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Hadi Practical Neonatology (Hadi PN), a 2-book series of practical guidelines, is intended to provide a structured approach to the management of neonatal conditions which are likely to face the neonatal team. It is not intended to replace neonatal textbooks or to teach the beginners in the field. Prior sound knowledge of Neonatal Medicine, by the user, is essential. This book is the second in the series. It covers aspects of NEUROLOGY-FLUIDS & ELECTROLYTES, VASCULAR ACCESS & SAMPLING, FREQUENT CHALLENGES , HAEMATOLOGY, JAUNDICE and ESSENTIAL PROCEDURES&PRACTICES challenges. It is my belief that neonatal doctors and nurses are an integrated team, and any demarcation is an imaginary line. The recipe of creating a backbone of good nurses is passionate support, continuous education, and practical teaching at every possible opportunity. Mutual trust and appropriate delegations are crucial to the success of the team. HADI PN series is written for the neonatal team and not just for the medical staff. The best way for consolidating the team knowledge and experience is bedside teaching. New methods and approaches of neonatal management are progressing but seem to slow down over the last 2-3 years. This may reflect the fact neonatal advances are approaching our era peak of “what is possible.” Nevertheless, many of our current practices are yet to be scrutinized to fulfil the evidence-based pathways and standards. There is no robust verification of our current practice of many routine day to day applications. This include but not limited to fluid requirements, duration of antibiotics courses, use of various blood products, and seizures pharmacological treatment. I have reviewed multiple neonatal medical and nursing guidelines from Europe, North America, and Australia as well as guidelines from Asia, South America, and Africa. I integrated many aspects from these guidelines within this text whenever they are in accord with the international acceptable practices. Feedback and suggestions are welcome and can be sent to [email protected] The book is an updated version of the protocols and guidelines which I have developed during my work as Consultant Neonatologist. Many are adopted from various reputable institutes and modified to reflect the current evidence plus a slight flavour of my experience. Considerable effort has been exercised to ensure the doses of medications given in HADI PN are accurate. However, further confirmation by the nursing and medical staff is advised prior to the first use of each medication. HADI PN reflects the author’s own acceptable and safe practice and advice. It is written with the intention of facilitating the delivery of care to the most vulnerable newborn. The publication is written bearing in mind the wide variations in the skill mix of neonatal practitioners, nurses, and doctors. Likewise, the challenging circumstances in developing countries are taken into consideration. It is a legal requirement to advise users of the information provided within this publication that the editor and publisher are not responsible for any errors or omissions and or any consequences arising from the use of this book.
Hadi Practical Neonatology ,a 2-book series of practical guidelines, is intended to provide a structured approach to the management of neonatal conditions which are likely to face the neonatal team. It is not intended to replace textbooks or to teach the beginners in the field. Prior sound knowledge of Neonatal Medicine, by the user, is essential. This book is the first in the series. It covers aspects of RESUSCITATION, THERMAL CONTROL- RESPIRATORY-CARDIOVASCULAR-INFECTIONS- ENDOCRINE & METABOLIC-GASTROINTESTINAL & NUTRITION- DERMATOLOGY- and SURGICAL NEWBORN challenges. It is my belief that neonatal doctors and nurses are an integrated team, and any demarcation is an imaginary line. The recipe of creating a backbone of good nurses is passionate support, continuous education, and practical teaching at every possible opportunity. Mutual trust and appropriate delegations are crucial to the success of the team. HADI PN series is written for the neonatal team and not just for the medical staff. The best way for consolidating the team knowledge and experience is bedside teaching. New methods and approaches of neonatal management are progressing but seem to slow down over the last few years. This may reflect the fact neonatal advances are approaching our era peak of “what is possible.” Nevertheless, many of our current practices are yet to be scrutinized to fulfil the evidence-based standards. There is no robust verification of the evidence behind our current practice of many routine day to day applications. This include but not limited to fluid requirements, duration of antibiotics courses, use of various blood products, seizures pharmacological treatment, and safe PaCO2 levels. I have reviewed multiple medical and nursing guidelines from Europe, North America, and Australia as well as Asia, South America, and Africa. I integrated many of these guidelines within this book whenever they are in accord with the international acceptable practices. Feedback and suggestions are welcome and can be sent to [email protected] The book is an updated version of the protocols and guidelines which I have developed during my work as Consultant Neonatologist. Some are adopted from various reputable institutes and modified to reflect the current evidence plus a slight flavour of my experience. Considerable effort has been exercised to ensure the doses of medications given in HADI PN are accurate. However, further confirmation by the nursing and medical staff is advised prior to the first use of each medication. HADI PN reflects the author’s own acceptable and safe practice and advice. It is written with the intention of facilitating the delivery of care to the most vulnerable newborn. The publication is written bearing in mind the wide variations in the skill mix of neonatal practitioners, nurses, and doctors. Likewise, the chall
