Prenatal exposure to smoking lowers cortisol levels in newborns | Dutch guidelines on group B strep appear ineffective | Delayed circumcision raises risks, costs, study says
Web Version
October 23, 2014
National Association of Neonatal Nurses SmartBrief
News for Neonatal Care Professionals

Neonatal Care
Prenatal exposure to smoking lowers cortisol levels in newborns
Infants whose mothers smoked while pregnant had reduced levels of the stress hormone cortisol in response to seven neurobehavioral tests over the first month of life, according to a study in the journal Psychoneuroendocrinology. Prenatal smoking was also linked to changes in the DNA for a gene that regulates the passage of cortisol from mother to fetus. Science World Report (10/20)
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Dutch guidelines on group B strep appear ineffective
The incidence of invasive group B streptococcal disease among neonates did not decline after the introduction of prevention guidelines in 1999, according to a Dutch study in The Lancet Infectious Diseases. Researchers also noted that the number of infants with invasive Escherichia coli infection rose post-implementation. News (10/20)
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Delayed circumcision raises risks, costs, study says
Delaying infant circumcision beyond 1 month of age may increase risks and costs, CDC researchers reported in the journal Pediatrics. Researcher Karen Hoover said 94% of circumcisions analyzed in the study were performed on neonates, and she noted that older male babies may need general rather than local anesthesia for the procedure. HealthDay News (10/20)
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Other News
Health Policy & Practice
Nursing school sees Ebola as a teaching moment
Nursing faculty at the University of Texas-Arlington are using Ebola concerns as a teaching opportunity, employing different strategies to instruct nursing students on caring for Ebola patients, says Anne Bavier, the nursing school dean. She said the College of Nursing has on staff an expert on infectious diseases who is adding content to classes and presenting updated CDC information. The Shorthorn (University of Texas at Arlington) (10/20)
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Trends & Technology
Nurse survey: EHRs can be disruptive and a barrier to communication
A survey of 14,000 registered nurses found that 92% were dissatisfied with their inpatient EHR platforms, according to a Black Book Research report. Of those polled, 94% said their system did not enhance communication between providers while 90% said it hurt communication with patients. Eighty-four percent said that disruptions in productivity and workflow caused by EHRs have negatively influenced their job satisfaction. Healthcare Informatics online (10/17)
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Research Summit abstract deadline is Sunday
There is still time to submit your abstract for NANN's 2015 Research Summit. NANN's Research Summit provides a platform for individuals to present findings from their research and evidence-based practice projects. Supported by Mead Johnson Nutrition, the objective of the summit is to emphasize the fostering research effort of NANN's newest neonatal investigators as a means to grow and sustain the body of knowledge that helps guide nursing care for neonates and their families. The summit will be held in Scottsdale, Ariz., March 24 to 26. The deadline to submit your abstract is Sunday, Oct. 26. Learn more.
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Did you miss NANN's National Drug Shortage webinar?
The webinar recording of "National Drug Shortage Issues" is now available for purchase. Review causes and contributing factors to current drug shortages, discuss possible solutions and learn how the shortages impact NICU patients. Additional webinar recordings include safe use of controlled substances and rapid sequence intubation. Receive 1 CNE contact hour and 1 pharmacology hour when you purchase the on-demand webinar recordings. The pharmacology webinars are ideal for advance practice nurses or registered nurses who are interesting in expanding their pharmacology education. NANN's evidence-based webinars are available at an individual and institutional rate. Learn more.
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When you change the way you look at things, the things you look at change."
-- Wayne Dyer,
American author and motivational speaker
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