Pennsylvania Hospital

Pennsylvania Hospital, the nation's first, was founded in 1751 by Benjamin Franklin and Dr. Thomas Bond. Today, the hospital is known for services including Obstetrics, high-risk maternal and fetal services, and Neonatology. The hospital has 45 licensed and staffed Neonatal Intensive Care Unit beds.

The unit's capabilities include a full-service, Level 3 NICU designed for the care of extremely low birthweight premature infants up to full-term infants with respiratory failure, sepsis, genetic syndromes and other neonatal conditions. The unit provides conventional ventilation, and high-frequency oscillation, jet ventilation and nitric oxide are available for the sickest of infants. CPAP and high-flow nasal cannula are offered for milder forms of respiratory failure. Both apnea diagnostic and neonatal follow-up programs are also on-site to provide comprehensive care after discharge. Neonatal transport services from the CHOP Transport Team are available for outside referrals such as RDS, laser ROP surgery and PDA litigation.

The team includes 24-hour neonatologists, neonatal nurse practitioners and physician assistants, and respiratory therapists. Pediatric and pediatric surgical subspecialists from CHOP are available for consultation in the NICU. Social workers, occupational and physical therapy teams, speech and feeding specialists, developmental specialists and lactation consultants work with both babies and families.

Visit the Pennsylvania Hospital Web site

http://www.chop.edu/locations/inpatient-at-pennsylvania-hospital/inpatient-at-pennsylvania-hospital.html

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10.) http://www.chop.edu/about/our-history/mission-and-history.html
mission statement- The Children's Hospital of Philadelphia, the oldest hospital in the United States dedicated exclusively to pediatrics, strives to be the world leader in the advancement of healthcare for children by integrating excellent patient care, innovative research and quality professional education into all of its programs

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9.) Www.google.com. Web. 6 Nov. 2009. .
today i found a book on google books. this book describes all different reasons of how a new born would need neonatal care. i choose to read about birth trauma. i found an article written by Elisa Abdulhayoglu. the background info stated that birth injury is defined by the National Vital Stastics report as" an impairment of the infant's body function or structure due to adverse influences that occured during birth." injury may occur antenatally, intrapatrum, or during resuscitation, and may be avoidable or unavoidable.

annotated bibliography

1.) http://www.chop.edu/about/our-history/
This website is a secondary source. it was written by the Children's Hospital of Philadelphia. this website helped me find out the history of the hospital and the founder. The article explained how Francis West Lewis, MD came up with the idea of opening the nations first Children's hospital. This hospital was opened for children who were sick because most childhood illnesses were treated at home because infants and children admitted to adult hospitals often died due to cross-infection or neglect. This hospital was founded in 1855. This website could be viewed by people who are during research and people who are looking for physicians, health information, etc

2.) http://www.chop.edu/service/vaccine-education-center/home.htm
: Paul A. Offit, MD. "Vaccine Education Center." Vaccine Education Center. Mar. 2008. The Children's Hospital Of Philadelphia. 23 Oct. 2009
This article is a secondary source, it was written by Paul A. Offit, MD. By reading this website article, I learned that the vaccine education center sponsored from C.H.O.P. This special center impacted society in a major way because it gives parents information about vaccines they should look into for their children. It explains that an a adult or parent can walk in and get assistance to what vaccines are necessary, how they work, and are they safe. The Children's Hospital Of Philadelphia specifically targets the Children around the world and so does the Vaccine Education Center. This article was targeted for Parents who have young children and kids under the age of 18. I have also learned that The Children's Hospital of Philadelphia, the nation's first children's hospital, has been a center of vaccine research and education for more than 125 years. For example, the rota virus vaccine, a vaccine that prevents the most common cause of vomiting and diarrhea in children, was developed at The Children's Hospital of Philadelphia and the Wistar Institute of Anatomy and Biology. Vaccines have reduced and, in some cases, eliminated many diseases that killed or severely disabled people just a few generations before. For most Americans today, vaccines are a routine part of health care.
3.) Http://www.chop.edu/service/neonatology/home.html. The Children’s Hospital Of Philadelphia. Web. 2 Nov. 2009. .
This article was very helpful to me. Its explained evolution on neonatal care at the Children’s Hospital of Philadelphia. I learned that the Division of Neonatology provides comprehensive care for critically ill newborns and infants, including consultation, transport, and inpatient intensive care in our Newborn/Infant Intensive Care Unit. n addition to board-certified attending neonatologists, the newborn care team consists of fellows, residents, physician assistants, staff nurses, neonatal nurse practitioners, clinical nurse specialists, ECMO specialists, clinical staff, charge nurses, respiratory care practitioners, social workers, dietitians, case managers, physical therapists, occupational therapists, speech therapists and lactation specialists in the unit to provide round-the-clock care. And also, The Division of Neonatology, under the leadership of Phyllis A. Dennery, MD, is involved in numerous laboratory and clinical research activities focused on development, lung disease, the fetal origins of disease, molecular mechanisms and use of nitric oxide, biomarkers of neonatal conditions, pharmacology and more. There was no particular author, just under the name of Children’s Hospital of Philadelphia. 1996-2009!!!


