results data analysis identified twenty subcategories and four main categories. main categories included barriers were related to laboring women, persons providing care, the organization environment and health system. conclusions the adoption of evidence based intrapartum care is a complex process. in this regard, identifying potential barriers is the first step to determine and apply effective...

BACKGROUND It has been suggested that an adult 8.0 endotracheal tube (ETT) connected to a neonatal meconium aspirator would improve suctioning during emergent endotracheal intubation compared to the Yankauer suction instrument, the standard tool used by emergency physicians. OBJECTIVES This study was designed to compare the effectiveness of a Yankauer vs. an ETT-meconium aspirator set-up in s...

BACKGROUND Tracheal tube biofilm develops during mechanical ventilation. We compared a novel closed-suctioning system vs standard closed-suctioning system in the prevention of tracheal tube biofilm. METHODS Eighteen pigs, on mechanical ventilation for 76 h, with P. aeruginosa pneumonia were randomized to be tracheally suctioned via the KIMVENT* closed-suctioning system (control group) or a no...

BACKGROUND Satisfaction with birth care is part of quality assessment of care. The aim of this study was to investigate possible differences in satisfaction with intrapartum care among low-risk women, randomized to a midwifery unit or to an obstetric unit within the same hospital. METHODS Randomized controlled trial conducted at the Department of Obstetrics and Gynecology, Østfold Hospital Tr...

OBJECTIVE To explore and compare perinatal and maternal outcomes in women at 'higher risk' of complications planning home versus obstetric unit (OU) birth. DESIGN Prospective cohort study. SETTING OUs and planned home births in England. POPULATION 8180 'higher risk' women in the Birthplace cohort. METHODS We used Poisson regression to calculate relative risks adjusted for maternal chara...

BACKGROUND The insertion of suction devices through endotracheal tubes (ETTs) increases airway resistance and the subsequent suctioning may reduce airway pressures and facilitate atelectasis. The aim of this study was to investigate how airway pressures and tidal volumes change when different combinations of suction equipment and ETT sizes are used, and to what extent unfavorable effects can be...

COMMUNICATIONSTO THE EDITOR 353 1) wiping the insertion tube with a 20 percent povidone iodine scrub solution. 2) suctioning iodine scrub solution through the biopsy channel and cleaning the channel with the cleaning brush. 3) suctioning sterile water through the channel. 4) suctioning freshly activated gluteraldehyde through the channel and soaking the entire insertion tube for 10 minutes. 5) ...

OBJECTIVE To determine the risk factors for neonatal encephalopathy among term infants in a developing country. DESIGN Unmatched case-control study. SETTING Principal maternity hospital of Kathmandu, Nepal. SUBJECTS All 131 infants with neonatal encephalopathy from a population of 21 609 infants born over an 18 month period, and 635 unmatched infants systematically recruited over 12 month...

To assess the relationship of E2 gene disruption with viral gene expression and clinical outcome in human papillomavirus (HPV) positive head and neck squamous cell carcinoma, we evaluated 31 oropharyngeal and 17 non-oropharyngeal HPV16 positive carcinomas using two PCR-based methods to test for disruption of E2, followed by Sanger sequencing. Expression of HPV16 E6, E7 and E2 transcripts, along...