the Index of Breastfeeding Status. RESULTS: KC dyads, compared to control dyads, breastfed significantly longer (5.08 months vs 2.05 months), p = .003. KC dyads al... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1531484 Thu, 01 May 2008 04:00:00 +0100 1531484 http://www.medworm.com/index.php?rid=1531483&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18557263%26dopt%3DAbstract This article describes a home intervention program delivered by neonatal nurse practitioners for high-risk infants and their mothers. The target population is infants exposed prenatally to drugs and/or alcohol. PMID: 18557263 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1531483 Thu, 01 May 2008 04:00:00 +0100 1531483 http://www.medworm.com/index.php?rid=1531482&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18557264%26dopt%3DAbstract Authors: Goines L Research over several decades describes various adverse health effects of noise on the hospitalized neonate. Noise is a direct cause of long-lasting auditory problems and a significant cause of cardiovascular and respiratory problems and neurologic impairment. Many hospitals have turned the NICU into a quiet environment that promotes the neonate's health and well-being. But auditory pathways continue to develop during the neonatal period, reaching maturation at 12 months and beyond. Some of this development thus occurs after the neonate is discharged from the hospital. It is a responsibility of NICU professionals to teach families about the health benefits of noise modulation and planned quiet in the home environment. This teaching may make a world of difference to th... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1531482 Thu, 01 May 2008 04:00:00 +0100 1531482 http://www.medworm.com/index.php?rid=1531481&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18557265%26dopt%3DAbstract Authors: Ruth VA Extrauterine growth restriction (EUGR) is a common condition in very low birth weight (VLBW) preterm infants (< or = 1,500 g). Most affected infants have a birth weight that is average for gestational age, but by the time of hospital discharge have a weight that is less than the tenth percentile for corrected gestational age. EUGR is the most frequent morbidity among VLBW survivors at their time of discharge from the hospital. Studies to elucidate the causes of EUGR have been inconclusive. Recent research has found an association between EUGR, developmental outcomes, and long-term morbidity. Low birth weight has also been associated with chronic diseases later in life. These findings emphasize the critical nature of understanding the phenomenon of EUGR and ways it c... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1531481 Thu, 01 May 2008 04:00:00 +0100 1531481 http://www.medworm.com/index.php?rid=1531480&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18557266%26dopt%3DAbstract This article discusses the fetal pathophysiology of SCTs and the impact of the condition on the newborn. Fetal SCTs can have life-threatening physiologic effects--such as premature labor, dystocia, and high-output cardiac failure--if not managed appropriately. Clinical manifestations, prenatal diagnosis, therapeutic approaches and treatment options for the fetus and newborn, and current research related to SCTs are addressed to aid practitioners caring for a fetus or infant diagnosed with an SCT. PMID: 18557266 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1531480 Thu, 01 May 2008 04:00:00 +0100 1531480 http://www.medworm.com/index.php?rid=1531479&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18557267%26dopt%3DAbstract Authors: Milcic TL PMID: 18557267 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1531479 Thu, 01 May 2008 04:00:00 +0100 1531479 http://www.medworm.com/index.php?rid=1399246&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18431960%26dopt%3DAbstract Authors: Askin DF PMID: 18431960 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1399246 Sat, 01 Mar 2008 05:00:00 +0100 1399246 http://www.medworm.com/index.php?rid=1399245&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18431961%26dopt%3DAbstract Authors: Gaul J Necrotizing enrerocolitis (NEC) remains a significant cause of morbidity and mortality for low birth weight premature infants. Prematurity, ischemia, formula feeding, and bacterial colonization are risk factors for the self-perpetuating cycle of damaged intestinal epithelia, inflammation, bacterial entry, sepsis, and shock that characterizes NEC. Probiotics are food supplements containing live bacteria that benefit the recipient by improving the microflora balance within the intestine. Several studies suggest that the administration of probiotics may have a prophylactic effect for NEC and may reduce morbidity and mortality rates for low birth xveight infants. PMID: 18431961 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1399245 Sat, 01 Mar 2008 05:00:00 +0100 1399245 http://www.medworm.com/index.php?rid=1399244&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18431962%26dopt%3DAbstract This article discusses the pathophysiologv of MAS, historical and current prevention strategies, current management strategies, and prognoses for infants