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Found 8 results

  1. Dear Colleagues, We are organizing the next annual neonatal simulation conference in September on the 26th and 27th of September 2017 at the Grand Harbour Hotel Southampton in the summer. The conference has a multidisciplinary theme of ‘Simulating Together to Improve Neonatal Outcomes’. We are looking to showcase work done by you in the field of neonatal simulation and technology enhanced learning. There are 8 workshops, 16 plenary sessions and we will be accepting podium presentations and posters as well. There will be dedicated sessions covering simulation technology, debriefing, new mannikins, moulage, manikin modification and barriers to the uptake of simulation. This conference is about your work, let us learn from you. Amongst the awards to be won are ‘Young Investigator of the Year’, ‘Multidisciplinary Simulation Team of the Year’, ‘Application of Technology Enhanced Learning in Neonatal Care’ and ‘NEOSIMTEL CHAMPIONS’. For further information, speakers, and an abstract form or brochure please visit http://www.mproveonline.com/conference We are currently inviting abstracts for all the above including workshops. If you have a neonatal simulation programme and would like to present your work, or are a multiprofessional neonatal team looking to highlight technology enhanced learning in neonatal education please apply through the abstract form. Best Wishes Dr Alok Sharma (aloksharma@nhs.net) & Dr Ranjit Gunda (drgunda@gmail.com)
  2. I have often said that if this came to pass as a mandatory requirement that I would make an announcement shortly thereafter that I was moving on to another career. I think people thought I was kidding but I can put in writing for all to see that I am serious! The subject has been discussed for some time as I can recall such talks with colleagues both in my current position and in other centres. The gist of the argument for staying in-house is that continuity is improved over that period and efficiency gained by avoiding handovers twice a day . How many times have you heard at signover that extubation will be considered for the following morning or to keep the status quo for another issue such as feeding until the next day. No doubt this is influenced by a new set of eyes being in the unit and a change in approach to being one of “putting out fires” overnight. The question then is whether having one Neonatologist there for 24 hours leads to better consistency and with it better outcomes. With respect to PICUs the AAP has previously recommended that 24 hour in-house coverage by an intensivist be the standard so should Neonatology follow suit? A Tale of Two Periods My friends in Calgary, Alberta underwent a change in practice in 2001 in which they transitioned from having an in-house model of Neonatologist coverage for 24 hours a day to one similar to our own centres where the Neonatologist after handover late afternoon could take call from home. An article hot off the presses entitled Twenty-Four hour in-house neonatologist coverage and long-term neurodevelopmental outcomes of preterm infants seeks to help answer this question. The team undertook a retrospective analysis of 387 infants born at < 28 weeks gestational age during the periods of 1998-2000 (24 hour period, N=179 infants) vs 2002 – 2004 (day coverage, N= 208 infants) with the goal of looking at the big picture being follow-up for developmental outcome at 3 years. This is an important outcome as one can look at lots of short term outcomes (which they also did) but in the end what matters most is whether the infants survive and if they do are they any different in the long term. As with any such study it is important to look at whether the infants in the two periods are comparable in terms of risk factors for adverse outcome. Some differences do exist that are worth noting. Increased risk factors in the 24 hour group Chorioamnionitis Maternal smoking Smaller birthweight (875 vs 922 g) Confirmed sepsis (23% vs 14%) Postnatal steroids (45% vs 8%) – but duration of ventilation longer in the day coverage group likely due to less postnatal steroids ( 31 vs 21 days) All of these factors would predict a worse outcome for these infants but in the end for the primary outcome of neurodevelopmental impairment there was no difference. Even after controlling for postnatal steroids, birth weight, sex and 5 minute apgar score there was still no difference. What might this mean? Looking at this with a glass is half full view one might say that with all of the factors above predicting worse outcome for infants, the fact that the groups are not different in outcome may mean that the 24 hour model does indeed confer a benefit. Maybe having a Neonatologist around the clock means that care is made that much better to offset the effect of these other risk factors? On the other hand another explanation could also be that the reason there is no difference is that the sample just isn’t big enough to show a difference. In other words the size of the study might be underpowered to find a difference in developmental outcome. One of the conclusions in this study is that the presence of a Neonatologist around the clock may have led to earlier extubation and account for the nearly 10 day difference in duration of ventilation. While I would love to believe that for personal reasons I don’t think we can ignore the fact that in the earlier epoch almost 50% of the babies received postnatal steroids compared to 8% in the later period. Postnatal steroids work and they do so by helping us get babies off ventilators. It is hard to ignore that point although I woudl like to take credit for such an achievement. For now it would appear that I don’t feel compelled to stay overnight in the hospital unless it is necessary due to patient condition necessitating me having my eye on the patient. I am not sure where our field will go in the future but for now I don’t see the evidence being there for a change in practice. With that I will retire to my bedroom while I am on call and get some rest (I hope).
