Wednesday, December 23, 2009
Friday, December 4, 2009
The New NICU!!
Annotations Due December 4th 2009 for Mr. Brasof!!
Nina Boccella
Leah Bright
Dec 4, 2009
Annotated bibliography
Secondary Sources
http://www.chop.edu/about/our-history/
This website is a secondary source. it was written by the Children's Hospital of Philadelphia. this website helped me find out the history of the hospital and the founder. The article explained how Francis West Lewis, MD came up with the idea of opening the nations first Children's hospital. This hospital was opened for children who were sick because most childhood illnesses were treated at home because infants and children admitted to adult hospitals often died due to cross-infection or neglect. This hospital was founded in 1855. This website could be viewed by people who are during research and people who are looking for physicians, health information, etc.
Citation added: Paul A. Offit, MD. "Vaccine Education Center." Vaccine Education Center. Mar. 2008. The Children's Hospital Of Philadelphia. 23 Oct. 2009
This article is a secondary source, it was written by Paul A. Offit, MD. By reading this website article, I learned that the vaccine education center sponsored from C.H.O.P. This special center impacted society in a major way because it gives parents information about vaccines they should look into for their children. It explains that an a adult or parent can walk in and get assistance to what vaccines are necessary, how they work, and are they safe. The Children's Hospital Of Philadelphia specifically targets the Children around the world and so does the Vaccine Education Center. This article was targeted for Parents who have young children and kids under the age of 18. I have also learned that The Children's Hospital of Philadelphia, the nation's first children's hospital, has been a center of vaccine research and education for more than 125 years. For example, the rota virus vaccine, a vaccine that prevents the most common cause of vomiting and diarrhea in children, was developed at The Children's Hospital of Philadelphia and the Wistar Institute of Anatomy and Biology.Vaccines have reduced and, in some cases, eliminated many diseases that killed or severely disabled people just a few generations before. For most Americans today, vaccines are a routine part of health care..
Http://www.chop.edu/service/neonatology/home.html. The Childrens Hospital Of Philadelphia. Web. 2 Nov. 2009. .This article was very helpful to me. Its explained evolution on neonatal care at the Childrens Hospital of Philadelhpia. I learned that the Division of Neonatology provides comprehensive care for critically ill newborns and infants, including consultation, transport, and inpatient intensive care in our Newborn/Infant Intensive Care Unit. n addition to board-certified attending neonatologists, the newborn care team consists of fellows, residents, physician assistants, staff nurses, neonatal nurse practitioners, clinical nurse specialists, ECMO specialists, clinical staff, charge nurses, respiratory care practitioners, social workers, dietitians, case managers, physical therapists, occupational therapists, speech therapists and lactation specialists in the unit to provide round-the-clock care. And also, The Division of Neonatology, under the leadership of Phyllis A. Dennery, MD, is involved in numerous laboratory and clinical research activities focused on development, lung disease, the fetal origins of disease, molecular mechanisms and use of nitric oxide, biomarkers of neonatal conditions, pharmacology and more. There was no particular aurthor, just under the name of Childrens Hospital of Philadelhpia. 1996-2009!!!
Www.about.com. The New York Times Company., 19 June 2009. Web. 2 Nov. 2009. .This article was mainly about The best top ten hospitals in america and how their surgeons perform on newborn babies. Childrens Hospital of Philadelphia was in the top ten list. US News and World Report has made it easier by announcing the ten hospitals that ranked the highest in the entire country. To compile the list, they surveyed pediatricians and reviewed hospital data.The hospitals were examined for their expertise in 10 medical specialties, including cancer treatment, diabetes and other endocrine disorders, digestive disorders, cardiology and heart surgery, kidney disorders, neonatal care, neurology/neurosurgery, orthopedics, respiratory disorders and urology. Out of 168 hospitals, 10 hospitals showed excellence in all 10 specialties. The Top Ten Children's Hospitals, In Alphabetical Order: Children's Hospital (Denver) Children's Hospital Boston Childrens Hospital Los Angeles Children's Hospital of Philadelphia Children's Medical Center (Dallas) Cincinnati Children's Hospital Medical Center Johns Hopkins Children's Center (Baltimore) New York-Presbyterian Morgan Stanley Children's Hospital St. Louis Children's Hospital-Washington University Texas Children's Hospital (Houston) this article was written by Jennifer Heisler.