born through MSAE. PMID: 18431962 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1399244 Sat, 01 Mar 2008 05:00:00 +0100 1399244 http://www.medworm.com/index.php?rid=1399243&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18431963%26dopt%3DAbstract Authors: Thomas LM Over the past century, improvements in technology and neonatal care techniques have dramatically reduced infant mortality rates. While this progress continues, a growing body of literature supports the significant role that parents play in the development of infants, particularly within the hospital setting. Throughout much of the twentieth century, various barriers prevented many parents from participating in thc care of their neonates, negatively influencing infant outcomes. Today parental involvement in neonatal carc has become a key part of a larger family-centered care model. This historical review describes how past neonatal care practices affected the roles of parents, from absence or indirect involvemcnt to the important involved roles of today. Understanding... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1399243 Sat, 01 Mar 2008 05:00:00 +0100 1399243 http://www.medworm.com/index.php?rid=1399242&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18431964%26dopt%3DAbstract This article is an exploratory effort meant to solicit and provoke dialog. Conscientious objection is proposed as a potential response to the moral distress experienced by neonatal nurses. The most commonly reported cause of distress for all nurses is following orders to support patients at the end of their lives with advanced technology when palliative or comfort care would be more humane. Nurses report that they feel they are harming patients or causing suffering when they could be comforting instead. We examined the literature on moral distress, futility, and the concept of conscientious objection from the perspective of the nurse's potential response to performing advanced technologic interventions for the dying patient. We created a small pilot study to engage in clinical verification... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1399242 Sat, 01 Mar 2008 05:00:00 +0100 1399242 http://www.medworm.com/index.php?rid=1399241&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18431965%26dopt%3DAbstract Authors: Hawk M PMID: 18431965 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1399241 Sat, 01 Mar 2008 05:00:00 +0100 1399241 http://www.medworm.com/index.php?rid=1399240&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18431966%26dopt%3DAbstract Authors: Raney M, Donze A, Smith JR PMID: 18431966 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1399240 Sat, 01 Mar 2008 05:00:00 +0100 1399240 http://www.medworm.com/index.php?rid=1399239&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18431967%26dopt%3DAbstract Authors: Simons SL Nurses will work in a unit and choose to stay because they feel pride in their work and are respected. Eliminating horizontal hostility at the unit level begins with a commitment from the NICU's leadership. Establishing and maintaining an environment of civility is essential if the unit is to successfully recruit and maintain the best staff to care for the patients entrusted to it. PMID: 18431967 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1399239 Sat, 01 Mar 2008 05:00:00 +0100 1399239 http://www.medworm.com/index.php?rid=1200221&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18232585%26dopt%3DAbstract Authors: Rait SG PMID: 18232585 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200221 Tue, 01 Jan 2008 05:00:00 +0100 1200221 http://www.medworm.com/index.php?rid=1200220&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18232586%26dopt%3DAbstract Authors: Nye C Breast milk provides physiologic and neurodevelopmental protection for premature infants. Most hospitals are breast-milk friendly, but the number of premature infants breastfeeding successfully at discharge is relatively small. There are evidence-based techniques to improve the odds of premature infants breastfeeding at discharge and into the first year of life. Measures that help the infant make the transition to the breast include kangaroo care, nonnutritive sucking, avoidance of bottles, and consistent and supportive staff. A guide to management of the transition process is provided in this article. PMID: 18232586 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200220 Tue, 01 Jan 2008 05:00:00 +0100 1200220 http://www.medworm.com/index.php?rid=1200219&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18232587%26dopt%3DAbstract Authors: Thomas KA, Tsai SY, Brown SN PURPOSE: To describe the effect of nursing caregiving on infant sleep-wake states by gender in preterm infants. DESIGN: Descriptive measures at 34 weeks postmenstrual age and at discharge. SAMPLE: Twenty-two hospitalized preterm infants. MAIN OUTCOME VARIABLE: Infant state and caregiving episodes were coded in 15-second intervals from video recordings of approximately three hours duration. Time plots of state and caregiving were analyzed visually to summarize spontaneous state changes and state change associated with caregiving. RESULTS: Sleep and wake state distribution did not differ statistically by gender; however, the rate of state change in male infants was twice that of females (p=.012) at discharge. At discharge, male infants received appro... