congenital heart disease in infancy and childhood

... evidence of chylothorax In contrast, TPN has much more side effects and has no higher efficacy in treating chylothorax [12] Panthongviriyakul and Bines suggest using TPN in cases with elevated ... surgery on congenital heart disease in newborns and infants – risk factors and efficacy of MCT-diet Journal of Cardiothoracic Surgery 2010 5:127 Submit your next manuscript to BioMed Central and take ... strategies were applied following clinical decision Page of Results We analyzed the data of 282 neonatal or infant operations on congenital heart disease (between January 2000 and October 2006) 26 out...

Ngày tải lên: 10/08/2014, 09:23

... Prevention by Nutrition Intervention in Infancy and Childhood Nestlé Nutrition Workshop Series Pediatric Program, Vol 57 Primary Prevention by Nutrition Intervention in Infancy and Childhood Editors ... [9] showed in baboons that overfeeding in infancy resulted only in a temporary increase in body weight which then remained normal throughout Infant Nutrition and Primary Prevention childhood ... weight gain, an effect similar to that of insulin-dependent diabetes mellitus (4%) and smoking (6%) in adults [5] These findings were not confined to infants born prematurely In an intervention...

Ngày tải lên: 15/03/2014, 04:20

... cardiovascular disease TNF-a and interleukin-6 can cause insulin resistance in animal models, and plasma levels of C-reactive protein and interleukin-6 have been shown to predict type diabetes in humans.30,31 ... inflammatory markers and the risk of coronary heart disease in men and women sence of diabetes).14 In the Monitoring Trends and Determinants in Cardiovascular Disease (MONICA) study, comparing ... receptors and the risk of coronary heart disease (Table 3) Men in the highest quintile of interleukin-6 had a 57 percent increase in the risk of coronary heart disease, as compared with men in the...

Ngày tải lên: 27/06/2014, 00:20

... chest infections and gastrointestinal symptoms (vomiting, abdominal pain and bleeding) have been reported in subjects with previously undiagnosed Morgagni’s hernia The rarity of this CDH and the ... presentation of heart disease in infants and children In Paediatric Cardiology Volume edition Edited by: Anderson RH, Baker EJ, Macartney FJ, Rigby ML, Shinebourne EA, Tynan M London: Churchill Livingstone; ... 13:1316-1319 Latif Al-Arfagj A: Morgagni’s hernia in infants and children Eur J Surg 1998, 164:275-279 Berman L, Stringer D, Ein SH, Shandling B: The late-presenting pediatric Morgagni hernia: a benign...

Ngày tải lên: 11/08/2014, 02:22

... surgery/interventions (including ablations) 1.1 Without remaining findings (complete correction) 1.2 With minimal findings 1.3 With clinically significant findings 1.4 After palliative interventions: ... forms of exercise and games in childhood Types of exercise with a high dynamic/low static component Running, skipping, jumping, cycling, swimming, inline skating, skateboarding, running games, ball ... expected in this setting Recommended types of exercise include interval training at moderate intensity, e.g., ball games and running games, or moderate stamina training Their afterload reducing effect...

Ngày tải lên: 12/02/2014, 19:20

... similar (A) Intensity2of staining forage eNOS, (B) iNOS and (C) nNOS in lungs from infants with pulmonary hypertension and from conIntensity of staining for (A) eNOS, (B) iNOS and (C) nNOS in lungs ... significant correlation of eNOS and iNOS staining intensity in the pulmonary artery endothelium, such that patients having stronger staining in eNOS also had higher levels of iNOS (Spearman's correlation ... increase in eNOS expression during conditions of increased pulmonary vascular resistance secondary to congenital heart disease in infants and children This upregulation appears to be linked to...

