No subject


Thu Dec 9 03:57:02 EST 2010


to excessive crying.  The authors set out to study the influence of
paternal depression related to excessive crying.
In a prospective, population-based study, the authors from the
Netherlands obtainedinformation on both maternal and paternal depressive
symptomsat 20 weeks of pregnancy by using the Brief Symptom Inventory..
The definition of excessive cryingwas based on the widely used Wessel's
criteria (ie, crying >3hours for >3 days in the past week).
The authors found that parental depressive symptoms were related to
excessive cryingin 4426 two-month-old infants.  After adjustment for
depressive symptoms of the motherand relevant confounders, they found a
1.29 higher risk of excessive infant crying perSD of paternal depressive
symptoms.
The authors conclude thattheir findings indicate that paternal
depressivesymptoms during pregnancy might be a risk factor for
excessiveinfant crying. This finding could be related to genetic
transmission,interaction of a father with lasting depressive symptoms
withthe infant, or related indirectly through contextual stressorssuch
as marital, familial, or economic distress.

Brandon GD et al. Are Outcomes and Care Processes for Preterm Neonates
Influenced by Health Insurance Status?PEDIATRICS Vol. 124 No. 1 July
2009, pp. 122-127
The authors set out to compare the processesof care and to evaluate
outcomes of premature neonates deliveredto women with Medicaid managed
care versus private insurance.
All of the infants born at <37 weeks' gestationbetween January 2001 and
August 2005 in the ParadigmHealth databasewere included in these
analyses (n = 24151). Infants were categorizedby maternal health
insurance status as private insurance orMedicaid managed care and
analyzed for differences in demographicdata and length of stay. For
survivors, differences in respiratorycare, nutritional, and maturational
milestones were assessed.In addition, age to wean to open crib, weight
gain, home oxygen,and apnea monitor use were compared. Adverse outcomes,
includingnecrotizing enterocolitis, sepsis, severe intraventricular
hemorrhage,severe retinopathy of prematurity, bronchopulmonary
dysplasia,apnea, and mortality, were compared. 
Of the 24151 infants studied, 1the authors found that 9046 (78.9%) had
privateinsurance, and 5105 (21.1%) had Medicaid managed care. Therewere
no differences in gestational age at birth; however, Medicaidmanaged
care infants had lower birth weight, lower Apgar scoreat 5 minutes,
increased incidence of necrotizing enterocolitisand bacterial sepsis,
and longer length of stay. Of the survivinginfants, more neonates with
private insurance went home on oxygenand apnea monitors despite no
differences found in the incidencesof apnea or bronchopulmonary
dysplasia between the groups. Therewere no differences in processes of
care for feeding and respiratorymilestones, but infants with Medicaid
managed care weaned toan open crib later and had greater overall weight
gain comparedwith infants with private insurance.
The authorsspeculate that, in addition to the known impactof insurance
status on well-being at birth, Medicaid managedcare is independently
associated with adverse neonatal outcomesin preterm infants, as well as
differences in neonatal intensivecare discharge processes.

 

Vrijkote TGM etal. First-Trimester Working Conditions and Birthweight:
A Prospective Cohort StudyAugust 2009, Vol 99, No. 8 | American Journal
of Public Health 1409-1416
The authors set out toinvestigate the relationship between
women'sfirst-trimester working conditions and infant birth
weight.Pregnant women (N = 8266) participating in the AmsterdamBorn
Children and Their Development study completed a questionnairegathering
information on employment and working conditions.After exclusions, 7135
women remained in our analyses. Low birthweightand delivery of a
small-for-gestational-age (SGA) infant werethe main outcome measures.
After adjustment, the authors found that a workweek of 32 hours or more
(meanbirth weight decrease of 43 g) and high job strain (mean birth
weightdecrease of 72 g) were significantly associated with birth
weight.Only high job strain increased the risk of delivering an
SGAinfant. After adjustment, the combination of high job strainand a
long workweek resulted in the largest birth weight reduction(150 g) and
the highest risk of delivering an SGA infant.
The authors conclude that high levels of job strain during early
pregnancyare associated with reduced birth weight and an increased
riskof delivering an SGA infant, particularly if mothers work 32or more
hours per week.