To day I was researching on website Childrencareaware.com; http://www.childcareaware.org/en/subscriptions/dailyparent/volume.php?id=33. I learned great information that I can use in my nhd paper. Money is a part of your everyday life. You use it to buy the things you and your family need and want. Buying food, paying rent or mortgage, buying clothes, taking a vacation, and paying for child care are some of the necessary things that require money. No matter what your personal beliefs are about money, we can all agree that it is part of our lives.
We use money everyday for bills, bussiness, and health care. But most of all we use money to build medical
centers and medicine to protect our younger one. One way bussiness build money to creater special centers are
home bussiness's anf fundraisers.
Also i have learned that,Saving is an important part of learning how to manage money. Many children learn about saving by having "piggy" or coin banks for any money they receive. Saving money can help children learn how to plan, develop patience, and learn how to delay gratification - getting what they want. So whether you give your child an allowance or money for doing something in particular, this is a good way to work with him or her on saving.
Activities to do with your child:
If you give your child an allowance - have your child save all or some of that money and decide when (once a month, or every two weeks) the saved money can be spent on something special.
If you do not want to give your child an allowance - allow your child to earn money for chores or other activities that you choose. Again, agree that some or all of that money will be saved or used at a later time.
Child care providers can give children in their care special "coins" or stars that they can save to exchange for something special at a later date. Many providers and teachers may already do some version of this kind of activity.
Many banks have savings accounts for children. You may want to consider opening a savings account for your child and working with him or her to make deposits and keep track of savings as they grow.
Use Money as a Way to Make Choices
Using money involves making choices. You start with a certain amount of money to spend and you make choices on how to spend it. When shopping, let your child observe how you make choices. Explain briefly why you decided on Brand A versus Brand B. "I could either buy this soap which smells good, or buy these two soaps which are on sale and will save me money."
| AGE GROUP | ACTIVITIES TO TRY | SKILLS USED/LEARNED |
| Infants and Toddlers | When shopping with your young one, talk to him when buying something. Make a point of noticing the different prices for things. "I have $5.00 to spend. This costs $2.00. I have enough money to buy two of them with some money left over." | Language skills Different items |
| Preschool | Make paper "pennies" with your preschooler and mark each one as one cent. Give your preschooler a set number of paper pennies to use to trade for things she wants to play with or use. For example, if she wants to play with blocks, she has to give you one penny. (Keep it simple.) | Exchanging One-to-one correspondence |
| School-Age | Have your child trace real coins and compare their sizes. Count coins by ones, fives, and tens. See how many different ways various coins can add up to 10 or 20 cents. Bring coins to the supermarket to place in an automated coin counting machine. See how your child's piggy bank money adds up over time. | Addition Sorting Combining different money values |
Allow your child to choose items sometimes when you are out shopping together. Offer a choice of two items that you would agree on, and then allow her to choose one of them.
Use Money to Develop Community Skills
Saving and sharing money can be used as part of a lesson in reaching a shared goal. It is also a good way to promote working with others. For example, allow your child to share in helping with a favorite charity, a family activity, or a neighborhood project. For your older child, let him or her help decide what kind of charity or project you want to work on as a family. If money is needed in the project, let your child contribute and decide how that money is to be used.
Use Money to Practice Social Skills
Using money involves many social skills and interactions with others. From speaking with salespeople to the social rules that go along with making a purchase, practicing social skills is a big part of using money in everyday life.
Talking with your children at an early age about money and saving is important. You can help them form positive lifelong skills around money. This also involves learning and using other important life skills as well.
No matter what your financial circumstances or personal beliefs are on the use of money, you can help your child become "money-smart" and best use the money system to his or her advantage.
| AGE GROUP | ACTIVITIES TO TRY | SKILLS USED/LEARNED |
| Infants and Toddlers | Take your young ones shopping whenever it is convenient for you Let them play with a toy cash register and play money | Observing the social interactions in making a purchase Observing making choices Pretending |
| Preschool | Allow your preschooler to choose between two items (that you already know you would like) to buy. Set up a pretend "store" where your preschooler can buy things | Making choices Learning money values Getting ready for social interactions |
| School-Age | Allow your school-age child to make purchases with money when at a real store | Practicing roles in social interactions Using practical math skills |
This article did not state when it was created or the person who created it. But it helped in meny of ways.
