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1

Howard, John D., and Donald T. Reay. "Positional Asphyxia." Annals of Emergency Medicine 32, no. 1 (1998): 116–17. http://dx.doi.org/10.1016/s0196-0644(98)70121-0.

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2

Belviso, Maura, Antonio De Donno, Leonardo Vitale, and Francesco Introna. "Positional Asphyxia." American Journal of Forensic Medicine and Pathology 24, no. 3 (2003): 292–97. http://dx.doi.org/10.1097/01.paf.0000083226.41296.ce.

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3

Kozlov, S. V., K. N. Suloev, G. B. Aleksin, and A. V. Tkachenko. "Positional asphyxia." Morphologia 10, no. 3 (2016): 188–91. http://dx.doi.org/10.26641/1997-9665.2016.3.188-191.

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4

Chaudhari, Vinod Ashok, Dattatray G. Ghodake, and Rajesh D. Kharat. "Positional Asphyxia." American Journal of Forensic Medicine and Pathology 37, no. 2 (2016): 51–53. http://dx.doi.org/10.1097/paf.0000000000000217.

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5

Chan, Theodore C., Gary M. Vilke, Tom Neuman, and Jack L. Clausen. "Restraint Position and Positional Asphyxia." Annals of Emergency Medicine 30, no. 5 (1997): 578–86. http://dx.doi.org/10.1016/s0196-0644(97)70072-6.

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6

Reay, Donald T., and John D. Howard. "Restraint Position and Positional Asphyxia." American Journal of Forensic Medicine and Pathology 20, no. 3 (1999): 300–301. http://dx.doi.org/10.1097/00000433-199909000-00016.

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7

Hayashi, Takahito, Claas Buschmann, Andreas Correns, Sieglinde Herre, and Michael Tsokos. "Fatal positional asphyxia." Forensic Science, Medicine, and Pathology 8, no. 4 (2012): 470–72. http://dx.doi.org/10.1007/s12024-012-9345-y.

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8

Chan, Theodore C., Gary M. Vilke, and Tom Neuman. "Reexamination of Custody Restraint Position and Positional Asphyxia." American Journal of Forensic Medicine and Pathology 19, no. 3 (1998): 201–5. http://dx.doi.org/10.1097/00000433-199809000-00001.

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9

Palmiere, Cristian, and Patrice Mangin. "Diabetic ketoacidosis or positional asphyxia?" Legal Medicine 14, no. 4 (2012): 219–20. http://dx.doi.org/10.1016/j.legalmed.2012.03.001.

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10

Chmieliauskas, Sigitas, Eimantas Mundinas, Dmitrij Fomin, et al. "Sudden deaths from positional asphyxia." Medicine 97, no. 24 (2018): e11041. http://dx.doi.org/10.1097/md.0000000000011041.

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11

Bugelli, Valentina, Carlo Pietro Campobasso, Amalia Angelino, Barbara Gualco, Vilma Pinchi, and Martina Focardi. "Postmortem Otorrhagia in Positional Asphyxia." American Journal of Forensic Medicine & Pathology 41, no. 3 (2020): 217–19. http://dx.doi.org/10.1097/paf.0000000000000559.

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12

Behera, Chittaranjan, and Karthik Krishna. "Fatal positional asphyxia following a fall in bathroom." Medico-Legal Journal 88, no. 3 (2020): 169–71. http://dx.doi.org/10.1177/0025817219876094.

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A 27-year-old female student was found dead inside the bathroom of her university hostel. The body was in a prone position with her neck over-flexed on to her trunk. The medico-legal autopsy found features of asphyxia. Multiple lacerated wounds were present on the occipital region of scalp. The cause of death was opined as positional asphyxia following an accidental fall and blunt trauma to the head. In this case, concussion due to blunt trauma to the head may have precluded any self-rescue efforts by the victim from the floor leading to positional asphyxia.
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13

Reay, Donald T., Corinne L. Fligner, Allan D. Stilwell, and Judy Arnold. "Positional Asphyxia During Law Enforcement Transport." American Journal of Forensic Medicine and Pathology 13, no. 2 (1992): 90–97. http://dx.doi.org/10.1097/00000433-199206000-00002.

