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STEPP IN: Working Together to Keep Infants Warm in the Perioperative Period

OBJECTIVES:

Reduce postoperative hypothermia by up to 50% over a 12-month period in children’s hospital NICUs and identify specific clinical practices that impact success.

METHODS:

Literature review, expert opinion, and benchmarking were used to develop clinical practice recommendations for maintaining perioperative euthermia that included the following: established euthermia before transport to the operating room (OR), standardized practice for maintaining euthermia on transport to and from the OR, and standardized practice to prevent intraoperative heat loss. Process measures were focused on maintaining euthermia during these time points. The outcome measure was the proportion of patients with postoperative hypothermia (temperature ≤36°C within 30 minutes of a return to the NICU or at the completion of a procedure in the NICU). Balancing measures were the proportion of patients with postoperative temperature >38°C or the presence of thermal burns. Multivariable logistic regression was used to identify key practices that improved outcome.

RESULTS:

Postoperative hypothermia decreased by 48%, from a baseline of 20.3% (January 2011 to September 2013) to 10.5% by June 2015. Strategies associated with decreased hypothermia include >90% compliance with patient euthermia (36.1–37.9°C) at times of OR arrival (odds ratio: 0.58; 95% confidence interval [CI]: 0.43–0.79; P < .001) and OR departure (odds ratio: 0.0.73; 95% CI: 0.56–0.95; P = .017) and prewarming the OR ambient temperature to >74°F (odds ratio: 0.78; 95% CI: 0.62–0.999; P = .05). Hyperthermia increased from a baseline of 1.1% to 2.2% during the project. No thermal burns were reported.

CONCLUSIONS:

Reducing postoperative hypothermia is possible. Key practices include prewarming the OR and compliance with strategies to maintain euthermia at select time points throughout the perioperative period.




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Get your coat.... GANT keeping you warm this Winter

SPONSORED EDITORIAL




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Coronavirus Scotland: Celebrity hairstylist Taylor Ferguson gives his top tips to keep your locks looking good

WHEN we eventually emerge from lockdown the first thing most people will want to do is hug their nearest and dearest, but for some they will be running to their hair stylist to sort out the unruly mass of top of their head.




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Fresh from Scottish farms, frozen to keep in all the goodness - why Farmfoods is still the nation's favourite

Farmfoods, a Scottish family business, has served the nation for over 60 years - and has never faltered in selling the finest farm  produce the country has to offer.




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Keeping our goals as the priority

"If we are serious about planting churches among the least reached as how we do mission, we must always be willing to question, reconsider and reform our paradigms," says Shaun Rossi.




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No let-up in effort to keep women's football evolving

The latest UEFA KISS workshop on the further development of women's football looked at ways of improving clubs' infrastructures as well as bolstering the foundations of the game.




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Issue of the day: How to make video calls to keep in touch with family

If you can't see elderly parents, or friends with medical conditions, what can you do to keep in touch? You can send a letter, of course, or make a landline phone call, but video calls allow you to speak and see each other.




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A Losing Fight to Keep Schools Desegregated

Few districts have done as much as Wake County, N.C., to keep schools racially and socioeconomically diverse, but’s it’s a battle the school board says it has been losing. Can it reverse the trend?




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Time for a spring clean of our statues to keep them relevant

It’s not that I would be without the pyramids. Nor do I think that the Taj Mahal is a waste of good stone. These tombs, monuments to the departed are treasures beyond price. But can you name the pharaohs or the Mughal empress whose death they mark? No, nor can I without the help of Google.




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Amazon: Just Kidding, You Can Keep Selling Used Nintendo Games

On Thursday, the company sent an email to third-party dealers, saying they would need approval to sell used Nintendo Games. Turns out the email was actually sent out in error, Amazon claims.




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Should I keep my child's vaccine appointments?




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Fin24.com | Moelis keeps hand extended to Saudis as rival bankers pull back

The founder and chief of his eponymous investment bank traveled to Riyadh to extol the virtues of friendship. He stood out as many of the titans of U.S. finance sat out the kingdom’s signature investment summit amid international outrage over the killing of government critic Jamal Khashoggi.




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UN peacekeeping: Congo on the brink of full-scale war




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Central African Republic: Keeping the Dialogue Alive




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The CAR Crisis: Thinking Beyond Traditional Peacekeeping

The crisis that has been occurring in CAR is certainly the most dramatic in its history: more than 600 000 Central Africans are internally displaced or sought refuge in neighbouring countries; according to the United Nations, 1.7 million live in a constant situation of food insecurity and 878 000 need immediate medical assistance; Muslim communities are fleeing Bangui and the western region, subsistence economy no longer exists and the de facto partition of the country, caused by the sectarian violence, is gradually becoming a reality.