I read an article on about.com; http://adam.about.com/encyclopedia/Poor-feeding-in-infants.htm. I learned that some infants are not treated the right way when their parents have no idea what to do with the baby. Thats why we have day cares and children devolpment centers for less fortunate children. These are some of the facts i was reading about.
Poor feeding in infants
Definition
Poor feeding is when an infant has a lack of interest in feeding or a problem receiving the proper amount of nutrition.
Alternative Names
Feeding - infant's lack of interest; Infant - lack of interest in feeding
Considerations
Poor feeding is a nonspecific symptom seen in newborn and young infants. It can result from many conditions, including infection, metabolic disorders, genetic disorders, structural problems, and neurological disorders. Poor feeding is not a sign of the severity of the disease, but it requires close watching of the infant.
Poor feeding is not the same as "picky" eating. Many children between ages 2 and 4 are picky eaters. Parents only need to give children what they like to eat at this age. However, children must continue to drink milk or an appropriate milk substitute.
Causes
Any disorder that causes damage to the nervous system or causes muscle weakness
Group B streptococcal septicemia of the newborn (late)
Infection of the tissue covering the brain and spinal cord (meningitis)
Total anomalous pulmonary venous return
Tracheoesophageal fistula, a birth defect in which there is a connection between the trachea and the esophagus
Transposition of the great vessels
Viral gastroenteritis
Home Care
Watch closely for the development of other signs and symptoms of illness, such as dehydration.
Also watch the child's height, weight, and general development closely for signs of malnutrition or failure to thrive.
When to Contact a Medical Professional
Contact your pediatrician if your child does not seem to be eating enough, is consistently losing weight, or if poor feeding is accompanied by other signs or symptoms.
What to Expect at Your Office Visit
A child who is feeding poorly will often have other symptoms and signs that, when taken together, define a specific syndrome or condition. Diagnosis of that condition is based on a family history, medical history, and a complete physical exam.
Questions your health care provider will ask may include:
How does the baby (child) eat normally?
Has the diet been changed recently?
Has the baby (child) always been a fussy eater?
Is the feeding getting harder?
Has the baby been vomiting?
Does the baby have diarrhea?
Is there an abnormal stool color?
Is there gagging or choking?
Is there coughing?
Are there other symptoms?
DIAGNOSTIC TESTS
Laboratory studies such as x-rays, gastrointestinal (GI) studies, and blood tests may be ordered to confirm the presence of a suspected disorder.
AFTER THE OFFICE VISIT
Although the health care provider maintains records on your baby, it is a good idea to maintain your own records of office visit findings, test results, and your own observations of your baby's health. You should add measurements that you do at home, such as height and weight.
Bring your records to the health care health care provider's attention if you notice any problems, or if you have questions about your baby's development.
This article was created on november 9th 2007 byReviewed By: Deirdre OReilly, M.D., M.P.H., Neonatologist, Division of Newborn Medicine, Childrens Hospital Boston and Instructor in Pediatrics, Harvard Medical School, Boston, Massachusetts.
This article helped me alot because why certain buildings are very impotrant to our children in the world. If we didnt hace accesor certain opportunties, where would the less fortunate children go to survive through medical assitance.
Www.chop.edu. Children's hospital of philadelphia. Web. 6 Nov. 2009. .children's hospital of philadelphia -neonatal care for newborns. children's hospital had the first neonatal care surgical and pediatric intensive care unit in the us .children's hospital was the first to develope the closed incubator for newborn's. since chop has the intensive care unit they are able to save more newborn's lives.
Www.google.com. Web. 6 Nov. 2009. .today i found a book on google books. this book describes all different reasons of how a new born would need neonatal care. i choose to read about birth trauma. i found an article written by Elisa Abdulhayoglu. the background info stated that birth injury is defined by the National Vital Stastics report as" an impairment of the infant's body function or structure due to adverse influences that occured during birth." injury may occur antenatally, intrapatrum, or during resuscitation, and may be avoidable or unavoidable.
Www.highbeam.com. Google.com, 22 Mar. 2005. Web. 1 Dec. 2009. .
This article was not that helpful to me because i didn't have full acces to view and understand it without paying for it. This is a primary source that could realy help me because i havn't found any until today. I hope i get credit for it. This article was published through the Gale Group, Farmington Hills, Michigan.