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14

Laposata, Elizabeth A. "Positional Asphyxia during Law Enforcement Transport." American Journal of Forensic Medicine and Pathology 14, no. 1 (1993): 86. http://dx.doi.org/10.1097/00000433-199303000-00024.

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15

Reay, Donald T. "Positional Asphyxia During Law Enforcement Transport." American Journal of Forensic Medicine and Pathology 14, no. 2 (1993): 170. http://dx.doi.org/10.1097/00000433-199306000-00016.

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16

Martin, Angela, Joseph B. Miller, Mark Walsh, and Joseph A. Prahlow. "Positional asphyxia in rollover vehicular incidents." Injury Extra 42, no. 1 (2011): 1–3. http://dx.doi.org/10.1016/j.injury.2010.09.001.

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17

Tattoli, Lucia, Niccolò Dino Melloni, and Giancarlo Di Vella. "Positional asphyxia in a work-related fatality." Forensic Science, Medicine and Pathology 15, no. 4 (2019): 642–45. http://dx.doi.org/10.1007/s12024-019-00119-0.

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18

Karch, Steven B., Michael A. Brave, and Mark W. Kroll. "On positional asphyxia and death in custody." Medicine, Science and the Law 56, no. 1 (2015): 74–75. http://dx.doi.org/10.1177/0025802415598807.

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19

Reay, Don. "Positional Asphyxia Occurring During Law Enforcement Transport." American Journal of Forensic Medicine and Pathology 13, no. 4 (1992): 356. http://dx.doi.org/10.1097/00000433-199212000-00026.

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20

Conroy, Carol, A. Brent Eastman, Christina Stanley, et al. "Fatal Positional Asphyxia Associated With Rollover Crashes." American Journal of Forensic Medicine and Pathology 28, no. 4 (2007): 330–32. http://dx.doi.org/10.1097/paf.0b013e31815b4c47.

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21

Benomran, Fawzi Abdussalam, and A. I. Hassan. "An Unusual Accidental Death From Positional Asphyxia." American Journal of Forensic Medicine and Pathology 32, no. 1 (2011): 31–34. http://dx.doi.org/10.1097/paf.0b013e3181f70d41.

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22

Glatter, Kathy, and Steven B. Karch. "Positional asphyxia: inadequate oxygen, or inadequate theory?" Forensic Science International 141, no. 2-3 (2004): 201–2. http://dx.doi.org/10.1016/j.forsciint.2004.01.012.

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23

Steinberg, Alon. "Prone restraint cardiac arrest: A comprehensive review of the scientific literature and an explanation of the physiology." Medicine, Science and the Law 61, no. 3 (2021): 215–26. http://dx.doi.org/10.1177/0025802420988370.

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Deaths occurring among agitated or violent individuals subjected to physical restraint have been attributed to positional asphyxia. Restraint in the prone position has been shown to alter respiratory and cardiac physiology, although this is thought not to be to the degree that would cause asphyxia in a healthy, adult individual. This comprehensive review identifies and summarizes the current scientific literature on prone position and restraint, including experiments that assess physiology on individuals restrained in a prone position. Some of these experimental approaches have attempted to re
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24

Hayashi, Takahito, Kazutoshi Ago, Mihoko Ago, and Mamoru Ogata. "Positional asphyxia or diabetic ketoacidosis? A case report." Legal Medicine 13, no. 4 (2011): 196–200. http://dx.doi.org/10.1016/j.legalmed.2011.01.006.

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25

Pineda, J. I. P., and V. B. B. Viloria. "Homicides due to positional asphyxia: two case reports." Romanian Journal of Legal Medicine 22, no. 4 (2014): 229–32. http://dx.doi.org/10.4323/rjlm.2014.229.

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26

Brogan, Thomas, Corrinne L. Fligner, John F. McLaughlin, Kenneth W. Feldman, and Eric L. Kiesel. "Positional Asphyxia in Individuals with Severe Cerebral Palsy." Developmental Medicine & Child Neurology 34, no. 2 (2008): 169–73. http://dx.doi.org/10.1111/j.1469-8749.1992.tb14984.x.

