Coleman Road Trip Grill Wheeled Carry Case Easily store and transport your Coleman RoadTrip propane grill with this handy wheeled carry case. It features inner straps to secure both the grill and stand as well as inner pockets for additional accessories or condiments. It offers easy glide wheels for single-person transport, or convenient webbed […]

In this Issue April 2007

Electric Breast Pump Use Increases Maternal Milk Volume in African Nurseries
health experts worldwide recognize breastmilk as the superior infant food. Recommendations from the American Academy of Pediatrics and the World health Organization (WHO) identify exclusive breastfeeding for the first half-year of life and continuation of breastfeeding into toddlerhood as offering maximum protection from illness, providing a substrate for immunological protection. Data from developed countries identify increasing morbidity and mortality rates for infants who have never received breastmilk in life and demonstrate that infants benefit from exclusive breastfeeding, especially, in areas of severe poverty. Preterm infants, most at risk for morbidity and mortality in developing countries, are identified as needing their own mother’s milk for survival. Exclusive feeding of own mothers’ milk (OMM) is associated with improved infant survival; however, inadequate maternal milk volume (MMV) often necessitates adding artificial feedings or exogenous substances to OMM. The objective of this study was to compare mean daily MMV for mothers of premature or sick infants in special care nurseries (SCN) using one of three methods of OMM expression: electric breast pump, non-electric pedal breast pump, and hand (manual) expression. We studied 65 mothers whose infants were cared for in two SCN in Africa (Kenya and Nigeria) and were unable to feed directly at the breast. In this randomized trial, mothers were randomly assigned to one of three milk expression groups at birth. MMV, the dependent variable, was measured for an average of 8.7 days. MMV for the electric and pedal pump and hand milk expression was 578 228 ml (n = 22), 463 302 ml (n = 24) and 323 199 ml (n = 19), respectively. Data were evaluated using a one-way ANOVA (p = 0.014). The Tukey revealed significant differences (p < 0.01) between electric breast pump expression and hand expression but not between the electric and pedal pump or the pedal pump and hand expression. Findings revealed greater MMV with electric breast pumps than hand-expression for mothers of infants in African nurseries. This data has important implications for international policy if exclusive OMM feeding is to be achieved for the vulnerable infant. Funded by West Virginia University Department of Research and Graduate Studies HSC Grant # 2U023U; Non-monetary donations of breast pumps and breast pump kits were made by Medela (Medela, Inc., McHenry, IL, USA).

Tear Soup: A Recipe for Healing After Loss
Tear Soup: A recipe for Healing After Loss - The Secret (Extended Edition) Not really a movie or documentary, The Secret is more of a video seminar, a presentation featuring a series of authors, philosophers, doctors, quantum physicists, entrepreneurs, and spiritual practitioners expounding on the powers of The Secret (probably the most […]

Shoehorn - 23 inches
Shoehorn - 23 inches A Swedish classic. It’s made of strong metal that won’t bend or break. The form of the shoehorn cups the heel and guides it softlyinto the shoe. Customer Review: Best Shoehorn ever! It’s big, it’s blue, it’s all metal - I’m 5′11″ and I barely have to bend over to […]

OXO Good Grips 1049953 Smooth Edge Can Opener
OXO Good Grips 1049953 Smooth Edge Can Opener This can opener does the job without leaving dangerously sharp edges on the can or the lid. The patented side-wind cutting mechanism easily cuts cans without touching contents, keeping it clean. Soft-grip knob is easy to turn. Convenient lid pliers allow you to remove the lid […]