The experience of walking into the neonatal unit for the first time is frightening to parents, doctors, and nurses. The beautiful decorations, elegant furniture and the gracefully dimmed lights are not seen, as if they are not existing. What matters for parents is their baby, and they see nothing but their baby. For new nurses and doctors, the tension and stress of the unfamiliar environment pulls a cataract-like blinds across both eyes. Then comes the next challenge: the Jargon and unique phrases in common use in NICU. The team, in every neonatal unit, has adopted hundreds of peculiar and unfamiliar terms as part of their daily language. They always make some efforts to explain themselves, only to divert back to their tested and trusted language. I, like many other colleagues, have struggled on many occasions to keep away from the medical jargon while talking to parents or relatives. There are countless references, books and internet sites which give tables of NICU abbreviations and terms and their counter words or phrases. This book is not intended to add to these useful resources, as they are far from perfect. The mere provision or listing of the abbreviations and their meanings, does not provide the parents or beginners with the backbone of knowledge, upon which they could assimilate in depth exploration of the challenge in question. On the other hand, there is plethora of neonatal conditions which make thorough explanation of each and everyone of them, an impossible and daunting task. Any book, in that scenario, will be comprehensive but not practical due to its length. This book, (NEW TO NICU), tries to introduce NICU to all newcomers: parents, nurses, and doctors. It highlights the essential structure of NICU and how to approach it by those who are new to it. It introduces NICU family with a brief description of their roles. Then the book goes in detail to explore the majority of day-to-day NICU language. This is coupled with summary to the situations behind phrases or abbreviations. There are some areas where the explanations are intentionally detailed, while in other areas, a brief description is offered. The communication with the neonatal team is irreplaceable and face to face discussions are the gold standard of successful dialogues. The information about the baby condition, current status, medications, nutrition, and growth are normally conveyed by the nursing staff. The questions about why (Causation), what (Condition), when (Anticipation) and how the future looks for the baby (Prognosis), are best discussed with the Doctors. Consistent and factual information build the trust between parents and the managing team. There is a place for emotions in all the interactions between staff and parents, but emotions should not colour facts to deal with the short-term outcome or long-term prognosis. New nurses and doctors joining NICU find themselves out of their depth in the first few days-weeks. This is not related to their inexperience or ignorance, but only because they are not able to follow conversations riddled with mines of abbreviations in every single sentence. I remember vividly in my first job in UK, when a nurse phoned me to tell a baby’s cannula is tissued. I felt very embarrassed (Being an experienced Registrar coming from overseas), that I could not even ask for the meaning of this phrase. I replied by saying “Thank You,” to which she replied: “Are you coming now?” I put the phone down after I said Yes!! I immediately rang my sister who is a radiologist in London, who was even more surprised that I did not know the meaning of “Cannula is tissued.” This is just one example of many which may look trivial but the accumulation of these gaps in conversations are difficult to live with. Ward rounds in particular are stressful times for those who are not familiar with NICU jargon. The jargon and abbreviations infiltrate every aspect of communication in NICU: Handovers, day to day care, resuscitation, non-emergency procedures and even offering the baby breast milk obtained from the mother! The use of abbreviations is unacceptable to many people but is the bear reality in each hospital department, and NICU is not an exception. The staff are advised to use the approved abbreviations which are published by each hospital governance body. The use of non approved abbreviations may lead to dire clinical and legal consequences. Furthermore, the staff should make every possible effort to explain to parents, in simple language, what is meant by an abbreviation or a commonly used phrase. I hope this book helps newcomers to NICU including parents, nurses, and doctors.
