874 research outputs found
Antenatal umbilical Doppler abnormalities: an independent risk factor for early onset neonatal necrotizing enterocolitis in premature infants
No full textBackground: necrotizing enterocolitis (NEC) is the most common gastrointestinal (GI) emergency seen in neonatal units. Many factors have been considered as potentially important aetiologically, including gut ischaemia, sepsis and feeding. However, evidence remains equivocal. Objective: this study investigated whether preterm babies born to mothers with abnormal antenatal umbilical Dopplers (absent or reversed end diastolic flow - AREDF), that is exposed to antenatal gut ischaemia, are at an identical risk of developing NEC early in life, compared to babies born to mothers with normal Dopplers. Methods: all preterm (≤32 + 6 week gestation) babies with no congenital anomaly, born to mothers resident in the county of Leicestershire in United Kingdom in 2001 and 2002 were identified using the Trent Neonatal Survey (TNS). Clinical data including the presence and severity of any NEC were extracted from the notes. Results: two hundred forty-three preterm babies who met the criteria were identified during the period. Babies in whom umbilical Dopplers were not available and babies that died in the first 48 h were excluded. Complete data was thus available for 206 of these babies. A strong relation between AREDF and subsequent development of NEC was noted in these babies (OR: 5.88, 95% CI: 2.41 to 14.34, p < 0.0001). This association still held after adjustment for gestational age at birth (OR: 7.64, 95% CI: 2.96 to 19.70, p < 0.0001) and after adjustment for birthweight for gestational age z-score (OR: 6.72, 95% CI: 2.23 to 20.25, p = 0.0007). Conclusions: this study, based on a neonatal cohort, indicates that AREDF is an important independent risk factor for the production of NEC.</p
Germanismen im Verpolnischungswörterbuch von E.S. Kortowicz (1891)
No full textOut of concern for language ‘purity’ ‘Polonizing’ dictionaries/dictionaries of Polish equivalents were published in Poland, whose authors (language purists) aimed to replace words/expressions of foreign origin with native-language equivalents (or with assimilated loanwords). Besides Latinisms or Gallicisms under criticism were also German loanwords. The main focus of the paper is on the presentation of the dictionary by E.S. Kortowicz (1891), in which the author seeks to eliminate Germanisms from the Polish language.W trosce o „czystość” językową w Polsce tworzone były „słowniki spolszczające”/,,słowniki spolszczeń”, w których autorzy (puryści językowi) próbowali zastępować wyrazy/wyrażenia pochodzenia obcego rodzimymi ekwiwalentami (lub zasymilowanymi zapożyczeniami). Obok latynizmów czy galicyzmów piętnowano w nich często zapożyczenia z języka niemieckiego. Centralną część publikacji stanowi opis pracy E.S. Kortowicza (1891), w której autor dąży do wyeliminowania germanizmów z języka polskiego
Neonatal intensive care outcomes and resource utilisation of infants born <26 weeks in the former Trent region: 2001-2003 compared with 1991-1993
No full textObjectives: to provide survival data and rates of severe disability at 2 years of corrected age in infants born prior to 26 weeks' gestation in 2001-2003 and to compare these outcomes with an earlier cohort from 1991 to 1993. Design: population-based prospective cohort study. Setting: former Trent region of UK covering a population of approximately five million and around 55 000 births per annum. Participants: the authors identified a 3-year cohort of infants born before 26 weeks' gestation between 1 January 2001 and 31 December 2003 from The Neonatal Survey (TNS). Questionnaires based on the Oxford minimum dataset were completed. Main outcome measures: survival, service use and disability levels were compared between the 2001- 2003 cohort and the cohort from 1991 to 1993. Results: in 2001-2003, 0%, 18% and 35% of live born babies were alive at 2 years without any evidence of severe disability at 23, 24 and 25 weeks' gestation, respectively. Overall, of those children admitted to neonatal care, the proportion with no evidence of severe disability at 2 years corrected age improved from 14.5% in 1991-1993 to 26.5% in 2001-2003. There was an increase in the proportion of children with at least one severe disability, out of total admissions to neonatal unit (8% vs 17%) and of those assessed at 2 years (35% vs 39%). Conclusions: this study has shown an improvement in survival to discharge in babies admitted for neonatal care. However, this improved survival has been associated with an increase in the proportion of children with at least one severe disability at a corrected age of 2 years.</p
A Prospective Population-Based Study of Birth at 32-36 Weeks of Gestation: Neonatal Outcomes from the Late and Moderate Preterm Birth Study (LAMBS)
No full textBackground: although late and moderate prematurity (32-36 weeks' gestation) represents 75% of preterm births, research in these infants is sparse. However, data from small or retrospective studies consistently suggest they are at greater risk of adverse outcomes than previously recognised.Aim: a prospective population-based study of outcomes of infants born at 32-36 weeks' gestation.Methods: all mothers and their babies delivering at 32-36 weeks were invited to participate, together with a random sample of infants born at ≥37 weeks. Mothers were interviewed and obstetric and neonatal records were reviewed.Results: preliminary data analysis for 728 preterm and 782 term live-born singleton infants recruited between September 2009 and September 2010 revealed that neonatal outcomes for preterm infants were significantly worse than those of term born infants (Table 1).Conclusions: births at 32-36 weeks far outnumber those below 32 weeks. The overall impact of adverse outcomes in these children is therefore likely to be greater than that of the most immature infants. This has implications for health services planning and resource allocation
Accommodating rising population in rural areas : the case of Loudoun County, Virginia
No full textPopulation
Geschichte des 2. Ostpreussischen Grenadier-Regiments Nr. 3.
No full textMode of access: Internet.Vinkhuizen Collection--Draper Fun
Geschichte der brandenburg-preussischen Reiterei von den Zeiten des Grossen Kurfürsten bis zur Gegenwart.
No full textMode of access: Internet.Vinkhuizen Collection, Draper Fund.Plates removed
Die Geschichte der Braunschweigischen Artillerie von ihrer Entstehung bis auf die heutige Zeit.
No full textMode of access: Internet.Vinkhuizen Collection--Draper Fun
Geschichte des 1. Brandenburgischen Dragoner-Regiments Nr. 2.
No full textMode of access: Internet.Vinkhuizen Collection--Draper FundOne plate removed
Geschichte des Dragoner-Regiments Prinz Albrecht von Preussen (Litthauisches) Nr. 1. 1867-1881.
No full textMode of access: Internet.Vinkhuizen Collection-Draper Fund.Colored plates removed
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