Ngày tải lên: 12/08/2014, 14:20

... Promethazine (Phenergan) Inotropics Phenylephrine (Neo-Synephrine) Epinephrine (Adrenaline) Norepinephrine (Levophed, Noradrenaline, Levoartenolol) Isoproterenol (Isuprel) Dopamine Dobutamine Milrinone ... Enoxaparin (Clexane, Lovenox) Dalteparin (Fragmin) Innohep (Tinzaparin) Ardeparin (Normiflo) Warfarin (Coumadin) Warfarin reversalAPhytonadione (Mephyton, Vitamin K) Direct antithrombins-hirudins ... during and after the catheterization This ongoing communication is invaluable in maintaining a solid rapport with the patient and their family The nurse clinician answers questions pertaining...

Ngày tải lên: 13/08/2014, 12:20

... between the skin puncture and the puncture into the vein This supports the wire beneath the skin and prevents the wire from bending or kinking in addition to preventing subcutaneous bleeding as the ... usually introduced into the vessel and manipulated within the vessel through an indwelling sheath The wire is introduced into both the artery and the vein through a direct needle puncture and the ... to the skin At this point in the draping, each opening in the drape is centered individually and precisely over the exact puncture site over each separate inguinal area by the catheterizing physician...

Ngày tải lên: 13/08/2014, 12:20

... commonly available in neonatal and intensive care units for intravenous injections into existing lines They were designed to be used attached to the hub of intravenous lines and used primarily ... several minutes without withdrawing the wire and cleaning it and also clearing and flushing the catheter every several minutes! In the era of complex and very long interventional procedures, which ... The Nitinol™ material is almost impervious to additional bending, forming or kinking and retains or returns to its straight configuration even after extensive bending or buckling within the heart...

Ngày tải lên: 13/08/2014, 12:20

... described in detail in this summary Any therapeutic interventions should definitely be described in detail, including the indications and the hemodynamic and anatomic findings before and after the intervention ... continually changing In addition, the muscular walls of many of the vessels tend to contract against increased flow, reducing the luminal diameter and increasing the resistance through them with increasing ... determinationscprecautions and errors There are precise techniques for obtaining proper samples and, in the process, techniques for circumventing the innumerable pitfalls that are always present in obtaining these...

Ngày tải lên: 13/08/2014, 12:20

... balloons are available in 2, 3, 4, 6, 8, and 10 cm lengths in balloon sizes up to mm in diameter, in 2, 3, and cm lengths in the 10 & 12 mm diameter balloons, and in 2, and cm lengths in the 14 mm diameter ... 12-French) and are introduced into the vein and heart without a long sheath Inoue™ balloons and the details of their use are discussed in Chapter 20, “Mitral Valve Dilation” In ation devicesd“indeflators” ... are monitored continuously and very carefully while the balloon is being in ated As the balloon begins to in ate, it should move freely within the left atrium and, in fact, begin to “bounce” cephalad...

Ngày tải lên: 13/08/2014, 12:20

... is introduced into one femoral vein and two very small indwelling arterial cannulae are introduced into both the right and left femoral arteries The right heart catheterization is performed using ... systemic vein and a separate indwelling femoral arterial monitoring line The majority of the hemodynamic and anatomic information is obtained through these lines before the carotid cut-down is initiated ... patients for monitoring pressures and for the administration of fluid and medication, and is possibly helpful in determining the relative severity of combined lesions Percutaneous entry into the artery...

Ngày tải lên: 13/08/2014, 12:20

... keeping the catheter and sheath fixed together as one unit and maintaining the wire securely in place The hands of the additional and knowledgeable operator or assistant maintain the wire in position ... implanted without in ating and expanding the second balloon and stent simultaneously However, access to the branching vessel, in which the stent is not being implanted (expanded) initially and simultaneously, ... connecting tubing and the in ator are inspected carefully for any balloon leaks A new puncture or leak is indicated by a continual stream of small bubbles flowing into the tubing or the in ator...

