Introduction: Kangaroo mother care (KMC) or skin-to-skin contact help to prevent hypothermia, promote breastfeeding and baby-mother attachment. It’s an effective technique management of low-birth-weight (LBW) newborn...Introduction: Kangaroo mother care (KMC) or skin-to-skin contact help to prevent hypothermia, promote breastfeeding and baby-mother attachment. It’s an effective technique management of low-birth-weight (LBW) newborns. The objective of this study was to investigate the efficacy of KMC for LBW newborns admitted to the university health center of Cocody in Abidjan, Côte d’Ivoire. Population and Methods: This was a retrospective study focusing on a cohort of low birth weight newborns admitted in KMC unit during the period from September 2019 to July 2021 (23 months). We don’t include newborns whose records were incomplete or whose length of stay in kangaroo care had been less than 72 hours. We collected sociodemographic, maternal, obstetric, neonatal characteristics and KMC data (age/weight at inclusion, thermoregulation, feeding, growth evolution and complications). Results: We included 137 newborns with a mean gestational age of 31 SA. Mean birth weight was 1401 g. The majority of mothers worked in the informal sector (45%). The average length of stay in conventional care was 17 days. At inclusion in KMC, the mean weight was 1376 g (minimum 900 g). The most common complications were anemia (16.2%), weight loss (9.5%) and infection (2.9%). Only 13% of newborns received exclusive breast milk. The average daily weight gain was 25 g. Average discharge weight was 1570 g. The hypothermia rate was 17%. We notified 2 deaths (1.5%). Factors influencing regular weight gain of 25 g/day were mother’s marital status and length of stay in conventional care. Conclusion: In developing countries such as Côte d’Ivoire, KMC is a good alternative to conventional care.展开更多
Background: Kangaroo Mother Care is a simple safe method used to care for low-birth-weight babies. Low-birth-weight is a global public health issue that pose significant challenge to perinatal care systems. Globally, ...Background: Kangaroo Mother Care is a simple safe method used to care for low-birth-weight babies. Low-birth-weight is a global public health issue that pose significant challenge to perinatal care systems. Globally, complications due to low-birth-weight are the leading cause of neonatal mortality, resulting in an estimated 1 million deaths annually. Kangaroo Mother Care (KMC) is a low-cost method of care for low-birth-weight infants in areas with inadequate incubators and power outages with positive outcomes. Objectives: To assess factors influencing acceptability of Kangaroo Mother Care (KMC) in NICU at Arthur Davison Children’s Hospital in Ndola, Zambia. Methodology: A cross sectional quantitative analytical study design was used. The study was conducted at Arthur Davison Children’s Hospital (ADCH) in Ndola, Zambia. The purposive sampling method was used to select the study participants and a total of 129 mothers with Low Weight Babies A were selected to participate structured closed ended questionnaire was used to collect data from the participants using an interview. Data was analyzed using a Statistical Package for Social Scientists (SPSS) software version 26. Cross tabulations were done to determine association of variables using a Chi square (x<sup>2</sup>) test at 95% confidence interval and were assumptions where not met, fishers exact test was used. Multivariate binary logistic regression analysis was used to quantify the relationship between the dependent and independent variables. Results: Most of the respondents had male babies 77%, 69% of the babies weighed 1000 g - 1400 g, majority 79% had normal delivery, 71% of the respondents were multigravida and most of the respondents 79% were married. The study reviewed that 85% of those who attained secondary education accepted KMC, 74% of the respondents without monthly income accepted KMC, 80% of the respondents had positive attitude and accepted KMC. 82% of the respondents who had positive perception accepted KMC. Conclusion: Acceptance of Kangaroo Mother Care (KMC) among 75% of the mothers underscores its widespread favourability as a beneficial method for infant care.展开更多
