Acta paediatrica
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Randomized Controlled Trial
Expressed breast milk for procedural pain in preterm neonates: a randomized, double-blind, placebo-controlled trial.
To determine whether expressed breast milk (milk) reduces procedural pain associated with heel lancing in preterm neonates. ⋯ Although milk did not significantly reduce crying time, our finding that pain scores were significantly lower in the milk group suggests that milk may reduce pain associated with heel lancing in preterm neonates.
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Multicenter Study
Evaluating Helping Babies Breathe: training for healthcare workers at hospitals in Rwanda.
To evaluate the educational effectiveness of the Helping Babies Breathe programme. ⋯ Healthcare workers who participate in a Helping Babies Breathe programme can significantly improve their knowledge. While such knowledge is retained for at least 3 months, skills dropped to unsatisfactory levels in that period of time, indicating the need for retraining in the interim or the acquisition of practical experience by such healthcare workers.
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We investigated the significance of the calculated delta neutrophil index (DNI) as a diagnostic factor for neonatal sepsis. ⋯ DNI may be a valuable tool in assessing the prognosis of patients with neonatal sepsis.
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Randomized Controlled Trial
Nasopharyngeal suctioning does not produce a salivary cortisol reaction in preterm infants.
To investigate whether nasopharyngeal suctioning produces a physiological and behavioural stress reaction in preterm infants and if a possible reaction can be dampened by sweet solution. ⋯ In the present setting, nasopharyngeal suctioning was not stressful enough to increase salivary cortisol or pain score. Oral glucose did not alter salivary cortisol levels.
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Do different clothing styles have an influence on the doctor-patient-parent relationship and which kind of outfit is preferred by children and parents. ⋯ Apparently, parents do not only tolerate a casual outfit, but even prefer it without any loss of trust. The same holds true for children between 6 and 18 years. For younger children, the paediatricians' outfit seems to play no major role.