4.)Www.about.com. The New York Times Company., 19 June 2009. Web. 2 Nov. 2009. .
This article was mainly about The best top ten hospitals in America and how their surgeons perform on newborn babies. Children’s Hospital of Philadelphia was in the top ten list. US News and World Report has made it easier by announcing the ten hospitals that ranked the highest in the entire country. To compile the list, they surveyed pediatricians and reviewed hospital data. The hospitals were examined for their expertise in 10 medical specialties, including cancer treatment, diabetes and other endocrine disorders, digestive disorders, cardiology and heart surgery, kidney disorders, neonatal care, neurology/neurosurgery, orthopedics, respiratory disorders and urology. Out of 168 hospitals, 10 hospitals showed excellence in all 10 specialties. The Top Ten Children's Hospitals, In Alphabetical Order: Children's Hospital (Denver) Children's Hospital Boston Children’s Hospital Los Angeles Children's Hospital of Philadelphia Children's Medical Center (Dallas) Cincinnati Children's Hospital Medical Center Johns Hopkins Children's Center (Baltimore) New York-Presbyterian Morgan Stanley Children's Hospital St. Louis Children's Hospital-Washington University Texas Children's Hospital (Houston) this article was written by Jennifer Heisler.


5.)I read an article on about.com; http://adam.about.com/encyclopedia/Poor-feeding-in-infants.htm. I learned that some infants are not treated the right way when their parents have no idea what to do with the baby. That’s why we have day cares and children development centers for less fortunate children. These are some of the facts I was reading about.

6.)Www.chop.edu. Children's hospital of Philadelphia. Web. 6 Nov. 2009. .
children's hospital of Philadelphia -neonatal care for newborns. children's hospital had the first neonatal care surgical and pediatric intensive care unit in the us .children's hospital was the first to develop the closed incubator for newborn's. since chop has the intensive care unit they are able to save more newborn's lives.

7.) Http://www.answers.com. Web. 23 Nov. 2009. .
this cite was very helpful to me. the cite told me when the neonatal intensive care unit was created, who created it and what the neonatal intensive care unit is and why it was created. when was the innovation created? in the 1950's and the 1960's . why it was created? to provide better temperature support, specialized feeding, etc. who created it? pediatricians what is the innovation? it is a special nursery that specializes in sick and premature newborns.

8.)
Http://www.chop.edu. Children's hospital of Philadelphia. Web. 23 Nov. 2009. .
Newborn babies that are put in the nicu (neonatal intensive care unit) are usually premature, have low birth weight (less than 5 pounds) or have medical conditions. 12 percent of the babies in the United States are born premature Babies with heart problems, infections, or birth defects are also put in the neonatal intensive care unit. About 9 percent of newborns are required care in the nicu. and low birth weight. twins and other multiples are often admitted to the nicu.

9.) Www.google.com. Web. 6 Nov. 2009. .
today i found a book on google books. this book describes all different reasons of how a new born would need neonatal care. i choose to read about birth trauma. i found an article written by Elisa Abdulhayoglu. the background info stated that birth injury is defined by the National Vital Stastics report as" an impairment of the infant's body function or structure due to adverse influences that occured during birth." injury may occur antenatally, intrapatrum, or during resuscitation, and may be avoidable or unavoidable.