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e prefix =3D o ns =3D "urn:schemas-microsoft-com:office:office" /><o:p></o:=
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<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><B><SPAN style=3D"FONT-=
SIZE: 12pt; COLOR: #006c5f; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-s=
erif'"><o:p>&nbsp;</o:p></SPAN></B><FONT size=3D3><SPAN style=3D"FONT-FAMIL=
Y: 'Arial','sans-serif'">World Breastfeeding Week (WBW) is August 1st - =
7<SUP>th</SUP>. </SPAN><SPAN style=3D"COLOR: #004268; FONT-FAMILY: =
'Arial','sans-serif'; mso-fareast-font-family: 'Times New Roman'">In =
support of the World Alliance for Breastfeeding Action=E2=80=99s stand =
that breastfeeding is a vital emergency response, the theme for LLL in the =
USA 2009 WBWC&nbsp;is <B>Breastfeeding: Prepared for Life</B>.&nbsp;This =
theme recognizes the importance of supporting mothers with solid breastfeed=
ing information so they can be successful at any time, especially in any =
emergency situation such as flooding, earthquakes or wild fires, or =
personal emergencies such as house fires, loss of a job, or public health =
emergencies like an epidemic. This year we focus on supporting women in =
their efforts to do what is most important for the health and survival of =
their children even during emergency situations.<o:p></o:p></SPAN></FONT></=
P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt 88.5pt; TEXT-INDENT: =
-0.25in; LINE-HEIGHT: 18pt; mso-margin-top-alt: auto; mso-margin-bottom-alt=
: auto; mso-list: l0 level1 lfo1; tab-stops: list .5in"><SPAN style=3D"FONT=
-SIZE: 10pt; COLOR: #004268; FONT-FAMILY: Symbol; mso-fareast-font-family: =
Symbol; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt"><SPAN =
style=3D"mso-list: Ignore">=C2=B7<SPAN style=3D"FONT: 7pt 'Times New =
Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SP=
AN><SPAN style=3D"FONT-SIZE: 12pt; COLOR: #004268; FONT-FAMILY: 'Arial','sa=
ns-serif'; mso-fareast-font-family: 'Times New Roman'">Being able to =
continue breastfeeding even during an emergency can bring comfort and a =
sense of normalcy even in the most stressful situations. <o:p></o:p></SPAN>=
</P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt 88.5pt; TEXT-INDENT: =
-0.25in; LINE-HEIGHT: 18pt; mso-margin-top-alt: auto; mso-margin-bottom-alt=
: auto; mso-list: l0 level1 lfo1; tab-stops: list .5in"><SPAN style=3D"FONT=
-SIZE: 10pt; COLOR: #004268; FONT-FAMILY: Symbol; mso-fareast-font-family: =
Symbol; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt"><SPAN =
style=3D"mso-list: Ignore">=C2=B7<SPAN style=3D"FONT: 7pt 'Times New =
Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SP=
AN><SPAN style=3D"FONT-SIZE: 12pt; COLOR: #004268; FONT-FAMILY: 'Arial','sa=
ns-serif'; mso-fareast-font-family: 'Times New Roman'">Breastfeeding can =
continue even when an emergency interferes with the family=E2=80=99s =
established food supply.&nbsp;Situations that would otherwise be devastatin=
g for families that rely on sufficient funds for and access to formula, =
sanitation for feeding supplies, and refrigeration are no cause for alarm =
when the established food supply for the baby is mother=E2=80=99s milk. =
<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt 88.5pt; TEXT-INDENT: =
-0.25in; LINE-HEIGHT: 18pt; mso-margin-top-alt: auto; mso-margin-bottom-alt=
: auto; mso-list: l0 level1 lfo1; tab-stops: list .5in"><SPAN style=3D"FONT=
-SIZE: 10pt; COLOR: #004268; FONT-FAMILY: Symbol; mso-fareast-font-family: =
Symbol; mso-bidi-font-family: Symbol; mso-bidi-font-size: 12.0pt"><SPAN =
style=3D"mso-list: Ignore">=C2=B7<SPAN style=3D"FONT: 7pt 'Times New =
Roman'">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SP=
AN><SPAN style=3D"FONT-SIZE: 12pt; COLOR: #004268; FONT-FAMILY: 'Arial','sa=
ns-serif'; mso-fareast-font-family: 'Times New Roman'">A breastfed baby is =
better prepared to deal with health challenges, avoiding some medical =
emergencies. <o:p></o:p></SPAN></P>
<P style=3D"MARGIN-RIGHT: 0.5in"><SPAN style=3D"FONT-FAMILY: 'Arial','sans-=
serif'"><FONT size=3D3>To read more, go to see </FONT></SPAN><A href=3D"htt=
p://www.lllusa.org/wbw/"><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'">=
<FONT color=3D#800080 size=3D3>http://www.lllusa.org/wbw/</FONT></SPAN></A>=
<SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3> =
<o:p></o:p></FONT></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><B><SPAN style=3D"FONT-=
SIZE: 12pt; COLOR: #006c5f; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-s=
erif'">National Immunization Awareness Month (NIAM) </SPAN></B><SPAN =
style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-ser=