  3. Port said neonatology society will launch its Fifth neonatology conference, at the 23rd -24th of October 2014, Al Fayrouz resort, Port said. Sessions will start at 5.30 pm Thursday 23rd & Friday the 24th at 10 am & 5.30 pm. There will be a preconference NRP doctors' workshop at the 22nd 23rd of October, another workshop about neonatal echocardiography will be held at Friday 24th . Attending the conference sessions is free but for accommodation at Al Fayrouz resort, a sponsoring company is needed. Registration is needed to attend conference sessions by sending personal data (name, address, workplace, mobile & email), by an email to portsaidnicus@gmail.com. Our organizer: Spark travel, Telefax: +20(2) 240 33 427 / Mob: 01007557666 Address: 8Dr. Mohamed Hamam St, Nasr City, Cairo-
  4. Pediatric Quiz is world's first time bound neonatology android quiz application.Neonatology is the medical specialty of taking care of newborn babies, sick babies, and premature babies. The objective of this app is to help pediatricians practice neonatology questions on their android phones. It is very useful for students appearing for neonatology entrance exams. Practicing pediatricians and medical students must download the app and check/update their knowledge. We have 4 options available in a fun and entertaining way. You would be asked questions of any difficulty level randomly from any topic related to neonatology. This free app contains 5000+ multiple choice questions in Neonatology.Play and increase your knowledge in this subject. Please install on your android mobile/tablet or on PC using bluestacks and leave a review. https://play.google.com/store/apps/details?id=medical.pediatric.doctor
  5. European Neonatal Ethics Conference 1st and 2nd May 2014 Venue: Chilworth Manor Hotel Southampton United Kingdom Simulation Neonatal Ethics & Difficult Situations Workshops 1st May 2014 The first day challenges participants to address challenging issues, ethical dilemmas, and difficult clinical circumstances in a safe simulated environment. Simulations cover decision making regarding difficult ethical scenarios, limits of viability, neonatal death, and serious medical errors. Workshop 1 Neonatal Ethics 15 places Workshop 2 Difficult Situations 15 places Conference 2nd May 2014 The second day allows neonatal staff from different European centers to interact and share with each other practices governing Rights of the newborn Withdrawal of intensive care Extremes of viability Issues of Faith, Pain Conflict within the team about decisions When/How to approach your ethics committee Providing Expert opinions The first day of the conference is limited to 30 delegates in two workshops. Participants from all over Europe are welcome For more information visit the website www.wonepedu.com Contact: Dr Alok Sharma Consultant Neonatologist Lead Wessex Oxford Neonatal Education Programme Lead Neonatal Education Simulation Training (NEST) Princess Anne Hospital University Hospital Southampton SO16 5YA Tel: 07725868090 Email: aloksharma@nhs.net Web: www.wonepedu.com European_Sim_Flyer.doc
  6. CALL FOR SUBMISSIONS! If any neonatologists have a manuscript that has been collecting dust that you believe in but have had difficulty getting published, let us know. We are starting up a new electronic journal in the field of neonatology that will be completely on-line, open-source, and free of charge. Getting papers published is getting harder and harder these days, even those papers that are well-designed but may lack a few things or don't show any statistical significance (i.e. negative studies). We hope to launch the journal in time for PAS/SPR in May. Feel free to email me at eNeoResearch@gmail.com if you have any questions or want to know more about this new Neonatology journal
  7. Our first conference is to be held in Portsaid Egypt, at the 21 st - 23 rd of October 2010, it's a conjoint effort from Portsaid NICU workers to help raise the quality of life for our neonates. The title will be Perinatal medicine, so obstetricians will participate also in this conference in our charming city of Portsaid on Suez Canal, hope you share this acitivity with us M Osama Hussein El Nasr NICU Portsaid