Stefan Johansson

Haha! Wish the same, Happy Neo Year!

HI, I just saw that someone had responded to your question on our Facebook page: Good luck searching there! BTW, here's our FB page:http://www.facebook.com/pages/99nicu/123925144310587

You can buy this book from Amazon.com. 99nicu is a partner of Amazon and a purchase using the link below, results in a small portion of the order value being paid back to 99nicu. At no extra cost for you. Click here to order this book through Amazon.com!

Hi again and thanks for your feedback! You're right! The problem is, we use this software "as is" "out-of-the-box". I wish I was able to customize the forums to something better but I am not skilled enough to do this. Sorry about this but after all, I am a amateur when it comes to computers. That's ok. And if you find time later, you could still write a review. You can change your DST settings in your own control panel. Click on SETTINGS in the top right corner, and then click GENERAL SETTINGS in the left-hand column. Scroll down and you can change your own to the correct DST setting. Happy New Year from a frosty Stockholm!

Thanks for your kind words! Thanks for solving this yourself, you used the right method ("click & go, trial & error")! Once a member is logged in, this is really the best method. But, we also have a short manual... http://www.99nicu.org/forum/showthread.php?807-User-Manual-for-99nicu BTW: I moved your thread to the Feedback & Support forum.

Will look into this!

There are echo courses in London, UK: check this link out: http://www.rbht.nhs.uk/healthprofessionals/clinical-departments/paediatrics/morphology/ (I and a few colleagues used to organize ultrasound courses in Stockholm (brain+heart). Unfortunately, there is no course in pipeline...)

I heard about this site but I cannot get it working using Safari, Firefox, Chrome... any advice?

Just wanted to say Happy Holidays to everyone! Looking forward to 2011 and charged batteries!

Thanks for your comment. Hans Rosling was one of my teachers in Uppsala, Sweden, where I was a medical student. A truly fascinating and very inspiring doctor! One of my role models back then, although I never made my way to Africa and work there.

In case you have missed this... Researchers at the Charité university hospital in Berlin, Germany, had (convinced?) a pregnant woman to deliver her baby in an MRI camera! Spectacular experiment! Creating buzz and headlines! If you ask me, this is a great combination of great PR work and serious research. Everyone involved gets fame and cred (also the baby I hope), and the research group will be granted to take their work to new heights. We need to learn more about the birthday, probably the most hazardous day in our lifes (if we don’t consider our very last day, lethal as it is...) The actual journey to life, so often complicated (as you know), needs more researched. Off-topic: while browsing the Charité web I found an extraordinary webcam. These German cranes make me... happy!

The guidelines are now online but only in Swedish. Try to use Google translate: Overview: http://www.vardhandboken.se/Texter/Brostmjolkshantering/Oversikt/ Milk from the infant's mother: http://www.vardhandboken.se/Texter/Brostmjolkshantering/Fran-egna-modern/ Milk from donor: http://www.vardhandboken.se/Texter/Brostmjolkshantering/Fran-givare/ Practical handling: http://www.vardhandboken.se/Texter/Brostmjolkshantering/Praktisk-hantering/ References: http://www.vardhandboken.se/Texter/Brostmjolkshantering/Referenser/

I do not have the document in PDF unfortunately, and the guidelines are not longer availabel on the web, probably due to a revision process going on. The only web page online seems to be the references: http://www.vardhandboken.se/Texter/Brostmjolkshantering/Referenser/ There you find ref's to guidelines in English (UK and US) But, I found cached web pages on Google (today's Big Brother...) http://webcache.googleusercontent.com/search?q=cache:kT0ogUFoPJoJ:www.vardhandboken.se/Texter/Brostmjolkshantering/Oversikt/+Bro%CC%88stmjo%CC%88lkshantering&cd=2&hl=sv&ct=clnk&gl=se&client=firefox-a http://webcache.googleusercontent.com/search?q=cache:e5cCcSDJh-0J:www.vardhandboken.se/Texter/Brostmjolkshantering/Praktisk-hantering/+Bro%CC%88stmjo%CC%88lkshantering&cd=3&hl=sv&ct=clnk&gl=se&client=firefox-a http://webcache.googleusercontent.com/search?q=cache:ZZGRpPngfE0J:www.vardhandboken.se/Texter/Brostmjolkshantering/Fran-givare/+Bro%CC%88stmjo%CC%88lkshantering&cd=4&hl=sv&ct=clnk&gl=se&client=firefox-a

