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THe experiments recorded here were initiated following upon the occurrence in this country of foot-and-mouth disease in a cow, which a short time previously had been injected for the purpose of inducing oestrus with a pituitary extract imported from the Continent. Mr D. A. E. Cabot, M.R.C.V.S., Chief Veterinary Officer of the Ministry of Agriculture, made reference to this interesting case in a discussion on foot-and-mouth disease at the First Imperial Veterinary Conference held in London (1938). Confirmation of the nature of the infection was obtained by the inoculation of test animals under experimental conditions with suitable material collected from the injected animal. Further investigations were made. Three ampoules containing pituitary extract were obtained from the distributors in London of the imported commercial preparation under discussion. These ampoules belonged to the same batch as the ampoule with the extract from which the cow had been inoculated. Messrs A. Eccles, M.R.C. V.S. and A. M. Graham, M.R.C.V.S., at the Experimental Station of the Foot-and-Mouth Disease Research Committee at Pirbright, tested this material for virus infectivity by the inoculation of cattle and guinea-pigs. They reported that all three samples of pituitary extract were contaminated with the virus of footand-mouth disease. In addition they produced evidence that the immunological type of the virus recovered from the extract in the ampoules was the same as that of the virus recovered from the cow, viz. Vallée and Carré 0. This and additional information left no doubt that the outbreak of the disease had been produced by the inoculation of the pituitary extract, and further that this extract had been prepared from the pituitary glands of cattle, which were very probably in the early stages of infection with foot-and-mouth disease at the time of slaughter. [ABSTRACT FROM PUBLISHER]

Background and Objective: The morbidity and mortality of infants born extremely preterm varies substantially across networks, within countries and throughout the globe. Most of the literature tends to focus on the management at birth and choices around active resuscitation of extremely preterm infants. Withdrawal and withholding of life sustaining treatment (WWLST) is an important and central process in the neonatal intensive care unit (NICU) and practices vary substantially. As such, our objective in this review was to explore whether end of life decisions also contribute to variations in the morbidity and mortality of periviable infants., Methods: This narrative literature review is based on studies from the last 15 years found using several searches of medical databases (OVID Medline, Scopus and Cochrane Systematic Reviews) performed between March 2021 and December 2023., Key Content and Findings: Just as outcomes in periviable infants vary, the rates of and processes behind WWLST differ in the periviable population. Variation increases as gestational age decreases. Parental involvement is crucial to share decision making but the circumstances and rates of parental involvement differ. Strict guidelines in end-of-life care may not be appropriate, however there is a need for more targeted guidance for periviable infants as a specific population. The current literature available relating to periviable infants or WWLST is minimal, with many datasets rapidly becoming outdated., Conclusions: Further research is needed to establish the role of WWLST in variation of periviable infants' outcomes. The unification of data, acquisition of more recent datasets and inclusion of variables relating to end-of-life decisions in data collection will aid in this process., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://tp.amegroups.com/article/view/10.21037/tp-23-468/coif). K.T. serves as an unpaid editorial board member of Translational Pediatrics from January 2023 to December 2024. The other authors have no conflicts of interest to declare., (2024 Translational Pediatrics. All rights reserved.)