if'">August is National Immunization Awareness Month (NIAM), which =
provides opportunities to increase awareness about immunization across the =
lifespan as parents and children prepare for the return to school, and the =
medical community begins preparations for the upcoming flu season. NIAM is =
a vehicle for creating positive messages about the value of vaccines and =
highlighting local, grassroots immunization initiatives.<BR>For more =
information, visit </SPAN><A href=3D"http://www.cdc.gov/vaccines/"><SPAN =
style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-ser=
if'"><FONT color=3D#800080>http://www.cdc.gov/vaccines/</FONT></SPAN></A><S=
PAN style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans=
-serif'"><SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>and </SPAN><A =
href=3D"http://www.cdc.gov/vaccines/events/niam/default.htm"><SPAN =
style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-ser=
if'"><FONT color=3D#800080>http://www.cdc.gov/vaccines/events/niam/default.=
htm</FONT></SPAN></A><SPAN style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: 115%; =
FONT-FAMILY: 'Arial','sans-serif'"> <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">Heads UP! =
On July 6, CDC posted updated guidelines titled, "<A href=3D"http://www.cdc=
.gov/h1n1flu/guidance/obstetric.htm" target=3D_blank><B><FONT color=3D#8000=
80>Considerations Regarding Novel H1N1 Flu Virus in Obstetric Settings</FON=
T></B></A>". CDC emphasizes that treatment should not be withheld pending =
results of testing. CDC also has published <A href=3D"http://www.acog.org/c=
gi-shl/leaving.pl?http://www.cdc.gov/mmwr/pdf/wk/mm58d0512.pdf" target=3D_b=
lank><SPAN style=3D"COLOR: windowtext; TEXT-DECORATION: none; text-underlin=
e: none; mso-bidi-font-weight: bold">case reports on pregnant women with =
H1N1</SPAN></A>, <A href=3D"http://www.acog.org/cgi-shl/leaving.pl?http://w=
ww.cdc.gov/h1n1flu/pregnancy/" target=3D_blank><SPAN style=3D"COLOR: =
windowtext; TEXT-DECORATION: none; text-underline: none; mso-bidi-font-weig=
ht: bold">resources for pregnant women</SPAN></A>, and <A href=3D"http://ww=
w.acog.org/cgi-shl/leaving.pl?http://www.cdc.gov/h1n1flu" target=3D_blank><=
SPAN style=3D"COLOR: windowtext; TEXT-DECORATION: none; text-underline: =
none; mso-bidi-font-weight: bold">general information on H1N1</SPAN></A>. =
To learn more, go to &nbsp;<A href=3D"http://www.cdc.gov/h1n1flu/guidance/o=
bstetric.htm"><FONT color=3D#800080>http://www.cdc.gov/h1n1flu/guidance/obs=
tetric.htm</FONT></A> <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">From ACOG =
News Release - </SPAN><B><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; =
LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-fami=
ly: 'Times New Roman'">ACOG Statement on Single-Dose EC Reformulation: =
=E2=80=9C</SPAN></B><SPAN style=3D"FONT-SIZE: 12pt; COLOR: black; =
LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-fami=
ly: 'Times New Roman'">The US Food and Drug Administration's (FDA) =
approval of a new one-pill formulation of the emergency contraceptive Plan =
B=C2=AE represents a positive step forward for women's health, according =
to The American College of Obstetricians and Gynecologists (ACOG). The new =
formulation of emergency contraception (EC), called Plan B=C2=AE One-Step, =
will simplify this important pregnancy prevention treatment. Last month, =
the FDA also approved Next Choice=E2=84=A2, a generic version of the =
original two-pill Plan B=C2=AE formulation. At this time, the generic EC =
is obtainable by prescription only to those ages 17 and younger.=E2=80=9D =
To read more, go to <A href=3D"http://www.acog.org/"><FONT color=3D#800080>=
www.acog.org</FONT></A> <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p>&nbsp;<=
/o:p></SPAN><A href=3D"http://childstats.gov/americaschildren/index.asp"><S=
PAN style=3D"FONT-SIZE: 12pt; COLOR: #4f81bd; LINE-HEIGHT: 115%; FONT-FAMIL=
Y: 'Arial','sans-serif'; mso-themecolor: accent1">America's Children: Key =
National Indicators of Well-Being, July 2009</SPAN></A><FONT size=3D4><FONT=
 color=3D#4f81bd><FONT face=3DCambria> <SPAN style=3D"FONT-SIZE: 12pt; =
LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p></o:p></SPAN></F=
ONT></FONT></FONT></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>The =
Forum on Child and Family Statistics signature report, <EM><SPAN style=3D"F=
ONT-FAMILY: 'Arial','sans-serif'">America's Children: Key National =
Indicators of Well-Being</SPAN></EM>, provides annual updates on the =
well-being of children and families in the United States across a range of =
domains. A more detailed report alternates every other year with a =