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200219 Tue, 01 Jan 2008 05:00:00 +0100 1200219 http://www.medworm.com/index.php?rid=1200218&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18232588%26dopt%3DAbstract This article examines IO infusion devices and placement sites and addresses assessment and care of the infant receiving IO fluids and medications. PMID: 18232588 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200218 Tue, 01 Jan 2008 05:00:00 +0100 1200218 http://www.medworm.com/index.php?rid=1200217&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18232589%26dopt%3DAbstract Authors: Shaw J Trisomy 18 is a devastating genetic disorder that can be characterized by multiple congenital anomalies. Some of these anomalies have no medical significance, but merely provide clues to suggest the diagnosis. The most common form of trisomy 18 is the nondisjunction type, which affects every cell of the body with an extra chromosome 18. Mfected infants are typically born with a prominent occiput, short eye fissures with droopy eyelids, micrognathia, external ear variations, clenched fist with index finger overlapping the third finger and fifth finger overlapping the fourth, small fingernails and toenails, underdeveloped or altered thumbs, "rocker-bottom" feet, and redundant skin at the back of the neck. Congenital heart defects are common. The mortality rate among infan... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200217 Tue, 01 Jan 2008 05:00:00 +0100 1200217 http://www.medworm.com/index.php?rid=1200216&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18232590%26dopt%3DAbstract Authors: Williford AL, Pare LM, Carlson GT PMID: 18232590 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200216 Tue, 01 Jan 2008 05:00:00 +0100 1200216 http://www.medworm.com/index.php?rid=1200215&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18232591%26dopt%3DAbstract Authors: Bell SG PMID: 18232591 [PubMed - in process] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200215 Tue, 01 Jan 2008 05:00:00 +0100 1200215 http://www.medworm.com/index.php?rid=1200228&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18069425%26dopt%3DAbstract Authors: Miles MS PMID: 18069425 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200228 Thu, 01 Nov 2007 04:00:00 +0100 1200228 http://www.medworm.com/index.php?rid=1200227&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18069426%26dopt%3DAbstract Authors: Ogbolu Y PMID: 18069426 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200227 Thu, 01 Nov 2007 04:00:00 +0100 1200227 http://www.medworm.com/index.php?rid=1200226&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18069427%26dopt%3DAbstract Authors: Docherty SL, Lowry C, Miles MS PURPOSE: To explore the influence of poverty on the parenting experience and maternal developmental trajectory of Lumbee mothers with medically fragile infants. DESIGN: A multiple-case study design using secondary data from a larger longitudinal study of parental role attainment with medically fragile infants. SAMPLE: Five cases involving mothers who were Lumbee Indians and who had medically fragile infants. RESULTS: The key features of the mothers' talk about their parenting experiences were organized into categories that fit into five inductively derived themes related to poverty. IMPLICATIONS: Health care professionals need to be aware of how the context of living in poverty affects mothers of high-risk infants who are hospitalized in tertiary... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200226 Thu, 01 Nov 2007 04:00:00 +0100 1200226 http://www.medworm.com/index.php?rid=1200225&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18069428%26dopt%3DAbstract Authors: Harrell SN, Brandon DH Retinopathy of prematurity (ROP) is the cessation of normal eye development and subsequent abnormal vessel growth that occurs exclusively in premature infants. ROP was first discovered in the 1940s and was for two decades the leading cause of blindness in children. Currently, the disease causes about 500 new cases of blindness per year. The severity of the disease increases with decreasing gestational age. The pathogenesis of ROP involves disruption of normal retinal vascularization. Vessel endothelial growth factor, insulin-like growth factor, and oxygen play important roles in its development. ROP is classified using an international classification system that provides direction for screening and treatment of premature infants. Examinations are perform... