1,115 research outputs found
Cardiorespiratory fitness: a comparison between children with renal transplantation and children with congenital solitary functioning kidney
Children with end-stage renal disease are known to have a cardiorespiratory fitness significantly reduced. This isconsidered to be an independent index predictive of mortality mainly due to cardiovascular accidents. The effectsof renal transplantation on cardiorespiratory fitness are incompletely known. We compared the maximal oxygenuptake (VO2 max) of children with a functioning renal transplant with that of children with congenital solitaryfunctioning kidney, taking into consideration also the amount of weekly sport activity
Noninvasive ventilation for acute respiratory distress in children with central nervous system disorders
Background: Acute respiratory distress (ARD) is a relatively frequent occurrence in patients suffering from central nervous system disorders (CNSD) and moderate to severe mental retardation. Whenever conventional therapy is little effective, noninvasive mechanical ventilation (NIV) is the additional treatment in patients with diseases of the peripheral nervous system. However, NIV is traditionally little employed in the acute phase in patients suffering from CNSD. In the latter, either conventional therapy is maintained or invasive mechanical ventilation is instituted if the patient's condition worsens severely. To challenge the traditional view, we conducted the study to prove that NIV is both applicable and effective in the treatment of ARD also in children with moderate to severe mental retardation. Methods: We studied 44 children with ARD secondary to pneumonia and CNSD causing moderate to severe mental retardation. The children were divided in two groups. One group received conventional therapy and NIV, the other conventional therapy only, before being advanced to invasive ventilator support when nonresponding. On admission to hospital and one hour following admission we registered pH, PaCO2, PaO2, A - a DO2 and the PaO2/FiO2 ratio. The mean hospital stay was also recorded. Results: After one hour on NIV PaO2 and pH increased, PaCO2 decreased, A - a DO2 and PaO2/FiO2 ratio improved. No changes in the above parameters were observed in children on conventional therapy only. Hospital stay was shorter when NIV was instituted. Conclusions: NIV is both applicable and beneficial in stabilizing blood gases, respiratory and cardiovascular parameters also in children with CNSD. Moreover its use shortens the hospital stay. (C) 2013 Elsevier Ltd. All rights reserved
How the newly introduced compression, airway, and breathing sequence affects the training in pediatric cardiopulmonary resuscitation
[No abstract available
Molecular microbial analysis of human intestinal Bifidobacterium isolates from different environments by the species-specific amplified ribosomal DNA restriction analysis (ARDRA)
One hundred and six isolates of the genus Bifidobacterium, isolated from different environments (mainly gastrointestinal), were identified and classified taxonomically to species level by amplified ribosomal DNA restriction analysis. Two restriction endonucleases (Sau3AI and BamHI) were chosen for aligning the 16S rRNA sequences of 16 bifidobacterial species retrieved from various databases, to obtain species-specific restriction patterns. A rapid and accurate identification scheme was obtained by comparing the resulting 16S rDNA digestion profiles of 16 Bifidobacterium type-strains and 90 strains of various origins. All of the investigated strains were previously confirmed at the species level as belonging to the genus Bifidobacterium by fluorescence in-situ hybridisation and by polymerase chain reaction amplification with genus- and species-specific primers. The present work demonstrates that species-specific detection of Bifidobacterium adolescentis, Bifidobacterium animalis, Bifidobacterium bifidum, Bifidobacterium breve, Bifidobacterium catenulatum, Bifidobacterium coryneforme, Bifidobacterium cuniculi, Bifidobacterium dentium, Bifidobacterium infantis, Bifidobacterium lactis, Bifidobacterium longum, Bifidobacterium suis, Bifidobacterium magnum, Bifidobacterium pseudolongum, Bifidobacterium pseudocatenulatum and Bifidobacterium pullorum present in different micro-ecological environments (e.g. gastrointestinal tract) can be accomplished in a reliable, rapid and accurate manner, circumventing the recognised deficiencies of traditional identification techniques
Laryngeal tubercolosis: a case report with focus on voice assessment and review of the literature
Laryngeal tuberculosis (LTB) is a rare manifestation of tuberculosis (TB), accounting for 1% of all TB cases. Despite its rarity it is the most frequent laryngeal granulomatous dis- ease. We performed a systematic literature review of the last 20 years on LTB and also present a case from our hospital with special focus on voice assessment. The literature review includes a total of 308 cases, involving studies from seven countries. In all, 64.3% of patients were males. At the time of diagnosis, the mean age range was 44.6-56.5 years. Odynophagia, hoarseness and dysphonia were the most frequent presenting symptoms. In 64 cases, the initial suspicion was laryngeal cancer. Most cases involved the true vocal folds. In about a third of cases a primary LTB with normal chest radiographic was found. Although it can be treated successfully, LTB may cause significant changes in voice quality. Nowadays, LTB is rarely diagnosed and may be confused with laryngeal cancer, it should also be included in the differential diagnosis with all other chronic benign inflammatory and non-inflammatory diseases of the larynx
Mixture of a mono-ester and a di-ester, wherein said mono-ester and di-ester are esters of (R)-3- hydroxybutanoic acid with a polyalcohol, process for the preparation of the mixture and medical uses thereof
present invention concerns a mixture of a mono-ester and a di-ester, wherein said mono-ester and di-ester are esters of (R)-3-hydroxybutanoic acid with a polyalcohol, process for the preparation of the mixture and medical uses thereof for example in the prevention and treatment of neurological conditions or
for enhancing and maintaining a ketogenic diet
EXPRESSION OF *-AMYLASE GENE FROM BACILLUS STEAROTHERMOPHILUS IN LACTOBACILLUS SANFRANCISCO
sj-pdf-1-jva-10.1177_11297298231163352 – Supplemental material for Midline catheters for blood gas and acid/base monitoring in critical patients: A prospective observational study
Supplemental material, sj-pdf-1-jva-10.1177_11297298231163352 for Midline catheters for blood gas and acid/base monitoring in critical patients: A prospective observational study by Marco Giani, Benedetta Fumagalli, Emanuele Rezoagli, Luigi Cannizzo, Luciano Giannini, Dario D’Amata, Alberto Lucchini, Roberto Rona, Stefano Elli and Giuseppe Foti in The Journal of Vascular Access</p
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