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Dr. Omayma Hemida

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    Saudi Arabia

Everything posted by Dr. Omayma Hemida

  1. Hi, I did MS in Neonatology with the University of Southampton, it is an excellent experience. I am a better neonatologist after completing each module, this is the bottom line. Of course, the degree depends hugely on self learning, but who and how can motivate you, that is the essence of how effective that kind of learning. Each module is divided into 3 parts: 1- online discussion about a subject , the tutor starts a thread and stimulate the participants to engage in the discussion and show your expertise, your knowledge and your efforts to search new evidence. So it is not about a lecture you read and retain some information and forget them later. There is a mark for online contribution in the discussions (quality and quantity) 2- mcq exam at the end . 3- Assignment. Four years after completing the haemodynamics module, as an example, I am still on the track , at a higher level of knowledge and understanding. Ironically most of NICUs are adopting traditions and dogmas for managing hypotension and PPHN, and it is so challenging to change, but maintaining up-to-date insightful knowledge, you will be capable of implementing improvements. A great advantage of the degree us that you will gain a huge experience in academic writing , through the online discussions and the assignments. Evidence based practice, this degree is the real chance to understand, practice and be capable to teach EBP. Money wise , yes costly, but there is a chance to do modules as CPD , with less expensive fees. Time and convenience, even if u do one module per year, that is very good. If you do Neonatal nutrition in 3 and half months then work on teaching and improving practice in your unit , for the rest of the year then move to another module. This is how it should work, not just a line in my CV , it is a way of life as a good neonatologist It is convenient, yes a hard work but generally convenient. Good luck Omayma Hemida
  2. Nasojejunal feeding has been used frequently in my neonatal unit, even with CGA is as premature as 28 week. My concerns were many , but what I would like to highlight: Fat digestion in those babies was compromised and they had very high triglyceride : Preduodenal lipase is inactive beyond the Pylorus. ( Manson WG and Weaver LT : fat digestion in the neonate, Archives Disease of Childhood, Foetal & neonatal ed. 1997; 76: F206-211) Also lack of fortification of EBM , resulted in poor weight gain and MBD
  3. I see it frequently in otherwise healthy babies..the reassuring sign: the postductal saturation is 95-100% in those babies with very well felt femorals. It happened that most of those babies where somehow polycythaemic ( Hb around 200mg%) Also if you do echo..likely the duct will be still open ( transitional). If you check the Saturations pre and post few times a day (baby is healthy and feeding) you will see the difference decrease and likely to normalize around day3. I still have no physiological explanation.
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