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200225 Thu, 01 Nov 2007 04:00:00 +0100 1200225 http://www.medworm.com/index.php?rid=1200224&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18069429%26dopt%3DAbstract This article presents an initial approach to nursing care for peripheral IV infiltrations to guide clinicians in management of this complication. The approach is based on clinical experience, descriptive studies, and reports from expert committees. PMID: 18069429 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200224 Thu, 01 Nov 2007 04:00:00 +0100 1200224 http://www.medworm.com/index.php?rid=1200223&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18069430%26dopt%3DAbstract Authors: Smith JR, Donze A, Schuller L As the incidence of late preterm births continues to rise, health care providers need to be aware of this population's unique needs. This review focuses on the additional risks late preterm infants encounter related to unconjugated hyperbilirubinemia and the importance of breastfeeding support and follow-up. Additional, population-based studies concentrating on the late preterm infant are needed to determine more clearly the incidence of hyperbilirubinemia, with specific levels documented; incidence of ED visits and rehospitalizations related to hyperbilirubinemia; and incidence of bilirubin neurotoxicity with both short- and long-term follow-up. It is also important to study these outcomes in relation to the nature and degree of risk associated w... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200223 Thu, 01 Nov 2007 04:00:00 +0100 1200223 http://www.medworm.com/index.php?rid=1200222&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18069431%26dopt%3DAbstract Authors: Simons SL PMID: 18069431 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200222 Thu, 01 Nov 2007 04:00:00 +0100 1200222 http://www.medworm.com/index.php?rid=1200235&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17926656%26dopt%3DAbstract Authors: Askin DF PMID: 17926656 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200235 Sat, 01 Sep 2007 04:00:00 +0100 1200235 http://www.medworm.com/index.php?rid=1200234&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17926657%26dopt%3DAbstract This article examines the two conditions, reviews the literature, discusses possible complications, and leaves the reader with a heightened awareness of these seemingly benign lesions. PMID: 17926657 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200234 Sat, 01 Sep 2007 04:00:00 +0100 1200234 http://www.medworm.com/index.php?rid=1200233&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17926658%26dopt%3DAbstract Authors: Barnes-Powell LL News that a woman with diabetes is about to deliver brings up images of a macrosomic infant. This infant may experience birth injuries, asphyxia, respiratory distress, hypoglycemia, hypocalcemia, hyperbilirubinemia, polycvthemia/hyperviscosity syndrome, asymmetric sepral hypertrophy, and other congenital malformations. Uncontrolled diabetes has profound effects on embryogenesis, organogenesis, and fetal and neonatal growth, and evidence increasingly indicates that some of these effects are lifelong and may contribute to adult obesity. Preconception control of diabetes and monitoring throughout pregnancy are important in reducing the impact of diabetes on the fetus and newborn. PMID: 17926658 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200233 Sat, 01 Sep 2007 04:00:00 +0100 1200233 http://www.medworm.com/index.php?rid=1200232&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17926659%26dopt%3DAbstract This article examines why the medication has fallen out of favor and whether postnatal corticosteroids still have a place in preventing and treating CLD. PMID: 17926659 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200232 Sat, 01 Sep 2007 04:00:00 +0100 1200232 http://www.medworm.com/index.php?rid=1200231&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17926660%26dopt%3DAbstract Authors: Hanrahan K, Gates M, Attar MA, Lang SW, Frohna A, Clark SJ PURPOSE: To examine parents' and health care providers' perceptions of back transport from a tertiary care neonatal intensive care unit to a community hospital. DESIGN: Qualitative, hypothesis-generating, cross-sectional study utilizing focus group methodology. SAMPLE: Participants included 12 parents of back-transported infants insured by Medicaid, 6 regional NICU health care providers, and 17 community hospital special care nursery health care providers. MAIN OUTCOME MEASURES: Participant perceptions of factors that support or impede successful back transport. RESULTS: Data from the focus groups were analyzed to identify five main themes: early communication about back transport, preparing parents for back transport,... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200231 Sat, 01 Sep 2007 04:00:00 +0100 1200231 http://www.medworm.com/index.php?rid=1200230&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17926661%26dopt%3DAbstract Authors: Beachy JM PMID: 17926661 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200230 Sat, 01 Sep 2007 04:00:00 +0100 1200230 http://www.medworm.com/index.php?rid=1200229&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17926662%26dopt%3DAbstract Authors: Donahue L So much is unknown about SIP-its etiology, pathophysiology, best treatment modality, and outcome. Yet the incidence of SIP is increasing as more VLBW infants are surviving and since SIP has been identified as a separate disease from NEC. Because many cases present with an insidious onset, it is imperative that practitioners review all x-rays with SIP in mind. Although SIP is a relatively rare occurrence in the NICU, its