摘要:

AbstractChanging patterns of instantaneous heart rate associated with apnea were analysed in 22 neonates; ten sleepy infants due to analgesic agents used during delivery, five preterm infants with favourable outcome and seven sick neonates with major medical complications. Patterns of heart rate change were classified into five types: type I deceleration, which is a sharp drop of heart rate synchronized with apnea; type II deceleration, which is a gradual decrease of heart rate during apnea; type III decerelation, which is a bradycardic spell without consistent relation with apnea; acceleration, which is a rapid increase of heart rate associated with respiration change; and a non‐reactive type, in which there is no appreciable heart rate change during apnea. Type II deceleration, type III deceleration and the absence of acceleration were strongly related with poor clinical conditions. Type I deceleration was frequently observed in most neonates with apnea and was not necessarily regarded as an ominous finding. The non‐reactive type was seen in both cases, with favourable and unfavourable outcome. Application of the knowledge of fetal heart rate monitoring to neonatal monitoring is possible and is rather promis

ISSN:1328-8067    

DOI:10.1111/j.1442-200X.1987.tb00021.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractSeventy‐three patients with immunodeficiency syndromes or frequent infections were screened for adenosine deaminase (ADA) and purine nucleoside phosphorylase (PNP) deficiency by the dried blood spot paper method. Among 23 patients with combined immunodeficiency, five patients with ADA deficiency were detected. In the light of the incidence of primary immunodeficiencies and financial limitation, it seems to be adequate to put screening for ADA&PNP deficiency in force for all infants with signs of an immune defec

ISSN:1328-8067    

DOI:10.1111/j.1442-200X.1987.tb00022.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractInfants and toddlers with congenital rubella syndrome born in the Ryukyu Islands after the 1965 rubella epidemic were re‐evaluated in regard to birth‐weight and to body length, body weight, and head circumference before two years of age. Cases with cataract (with deafness and with/without congenital heart disease) showed a tendency of lighter birth‐weight (excluding the group with low birth‐weight) and also poorer physical status than the other cases. In general, an overall percentage of 26.0% were observed to show poorer values than the ‐2 standard deviation values of the general population before two years of age (20.6% in boys and 12.5% in girls for body length; 36.7% in boys and 41.9% in girls for body weight; and 27.9% in boys and 10.8% in girls for head circu

ISSN:1328-8067    

DOI:10.1111/j.1442-200X.1987.tb00023.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractWe studied the effects ofBifidobacterium breveon Campylobacter enteritis. Patients with Campylobacter enteritis were divided into three groups (I. Erythromycin recipients; II.B. breverecipients; III. control) and studied with regard to the duration of diarrhea and carriage ofCampylobacter jejuniin the stools. Additional studies were performed to observe the effects ofB. breve onfecal flora. The results showed that there were no significant differences in the duration of diarrhea among the three groups. Comparison of the duration ofC. jejunicarriage in the stools was as follows: KIKIII (P<0.01). Microbiological study of fecal flora demonstrated that the number of bifidobacterium was decreased in Campylobacter enteritis compared to the control, and an increase in the number of bifidobacterium could be recognized after the administration ofB. breve. B. brevewas useful in eradicatingC. jejunifrom the stools and restoring the normal intestinal flora in Campylobacter enteritis, although if was not effective in shortening the duration of diarrhea.

ISSN:1328-8067    

DOI:10.1111/j.1442-200X.1987.tb00024.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractThis study was undertaken in 10 newly diagnosed diabetic children to assess the usefulness of the practical closed‐loop system in determining insulin doses in conventional treatment. During application of this system of continuous intravenous insulin infusion, the infusion dose was changed according to the hourly monitored blood glucose values. Conventional insulin treatment was started, based on the daily insulin profile obtained by the practical close‐loop system. This consisted of two daily injections of a mixture of short‐ and intermediate‐acting insulins. There was no significant difference in mean blood glucose, M‐value or mean amplitude of glycemic excursions between the two treatments.Compared with the previous insulin regimen in which conventional insulin treatment was performed following the initial treatment for diabetic ketoacidosis without this practical closed‐loop system, good glycemic control was obtained in a shorter period by using this system.Thus, the practical closed‐loop system could be helpful in predicting the starting insulin dose for conventional insu

ISSN:1328-8067    

DOI:10.1111/j.1442-200X.1987.tb00025.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractClinical and postmortem findings of two cases with karyotype: 48, XXX, +18 are presented. In both patients the usual characteristics of trisomy 18 were found. Case 1 was complicated with congenital esophageal atresia, hypoplastic left auricle with external auditory canal atresia, left congenital dislocation of hip, and left club foot. The patient died on the 9th day after birth. Autopsy revealed mitral atresia, aortic stenosis, ventricular septal defect, patent ductus arteriosus, coarctation of aorta, bicuspid aortic and pulmonary valves, patent foramen ovale, and congenital esophageal atresia (type C). Case 2 died on the 8th day after birth. Postmortem examination revealed ventricular septal defect, but there was no other noteworthy malformation. Dermatoglyphic findings were more prominent on the right hand than the left. The severity of malformations may be biased to either the right or the left side.

ISSN:1328-8067    

DOI:10.1111/j.1442-200X.1987.tb00026.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractWe report a case of double trisomy, 48, XXX, + 18 in a newborn female who had low set ears, prominent occiput, receding chin, overlapping fingers, structural heart disease and other malformations. These deformities are similar to the characteristic manifestations of trisomy 18 syndrome. She died on the 10th day. Autopsy revealed VSD, ASD, PDA, coarctation of the aorta, Meckel's diverticulum and cerebellar hypoplasia.Our case showed unilateral anomalies on the right side. These may help to suggest the diagnosis of double trisomy.

ISSN:1328-8067    

DOI:10.1111/j.1442-200X.1987.tb00027.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractA case of Kabuki makeup syndrome associated with megaureter and L‐shaped kidneys is described. This is the first report of Kabuki makeup syndrome with urinary tract anomal

ISSN:1328-8067    

DOI:10.1111/j.1442-200X.1987.tb00028.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

摘要:

AbstractFour siblings presenting a combination of severe microcephaly, short and laterally downward slanting palpebral fissures, hypertelorism, micrognathia, and growth retardation are reported. The proband had congenital heart disease complicating these characteristic symptoms. The parents were not consanguineous. The karyotypes of the proband and parents were normal. The faces of three brothers of the proband were very much like that of the proband, but tvjo of them had cleft palates. Although it was confirmed that one of the three brothers did not have congenital heart disease, its presence in the other two could not be ascertained. All three older brothers died within one month after birth.

ISSN:1328-8067    

DOI:10.1111/j.1442-200X.1987.tb00029.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY

ISSN:1328-8067    

DOI:10.1111/j.1442-200X.1987.tb00030.x

出版商:Blackwell Publishing Ltd    

年代:1987

数据来源: WILEY