Approaches School Leaders Employ Regarding Students Who Experience Socioemotional Crises

Many students in the local school district in a northeastern state suffer from socioemotional challenges that negatively influence their academic success. In the Adverse Childhood Experiences (ACEs) study, researchers found negative socioemotional outcomes resulting from ACEs. Risk factors associated with ACEs, and the influence of ACEs on poor school outcomes form the framework of this project study. To determine measures school leaders take to meet the needs of students in socioemotional crisis, a sample of semi-structured interview participants was selected based upon their roles in addressing students in socioemotional crisis, also forming the basis of this basic qualitative study. The participant sample consisted of three elementary school principals, one junior high school principal, two elementary assistant principals, and two high school assistant principals. Also, Response to Intervention (RtI) meeting minutes, records examinations from school social worker entries in the district student databases, and intervention team meeting minutes served as data for qualitative records reviews. After thematic coding was completed, the need for a shared definition of socioemotional crisis emerged. Also, there is not a clear consensus in terms of strategies when approaching students suffering from a socioemotional crisis or meeting the needs of these students. In addition, inconsistencies in data storage practices were discovered during the records collection. This research project will help school leaders align interventions for students with socioemotional and behavioral disabilities and improve data storage practices helping to inform practice. The improved practices will help school leaders address the needs of students in socioemotional crisis more effectively and help promote positive social change within the educational community

A New Cardioplegia Reservoir for the Neonate, Infant and the Pediatric Patient

The neonate, infant and pediatric patient requires significant modifications in equipment. A new low volume cardioplegia reservoir combined with an established recirculation line system was developed to satisfy both blood and crystalloid cardioplegia users. This system is designed for volumes under 300 ml with precise level increments allowing for specific ratios of blood to crystalloid. This product demonstrates excellent cooling, uniformity of mixing and blood flow capability for the small patient

A Modification of the Sarns Conducer Heat Exchanger as a Low Prime Pediatric Cardioplegia System

Cardioplegia deli very systems require significant modifications to accommodate the small pediatric patient. This new system employs the combination of a low prime heat exchanger, recirculation line systems and an open reservoir for use in both blood and crystalloid cardioplegia circuits. This modification is designed to minimize priming volume to approximately 50 ml, making it suitable for the very small patient. Simple tubing and reservoir variations can be made for the larger patient while still demonstrating excellent cooling, mixing and blood flow capability while safely delivering cardioplegia to the pediatric patient

Use of del Nido Cardioplegia Solution and a Low-Prime Recirculating Cardioplegia Circuit in Pediatrics

The evolution of myocardial protection techniques has been both the source of milestone advancements and controversial debate in cardiac surgery. Our institution has modified a low-prime cardioplegia system (CPS) and adopted a single-dose cardioplegia solution (del Nido cardioplegia) for our congenital heart disease population. The goal of this article is to describe our CPS and outline our myocardial protection protocol. These techniques have allowed us to minimize circuit surface area, operate uninterrupted, and safely protect the myocardium during extended ischemic periods