[Prenatal ultrasonographic diagnosis of hydrothorax].
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Biomedical subjects
Publications and source records attributed to I Sander.
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Karyopycnotic and keratinisation indices were determined in buccal smears which had been taken from newborns. An assessment was made of 239 smears which had been obtained from newborns in their first eight weeks of age, with the probands being subdivided into two groups, depending on breast feeding and feeding on powdered milk (Ki-Na).--Both indices were extremely high on the first day after birth, but they declined up to the eighth or 14th days of age which was attributed to postnatal reduction of high foetal oestrogen levels. Both indices then went up, with some difference being recordable between the two groups, depending on the modes of feeding. The keratinisation index of the breast-feeding group was much higher than that of the Ki-Na group, on account of very high oestrogen levels in breast milk, between the fourth and seventh days from delivery, with consequences on mucous membrane proliferation. The keratinisation index declined gradually along with oestrogen drop of breast milk and turned to be equal to that of the Ki-Na group, eight weeks after delivery.--Proliferation of buccal mucous membrane and its importance to efficient defence against infection during the first four weeks of age are discussed.
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33 neonates between 4th and 7th day of life were enrolled in the study. The data of renal Doppler sonography were compared to renal excretion parameters. In infants with respiratory distress a decrease of creatinine clearance as well as an increase of fractional sodium excretion were associated with reduced peak systolic flow velocity in the A. renalis. The results suggest the importance of the Doppler sonography in the monitoring of the renal function in the newborn intensive care.
BACKGROUND: Doppler sonographic data from routine cerebral ultrasonic examination of mechanically ventilated premature neonates were analyzed in order to find out which intensive care influence factors take effect on the cerebral circulation. It was to be demonstrated if Doppler sonographic results are changed by current intensive medical influences especially mechanically ventilation. PATIENTS AND METHODS: In 24 premature neonates (mean gestational age 29.6 +/- 4 weeks, mean birth weight 1367 +/- 660 g) treated with mechanical ventilation for IRDS cerebral blood flow parameters were assessed by pulsed Doppler sonography. A single Doppler sonographic investigation was performed during the first week of life (median: day 5). Doppler flow velocity waveforms were obtained, and resistance index (RI) and pulsatility index (PI) values were calculated from the anterior cerebral arteries (ACA) as well as from the internal carotid artery (ACI). Oscillometrically measured blood pressure, pH, pCO2, and parameters of mechanical ventilation were registered. RESULTS: Besides the well established influence of pCO2 and blood pressure parameters of mechanical ventilation PEEP and time of inspiration have an influence on cerebral blood flow. CONCLUSIONS: Our results demonstrate the impact of mechanical ventilation on cerebral blood flow and therefore indicate the necessity of Doppler sonographic monitoring during mechanical ventilation. To our knowledge this is the first report about the influence of mechanical ventilation on cerebral blood flow in neonates.
The influence of type of delivery on neonatal mortality, frequency of disturbances in adaptation to extrauterine life, and incidence of deviations in psychomotoric development was examined retrospectively in 126 low birthweight infants born in breech presentation. 65 infants were born by cesarean section, 61 by vaginal delivery. The control group involves 270 low birthweight infants born spontaneously in vertex presentation. In the weight categories of 1500 to 2500 g neonatal mortality, frequency of pathologic Apgar-scores, acidosis morbidity, incidence of severe respiratory distress, and percentage of psychomotoric handicaps were found to be lower in infants born by cesarean section compared to vaginally born newborns. However, only some of the differences between both groups were statistically significant. In newborn infants weighing less than 1500 g at birth an improved outcome after abdominal delivery could not be demonstrated.