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Sudden Infant Death Syndrome (SIDS) — sudden, unexplained death of an infant under 1 year during sleep, remaining unexplained after thorough investigation.
Peak age: 2–4 months. Rare after 6 months.
Evidence-based SIDS Prevention (AAP Safe Sleep Guidelines 2022):
| Recommendation | Evidence Level |
|---|---|
| Supine (back) sleeping position — always | Strongest evidence — reduces SIDS by ~50% |
| Firm, flat sleep surface (crib/bassinet) | Strong — no soft mattresses, pillows, bumpers |
| Room-sharing (parent's room) WITHOUT bed-sharing | Strong — bed-sharing increases risk |
| Avoid smoke exposure (prenatal + postnatal) | Strong — smoking is major modifiable risk factor |
| Avoid overheating | Moderate — keep room 20–22°C |
| Breastfeeding | Moderate — protective effect |
| Pacifier use at sleep (after BF established) | Moderate — protective |
Prone sleeping increases SIDS risk 3–9 fold. The 'Back to Sleep' campaign reduced SIDS deaths by >50% since 1992.
Which formula correctly represents the attack rate?
The Attack Rate is used during outbreaks/epidemics to measure the proportion of exposed individuals who develop the disease:
\\text{Attack Rate} = \\frac{\\text{Number of ill persons among exposed}}{\\text{Total number of exposed persons}} \\times 100
- Option 1 describes Incidence Rate
- Option 3 describes Prevalence Rate
- Option 4 describes Case Fatality Rate (CFR)
Understanding attack rates is essential during disease outbreak management — a core Head Nurse responsibility in community settings.
Electron in hydrogen jumps from n=2 to n=1. Wavelength of emitted radiation:
1/λ = R_H(1/1² - 1/2²)=R_H(1-1/4)=3R_H/4 ⇒ λ = 4/(3R_H).
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