Annotation 5;$$ Children Care Aware..
To day I was researching on website Childrencareaware.com; http://www.childcareaware.org/en/subscriptions/dailyparent/volume.php?id=33. I learned great information that I can use in my nhd paper. Money is a part of your everyday life. You use it to buy the things you and your family need and want. Buying food, paying rent or mortgage, buying clothes, taking a vacation, and paying for child care are some of the necessary things that require money. No matter what your personal beliefs are about money, we can all agree that it is part of our lives.
We use money everyday for bills, bussiness, and health care. But most of all we use money to build medical
centers and medicine to protect our younger one. One way bussiness build money to creater special centers are
home bussiness's anf fundraisers.
Also i have learned that,Saving is an important part of learning how to manage money. Many children learn about saving by having "piggy" or coin banks for any money they receive. Saving money can help children learn how to plan, develop patience, and learn how to delay gratification - getting what they want. So whether you give your child an allowance or money for doing something in particular, this is a good way to work with him or her on saving.
Activities to do with your child:
If you give your child an allowance - have your child save all or some of that money and decide when (once a month, or every two weeks) the saved money can be spent on something special.
If you do not want to give your child an allowance - allow your child to earn money for chores or other activities that you choose. Again, agree that some or all of that money will be saved or used at a later time.
Child care providers can give children in their care special "coins" or stars that they can save to exchange for something special at a later date. Many providers and teachers may already do some version of this kind of activity.
Many banks have savings accounts for children. You may want to consider opening a savings account for your child and working with him or her to make deposits and keep track of savings as they grow.
his article did not state when it was created or the person who created it. But it helped in meny of ways.
I read an article on about.com; http://adam.about.com/encyclopedia/Poor-feeding-in-infants.htm. I learned that some infants are not treated the right way when their parents have no idea what to do with the baby. Thats why we have day cares and children devolpment centers for less fortunate children. These are some of the facts i was reading about.
This article was created on november 9th 2007 by Reviewed By: Deirdre OReilly, M.D., M.P.H., Neonatologist, Division of Newborn Medicine, Childrens Hospital Boston and Instructor in Pediatrics, Harvard Medical School, Boston, Massachusetts.
This article helped me alot because why certain buildings are very impotrant to our children in the world. If we didnt hace accesor certain opportunties, where would the less fortunate children go to survive through medical assitance.
Citation added: Http://www.chop.edu/service/neonatology/home.html. The Childrens Hospital Of Philadelphia. Web. 2 Nov. 2009. .
This article was very helpful to me. Its explained evolution on neonatal care at the Childrens Hospital of Philadelhpia. I learned that the Division of Neonatology provides comprehensive care for critically ill newborns and infants, including consultation, transport, and inpatient intensive care in our Newborn/Infant Intensive Care Unit. n addition to board-certified attending neonatologists, the newborn care team consists of fellows, residents, physician assistants, staff nurses, neonatal nurse practitioners, clinical nurse specialists, ECMO specialists, clinical staff, charge nurses, respiratory care practitioners, social workers, dietitians, case managers, physical therapists, occupational therapists, speech therapists and lactation specialists in the unit to provide round-the-clock care. And also, The Division of Neonatology, under the leadership of Phyllis A. Dennery, MD, is involved in numerous laboratory and clinical research activities focused on development, lung disease, the fetal origins of disease, molecular mechanisms and use of nitric oxide, biomarkers of neonatal conditions, pharmacology and more. There was no particular aurthor, just under the name of Childrens Hospital of Philadelhpia. 1996-2009!!!
Citation added: Paul A. Offit, MD. "Vaccine Education Center." Vaccine Education Center. Mar. 2008. The Childrens Hospital Of Philadelphia. 23 Oct. 2009 .
This article is a secondary source, it was written by Paul A. Offit, MD. By reading this website article, I learned that the vaccine education center spounserd from C.H.O.P. This special center empacted society in a major way because it gives parents information about vaccines they should look into for their children. It explains that an a adult or parent can walk in and get assitance to what vaccines are nessesary, how thay work, and are they safe. The Childrens Hospital Of Philadelphia specificaly targets the Children around the world and so does the Vaccine Education Center. This article was targeted for Parents who have young children and kids under the age of 18. I have also learned that The Children's Hospital of Philadelphia, the nation's first children's hospital, has been a center of vaccine research and education for more than 125 years. For example, the rotavirus vaccine, a vaccine that prevents the most common cause of vomiting and diarrhea in children, was developed at The Children's Hospital of Philadelphia and the Wistar Institute of Anatomy and Biology.Vaccines have reduced and, in some cases, eliminated many diseases that killed or severely disabled people just a few generations before. For most Americans today, vaccines are a routine part of healthcare.
