NICU manager empowers nurses to be problem solvers | Some women stop biologic therapy during pregnancy | Pregnancy, menstruation top reasons for iron deficiency
October 19, 2017
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NICU manager empowers nurses to be problem solvers
NICU nurse manager Jill Krause says part of her job is to empower unit nurses to be problem solvers when changes are needed to improve care. Listening to staff and patients' families while sharing the reasons why change is needed is an important leadership tool, Krause writes.
Daily Nurse (10/11) 
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Some women stop biologic therapy during pregnancy
The number of women who started biologics to treat autoimmune diseases decreased between conception and delivery, 31% of pregnant women using the drugs stopped within the third trimester and 38% stopped during the second trimester, according to a study in Arthritis Care & Research. "The concern highlighted by our study is that this discontinuation pattern was occurring irrespective of changes in certain indicators of disease activity and use of concomitant treatments," researchers wrote.
Healio (free registration) (10/16) 
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NNPs are in high demand—and not just by their young patients. As one of very few Doctor of Nursing Practice options in the country, our Neonatal Nurse Practitioner specialty prepares you for advanced practice. Apply by Nov. 1 to our DNP NNP program.
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Health Policy & Practice
Prenatal air pollution exposure linked to shorter telomeres in infants
A study in JAMA Pediatrics found that newborns whose mothers were exposed to higher levels of residential particulate matter, such as car emissions, had shorter telomere length in their cord blood and in the placenta, compared with those whose mothers were exposed to less air pollution. The findings also showed that maternal particulate exposure during the second trimester had the greatest impact on telomere length.
CNN (10/16),  TIME online (10/16),  MedPage Today (free registration) (10/16) 
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UN report: 60M children may die before age 5 by 2030
Nearly 5.6 million youths worldwide died before age 5 in 2016, a new low, but neonatal mortality rates rose from 41% in 2000 to 46% in 2016, and about 60 million children could die before reaching age 5 between 2017 and 2030, 50% of whom would be newborns, should such rates continue, according to a United Nations report. The report also showed preterm birth and childbirth complications accounted for 30% of newborn deaths, and about 80% of newborn deaths occurred in southern Asia and sub-Saharan Africa, while pneumonia and diarrhea were the most prevalent causes of child mortality.
Xinhua News Agency (China) (10/19),  Newsweek (10/18) 
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Keep Catheters Where They Belong.
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Trends & Technology
Congenital heart surgery may benefit babies with trisomy 13, 18
Infants with trisomy 13 or 18 who underwent congenital heart surgery had a more than 50% lower risk of in-hospital mortality, compared with those who didn't receive surgery, with benefits persisting until 24 months of follow-up, researchers reported in Pediatrics. The findings also showed reduced in-hospital mortality risk among female infants, those with higher weights and those who were older at admission.
Healio (free registration)/Infectious Diseases in Children (10/18) 
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Poorer cognitive, motor, behavioral skills seen among preemies
Children born preterm had lower scores in tests of IQ, motor skills, reading, spelling, mathematics and behavior at primary school age, compared with those born full term, and the poorer performance persisted until secondary school age, except for mathematics, UK researchers reported in BJOG: An International Journal of Obstetrics and Gynaecology. The findings also showed reduced working memory and processing speed until after school age as well as a twofold higher risk of attention-deficit/hyperactivity disorder diagnosis among those born preterm.
CTV.ca (Canada)/Agence France-Presse (10/13) 
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Calling all neonatal nurses! Join the premier professional organization for neonatal nurses and neonatal nurse practitioners by becoming a member of the National Association of Neonatal Nurses (NANN). Learn about the benefits of membership, ways to save with group pricing, and more. Learn more and join today!
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Submit your proposal!
There is still time to submit your research or evidence-based proposal! Join us for the next Research Summit in Scottsdale, Ariz., April 10-12, 2018, by submitting a Research proposal or Evidence-Based Practice change project that you have implemented or are planning to implement and complete by early spring 2018. Deadline to apply is Wednesday, Nov. 1, 2017, at 5 p.m. Central Time. Learn more!
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