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The article discusses the challenges and resistance to implementing change in medical practices, emphasizing the slow pace of progress despite advances in research and technology. Topics discussed include the importance of evidence-based practices, the role of personal opinions in hindering progress, and strategies for encouraging acceptance of new methods among medical staff.

The article focuses on the evolution of ventilation practices in neonatal care, particularly regarding lung protection, including the decline of chronic lung disease (CLD) in higher post-menstrual age (PMA) cohorts and the utilization of non-invasive ventilation (NIV) modes to reduce CLD risk in smaller infants, emphasizing the importance of understanding the impact of ventilatory strategies on lung development and outcomes.

The article focuses on the administration of antenatal steroids (AS). Topics discussed include the first demonstration of the benefits to infants receiving AS in the late 1960s in experiments using sheep, effect of steroid when delivered prematurely, and trends revealed by investigations in Ontario about the administration of AS.

The article reflects on 35 years of Neonatal intensive care unit practice, emphasizing the evolution of techniques and philosophies. Topics include team-based care, outdated practices like chest physiotherapy, and advancements such as dexamethasone dosing protocols, highlighting the importance of adapting practices based on evolving evidence and knowledge in neonatology.

The article highlights the often overlooked collateral damage experienced by families of premature infants, discussing socioeconomic factors, parental stress, and long-term implications on children's outcomes. It emphasizes the need for a more comprehensive understanding of the challenges faced by families beyond the immediate NICU setting to enable informed decision-making and support allocation.

The article offers information on the importance of employee happiness and retention in the workplace, particularly in healthcare settings like the NICU. Topics include the impact of happy workers on efficiency, the value of human infrastructure in the workplace, and the challenges and dynamics of a multi-generational workforce, including Baby Boomers, Gen X, Gen Y (Millennials), and Gen Z.

The article discusses the use of inotropes in infants in the NICU, emphasizing the importance of considering the risks and benefits of each intervention. It highlights that while some interventions are relatively benign, others, such as inotropes, carry significant risks of morbidity and mortality. Premature infants treated with inotropes are at a higher risk of various morbidities, including IVH, ROP, NEC, and CLD, as well as increased mortality.

The article reflects on the evolution of artificial intelligence (AI) and its growing impact on various aspects of daily life. Topics include the historical development of AI from early diagnostic algorithms to its current applications, the potential of AI to enhance healthcare by providing unbiased information and evaluating evidence, and the future role of AI in improving safety and efficiency in fields such as automotive technology and medical diagnostics.

The article focuses on the evolving field of epigenetics, revealing how environmental factors can alter gene expression over time, potentially leading to unforeseen health risks. Topics include the impact of oxygen exposure in medical settings, the epigenetic effects of chemicals leaching from medical devices, and the long-term consequences of therapeutic interventions like steroids and blood transfusions on gene expression and health outcomes.