Background: Pain management for term newborns undergoing clustered painful procedures has not been tested. Kangaroo Care (chest-to-chest, skin-to-skin position of infant on mother) effectively reduces pain o...Background: Pain management for term newborns undergoing clustered painful procedures has not been tested. Kangaroo Care (chest-to-chest, skin-to-skin position of infant on mother) effectively reduces pain of single procedures, but its effect on pain from clustered procedures is not known. Aim: The aim was to test Kangaroo Care’s effect on pain in one term infant who received clustered painful procedures while determining feasibility of the Kangaroo Care intervention. Design, Setting, and Participant: A case study design was used with one healthy term newborn who received two heel sticks and one injection in one session in the mother’s postpartum room. Method: Heart rate and oxygen saturation (recorded from Massimo Pulse Oximeter every 30 seconds), crying time (total seconds of crying on videotape) and behavioral state (using Anderson Behavioral State Scoring system every 30 seconds) were measured before (5 minutes), during (10.5 minutes) and after (30 minutes) the three clustered painful procedures in a newborn who was in Kangaroo Care during all observations. One staff nurse administered the clustered procedures. Results: Heart rate increased sequentially with each heelstick, oxygen saturation remained unchanged, sleep predominated, and crying was minimal throughout the procedures. Conclusion: Kangaroo Care appeared to reduce pain from clustered painful procedures and can be further tested.展开更多
Background: Kangaroo mother care (KMC) is effective in preventing hypothermia, establishing breastfeeding, and reducing nosocomial infection in preterm babies in resource-limited areas. Relatively little is known abou...Background: Kangaroo mother care (KMC) is effective in preventing hypothermia, establishing breastfeeding, and reducing nosocomial infection in preterm babies in resource-limited areas. Relatively little is known about long-term morbidity and mortality outcomes among Ethiopian infants managed with KMC. Aims: To describe the follow up profiles and outcome of infants managed with KMC and discharged alive. Methods: This cross-sectional descriptive study examined outcomes among infants who were 1) managed by KMC at Black Lion Hospital, 2) discharged alive, and 3) available for follow-up. Structured, pretested questionnaires were administered to mothers. Results: Of the 110 infants included in the study, 9.1% died over the study period and 60% of the deaths occurred at home. Mortality was 100% in those babies with mothers aged less than 18 years. Thirty five percent of the deaths occurred in those from rural location. Common medical problems identified in study subjects were respiratory infections (10%), gastroenteritis (7%), rickets (7%), and anemia (6%). About 20% of infants were readmitted to hospital at least once. KMC initiation within one week was not found to be significantly associated with survival, but continued KMC after discharge significantly decreased mortality in our sample. Conclusion: Frequent follow up is very important especially those with teenage mothers and coming from a rural location. Follow up should be frequent in the first 2 months after discharge. Further research is needed to explore the determinants of mortality and morbidity after hospital discharge.展开更多
Introduction: In Mali, prematurity is currently the leading cause of neonatal morbidity and mortality at the Gabriel Toure Hospital. Kangaroo Mother” care is an efficient and effective alternative care strategy for p...Introduction: In Mali, prematurity is currently the leading cause of neonatal morbidity and mortality at the Gabriel Toure Hospital. Kangaroo Mother” care is an efficient and effective alternative care strategy for preterm and low birth weight babies. This study aimed to evaluate the epidemio-clinical and therapeutic profile of premature/hypotrophic newborns admitted to the “Kangaroo-mother” care unit. Material and method: It was a retrospective study from 01/01/2010 to 31/12/2012. Were included all stable preterm with gestational age between 28 - 37 weeks and hypotrophic newborns with a birth weight 10<sup>th</sup> percentile for gestational age. Results: One thousand and eighty-four patients (n = 1084) were included. The sex ratio was 1.2 (F = 592;M = 492). The mean birth weight was 1300 g (600 g - 2000 g). The mean gestational age was 32.69 (28 - 37). The mean age of the mothers was 24 years (13 - 45 years). Single pregnancies accounted for 85.1%. Discontinuation of care was 56%. Follow-up to 24 months was effective in 14% of patients. Sixteen percent of the patients died (n = 176). The mothers’ lack of schooling (p = 0.03) and birth weight < 1000 g (p = 0.003) were the major factors in the patients’ mortality. Conclusion: The kangaroo-mother care is an alternative means to improve the survival of preterm and low birth weight babies in Mali.展开更多
