Early cord clamping may raise infant admission, death risk | Scientists ID genetic mutations behind autoinflammatory disease in children | Study: Jaundice is common among breast-fed infants
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July 24, 2014
National Association of Neonatal Nurses SmartBrief
News for Neonatal Care Professionals

Neonatal Care
Early cord clamping may raise infant admission, death risk
Among self-breathing newborns in a rural Tanzanian hospital, clamping the umbilical cord before or immediately after onset of spontaneous respiration was associated with higher odds of admission and death, Norwegian researchers found. The likelihood of death or hospital admission fell by 20% for each 10-second delay in cord clamping, according to the study in Pediatrics. PhysiciansBriefing.com/HealthDay News (7/18)
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Scientists ID genetic mutations behind autoinflammatory disease in children
An NIH study in the New England Journal of Medicine identified certain mutations in a rare autoinflammatory disease called STING-associated vasculopathy with onset in infancy. High levels of the STING protein were found in the cells of blood vessels and the lungs, possibly explaining the disease's greater impact on these tissues. PhysiciansBriefing.com/HealthDay News (7/17), Business Standard (India)/Indo-Asian News Service (7/17)
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Other News
Health Policy & Practice
Nurses delay retirement, boosting shift to accountable care
Twenty-four percent of registered nurses are postponing retirement, increasing the 2012 workforce by 136,000 RNs, according to a study published in the journal Health Affairs. The trend makes the shift to value-based care more achievable, as nurses are a critical component of coordinated care teams, the study authors wrote. Forbes (7/16)
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Study: RN ranks are higher than expected, continue to grow
A Rand Corp. study published in Health Affairs said the registered nurse workforce in the U.S. reached 2.7 million in 2012, higher than the 2.2 million peak that was expected, and is continuing to increase. The study found part of the reason is that more nurses are delaying retirement but lead author David Auerbach said researchers also found that "RNs were especially attached to the mission of what they do." Kaiser Health News (7/16)
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Trends & Technology
Telemedicine facilitates international collaboration
A Children's Hospital of Pittsburgh of UPMC study finds that telemedicine is useful for pediatric cardiac critical care in settings abroad. Specialists including cardiac intensive care experts, cardiac surgeons and neonatal intensivists worked on 476 cases, providing 1,040 consultations over two years, with 23% of those sessions involving interventions in real time such as echocardiography. Physicians at the Latin American hospitals that collaborated on the project reported satisfaction with the service, noting that it changed the course of action in some cases and provided timely advice. Healthcare IT News (7/22)
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Maternal anxiety disorders may raise risk of excessive crying in infants
Women who had an anxiety disorder before pregnancy, or who developed an anxiety disorder during or after pregnancy, were more likely to have a baby with excessive crying than women without anxiety disorders, a study in the Archives of Disease in Childhood showed. Researchers found no clear link between between maternal depression and excessive crying among infants. Reuters (7/21)
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Now Available: Resource Guide for Cardiac Care Guide PDF
Originally designed for print, the new downloadable version of Resource Guide for Neonatal Cardiac Care with Companion Illustrations provides you with valuable content in a convenient format. The guide provides evidence-based approaches to identifying and treating neonates with heart disease. This resource includes 14 labeled illustrations of commonly treated heart defects, covering pathophysiology, clinical presentation, specific laboratory findings, management and surgical interventions for the most common lesions. The PDF format will now allow you to view the guide and illustrations on your mobile device. The resource guide is a go-to resource when caring for tiny hearts. Purchase today.
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Ignite passion in your NICU
Attend NANN's Annual Educational Conference, in Phoenix, Sept. 10 to 13, and learn how to create a healthy workplace for you, your colleagues, and your patients. Closing keynoter, Cynthia Clark, PhD, RN, ANEF, FAAN, will discuss how to reignite the passion and zest for nursing back into the workplace. Attendees will learn the impact of incivility in the nursing profession and evidence-based strategies to promote civility in the workplace. This is your opportunity to gain knowledge and a new perspective on how to enhance your workplace dynamics to function better.

Share this experience with your colleagues by attending conference together. NANN members can save $55 registration when a group of five or more NANN members, from the same institution, register together. Earn up to 23.5 CNE contact hours and 6.25 pharmacology hours by attending. Register by Monday, Aug. 4, and save $100 off your registration fee.

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Who's Hiring?
Position TitleCompany NameLocation
$3,000 Hiring Bonus! NICU Nurses at St. Cloud HospitalCentraCare HealthSt. Cloud, MN
Click here to view more job listings.
Knowing is not enough; we must apply. Willing is not enough; we must do."
-- Johann Wolfgang von Goethe,
German writer and scientist
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