Newborn Care Practices at Home: Effect of a Hospital-based Intervention in Sri Lanka
The aim of the present study was to evaluate the effect of an essential newborn care (ENC) training programme for maternity ward staff in improving newborn care practices after hospital discharge. A before-and-after study was conducted in the community involving mothers who had given birth in two hospitals in the Puttalam district in Sri Lanka. The intervention was a 4-day training programme and primarily aimed at increasing knowledge and skills of ENC among health care providers in the maternity units of these hospitals. Before the intervention, 144 mother–newborn pairs were followed-up and interviewed at their households within 28–35 days of delivery. Three months after the intervention, 150 mother–newborn pairs were interviewed at home. Results revealed that there was a significant improvement in umbilical cord care practices at home following the intervention. Application of ‘surgical spirit’ on umbilical cord has declined from 71.5% in the pre-intervention to 45.3% in the post-intervention samples (p < 0.001). Pre-intervention breastfeeding rates were high, and there wasn't any further improvement in the post-intervention. There was a 35% reduction in the proportion of newborns who developed any undesirable health events at home (p < 0.05). Findings suggest that the implementation of a comprehensive 4-day training programme of ENC for maternity ward health professionals can be followed by a significant improvement in mothers' practices on care of umbilical cord and clinical outcomes of newborns.

Bucket Boss Brand 54046 Layout Square Scabbard
Bucket Boss Brand 54046 Layout Square Scabbard Customer Review: Solves a problem very well Most pouches don’t come with a good place for a square and the darn things are always falling out or poking you in the ribs or something. This scabbard is well made and clips onto a pants pocket with […]

Strict Guideline Reduces the Need for RBC Transfusions in Premature Infants
The aim of this study was to verify if the adoption of a strict guideline would reduce the need for red blood cell transfusions in the first 28 days of life in very low birth weight preterm infants. Retrospective study of two cohorts of very low birth weight infants transfused according to neonatologist decision (Period 1) or according to a strict guideline for erythrocytes transfusion (Period 2). Clinical and hematological data of 80 premature infants transfused in both periods of the study were obtained by chart review. During the first 28 days of life, 45 (62.5%) of 72 premature infants born in the Period 1, and 44 (55.7%) of 79 newborns born in Period 2 received at least one erythrocyte transfusion; p = 0.40. Among patients transfused, the median number of transfusions was four per infant transfused (range: 1–13; mean: 4.6 3.2) in Period 1 and 3 (range: 1–18; mean: 4.0 3.5) in Period 2; p = 0.26. The median volume of erythrocytes administered per infant transfused in Period 1 was 40 ml kg–1 (range: 10–170; mean: 48.8 38.3) and in Period 2 was 30 ml kg–1 (range: 10–225; mean: 43.4 40.4), p = 0.41. Multiple linear regression analysis, after adjusting for birth weight, clinical risk index for babies, blood loss and days of ventilation, showed that the adoption of the strict guideline reduced the volume of erythrocytes transfused in 15.91 ml kg–1 per infant transfused (95% CI: –24.69–7.14) p < 0.001. The adoption of a strict guideline reduced the need for red blood cells transfusions in very low birth weight infants.

Bottle Feeding and Exposure to Toxocara as Risk Factors for Wheezing Illness among Under-five Amazonian Children: A Population-based Cross-sectional Study
We investigated the prevalence and risk factors for wheezing and asthma in young Amazonian children. A population-based cross-sectional survey of 606 children aged 6–59 months was performed in two small towns in Acre State, Northwestern Brazil. Information on outcome variables (recent wheezing and medical diagnosis of asthma) and demographic, socioeconomic, environmental, maternal and nutritional variables was obtained by interviewing children’s mothers or guardians. Infections with intestinal parasites and antibodies to the zoonotic nematode Toxocara were diagnosed using standard laboratory techniques. Multiple unconditional logistic regression models were used to describe associations between independent variables and outcomes. The prevalence of recent wheezing (one or more reported episodes in the past 12 months) was 42.6%, but only 19.8% of wheezing children were also reported to have a medical diagnosis of asthma (prevalence, 8.5%); 21.5% of the children examined had antibodies to Toxocara. Increased risk of asthma was independently associated with early introduction of bottle feeding, defined as

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