Everything posted by Stefan Johansson
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Conference on evidence-based neonatology - Dream Team?
BTW, right now I am spending two days with the Swe Med Journal at http://en.djuronaset.com/ Really nice place, they have a lecture room for 400 people, and can house 280 people in single rooms. A bit outside Stockholm but in the archipelag.
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Conference on evidence-based neonatology - Dream Team?
Thanks for filling the schedule up! I have communincated with JACK/Habib. Maybe it would be good to focus on a few major topics (3-4), have several lectures on that topics, finishing with a panel discussion. We have started a Wave (Google Wave) about the schedule. Hesham, do you have Wave, if not I can send you an invite!
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Neonatal Doc - where are you?
I don't read many blogs, but I follow The Premie Experiment (http://thepreemieexperiment.blogspot.com/) and Science-Based Medicine (http://www.sciencebasedmedicine.org/) Still, there is one neonatal blog that I certainly miss, Neonatal Doc (http://neonataldoc.blogspot.com/) Whoever this person is, I would like to read more! If this whoever person reads this, please email me personally at stefan.johansson@ki.se would love to hear more from you and to offer you a anonymeous blog space here at 99nicu
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Xenon & HIE
Very interesting article, indeed! I had not heard about the potential benefits of Xenon at all, this is completely new to me! Will be interesting to follow future research, I know prof Marianne Thoresen is a star. (Norwegian star, living in the UK)
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Intestinal transplant
Hi from Sweden, warming up after a very heavy winter! Why a transplant? Is it not possible to do resect the atretic part and do an end-end anastomosis? (I have no personal experience myself from intestinal transplants. The only patient group I have seen that could be candidates are those infants short bowel syndrome. They all have long-term parenteral nutrition when they graudate from neonatal care, and to my knowledge noone has yet needed transplants later in childhood).
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Online Delphi Survey: Chronic Pain in the Neonate
Great to hear!
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New syndrome !!!
Study "based on a Harris poll for Intel of 2,315 people in the United States. " Whatever a Harris poll is - this is not EBM, I'm sure! Intel just want us to get faster machines. Personally, I think the new technologies are influencing us a lot, also in negative ways. But, that stress is more related to being reachable, to have less sharp boundaries between work and leisure etc. Technostress! http://en.wikipedia.org/wiki/Technostress Bottom-line - this is not a complete joke, but a partial one!
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Need (...) an Ipad - anyone from the US visiting Sweden this spring?
I would really like to have an Ipad. If anyone from the US is visiting Stockholm in the near future, and would like to "import" an Ipad for me, please get in touch! johansson@mac.se or info@99nicu.org or PM or anything
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Conference on evidence-based neonatology - Dream Team?
here comes an updated version of a possible/preliminary schedule. Please feel free to revise and re-upload (add as attachment)! schedule_3ds..doc
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Online Delphi Survey: Chronic Pain in the Neonate
It would be interesting to hear if you managed to recruit responders here. And, I am personally also very interested to hear about the results from your survey. Important topic!
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Ipad - in neonatal care and research
I am curious to know more about Ipad use in neonatal care and research. I read about the application "Papers", which can be used for collections of PDFs. http://mekentosj.com/papers/ipad/ Please share your experiences here! PS. We are also interested to have reviews of the actual Ipad, medical/research software etc. If you're interested, please email info@99nicu.org
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Ipad - where are you?!
I live in Sweden. That's a non-Ipad-land. Probably for a long time. (2011?) I just browsed several of the reviews from Over There, and even Walt Mossberg at Wall Street Journal likes it. And David Pogue at NYT wrote two reviews, one for "techies" and one for everyone else! Come on Jobs - get the Ipad localised in Swedish (with åäö etc) and send me one! Video review.... http://www.youtube.com/watch?v=_Y7_3H5B7DQ
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Do we need a Facebook Fan Page?
You all know about Facebook and most of you reading this is probably members too. Do we need our own Fan Club on Facebook? We would be able to meet many more people. But, we have our own community here. What do you think about pros/cons? I am not so good at Facebooking ,(inactive member...), but would you be in interested to administer a 99nicu FB Page? BTW, I just found the fan page of Neonatology Reviews http://www.facebook.com/group.php?gid=21102202700
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Conference on evidence-based neonatology - Dream Team?
I think it would be lots of work to coordinate three days of rather short lectures. And expensive, given travels and hotels more maybe 25 speakers. But, maybe topics related to EBM deserve longer lectures, say 40 min lectures with 20 min discussion? What do you think about a 3-day plan (see attachment). 19 speakers in all.
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Thrombocytes needed for PDA closure
I guess you may already have read about the paper in Nature Medicine showing that trombocytes contribute to duct closure. A "Research News" note is posted here! Nice paper, not often neonatal research finds its way into a Nature journal! Biologically plausible. Would be interesting to think about how this could be studied in clinical settings? Interventions?
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Conference on evidence-based neonatology - Dream Team?
What do you think about a prel time scheme like this? In all, 18 lectures, each lasting 25 (or 20) min + 10 (or 15) min discussion schedule..doc
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Conference on evidence-based neonatology - Dream Team?
I think early June would be better than Jan-March - weather-wise Sweden is much more welcoming that time of the year. How about 3-4 June 2011? Any know conflicts?
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Conference on evidence-based neonatology - Dream Team?
We are nourishing an idea of a 99nicu conference. About evidence-based neonatology ("today and tomorrow"). In Stockholm The idea is to have a two-day program of shorter lectures, i.e. about 15-20 lectures would be sufficient. What topics and speakers would YOU like to see in the programme?
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Can we learn ANYTHING from dr House?
@fcardona I completely agree, one gets feed up. But I watch only to keep the family company The link is great! I read about the medical advisor in BMJ recently, cannot find the link now though. Mad Men, that's my series now!
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Hackers - meet us if you dare.
As far as I understand, an old wordpress installation (not used) was hacked and the hacker installed email spamming scripts. Nothing to do with the domains (which are kept well secured!)
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PDA and Phototherapy
Personally, I do not feel convinced this association is a scientifically robust association. It may well be that phototherapy is a proxy for other factors related to duct opening, rather than the phototherapy itself being part of the causal chain of events. There are lots of preterm infants with PDA's and hyperbili. One could easily recruit hundreds of infants to an (unblinded) RCT, comparing coverage vs no coverage, being able to control for potential confounders.
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first inotrope in premature newborn born after prolonged labour
Functional echo! Just kidding. NIRS? But, measuring systemic venous return i v cava superior, gives good marker of cerebral perfusion. http://www.ncbi.nlm.nih.gov/pubmed/10794784
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Analgesia in neonatal fractures
Almost all fractures I have come acros have been osteoporotic fractures in extr preterm infants, the remaining being traumatic fractures after traumatic instrumental deliveries (vag or CS). In addition to analgesic, good and comfortable fixation (as suggested by the ortoph people) is important for pain.
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Base deficit and the use of bicarbonate/buffer.
This is a rather historical note from myself (since I hardly use buffer now): I was taught from my mentor to calculate the volume of buffer (Tribonat, mixture of trometamol and Sod-Bic) so it would target a BE of -5 ("then the baby will do the rest"). I guess that was a half-buffering approach. Buffer was usually used as extra volume, so the volume admin was not added in the water-balance calculations.
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first inotrope in premature newborn born after prolonged labour
Thanks for raising this issue. I have often found that many people do not consider the different concepts of (blood) pressure and (blood) flow. I would also like to recommend this review by Nick Evans. Functional echo! That's what we need to learn, to diagnose and treat hemodynamic problems in the newborn.