Learn Articulate Storyline 360 fast with this step-by-step, project-based workbook! Articulate Storyline is one of the hottest eLearning development tools in the world. This hands-on, step-by-step workbook will teach you the essential Storyline skills necessary to create effective, interactive, and engaging eLearning courses. This hands-on book, which most people can finish in a few short days, contains tons of activities and supporting screenshots. There are even challenge exercises (Confidence Checks) that will put your new-found skills to the test. You'll learn how to create projects from scratch, how to work with slides, add scenes, add and format text, images, characters, and videos. There are lessons that will teach you how to add interactivity to slides via buttons, triggers, text entry areas, and hotspots. Learn about variables and how they allow you to create personalized eLearning. Enhance the learner experience by recording, importing, and editing audio. Gauge the effectiveness of your eLearning by adding quizzes. Then you'll publish Storyline projects for the widest possible audience. This book features: All of the Articulate Storyline projects, images, audio files, videos, and other eLearning assets needed to get started (Just download the Storyline free 30-day trial software from the Articulate website and jump in!) Dozens of step-by-step, hands-on activities Confidence Checks to challenge your new skills Hundreds of supporting screenshots
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Physical Assessment of the Newborn, 5th Edition, is a comprehensive text with a wealth of detailed information on the assessment of the newborn. This valuable and essential resource illustrates the principles and skills needed to gather assessment data systematically and accurately, and also provides a knowledge base for interpretation of this data. Coverage addresses: gestational assessment, neurologic assessment, neonatal history, assessment of the dysmorphic infant, and systemic evaluation of individual body systems, as well as key information on behavioral and pain assessment, including the use of specific tools with various groups ranging from term to extremely preterm infants. Numerous tables, figures, illustrations, and photos, many of them in full color, are a major strength that enhances the book’s usefulness as a clinical resource. The text is an excellent teaching tool and resource for anyone who performs newborn examinations including nurses, neonatal and pediatric nurse practitioners, nurse-midwives, physicians and therapists. It can also serve as a core text for any program preparing individuals for advanced practice roles in neonatal care. KEY FEATURES: An authoritative and renowned text that comprehensively addresses all key aspects of newborn assessment Provides a well-ordered evaluation of individual body systems. Assists the practitioner in identifying infant state, behavioral clues, and signs of pain, facilitating individualized care. Comprehensively addresses the tremendous range of variation among newborns of different gestational ages. The content is amplified by numerous photos and illustrations, many in full color Includes Power Point slides and an Image Bank
Take care of yourself. How many times a week do we hear or say these words' If we all took the time to care for ourselves, how much stronger will we be' More importantly how much stronger will our communities be' In Take Care of Your Self, Iraqi artist and curator Sundus Abdul Hadi turns a critical and inventive eye on the notion of self-care, rejecting the idea that self-care means buying stuff and recasting it as a collective practice rooted in the liberation struggles of the oppressed. Throughout, Abdul Hadi explores the role of art in fostering healing for those affected by racism, war, and displacement, weaving in the artwork of twenty-seven artists of color from diverse backgrounds to identify the points where these struggles intersect. In centering the voices of those often relegated to the margins of the art world and emphasizing the imperative to create safe spaces for artists of color to explore their complicated reactions to oppression, Abdul Hadi casts self-care as a political act rooted in the impulse toward self-determination, empowerment, and healing that animates the work of artists of color across the world.
