Rehearsal simulation for antenatal consults.

Background: Rehearsal simulations are patient-specific case- matched tasks performed immediately prior to the actual task, with the objective of improving performance.

Objective: How does rehearsal simulation for antenatal consults impact how residents learn to engage in difficult conversations with families?

Study Design: Residents in the NICU performed case-matched video recorded rehearsal simulations, followed by actual antenatal consults. The purpose of antenatal consults is to prepare parents expecting a complication with their baby before birth.

Laryngeal Mask Airway for Surfactant Administration Versus Standard Treatment Methods in Preterm Neonates with Respiratory Distress Syndrome: A Systematic Review and Meta-analysis.

Objective: Laryngeal mask airway (LMA) has emerged as an alternative surfactant delivery method. The effectiveness of this method for the delivery of surfactant is uncertain. A meta-analysis of randomized control trials (RCTs) comparing LMA with standard methods of surfactant delivery for the outcomes of surfactant dose repetition, oxygen requirement, mechanical ventilation, intubation, mortality, bronchopulmonary dysplasia (BPD), and pneumothorax.

Development and implementation of a novel online breastfeeding support resource: the Maternal Virtual Infant Nutrition Support Clinic.

Exclusive breastfeeding is the optimal method of infant feeding for the first 6 months of life for both term and preterm infants. This recommendation is based on indisputable evidence that breastfeeding offers numerous infant and maternal health benefits. Several trials have shown the beneficial effect of peer and/or professional support on the duration of any breastfeeding up to 6 months.

The effect of bundle branch block on heart function and cardiac output in premature infant.

It is well known that hyperkalemia may cause arrhythmia, right bundle branch block, and cardiac conduction block. These dysrhythmias have the potential to affect cardiac function. We present a premature newborn with hyperkalemia and right bundle branch block causing left ventricular dyssynchrony with mitral regurgitation, which led to decreased pump function.

Reducing falls among geriatric rehabilitation patients: a controlled clinical trial.

Objective: To evaluate the effectiveness of an intervention programme to reduce falls among geriatric rehabilitation patients.

Design: Pre/post-test design with independent pre-test and matched post-test samples.

Setting: Inpatient geriatric wards in a rehabilitation hospital.

Risks and suggestions to prevent falls in geriatric rehabilitation: a participatory approach.

Objective: The objective of this study was to establish the rates and to gather information from patients, staff and family members on risks and potential measures to prevent patient falls on geriatric rehabilitation units in a hospital.

Methods: The falls recorded in the geriatric rehabilitation units between January 2006 and December 2008 were reviewed to establish their rates (falls/1000 patient days) and locations. Twenty-eight interviews with ten patients, twelve staff and six family members were conducted in one of the units.

Paroxetine toxicity in a newborn after in utero exposure: clinical symptoms correlate with serum levels.

There are several case reports and case series that have examined the acute effects of selective serotonin reuptake inhibitors (SSRIs) on the newborn. There is considerable controversy whether the reported symptoms represent withdrawal from the SSRI or toxicity caused by the SSRI. A case of an infant who was exposed to paroxetine during pregnancy is presented.

Vitamin A activation of transforming growth factor-beta1 enhances porcine ileum wound healing in vitro.

Treatment with transforming growth factor-beta(1) (TGF-beta(1)) has been shown to be effective in accelerating skin wound healing. Another approach to gain the beneficial effects of TGF-beta(1) on wound healing could be the activation of tissue stores of latent TGF-beta(1) with agents such as vitamin A. The aims of this study were to determine whether 1) vitamin A is effective in enhancing intestinal wound healing in vitro and 2) activation of TGF-beta(1) is increased during wound healing with vitamin A treatment.