Objective: to study the effect of birds nest kangaroo bath transport combined nursing on blood gas index and complications of hypothermia neonates. Methods: 58 cases of hypothermia newborns delivered in our hospital f...Objective: to study the effect of birds nest kangaroo bath transport combined nursing on blood gas index and complications of hypothermia neonates. Methods: 58 cases of hypothermia newborns delivered in our hospital from June 2019 to March 2022 were included. They were randomly divided into two groups. The reference group (n 29) carried out routine nursing and the test group (n 29) carried out birds nest kangaroo type bathing transport combined nursing. After nursing, the blood gas index, body temperature improvement, complications and family care satisfaction of the two groups were compared. Results: after nursing, the blood oxygen saturation (SpO2) and arterial blood oxygen partial pressure (PaO2) in the test group were significantly higher than those in the reference group P 0.05 (t 2.806, t 2.853);The body temperature of the experimental group on the 1st, 7th, 14th and 24th day of birth was significantly higher than that of the reference group (P 0.05) (t 9.157, t 15.211, t 6.608, t 4.981);The incidence of complications in the test group was also significantly lower than that in the reference group (P 0.05)( χ24.061);Compared with the reference group, the nursing satisfaction of family members of newborns in the test group was significantly higher (P 0.05)( χ 24.061). Conclusion: the combined application of birds nest kangaroo bath transport nursing care for hypothermia newborns can effectively reduce their oxygen consumption, improve blood gas indicators, promote the recovery of childrens body temperature, reduce complications, and improve the satisfaction of family members with nursing care, which is worthy of promotion.展开更多
The lower Cambrian sediments of the Flinders Ranges,South Australia can be divided into three sequence sets.They rest unconformably on the Ediacaran succession.Sequence set C–1 comprises lower clastic units overlain ...The lower Cambrian sediments of the Flinders Ranges,South Australia can be divided into three sequence sets.They rest unconformably on the Ediacaran succession.Sequence set C–1 comprises lower clastic units overlain by a carbonate dominated marine succession that shows marked lateral and vertical facies changes.Sequence sets C–2 and C–3 together comprise a largely clastic dominated succession of marginal marine to nonmarine sediments with subordinate shallow marine carbonates.Sequence set C–1 is richly fossiliferous at some levels with biostratigraphy established for trilobites,archaeocyaths,brachiopods,small shelly fossils,acritarchs and molluscs.The Emu Bay Shale Lagerstätte(Cambrian Series 2)from the north coast of Kangaroo Island occurs within a clastic-rich shelf succession dominated by conglomerate and sandstone.The fossil content is dominated by trilobites in terms of relative abundance and currently over 50 taxa are known including,Anomalocaris,the bivalved arthropods Isoxys and Tuzoia,the nektaspids Emucaris and Kangacaris,the megacheiran Oestokerkus amongst a variety of other arthropods.Other common taxa include palaeoscolecid worms,Myoscolex,sponges,hyoliths,brachiopods,a vetulicolian and several other enigmatic forms.The oldest known well preserved complex arthropod eyes occur in this biota.展开更多
Objective: to further analyze the clinical effect of kangaroo mother nursing combined with home care unit for children in NICU. Methods: in this study, NICU children were selected as the main body of the investigation...Objective: to further analyze the clinical effect of kangaroo mother nursing combined with home care unit for children in NICU. Methods: in this study, NICU children were selected as the main body of the investigation, and preterm infants admitted to the hospital from November 2019 to September 2020 were selected from the time period. By using random number method, they were divided into two groups for comparative investigation, and the changes in the condition of 26 patients were recorded. Patients in the control group were treated with conventional nursing measures, and patients in the observation group were treated with kangaroo mother nursing combined home care unit to analyze the hospitalization of premature infants. Results: in terms of nursing quality, the rehospitalization rate of premature infants in the observation group was 7.7% (1/13), and that in the control group was 23.1% (3/13). The difference between the two groups was significant, with statistical significance (P < 0.05). At the same time, in the survey of nursing satisfaction, the satisfaction of the families of the children in the observation group was 92.3%, significantly higher than the 76.9% in the control group, the difference was statistically significant. Conclusion: the strategy of kangaroo mother nursing combined with home care ward is beneficial to improve the family members' satisfaction with the work of nursing staff, and effectively reduce the readmission rate of children, and can provide children with better quality care services. It has humanistic characteristics, and can be further promoted and applied.展开更多