This website is a secondary source. it was written by the Children's Hospital of Philadelphia. this website helped me find out the history of the hospital and the founder. The article explained how Francis West Lewis, MD came up with the idea of opening the nations first Children's hospital. This hospital was opened for children who were sick because most childhood illnesses were treated at home because infants and children admitted to adult hospitals often died due to cross-infection or neglect. This hospital was founded in 1855. This website could be viewed by people who are during research and people who are looking forphysicians, health information, etc.
Izenberg, Neil. Human diseases and conditions ; preterm baby. Vol. 3. Neil Izenburg, MD. Print.this is a secondary source. this info is helpful because it talks about how premature infants tend to look very frail, with thin pink skin with underlying veins showing through and very little body fat. this is helpful because it puts me in the shoes of the baby, parent, and doctors. it brings my research to life.
Izenberg, Neil. Human diseases and conditions ; preterm baby. Vol. 3. Neil Izenburg, MD. Print.this is a secondary source. this info is helpful because it talks about how premature infants tend to look very frail, with thin pink skin with underlying veins showing through and very little body fat. this is helpful because it puts me in the shoes of the baby, parent, and doctors. it brings my research to life.
Izenberg, Neil. Human diseases and conditions. Vol. 3. Neil Izenburg, MD. Print.this website was useful to me because it gives me information i can use for my NHD project. the information the book gave me is histories of women giving premature birth shows several risk factors: poverty, poor prenatal care, poor nutrition, smoking, alcohol, etc. this information is useful to me because i now know specific risk factors that took place back then.
Thursday, December 3, 2009
My first Primary Source.
Wednesday, December 2, 2009
Primary Source: childrens medical events at the nicu

This chart shows serious medical events that infant and premature babies were born.
http://images.google.com/imgres?imgurl=http://elainesplace.net/wp-content/uploads/2009/09/tylenol.jpg&imgrefurl=http://elainesplace.net/2009/09/childrens-tylenol-recall/&usg=__06-MZxlv_ynWpki43kVgYXurBp8=&h=480&w=495&sz=74&hl=en&start=18&um=1&tbnid=bQ5tIoENVSLVAM:&tbnh=126&tbnw=130&prev=/images%3Fq%3Dchildren%2527s%2Btylenol%2Brecall%26hl%3Den%26safe%3Dactive%26sa%3DN%26um%3D1
Tuesday, December 1, 2009
My Annotation!
primary Source: article
WHITEHOUSE STATION, N.J. & PHILADELPHIA -- Dr. Hilleman, Director of the Merck Institute for Vaccinology, Pioneered Development of Vaccines for Many Diseases, Including Measles, Mumps and Rubella
The University of Pennsylvania (Penn) School of Medicine's Department of Pediatrics and The Children's Hospital of Philadelphia (CHOP), in collaboration with The Merck Company Foundation, today announced the creation of The Maurice R. Hilleman Chair in Vaccinology.
The Hilleman Chair will be awarded to a physician/scientist making significant contributions to vaccinology on the standing faculty of Penn. The Hilleman Chair holder will be selected by an ...
Read all of this article with a FREE trial
I couldn't read the rest of this article. I tried to do it with a free trial but it wouldnt work!
http://www.highbeam.com/doc/1G1-130644901.html
Ms. Tompson
Monday, November 30, 2009
Chapter Analysis
Caring for Babies in the NICU
Although about 9 percent of all newborn babies require care in a NICU, giving birth to a sick or premature baby can be quite unexpected for any parent. Unfamiliar sights, sounds, and equipment in the NICU can be overwhelming. This information is provided to help you understand some of the problems of sick and premature babies. You will also find out about some of the procedures that may be needed for the care of your baby.
