Evaluation of critical congenital heart defects screening using pulse oximetry in the neonatal intensive care unit.

ObjectiveTo evaluate the implementation of early screening for critical congenital heart defects (CCHDs) in the neonatal intensive care unit (NICU) and potential exclusion of sub-populations from universal screening.Study designProspective evaluation of CCHD screening at multiple time intervals was conducted in 21 NICUs across five states (n=4556 infants).ResultsOf the 4120 infants with complete screens, 92% did not have prenatal CHD diagnosis or echocardiography before screening, 72% were not receiving oxygen at 24 to 48 h and 56% were born ⩾2500 g. Thirty-seven infants failed screening (0.9%); none with an unsuspected CCHD. False positive rates were low for infants not receiving oxygen (0.5%) and those screened after weaning (0.6%), yet higher among infants born at <28 weeks (3.8%). Unnecessary echocardiograms were minimal (0.2%).ConclusionGiven the majority of NICU infants were ⩾2500 g, not on oxygen and not preidentified for CCHD, systematic screening at 24 to 48 h may be of benefit for early detection of CCHD with minimal burden

Implementation of the AAP Recommendations to Reduce SIDS Risk in NICUs: A Collaborative Study of Nursing Knowledge and Practice

Purpose: To examine and describe NICU nurses’: Knowledge of SIDS risk reduction measures Modeling of safe infant sleep interventions prior to hospital discharge Inclusion of SIDS risk reduction in parent educatio

Synthesis and characterization of CdS nanoparticles embedded in a polymethylmethacrylate matrix

CdS nanopowder capped with sodium bis(2-ethylhexyl)sulfosuccinate was synthesized by using water-in-oil microemulsions. The CdS nanoparticles of about 5 nm obtained were embedded in polymethylmethacrylate matrix by a photocuring process. The transparent yellow solid compound was characterized by optical absorption and emission spectroscopy, high-resolution transmission electron microscopy, and energy-dispersive X-ray spectroscopy. The properties of this compound were compared with those of the nanopowder dispersed in heptane and in methylmethacrylate. The results obtained indicate that the nanoparticles are homogeneously dispersed in the matrix and do not change in size during the embedding process. Even if the surface slightly changes its luminescence properties, as a consequence of the different new chemical environment, the final product seems to be suitable for practical applications

Ang pagiging babae: A short feature film on women in society framed through a mother-daughter dyad

It\u27s 2017. The president has proclaimed martial law in Mindanao. Rape jokes and misogynist remarks are thrown. Those who speak up become enemies, and women are still harassed in the streets. Women are still expected to fulfill their conventional roles-- wives, mothers, caretakers. It\u27s a tumultuous society but it\u27s also witnessing progress. Women are standing up for themselves even at the expense of their own security and lives. They\u27re questioning traditions and being critical as ever. Ang pagiging babae (To be a woman) centers around Karen, 20s, an indigenous peoples and women\u27s rights advocate, who is in the middle of all of these. Karen is an outspoken woman who questions the role of women especially of mothers while she herself has an emotionally distant relationship with her own mother, Jocelyn, 50s, whose past has clearly shaped her present. Karen and Jocelyn are not the closest, and almost always their words are said with nonchalance and actions are done on routine. They only know each other on a surface level but Karen, being critical to her society, also decides to look at herself and examines her relationship with her own mother. Ang pagiging babae (To be a woman) aims to show the complexity of being a woman particularly of being a mother and a daughter in a tumultuous society. This also shows the individuality of mothers and daughters as they reflect on their own selves and on their relationship. It also gives awareness to the struggles of our indigenous brothers and sisters and how intense militarization has affected them

Critical congenital heart disease newborn screening implementation: lessons learned

Introduction The purpose of this article is to present the collective experiences of six federally-funded critical congenital heart disease (CCHD) newborn screening implementation projects to assist federal and state policy makers and public health to implement CCHD screening. Methods A qualitative assessment and summary from six demonstration project grantees and other state representatives involved in the implementation of CCHD screening programs are presented in the following areas: legislation, provider and family education, screening algorithms and interpretation, data collection and quality improvement, telemedicine, home and rural births, and neonatal intensive care unit populations. Results The most common challenges to implementation include: lack of uniform legislative and statutory mandates for screening programs, lack of funding/resources, difficulty in screening algorithm interpretation, limited availability of pediatric echocardiography, and integrating data collection and reporting with existing newborn screening systems. Identified solutions include: programs should consider integrating third party insurers and other partners early in the legislative/statutory process; development of visual tools and language modification to assist in the interpretation of algorithms, training programs for adult sonographers to perform neonatal echocardiography, building upon existing newborn screening systems, and using automated data transfer mechanisms. Discussion Continued and expanded surveillance, research, prevention and education efforts are needed to inform screening programs, with an aim to reduce morbidity, mortality and other adverse consequences for individuals and families affected by CCHD

Intrinsic and Extrinsic Stability of Formamidinium Lead Bromide Perovskite Solar Cells Yielding High Photovoltage

We report on both the intrinsic and the extrinsic stability of a formamidinium lead bromide [CH(NH2)(2)PbBr3 = FAPbBr(3)] perovskite solar cell that yields a high photovoltage. The fabrication of FAPbBr(3) devices, displaying an outstanding photo voltage of 1.53 V and a power conversion efficiency of over 8%, was realized by modifying the mesoporous TiO2-FAPbBr(3) interface using lithium treatment. Reasons for improved photovoltaic performance were revealed by a combination of techniques, including photothermal deflection absorption spectroscopy (PDS), transient-photovoltage and charge-extraction analysis, and time-integrated and time-resolved photoluminescence. With lithium-treated TiO2 films, PDS reveals that the TiO2-FAPbBr(3) interface exhibits low energetic disorder, and the emission dynamics showed that electron injection from the conduction band of FAPbBr(3) into that of mesoporous TiO2 is faster than for the untreated scaffold. Moreover, compared to the device with pristine TiO2, the charge carrier recombination rate within a device based on lithium-treated TiO2 film is 1 order of magnitude lower. Importantly, the operational stability of perovskites solar cells examined at a maximum power point revealed that the FAPbBr(3) material is intrinsically (under nitrogen) as well as extrinsically (in ambient conditions) stable, as the unsealed devices retained over 95% of the initial efficiency under continuous full sun illumination for 150 h in nitrogen and dry air and 80% in 60% relative humidity (T = similar to 60 degrees C). The demonstration of high photovoltage, a record for FAPbBr(3), together with robust stability renders our work of practical significance