Traditional Dipodomys(sub)species identification uses geography,phenotype,and external/skull measurements.Such measurements are correlated with size and thus redundant.I assessed the value of scaled cranial shape,based...Traditional Dipodomys(sub)species identification uses geography,phenotype,and external/skull measurements.Such measurements are correlated with size and thus redundant.I assessed the value of scaled cranial shape,based on two-dimensional landmarks(analyzed using geometric morphometric methods)in distinguishing Dipodomys taxa,and in summarizing their variation.My dataset includes 601 adult specimens from 20 species(49 operational taxonomic units-OTUs)across 190 localities.Cranial shape was highly useful in classifying Dipodomys taxa without considering geography.The auditory bulla was the most variable region—taxa differed in its hypertrophy,accompanied by different degrees of nearby structure crowding.Cranial shape was weakly allometric,with no significant sexual dimorphism.Weak size dimorphism was detected.(Sub)specific taxonomy is not reflective of shape variation,as the number of subspecies per species is not associated with disparity.Shape had significant phylogenetic signal,but subspecies did not always cluster with conspecifics and species did not always cluster according to phylogenetic relationship/taxonomy.Shape variation was correlated with climate,and species differed in morphological disparity and degree of specialization,which may contribute to divergence in shape variation patterns from phylogeny.D.deserti was the most specialized species,diverging greatly from the genus mean;D.heermanni was the least specialized.This study provides new insights into morphological variation of North American keystone species,several of conservation interest,for example,D.heermanni berkeleyensis,D.h.dixoni,D.nitratoides brevinasus,and D.n.nitratoides.展开更多
BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the deve...BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the development of targeted interventions and policies that enhance parental engagement in neonatal care,thereby improving outcomes for infants and their families.AIM To identify and analyze primary factors influencing parental involvement in their child’s care in a neonatal intensive care unit(NICU).METHODS A literature search was conducted using the PubMed,MEDLINE,and Cochrane Library for systematic reviews databases,with the following search terms:“parental presence neonatology”,“couplet care”,“zero separation neonatal care”,“family integrated care”,“couplet care intervention”,“mother-child separation”,“parents newborn togetherness”,“mother-baby care”,“closeness and separation NICU”,“mother-infant interaction NICU”,“kangaroo care”,“dyad mother-infant”,and“newborn integrated care”.The database search for this literature review began on December 10,2024,with the final search conducted on April 10,2025.RESULTS The literature search yielded 281 articles,out of which 23 were selected for a detailed review.The factors associated with parental presence in NUs were grouped into five main categories:Parents’socio-demographic and cultural traits;the physical layout and care model of the NUs;the quality of parents’relationships with the healthcare staff;their active involvement in neonatal care;and the newborn’s health status.CONCLUSION The identification of factors that affect parental presence in NUs is critical for developing effective strategies aimed at encouraging increased parental involvement and ultimately improving neonatal and family outcomes.展开更多
文摘Introduction: Kangaroo mother care (KMC) or skin-to-skin contact help to prevent hypothermia, promote breastfeeding and baby-mother attachment. It’s an effective technique management of low-birth-weight (LBW) newborns. The objective of this study was to investigate the efficacy of KMC for LBW newborns admitted to the university health center of Cocody in Abidjan, Côte d’Ivoire. Population and Methods: This was a retrospective study focusing on a cohort of low birth weight newborns admitted in KMC unit during the period from September 2019 to July 2021 (23 months). We don’t include newborns whose records were incomplete or whose length of stay in kangaroo care had been less than 72 hours. We collected sociodemographic, maternal, obstetric, neonatal characteristics and KMC data (age/weight at inclusion, thermoregulation, feeding, growth evolution and complications). Results: We included 137 newborns with a mean gestational age of 31 SA. Mean birth weight was 1401 g. The majority of mothers worked in the informal sector (45%). The average length of stay in conventional care was 17 days. At inclusion in KMC, the mean weight was 1376 g (minimum 900 g). The most common complications were anemia (16.2%), weight loss (9.5%) and infection (2.9%). Only 13% of newborns received exclusive breast milk. The average daily weight gain was 25 g. Average discharge weight was 1570 g. The hypothermia rate was 17%. We notified 2 deaths (1.5%). Factors influencing regular weight gain of 25 g/day were mother’s marital status and length of stay in conventional care. Conclusion: In developing countries such as Côte d’Ivoire, KMC is a good alternative to conventional care.