Hi! Well, I think I get the theory but know that this can be tricky IRL , therefore I look at more than just a pos/neg figure of fluid balance. Before deciding about feeding, infusions, diuretics etc-etc. I think you already know this, the balance is (fluids in)-(fluids out). Usually we know how we feed and infuse, but the fluid losses (perspiratio, evaporation, urine, feces) can be difficult to assess as a precise number. Of course, the balance has some impact, but I also try to assess other clinical signs (edema), the weight, ultrasound (such as contractility, venous filling in critically) etc as well. In addition, even a positive fluid balance may not mean an increased cardiovascular load, since fluids commonly enter the extravascular/interstitial space, for example in very sick infants. Fluid management in the NICU, a topic for a book!

Great resource! Thanks for sharing!

Hans Rosling: Swedish physician international health researcher founder of Gapminder.org great speaker in 2009, one of the top 100 global thinkers You may have seen his talks on Youtube or TED before, but in case you haven't, enjoy this!

Read this thread about osmolarity. It seems that practises vary, some seem to go as high as 1800 mosmol/l. Personally, I'd not advocate such high osmolarity, even central lines can result in extravasation and a very hypertonic solution i any extravascular space... http://www.99nicu.org/forum/showthread.php?760-NICU-TPN-OSMOLARITY Maybe this reference may give you some information about hypertonic solutions: http://www.ncbi.nlm.nih.gov/pubmed/12389676

Sounds as if you need a very large study sample for such a study, to get statistical power. Have you done a power calculation (i.e. what mortalities do you consider likely in the LBW/SGA group and in the control AGA group)?

I tried searching PubMed using the Mesh terms "Infants, small for gestational age" and "Postop complications" Few hits: http://www.ncbi.nlm.nih.gov/pubmed?term=%22Infant,+Small+for+Gestational+Age%22[Mesh]+AND+%22Postoperative+Complications%22[Mesh] What kind of postop problem/prognosis are you searching for? (mortality, morbidity, emesis, pain etc?)

Thanks for posting this video. Must be painful for the baby. I uploaded a few images in the Image library some time ago on "Amniotic band syndrome" (same patophysiology) http://www.99nicu.org/forum/photoplog/index.php?n=53

Happy anniversary "unputdownable" - that's a word I know from experience: http://www.99nicu.org/forum/entry.php?65-Hackers-meet-us-if-you-dare.

A forum dedicated to breast feeding is a good idea. I am pretty sure we had that discussion a few years ago. I think we should have it as a sub-forum to Nutrition. Will set it up asap!

Hi! I have no fixed protocol for this topic but personally (and I think that my colleagues share this opinion) is to check both Hb, EVF and reticulocytes when we check for anemia in "recovering" preterm infants. If reticulocytes are low and Hb/EVF can be accepted (and the baby is gaining weight and is reasonably well/stable of course!), I try to postpone a transfusion as much as possible to stimulate reticulocyte production. Similarly, high reticulocytes and an acceptable Hb/EVF... same strategy. When I come to think of this... we try hard to postpone all tranfusions, we only give erytrocytes when we feel anemia is truly "symtomatic" (whatever that may mean )

I think we could either 1) upload them here as attachments or 2) share as links. Large files should preferably be uploaded on services like the one @Jack proposes.

I just want to share the link to the e-book "MRI of the neonatal brain", freely available on the web site www.mrineonatalbrain.com The content was printed as a book in 2001, but is out of print. Professor Mary Rutherford who edited the book wrote to me: My thanks to Sutirtha Roy who shared this link in a comment to the Leading article about how cranial ultrasound correlate with MRI findings.