Publications by authors named "V Boyar"
Recurrent methicillin-susceptible colonization following successful decolonization in a neonatal intensive care unit (NICU) has been observed. Of 17 recolonization events, 53% were due to concordant strains; 19 different types were identified. Results of this study support sources of re-acquisition both intrinsic and extrinsic to the NICU.
View Article and Find Full Text PDFEnvironmental stress and salivary cortisol levels in preterm infants.
J Neonatal Perinatal Med
October 2024
Background: Preterm infants are exposed to numerous environmental stressors during their Neonatal Intensive Care Unit (NICU) stay, particularly during the first week after birth. The aim of this study is to assess whether salivary cortisol levels are correlated with Neonatal Infant Stressor Scale (NISS) scores in preterm infants during the first week of life. We also quantified the changes in both NISS scores and cortisol levels in the first week, and whether cortisol levels are associated with gestational age.
View Article and Find Full Text PDFArticle Synopsis
- In the NICU, high noise levels can harm neurodevelopment and affect sleep in newborns, with recommended limits set by the American Academy of Pediatrics at 45 dB.
- The project's goals were to reduce average noise by 10% and limit severe noise exposure to less than 5% of the time.
- Implementations like staff education, visual noise alerts, and structured quiet times ("HUSH") led to significant noise reductions, particularly the enforced quiet periods, suggesting a sustainable approach for ongoing noise management in the NICU.
Background: CSG dressing is water-soluble and helps to hydrate the wound, control exudate, and provide gentle debridement by virtue of a high concentration of surfactant micelles. The primary objective of this retrospective case series is to report on the feasibility of CSG use in pediatric wounds and its mechanism of action. The secondary aim was to measure pain during application and removal of CSG.
View Article and Find Full Text PDFVideo laryngoscopy-assisted less-invasive surfactant administration quality improvement initiative.
Arch Dis Child Fetal Neonatal Ed
November 2023
Objective: To describe the use of quality improvement methodology in transitioning from delivery of surfactant by INSURE (INtubation-SURfactant administration-Extubation) to video laryngoscope-assisted LISA (less-invasive surfactant administration) for infants with respiratory distress syndrome (RDS) receiving non-invasive ventilatory support.
Setting: Two large neonatal intensive care units (NICUs) at Northwell Health (New Hyde Park, New York, USA).
Study Population: Infants with RDS receiving continuous positive airway pressure in the NICU and eligible for surfactant administration.