condensed version that highlights selected indicators. This year, the =
Forum is publishing the full report and will produce a brief report in =
July 2010. View the 2009 report at </FONT></SPAN><A href=3D"http://childsta=
ts.gov/"><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT color=3D#8=
00080 size=3D3>http://childstats.gov/</FONT></SPAN></A><SPAN style=3D"FONT-=
FAMILY: 'Arial','sans-serif'"><FONT size=3D3> <o:p></o:p></FONT></SPAN></P>=

<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><B><SPAN style=3D"FO=
NT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: =
'Times New Roman'">NEWS FROM CAMBRIDGE HEALTH ALLIANCE: Over 60 Percent of =
All US Bankruptcies Linked to Medical Problems: New research finds most =
victims are middle-class and have health insurance</SPAN></B><SPAN =
style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-fo=
nt-family: 'Times New Roman'"><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; LINE-HEIGHT: normal; =
mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-=
SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: =
'Times New Roman'">Medical problems contributed to over 60 percent of all =
bankruptcies in the United States in 2007, according to a study published =
online today by the <I>American Journal of Medicine</I> (</SPAN><A =
href=3D"http://www.amjmed.com/"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY=
: 'Arial','sans-serif'"><FONT color=3D#800080>http://www.amjmed.com/</FONT>=
</SPAN></A><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif=
'; mso-fareast-font-family: 'Times New Roman'">) and slated for the August =
issue. The study, the first-ever national random-sample survey of =
bankruptcy filers, shows that illnesses and medical bills are linked to a =
large and increasing share of bankruptcies. Between 2001 and 2007, the =
proportion of all bankruptcies attributable to medical problems rose by =
49.6 percent. More than three-quarters (77.9 percent) were insured at the =
start of the bankrupting illness. Additionally, the data were collected =
prior to the current economic downturn and likely understate the current =
burden of financial suffering. According to the study, a number of =
circumstances propelled many middle-class, insured Americans into =
bankruptcy. For 92 percent of the medically bankrupt, high medical bills =
directly contributed to their bankruptcy. Many families with continuous =
coverage found themselves under-insured, responsible for thousands of =
dollars in out-of-pocket costs. Out-of-pocket medical costs averaged =
$17,943 for all medically bankrupt families: $26,971 for uninsured =
patients; $17,749 for those with private insurance at the outset; $14,633 =
for those with Medicaid; $12,021 for those with Medicare; and $6,545 for =
those with VA/military coverage. For patients who initially had private =
coverage but lost it, the family's out-of-pocket expenses averaged =
$22,568.</SPAN><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-s=
erif'"> To read the whole press release go to </SPAN><A href=3D"http://www.=
cha.harvard.edu/news/press_releases_09/090604_Himmelstein-bankruptcy-study.=
shtml"><SPAN style=3D"FONT-SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'"><=
FONT color=3D#800080>http://www.cha.harvard.edu/news/press_releases_09/0906=
04_Himmelstein-bankruptcy-study.shtml</FONT></SPAN></A><SPAN style=3D"FONT-=
SIZE: 12pt; FONT-FAMILY: 'Arial','sans-serif'; mso-fareast-font-family: =
'Times New Roman'"> <o:p></o:p></SPAN></P>
<H2 style=3D"MARGIN: 10pt 0in 0pt"><SPAN style=3D"FONT-FAMILY: 'Arial','san=
s-serif'"><o:p><FONT color=3D#4f81bd size=3D4>&nbsp;</FONT></o:p></SPAN></H=
2>
<H2 style=3D"MARGIN: 10pt 0in 0pt"><SPAN style=3D"FONT-SIZE: 12pt; =
LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><FONT color=3D#4f81bd=
>Three Large U.S. Consumer Product Safety Commission Recalls:<o:p></o:p></F=
ONT></SPAN></H2>
<H2 style=3D"MARGIN: 10pt 0in 0pt"><SPAN style=3D"FONT-SIZE: 12pt; =
LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><FONT color=3D#4f81bd=
>1) Kolcraft Recalls 1 Million Play Yards Due to Fall Hazard<o:p></o:p></FO=
NT></SPAN></H2>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">The U.S. =
Consumer Product Safety Commission, in cooperation with Kolcraft Enterprise=
s Inc. of Chicago, Ill., today announced a voluntary recall of about 1 =
million Kolcraft, Carter=E2=80=99s, Sesame Street, Jeep, Contours, Care =
Bear and Eric Carle Play Yards. Consumers should stop using recalled =
products immediately unless otherwise instructed. The play yard=E2=80=99s =
side rail can fail to latch properly and when a child pushes against the =