potential to increase morbidity and mortality in premature infants warrants further research to improve outcomes. PMID: 17926662 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200229 Sat, 01 Sep 2007 04:00:00 +0100 1200229 http://www.medworm.com/index.php?rid=1200245&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17710953%26dopt%3DAbstract Authors: Trotter C PMID: 17710953 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200245 Sun, 01 Jul 2007 04:00:00 +0100 1200245 http://www.medworm.com/index.php?rid=1200244&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17710954%26dopt%3DAbstract This study suggests that all environmental changes must be monitored to ensure that they reduce rather than increase noise levels. PMID: 17710954 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200244 Sun, 01 Jul 2007 04:00:00 +0100 1200244 http://www.medworm.com/index.php?rid=1200243&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17710955%26dopt%3DAbstract Authors: Reid J Subgaleal hemorrhages, although infrequent in the past, are becoming more common with the increased use of vacuum extraction. Bleeding into the large subgaleal space can quickly lead to hypovolemic shock, which can be fatal. Understanding of anatomy, pathophysiology, risk factors, differential diagnosis, and management will assist in early recognition and care of the infant with a subgaleal hemorrhage. PMID: 17710955 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200243 Sun, 01 Jul 2007 04:00:00 +0100 1200243 http://www.medworm.com/index.php?rid=1200242&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17710956%26dopt%3DAbstract Authors: Mitmesser SH, Jensen CL Docosahexaenoic acid (DHA) and arachidonic acid (ARA) are two long-chain polyunsaturated fatty acids (LCPUFAs) found naturally in human milk. DHA and ARA have been receiving increased attention from health care professionals and the public. Research suggests that DHA intake and status have a significant impact on visual and cognitive development in breastfed infants. For formula-fed infants, studies have shown mixed results from DHA or DHA plus ARA supplementation. There are several important differences among LCPUFA studies with term infants that may contribute to the differing results, including levels of LCPUFA added to the formula, variations in test methods, ages of infants evaluated, and sources of LCPUFA. Nevertheless, several expert groups recom... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200242 Sun, 01 Jul 2007 04:00:00 +0100 1200242 http://www.medworm.com/index.php?rid=1200241&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17710957%26dopt%3DAbstract Authors: Thompson JN The fetal-origins-of-adult-disease hypothesis describes an adaptive phenomenon of in utero reprogramming of the undernourished fetus that predisposes the infant to increased morbidity as an adult. Studies have identified a positive association between indicators of fetal undernutrition such as low birth weight and chronic adult diseases like hypertension, diabetes, obesity, and coronary artery disease. Current research is focusing on determining other factors that may contribute to these chronic adult diseases. PMID: 17710957 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200241 Sun, 01 Jul 2007 04:00:00 +0100 1200241 http://www.medworm.com/index.php?rid=1200240&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17710958%26dopt%3DAbstract Authors: Clark R PMID: 17710958 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200240 Sun, 01 Jul 2007 04:00:00 +0100 1200240 http://www.medworm.com/index.php?rid=1200239&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17710959%26dopt%3DAbstract Authors: Bell SG Honey has been shown to have antibacterial activity against a variety of species of bacteria in vitro. Although the evidence regarding the use of honey for wound treatment in neonates and infants is interesting, it is not strong. The sample sizes in the cited clinical studies are small; there were no comparison groups and no randomization. It appears that honey may be safe and useful in treating difficult-to-heal infected wounds, but double-blinded randomized controlled clinical trials with sufficient power are needed to determine the efficacy of honey in both initial wound management and secondary treatment of infected and poorly healing wounds. A comparison of different types of honey would be an important component of these trials. Currently, there is not enough evi... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200239 Sun, 01 Jul 2007 04:00:00 +0100 1200239 http://www.medworm.com/index.php?rid=1200238&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17710960%26dopt%3DAbstract Authors: Knobel RB Screening for thyroid hormone levels in the first week of life is extremely important to identify infants with CH. Worldwide neonatal screening programs have been successful in decreasing childhood mental retardation related to CH by early detection and treatment. To successfully screen for CH, nurses must understand how to draw blood that will yield valid results on the metabolic screening filter paper. It is also important for the nurse to understand that thyroid levels are normally decreased in preterm infants and that regular follow-up of those low thyroid levels is crucial because levels may return to normal and eventual treatment is necessary. Early follow-up testing and treatment are essential. A thyroid scan or ultrasonography is optional and decided on by ev... