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Background: Fragility fractures of the pelvis are becoming increasingly important in an ageing society. However, they are under-represented in the current research literature. In particular, unstable bilateral fragility fractures of the sacrum (FFP IVb) benefit from surgical treatment, but individual fracture patterns need to be considered in the surgical decision.

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Objective: Birth asphyxia is one of the leading causes of death for neonates worldwide. Lack of an objective cost effective test to predict poor newborn outcomes at birth affects the ability to respond appropriately. This study determined predictive values of umbilical cord arterial lactate in relation to adverse neonatal outcomes.

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Aim: We review methods and outcomes of a novel parenting intervention, Family Nurture Intervention (FNI), that promotes early mother-infant autonomic co-regulation and emotional connection in the neonatal intensive care unit (NICU).

Methods: FNI involves individualised mother-infant calming sessions combined with maternal emotional expression. Two parallel group randomised controlled trials have evaluated FNI.

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Article Synopsis
  • * A review of 486 patient charts over nine years showed a significant increase in compliance with the TXA dosing protocol after its implementation, particularly among those with idiopathic conditions.
  • * While idiopathic patients saw reductions in both cell saver and packed red blood cell transfusions, neuromuscular patients had compliance improvements but did not show a significant decrease in transfusion needs.
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Impact of postpartum maternal fever or hypothermia on newborn and early infant illness and death in Southwestern Uganda.

BMC Pregnancy Childbirth

August 2024

Harvard Medical School and Massachusetts General Hospital Department of Medicine, Division of Infectious Diseases, Center for Global Health, and Medical Practice Evaluation Center, 100 Cambridge St, Boston, MA, 02118, USA.

Background: Deaths occurring during the neonatal period contribute close to half of under-five mortality rate (U5MR); over 80% of these deaths occur in low- and middle-income countries (LMICs). Poor maternal antepartum and perinatal health predisposes newborns to low birth weight (LBW), birth asphyxia, and infections which increase the newborn's risk of death.

Methods: The objective of the study was to assess the association between abnormal postpartum maternal temperature and early infant outcomes, specifically illness requiring hospitalisation or leading to death between birth and six weeks' age.

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