Long Term Effects Following Extreme Prematurity: Respiratory Problems

Author(s):  
John Lowe ◽  
Sarah J. Kotecha ◽  
Sailesh Kotecha
1987 ◽  
Vol 36 (2) ◽  
pp. 239-248 ◽  
Author(s):  
D.A. Hay ◽  
P.J. O'Brien

AbstractThe birth of twins is often accompanied by complications which may affect both twins equally (eg, prematurity) or which may establish differences between the twins (eg, one coming home from hospital first). Parents' ratings of behaviour may reflect and even perpetuate the influence of such variables and it is of interest to see if people less familiar with the twins' history can observe any long-term effects. In the La Trobe Twin Study teachers routinely complete the Bristol Social Adjustment Guide, an assessment of social maladjustment in children aged 5-16 years. Extreme prematurity and problems at delivery were generally associated with the Underreaction syndrome - the child who is unforthcoming, withdrawn and depressed. Withdrawal, depression and maladaptive behaviour to classroom peers were much more common among those twins discharged from hospital after the cotwin. A major mediating factor was that the parents admitted to greatly preferring the one to come home first. These raise questions both about the practice of bringing twins home separately (which occurred in 21% of the cases) and about intervening variables in studies of personality and temperament.


The waste which enters Cipayung landfill is 800 tons/day and the height of the waste heap reaches 30 meters. This study aims to investigate the perceptions of people living near the landfill regarding respiratory problems and malodor complaints which come from the landfill and to identify the relationship between home distance from landfill with malodor complaints and respiratory problems. This research uses primary data using a questionnaire consisting of 3 parts, including general characteristics of respondents, malodor perceptions, and respiratory problems. The sample is 100 people who live in Hamlet 07, Cipayung Urban Village. All respondents (100%) smell foul of the landfill, with the majority saying that the smell disturbs daily activities (70%) and causes unhealthy effects (75%). Majority of respondents (81%) had suffered respiratory problems during living near the landfill. And the most frequent symptom of respiratory problems in the last 2 weeks was coughing (25%). There are significancies of relation between distances and malodor perceptions (p-value 0.015), and relation between distances and respiratory problems (0.038) If malodor coming from the Cipayung landfill left untreated it will have more serious long-term effects. So it needs amelioration of processing system and other efforts by the stakeholders in order to decrease the risk of health and environment problems caused by H2S from Cipayung Landfill.


Author(s):  
T. M. Seed ◽  
M. H. Sanderson ◽  
D. L. Gutzeit ◽  
T. E. Fritz ◽  
D. V. Tolle ◽  
...  

The developing mammalian fetus is thought to be highly sensitive to ionizing radiation. However, dose, dose-rate relationships are not well established, especially the long term effects of protracted, low-dose exposure. A previous report (1) has indicated that bred beagle bitches exposed to daily doses of 5 to 35 R 60Co gamma rays throughout gestation can produce viable, seemingly normal offspring. Puppies irradiated in utero are distinguishable from controls only by their smaller size, dental abnormalities, and, in adulthood, by their inability to bear young.We report here our preliminary microscopic evaluation of ovarian pathology in young pups continuously irradiated throughout gestation at daily (22 h/day) dose rates of either 0.4, 1.0, 2.5, or 5.0 R/day of gamma rays from an attenuated 60Co source. Pups from non-irradiated bitches served as controls. Experimental animals were evaluated clinically and hematologically (control + 5.0 R/day pups) at regular intervals.


Author(s):  
D.E. Loudy ◽  
J. Sprinkle-Cavallo ◽  
J.T. Yarrington ◽  
F.Y. Thompson ◽  
J.P. Gibson

Previous short term toxicological studies of one to two weeks duration have demonstrated that MDL 19,660 (5-(4-chlorophenyl)-2,4-dihydro-2,4-dimethyl-3Hl, 2,4-triazole-3-thione), an antidepressant drug, causes a dose-related thrombocytopenia in dogs. Platelet counts started to decline after two days of dosing with 30 mg/kg/day and continued to decrease to their lowest levels by 5-7 days. The loss in platelets was primarily of the small discoid subpopulation. In vitro studies have also indicated that MDL 19,660: does not spontaneously aggregate canine platelets and has moderate antiaggregating properties by inhibiting ADP-induced aggregation. The objectives of the present investigation of MDL 19,660 were to evaluate ultrastructurally long term effects on platelet internal architecture and changes in subpopulations of platelets and megakaryocytes.Nine male and nine female beagle dogs were divided equally into three groups and were administered orally 0, 15, or 30 mg/kg/day of MDL 19,660 for three months. Compared to a control platelet range of 353,000- 452,000/μl, a doserelated thrombocytopenia reached a maximum severity of an average of 135,000/μl for the 15 mg/kg/day dogs after two weeks and 81,000/μl for the 30 mg/kg/day dogs after one week.


2012 ◽  
Vol 43 (3) ◽  
pp. 42
Author(s):  
MITCHEL L. ZOLER
Keyword(s):  

VASA ◽  
2005 ◽  
Vol 34 (4) ◽  
pp. 243-249 ◽  
Author(s):  
Drinda ◽  
Neumann ◽  
Pöhlmann ◽  
Vogelsang ◽  
Stein ◽  
...  

Background: Prostanoids are used in the treatment of Raynaud’s phenomenon and acral perfusion disorders secondary to collagenosis. In subjective terms, intravenous administration of these agents produces success in more than 50% of patients. The therapeutic outcome of clinical administration of alprostadil or iloprost may vary from individual to individual. Patients and methods: The following variables were analysed in a cross-over study in 27 patients with collagenosis and Raynaud’s phenomenon: plasma viscosity and erythrocyte aggregation (rheological variables), partial pressure of oxygen and laser Doppler flowmetry in the finger region, and lymphocyte phenotyping and interleukin (IL) determinations (immunological variables). Results: Laser Doppler flowmetry revealed significant differences between patients with secondary Raynaud’s phenomenon and a control group of 25 healthy subjects. Laser Doppler readings did not change significantly as a result of the treatments. Therapy with iloprost produced a reduction in IL-1beta, L-selectin (CD 62 L) and IL-6. Conclusion: The change in immunological variables due to iloprost may explain the long-term effects of prostaglandins in the treatment of Raynaud’s phenomenon. From our results it is not possible to infer any preference for iloprost or alprostadil.


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