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27

Fernando, Tarini, and Roger W. Byard. "Positional Asphyxia without Active Restraint Following an Assault." Journal of Forensic Sciences 58, no. 6 (2013): 1633–35. http://dx.doi.org/10.1111/1556-4029.12210.

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28

Ackerman, Jeanne. "Suspended Rocking Cradles, Positional Asphyxia, and Sudden Infant Death." Archives of Pediatrics & Adolescent Medicine 151, no. 6 (1997): 573. http://dx.doi.org/10.1001/archpedi.1997.02170430039008.

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29

Choi, Jinhyuk, and Hongil Ha. "Positional Asphyxia after Falling to Backward in a Drunken State." Korean Journal of Legal Medicine 43, no. 3 (2019): 115. http://dx.doi.org/10.7580/kjlm.2019.43.3.115.

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30

Byard, Roger W. "The relationship between positional asphyxia and increasing body mass index." Legal Medicine 43 (March 2020): 101678. http://dx.doi.org/10.1016/j.legalmed.2020.101678.

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31

deJong, Joyce L., Jenelle Lee, Abigail Grande, Cuyler Huffman, Chloe Bielby, and Theodore Brown. "Positional Asphyxia in Opioid‐Related Deaths: Is It Being Overlooked?" Journal of Forensic Sciences 65, no. 6 (2020): 2008–12. http://dx.doi.org/10.1111/1556-4029.14524.

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32

Byard, Roger W., Regula Wick, and John D. Gilbert. "Conditions and circumstances predisposing to death from positional asphyxia in adults." Journal of Forensic and Legal Medicine 15, no. 7 (2008): 415–19. http://dx.doi.org/10.1016/j.jflm.2008.01.001.

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33

Padosch, Stephan A., Peter H. Schmidt, Lars U. Kröner, and Burkhard Madea. "Death due to positional asphyxia under severe alcoholisation: pathophysiologic and forensic considerations." Forensic Science International 149, no. 1 (2005): 67–73. http://dx.doi.org/10.1016/j.forsciint.2004.05.016.

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34

O’Donovan, Siobhan, Neil EI Langlois, Corinna van den Heuvel, and Roger W. Byard. "Lethal mechanisms in cases of inverted suspension from the lap component of seat belts." Medicine, Science and the Law 61, no. 3 (2021): 227–31. http://dx.doi.org/10.1177/0025802421993990.

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A retrospective review of autopsy files at Forensic Science South Australia in Adelaide, Australia, was undertaken over a five-year period from January 2014 to December 2018 for all motor vehicle crashes with rollovers ending with the vehicle inverted and the occupants suspended by the lap component of their seat belts. There were five cases, all male drivers (aged 18–67 years; Mage = 32 years). Acute neck flexion or head wedging was noted in four cases, with facial petechiae in four and facial congestion in one. Deaths were due to positional asphyxia in four cases, with the combined effects o
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35

Sringean, J., P. Jakota, and R. Bhidayasiri. "Positional asphyxia, the rare but fatal complication of nocturnal hypokinesia: A case report." Parkinsonism & Related Disorders 46 (January 2018): e80-e81. http://dx.doi.org/10.1016/j.parkreldis.2017.11.279.

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36

Tamsen, Fredrik, and Ingemar Thiblin. "Deaths during apprehensions of agitated persons. A review of proposed pathophysiological theories." Scandinavian Journal of Forensic Science 20, no. 1 (2014): 3–8. http://dx.doi.org/10.2478/sjfs-2013-0006.

