Avery's neonatology : pathophysiology & management of the by Gordon B Avery; Mhairi G MacDonald; Mary M K Seshia; Martha

By Gordon B Avery; Mhairi G MacDonald; Mary M K Seshia; Martha D Mullett

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Sample text

Neonatologists today struggle with hospital administrators, pediatric training program directors, legislatures, Congress, the courts, the federal government, malpractice lawyers, right-to-life groups, and ethicists in an effort to determine their proper roles and limits. Caught in a cross-fire between strenuous cost-containment measures and regulations mandating the vigorous treatment of all newborns regardless of prognosis, many neonatologists wonder when a stable situation will be reached. Yet stimulating growth has occurred, mainly since 1960.

The branches have spread so widely that it is difficult for a single person to be expert in all the areas of activity required for a tertiary neonatology service. Important interactions have gone beyond allied disciplines such as obstetrics, anesthesiology, cardiology, radiology, and surgery. Neonatologists today struggle with hospital administrators, pediatric training program directors, legislatures, Congress, the courts, the federal government, malpractice lawyers, right-to-life groups, and ethicists in an effort to determine their proper roles and limits.

Novel notions on newborn lung disease. Nat Med 2002;8:664–666. 8. Zaidi SH, You XM, Ciura S Husain M, et al. Overexpression of the serine protease elafin protects transgenic mice from hypoxic pulmonary hypertension. Circulation 2002;105:516–521. 9. O'Blenes SB, Fischer S, McIntyre B, et al. Hemodynamic unloading leads to regression of pulmonary vascular disease in rats. J Thorac Cardiovasc Surg 2001;121:279–289. 10. Vidyasagar D. A global view of advancing neonatal health and survival. J Perinatol 2002;22:513–515.

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