scholarly journals Isolated Fetal Cardiac Abnormalities: Are They Really Isolated?

2018 ◽  
Vol 08 (04) ◽  
pp. e355-e358
Author(s):  
Armin Razavi ◽  
Stephen Chasen
Keyword(s):  
Medical Center ◽  
Cardiac Anomaly ◽  
Hemifacial Microsomia ◽  
Second Trimester ◽  
Inclusion Criteria ◽  
Live Births ◽  
Cardiac Anomalies ◽  
Cardiac Abnormalities ◽  
Structural Abnormalities ◽  
Conotruncal Anomalies

Objective To determine the rate of unsuspected noncardiac abnormalities in newborns suspected to have isolated cardiac abnormalities in the second trimester. Study Design A review of the ultrasound database from the Weill Cornell Medical Center identified fetuses with a suspected cardiac abnormality from January 2006 to November 2016. Cases with prenatally suspected noncardiac structural abnormalities, abnormal fetal or neonatal karyotype or microarray, and those who delivered at an outside institution or underwent abortion were excluded. Neonatal records were reviewed to confirm prenatal findings and to identify anomalies not suspected in the second trimester. Results Sixty-eight live births met the inclusion criteria. Five newborns (7.4%) had major abnormalities not identified in the second trimester. Three newborns had an imperforate anus. One newborn had left hydronephrosis and absent right lung, and one had hemifacial microsomia and fused ribs. All five newborns with unsuspected anomalies were in the group with suspected conotruncal anomalies, with a 11.9% rate of unsuspected anomalies versus 0% in those with nonconotruncal cardiac anomalies (p = 0.15). Conclusion Patients with a suspected isolated fetal cardiac anomaly on ultrasound should be aware of the possibility of other major structural abnormalities, especially in cases of conotruncal cardiac anomalies.

scholarly journals A STUDY ON THE ANTENATAL SONOGRAPHIC EVALUATION OF CONGENITAL CARDIAC ANOMALIES IN PREGNANT WOMEN FOR A PERIOD OF TWO YEARS

2021 ◽  
pp. 1-4
Author(s):  
Ramakanth Veluru ◽  
Ramesh Kumar ◽  
Revathi RB
Keyword(s):  
Pregnant Women ◽  
Congenital Anomalies ◽  
Live Births ◽  
Cardiac Anomalies ◽  
Sonographic Evaluation ◽  
Cardiac Abnormalities ◽  
Chamber View ◽  
Congenital Cardiac Anomalies ◽  
Cardiovascular Anomalies ◽  
Base View

Structural cardiac anomalies are estimated to occur in 8 of every 1,000 live births. Cardiovascular anomalies are frequently associated with other congenital anomalies because the heart is among the last organs to develop completely in the embryo. The ultrasonographic (US) view like four-chamber view,three-vessel view, a base view, RVOT, and LVOT views are done during the fetal scan to detect cardiac abnormalities

scholarly journals Prenatal Detection of Cardiac Anomalies in Fetuses with Single Umbilical Artery: Diagnostic Accuracy Comparison of Maternal-Fetal-Medicine and Pediatric Cardiologist

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Ilir Tasha ◽  
Rachel Brook ◽  
Heidi Frasure ◽  
Noam Lazebnik
Keyword(s):  
Umbilical Artery ◽  
Cardiac Anomaly ◽  
Inclusion Criteria ◽  
Single Umbilical Artery ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine ◽  
Cardiac Anomalies ◽  
Accuracy Comparison ◽  
Good Agreement

Aim. To determine agreement of cardiac anomalies between maternal fetal medicine (MFM) physicians and pediatric cardiologists (PC) in fetuses with single umbilical artery (SUA).Methods. A retrospective review of all fetuses with SUA between 1999 and 2008. Subjects were studied by MFM and PC, delivered at our institution, and had confirmation of SUA and cardiac anomaly by antenatal and neonatal PC follow-up. Subjects were divided into four groups: isolated SUA, SUA and isolated cardiac anomaly, SUA and multiple anomalies without heart anomalies, and SUA and multiple malformations including cardiac anomaly.Results. 39,942 cases were studied between 1999 and 2008. In 376 of 39,942 cases (0.94%), SUA was diagnosed. Only 182 (48.4%) met inclusion criteria. Cardiac anomalies were found in 21% (38/182). Agreement between MFM physicians and PC in all groups combined was 94% (171/182) (95% CI [89.2, 96.8]). MFM physicians overdiagnosed cardiac anomalies in 4.4% (8/182). MFM physicians and PC failed to antenatally diagnose cardiac anomaly in the same two cases.Conclusions. Good agreement was noted between MFM physicians and PC in our institution. Studies performed antenatally by MFM physicians and PC are less likely to uncover the entire spectrum of cardiac abnormalities and thus neonatal follow-up is suggested.