Essentials of Pediatric Surgery is an introductory reference on basic pediatric medicine and surgery. The book provides the reader the information on which a surgeon relies on in diagnosis and treatment. Chapters start with the physiology of infants before progressing into separate topics about the surgery of different sections including the head and neck, chest, abdomen, reproductive organs, cancers, and the nervous system. Information is presented in a simple manner, which makes the text easy to understand for both students and medical residents. Key Features: - 8 chapters covering introductory topics about pediatric physiology and surgery - Includes chapters which cover specialized domains in the subject based on different parts of the body - Chapters include information about clinical presentations, diagnosis and treatment of different conditions - Simple, structured layout for easy understanding - References for further reading Essentials of Pediatric Surgery is a handy textbook for both medical students studying modules on pediatric surgery and residents in training in pediatric clinics.
"Hadi and Sama are a young Syrian couple in the throes of new love, building a life in the country that brought them together. They'd met in Cambridge, Massachusetts: he, a shell-shocked refugee of a bloody civil war; she, a passionate dreamer who'd come to America years earlier in search of new horizons. Now, they giddily await the birth of their son, a boy whose native language would be freedom and belonging. When Sama is five months pregnant, Hadi's father dies, in Amman, the night before the embassy interview that would finally reunite Hadi with his parents and deliver them from a country in crisis. Hadi flies back to the Middle East for the funeral, promising he'll be gone only a few days. On the day his flight is due to arrive in Boston, Sama decides to surprise him at the airport, eager to scoop him up and bring him back home. She waits, and waits. There are protests at Logan airport, and Hadi never shows up. What Sama doesn't yet know is that Hadi has been stopped at the border. That he's been taken away for questioning, detained in a windowless, timeless, nightmarish limbo. She does not know about the travel ban, that his legal status in the U.S., which yesterday seemed rock solid, is now in jeopardy - and with it, the chance that he'll ever step foot on U.S. soil again. Amid the protests, Sama goes into premature labor; their son, Naseem, is born, too soon, his father nowhere to be found, the future they could almost taste wrenched from their grasp in a matter of hours. Worlds apart, suspended between hope and disillusion as hours become days become weeks, Sama and Hadi yearn for a way back to each other, and to the life they'd dreamed up together. But does that life exist anymore? Was it only ever an illusion? Achingly intimate yet poignantly universal, No Land to Light On is the story of a family caught on either side of a border, fighting for freedom and home, finding both in each other, and in the tenacious faith of creatures who take flight"--
In the last decade, there has been substantial research dedicated towards prospecting physiochemical, nutritional and health properties of novel protein sources. In addition to being driven by predictions of increased population and lack of a parallel increase in traditional protein sources, main drivers for the rise in novel proteins/ novel foods research activities is linked to significant changes in young consumers’ attitudes toward red meat consumption and their interest in new alternative protein products. Alternative Proteins: Safety and Food Security Considerations presents up-to-date information on alternative proteins from non-meat sources and examines their nutritional and functional roles as food sources and ingredients. Emphasis is placed on the safety of these novel proteins and an evaluation of their potential contribution to food security. Motivations for novel proteins and restrictions for their use are also discussed. Key Features: Explains potential improvements to alternative proteins through the employment of novel processing techniques. Contains the first review on keratin as an alternative protein source. Explores first comprehensive evaluation of the religious aspects of novel proteins. Describes methods for the detection and evaluation of health hazards. Discusses guidelines, regulatory issues and recommendations for food safety Additionally, this book covers fundamental and recent developments in the production of alternative proteins, and examines safety and consumer acceptability wherever information is available. The sources and processing options for alternative proteins and their impact on final product characteristics are also covered. A collective contribution from international researchers who are active in their field of research and have made significant contributions to the the food sciences, this book is beneficial to any researcher interested in the the food science and safety of alternative proteins.