Maternal perceptions of the sleep patterns of premature infants at seven months corrected age compared to full-term infants

It has been reported that 83%–87% of full-term infants regularly sleep through the night (from midnight to 5 a.m.) by 6 months of age, but there is little information about the sleep patterns of premature infants. The purpose of the current study was to identify maternal perceptions of the sleep patterns of premature infants. Parents of 32 premature infants with birth weight below 1,750 gm and of 13 full-term infants completed a 24-hour sleep record in 30-minute epochs for 1 week at 7 months of chronological (term) or corrected age (premature). Mean birth weight of premature infants was 1,278 ± 340 gm, with a gestational age of 30.4 ± 2.7 weeks. The daily total sleep time, longest sleep segment, frequency of sleep-wake transitions, and percentage of night sleep (8 p.m.–8 a.m.), averaged from the 1-week sleep record and number of night wakenings per week, were used as indicators of sleep patterns. The longest reported sleep segments of premature infants were significantly shorter than those of full-term infants (8.2 ± 2 hours versus 9.6 ± 1 hour, p < 0.01) and the number of night wakenings per week was significantly greater (3.13 ± 3 versus 0.54 ± 7, p < 0.005). Total reported sleep time, percentage of night sleep, and sleep-wake transitions did not differ significantly between premature and full-term infants. However, analysis of feeding events revealed that premature infants received significantly more feedings between midnight and 5 a.m. (M = 0.31 + 3 versus M = 0.06 + 1, p < 0.001). We conclude that sleep pattern diaries kept by parents indicate that premature infants have developed a diurnal sleep rhythm by 7 months corrected age, but they still have shorter sleep segments and they awaken more during the night than term infants.     

Exploring Ethical Pharmacy Practice in Jordan

Science and Engineering Ethics - Patient-centered pharmacy practice involves increased pharmacist engagement in patient care. This increased involvement can sometimes require diverse...     

A postpartum telephone program of reassurance,information, and early intervention in a family practice

This paper presents a program developed in a family practice office to provide reassurance, guidance, and early detection and intervention for mothers and their new infants in the first month of the infant's life. Telephone calls from an office nurse at 2 weeks of age followed by a written questionnaire demonstrated a dichotomy between the mothers' expressions of their physical and emotional problems. Feeding was the most prominently expressed concern, but we also found that complaints or worries about feeding were also an acceptable way to initiate intervention for more serious problems.     

Disaster mental health services following the 1995 Oklahoma City bombing: modifying approaches to address terrorism

How did the 1995 Oklahoma City bombing differ from prior disasters and what implications did it have for disaster mental health services and service delivery? The federal disaster mental health approach in this country developed largely out of experiences with natural disasters. The 1995 Oklahoma City bombing differed in several important ways, including the large number of human casualties, higher rates of psychopathology, and an extended period of concern due to the criminal investigation and trials, which suggested the need to consider modifications in the program. Outreach was extensive, but psychiatric morbidity of direct victims was greater than that of victims of natural disasters, emphasizing the need for attention to the triage and referral process. Other concerns that warrant consideration include practices related to record keeping and program evaluation.     

Modifying Children's Gender-Typed Musical Instrument Preferences: The Effects of Gender and Age

Previous research has indicated that children display gender-typed musical instrument preferences. Two studies were conducted to determine (a) whether these preferences can be modified by presenting counter-examples (i.e., instruments played by gender-inappropriate musicians) and (b) whether child gender or age (kindergarten vs. 4th grade) influences the efficacy of such interventions. A videotape presentation format was employed in Study 1 and drawings in Study 2. Children exposed to counter-examples were less stereotyped than those who saw the instruments without musicians (Study 1) or with gender-appropriate musicians (Studies 1 & 2). Age did not influence children's responsiveness to the counter-examples, but boys were more resistant to the intervention than girls. There was some evidence that the counter-examples were effective not simply because children were attracted to same-sex musicians. Instead, children's instrument choices also appeared to be motivated by a desire to avoid behaving like musicians of the other-sex. Potential strategies for increasing children's responsiveness to instrument counter-examples (e.g., multiple exemplars; portrayal of positive consequences) were also discussed.     

Children's Testimony: A Review of Research on Memory for Past Experiences

This review of children's testimony focuses on research related to memory for past experiences. The aspects of the memory system that are involved in testimony are discussed and the development of autobiographical memory is examined. Relevant research findings are summarized in the context of an information-processing model of memory and the implications of this work for clinical practice are outlined. We conclude that (1) under certain conditions, even very young children can remember and report past experiences with some accuracy over very long periods of time; (2) substantial and significant developmental differences have been demonstrated in children's abilities to provide eyewitness testimony; (3) children can be influenced in a variety of ways to provide complete and elaborated reports of events that never occurred; and (4) even experts cannot always tell the difference between true and false reports.     

Components of events and processes

Rips and Estin (1998) provided evidence that mental events such as dreaming are more homogeneous than physical events such as checking out a book; that is, their parts are more difficult to distinguish. In their experiment, participants listed more distinctive properties for the parts of physical events than for the parts of mental events. However, the physicality of stimuli was confounded with temporal aspects. Mental stimuli tended to be processes, and physical stimuli, events. This study tested homogeneity with new stimuli separating out the factors of physicality and aspect. Consistently, both physicality and aspect had significant effects on the perceived homogeneity of activities, as measured by the number of listed parts, the number of distinctive properties of each part, and homogeneity ratings. The study shows that homogeneity is strongly influenced by aspect but that physicality remains a robust factor for homogeneity, even after taking aspect into account.     

Relations between life difficulties, measures of working memory operation, and examination performance in a student sample

This study investigated the hypothesis that the negative effect of life difficulties on examination performance in university students (Andrews & Wilding, 2004) can be explained by impairment of working memory efficiency. UK-based students were given an extensive interview covering recent life stressors, and carried out a task testing working memory span, in which they had to judge the truth of arithmetic expressions while retaining words. Students reporting one or more life difficulties in the preceding 12 months recalled significantly fewer words than those reporting no such difficulties, but showed no difference in processing time on the task. However, while the number of words recalled was unrelated to examination performance at the end of the year, students who took longer on the task did significantly less well in the examination. This relation was more marked in Science than in Arts students. A number of possible explanations for this pattern of results are considered, which need to be explored in further research. In particular it is suggested that the number of words retained in the working memory span task reflects current state, and is reduced by intrusive thoughts provoked by current life difficulties, while time on the task reflects more permanent efficiency of the processing system and, therefore, efficiency in study and examinations.     

Dash of Faith: A Faith-Based Participatory Research Pilot Study

The Dash of Faith pilot used a community-based participatory research approach to design an experiential dietary intervention based on two African-American churches, one intervention and one comparison. Congregation members identified components that were incorporated into 12 weekly and 4 monthly sessions, with a goal of increasing fruit and vegetable and lowering fat intake. At 2 months, a marginally significant (p = 0.07) increase in fruit and vegetable consumption was observed in the intervention group but was not maintained at study conclusion. We propose that these mixed findings may be attributable, in part, to bias introduced by the participatory nature of the design.