Ngày tải lên: 13/08/2014, 12:20

... the ductus patency maintained with the prostaglandin infusion The infant is intubated and ventilated on 17–18% oxygen If the patient does not have an indwelling arterial line, a femoral artery ... specifically into the area Bucrylate™ was very difficult to handle and to control during delivery both during animal testing and during several clinical uses If injected too fast it embolized distally and/ or ... and had a preliminary clinical trial in the US The Nit-Occlud™ PDA Occlusion Device is an improved version of the DuctOcclud™ device, and at the time of writing is in use in Europe and in clinical...

Ngày tải lên: 13/08/2014, 12:20

... dilator is maintained on a continuous flush while the sheath/dilator set is introduced over the wire and advanced into the skin and the vein With the dilator maintained on continuous flush and the valve ... distance, allowing the Nitinol™ frame of the device to bow away from the mandrel and begin to coil The inner control catheter and mandrel (and device) again are advanced 1–2 cm and the mandril withdrawn ... femoral vein An end-hole catheter is introduced into the sheath in the right femoral vein and an angiographic “marker” catheter introduced into the sheath in the left femoral vein The “right heart ...

Ngày tải lên: 13/08/2014, 12:20

... ductus occurring is reduced by minimizing the manipulations through the ductus, accurately maintaining and/ or increasing the prostaglandin infusion to the patient, and maintaining the infant’s fluid ... formation in a vein that has sluggish flow and/ or has been damaged by surgical or catheter intervention, including chronic indwelling intravenous catheters and infusions Occlusions of small veins usually ... within the catheter to a position just within the distal tip of the catheter The purpose of the Mullins™ wire is to redirect and maintain the guiding catheter in its position against, and pointing...

Ngày tải lên: 13/08/2014, 12:20

... CHD, (b) examine the relationships among uncertainty, social support, and parenting stress in mothers of children with CHD, and (c) determine the factors affecting parenting stress in mothers of ... perceiving information about the child’s treatment and the system of care as intricate and ill-defined Lack of information relates to the absence of information concerning the diagnosis and seriousness ... determinants of parenting stress in mothers of children with CHD Social support explained 33.3% of parenting stress in this model, while social support and the source of information being the Internet...

Ngày tải lên: 05/03/2014, 12:20

... setting of heterotaxy In 2007 Supplement to Cardiology in the Young: Controversies and Challenges Facing Paediatric Cardiovascular Practitioners and their Patients, Anderson RH, Jacobs JP, and ... structures in the setting of heterotaxy Béland MJ, Colan SD, Gaynor JW, Krogmann ON, Kurosawa H, Maruszewski B, Stellin G, Elliott MJ In 2007 Supplement to Cardiology in the Young: Controversies and ... of Congenital Heart Disease: Level I II III IV V VI Great veins Atria Atrioventricular junction Ventricles Ventriculoarterial junction Great arteries I GREAT VEINS Systemic veins Pulmonary veins...

Ngày tải lên: 14/03/2014, 09:20

... routine review and care planning; • recall and reminder systems; • having local staff members dedicated to secondary prophylaxis and coordinating routine care; • supporting and utilising the expertise, ... on standardised evidence-based guidelines Diagnosis and management of acute rheumatic fever and rheumatic heart disease in Australia Reducing the pain of BPG injections The pain of BPG injections ... developing in children receiving salicylates, who develop certain viral infections, particularly in uenza It is recommended that children receiving aspirin during the in uenza season (autumn/winter)...

Ngày tải lên: 28/03/2014, 09:20

... probable and were ning in 1976, participants also provided informa- included in the analysis Table Criteria for Determining the Low-Carbohydrate-Diet Score Points Carbohydrate Intake Total Protein Intake ... which ranged from (the lowest fat and protein intake and the highest carbohydrate intake) to 30 (the highest protein and fat intake and the lowest carbohydrate intake) Therefore, the higher the ... fat, and protein (a higher score reflects a higher intake of fat and protein and a lower intake of carbohydrate) The association between the low-carbohydrate-diet score and the risk of coronary heart...

Ngày tải lên: 27/06/2014, 00:20