10.) http://www.chop.edu/about/our-history/mission-and-history.html
mission statement- The Children's Hospital of Philadelphia, the oldest hospital in the United States dedicated exclusively to pediatrics, strives to be the world leader in the advancement of healthcare for children by integrating excellent patient care, innovative research and quality professional education into all of its programs.

nicu

Newborn  babies that are put in the nicu (neonatal intensive care unit) are usually premature, have low birth weight  (less than 5 pounds) or have medical conditions. 12 percent of the babies in the United States are born premature and low birth weight. twins and other multiples  are often admitted to the nicu. Babies with heart problems, infections, or birth defects are also put in the neonatal intensive care unit. About 9 percent of newborns are required care in the nicu.

NHD

what was the problem this innovation solved?

    Children's Hospital of Philadelphia was founded in 1855. CHOP has changed many lives. Before the hospital was opened, most childhood illnesses were treated at home because infants and children admitted to adult hospitals often died of cross infection or neglect. CHOP was the first hospital in our nation for children. Children's hospital is dedicated to finding cures and treating illnesses and injures specific for children.

       When Children's Hospital first opened there was 12 beds and a dispensary, and the physicians served 67  patients and 306 clinic patients. In June 1974, the hospital moved all its equipment and patients to its current location at  34Th street and civic center boulevard in West Philadelphia. Over the years, CHOP added the Children's Hospital of Philadelphia research instituted. This was one of the largest pediatric research facilities in the United States.

neonatal care- birth trauma

on google books i found a book about neonatal care . this book describes all different reasons of how a new born would need neonatal care. i choose to read about birth trauma. i found an article written by Elisa Abdulhayoglu. the background info stated that birth injury is defined by the National Vital Stastics report as" an impairment of the infant's body function or structure due to adverse influences that occured during birth." injury may occur antenatally, intrapatrum, or during resuscitation, and may be avoidable or unavoidable.

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Www.google.com. Web. 6 Nov. 2009. .

today i found a book on google books. this book describes all different reasons of how a new born would need neonatal care. i choose to read about birth trauma. i found an article written by Elisa Abdulhayoglu. the background info stated that birth injury is defined by the National Vital Stastics report as" an impairment of the infant's body function or structure due to adverse influences that occured during birth." injury may occur antenatally, intrapatrum, or during resuscitation, and may be avoidable or unavoidable.

annotation7

Www.chop.edu. Children's hospital of philadelphia. Web. 6 Nov. 2009. .

children's hospital of philadelphia -neonatal care for newborns. children's hospital had the first neonatal care surgical and pediatric intensive care unit in the us .children's hospital was the first to develope the closed incubator for newborn's. since chop has the intensive care unit they are able to save more newborn's lives.

neonatal care

topic: children's hospital of philadelphia- neonatal care for new born's

neonatal care in the 194o's- 

•   children's hospital had the first  neonatal care surgical and pediatric intensive care unit in the us .
• children's hospital was the first to develope the closed incubator for newborn's.

http://www.chop.edu/about/our-history/pediatric-firsts

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I read an article on about.com; http://adam.about.com/encyclopedia/Poor-feeding-in-infants.htm. I learned that some infants are not treated the right way when their parents have no idea what to do with the baby. Thats why we have day cares and children devolpment centers for less fortunate children. These are some of the facts i was reading about.

Poor feeding in infants

Definition

Poor feeding is when an infant has a lack of interest in feeding or a problem receiving the proper amount of nutrition.

Alternative Names

Feeding - infant's lack of interest; Infant - lack of interest in feeding

Considerations

Poor feeding is a nonspecific symptom seen in newborn and young infants. It can result from many conditions, including infection, metabolic disorders, genetic disorders, structural problems, and neurological disorders. Poor feeding is not a sign of the severity of the disease, but it requires close watching of the infant.

Poor feeding is not the same as "picky" eating. Many children between ages 2 and 4 are picky eaters. Parents only need to give children what they like to eat at this age. However, children must continue to drink milk or an appropriate milk substitute.

Causes

• Any disorder that causes damage to the nervous system or causes muscle weakness
• Beckwith-Wiedemann syndrome
• Birth-acquired herpes
• Congenital hypothyroidism
• Galactosemia
• Group B streptococcal septicemia of the newborn (late)
• Hypoplastic left heart
• Infant botulism
• Infection of the tissue covering the brain and spinal cord (meningitis)
• Newborn jaundice
• Patent ductus arteriosus
• Premature infant
• Tetralogy of Fallot
• Total anomalous pulmonary venous return
• Tracheoesophageal fistula, a birth defect in which there is a connection between the trachea and the esophagus
• Transposition of the great vessels
• Truncus arteriosus
• Viral gastroenteritis

Home Care

Watch closely for the development of other signs and symptoms of illness, such as dehydration.