文摘Background: Kangaroo Mother Care is a simple safe method used to care for low-birth-weight babies. Low-birth-weight is a global public health issue that pose significant challenge to perinatal care systems. Globally, complications due to low-birth-weight are the leading cause of neonatal mortality, resulting in an estimated 1 million deaths annually. Kangaroo Mother Care (KMC) is a low-cost method of care for low-birth-weight infants in areas with inadequate incubators and power outages with positive outcomes. Objectives: To assess factors influencing acceptability of Kangaroo Mother Care (KMC) in NICU at Arthur Davison Children’s Hospital in Ndola, Zambia. Methodology: A cross sectional quantitative analytical study design was used. The study was conducted at Arthur Davison Children’s Hospital (ADCH) in Ndola, Zambia. The purposive sampling method was used to select the study participants and a total of 129 mothers with Low Weight Babies A were selected to participate structured closed ended questionnaire was used to collect data from the participants using an interview. Data was analyzed using a Statistical Package for Social Scientists (SPSS) software version 26. Cross tabulations were done to determine association of variables using a Chi square (x<sup>2</sup>) test at 95% confidence interval and were assumptions where not met, fishers exact test was used. Multivariate binary logistic regression analysis was used to quantify the relationship between the dependent and independent variables. Results: Most of the respondents had male babies 77%, 69% of the babies weighed 1000 g - 1400 g, majority 79% had normal delivery, 71% of the respondents were multigravida and most of the respondents 79% were married. The study reviewed that 85% of those who attained secondary education accepted KMC, 74% of the respondents without monthly income accepted KMC, 80% of the respondents had positive attitude and accepted KMC. 82% of the respondents who had positive perception accepted KMC. Conclusion: Acceptance of Kangaroo Mother Care (KMC) among 75% of the mothers underscores its widespread favourability as a beneficial method for infant care.
文摘Background: Pain management for term newborns undergoing clustered painful procedures has not been tested. Kangaroo Care (chest-to-chest, skin-to-skin position of infant on mother) effectively reduces pain of single procedures, but its effect on pain from clustered procedures is not known. Aim: The aim was to test Kangaroo Care’s effect on pain in one term infant who received clustered painful procedures while determining feasibility of the Kangaroo Care intervention. Design, Setting, and Participant: A case study design was used with one healthy term newborn who received two heel sticks and one injection in one session in the mother’s postpartum room. Method: Heart rate and oxygen saturation (recorded from Massimo Pulse Oximeter every 30 seconds), crying time (total seconds of crying on videotape) and behavioral state (using Anderson Behavioral State Scoring system every 30 seconds) were measured before (5 minutes), during (10.5 minutes) and after (30 minutes) the three clustered painful procedures in a newborn who was in Kangaroo Care during all observations. One staff nurse administered the clustered procedures. Results: Heart rate increased sequentially with each heelstick, oxygen saturation remained unchanged, sleep predominated, and crying was minimal throughout the procedures. Conclusion: Kangaroo Care appeared to reduce pain from clustered painful procedures and can be further tested.
文摘Background: Kangaroo mother care (KMC) is effective in preventing hypothermia, establishing breastfeeding, and reducing nosocomial infection in preterm babies in resource-limited areas. Relatively little is known about long-term morbidity and mortality outcomes among Ethiopian infants managed with KMC. Aims: To describe the follow up profiles and outcome of infants managed with KMC and discharged alive. Methods: This cross-sectional descriptive study examined outcomes among infants who were 1) managed by KMC at Black Lion Hospital, 2) discharged alive, and 3) available for follow-up. Structured, pretested questionnaires were administered to mothers. Results: Of the 110 infants included in the study, 9.1% died over the study period and 60% of the deaths occurred at home. Mortality was 100% in those babies with mothers aged less than 18 years. Thirty five percent of the deaths occurred in those from rural location. Common medical problems identified in study subjects were respiratory infections (10%), gastroenteritis (7%), rickets (7%), and anemia (6%). About 20% of infants were readmitted to hospital at least once. KMC initiation within one week was not found to be significantly associated with survival, but continued KMC after discharge significantly decreased mortality in our sample. Conclusion: Frequent follow up is very important especially those with teenage mothers and coming from a rural location. Follow up should be frequent in the first 2 months after discharge. Further research is needed to explore the determinants of mortality and morbidity after hospital discharge.
