Bronchiolitis is a leading cause of hospitalization for children, yet variability in its management persists. To promote evidence-based care, the American Academy of Pediatrics published practice guidelines in 2006 that advocate primarily supportive care for this self-limited disease.

Since publication of the guidelines in 2006, few studies have evaluated their impact on diagnostic testing and treatment. This study documents positive changes in resource use among hospitalized patients with bronchiolitis over an 8-year period. (Read the full article)

An algorithm for neonatal early-onset sepsis risk based on Centers for Disease Control and Prevention 2002 guidelines for prevention of perinatal Group B Streptococcus disease results in the evaluation of ~12–15% of well-appearing term and late preterm infants.

A revised algorithm based on the Centers for Disease Control and Prevention 2010 guidelines eliminated 25% of all early-onset sepsis evaluations and resulted in significant cost savings, without short-term evidence of harm. (Read the full article)

Chorioamnionitis (CAM) is a major risk factor for early-onset neonatal sepsis. The Committee on the Fetus and Newborn recommends extending the duration of antimicrobial therapy in neonates exposed to CAM and intrapartum antibiotics if laboratory data are abnormal, even if culture results are sterile.

When managed by using a strategy similar to recent Committee on the Fetus and Newborn guidelines, a large number of term and late-preterm infants exposed to CAM who had sterile blood culture findings were treated with prolonged antibiotic therapy, subjected to additional invasive procedures, and had prolonged hospitalization. (Read the full article)

Rates of performing skeletal survey (SS) for young children presenting with fractures and at risk for abuse vary substantially across providers, with disparities associated with patients’ characteristics. Lack of consensus regarding indications for SS also contributes to this variation.

The results of this study provide a set of explicit consensus guidelines, based on the literature and on the knowledge of experts from several medical specialties, for identifying children with fractures who should undergo an initial SS. (Read the full article)

Cardiovascular risk begins in childhood. New clinical guidelines established a care strategy for lowering risks. Incorporation of guidelines into routine practice lags due to barriers related to knowledge and attitudes about guidelines, as well as behaviors of practitioners, patients, and clinical systems.

This study demonstrated that a multifaceted approach including tools, education, and support for changes in practice systems can accelerate the adoption of guidelines during routine pediatric well-child visits, compared with dissemination of the guidelines alone. (Read the full article)

In 2003, the US Food and Drug Administration issued warnings about hyperglycemia and diabetes with second-generation antipsychotics (SGAs). Since 2004, hyperglycemic and diabetes risk with SGAs has been stated in product labels, and published guidelines have recommended baseline metabolic screening.

Between 2006 and 2011, 11% of children 2 to 18 years starting an SGA had baseline glucose assessed. Youth at risk for diabetes may not be identified. Further, lack of screening impedes determining the contribution of SGAs to hyperglycemia. (Read the full article)

Bruising is common in young victims of physical abuse as well as in cases of accidental trauma. There is uncertainty regarding which young children with bruising require evaluation with skeletal survey for possible abuse.

The results of this study provide guidelines, based on the literature and knowledge of experts, for identifying children <24 months presenting for care in the hospital setting with bruises, who should and should not undergo skeletal survey. (Read the full article)

Blood cultures are the most widely available diagnostic tool to identify bacterial pathogens in community-acquired pneumonia (CAP). Despite a recent national guideline recommendation for blood culture performance in children with moderate/severe CAP, there is still wide variation across institutions.

Using improvement methodology, we demonstrated that blood cultures can be routinely performed in children admitted for CAP, in accordance with a recent national guideline, without increasing length of stay in a setting with a low false-positive blood culture rate. (Read the full article)

Tonsillectomy guidelines make evidence-based recommendations for the perioperative use of dexamethasone, no routine use of antibiotics, and discharge education of families and for surgeons to monitor bleeding complication rates. The impact of the guidelines on processes and outcomes is unknown.

The guidelines were associated with improvement in perioperative care processes but no improvement in outcomes. Perioperative dexamethasone use increased slightly, and antibiotic use decreased substantially. Bleeding rates were stable, but revisit rates for complications increased because of revisits for pain. (Read the full article)

The 2011 national guidelines for the management of pediatric community-acquired pneumonia recommended narrow-spectrum antibiotic therapy (eg, ampicillin) for most children hospitalized with pneumonia. Before the release of the guidelines, the use of broader-spectrum antibiotics (eg, third-generation cephalosporins) was much more common.

After release of the guidelines, third-generation cephalosporin use declined and penicillin/ampicillin use increased among children hospitalized with pneumonia. Changes were most apparent among institutions that proactively disseminated the guidelines, underscoring the importance of local efforts for timely guideline implementation. (Read the full article)

There has been increasing legislative and regulatory focus on the relationships of pediatric prescribers and industry. Pediatric professional medical association (PMA) and industry relationships, however, are relatively unstudied and lack a systematic method of assessment.

This cross-sectional study used a new quantitative scale, the industry relationship index, to systematically rate 9 pediatric PMAs with respect to best practice guidelines on interactions with the biomedical industry, revealing significant variation in PMA practices. (Read the full article)

A student-centered approach to teaching mathematics enables students to develop conceptual understanding and to grow as confident mathematicians.

One of Azerbaijan's young female stars offer a masterclass to help you find the way to goal.

One of Azerbaijan's top young female talents gives you some advice to improve your passing.

The Valencia CF starlet gives you his formula for finishing when running in on goal.

The Russia and MFK Dinamo Moskva forward offers you a futsal masterclass.

FC Dinamo Moskva's Ukrainian forward star Andriy Voronin offers you his shooting tips.

