Perspectives from military neonatal transport: past, present, and future.

This article traces the historical development of neonatal transport, from ancient Greek mythology to the modern era, with a particular focus on the contributions of U.S. military aviation. The narrative begins with early efforts in thermoregulation through stationary incubators and progresses to the pivotal role of aerial hospitals during World War II. Post-WWII, the establishment of neonatal transport services in New York and advancements in incubator technology set the stage for further innovation. The U.S. military's involvement in neonatal transport, initiated in the 1970s, witnessed significant milestones, including the adaptation of ECMO technology for air transport. The narrative unfolds through the lens of U.S. military neonatology in the Western Pacific, particularly at Clark Air Base. The article concludes with insights into the U.S. Indo-Pacific Command's neonatal transport mission, highlighting challenges faced during the SARS-CoV-2/COVID-19 pandemic and the development of specialized infection containment transport systems.

Historical Perspectives: Telemedicine in Neonatology.

Telemedicine is fast becoming integrated into health care as a way to increase access for patients, particularly across the urban/rural divide. Use of telemedicine in neonatology is a newer, yet rapidly expanding modality. This review outlines the history of telemedicine, the evolution of its current uses in neonatology, requirements for starting a telemedicine program, and potential future uses.

Integrating Parents in Neonatal and Pediatric Research.

BACKGROUND: Parents and their infants are the beneficiaries of neonatal and pediatric research, but in the past they have been excluded from most stages of research projects. As a result, many projects may fail to produce the most worthwhile information for parents and families. Lately, veteran resource parents and patients have been increasingly integrated in research initiatives. METHODS: Benchmarking of neonatal and pediatric research initiatives where resource parents and/or ex neonatal patients have helped to optimize pediatric research. We review ways in which resource parents/patients can be involved in research, with examples and practical ideas of how to proceed. RESULTS: Resource parents/patients can be collaborators in research and be integrated in many steps: prioritizing research projects, designing trials, determining the outcomes of interest, ethics review, developing and improving consent procedures, collection and interpretation of data, participation in data safety monitoring committees, publication of results, and presentation to peer groups. Some of the strategies for integration of stakeholders in clinical research are more complex, may involve risk and require more training than others. CONCLUSION: We suggest that groups wanting to involve parents in their research endeavors start with simpler tasks that entail less risk and develop teams of resource parents who have differing interests and abilities. Quality control of programs is essential, such as frequently giving and obtaining feedback from resource parents/patients and researchers. In the future, integration of resource parents/patients into every step of clinical research will be essential to ensure that parent and family important outcomes are examined.

Fundamentos do cuidado na pesagem do recém-nascido / Fundamentals of care in weighing the newborn / Fundamentos de cuidado de peso en el recién

Objetivo: Descrever, comparativamente, duas imagens representativas do procedimento de pesagem dos recém-nascidos, contidas em obras de 1949 e 2011. Metodologia: O estudo tem por proposta a história comparada. Resultados e discussão: Na publicação do ano de 1949, identificou-se a preocupação acentuada no recém-nascido com quantitativo de imagens utilizadas para o seu manuseio, que, de forma distinta, é possível se identificar em 2011, quando se aponta a preocupação com a técnica da pesagem direcionada ao lençol. Conclusão: Pela visualização dos mosaicos, evidenciou-se que, em 1949, o recém-nascido era o ponto maior de importância do cuidado direto; enquanto que, em 2011, infere-se ser o instrumento tecnológico o que merece destaque visual. Dessa maneira, o presente estudo traz à baila reflexões que permitem margens para futuras pesquisas sobre o quão semelhante, ou não, poder-se-ia apontar os cuidados realizados numa vertente observacional do passado no presente no cuidado em neonatologia

Purpose: to describe, comparatively, two representative images of the weighing procedure of newborns contained in works from 1949 and 2011. Methodology: The study proposes comparative history. Results and discussion: In the publication of 1949, a marked concern was identified in the newborn with quantitative images used to handle it, which is distinctly identifiable in 2011, when it is pointed out the concern with the Weighing technique directed to the sheet. Conclusion: From the visualization of the mosaics, it was evidenced that in 1949, the newborn was the greatest point of importance of direct care; While in 2011, it is inferred to be the technological instrument that deserves visual prominence. In this way, the present study brings to the fore reflections that allow margins for future research on how similar, or not, it would be possible to point out the care performed in an observational aspect of the past in the present in neonatology care

Objetivo: Describir comparativamente dos imágenes representativas del procedimiento de peso de los recién nacidos contenida en las obras de 1949 y 2011. Métodos: El estudio se propone la historia comparada. Resultados y discusión: En la publicación del año 1949, que identifican la fuerte preocupación en el recién nacido con imágenes cuantitativos utilizados para el manejo de la misma, que de diferentes maneras puede ser identificado en 2011, cuando se señala la preocupación por pesar el arte dirigido a la hoja. Conclusión: Para la visualización de mosaicos, se hizo evidente que en 1949, el recién nacido era el punto más importante de la atención directa; mientras que en 2011, se infiere que la herramienta tecnológica que merece más destacado visual. Por lo tanto, este estudio nos lleva a reflexiones que permiten márgenes para futuras investigaciones sobre cómo similares o no, el poder desea señalar a la atención proporcionada en un brazo de observación del pasado en el presente en el cuidado de neonatología