Also watch the child's height, weight, and general development closely for signs of malnutrition or failure to thrive.

When to Contact a Medical Professional

Contact your pediatrician if your child does not seem to be eating enough, is consistently losing weight, or if poor feeding is accompanied by other signs or symptoms.

What to Expect at Your Office Visit

A child who is feeding poorly will often have other symptoms and signs that, when taken together, define a specific syndrome or condition. Diagnosis of that condition is based on a family history, medical history, and a complete physical exam.

Questions your health care provider will ask may include:

• How does the baby (child) eat normally?
• Has the diet been changed recently?
• Has the baby (child) always been a fussy eater?
• Is the feeding getting harder?
• Has the baby been vomiting?
• Does the baby have diarrhea?
• Is there an abnormal stool color?
• Is there gagging or choking?
• Is there coughing?
• Are there other symptoms?

DIAGNOSTIC TESTS

Laboratory studies such as x-rays, gastrointestinal (GI) studies, and blood tests may be ordered to confirm the presence of a suspected disorder.

AFTER THE OFFICE VISIT

Although the health care provider maintains records on your baby, it is a good idea to maintain your own records of office visit findings, test results, and your own observations of your baby's health. You should add measurements that you do at home, such as height and weight.

Bring your records to the health care health care provider's attention if you notice any problems, or if you have questions about your baby's development.

This article was created on november 9th 2007 byReviewed By: Deirdre OReilly, M.D., M.P.H., Neonatologist, Division of Newborn Medicine, Childrens Hospital Boston and Instructor in Pediatrics, Harvard Medical School, Boston, Massachusetts.

This article helped me alot because why certain buildings are very impotrant to our children in the world. If we didnt hace accesor certain opportunties, where would the less fortunate children go to survive through medical assitance.

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To day I was researching on website Childrencareaware.com; http://www.childcareaware.org/en/subscriptions/dailyparent/volume.php?id=33. I learned great information that I can use in my nhd paper. Money is a part of your everyday life. You use it to buy the things you and your family need and want. Buying food, paying rent or mortgage, buying clothes, taking a vacation, and paying for child care are some of the necessary things that require money. No matter what your personal beliefs are about money, we can all agree that it is part of our lives.

We use money everyday for bills, bussiness, and health care. But most of all we use money to build medical

centers and medicine to protect our younger one. One way bussiness build money to creater special centers are

home bussiness's anf fundraisers.

Also i have learned that,Saving is an important part of learning how to manage money. Many children learn about saving by having "piggy" or coin banks for any money they receive. Saving money can help children learn how to plan, develop patience, and learn how to delay gratification - getting what they want. So whether you give your child an allowance or money for doing something in particular, this is a good way to work with him or her on saving.

Activities to do with your child:

• If you give your child an allowance - have your child save all or some of that money and decide when (once a month, or every two weeks) the saved money can be spent on something special.
• If you do not want to give your child an allowance - allow your child to earn money for chores or other activities that you choose. Again, agree that some or all of that money will be saved or used at a later time.
• Child care providers can give children in their care special "coins" or stars that they can save to exchange for something special at a later date. Many providers and teachers may already do some version of this kind of activity.
• Many banks have savings accounts for children. You may want to consider opening a savings account for your child and working with him or her to make deposits and keep track of savings as they grow.

Use Money as a Way to Make Choices

Using money involves making choices. You start with a certain amount of money to spend and you make choices on how to spend it. When shopping, let your child observe how you make choices. Explain briefly why you decided on Brand A versus Brand B. "I could either buy this soap which smells good, or buy these two soaps which are on sale and will save me money."

AGE GROUP	ACTIVITIES TO TRY	SKILLS USED/LEARNED
Infants and Toddlers	When shopping with your young one, talk to him when buying something. Make a point of noticing the different prices for things. "I have $5.00 to spend. This costs $2.00. I have enough money to buy two of them with some money left over."	Language skills Different items
Preschool	Make paper "pennies" with your preschooler and mark each one as one cent. Give your preschooler a set number of paper pennies to use to trade for things she wants to play with or use. For example, if she wants to play with blocks, she has to give you one penny. (Keep it simple.)	Exchanging One-to-one correspondence
School-Age	Have your child trace real coins and compare their sizes. Count coins by ones, fives, and tens. See how many different ways various coins can add up to 10 or 20 cents. Bring coins to the supermarket to place in an automated coin counting machine. See how your child's piggy bank money adds up over time.	Addition Sorting Combining different money values

Allow your child to choose items sometimes when you are out shopping together. Offer a choice of two items that you would agree on, and then allow her to choose one of them.

