Archives of Disease in Childhood. Fetal and Neonatal Edition articles from July 2002

Archives of Disease in Childhood. Fetal and Neonatal Edition archives from July 2002

Management issues in CLD of prematurity. (Symposium).(chronic lung disease of prematurity)
July 1, 2002... CLD is one of the major problems in neonatal medicine. Clinicians struggle to provide optimal care because of limited evidence. Many questions still need to be answered; meanwhile many aspects of management will remain best practice rather than...

Update on modalities of mechanical ventilators. (Symposium).
July 1, 2002... Recent advances in ventilator technology have often not been confirmed by randomised trials and instead serious shortcomings have been highlighted. Ventilation modes should only be introduced into routine clinical practice when proved...

Role of lung function testing in the management of mechanically ventilated infants. (Symposium).
July 1, 2002... The mechanical characteristics of the ventilated lung can only be interpreted when the volume of the lung, the elastic properties, and the degree of airway obstruction have been accurately quantified by pulmonary function testing. More gentle...

Oxygen therapy for infants with chronic lung disease. (Symposium).
July 1, 2002... Supplemental oxygen is a safe and effective treatment for infants with established chronic lung disease who are not at risk of further progression of retinopathy of prematurity (ROP). Oxygen saturations of Infants with chronic lung disease...

Monitoring cardiovascular function in infants with chronic lung disease of prematurity. (Symposium).
July 1, 2002... In addition to persistent airways disease, survivors of premature birth with chronic lung disease are at risk of cardiovascular sequelae, including pulmonary hypertension, systemic hypertension, left ventricular hypertrophy, and exercise...

Prenatal diagnosis of structural heart disease: does it make a difference to survival? (Editorial).
July 1, 2002... Is there a survival advantage conferred by the prenatal diagnosis of congenital heart disease? There are two potential advantages of mid trimester diagnosis of fetal heart disease. Perinatal management in an environment where the...

Diagnosis, prevention, and management of catheter related bloodstream infection during long term parenteral nutrition. (Leading Article).
July 1, 2002... Central venous catheter related bloodstream infection is an important cause of morbidity and mortality Central venous catheters (CVC) are widely used in children receiving long term parenteral nutrition (PN). They provide secure venous...

Blood cultures in newborns and children: optimising an everyday test. (Review).
July 1, 2002... Effective use of blood cultures is a key component of the management of septic newborns and children. The technical and practical aspects of paediatric practice and the heightened susceptibility of children to infection because of immunological...

Neonatal shaken baby syndrome: an aetiological view from Down Under. (Controversy).
July 1, 2002... The potential dangers of vigorous chest physiotherapy in premature infants have not been widely communicated However hard we may strive to be up to date in our medical specialty, we are limited by the material we have to hand. There are the...

Poor outcome of very low birthweight babies with serious congenital heart disease. (Original Article).
July 1, 2002... Objective: To evaluate incidence and mortality of congenital heart disease in very low birthweight babies. Method: Retrospective analysis of a 12 year period. Results: Forty seven babies were diagnosed with severe congenital heart...

Procollagen i c-propeptide in the cerebrospinal fluid of neonates with posthaemorrhagic hydrocephalus. (Original Article).
July 1, 2002... Background: The pathogenesis of posthaemorrhagic hydrocephalus (PHHC) following intraventricular haemorrhage (IVH) in premature infants includes a fibraproliferative reaction leading to arachnoidal fibrosis, ultimately causing malresorption of...

Posthaemorrhagic ventricular dilatation in the premature infant: natural history and predictors of outcome. (Original Article).
July 1, 2002... Objective: To investigate the natural history and predictors of outcome of posthaemorrhagic ventriculomegaly in the very low birthweight (VLBW) infant. Methods: All VLBW infants admitted between September 1994 and September 1997 to the...

In vitro comparison of nasal continuous positive airway pressure devices for neonates. (Orginal Article).
July 1, 2002... Objective: To compare the resistance in vitro of different devices used for the delivery of nasal continuous positive airway pressure (NCPAP) in neonates. Design: Flows of 4-8 litres/mm were passed through a selection of neonatal NCPAP...

Plasma glucose levels in term infants who are appropriate size for gestation and exclusively breast fed. (Original Article).
July 1, 2002... Aim: To evaluate the plasma glucose levels in normal, term infants who were appropriate size for gestational age (AGA) and exclusively breast fed, and to assess the influence of parity of the mother, mode of delivery, and time of feed on the...

Zinc protoporphyrin/haem ratio and plasma ferritin in preterm infants. (Original Article).
July 1, 2002... Objective: To study the utility of the zinc protoporphyrin/haem (ZPP/H) ratio as a measure of iron status in healthy, growing, preterm infants. Method: ZPP/H was measured in 109 well, preterm infants from the time of hospital discharge...

Multidrug resistant neonatal sepsis in Peshawar, Pakistan. (Original Article).
July 1, 2002... Objective: To investigate the spectrum of organisms causing neonatal sepsis in Peshawar, Pakistan and to assess their sensitivity to various groups of drugs. Methods: Blood taken from newborn babies admitted to the special care baby unit...

A three year follow up of preterm infants after moderately early treatment with dexamethasone. (Original Article).
July 1, 2002... Objective: To assess the effect of moderately early postnatal dexamethasone treatment on growth and neurodevelopmental outcome in preterm infants. Methods: Thirty preterm infants enrolled in a randomised clinical trial to investigate the...

Growth effects of systemic versus inhaled steroids in chronic lung disease. (Original Article).
July 1, 2002... Aim: To compare the effects of inhaled and systemic steroids on growth in very low birthweight (VLBW) infants with chronic lung disease (CLD). Methods: Sixteen babies with CLD randomly received inhaled budesonide (100 [micro]g four times...

Randomised double blind placebo controlled trial of inhaled fluticasone propionate in infants with chronic lung disease. (Short Report).
July 1, 2002... In a double blind randomised controlled trial, 30 infants with chronic lung disease received fluticasone propionate or placebo for one year. There were no significant differences between treatment groups in the incidence of any day or night...

Percutaneous endovascular catheter aspiration thrombectomy of severe superior vena cava syndrome. (Case Report).
July 1, 2002... We report a combined percutaneous endovascular approach, including thrombus aspiration and catheter directed local thrombolysis, followed by systemic thrombolytic therapy to treat severe superior vena cava syndrome in a 2 1/2 week old infant....

Dr William Farr of Shropshire (1807 - 1883): obstetric mortality and training. (Perinatal Lessons from the Past).
July 1, 2002... William Farr, chief statistician to the General Register Office for more than 40 years, was the most significant medical epidemiologist and statistician of the Victorian era. Often working behind the scenes, he helped to bring about many...

Letter.(Brief Article)
July 1, 2002... If you have a burning desire to respond to a piper published in ADC or F&N, why not make use of our "rapid response" option? Log on to our website (www.archdischild.com), find the paper that interests you, click on "full text" and send your...