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  • 1
    Electronic Resource
    Electronic Resource
    Cystic adenomatoid malformation of the lung: neonatal management of 21 cases (1999)
    Springer
    Pediatric surgery international 15 (1999), S. 326-331 
    Details
    ISSN: 1437-9813
    Keywords: Key words Congenital cystic adenomatoid malformation ; High-frequency oscillation ; Antenatal diagnosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Currently, congenital cystic adenomatoid malformation of the lung (CCAM) is often diagnosed antenatally by ultrasound, allowing prompt and appropriate medical and surgical management after birth. The authors report 21 cases of CCAM admitted from 1988 to 1997 to a neonatal intensive care unit and treated by high-frequency oscillation (HFO) and early surgery. Six infants developed respiratory distress, of whom 4 required ventilation by HFO. HFO was also the mode of ventilation used in all cases except 1 during the perioperative period. There was no death from respiratory failure. The authors emphasize the usefulness of antenatal diagnosis, the efficiency of HFO in cases with severe respiratory failure, and well-tolerated early surgery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050592
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Gastric necrosis in newborns: a report of 11 cases (1998)
    Springer
    Pediatric surgery international 13 (1998), S. 346-349 
    Details
    ISSN: 1437-9813
    Keywords: Key words Gastric infarction ; Gastric necrosis ; Spontaneous gastric perforation ; Neonatal gastric perforation ; Peptic ulcer disease in children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Eleven neonates ranging in gestational age from 34 to 40 weeks presented with gastric necrosis. The 4 full-term neonates showed sudden-onset hemorrage and “coffee-ground” vomiting; in the 7 premature babies the initial clinical finding was abdominal distention. The criteria for diagnosis were: perinatal distress in prematures and transient neonatal respiratory distress in full-term babies. Radiographic evidence of gastric distention was typical and preceded clinical signs of hematemesis and gastric perforation. Surgery was performed in 8 patients; 3 received medical treatment. At surgery 1␣total and 3 subtotal gastrectomies and 4 segmental gastric resections were performed. Three of these patients died post-operatively as a consequence of multiorgan failure; a second look was necessary in one patient 1 week after surgery because of prepyloric perforation due to ulcers. Biopsy specimens taken from the site of perforation demonstrated extensive necrosis; ulceration was disseminated in the surrounding gastric mucosa; no signs of phlogosis were detected. The diagnosis, treatment, and physiopathologic considerations are reviewed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s003830050335
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Erythrocyte fatty acid composition in term infants fed human milk or a formula enriched with a low eicosapentanoic acid fish oil for 4 months (2000)
    Springer
    European journal of pediatrics 159 (2000), S. 49-53 
    Details
    ISSN: 1432-1076
    Keywords: Key words Arachidonic acid ; Docosahexaenoic acid ; Eicosapentaenoic acid ; Fatty acid status ; Term infants
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract When term infants are fed standard formula that does not contain long-chain polyunsaturated fatty acids (LC-PUFA), they still show lower levels of docosahexaenoic acid (DHA) in red blood cell (RBC) phospholipids by several weeks or months postnatally. This study was designed in order to evaluate a potential alternative for supplementing term infant formulas with DHA by adding a high-DHA/low-eicosapentanoic acid fish oil to levels similar to that in human milk (0.3%). A total of 37 term infants were included in the study at 3 days of life. DHA concentrations remained stable between inclusion and 4 months of life at around 8% of the RBC phospholipids in the LC-PUFA enriched formula-fed group whereas it decreased significantly in the standard formula-fed group. In the human milk-fed group, RBC DHA concentrations at 4 months of age were significantly lower than that at birth and were significantly correlated with the duration of breast feeding (r = 0.85; P = 0.0002). A significant decrease of arachidonic acid between inclusion and 4 months of age was observed in the enriched formula-fed group and reached a mean value at 4 months, which was significantly lower than that observed in the human milk or standard formula-fed groups (P 〈 0.0001). Conclusion Supplementing term formulas with a high-docosahexaenoic acid/low-eicosapentanoic acid fish oil up to 4 months of age is efficient in improving docosahexaenoic acid status, however it increases the risk of impaired n-6 fatty acid status.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004310050009
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    Paper (German National Licenses)
    Fulltext
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