The Nils Rosén von Rosenstein Award 2009
Nils Rosén von Rosenstein was contemporary to Carl Linnaeus in Uppsala in the 18th Century. Although von Rosenstein is less well-known his importance to paediatrics should be regarded nearly in the same order as that of Linnaeus to botany. In this issue, one of the three Nils Rosén von Rosenstein laureates this year, Ingemar Kjellmer, presents a fictive conversation on how paediatrics as a discipline has developed and how von Rosenstein would evaluate current practice (pp. 1392–1399).
CPAP has been used extensively in Denmark and Sweden. Jens Kamper et al in Denmark reported very successful treatment of very low birth weight infants with CPAP Acta Paediatr 1993:82:193–7. Also from Columbia University in New York, the good results with CPAP were reported. Actually, Columbia was found to have the lowest incidence of BPD – bronchopulmonary dysplasia among eight leading North-American centers. However, the use of CPAP was not generally accepted and Cliff Roberton asked in a Commentary in Acta Paediatrica: “Does CPAP work when it really matters?” Few neonatologists now doubt the importance of nasal CPAP, particularly in combination with surfactant. See the review by Henrik Verder et al (pp. 1400–1408).
Resuscitation at the limits of viability
A number of national studies on the survival of extremely preterm infants have recently been published (EPICure from UK, Epipage from France, EPIBEL from Belgium and recently Express from Sweden). In this issue, an Irish perspective is presented. In a questionnaire, obstetricians and neonatologists were asked whether they would advocate resuscitation of extremely preterm infants. Only 10% of healthcare providers would advocate resuscitation at 23 weeks as compared with 80% at 24 weeks gestation. See article by Rizwan A Khan et al (pp.1456–1460). A more positive attitude towards resuscitation of extremely preterm infants is reported by Patrizia Kutz et al (pp. 1451–1455).
Fish is good for you
In a previous issue of Acta Paediatrica it was reported that children who had eaten fish more often had better cognitive development. In this issue, Catrin Furuhjelm et al report that the risk of infant allergy is decreased when mothers eat fish oil supplementation during pregnancy and lactation (pp. 1461–1467).
Most very low birth weight subjects do well as adults
A number of studies have reported deficits in cognitive and academic achievement and behaviour problems among adult ex-premies. This is only partially confirmed by Per-Olof Gäddlin et al, who found that most of the ex-premies seem to manage quite as well as controls. Particularly their perceived self-esteem and quality of life were found to be surprisingly good (pp. 1513–1520)