scholarly journals Kepercayaan Masyarakat terhadap Penolong Persalinan di Wilayah Halmahera Utara

2018 ◽  
Vol 13 (1) ◽  
pp. 46
Author(s):  
Sitti Nurhidayanti ◽  
Ani Margawati ◽  
Martha Irene Kartasurya
Keyword(s):  
Focus Group ◽  
Focus Group Discussion ◽  
Qualitative Data ◽  
Group Discussion ◽  
Community Leaders ◽  
Inclusion Criteria ◽  
Research Subjects ◽  
Live Births ◽  
Birth Attendants ◽  
Selection Of

ABSTRAKAKI di Indonesia terus meningkat, SDKI 2007 menunjukkan AKI sebesar 228 per 100.000, tahun 2012 menjadi 359 per 100.000 kelahiran hidup. Salah satu faktor masih tingginya AKI karena relatif masih rendahnya pertolongan oleh tenaga kesehatan yakni hanya sebesar 55,4%. Tujuan penelitian untuk mendeskripsikan kepercayaan masyarakat terhadap penolong persalinan di wilayah Halmahera Utara. Jenis penelitian ini adalah kualitatif. Data dikumpulkan dengan menggunakan metode FGD (Focus Group Discussion). Subjek penelitian sebanyak 26 informan yang terdiri dari 7 ibu yang melahirkan dengan pertolongan dukun bayi, 2 orang suami, 3 orang tua, 4 tokoh masyarakat, 6 dukun bayi dan 4 orang bidan yang dipilih dengan kriteria inklusi. Analisis data menggunakan content analisis. Hasil penelitian menunjukkan bahwa informan lebih memilih dukun bayi sebagai penolong persalinan karena informan percaya dukun bayi lebih berpengalaman dalam menolong persalinan, dukun bayi juga dinilai lebih perhatian dan sabar dalam melayani pasiennya. Pemilihan dukun bayi sebagai penolong persalinan berkaitan dengan pelayanan yang diberikan dan kepercayaan masyarakat itu sendiri.Kata Kunci: Penolong Persalinan, Kepercayaan, Dukun Bayi.ABSTRACTMMR in Indonesia continues to increase, IDHS 2007 shows MMR of 228 per 100,000 in 2012 to 359 per 100,000 live births. One factor is still high maternal mortality rate due to relatively low relief by the health provider only by 55.4%. The aim of research to describe people's confidence in birth attendants in the region of North Halmahera. This type of research is qualitative. Data were collected using FGD (Focus Group Discussion). Research subjects were 26 informants consisted of 7 mothers who gave birth with the help of TBAs, 2 husbands, 3 parents, 4 community leaders, 6 TBAs and 4 midwives chosen by the inclusion criteria. Analysis of data using content analysis. The results showed that the informant preferring TBAs as birth attendants because informants believe TBAs are more experienced in attending births, TBAs are also considered more attention and patience in serving patients. Selection of TBAs as birth attendants associated with the services provided and the trust of society itself. Keywords: Delivery Helper, Confidence, TBAs.

scholarly journals Age of puppies at referral to veterinary cardiology specialists for murmur investigation

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Lynn Bernadette Rovroy ◽  
Viktor Szatmári
Keyword(s):  
Medical Records ◽  
Digital Archive ◽  
Cardiac Anomaly ◽  
Time Interval ◽  
Health Examination ◽  
Cardiac Auscultation ◽  
Congenital Cardiac Anomaly ◽  
Cardiac Anomalies ◽  
Veterinary Practitioner ◽  
Congenital Cardiac Anomalies

Abstract Background Cardiac auscultation is an important screening test at the first health examination of puppies because most clinically relevant congenital cardiac anomalies cause a loud murmur from birth. This retrospective study aimed to investigate the age at which dogs with suspected congenital cardiac anomalies were referred to a veterinary cardiology specialist for murmur investigation. A secondary aim was to establish the time interval between the visit to the cardiologist and the first available murmur documentation. The digital archive of a veterinary teaching hospital was searched for dogs with congenital cardiac anomalies and puppies with innocent murmurs during a 5-year period. Dogs had to be referred because of a murmur, and they had to undergo physical examination and echocardiography by a veterinary cardiology specialist. The health certificate section of the pet passport, and the medical records from the referring veterinarian, were reviewed to identify the date when the murmur was first documented. Results Of the 271 included dogs, 94% had a congenital cardiac anomaly and 6% had an innocent murmur. The dogs’ median age was 190 days when they were examined by the cardiologist. Only 10% of the dogs were referred by the breeder’s veterinarian, while 90% of the dogs were referred by the new owner’s veterinarian. The median age of the first available murmur documentation by a first opinion veterinary practitioner was 95 days. Conclusions Only 10% of the puppies in the present study were referred to a veterinary cardiology specialist for murmur investigation before they were sold to a new owner. Referral prior to re-homing would have been feasible if the murmur had been detected and documented by the breeder’s veterinarian, if referral was offered by the breeder’s veterinarian and the referral was accepted by the breeder.

