RESUMEN
According to the Ministry of Health, at the paediatric section of Central Hospital of Rovigo, a vaccination campaign against HBV was undertaken in the year 1985 with the main purpose to reduce the sickness-rate and the mortality by HBV. Two vaccination patterns have been applied and they show to be efficient. 46 risk-subjects divided into two groups were vaccinated: group A: newborn, sons of women HBc Ag positive; group B: children living together with carriers or subjects sick of hepatitis B. The group A subjects had undergone to passive immunoprophylaxis at birth and to a vaccination cycle. The group B subjects only vaccination. The research of antibody titres produced by the vaccination demonstrated in the majority of cases greater than 121 IU/L. Only about 25% of vaccinated subjects showed a feeble movement of transaminases. The children's parents have cooperated very well.
Asunto(s)
Hepatitis B/prevención & control , Vacunación , Femenino , Hepatitis B/transmisión , Antígenos de la Hepatitis B/análisis , Humanos , Recién Nacido , Masculino , Embarazo , Complicaciones Infecciosas del Embarazo/inmunología , Tercer Trimestre del Embarazo , Factores de RiesgoRESUMEN
In this report, we describe two patients with Potter's syndrome classical signs and take the opportunity to discuss about the etiopathogenetic hypothesis concerning various phenotypical expressions of that syndrome.
Asunto(s)
Cara/anomalías , Riñón/anomalías , Pulmón/anomalías , Humanos , Recién Nacido , Masculino , Síndrome , Uréter/anomalías , Vejiga Urinaria/anomalíasRESUMEN
The paralysis of the diaphragm in the newborn is a rare pathological event. The "paradoxical movement" of the affected emidiaphragm can sometimes determine a important respiratory insufficiency. Medical treatment involves supplying oxygen, CPAP by means of a nasal cannula or mechanical ventilation with PEEP. Surgical plication of the affected emidiaphragm is recommended when a regular diaphragmatic function is not restored at 5-6 weeks of age and in the presence of serious respiratory insufficiency. Three cases are reported in this article which needed different therapeutical approaches.
Asunto(s)
Parálisis Respiratoria/terapia , Diafragma/cirugía , Femenino , Humanos , Recién Nacido , Masculino , Terapia por Inhalación de Oxígeno , Respiración con Presión Positiva/métodos , Reoperación , Insuficiencia Respiratoria/etiología , Parálisis Respiratoria/complicaciones , Parálisis Respiratoria/congénitoRESUMEN
The serum activity of SGOT and SGPT is one of the more specific parameters of liver cell injury both in adults and in the pediatric age-group. The determination of serum transaminase activity could offer a routine and rapid laboratory test for establishing the presence of hepatic cellular damage following intrauterine or perinatal asphyxia. In fact, it appears that there is a correlation between hypoxia and the increase in serum activity of transaminases in full-term and premature asphyxiated newborns. However, this increase is reversible up to the 30th day of life. The behavior of transaminase enzymatic activity in premature asphyxiated newborns compared to full-term asphyxiated newborns suggests a higher resistance of membranes to hypoxic-ischemic injuries and a lower enzymatic pool of cellular metabolism in premature newborns. Therefore, knowledge of the behavior of SGOT and SGPT activity may have important implications in the diagnosis and early treatment of perinatal asphyxia.
Asunto(s)
Alanina Transaminasa/sangre , Aspartato Aminotransferasas/sangre , Asfixia Neonatal/sangre , Recien Nacido Prematuro , Asfixia Neonatal/enzimología , Femenino , Humanos , Recién Nacido , MasculinoRESUMEN
An analysis of the available data concerning the events bringing to the completion of the adrenergic function in early life shows the existence of an early response making the detection of MOPEG-SO4 levels in the urine--the foetus and in the new-born. This response isn't the same in the adult and in the infant as in the latter the number of receptors is lower, the prevalent mediator is NA and the receptorial subtype is almost entirely beta. The effector system, on the contrary, is as fully developed in the infant as it's in the adult. Maybe it will be possible in the future to evaluate--through non-invasive methods such as the detection of MOPEG-SO4 levels in the urine--the degree of development of the central simpatoadrenergic system in order to exactly work out perinatal asphyxia and brains congenital injuries.