rail it can unlatch unexpectedly, posing a fall hazard to children.The =
firm has received 347 reports of sides of the play yard collapsing =
unexpectedly, resulting in 21 injuries to young children, including bumps, =
scrapes, bruises and one concussion. This recall involves the Kolcraft =
Travelin=E2=80=99 Tot play yards, as well as other similar play yards =
manufactured for Carter=E2=80=99s, Sesame Street, Jeep, Contours, Care =
Bare and Eric Carle, with model numbers listed below. Some of the units =
have a bassinet and/or changing table. Some models have a mobile, =
vibrating unit or a parent organizer. Model numbers are printed on a white =
sticker on one of the feet of the play yard. To read<SPAN style=3D"mso-spac=
erun: yes">&nbsp; </SPAN>more or to view the products, go to <A href=3D"htt=
p://www.cpsc.gov/cpscpub/prerel/prhtml09/09265.html"><FONT color=3D#800080>=
http://www.cpsc.gov/cpscpub/prerel/prhtml09/09265.html</FONT></A> =
<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p>&nbsp;<=
/o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">2) =
Aqua-Leisure Industries Recalls Inflatable Baby Floats Due to Drowning =
Hazard<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">The U.S. =
Consumer Product Safety Commission, in cooperation with Aqua-Leisure =
Industries, of Avon, Mass., announced a voluntary recall of about 4 =
million <SPAN style=3D"mso-spacerun: yes">&nbsp;</SPAN>Inflatable Baby =
Floats. Consumers should stop using recalled products immediately unless =
otherwise instructed. The leg straps in the seat of the float can tear, =
causing children to unexpectedly fall into or under the water, posing a =
risk of drowning.There have been 31 reports of float seats tearing, =
causing children to fall into or under the water. No injuries have been =
reported. To read<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>more or =
to view the products, go to <A href=3D"http://www.cpsc.gov/cpscpub/prerel/p=
rhtml09/09261.html"><FONT color=3D#800080>http://www.cpsc.gov/cpscpub/prere=
l/prhtml09/09261.html</FONT></A> <o:p></o:p></SPAN></P>
<H2 style=3D"MARGIN: 10pt 0in 0pt"><SPAN style=3D"FONT-SIZE: 12pt; =
LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><FONT color=3D#4f81bd=
>3) Simplicity Drop Side Cribs Recalled by Retailers Due to Risk of Death =
<o:p></o:p></FONT></SPAN></H2>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">The U.S. =
Consumer Product Safety Commission, in cooperation with Simplicity Inc. =
and SFCA Inc. of Reading, Pa. announced a voluntary recall of about =
400,000 Simplicity Drop Side Cribs the following consumer product. =
Consumers should stop using recalled products immediately unless otherwise =
instructed. The crib=E2=80=99s plastic hardware can break or deform, =
causing the drop side to detach. When the drop side detaches, it creates =
space between the drop side and the crib mattress made in China. Infants =
and toddlers can roll into this space and become entrapped which can lead =
to suffocation. <B>Incidents/Injuries: </B>CPSC is aware of one death =
involving an 8-month-old child from Houston, Texas who became entrapped =
and suffocated between the drop side and the crib mattress when a plastic =
connector on the drop side broke. The child=E2=80=99s death was <A =
href=3D"http://www.cpsc.gov/cpscpub/prerel/prhtml07/07307.html">previously =
reported</A> by CPSC. CPSC also is aware of an additional 25 incidents =
involving the drop side detaching from the crib. In six of these incidents,=
 the drop side detached because the plastic flexible tab deformed or =
broke. In four of the drop side detachment incidents, other plastic parts, =
including connectors or tracks, deformed or broke. In two of the incidents,=
 two children became entrapped between the drop side and the crib =
mattress. There were no reported injuries.Consumers should immediately =
stop using the recalled cribs and find an alternative, safe sleeping =
environment for their baby. Consumers should immediately return the crib =
to the place of purchase for a refund, replacement or store credit. To =
read<SPAN style=3D"mso-spacerun: yes">&nbsp; </SPAN>more or to view the =
products, go to<A href=3D"http://www.cpsc.gov/cpscpub/prerel/prhtml09/09260=
.html"><FONT color=3D#800080>http://www.cpsc.gov/cpscpub/prerel/prhtml09/09=
260.html</FONT></A> <o:p></o:p></SPAN></P>
<P><SPAN style=3D"COLOR: #6600cc; FONT-FAMILY: 'Arial','sans-serif'"><FONT =
size=3D3>The American Academy of Pediatrics invites children to enter its =
2009 National Art Contest with a chance to win a trip to Washington, DC. =
Official entry forms and consent forms must accompany all entries. Entries =
