No description available.

No description available.

Abstract available through the Journal of Investigative Medicine.

Abstract available through the Journal of Investigative Medicine.

Problem: Identifying the factors effecting birth transition success of late preterm infants may improve early recognition of newborn compromise. Multiple explanatory variables may be associated with birth transition success or failure. The purpose of the study was to determine the prevalence of, and clinical-epidemiological and demographic predictive factors for birth transition success of late preterm infants. Methods: A retrospective case-control chart review was used to compare the characteristics of successful and unsuccessful birth transition of 35 and 36 week gestational age late-preterm infants delivered in a large tertiary-care center during calendar year 2007. A mixture of categorical and numeric variables related to maternal, birth, and physiologic constructs were analyzed for their effects on birth transition as a binary outcome variable (success or failure). Results: Of 22 variables tested, four predictor variables were associated with birth transition failure: labor (OR = .42, p = .014), 5-minute Apgar score (OR = 1.79, p = .043), gender (OR = .47, p =.003), and respiratory rate (OR= 2.08, p = .001) as tested by logistic regression. The model was able to accurately assign transition failure and success at a rate of 66.7% and 74% respectively. The overall model was statistically significant (likelihood ratio chi square = 38.97(4), p

Thesis (Ed.D.)--Boston University

Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / Judgment methodology was employed to provide a qualitative description of mother/child interaction during infant play. Videoclips of 40 9-month-old infants in a free play situation with their mothers were rated by a panel of 10 judges using a series of 9 point Likert scales. Thirteen qualitative items, grouped into the five different areas of communication, coordination, engagement, affect, and overall quality of interaction, were rated from low or absent (0) to consistently high (8). Each mother/child dyad was assessed on two different segments. The reliability of the scales for assessing the mother/child interaction (mean ratings of 10 judges) ranged from .65 (mismatch) to .81 (mutual responsiveness) with an overall mean effective reliability of .77. There was a high intercorrelation among individual variables and overall quality of the interaction suggesting that no one of the rated qualities was more predictive of the overall mother/child interaction. Differences found in the rated quality of mother/child interaction between the two segments raise questions regarding the validity of conclusions about the overall quality of interaction based on a single short segment. Results are discussed in terms of the psychometric features of the scales and in terms of the mother/child interactional patterns. Suggestions for revising the methodology and the assessment tool are made to improve reliability and validity. More studies are necessary to validate the usefulness of the judgment methodology as an alternative approach to studying the quality of mother/child interaction. / 2031-01-01

No description available.

No description available.

No description available.