Journal of perinatology : official journal of the California Perinatal Association
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This article discusses architectural design and construction and recommends criteria for achieving quiet nursery environments. Designs for new construction or facility renovation should incorporate vibration and noise control methods appropriate to the occupants and activities of the proposed space. ⋯ Facility noise and vibration levels set a threshold that will be increased by operational noise. It is important, therefore, that hospital administrators, clinicians, and facility managers assure that architects, engineers, and builders use appropriate acoustical design criteria, methods, and materials to control noise and vibration.
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We describe a neonate on venoarterial extracorporeal membrane oxygenation (ECMO) with acute renal failure associated with extensive aortic and bilateral renal artery thrombosis. Concurrent anticoagulation and continuous systemic thrombolytic therapy with tissue plasminogen activator (t-PA) resulted in complete thrombolysis as evaluated by Doppler flow. The relative risk and benefits of thrombolytic therapy in heparinized patients undergoing ECMO needs to be further studied.
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With the identification of hearing loss at birth and appropriate intervention within 6 months after birth, language can develop normally, even in children with severe hearing impairment. Universal newborn hearing screening (UNHS) is now endorsed by numerous national groups, including the American Academy of Pediatrics. ⋯ UNHS is legislatively supported by more than one half of the United States, including the most populous. Successful hearing screening and intervention programs require the support and expertise of pediatricians, including perinatologists.