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Stefan Johansson

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Stefan Johansson last won the day on March 28

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About Stefan Johansson

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    99nicu Team
  • Birthday 06/20/1966

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    consultant neonatologist
  • Affiliation
    Sachs Children's Hospital
  • Location
    Stockholm, Sweden

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  1. The 17th Annual Saudi Neonatology Society Conference was held 11-13 April, 2017. All lectures, including the four lectures I had, were recorded and is now available as a Youtube channel. Please find the link below! http://www.youtube.com/playlist?list=PLJ8UU7ncYL9R7J8LWUXswkil8TVur9EDS
  2. @selvanr4 As I have understood, the etiology is commonly unknown (although UVC is a risk factor) and the outcome is generally also good. Given that liver function is maintained reasonably well, the liver and venous flow will recover over time (recann or new routes) To my knowledge, anticoagulation is not know to work. I have this article in my collection, I guess there are newer reviews out there though: https://www.ncbi.nlm.nih.gov/pubmed/21925985
  3. The backside of whatsup is the limitation of users within a group. We believe that quite many people may join the 99nicu Slack channels
  4. We now 99nicu to Slack Find more info on the link below. To be added there, send me or @Francesco Cardona a message or email info@99nicu.org You can also respond to this thread, please include the email address we shall send the invite to. The team address is 99nicu.slack.com
  5. Although 99nicu.org has a great mobile interface, we lack a dedicated smartphone app. I had a very good discussion with a few colleagues recently that were using Whatsup for chat communication with other neonatologists, and they suggested 99nicu should also start an alternative channel for more simple smartphone communication. As we want to make room for quite a number of people, we have choosen Slack.com as the technical platform for this extension of the 99nicu community. While keeping the simplicity of chatlike smartphone use, it is still possible to organise discussions into "channels" and "threads" What shall we use Slack for? It is all up to us but as there is push notifications directly to the smartphone, I believe we use Slack for patient discussions, when we need prompt advice. To join the 99nicu Slack Channel, you first need to download the Slack app to your mobile. Then we just need to invite you one by one So, if you want to join, message me or @Francesco Cardona , or simply email info@99nicu.org The team address is 99nicu.slack.com
  6. As I wrote in a previous blog post, I am involved in a very exciting, sort of a medical underground project, about providing GMP-produced probiotics for preterm infants. The non-profit company Neobiomics will provide a probiotics product in early 2018, fulfilling specific needs for preterm infants. Non-profit refers to that any potential revenue is re-invested in next generation products or leads to a price reduction. The idea is to have a self-propelling business, without commercial interests. Due to rigorous quality standards (GMP + "Infant grade") and small production batch size we estimate a price of 3 euros per stickpack, i.e. the monthly cost will be around 90 euros/infant. Given larger batches (more people use the product), we expect the price to drop in the future. To make the final internal decision on setting up the production line and produce the first batch, we need to gather information on potential use of this product. If you are interested to use the Neobiomics Probiotics product, “from the community – to the community”, please respond to a few upcoming questions that you find on this URL: https://www.surveymonkey.com/r/neobiomics It takes about 1-2 minutes to respond.
  7. I agree, if you also read the blog post by @AllThingsNeonatal above, I believe that the topic still interesting. After all, NEC is such a multifactorial disease.
  8. In case you have not yet read the blog post below by Michael Narvey, do it! In my twitter feed I just read about the very recent meta-analysis of transfusion-associated NEC From the original paper: In short, confounding by indication is the likely conceptual mistake here. Here's the pubmed URL to the paper: https://www.ncbi.nlm.nih.gov/pubmed/27866662
  9. Just saw this new Cochrane report on Tw: https://www.ncbi.nlm.nih.gov/pubmed/27866662
  10. I still also wonder - are those associations biased by confounding by indication...
  11. I guess many took impression by data from the TIPP-trial, that suggested that surgical ligation of PDA was associated with increased risks of BPD, ROP and neurosensory impairment. http://www.jpeds.com/article/S0022-3476(06)01108-5/abstract Data from a recent and relatively large cohort in Canada, where postnatal preligation morbidities where taken closely into account, has now showed that previous research may be explained by confounding by indication. http://jamanetwork.com/journals/jamapediatrics/article-abstract/2606520 In other words, surgical PDA ligation as such may not be associated with adverse outcomes. Nevertheless, I personally believe that PDA surgery is a very invasive procedure and should used only if the clinical scenario is complex and the PDA is considered to have a major role for that scenario.
  12. For the 99nicu Meetup, not only the venue but also the budget is down-sized So, there won't be funding for the kind of web cast we originally planned. Instead we plan to use Periscope, the live streaming service that (I think) is a Twitter-owned service. It seems from the Periscope test run below, that the image quality from using a smartphone is not superb (despite having the latest model!) but if you plan coming to the 99nicu Meetup and are experienced with Periscope Producer, please drop me a PM or an email. PS. The video is cropped... go to here https://www.periscope.tv/w/1ynJOWYbnaWJR to view it with the full width
  13. @Khaque we had no data on lactate, it is not routinely measured in umbilical cord blood. @tarek although we did not formally investigate the components of pH, I'd say that PCO2 and BD would explain they differences over gestational age. We plan to dig further into the prognostic value of acidosis but the literature and My clinical experience too: I am not so convinced that acidosis alone is a good prognostic factor.
  14. Maybe we were a bit too optimistic about the 99nicu Meetup, when we booked a big and fancy venue However, we will not be 200 people on the meeting, or at least, we cannot take the risk NOT becoming 200 people. While you will still be able to book accommodation at the Clarion Hotel, we will run the conference in a smaller aula for 80 people at "my hospital". The aula (i.e. our hospital) is within 1200 meter walking distance from Clarion Hotel. So, in short, the same great program in a place that will allow great interactivity! What about our plans to make a web cast of the meeting... well, we plan to use some service like Periscope. Or some other DYI solution. Simple, free! See you in Stockholm!
  15. Although we use no "definition" in our unit, I'd consider 7.00 as severe acidosis in a newborn. And 7.10 in an infant who is "crashing" in the unit due to sepsis, NEC etc. For research purposes, our idea is to use something like <1st percentile as definiton of fetal acidosis