文摘Introduction: In Mali, prematurity is currently the leading cause of neonatal morbidity and mortality at the Gabriel Toure Hospital. Kangaroo Mother” care is an efficient and effective alternative care strategy for preterm and low birth weight babies. This study aimed to evaluate the epidemio-clinical and therapeutic profile of premature/hypotrophic newborns admitted to the “Kangaroo-mother” care unit. Material and method: It was a retrospective study from 01/01/2010 to 31/12/2012. Were included all stable preterm with gestational age between 28 - 37 weeks and hypotrophic newborns with a birth weight 10<sup>th</sup> percentile for gestational age. Results: One thousand and eighty-four patients (n = 1084) were included. The sex ratio was 1.2 (F = 592;M = 492). The mean birth weight was 1300 g (600 g - 2000 g). The mean gestational age was 32.69 (28 - 37). The mean age of the mothers was 24 years (13 - 45 years). Single pregnancies accounted for 85.1%. Discontinuation of care was 56%. Follow-up to 24 months was effective in 14% of patients. Sixteen percent of the patients died (n = 176). The mothers’ lack of schooling (p = 0.03) and birth weight < 1000 g (p = 0.003) were the major factors in the patients’ mortality. Conclusion: The kangaroo-mother care is an alternative means to improve the survival of preterm and low birth weight babies in Mali.
文摘Objective: to study the effect of birds nest kangaroo bath transport combined nursing on blood gas index and complications of hypothermia neonates. Methods: 58 cases of hypothermia newborns delivered in our hospital from June 2019 to March 2022 were included. They were randomly divided into two groups. The reference group (n 29) carried out routine nursing and the test group (n 29) carried out birds nest kangaroo type bathing transport combined nursing. After nursing, the blood gas index, body temperature improvement, complications and family care satisfaction of the two groups were compared. Results: after nursing, the blood oxygen saturation (SpO2) and arterial blood oxygen partial pressure (PaO2) in the test group were significantly higher than those in the reference group P 0.05 (t 2.806, t 2.853);The body temperature of the experimental group on the 1st, 7th, 14th and 24th day of birth was significantly higher than that of the reference group (P 0.05) (t 9.157, t 15.211, t 6.608, t 4.981);The incidence of complications in the test group was also significantly lower than that in the reference group (P 0.05)( χ24.061);Compared with the reference group, the nursing satisfaction of family members of newborns in the test group was significantly higher (P 0.05)( χ 24.061). Conclusion: the combined application of birds nest kangaroo bath transport nursing care for hypothermia newborns can effectively reduce their oxygen consumption, improve blood gas indicators, promote the recovery of childrens body temperature, reduce complications, and improve the satisfaction of family members with nursing care, which is worthy of promotion.
文摘The lower Cambrian sediments of the Flinders Ranges,South Australia can be divided into three sequence sets.They rest unconformably on the Ediacaran succession.Sequence set C–1 comprises lower clastic units overlain by a carbonate dominated marine succession that shows marked lateral and vertical facies changes.Sequence sets C–2 and C–3 together comprise a largely clastic dominated succession of marginal marine to nonmarine sediments with subordinate shallow marine carbonates.Sequence set C–1 is richly fossiliferous at some levels with biostratigraphy established for trilobites,archaeocyaths,brachiopods,small shelly fossils,acritarchs and molluscs.The Emu Bay Shale Lagerstätte(Cambrian Series 2)from the north coast of Kangaroo Island occurs within a clastic-rich shelf succession dominated by conglomerate and sandstone.The fossil content is dominated by trilobites in terms of relative abundance and currently over 50 taxa are known including,Anomalocaris,the bivalved arthropods Isoxys and Tuzoia,the nektaspids Emucaris and Kangacaris,the megacheiran Oestokerkus amongst a variety of other arthropods.Other common taxa include palaeoscolecid worms,Myoscolex,sponges,hyoliths,brachiopods,a vetulicolian and several other enigmatic forms.The oldest known well preserved complex arthropod eyes occur in this biota.