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Abstract The pathophysiology of sudden death during apprehension remains largely unclear. The most frequently discussed mechanisms are excited delirium, positional asphyxia, metabolic acidosis, acute and chronic drug abuse, and autonomic instability. As in most areas of forensic medicine, much of the knowledge comes from case reports, which are of little use in understanding causality. Experimental studies of some aspects have been performed, and they show somewhat divergent results and interpretations. The aim of this review is to summarize the different proposed theories, and to point out im
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37

Li, X.-F., and Q.-Y. Huang. "Alterations of Ca(v)1.2 and 5-hydroxytryptamine in rat hearts after positional asphyxia." Biotechnic & Histochemistry 90, no. 8 (2015): 615–19. http://dx.doi.org/10.3109/10520295.2015.1060357.

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38

Amadasi, Alberto, Michael Tsokos, and Claas T. Bushmann. "Differential diagnosis on discolorations of the skin in a case of suspected positional asphyxia." Forensic Science, Medicine and Pathology 15, no. 4 (2019): 671–74. http://dx.doi.org/10.1007/s12024-019-00126-1.

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39

Chen, Long, Hui Pan, Jianlong Ma, Yehui Lv, Heng Zhang, and Wencan Li. "An overhung mute suspect died during restraint – Is this a case of positional asphyxia?" Journal of Forensic and Legal Medicine 33 (July 2015): 98–100. http://dx.doi.org/10.1016/j.jflm.2015.04.002.

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40

Parkes, John. "A review of the literature on positional asphyxia as a possible cause of sudden death during restraint." British Journal of Forensic Practice 4, no. 1 (2002): 24–30. http://dx.doi.org/10.1108/14636646200200005.

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41

Karnecki, Karol, Michał Kaliszan, and Zbigniew Jankowski. "Iatrogenic Foreign Body in the Heart in Relation to Possible Malpractice and Its Consequences a Case Report." Bulletin of Legal Medicine 20, no. 3 (2015): 163–65. http://dx.doi.org/10.17986/blm.2015314262.

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The paper presents the case of a 55-year-old man whose body was found at home at the foot of the stairs. The inspection of the body at the scene showed that the probable cause of the man’s death was positional asphyxia after falling down the stairs. The forensic autopsy revealed a 10-cm-long tip of a nephrostomy catheter. To determine the time and circumstances of the foreign body’s entry into the heart and its possible impact on the man’s death, the medical history was analyzed. It indicated that the piece of the catheter entered the circulatory system during surgery performed few years befor
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42

Boghossian, Elie, Silvia Tambuscio, and Anny Sauvageau. "Nonchemical Suffocation Deaths in Forensic Setting: A 6-Year Retrospective Study of Environmental Suffocation, Smothering, Choking, and Traumatic/Positional Asphyxia." Journal of Forensic Sciences 55, no. 3 (2010): 646–51. http://dx.doi.org/10.1111/j.1556-4029.2010.01351.x.

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43

Sringean, Jirada, Chanawat Anan, and Roongroj Bhidayasiri. "Impaired ability to turn in bed in parkinson’s disease as a potential rare cause of positional asphyxia: a sensor-based analysis." Clinical Neurology and Neurosurgery 192 (May 2020): 105713. http://dx.doi.org/10.1016/j.clineuro.2020.105713.

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44

Fewell, James E., Francine G. Smith, and Vienna K. Y. Ng. "Threshold levels of maternal nicotine impairing protective responses of newborn rats to intermittent hypoxia." Journal of Applied Physiology 90, no. 5 (2001): 1968–76. http://dx.doi.org/10.1152/jappl.2001.90.5.1968.

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Experiments were carried out to determine the threshold level of maternal nicotine that impairs protective responses of rat pups to hypoxia. From days 6 or 7 of gestation, pregnant rats received either vehicle or nicotine (1.50, 3.00, or 6.00 mg of nicotine tartrate · kg body wt−1 · day−1) or vehicle continuously via a subcutaneous osmotic minipump. On postnatal days 5 or 6, pups were exposed to a single period of hypoxia produced by breathing an anoxic gas mixture (97% N2 or 3% CO2) and their time to last gasp was determined, or they were exposed to intermittent hypoxia and their ability to a
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45

Fewell, James E., Vienna K. Y. Ng, and Chunfen Zhang. "Prior exposure to hypoxic-induced apnea impairs protective responses of newborn rats in an exposure-dependent fashion: influence of normoxic recovery time." Journal of Applied Physiology 99, no. 4 (2005): 1607–12. http://dx.doi.org/10.1152/japplphysiol.01267.2004.