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Save 30 Percent on Keeper, Never Click 'Forgot Password' Again

The password-fatigued masses will be pleased to find Keeper's new 30 percent off deal, which brings it down to $20.99 per year from its typical $29.99.




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Fantasy Football Matchday 7 lessons: Goalkeepers

UEFA.com delves into the numbers and finds clean sheets were at a premium in the first legs.




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Fin24.com | Coronavirus and investment: Keep your eye on the long-term prize

The "scare" reaction in the markets due to the coronavirus pandemic, has removed "froth" and returned risk markets to much fairer valuations, says an investment expert.




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A 10-Year-Old's Shooting Death and the Challenge Schools Face Keeping Football Games Safe

The shooting death of a 10-year-old spectator at a high school football game exposes a critical vulnerability and crucial responsibility for schools: keeping people safe at events outside school buildings.




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Virtual services keeping Hazleton students, campus connected during crisis

Penn State Hazleton’s Student Services and Engagement team is continuing to forge personal connections with students while operating under the restrictions in the virtual environment created by the COVID-19 crisis.




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Colorado Shooting Underscores Challenges of Keeping Students Safe (Video)

The STEM School shooting underscores the huge challenges educators face in keeping students safe, even as fatal and injurious gunfire inside K-12 schools remains statistically rare.




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Reading Instruction 'Keeps Parents Up at Night': Advocates in Wis., Calif. Push for Changes

As schools apply more scrutiny to the methods and materials they use to teach early reading, educators and parents in some states have started to form new advocacy efforts—trying to pressure states and districts to adopt new approaches to teacher training and evaluating materials.




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When Windows 7 Dies, Don't Rely on Microsoft to Keep Your PC Safe

Microsoft will probably deliver critical patches after it ends Windows 7 support in January 2020. But it's not guaranteed, so users and organizations should upgrade to Windows 10 now.




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Keep your smiles

During her three months mission trip to Paris, Madeline realised how precious it is to be a living testimony for the homeless.




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Reading Instruction 'Keeps Parents Up at Night': Advocates in Wis., Calif. Push for Changes

As schools apply more scrutiny to the methods and materials they use to teach early reading, educators and parents in some states have started to form new advocacy efforts—trying to pressure states and districts to adopt new approaches to teacher training and evaluating materials.




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After-School Programs Keep Learning Going With Student Data

Through a city-school partnership in Nashville, Tenn., after-school programs are using data to tailor lessons to students' learning needs.




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“Keeping Your Home Afloat”: DSHA and Partners to Host Statewide Foreclosure Prevention Open House

The Delaware State Housing Authority (DSHA), in partnership with five local housing counseling agencies, is hosting “Keeping Your Home Afloat”, a Statewide Foreclosure Prevention Open House, on Monday, July 22nd from 5:00pm to 7:30pm. Attendees will learn how the Making Home Affordable Program may be able to help them reduce the amount they owe on their mortgage. Homeowners who are “underwater”, or owe more than their homes are worth, are especially encouraged to come get more information about the MHA Program’s Principal Reduction Alternative.




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Fin24.com | Money keeps rolling in

Lets hope it’s for the right reasons.




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Teachers Told Me Their Stories of Sexual Assault and Harassment—and Why They Keep Silent

Even in this extraordinary #MeToo era, ordinary women who've experienced harassment or assault at work are often reluctant to share their stories publicly. Arianna Prothero found that to be just as true as she reported on sexual harassment and assaults in schools and other K-12 workplaces.




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Keep Your Students Close But Your Parents Closer

When teachers open up their classrooms and their teaching to parents, they build mutual trust and respect and avoid the nasty business of conflict, Eoin Lenihan writes.




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Lebanese banks draft national rescue plan that keeps some of their capital

Lebanese banks are working on a national financial rescue plan that would preserve some of their capital rather than writing it all off as outlined in a government program, the banking association head said.





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Jabong has equity; we want to keep it alive: Myntra Jabong’s Amar Nagaram

The Myntra Extended Network Through Store Activation (MENSA), a kirana model, allows local business owners to earn by assisting in deliveries.