文摘Objective: to further analyze the clinical effect of kangaroo mother nursing combined with home care unit for children in NICU. Methods: in this study, NICU children were selected as the main body of the investigation, and preterm infants admitted to the hospital from November 2019 to September 2020 were selected from the time period. By using random number method, they were divided into two groups for comparative investigation, and the changes in the condition of 26 patients were recorded. Patients in the control group were treated with conventional nursing measures, and patients in the observation group were treated with kangaroo mother nursing combined home care unit to analyze the hospitalization of premature infants. Results: in terms of nursing quality, the rehospitalization rate of premature infants in the observation group was 7.7% (1/13), and that in the control group was 23.1% (3/13). The difference between the two groups was significant, with statistical significance (P < 0.05). At the same time, in the survey of nursing satisfaction, the satisfaction of the families of the children in the observation group was 92.3%, significantly higher than the 76.9% in the control group, the difference was statistically significant. Conclusion: the strategy of kangaroo mother nursing combined with home care ward is beneficial to improve the family members' satisfaction with the work of nursing staff, and effectively reduce the readmission rate of children, and can provide children with better quality care services. It has humanistic characteristics, and can be further promoted and applied.
文摘Traditional Dipodomys(sub)species identification uses geography,phenotype,and external/skull measurements.Such measurements are correlated with size and thus redundant.I assessed the value of scaled cranial shape,based on two-dimensional landmarks(analyzed using geometric morphometric methods)in distinguishing Dipodomys taxa,and in summarizing their variation.My dataset includes 601 adult specimens from 20 species(49 operational taxonomic units-OTUs)across 190 localities.Cranial shape was highly useful in classifying Dipodomys taxa without considering geography.The auditory bulla was the most variable region—taxa differed in its hypertrophy,accompanied by different degrees of nearby structure crowding.Cranial shape was weakly allometric,with no significant sexual dimorphism.Weak size dimorphism was detected.(Sub)specific taxonomy is not reflective of shape variation,as the number of subspecies per species is not associated with disparity.Shape had significant phylogenetic signal,but subspecies did not always cluster with conspecifics and species did not always cluster according to phylogenetic relationship/taxonomy.Shape variation was correlated with climate,and species differed in morphological disparity and degree of specialization,which may contribute to divergence in shape variation patterns from phylogeny.D.deserti was the most specialized species,diverging greatly from the genus mean;D.heermanni was the least specialized.This study provides new insights into morphological variation of North American keystone species,several of conservation interest,for example,D.heermanni berkeleyensis,D.h.dixoni,D.nitratoides brevinasus,and D.n.nitratoides.
文摘BACKGROUND Parental presence in neonatal units(NUs)is essential for infant development and family well-being.A deeper understanding of the factors influencing parental presence is vital and will contribute to the development of targeted interventions and policies that enhance parental engagement in neonatal care,thereby improving outcomes for infants and their families.AIM To identify and analyze primary factors influencing parental involvement in their child’s care in a neonatal intensive care unit(NICU).METHODS A literature search was conducted using the PubMed,MEDLINE,and Cochrane Library for systematic reviews databases,with the following search terms:“parental presence neonatology”,“couplet care”,“zero separation neonatal care”,“family integrated care”,“couplet care intervention”,“mother-child separation”,“parents newborn togetherness”,“mother-baby care”,“closeness and separation NICU”,“mother-infant interaction NICU”,“kangaroo care”,“dyad mother-infant”,and“newborn integrated care”.The database search for this literature review began on December 10,2024,with the final search conducted on April 10,2025.RESULTS The literature search yielded 281 articles,out of which 23 were selected for a detailed review.The factors associated with parental presence in NUs were grouped into five main categories:Parents’socio-demographic and cultural traits;the physical layout and care model of the NUs;the quality of parents’relationships with the healthcare staff;their active involvement in neonatal care;and the newborn’s health status.CONCLUSION The identification of factors that affect parental presence in NUs is critical for developing effective strategies aimed at encouraging increased parental involvement and ultimately improving neonatal and family outcomes.