- http://www.chop.edu/healthinfo/caring-for-babies-in-the-nicu.html
Contact Us
- 1-800-879-2467
- (1-800-TRY-CHOP)
About Dr. Thomas Bond & Benjamin Fraklin.
| IN THE BEGINNING | |||||||||||||||||||
The Story of the Creation of the Nation's First Hospital
The docks and wharves along the Delaware River teemed with activity as ships bound for foreign ports loaded up with flour, meat and lumber while overseas vessels delivered European-manufactured goods and wines. Foreign visitors noted with envy the city's growing prosperity. Although the majority of the population was neither extremely wealthy nor extremely poor, there was a significant increase in the number of immigrant settlers who were "aged, impotent or diseased." At the time, colonial America's urban centers were far healthier than their European counterparts. Nevertheless, the Philadelphia region, according to city leaders of the day, was "a melting pot for diseases, where Europeans, Africans and Indians engaged in free exchange of their respective infections." Faced with increasing numbers of the poor who were suffering from physical illness and the increasing numbers of people from all classes suffering from mental illness, civic-minded leaders sought a partial solution to the problem by founding a hospital. The idea for the hospital originated with Dr. Thomas Bond. Born in Calvert County, Maryland, Bond, a Quaker, moved to Philadelphia as a young man. In 1738, in order to further his medical education, he went abroad to study medicine in London. While in Europe, Bond spent time at the famous French hospital, the Hotel-Dieu in Paris, and became impressed with the continent's new hospital movement. Bond returned to Philadelphia in 1739 and two years later was appointed Port Inspector for Contagious Diseases. Bond and Benjamin Franklin were long-standing friends. Bond was a member of Franklin's Library Company and helped establish the American Philosophical Society and the Academy of Philadelphia, which evolved into the University of Pennsylvania. Around 1750, Bond "conceived the idea of establishing a hospital in Philadelphia for the reception and cure of poor sick persons." The idea was a novelty on this side of the Atlantic, and when Bond approached Philadelphians for support they asked him what Franklin thought of the idea. Bond hadn't approached his good friend because he thought it was out of Franklin's line of interest, but because of the reaction he received, Bond soon turned to Franklin. After hearing the plan, Franklin became a subscriber and strong supporter. Franklin's backing was enough to convince many others that Bond's projected hospital was worthy of support. Franklin organized a petition, although not signed by him, bearing 33 names and brought it to the Pennsylvania Assembly on January 20, 1751. The petition stated that although the Pennsylvania Assembly had made many compassionate and charitable provisions for the relief of the poor, a small provincial hospital was necessary. After a second reading on January 28, the petitioners were directed to present the Assembly with a bill to create a hospital. Presented a week later, the bill encouraged the Assembly to establish a hospital "to care for the sick poor of the Province and for the reception and care of lunaticks." The hospital bill met with some objections from rural members of the Assembly because they thought the hospital would only be serviceable to the city. At this critical juncture, Franklin saved the day with a clever plan to counter the claim by challenging the Assembly that he could prove the populace supported the hospital bill by agreeing to raise 2000 pounds from private citizens. If he was able to raise the funds, Franklin proposed, the Assembly had to match the funds with an additional 2000 pounds. The Assembly agreed to Franklin's plan, thinking his task was impossible, but they were ready to receive the "credit of being charitable without the expense." Franklin's fundraising effort brought in more than the required amount. The Assembly signed the bill and presented it to Lieutenant Governor James Hamilton for approval. After amending the bill several times, Hamilton signed it into law on May 11, 1751. From early 1752 until the east wing of the Pine Building opened in 1755 Pennsylvania Hospital was housed in the home of recently deceased John Kinsey, a Quaker and Speaker of the Assembly. So pleased was Franklin that he later stated: "I do not remember any of my political manoeuvres, the success of which gave me at the time more pleasure..." To illustrate the purpose of the hospital, the inscription "Take care of him and I will repay thee" was chosen and the image of the Good Samaritan was affixed as the hospital seal. Timeline:
Related Stories:
Back to Stories from Pennsylvania Hospital's Past http://www.uphs.upenn.edu/paharc/features/creation.html I realy want to change my project!!!! | |||||||||||||||||||
CHOP Newborn Care at Pennsylvania Hospital
Pennsylvania Hospital
Pennsylvania Hospital, the nation's first, was founded in 1751 by Benjamin Franklin and Dr. Thomas Bond. Today, the hospital is known for services including Obstetrics, high-risk maternal and fetal services, and Neonatology. The hospital has 45 licensed and staffed Neonatal Intensive Care Unit beds.