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Equity Mutual Fund Flows Halve In April As COVID-19 Keep Investors Away

Net flows into mutual funds that invest in equity fell 47 per cent to Rs 6,212 crore in April from Rs 11,722 crore in March, AMFI data showed.




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Hypertension? Drinking This Tomato Juice May Help Keep BP in Control

Tangy and pulpy tomatoes make for an incredible addition to a heart-healthy diet. Here's how drinking home-made, fresh tomato juice may help.



  • Food & Drinks

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Free beekeeping event on Sept. 21

Learn about beekeeping basics, beehives, honey production and more at a free Open Hive Event sponsored by the Delaware Beekeepers Association. The free public event will be 9 a.m. to 2 p.m. on Sept. 21 at Redden State Forest, Georgetown.




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Beekeeping 101 workshop scheduled for January 18

A Beekeeping 101 workshop will be held Jan. 18 for anyone interested in the art and science of beekeeping. The event will take place 8 a.m. to 3 p.m. at the Delaware State University Research & Outreach Center, 844 Smyrna-Leipsic Road, Smyrna.




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Delaware beekeepers can join BeeCheck protection program

Delaware beekeepers can now participate in a new online tool to help protect them from pesticides that may drift due to weather or wind.



  • Department of Agriculture

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Veteran sought for beekeeping opportunity

DOVER — Delaware veterans interested in beekeeping can apply to be part of the Planting Hope Apiary project, the Delaware Department of Agriculture announced. One veteran will be selected to receive training and mentoring, beehive materials, protective gear, and bees to help establish the hives. Extraction and honey bottling equipment will be arranged, with the […]



  • Department of Agriculture

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Delaware Department of Agriculture asks Delawareans to keep an eye out for hungry pests

To protect our State, we are asking Delawareans to join us in the battle against invasive plant pest and diseases. If you suspect an invasive pest or disease, contact our Plant Industries section at (302) 698-4500. Get acquainted with the hungry pests that would like to dine in Delaware by visiting www.hungrypests.com. This April—Invasive Plant Pest and Disease Awareness Month—we urge you to help stop the spread of these harmful pests.




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Keep Your Family, Pets Safe This Fourth of July

For many, this year’s Fourth of July activities will span the entire week and weekend, and include picnics, barbecues, beach days and other gatherings spent with friends and family (including our four-legged family members). The Delaware Division of Public Health (DPH) is providing the following tips to keep everyone safe.





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AG Jennings Urges Delawareans to Follow Governor’s Emergency Orders, Keep Themselves and Law Enforcement Safe

Enforcement actions have been initiated throughout state to handle noncompliance Attorney General Kathy Jennings urges Delawareans to heed Gov. John Carney’s Declarations of a State of Emergency.  The Declaration of a State of Emergency and all its modifications carry criminal punishment and have been enforced throughout Delaware. “This is a tremendously difficult time for everyone, […]



  • Department of Justice
  • Department of Justice Press Releases
  • News
  • Coronavirus

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Insurance: Four tips to keep your risk cover intact

Though there is an additional 15-day grace period due to the Covid-19 lockdown for renewal of insurance policies, pay the premium if you have the cash flow. And buy a health insurance plan if you don’t have one




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Trump is watching: Dana White says US President Donald Trump is keeping tabs on UFC 249 ahead of fight night (VIDEO)

UFC president Dana White said his team has worked flat out to keep fighters safe ahead of UFC 249, and revealed President Donald Trump is watching developments in Jacksonville ahead of fight night in Florida.
Read Full Article at RT.com




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Nordic Council: keep ambition high on post-2020 chemicals framework

'Necessary' for sustainable recovery after Covid-19 pandemic




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Ind vs NZ 1st Test: Slept for 2 hours in past couple of days, says Ishant Sharma as he keeps Kiwis in check

Ishant Sharma travelled for 24 hours and arrived in New Zealand 72 hours before the start of the first Test at Wellington.




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Former Chelsea, England goalkeeper Peter Bonetti dies at 78

Nicknamed 'The Cat' because of his agility, Bonetti was a mainstay of the west London side for close on 20 years through the 1960s and 1970s.




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How to keep children busy, entertained and yet in line in time of self-quarantine

Struggling to balance work-from-home and parenting duties? Difficult as it might sound, there are several ways to keep children entertained and happy even in lockdown mode




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From medical consultations, dating to workouts: How internet is keeping our worlds running amid lockdowns

From home workouts and remote medical consultations to online classes and even virtual dating, technology today is ensuring that our lives go on, albeit from behind the screen