Abstractsvitamin-E levels were significantly increased in SMOFlipid group. Oleic and Linoleic acid levels were increased in both groups. No significant differences were noted in post study Docosahexaenoic acid (DHA) levels in both groups despite higher levels of DHA in SMOFlipid. Conclusions SMOFlipid was safe, well tolerated and also showed beneficial effect in terms of reduction of oxidative stress by reducing lipid peroxidation levels in high risk preterm neonates. Vascular pressure reactivity is the ability of vascular smooth muscle to respond to changes in transmural pressure. In the cerebral circulation this reactivity -or autoregulation -limits cerebral blood flow variation over a range of cerebral perfusion pressures ensuring adequate perfusion and oxygenation to the brain. CEREBRAL AUTOREGULATION IN THE NEWBORNIn adults cerebrovascular pressure reactivity can be determined by observing the response of intracranial pressure (ICP) to changes in mean arterial blood pressure. Non-invasive techniques such as transcranial Doppler ultrasound and near-infrared spectroscopy have been validated against ICP measurements, which have enabled continuous assessment of cerebral autoregulation to be investigated in newborn infants.A number of different techniques have been described, including static and dynamic measurements and analysis in the time and frequency domain, yet despite many years of research the characteristics of cerebral autoregulation in the newborn are still not clear.Both the presence and limits of autoregulation has been much debated although there is increasing evidence that autoregulation, while present in healthy infants, is impaired in sick term and preterm neonates and that this impairment may be a predictor of poor outcome.In clinical practice there is a reliance on blood pressure measurements alone to make informed clinical decisions, which ignores the complex circulatory control mechanisms that exist to optimize oxygen delivery to the brain. The ability to obtain continuous quantitative information on cerebral autoregulation at the cotsie would represent a significant advance in the management of these patients. Objective To investigate the hemodynamic changes during transition at birth obtaining non-invasive physiological data in healthy term infants. Methods In 18 newborns (GA 39 weeks (38-39)) born by a caesarian section; arterial oxygen saturation (SaO 2 ) (preductally), heart rate (HR) and non-invasive blood pressure (BP) were measured and echocardiography using M-mode and Doppler flow was performed at 2, 5 and 10 minutes after birth. Results Oxygen saturation and HR were within recommended target ranges. Mean BP did not change between measurement intervals (55 mm Hg at 2 min, 54 mm Hg at 5 min. and 54 mm Hg at 10 min) and was similar as BP measured at day 1. Objective To evaluate the effect of slow versus rapid rates of advancement of enteral feed volumes upon the clinical outcomes in preterm infants with 750-1250g birth weight. Study Design A total of 92 stable neonates with the birth ...
pregnancy. Assessment of adrenal function should be preserved for newborns with clinical suspicion of adrenal dysfunction or with risk factors as prematurity or placenta bed pathology.
methods of treatment such as Acupuncture, herbal medicine and massage therapy. The complementary and alternative medicine is a widespread phenomenon, In Europe, complementary therapies are used by 20-50% of the population. Among pediatric populations, Acupuncture is considered the backbone of the CAM modalities. Methods we applied the acupuncture sessions for 30 cases of children who suffering from asthma on their conventional medical treatment on certain points according to Traditional Chinese Medicine for 12 sessions in one month and measuring of Pulmonary functions including (VC%, FVC%, FEV1%, FEF25-75%, FEF25%, FEF50%, FEF75%, PEF%), IL-6, IgE, Eosinophilic count before and after the sessions. Clinical grading and medications used before and after the acupuncture sessions measured. Results There were significant improvement in Pulmonary functions: VC% (p<0.001), FVC% (p<0.001), FEV1% (p<0.001), FEF25-75% (p<0.001), PEF% (p<0.001), FEF25% (p<0.001) FEF50% (p<0.001), FEF75% (p<0.001). There were significant decrease in Eosinophilic count (p<0.001). More over there were improvement in IL-6 and IgE levels in the blood. However there were improvements in clinical conditions of the patients (symptoms, signs, grade of asthma) also there was decrease in their medications used. Conclusions Acupuncture improves pulmonary functions of the children with bronchial asthma however it decreases the serum levels of Eosinophilic count, IL-6 and IgE with decrease all medications used by children before needle sessions.
Background and aims:International guidelines recommend that positive pressure ventilation (PPV) in the delivery room (DR) is guided by chest rise and heart rate. Tidal volume (V T ) delivery during resuscitation is highly variable and we have shown that resuscitators cannot accurately estimate tidal volume delivery (Schmölzer, ESPR 2009).
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