Inter's Diego Forlán offers an insight into the diet of a professional footballer.

Sony reinvented the premium point-and-shoot camera in 2012 with the RX100. It's continued to build out the series, but has also kept older models on sale. We're here to help you find the right one to suit your needs.

Allon Raiz is CEO of business incubator Raizcorp. In this series of articles, he offers entrepreneurs advice on surviving a crisis.

Now, more than ever, we need to be listening for market signals and ensuring that our businesses are primed to both take advantage of opportunities and to mitigate risks, says Allon Raiz.

Penn State University Libraries has developed a curated guide to COVID-19 related resources for researchers, including ongoing research at Penn State.

Seven of the 12 places at UEFA Futsal EURO 2018 in Slovenia will be decided when the main round is played between Saturday and Tuesday, with Spain beginning their title defence.

The laws of futsal are similar to those of football but with some important differences: let us talk you through the rolling substitutions, accumulated fouls, double penalties and four-second count.

The UEFA Futsal Cup elite round runs from Wednesday to Sunday, with holders Inter FS and former champions Kairat Almaty and Barcelona among those chasing four available finals spots.

To better understand educational research, start by asking "who?" Who wrote the study; who published it; and who did the authors intend as their audience?

Unless schools do a better job of collecting and analyzing the products of learning, teaching experts say, the drive to align classroom instruction with states' academic standards and testing programs will be incomplete.

Holders Lyon face Bayern, Atlético take on Barcelona, Arsenal meet Paris and Glasgow play Wolfsburg.

Nine stadiums across eight cities will host games at UEFA Women's EURO 2021 in England.

The format, the dates, the key contenders: all you need to know about the competition's sixth edition.

The Delaware Tourism Office (Visit Delaware) has received for the first time a coveted Adrian Award, the largest and most prestigious global travel marketing honor. The award, often described as the Oscar of the travel world, comes to Delaware for the most recent edition of the Official State Travel Guide, which was released in May. […]

SYNOPSIS:This article aims at answering the most pressing doubts that applicants usually have prior to an interview for an internship. The article highlights certain important questions that the applicants should always be prepared for and further el

ESIC & EPF relief scheme guidelines 2020 due to COVID19

The Delaware Forest Service has published a new fifth edition of its popular "Big Trees of Delaware," a comprehensive list of the largest trees covering nearly 80 native and non-native species in the First State. Featuring full-color photos and high-quality illustrations of tree leaves, the book is available as a print edition at state forest offices, as well as an online PDF version to be downloaded or viewed on a web browser.  There is no cost for the book.

 Prudential Guidelines on Restructuring of Advances by Banks <

News outlets share stats and graphs that they source from public data. It takes data literacy skills to critique the stats you see, and investigate more.

The post A skeptic's guide to statistics in the media appeared first on The SAS Dummy.

If you use SAS macro variables in your programs (who doesn't?), then the SAS Macro Variable viewer is immensely useful to see current macro var values.

The post Viewing SAS macro variables in SAS Enterprise Guide appeared first on The SAS Dummy.

I'm a big fan of the Import Data task in SAS Enterprise Guide, especially for its support of text-based files (CSV, tab delimited, fixed width, and more). There's no faster method for generating SAS code that reads your data exactly the way you need it. I use the tool so [...]

The post Tricks for importing text files in SAS Enterprise Guide appeared first on The SAS Dummy.

Anglers eager to learn what fish are available to catch within or offshore Delaware, including size and quantity possession limits, will welcome the 2020 Delaware Fishing Guide. The new fishing guide is free from DNREC’s Division of Fish & Wildlife online, at licensing agents statewide, and at DNREC’s license office at 89 Kings Highway, Dover, DE 19901.

Regional and State Arts Agencies to Disburse 40% of Funds Through Local and Regional Programs Washington, DC (April 8, 2020) – This morning, the National Endowment for the Arts announced guidelines to distribute funding to nonprofit arts organizations from the Coronavirus Aid, Relief, and Economic Security (CARES) Act to preserve jobs and help support organizations […]

The federal Coronavirus Aid, Relief, and Economic Stability Act (CARES Act) created a new program called Pandemic Emergency Unemployment Compensation (PEUC), which provides 13 weeks of extended unemployment benefits to eligible workers.

Ford India has asked its dealership personnel to wear protective medical equipment at all times and to also maintain social distancing.

A total of 3,390 COVID-19 cases and 103 deaths have been reported in the last 24 hours till Friday 8 am, taking the total number of cases to 56,342 and death toll to 1,886, according to the ministry.

  My name is Antonio De Falco, and I am the creator of the game Planet Conqueror. Having graduated from University as a Game-Designer, I found myself inclined to develop games that are easy to get into...

  Cocos2D is a game engine that works with various devices from PCs to smart phones. This engine supports the vast majority of the features needed to make wonderful 2D-based games; it even includes a fu...

  Introduction Modern user interface design has evolved dramatically in the last few years, with animation-rich interactions becoming the norm. On mobile devices, where screen space is at a premium a...

  Intro RenderScript is a scripting language on Android. You can use it to write high performance graphics rendering and raw computational code. The RenderScript API includes high performance func...

  Abstract In mobile apps, using a simple database backend such as SQLite can be useful in a variety of use cases. In this article we will take a look at Android* SQLite API and helper classes for da...

   Debugging Android* NDK apps with Eclipse* and gdb Eclipse* with ADT plugin and CDT, all part of the ADT bundle, support the Android* NDK quite well. You can even use gdb integration to debug yo...