Publications by authors named "A D McMillin"

Background/objectives: Kangaroo Care (KC) has been proven to enhance physiological stability, growth, and bonding in preterm, low-birthweight infants. Despite its benefits, KC is underutilized in Level IV Neonatal Intensive Care Units (NICUs) due to challenges in managing medical equipment. This study introduces the Kangarobe™, a novel garment designed to facilitate safe, comfortable, and efficient KC for medically fragile infants in high-acuity NICUs.

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Objective: This study aimed to determine if prefilled epinephrine syringes will reduce time to epinephrine administration compared with conventional epinephrine during standardized simulated neonatal resuscitation.

Study Design: Timely and accurate epinephrine administration during neonatal resuscitation is lifesaving in bradycardic infants. Current epinephrine preparation is inefficient and error-prone.

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The continuous monitoring of arterial blood pressure (BP) is vital for assessing and treating cardiovascular instability in a sick infant. Currently, invasive catheters are inserted into an artery to monitor critically-ill infants. Catheterization requires skill, is time consuming, prone to complications, and often painful.

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We describe the process our interdisciplinary clinic used to create an institutional policy regarding research participant recruitment from among our client base. We demonstrate how certain elements of the client-clinician relationship can lead to inadvertent ethical quandaries in research recruitment, including implicit coercion and fostering of "therapeutic misconception." Our internal policy deliberations focused on five central dilemmas, each requiring a careful evaluation of ethical principles.

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