Craniosynostosis With Preoperative Iron Supplementation Exposure: A Retrospective Cohort Study Examining Preoperative Iron Supplementation and Transfusion Practice in a National Paediatric Craniofacial Centre.

Background: Blood loss and subsequent transfusion are key concerns in the surgical management of craniosynostosis, and have been associated with increased morbidity, requirement for intensive care admission and increased length of hospital stay. Patient blood management guidelines advocate treatment of anemia before elective surgical procedures where significant blood loss is anticipated. At present there is little evidence in the literature investigating the clinical value of this practice in pediatric craniofacial surgery.

Maple syrup urine disease: Clinical outcomes, metabolic control, and genotypes in a screened population after four decades of newborn bloodspot screening in the Republic of Ireland.

Since 1972, 18 patients (10 females/8 males) have been detected by newborn bloodspot screening (NBS) with neonatal-onset maple syrup urine disease (MSUD) in Ireland. Patients were stratified into three clusters according to clinical outcome at the time of data collection, including developmental, clinical, and IQ data. A fourth cluster comprised of two early childhood deaths; a third patient died as an adult.

Opportunities taken: the need for and effectiveness of secondary care opportunistic immunisation.

Aim: To evaluate the effectiveness of a formalised opportunistic immunisation (OI) system in a hospital setting.

Methods: Pre-post implementation audit of missed immunisation opportunities.

Results: Of 5583 children in the National Immunisation Register cohort seen in a hospital setting, 1641 (29.

Analgesic control after hip arthroscopy: a randomised, double-blinded trial comparing portal with intra-articular infiltration of bupivacaine.

The optimum anaesthetic and analgesic management following hip arthroscopy is yet to be determined. There is, in addition, some concern over the use of intraarticular local anaesthetic. We compared the analgesic efficacy of intra-articular infiltration compared with portal infiltration of bupivacaine following hip arthroscopy.

Post-operative opiate requirements after hip arthroscopy.

Purpose: Although hip arthroscopy continues to evolve in its use and its popularity grows, little attention has been paid to the anaesthetic and analgesic management of patients undergoing this procedure. We aimed to report on our initial experience of the anaesthetic and analgesic requirements of a consecutive series of patients undergoing hip arthroscopy.

Methods: We reviewed the surgical and anaesthetic records of the initial, consecutive 85 patients undergoing hip arthroscopy for any reason at our hospital.

Pilot survey of NICU nurses' interest in the neonatal nurse practitioner role.

Purpose: This descriptive, qualitative pilot study explored the interest and perceptions of neonatal intensive care unit (NICU) nurses regarding the neonatal nurse practitioner (NNP) role. Motivating factors to become an NNP, challenges facing NNPs, and rewards of the NNP role from the perspectives of NICU nurses were explored.

Subjects: The convenience sample was obtained using 2 survey techniques.

Morphological responses of Daphnia pulex to Chaoborus americanus kairomone in the presence and absence of metals.

Daphnia pulex neonates develop neck teeth in the presence of predatory kairomone from Chaoborus americanus that are fed D. pulex. These neck teeth reduce the susceptibility of the neonates to predation.