must be postmarked by July 31, 2009. Winning entries will be selected by a =
panel of judges including pediatricians, and announced in the summer. =
</FONT></SPAN><A href=3D"http://www.aap.org/artcontest/"><SPAN style=3D"FON=
T-FAMILY: 'Arial','sans-serif'"><FONT color=3D#800080 size=3D3>http://www.a=
ap.org/artcontest/</FONT></SPAN></A><SPAN style=3D"COLOR: #6600cc; =
FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3> <o:p></o:p></FONT></SPAN=
></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p>&nbsp;<=
/o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">ARTICLES:<o:=
p></o:p></SPAN></P>
<TABLE class=3DMsoNormalTable style=3D"mso-cellspacing: 0in; mso-yfti-tbllo=
ok: 1184; mso-padding-alt: 0in 0in 0in 0in" cellSpacing=3D0 cellPadding=3D0=
 border=3D0>
<TBODY>
<TR style=3D"mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: =
yes">
<TD style=3D"BORDER-RIGHT: #ebe9ed; PADDING-RIGHT: 0in; BORDER-TOP: =
#ebe9ed; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: #ebe9ed; =
PADDING-TOP: 0in; BORDER-BOTTOM: #ebe9ed; BACKGROUND-COLOR: transparent"></=
TD></TR></TBODY></TABLE>
<H2 style=3D"MARGIN: 10pt 0in 0pt"><SPAN style=3D"FONT-WEIGHT: normal; =
FONT-SIZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','san=
s-serif'; mso-bidi-font-weight: bold">Van den Berg MP et al. Paternal =
Depressive Symptoms During Pregnancy Are Related to Excessive Infant =
Crying PEDIATRICS Vol. 124 No. 1 July 2009, pp. 122-127<o:p></o:p></SPAN></=
H2>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt"><SPAN style=3D"FONT-S=
IZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-seri=
f'"><BR style=3D"mso-special-character: line-break"><BR style=3D"mso-specia=
l-character: line-break"><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt"><SPAN style=3D"FONT-S=
IZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-seri=
f'">From previous research it<SUP> </SUP>is known that maternal depression =
is related to excessive crying. <SUP><SPAN style=3D"mso-spacerun: =
yes">&nbsp;</SPAN></SUP>The authors set out to study the influence of =
paternal depression related to excessive crying.<SUP> </SUP><o:p></o:p></SP=
AN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt"><SPAN style=3D"FONT-S=
IZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-seri=
f'">In a prospective, population-based study, the authors from the =
Netherlands obtained<SUP> </SUP>information on both maternal and paternal =
depressive symptoms<SUP> </SUP>at 20 weeks of pregnancy by using the Brief =
Symptom Inventory.. The definition of excessive crying<SUP> </SUP>was =
based on the widely used Wessel's criteria (ie, crying &gt;3<SUP> =
</SUP>hours for &gt;3 days in the past week).<SUP> </SUP><o:p></o:p></SPAN>=
</P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt"><SPAN style=3D"FONT-S=
IZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-seri=
f'">The authors found that parental depressive symptoms were related to =
excessive crying<SUP> </SUP>in 4426 two-month-old infants. <SPAN style=3D"m=
so-spacerun: yes">&nbsp;</SPAN>After adjustment for depressive symptoms of =
the mother<SUP> </SUP>and relevant confounders, they found a 1.29 higher =
risk of excessive infant crying per<SUP> </SUP>SD of paternal depressive =
symptoms.<SUP> </SUP><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt"><SPAN style=3D"FONT-S=
IZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-seri=
f'; mso-bidi-font-weight: bold">The authors conclude that<B> </B></SPAN><SP=
AN style=3D"FONT-SIZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: =
'Arial','sans-serif'">their findings indicate that paternal depressive<SUP>=
 </SUP>symptoms during pregnancy might be a risk factor for excessive<SUP> =
</SUP>infant crying. This finding could be related to genetic transmission,=
<SUP> </SUP>interaction of a father with lasting depressive symptoms =
with<SUP> </SUP>the infant, or related indirectly through contextual =
stressors<SUP> </SUP>such as marital, familial, or economic distress.<SUP> =
</SUP><o:p></o:p></SPAN></P>
<TABLE class=3DMsoNormalTable style=3D"mso-cellspacing: 1.5pt; mso-yfti-tbl=
look: 1184; mso-padding-alt: 0in 0in 3.75pt 7.5pt; mso-table-lspace: =
2.25pt; mso-table-rspace: 2.25pt; mso-table-anchor-vertical: paragraph; =
mso-table-anchor-horizontal: column; mso-table-left: right; mso-table-top: =
middle" cellPadding=3D0 align=3Dright border=3D0>
<TBODY>
<TR style=3D"mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: =
yes">
<TD style=3D"BORDER-RIGHT: #ebe9ed; PADDING-RIGHT: 0in; BORDER-TOP: =
#ebe9ed; PADDING-LEFT: 7.5pt; PADDING-BOTTOM: 3.75pt; BORDER-LEFT: =
#ebe9ed; PADDING-TOP: 0in; BORDER-BOTTOM: #ebe9ed; BACKGROUND-COLOR: =