Use Money to Develop Community Skills

Saving and sharing money can be used as part of a lesson in reaching a shared goal. It is also a good way to promote working with others. For example, allow your child to share in helping with a favorite charity, a family activity, or a neighborhood project. For your older child, let him or her help decide what kind of charity or project you want to work on as a family. If money is needed in the project, let your child contribute and decide how that money is to be used.

Use Money to Practice Social Skills

Using money involves many social skills and interactions with others. From speaking with salespeople to the social rules that go along with making a purchase, practicing social skills is a big part of using money in everyday life.

Talking with your children at an early age about money and saving is important. You can help them form positive lifelong skills around money. This also involves learning and using other important life skills as well.

No matter what your financial circumstances or personal beliefs are on the use of money, you can help your child become "money-smart" and best use the money system to his or her advantage.

AGE GROUP	ACTIVITIES TO TRY	SKILLS USED/LEARNED
Infants and Toddlers	Take your young ones shopping whenever it is convenient for you Let them play with a toy cash register and play money	Observing the social interactions in making a purchase Observing making choices Pretending
Preschool	Allow your preschooler to choose between two items (that you already know you would like) to buy. Set up a pretend "store" where your preschooler can buy things	Making choices Learning money values Getting ready for social interactions
School-Age	Allow your school-age child to make purchases with money when at a real store	Practicing roles in social interactions Using practical math skills

This article did not state when it was created or the person who created it. But it helped in meny of ways.

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 Www.about.com. The New York Times Company., 19 June 2009. Web. 2 Nov. 2009. <http://surgery.about.com/b/2009/06/19/surgery-news-the-top-ten-best-childrens-hospitals-in-america.htm>.

This article was mainly about The best top ten hospitals in america and how their surgeons perform on newborn babies. Childrens Hospital of Philadelphia was in the top ten list. US News and World Report has made it easier by announcing the ten hospitals that ranked the highest in the entire country. To compile the list, they surveyed pediatricians and reviewed hospital data.The hospitals were examined for their expertise in 10 medical specialties, including cancer treatment, diabetes and other endocrine disorders, digestive disorders, cardiology and heart surgery, kidney disorders, neonatal care, neurology/neurosurgery, orthopedics, respiratory disorders and urology. Out of 168 hospitals, 10 hospitals showed excellence in all 10 specialties. The Top Ten Children's Hospitals, In Alphabetical Order: Children's Hospital (Denver) Children's Hospital Boston Childrens Hospital Los Angeles Children's Hospital of Philadelphia Children's Medical Center (Dallas) Cincinnati Children's Hospital Medical Center Johns Hopkins Children's Center (Baltimore) New York-Presbyterian Morgan Stanley Children's Hospital St. Louis Children's Hospital-Washington University Texas Children's Hospital (Houston) this article was written by Jennifer Heisler.

annotation 3

Http://www.chop.edu/service/neonatology/home.html. The Childrens Hospital Of Philadelphia. Web. 2 Nov. 2009. <http://www.chop.edu/service/neonatology/home.html>.

This article was very helpful to me. Its explained evolution on neonatal care at the Childrens Hospital of Philadelhpia. I learned that the Division of Neonatology provides comprehensive care for critically ill newborns and infants, including consultation, transport, and inpatient intensive care in our Newborn/Infant Intensive Care Unit. n addition to board-certified attending neonatologists, the newborn care team consists of fellows, residents, physician assistants, staff nurses, neonatal nurse practitioners, clinical nurse specialists, ECMO specialists, clinical staff, charge nurses, respiratory care practitioners, social workers, dietitians, case managers, physical therapists, occupational therapists, speech therapists and lactation specialists in the unit to provide round-the-clock care. And also, The Division of Neonatology, under the leadership of Phyllis A. Dennery, MD, is involved in numerous laboratory and clinical research activities focused on development, lung disease, the fetal origins of disease, molecular mechanisms and use of nitric oxide, biomarkers of neonatal conditions, pharmacology and more. There was no particular aurthor, just under the name of Childrens Hospital of Philadelhpia. 1996-2009!!!