Historically associated with aversion, the lateral habenula has a poorly characterized role in parenting. In this issue of Neuron, Lecca and colleagues show that these seemingly opposing roles converge in a subnucleus where aversion to pup cries may drive motivation for caregiving.
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Reducing Noise in the NICU.
Adv Neonatal Care
August 2024
Division of Neonatal-Perinatal Medicine, Cohens Children's Medical Center, Northwell Health, New York, New York(Drs Gennattasio, Maffei, Weinberger, and Boyar); and Duke University School of Nursing, Durham, North Carolina(Drs Gennattasio, Carter, and Turner).
Article 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.
Hush, little baby: The role of C-tactile afferents in babywearing infants with neonatal opioid withdrawal.
Infant Behav Dev
September 2024
College of Public Programs, University of Arizona, Tucson, AZ.
Social touch through infant holding, skin-to-skin contact, and infant carrying (babywearing) decreases infant distress and promotes secure attachment. Unknown is the extent to which these effects are the result of the activation of C-Tactile afferents (CTs), the constellation of nerve fibers associated with affective touch, primarily located in the head and trunk of the body. The purpose of the present study was to compare dynamic touch (CTs activated) to static touch (CTs less activated) during a babywearing procedure among infants experiencing Neonatal Opioid Withdrawal Syndrome (NOWS).
View Article and Find Full Text PDFHush Little Baby - Promise of the Eat, Sleep, Console Approach.
N Engl J Med
June 2023
From the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta.
Hush little baby, don't you cry: How aversion to infant distress calls drives caregiving.
Neuron
April 2023
Dominick P. Purpura Department of Neuroscience, Albert Einstein College of Medicine, Bronx, NY, USA; Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, NY, USA. Electronic address:
Historically associated with aversion, the lateral habenula has a poorly characterized role in parenting. In this issue of Neuron, Lecca and colleagues show that these seemingly opposing roles converge in a subnucleus where aversion to pup cries may drive motivation for caregiving.
View Article and Find Full Text PDFMandibular Distraction in Neonatal Pierre Robin Sequence: Is Immediate Extubation Both Feasible and Safe?
Plast Reconstr Surg
June 2022
From the Division of Plastic Surgery and the Department of Pediatrics, Emory University; Center for Cleft and Craniofacial Disorders, Children's Healthcare of Atlanta; and Emory University School of Medicine.
Background: The timing of extubation following placement of mandibular distractors in the setting of Pierre Robin sequence is variable across institutional algorithms. Postoperative maintenance of intubation allows for an improvement in airway dimension and tongue positioning before extubation, theoretically decreasing the impact of postoperative airway edema. Maintenance of intubation, however, is not without risk.
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