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.

ANDY MURRAY may need to have another operation as he continues his bid to return to top-level tennis.

Recent studies have called into question the benefit of perioperative corticosteroids in children undergoing heart surgery, but have been limited by small sample size, the lack of placebo control, and the grouping of various steroid regimens together in analysis.

We evaluated outcomes across methylprednisolone regimens versus no steroids in a large cohort of neonates and found no mortality or length-of-stay benefit associated with any regimen, and a higher risk of infection in certain subgroups. (Read the full article)

Disparities are known to exist in the prescription of opioid analgesics among racial and ethnic groups in the management of postoperative, cancer, and emergency department pain in patients across all ages, including children.

Race is associated with an unequal burden of perioperative pain and opioid adverse effects in children. Relatively, African American children had higher postoperative pain, and Caucasian children had higher incidences of opioid related adverse effects. (Read the full article)

Tonsillectomy is one of the most commonly performed surgeries in children and is one of the most cumulatively expensive conditions in pediatric hospital care. Little is known about how the quality of tonsillectomy care varies across hospitals.

In a large cohort of low-risk children undergoing same-day tonsillectomy, there was substantial variation in quality measures of process, dexamethasone and antibiotic use, and outcome, revisits to the hospital within the first 30 days after surgery. (Read the full article)

Clinical pain assessment methods in youth are vulnerable to underestimation bias and underrecognition. Facial expressions are sensitive, specific biomarkers of the presence and severity of pain. Computer vision–based pattern recognition enables measurement of pain-related facial expressions from video.

This study demonstrates initial validity for developing computer vision algorithms for automated pain assessment in children. The system developed and tested in this study could provide standardized, continuous, and valid patient monitoring that is potentially scalable. (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 National Sustainable Structures Center of Pennsylvania College of Technology, the mid-Atlantic administrator of the Building Operator Certification, will offer two BOC Level I courses at a 75% discount made possible by a grant from the Pennsylvania Department of Environmental Protection.

BACKGROUND AND OBJECTIVES:

Annual incidence of venous thromboembolism (VTE) including postoperative VTE in hospitalized children is rising significantly. A growing body of evidence supports the role of red blood cells (RBCs) in pathologic thrombosis. In this study, we examined the association of perioperative RBC transfusion with postoperative VTE in pediatric patients.

Emilee Yaeger, an undergraduate student in the Science BS/MBA accelerated joint degree program, has been selected as the recipient of the 2019 Eberly College of Science Cooperative Education Student of the Year Award. The award recognizes the student’s academic achievements and contributions to the participating employer, the University, the community, and the field of cooperative education.

As scheduled, trial operations began at the Airport Berlin Brandenburg, BER, on 30 April with around 280 employees.

Lebanon’s Ministry of Telecommunications has been authorized by the Cabinet to temporarily operate the country’s two cellular networks until a new tender is launched, Minister of Telecommunications Talal Hawat said Tuesday.

Other defendants convicted on murder, manslaughter, weapons, and drug charges Three men at the helm of a massive drug dealing enterprise were sentenced to prison in Superior Court. Dwayne White, 36, of Wilmington, Eric Lloyd, 40, of New Castle, and Damon Anderson, 40, were convicted of numerous charges in June for their roles in the […]

JK Tyre has resumed partial operations in India after adhering to the guidelines laid down by the government and getting permissions from local and state authorities.

While few auto component manufacturers in the green zone are planning to restart operations, others operating in orange zones are seeking permission to resume their work again. Needless to say, those...

Volkswagen and Northvolt formed a strategic alliance last year for making lithium-ion batteries on a larger scale in Germany. The joint venture seems to be getting a further momentum wherein...

Post the NTO implementation, the dynamics have tilted in favour of the broadcasters.

"India is at the onset of a brand revolution where, in the coming decade, I hope homegrown brands will make it to the top," says JB Singh, President and CEO, InterGlobe Hotels

Success in today’s digital-first world depends on a marketing organisation’s ability to create and activate hyper-relevant, data-driven and omnichannel customer experiences, says Nikki Mendonca.

Delaware One Stop is a convenient, centralized transactional platform created to help business owners work through the necessary steps to begin operation in Delaware.

The Delaware Department of Agriculture has partnered with the Delaware Electric Cooperative to launch a new irrigation grant program to help Delaware farmers install environmentally friendly irrigation systems.

Agency: HSS Closing Date: 5/27/2020

Dover --

The Delaware Department of Transportation (DelDOT) continues to review operational needs while keeping the health and safety of our employees and customers in mind. To that end, all public facing buildings that deliver various services will be going cashless across the State, including toll plazas and all Division of Motor Vehicle locations, effective Tuesday, March 17, 2020.

At DelDOT's four DMV locations, only credit or debit cards will be accepted, and the Department continues to urge all customers to utilize mydmv.delaware.gov which offers more than 20 services online, including renewal of Delaware Driver License/ID, renewing vehicle registration, and changing your home address. [More]

Wilmington --

Due to the presence of Coronavirus (COVID-19) in Delaware, business closures, reductions in staffing and lower ridership levels, effective Wednesday, March 18, DART public transit services will operate on the following reduced service schedule until further notice. On weekdays, regular fixed route services will operate on a Saturday service schedule statewide, with additional service on Routes 15, 18, 43 and 301. DART's regularly scheduled weekend service will operate normal service levels. [More]

Dover --

The Delaware Department of Transportation (DelDOT) continues to review operational needs while keeping the health and safety of our employees and customers in mind.

Effective Tuesday, March 17, 2020 at 6:00pm, the Biden Welcome Center on I-95 in Newark will temporarily close to the public as efforts continue to limit crowds from gathering in response to the Coronavirus. Fuel will still be available at the gas station located on the north side of the property and bathroom facilities in the convenience store will also be available to motorists. [More]

Wilmington --

UPDATE - In addition to the service outlined below, starting Thursday, March 19, Route 301 will add the weekday roundtrip leaving Wilmington at 4:20 AM, arriving in Dover at 5:42 AM; and then leaving Dover at 6:00 AM, arriving in Wilmington at 7:41 AM. Route 303 will be operating the weekday schedule. In Sussex County, Route 206 will operate on the normal weekday schedule. [More]