Sutirtha Roy

Another open access article (pdf is freely downloadable) from Journal of Pediatric and Neonatal Individualized Medicine (JPNIM) depicting meticulously the Portuguese experience. May be also of interest to the ‘Neos’ concerned about the organizational part of newborn transport and safety hazards. http://www.jpnim.com/index.php/jpnim/article/view/050201 All these journeys are no doubt historical in the context of industrialized world but still 'early neonatal' and ‘premature’, globally. I am also including the systemic review of Pan American initiative (iris PAHO), focusing the challenges faced every now and then on the other side where the grass is yet to be greener. http://iris.paho.org/xmlui/handle/123456789/31317

This article describes the detailed project aimed to realize a dedicated ground ambulance for neonatal emergency transport service (NETS). https://ijponline.biomedcentral.com/articles/10.1186/s13052-019-0686-y

End-of-Life Care in Neonatal Intensive Care Units from an Asian Perspective An Integrative Review of the Research Literature.pdf Neonatal Palliative Care.pdf

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4437279/pdf/1657-9534-cm-46-01-00001.pdf https://www.commissiononassisteddying.co.uk/dysthanasia/

@ali The following links may be of interest (some of which you had already encountered I guess) http://www.clinicalguidelines.scot.nhs.uk/ggc-paediatric-guidelines/ggc-guidelines/neonatology/cranial-ultrasound-a-guideline-for-the-performance-of-routine-cranial-uss-for-preterm-infants/ http://ultrasoundcases.info/category.aspx?cat=126 https://posterng.netkey.at/esr/viewing/index.php?module=viewing_poster&task=viewsection&pi=119444&ti=392487&searchkey= https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4354604/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1721226/

YOU deserve KUDOS!!!

Many Thanks @edcarsi for the upload and sharing the article. Another notable study was conducted in Brazil in 2009 (beside SciELO also cited in PMC, available both in Spanish and English) echoing the similar aspects of this perpetual issue even beyond the realm of NEOs: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692009000500003

https://www.standard.co.uk/news/world/woman-with-two-wombs-gives-birth-to-twins-one-month-after-having-premature-baby-boy-a4102801.html

https://www.standard.co.uk/news/world/smallest-ever-baby-boy-born-at-268g-breaks-world-survival-record-as-he-is-discharged-from-tokyo-a4077676.html

Newborns in crisis: An outline of neonatal ethical dilemmas in humanitarian medicine. https://onlinelibrary.wiley.com/doi/full/10.1111/dewb.12214 Courtesy: https://www.facebook.com/tetiana.konchakovska

https://www.ncbi.nlm.nih.gov/books/?term=Neonatology

Just few hours back a very important news article came out on the pages of 'The Washington Post'; slightly beyond the domain of pure academics of the Neos it somehow made a full circle. A must read: https://www.washingtonpost.com/news/worldviews/wp/2017/06/29/against-his-parents-wishes-this-terminally-ill-infant-will-be-allowed-to-die/?utm_term=.e207844d7153

Net Essential for the Neos: https://www.nichd.nih.gov/cochrane/Pages/cochrane.aspx https://public.vtoxford.org/database-qi-research/trials/

'Truth is a Corrected Error' Perhaps that could have been our article of 'refrain' long back: https://www.nature.com/jp/journal/v23/n1/pdf/7210858a.pdf (Feeling like Rip van Winkle:) Truth is a Corrected Error.pdf

Thanks Stefan. And concerning the 'formalization' that you had mentioned; I would also like to share one of the most authentic resource we try to follow: http://nuffieldbioethics.org/project/neonatal-medicine Kind Regards. Roy. Postlude: I had mailed you the e-book. Unfortunately our forum upload allows only up to 1.95 MB. Truly neonatal 😊

Hi Stefan, Perhaps you have already gone through; still uploading this interesting article I missed before. The Dutch Experience. Best Wishes for the up-coming meet! End-of-Life Decisions in Dutch Neonatology.pdf

Guys, do you use 'Downe and Sagar' Scoring either?

Would like to add a few more very important links in this regard: http://pediatrics.aappublications.org/content/113/6/1609.full.pdf http://fn.bmj.com/content/92/5/F391.full.pdf

NICU And the lucky god feels himself comfortable; inside, – the incubator perspex. His master’s personal white altar. Eyes tied and those impalpable balls. He was reanimated; now quietly lies under magical spell of lights. And Blues. A bleeding hydrocephalic tellurian synchronizing his breathe with an artificial lung machine; uncuffed tube stuck within, – he couldn’t cry since birth. Whole messy intestine splayed in a makeshift silo. And those long silicon lines; close to his innocent soul; the poor heart still beats, – yet unable to stop constant cravings for a life; « Biutiful ». More than Inarritu or Benigni ever dream. And thus the most expensive white noise of our endless platitude finally reaches its ultimate cyborg spirituality; forever. Beyond all fragile humane worships of an absent multitude! Calcutta. 12.01.2019 (Revised)

Dear Stefan, Hope you are doing fine. Heartfelt congratulations for amazing grand success of the EBNEO. I am afraid that today, I am annoying you with a stupid question. Honestly at first I was not even confident enough to place the topic in our forum. Probably ashamed to acknowledge my invincible ignorance -publicly. Some how I am bit confused. The problem was simple but when I started to figure it out, got bit uncomfortable –may be for no reason; But then I thought it's better to make it clear the fundamentals from the best person [May be I am having serious problems with my basics]. The problem was framed something like that, tagged with a piece of unnecessary information one might think: During conventional or HFOV with inadequate humidification, whether the length and diameter of the circuit limbs [beside the problem of increased resistance]have got any effect on the increased insensible loss for the extremely low birth weight babies [due to the poor down regulation of the Aquaporin channels (AQP 1-5)in the upper respiratory tracts related with gestational age] or not? Please let me know if I made the question clear to you. I was bit perplexed while facing the same. I truly apologize for the half-dazed expressions of mine. I am eagerly looking for your kind response. Warm Regard, Roy.

Welcome "Jack". But I must mention the links,resources or any other food for thought concerning the realm of neonatology provided by Stefan and you I believe,- are simply unique!

Here you are: http://www.metrohealth.org/documents/patient%20services/neonatology/Cyanotic%20Congenital%20Heart%20Disease.pdf http://www.metrohealth.org/documents/patient%20services/neonatology/Evaluation%20of%20Cyanosis.pdf and also http://www.learningradiology.com/lectures/cardiaclectures/cyanoticheartdz.pdf