transparent"></TD></TR></TBODY></TABLE>
<TABLE class=3DMsoNormalTable style=3D"mso-cellspacing: 0in; mso-yfti-tbllo=
ok: 1184; mso-padding-alt: 0in 0in 0in 0in" cellSpacing=3D0 cellPadding=3D0=
 border=3D0>
<TBODY>
<TR style=3D"mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: =
yes">
<TD style=3D"BORDER-RIGHT: #ebe9ed; PADDING-RIGHT: 0in; BORDER-TOP: =
#ebe9ed; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: #ebe9ed; =
PADDING-TOP: 0in; BORDER-BOTTOM: #ebe9ed; BACKGROUND-COLOR: transparent"></=
TD></TR></TBODY></TABLE>
<H2 style=3D"MARGIN: 10pt 0in 0pt"><SPAN style=3D"FONT-WEIGHT: normal; =
FONT-SIZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','san=
s-serif'; mso-bidi-font-weight: bold">Brandon GD et al. Are Outcomes and =
Care Processes for Preterm Neonates Influenced by Health Insurance =
Status?</SPAN><SPAN style=3D"FONT-WEIGHT: normal; FONT-SIZE: 10pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-=
weight: bold"> </SPAN><SPAN style=3D"FONT-WEIGHT: normal; FONT-SIZE: 12pt; =
COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'; =
mso-bidi-font-weight: bold">PEDIATRICS Vol. 124 No. 1 July 2009, pp. =
122-127<o:p></o:p></SPAN></H2>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt"><SPAN style=3D"FONT-S=
IZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-seri=
f'">The authors set out to compare the processes<SUP> </SUP>of care and to =
evaluate outcomes of premature neonates delivered<SUP> </SUP>to women with =
Medicaid managed care versus private insurance.<SUP> </SUP><o:p></o:p></SPA=
N></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt"><SPAN style=3D"FONT-S=
IZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-seri=
f'">All of the infants born at &lt;37 weeks' gestation<SUP> </SUP>between =
January 2001 and August 2005 in the ParadigmHealth database<SUP> </SUP>were=
 included in these analyses (<I>n</I> =3D 24151). Infants were categorized<=
SUP> </SUP>by maternal health insurance status as private insurance =
or<SUP> </SUP>Medicaid managed care and analyzed for differences in =
demographic<SUP> </SUP>data and length of stay. For survivors, differences =
in respiratory<SUP> </SUP>care, nutritional, and maturational milestones =
were assessed.<SUP> </SUP>In addition, age to wean to open crib, weight =
gain, home oxygen,<SUP> </SUP>and apnea monitor use were compared. Adverse =
outcomes, including<SUP> </SUP>necrotizing enterocolitis, sepsis, severe =
intraventricular hemorrhage,<SUP> </SUP>severe retinopathy of prematurity, =
bronchopulmonary dysplasia,<SUP> </SUP>apnea, and mortality, were =
compared. <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt"><SPAN style=3D"FONT-S=
IZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-seri=
f'">Of the 24151 infants studied, 1the authors found that 9046 (78.9%) had =
private<SUP> </SUP>insurance, and 5105 (21.1%) had Medicaid managed care. =
There<SUP> </SUP>were no differences in gestational age at birth; however, =
Medicaid<SUP> </SUP>managed care infants had lower birth weight, lower =
Apgar score<SUP> </SUP>at 5 minutes, increased incidence of necrotizing =
enterocolitis<SUP> </SUP>and bacterial sepsis, and longer length of stay. =
Of the surviving<SUP> </SUP>infants, more neonates with private insurance =
went home on oxygen<SUP> </SUP>and apnea monitors despite no differences =
found in the incidences<SUP> </SUP>of apnea or bronchopulmonary dysplasia =
between the groups. There<SUP> </SUP>were no differences in processes of =
care for feeding and respiratory<SUP> </SUP>milestones, but infants with =
Medicaid managed care weaned to<SUP> </SUP>an open crib later and had =
greater overall weight gain compared<SUP> </SUP>with infants with private =
insurance.<SUP> </SUP><o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 5.25pt"><SPAN style=3D"FONT-S=
IZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-seri=
f'; mso-bidi-font-weight: bold">The authors<B> </B></SPAN><SPAN style=3D"FO=
NT-SIZE: 12pt; COLOR: black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-=
serif'">speculate that, in addition to the known impact<SUP> </SUP>of =
insurance status on well-being at birth, Medicaid managed<SUP> </SUP>care =
is independently associated with adverse neonatal outcomes<SUP> </SUP>in =
preterm infants, as well as differences in neonatal intensive<SUP> =
</SUP>care discharge processes.<SUP> </SUP><o:p></o:p></SPAN></P>
<TABLE class=3DMsoNormalTable style=3D"mso-cellspacing: 0in; mso-yfti-tbllo=
ok: 1184; mso-padding-alt: 0in 0in 0in 0in" cellSpacing=3D0 cellPadding=3D0=
 border=3D0>
<TBODY>
<TR style=3D"mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: =
yes">
<TD style=3D"BORDER-RIGHT: #ebe9ed; PADDING-RIGHT: 0in; BORDER-TOP: =