The unit's capabilities include a full-service, Level 3 NICU designed for the care of extremely low birthweight premature infants up to full-term infants with respiratory failure, sepsis, genetic syndromes and other neonatal conditions. The unit provides conventional ventilation, and high-frequency oscillation, jet ventilation and nitric oxide are available for the sickest of infants. CPAP and high-flow nasal cannula are offered for milder forms of respiratory failure. Both apnea diagnostic and neonatal follow-up programs are also on-site to provide comprehensive care after discharge. Neonatal transport services from the CHOP Transport Team are available for outside referrals such as RDS, laser ROP surgery and PDA litigation.
The team includes 24-hour neonatologists, neonatal nurse practitioners and physician assistants, and respiratory therapists. Pediatric and pediatric surgical subspecialists from CHOP are available for consultation in the NICU. Social workers, occupational and physical therapy teams, speech and feeding specialists, developmental specialists and lactation consultants work with both babies and families.
http://www.chop.edu/locations/inpatient-at-pennsylvania-hospital/inpatient-at-pennsylvania-hospital.html
I want to ask Mr. Brasof if i could change from chldren's hospiatal to pennsylvania hospital. I think i would make our project easier.
Contact Us
Call CHOP Newborn Care at Pennsylvania Hospital
- 215-829-5069
Our Address
8th and Spruce Streets
Philadelphia PA ,19107
Friday, November 20, 2009
NICU during 1960
FOREWORD
In 1960, the idea of having a special intensive care unit for newborns—a neonatal intensive care unit
(NICU)—represented a developmental milestone for the field of neonatology. With the increased
sophistication developed since then, doctors now are able to save the lives of many premature or
desperately ill newborns who in the past would have died soon after birth. The result is that the U.S. infant
mortality rate has shown a steady decrease since the NICU first came into widespread use a quarter of a
century ago and, concomitantly, survivors have fewer sequelae.
The widespread access to NICUs based on the existence of regionalization has allowed the establishment
of a national network of technologically advanced NICUs. Under regionalization, centrally situated
hospitals maintain one or more NICUs available to all babies of high-risk mothers and to critically ill
newborns referred from other hospitals located within a certain area. Babies born at hospitals not equipped
with state-of-the-art facilities or without experts in perinatal medicine on their staffs are thus ensured
access to the best possible neonatal care if needed. Regionalization represents nationwide access to health
care in the true sense of the term.
Although the ability to sustain premature or sick infants is a significant medical advance, the ultimate goal
is to eliminate the need for NICUs altogether. As with most, if not all, medical technologies, the benefits
of neonatal intensive care are not achieved without certain risks. These risks run the gamut from
inconsequential to deadly. Some premature babies born too small to survive on their own may have no
apparent problems at first. Some, however, may survive only to suffer severe mental and/or physical
handicaps later in life. Others, despite the best of neonatal intensive care, may not survive at all. In light of
these critical risks, it is clear that, as always, prevention is far better than any cure.
http://www.nichd.nih.gov/publications/pubs/neonatal/nic.htm (3 of 40) [03/17/2001 12:28:58 AM]
Superficially, eliminating the need for NICUs appears to be relatively easy: simply reduce the number of
low-birth-weight infants. But as any neonatologist or obstetrician knows, that is not a simple task. From
steadily increasing numbers of births to teenage girls who receive little or no prenatal care, to smoking and
other forms of substance abuse during pregnancy, the odds against successfully eliminating low birth
weight are seemingly momentous. The rate of low birth weight births has remained virtually constant over
the past 20 years.
A mere 30 years ago, a description of today’s highly advanced state of neonatal care would have been met
with disbelief. Yet we now know what is possible. Perhaps the next 30 years will bring about an equally
miraculous decline in the incidence of low birth weight and its attendant problems. With education and
superb prenatal care for all pregnant women, the goal is attainable.
The following essays present the history and development of the neonatal intensive care unit. Written by
pioneers in the design and implementation of neonatal intensive care who shared their experience and
expertise at the National Institute of Child Health and Human Development’s Child Health Day
symposium, they not only document the past, but give one hope for the potential of the future.
Sumner Yaffe, M.D.
Back to Contents
Neonatal Intensive Care
http://www.neonatology.org/classics/nic.nih1985.pdf
this is the web site i researched today.