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What the country can learn from this review is that preventing deaths from asphyxia does not have to be an expensive option.
Compared to Wigglesworth, the NICE classification is found to reduce the proportion of intrauterine deaths, deaths from asphyxia, and deaths from immaturity linked to maternal disease, abruption placenta or obstetric complications [ 13].
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The death from asphyxia were however seen more in the younger age group and this is consistent with other studies worldwide which showed asphyxia related BID occurred in the younger age group age range 0 78 years (mean age of 37 ± 10 years).
The development of the low cost interventions and their effective delivery are needed to reduce deaths from birth asphyxia.
Additional information on the validity of the methods can be found in the web appendices of "Setting Research Priorities to Reduce Almost One Million Deaths from Birth Asphyxia by 2015" [ 37].
There was also a higher number of deaths from birth asphyxia in the folic acid group (8/73, 11.0%) with the same number in the iron-folic acid (3/73, 4.1%) and multiple micronutrient (3/73, 4.1%) groups.
A case control study from Uganda [ 20] demonstrated significant association (odds ratio 5.76 (2.20-15.05)) between augmentation of labour and birth asphyxia, while a verbal autopsy study of stillbirths and neonatal deaths in Nepal concluded that use of injections to accelerate home delivery had contributed to deaths from birth asphyxia [ 21].
The intervention had 2 components: (1) a simplified version of the neonatal resuscitation protocol (NRP), which targeted deaths from birth asphyxia and neonatal hypothermia; and (2) administration of oral antibiotics with facilitated referral (AFR) to a rural health center, which aimed to reduce deaths from neonatal sepsis.
Death results from asphyxia, generally within a few minutes of respiratory exposure or within hours if exposure was through a liquid nerve agent on the skin.
Curare was an interesting choice, a plant compound used in South America as an extremely potent arrow poison... Death results from asphyxia by paralyzing skeletal muscles and depending on the animal's size takes from seconds to 20 minutes".
He asked the witness if the mere struggling of a bound asthma sufferer as he lay on his stomach was not enough all by itself to cause death from "positional asphyxia".
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com