Fresh Frozen Plasma Partial Exchange Transfusion and Necrotizing Enterocolitis

PEDIATRICS ◽  
1986 ◽  
Vol 77 (5) ◽  
pp. 786-787
Author(s):  
THOMAS E. WISWELL ◽  
J. DEVN CORNISH
Keyword(s):  
Prospective Study ◽  
Necrotizing Enterocolitis ◽  
Exchange Transfusion ◽  
Medical Center ◽  
Fresh Frozen Plasma ◽  
Live Births ◽  
Army Medical ◽  
Exchange Group ◽  
Fresh Frozen ◽  
Frozen Plasma

To the Editor.— In their article, Black et al1 cite a surprising incidence of complications of polycythemia in their partial exchange transfusion-treated v their nonexchange populations. Of particular note is the remarkable incidence of necrotizing enterocolitis (eight of 43 patients or 18.6%) in the exchange group. In the nonexchanged group, no infants were so affected. In a previously reported prospective study of 7,133 consecutive live births at Tripler Army Medical Center, Hawaii, a total of 82 infants were identified as having neonatal polycythemia (venous hematocrit 65% or greater).2

scholarly journals Emergency cervical cerclage and pregnancy outcomes

2017 ◽  
Vol 6 (5) ◽  
pp. 1993
Author(s):  
N. Nagendra Prasad ◽  
Sherin Annamma Thampan ◽  
R. Nagarathnamma
Keyword(s):  
Retrospective Study ◽  
Spontaneous Abortion ◽  
Pregnancy Outcomes ◽  
Cervical Dilatation ◽  
Second Trimester ◽  
Cervical Cerclage ◽  
Live Births ◽  
Term Delivery

Background: To evaluate the effectiveness and safety of emergency cervical cerclage in women who presented with advanced cervical changes such as cervical dilatation and bulging foetal membranes.Methods: This is a retrospective study on all women treated with cervical cerclage presented in the late second trimester with advanced cervical dilatation (2 to 4cms) for whom emergency cervical cerclage by McDonald technique.Results: Out of the 24 patients for whom emergency cervical cerclage was performed, three patients had spontaneous abortion after cervical cerclage, two had PROM and eight of these patients had term delivery. Twenty-one fetus were live born after the period of viability. Nine of these babies were admitted to NICU and 50 percent of the neonates required only regular perinatal care.Conclusions: Post emergency cervical cerclage, the outcome in terms of prolongation of pregnancy, live births and neonatal survival is better.

Radiofrequency Ablation vs Electrocautery Blinded Randomized Trial: Impact on Clinically Meaningful Outcomes

2020 ◽  
pp. 019459982096473
Author(s):  
Aaron J. Prussin ◽  
Eric Babajanian ◽  
Marc Error ◽  
J. Fredrik Grimmer ◽  
Jessica Ku ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Adverse Events ◽  
Medical Center ◽  
Academic Medical Center ◽  
Normal Activity ◽  
Inclusion Criteria ◽  
Pain Scores ◽  
Significant Difference ◽  
Monopolar Electrocautery ◽  
Daily Pain

Objective To analyze patients’ return to normal activity, pain scores, narcotic use, and adverse events after undergoing tonsillectomy or adenotonsillectomy with monopolar electrocautery or radiofrequency ablation. Study Design Randomized double-blinded clinical trial based on prospective parallel design. Setting Academic medical center and tertiary children’s hospital between March 2018 and July 2019. Methods Inclusion criteria included patients aged ≥3 years with surgical indication of recurrent tonsillitis or airway obstruction/sleep-disordered breathing. Patients were randomly assigned to monopolar electrocautery or radiofrequency ablation. Patients were blinded to treatment assignment. Survey questions answered via text or email were collected daily until postoperative day 15. The primary outcome was the patient’s return to normal activity. Secondary outcomes included daily pain score, total amount of postoperative narcotic use, and adverse events. Results Of the 236 patients who met inclusion criteria and were randomly assigned to radiofrequency ablation or monopolar electrocautery, 230 completed the study (radiofrequency ablation, n = 112; monopolar electrocautery, n = 118). There was no statistically significant difference between the groups in the number of days for return to normal activity ( P = .89), daily pain scores over 15 postoperative days ( P = .46), postoperative narcotic use ( P = .61), or return to hospital for any reason ( P = .60), including bleeding as an adverse event ( P = .13). Conclusions As one of the largest randomized controlled trials examining instrumentation in tonsillectomy, our data do not show a difference between monopolar electrocautery and radiofrequency ablation with regard to return to normal activity, daily pain scores, total postoperative narcotic use, or adverse events.

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