The outdoor recreation industry is heavily influenced by a dominant, heteronormative culture—a culture that defines the experience not only for participants but also people working within (Warren 2015; Holland, Powell, Thomsen, and Monz 2018). Those interested in advancing career as professional industry, particularly related to leadership adventure guiding, are often required engage variety of...

This article aims to analyze factors associated with unawareness of prenatal HIV serostatus at admittance for delivery. A cross-sectional study was performed in 2006 in "Friends of Children" Hospitals from the High-risk Pregnancy System, belonging to the Unified Health System, in Rio de Janeiro City. Data were collected through interviews applied to 873 rooming-in mothers submitted to a rapid H...

BACKGROUND/PURPOSE The aim of this study was to develop a method of management of large omphalocele, with easily available inexpensive materials. The efficacy of using the plastic of urine collection bag and paper stapler, in creating the "silo" for the management of 3 newborns with such defects, were assessed. METHODS All operations were done within 36 hours of birth. A silo was created with...

OBJECTIVE The purpose of this study was to describe current breastfeeding policies and practices among Philadelphia, PA metropolitan hospitals and changes in their policies and practices over time. METHODS In-person group interviews were conducted to obtain a composite picture of actual breastfeeding policies and practices. One questionnaire per hospital was completed based on responses from ...

BACKGROUND To investigate the incidence, clinical presentation and possible etiologies or risk factors of early onset of sudden and unexpected death or near-miss. METHODS From 2001 to 2005, a retrospective analysis of observational database of neonates who were younger than one week old without any risk factors at five tertiary medical centers. The demographic data, clinical manifestations, l...

Background: Coronavirus 2 (SARS-CoV-2) acute respiratory syndrome, also known as COVID-19, has spread exponentially around the world. COVID-19 attacks all age groups including neonatal group because of very high infection rate. Low birth weight (LBW) babies are a population that is susceptible to contracting their immature immune system. LBW at risk experiencing vertical and horizontal transmis...

The Baby-Friendly Hospital Initiative (BFHI), developed in 1991 by theWorld Health Organization and the United Nations Children’s Fund to improve maternity care practices andbreastfeeding rates, has been implemented globally in more than 152 countries. The core tenetsof theBFHIare theTenStepstoSuccessfulBreastfeeding, which have been endorsed by the American Academy of Pediatrics. A recentmeta-...

Abstract Background COVID-19, a highly contagious respiratory virus, presents unique challenges to ophthalmology practice as high-volume, office-based specialty. In response the COVID-19 pandemic, many operational changes were adopted in our clinic enhance patient and provider safety while maintaining necessary clinical operations. The aim of this study was evaluate how measures during pandemic...

ObjectiveTo explore the experiences of parents with an integrated maternity and neonatal ward designed to empower by providing family-integrated care (FICare) mother–newborn couplets in single-family rooms.DesignA qualitative analysis a contextual constructivist approach.SettingAn level 2 teaching hospital Amsterdam, Netherlands. Maternity care, up including highly complex is provided rooms acc...