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

ENHANCING TRANSIT CIRCULATION IN RESORT AREAS: OPERATIONAL AND DESIGN STRATEGIES

Many resort areas and other major activity centers are facing transportation challenges as rising traffic congestion erodes the quality of a visitor\u27s experience. Many resort areas have turned to public transportation as an alternative strategy for visitor circulation, but these services often become enmeshed in the same traffic jam that they were intended to circumvent. The city of Virginia Beach, Virginia, undertook an aggressive, long-term effort to establish and enhance an effective transit circulation in its beachfront resort area through a combination of physical design improvements and operational management. The development and implementation of the combination strategy are described, and lessons learned that are relevant to other resort-area transit-circulator services are outlined

Developing Partnerships With Predominantly Muslim Nations: Round Table

Published in conjunction with theU.S. Center for Citizen Diplomacy’s U.S. Summit & Initiative for Global Citizen DiplomacyNovember 16–19, 2010, Washington DC.Materials included in this document are the views of the roundtable authors and are meant to serve as a tool for discussion.© November 2010 | U.S. Center for Citizen Diplomac

Developing Partnerships With Predominantly Muslim Nations: Round Table

Published in conjunction with theU.S. Center for Citizen Diplomacy’s U.S. Summit & Initiative for Global Citizen DiplomacyNovember 16–19, 2010, Washington DC.Materials included in this document are the views of the roundtable authors and are meant to serve as a tool for discussion.© November 2010 | U.S. Center for Citizen Diplomac