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Day-care services could be option for pregnancy complications (pp 1089, 1104)
March 31, 2004
Research from Australia in this week's issue of THE LANCET highlights how day-care services could offer some benefits over hospital admission for women with pregnancy complications. Day care is increasingly being used for complications of pregnancy, despite little evidence that it is effective. Deborah Turnbull from the University of Adelaide, Australia and colleagues assessed the clinical, psychosocial, and economic effects of day care for three pregnancy complications in a randomised trial of day care versus standard care on an antenatal ward.
395 women with pregnancy complications (high blood pressure or ruptured fetal membranes) were randomly assigned day (263) or ward (132) care. There was no difference in health outcomes between the two groups and no cost saving for day-care services. However, women who had day care expressed more satisfaction than those admitted to hospital, and experienced shorter hospital stays (17 hours compared with 2 days and 9 hours).
Professor Turnbull comments: "We suggest that the results of this trial might be generalisable to other common and slowly progressing medical complications of pregnancy such as diabetes and hyperemesis. Against a backdrop of similar clinical outcomes and costs, adoption by maternity services of a policy providing specified women with the choice between admission and day-unit care seems appropriate".
In an accompanying Commentary (p 1089), Phillip Stubblefield from Boston University School of Medicine, USA, concludes: "Some words of caution are necessary before widespread adoption of antenatal day care for pregnancy complications. There were no cost savings, as measured here. Day care requires duplication of space and staff resources these women all had serious conditions that can, rarely, become life-threatening with little warning. Women with mild pre-eclampsia (proteinuric hypertension) can progress to severe illness over a few hours. Similarly, patients with preterm premature rupture of the fetal membranes can fail to manifest signs of sepsis until it is overwhelming. A larger sample might have included patients with a rapidly developing illness, for whom hospital care would have made a difference".
Lancet
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Scientific Explorer's Mind Blowing Science Kit for Young Scientists
by Scientific Explorer
Mind blowing experiments to delight and educate young scientists! Erupt a color changing volcano. Mix up magic ooze with a mind of its own. Play with sand that never gets wet. Mix safe chemicals and watch colors change before your eyes. You'll amaze yourself and your friends as you explore the science behind these truly remarkable reactions.
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The Everything Kids' Science Experiments Book: Boil Ice, Float Water, Measure Gravity-Challenge the World Around You! (Everything Kids Series)
by Tom Robinson (Author)
Science has never been so easy - or so much fun! With The Everything Kids' Science Experiments Book, all you need to do is gather a few household items and you can recreate dozens of mind-blowing, kid-tested science experiments. High school science teach Tom Robinson shows you how to expand your scientific horizons - from biology to chemistry to physics to outer space. You'll discover answers to questions like: Is it possible to blow up a balloon without actually blowing into it? What is inside coins? Can a magnet ever be "turned off"? Do toilets always flush in the same direction? Can a swimming pool be cleaned with just the breath of one person? Get ready to enter the laboratory and learn how to conduct cool experiments, understand scientific terms...
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Scientific Explorer's Disgusting Science - A Kit for Studying the Science of Revolting Things
by Scientific Explorer
Grow your own friendly germs and fuzzy molds. Mix up a batch of coagulating fake blood. Even make a stinky intestine. learn the science behind unmentionable bodily functions while doing some truly NASTY Experiments. Ages 8+
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The Science Book: Everything You Need to Know About the World and How It Works (National Geographic)
by National Geographic (Author), Marshall Brain (Foreword)
A delight for the casual reader, yet so complete and wide-ranging that science buffs and students will welcome it, The Science Book encapsulates centuries of scientific thought in one richly illustrated volume. Natural phenomena, revolutionary inventions, and the most up-to-date investigations are explained in detailed text, and 2,000 vivid illustrationsincluding 3-D graphics and pictogramsmake the information even more accessible and amazing to discover.
The Science Book offers both a general overview of topics for the browsing reader and more specific information for those seeking deeper insight into a particular subject. Six major sections, ranging from the universe and planet Earth to biology, chemistry, physics, and mathematics, encompass everything from microscopic life...
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Scientific Explorer's The Magic Science Wizard's Kit
by Scientific Explorer
Cast real smoke from your fingertips, make a wizard wand, and whip up color-changing potions in your test tube laboratory. Also included are laminated cards with wizard facts, an instruction booklet with 11 activities, lab equipment, and mysterious wizard powders that will mix together to mystify you!
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Scientific Explorer's Tasty Science Chemistry in the Kitchen Kit
by Scientific Explorer
Who knew science could taste so good? With this kit, you’ll whip up cupcakes, cookies, candy, and more—all in the name of science! Learn what makes cakes rise, candy crystallize, and more real chemistry happen in the kitchen. Tasty Science is packed with ingredients, recipes, activity cards, a test tube laboratory, and lots more to explore the science of taste.
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The Complete Book of Science, Grades 5-6
by School Specialty Publishing (Author)
The Complete Book of Science for grades 5 to 6 teaches children important science skills! Children complete a variety of exercises that help them develop a number of skills in this 352 page workbook. Including a complete answer key this workbook features a user-friendly format perfect for browsing, research, and review. Over 4 million in print! The best-selling Complete Book series offers a full complement of instruction, activities, and information about a single topic or subject area. Containing over 30 titles and encompassing preschool to grade 8 this series helps children succeed in every subject area! ...
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Magic School Bus Journey into the Human Body Science Kit
by Young Scientist Club
The Magic School Bus and Ms. Frizzle take Young Scientists on a wild ride into the human body with these breathtaking experiments. Young Scientists bend bones, make joints, map taste buds, expand lungs, build a stethoscope, measure lung capacities and heart rates, perform the iodine starch test, spin glitter, simulate synovial fluid, create a human body poster, and much, much more! This exciting kit includes a life-size poster with eight sheets of body part stickers. So put on your seat belts, students, and get ready to discover The Human Body!
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Scientific Explorer's Glow in the Dark Fun Lab Science Kit
by Scientific Explorer
You will love setting up your own Glow in the Dark Fun Lab. Create a light wand, make your own glow stick, and even generate a human-powered light.
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What Is the World Made Of? All About Solids, Liquids, and Gases (Let's-Read-and-Find-Out Science, Stage 2)
by Kathleen Weidner Zoehfeld (Author), Paul Meisel (Author)
Did you ever walk through a wall? Drink a glass of blocks? Have you ever played with a lemonade doll, or put on milk for socks? This latest addition to the Let's-Read-and-Find-Out Science series introduces the youngest readers to an important science concept: the differences between solids, liquids, and gases. Any child who wants to know why he can't walk through a wall will enjoy Kathleen Zoehfeld's simple text and Paul Meisel's playful illustrations.
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