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Meta
Monthly Archives: October 2024
Badly performed, badly presented, unethical published research; what to do?
Since at least 2013 the World Medical Association Declaration of Helsinki has mandated registration of clinical trials prior to enrolment of the first subject. Since 2005 the International Committee of Medical Journal Editors has required trial registration as a condition … Continue reading
Posted in Neonatal Research
Tagged caffeine, Ethics, Randomized Controlled Trials, Research Design
4 Comments
Too much antibiotics, part 2
The multicentre project, that I started the last post with, has just published a new important article, which addresses the duration of antibiotic treatment (Dimopoulou V, et al. Antibiotic exposure for culture-negative early-onset sepsis in late-preterm and term newborns: an … Continue reading
Too much antibiotics, part 1.
An important multi-centre observational study examines how many newborn infants, term or late-preterm are receiving antibiotics, for how long, and the responses to negative cultures. Centres from Europe, Australia and North America are represented. Data collection differs between the participants … Continue reading
Does preterm formula cause NEC?
The question in the title was recently adjudicated in US courtrooms, with an enormous award of damages to the family of a premature infant who developed Necrotising Enterocolitis, and survived, but has, apparently, major neurodevelopmental issues. In July, the jury … Continue reading
Posted in Neonatal Research
4 Comments
Long-term outcomes after preterm birth; the next step
I usually try to avoid buzz-words and phrases like “paradigm shift” but it applies well, I think, to what is happening in the world of neonatal follow-up, and more broadly, I hope, to neonatal research as a whole. Neonatologists were … Continue reading
What should saturation targets be in established chronic lung disease with pulmonary hypertension?
This question has been puzzling me recently, as we are trying to evaluate our current approach, and whether it needs to be changed. My bias has been that oxygen is toxic, and we should only give the minimum needed to … Continue reading
Posted in Neonatal Research
Tagged BPD, long term outcomes, oxygen therapy, oxygen toxicity, pulmonary hypertension
1 Comment
Making decisions for extreme preterms, do parents regret their choices?
In 2022 we published an article addressing the question in the title. As part of the Parents’ Voices Project, we questioned families of very preterm infants at follow up about their experiences prior to, during, and after the NICU. 98% … Continue reading
Posted in Neonatal Research
Tagged End-of-life decisions, Ethics, long term outcomes, regret
3 Comments
