Monthly Archives: October 2015

A couple of excellent articles

Posted on 20 October 2015 by Keith Barrington

The first of these 2 articles is a general tale of evidence-based medicine. One of the best articles (or blog posts) that I have read in a long time, from the excellent David Gorski of Science-based Medicine, who is also … Continue reading →

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Outrageous marketing at the CAPHC meeting, selling out for a free lunch.

Posted on 19 October 2015 by Keith Barrington

I was going to write a short post about my presentation at the meeting of the Canadian Association of Pediatric Health Centers (CAPHC) in Quebec city.  I was asked by the organizers to talk about how variations in practice affect … Continue reading →

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Early steroids to prevent Chronic Lung Disease; give them directly into the lungs?

Posted on 16 October 2015 by Keith Barrington

Bassler D, et al. Early Inhaled Budesonide for the Prevention of Bronchopulmonary Dysplasia. New England Journal of Medicine. 2015;373(16):1497-506. One of those ongoing trials that we have been awaiting the results of has just been published. The NEUROSIS trial was a … Continue reading →

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At least they weren’t worse off.

Posted on 14 October 2015 by Keith Barrington

Fever is a frequent response to infection. The inflammatory response to invading organisms often leads to a febrile reaction, which many have suggested is an adaptive response, that might actually have an evolutionary advantage, and improve survival from serious infections. Of course … Continue reading →

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New Publication from the Sainte Justine team

Posted on 13 October 2015 by Keith Barrington

We have just published a new article : The first author Marianne Lapointe is our senior NNP who has been heavily involved in improving nutritional standards in our NICU. She was a leader in developing our enhanced enteral feeding protocols, … Continue reading →

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Respire bébé, respire

Posted on 8 October 2015 by Keith Barrington

Annie Janvier vient de publier un livre. C’est l’histoire de notre fille, et des histoires d’autres familles qu’Annie a rencontré et soigné, et les choses qu’elle a appris de ces familles. C’est un livre publié pour les familles, les soignants, … Continue reading →

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What if 5 were the magic number?

Posted on 5 October 2015 by Keith Barrington

Our weeks are made of 7 days. An entirely arbitrary unit of measurement, based on an idea that 7 is magical, so there are 7 continents, 7 seas, 7 days of the week. Or maybe because you can easily divide … Continue reading →

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PPIs are toxic

Posted on 4 October 2015 by Keith Barrington

PPIs could mean “public-private initiatives” which are highly toxic, as recent experience in the UK and in Quebec has shown, but in this case I mean proton pump inhibitors. Stark CM, Nylund CM. Side Effects and Complications of Proton Pump … Continue reading →

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Holland is changing

Posted on 4 October 2015 by Keith Barrington

A new article from the Groningen group, plus Annie Janvier. Koper JF, et al. Dutch neonatologists have adopted a more interventionist approach to neonatal care. Acta Paediatr. 2015;104(9):888-93. It documents changes in their delivery room and NICU in end-of life practices between … Continue reading →

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Prebiotics, Probiotics and the microbiome

Posted on 2 October 2015 by Keith Barrington

A series of interesting recent articles: Yang J, et al. Application of Laser Capture Microdissection and 16S rRNA Gene Polymerase Chain Reaction in the Analysis of Bacteria Colonizing the Intestinal Tissue of Neonates With Necrotizing Enterocolitis. Pediatr Infect Dis J. … Continue reading →

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