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Experiments were carried out to determine whether prior exposure to hypoxic-induced apnea impairs protective responses of newborn rats. Ninety-five, 5- to 6-day-old rat pups were instrumented for respiratory measurements and placed prone in a metabolic chamber regulated to 37.0°C. The time to first and last gasp as well as the number of gasps were determined on exposure to unrelenting hypoxia after each pup had experienced 0, 1, 2, 3, 4, 9, or 14 hypoxic-induced apnea/autoresuscitation cycles (HIA/AR) at 5-min intervals. Prior exposure to HIA/AR did not significantly alter the time to first ga
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46

Pelletier, Danielle E., and Thomas A. Andrew. "Common Findings and Predictive Measures of Opioid Overdoses." Academic Forensic Pathology 7, no. 1 (2017): 91–98. http://dx.doi.org/10.23907/2017.011.

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Purpose This research examines autopsy findings from fatal opiate/opioid intoxications in New Hampshire for cerebral edema, pulmonary edema, and urinary bladder distension in the interest of finding predictability of such cases. Methods Autopsy reports of 150 decedents, between 20 and 40 years old, were reviewed. Subjects were divided into three groups as follows: 50 whose cause of death was opioid intoxication excluding fentanyl, 50 who died from fentanyl, and 50 who, lacking intoxication, died from cardiac issues, seizure disorders, or positional asphyxia as the control group. Autopsy report
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47

Gleckman, Aaron M., Richard J. Evans, Michael D. Bell, and Thomas W. Smith. "Optic Nerve Damage in Shaken Baby Syndrome." Archives of Pathology & Laboratory Medicine 124, no. 2 (2000): 251–56. http://dx.doi.org/10.5858/2000-124-0251-ondisb.

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Abstract Background.—Rapid acceleration-deceleration of an infant's head during intentional shaking should in theory exert stretch or shear forces upon the optic nerves sufficient to cause axonal injury. β-Amyloid precursor protein (β-APP) immunohistochemistry recently has been shown to be a highly effective method for identifying diffuse axonal injury in the brains of infants with shaken baby syndrome. In this study, we investigated the utility of β-APP in identifying optic nerve damage in infants who have sustained fatal whiplash shaking. Materials and Methods.—β-Amyloid precursor protein im
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48

Tumram, Nilesh Keshav, Vipul Namdeorao Ambade, and Pradeep Gangadhar Dixit. "Compression Asphyxia in Upright Suspended Position." American Journal of Forensic Medicine and Pathology 35, no. 2 (2014): 80–82. http://dx.doi.org/10.1097/paf.0000000000000052.

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49

Benomran, F. A. "Fatal accidental asphyxia in a jack-knife position." Journal of Forensic and Legal Medicine 17, no. 7 (2010): 397–400. http://dx.doi.org/10.1016/j.jflm.2010.05.012.

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50

Rizqiea, Noerma Shovie, Septy Nur Aini, Ratih Dwilestari Puji Utami, Ratnawati Ratnawati, and Khairunisa Wardani. "The Differences of Left Lateral and Head Elevation Position toward Heart Rate of Newborns with Asphyxia in the Perinatology Room RSUD Dr. Soediran Mangun Sumarso Wonogiri." Open Access Macedonian Journal of Medical Sciences 9, B (2021): 492–96. http://dx.doi.org/10.3889/oamjms.2021.6192.

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BACKGROUND: Asphyxia delivery results in hypoxic-ischemic encephalopathy and multiorgan failure. The organ most affected by hypoxia is the cardiovascular system. Newborns with asphyxia have a lack of oxygen (hypoxia) and have an increased heart rate (tachycardia). Giving baby positions, such as supination position, pronation, right lateral, left lateral, and head elevation, are expected to improve the hemodynamic of newborns with asphyxia. AIM: This study was to determine the difference in effect between left lateral position and the head elevation position on the heart rate of newborns with a
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