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200238 Sun, 01 Jul 2007 04:00:00 +0100 1200238 http://www.medworm.com/index.php?rid=1200237&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17710961%26dopt%3DAbstract Authors: Simons SL There is a looming shortage of nurses with a diminishing pool of talent to staff the nation's NICUs. One critical strategy is to retain the talent and experience base of the older nurse. The replacement of experienced nurses is very costly to the unit and negatively impacts quality of care, patient safety, productivity, and unit cohesion. Older nurses can, do, and will make choices about where they work. Organizations have a responsibility to respond to their needs and align strategies aimed at their retention. Understanding the needs of older nurses will enable managers to better retain the staff they lead. PMID: 17710961 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200237 Sun, 01 Jul 2007 04:00:00 +0100 1200237 http://www.medworm.com/index.php?rid=1200236&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17710962%26dopt%3DAbstract Authors: Bowen NC PMID: 17710962 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200236 Sun, 01 Jul 2007 04:00:00 +0100 1200236 http://www.medworm.com/index.php?rid=1200253&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17521059%26dopt%3DAbstract Authors: Askin DF PMID: 17521059 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200253 Tue, 01 May 2007 04:00:00 +0100 1200253 http://www.medworm.com/index.php?rid=1200252&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17521060%26dopt%3DAbstract Authors: Taylor-Mendes C PMID: 17521060 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200252 Tue, 01 May 2007 04:00:00 +0100 1200252 http://www.medworm.com/index.php?rid=1200251&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17521061%26dopt%3DAbstract This article explains the etiology, the diagnosis, and the treatment of SDH and SAH, concluding PMID: 17521061 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200251 Tue, 01 May 2007 04:00:00 +0100 1200251 http://www.medworm.com/index.php?rid=1200250&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17521062%26dopt%3DAbstract Authors: O'Neill N, Howlett AA PURPOSE: To determine whether the S.T.A.B.L.E. Program increases health care providers' confidence and clinical abilities in pretransport stabilization and to assess the care of transported neonates before and after S.T.A.B.L.E. Program education. DESIGN: A descriptive design was used to evaluate health care providers ' confidence about pretransport stabilization and to assess infant outcomes before and after S.T.A.B.L.E. education. SAMPLE: Sixty-four participants in the S.T.A.B.L.E. Program in Nova Scotia participated in this study over a 13-month period. Thestudy evaluated the charts of all neonates transported tothe IWK Health Centre over two one-year periods, before and after the S.T.A.B.L.E. Program. MAIN OUTCOME VARIABLE: Perceived confidence and in... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200250 Tue, 01 May 2007 04:00:00 +0100 1200250 http://www.medworm.com/index.php?rid=1200249&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17521063%26dopt%3DAbstract This article discusses the potential hazards of incorrect administration of breast milk. It then describes how the tertiary care center at Children's Hospital of Illinois implemented a policy utilizing six sigma quality improvement methodologies to improve breast milk administration. Since implementation of this policy, the NICU at our hospital has reduced the risk of breast milk administration errors to less than 3.4 mistakes per million opportunities. PMID: 17521063 [PubMed - indexed for MEDLINE] (Source: Neonatal Network) Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200249 Tue, 01 May 2007 04:00:00 +0100 1200249 http://www.medworm.com/index.php?rid=1200248&cid=s_36785_69_f&fid=36785&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D17521064%26dopt%3DAbstract This article reports on the experiences of the Intermountain Health Care Life Flight Program in selecting a high frequency ventilator and preparing the transport team members for its use. Once the use of the Duotron ventilator was initiated, pre- and posttransport data were collected for the first 134 neonates requiring HFV on transport. Analysis of the data determined that 96 percent of the infants were successftslly transported using the Duotron ventilator. Inspired oxygen requirements staved the same or improved in the majority of intubated patients for whom comparison data xvere available. Ventilation and acid-base balance improved. Although HFV has been a common therapy in neonatal care for some time, its adoption for use during transport required modification and considerable educati... Neonatal Network journals http://www.medworm.com/rss/comments.php?id=1200248 Tue, 01 May 2007 04:00:00 +0100 1200248