#ebe9ed; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: #ebe9ed; =
PADDING-TOP: 0in; BORDER-BOTTOM: #ebe9ed; BACKGROUND-COLOR: transparent"></=
TD></TR></TBODY></TABLE>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p>&nbsp;<=
/o:p></SPAN></P>
<TABLE class=3DMsoNormalTable style=3D"mso-cellspacing: 0in; mso-yfti-tbllo=
ok: 1184; mso-padding-alt: 0in 0in 0in 0in" cellSpacing=3D0 cellPadding=3D0=
 border=3D0>
<TBODY>
<TR style=3D"mso-yfti-irow: 0; mso-yfti-firstrow: yes; mso-yfti-lastrow: =
yes">
<TD style=3D"BORDER-RIGHT: #ebe9ed; PADDING-RIGHT: 0in; BORDER-TOP: =
#ebe9ed; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; BORDER-LEFT: #ebe9ed; =
PADDING-TOP: 0in; BORDER-BOTTOM: #ebe9ed; BACKGROUND-COLOR: transparent"></=
TD></TR></TBODY></TABLE>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><STRONG><SPAN =
style=3D"FONT-WEIGHT: normal; FONT-SIZE: 12pt; LINE-HEIGHT: 115%; =
FONT-FAMILY: 'Arial','sans-serif'; mso-bidi-font-weight: bold">Vrijkote =
TGM etal. First-Trimester Working Conditions and Birthweight: A Prospective=
 Cohort Study</SPAN></STRONG><SPAN style=3D"FONT-SIZE: 12pt; LINE-HEIGHT: =
115%; FONT-FAMILY: 'Arial','sans-serif'"> August 2009, Vol 99, No. 8 | =
American Journal of Public Health 1409-1416<o:p></o:p></SPAN></P>
<P><FONT size=3D3><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'; =
mso-bidi-font-style: italic">The authors set out to<I> </I></SPAN><SPAN =
style=3D"FONT-FAMILY: 'Arial','sans-serif'">investigate the relationship =
between women's<SUP> </SUP>first-trimester working conditions and infant =
birth weight.<SUP> </SUP>Pregnant women (N =3D 8266) participating in the =
Amsterdam<SUP> </SUP>Born Children and Their Development study completed a =
questionnaire<SUP> </SUP>gathering information on employment and working =
conditions.<SUP> </SUP>After exclusions, 7135 women remained in our =
analyses. Low birthweight<SUP> </SUP>and delivery of a small-for-gestationa=
l-age (SGA) infant were<SUP> </SUP>the main outcome measures.<SUP> =
</SUP><o:p></o:p></SPAN></FONT></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>After =
adjustment, the authors found that a workweek of 32 hours or more =
(mean<SUP> </SUP>birth weight decrease of 43 g) and high job strain (mean =
birth weight<SUP> </SUP>decrease of 72 g) were significantly associated =
with birth weight.<SUP> </SUP>Only high job strain increased the risk of =
delivering an SGA<SUP> </SUP>infant. After adjustment, the combination of =
high job strain<SUP> </SUP>and a long workweek resulted in the largest =
birth weight reduction<SUP> </SUP>(150 g) and the highest risk of =
delivering an SGA infant.<SUP> </SUP><o:p></o:p></FONT></SPAN></P>
<P><SPAN style=3D"FONT-FAMILY: 'Arial','sans-serif'"><FONT size=3D3>The =
authors conclude that high levels of job strain during early pregnancy<SUP>=
 </SUP>are associated with reduced birth weight and an increased risk<SUP> =
</SUP>of delivering an SGA infant, particularly if mothers work 32<SUP> =
</SUP>or more hours per week.<SUP> </SUP><o:p></o:p></FONT></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-margin-top-alt: =
auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><BR style=3D"m=
so-special-character: line-break" clear=3Dall><o:p><FONT size=3D3></FONT></=
o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-margin-top-alt: =
auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">Quote sent =
from our readers:<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-margin-top-alt: =
auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">=E2=80=9COur =
lives begin to end the day we become silent about things that matter.=E2=80=
=9D<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt; mso-margin-top-alt: =
auto; mso-margin-bottom-alt: auto"><SPAN style=3D"FONT-SIZE: 12pt; COLOR: =
black; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">Rev. Martin =
Luther King, Jr<o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'">To =
subscribe or unsubscribe to the NFIMR listserv, go to </SPAN><A href=3D"htt=
p://suse.acog.org/mailman/listinfo/nfimr"><SPAN style=3D"FONT-SIZE: 12pt; =
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mailman/listinfo/nfimr</SPAN></A><SPAN style=3D"FONT-SIZE: 12pt; LINE-HEIGH=
T: 115%; FONT-FAMILY: 'Arial','sans-serif'"> <o:p></o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p>&nbsp;<=
/o:p></SPAN></P>
<P class=3DMsoNormal style=3D"MARGIN: 0in 0in 10pt"><SPAN style=3D"FONT-SIZ=
E: 12pt; LINE-HEIGHT: 115%; FONT-FAMILY: 'Arial','sans-serif'"><o:p></o:p><=
/SPAN>&nbsp;</P>The National Fetal and Infant Mortality Review Program is =
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