Full-term neonatal intenstive care unit admission in an urban community hospital: the role of respiratory morbidity

2011 ◽  
Vol 24 (11) ◽  
pp. 1407-1410 ◽  
Author(s):  
Kari Horowitz ◽  
Deborah Feldman ◽  
Brittany Stuart ◽  
Adam Borgida ◽  
Yu Ming Victor Fang ◽  
...  
2009 ◽  
Vol 201 (6) ◽  
pp. S83
Author(s):  
Kari Horowitz ◽  
Deborah Feldman ◽  
Brittany Stuart ◽  
Adam Borgida ◽  
Yu Ming Victor Fang ◽  
...  

2011 ◽  
Vol 204 (1) ◽  
pp. S85
Author(s):  
Kari Horowitz ◽  
Deborah Feldman ◽  
Adam Borgida ◽  
Yu Ming Victor Fang ◽  
Victor Herson

1976 ◽  
Vol 52 (2) ◽  
pp. 102-104
Author(s):  
R C Rendtorff ◽  
J W Curran ◽  
R W Chandler ◽  
S Glassco ◽  
L Wiser

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696713
Author(s):  
David Seamark ◽  
Deborah Davidson ◽  
Helen Tucker ◽  
Angela Ellis-Paine ◽  
Jon Glasby

BackgroundIn 2000 20% of UK GPs had admitting rights to community hospitals. In subsequent years the number of GPs engaged in community hospital clinical care has decreased.AimWhat models of medical care exist in English community hospitals today and what factors are driving changes?MethodInterviews with community hospital clinical staff conducted as part of a multimethod study of the community value of community hospitals.ResultsSeventeen interviews were conducted and two different models of medical care observed: GP led and Trust employed doctors. Factors driving changes were GP workload and recruitment challenges; increased medical acuity of patients admitted; fewer local patients being admitted; frustration over the move from ‘step-up’ care from the local community to ‘step-down’ care from acute hospitals; increased burden of GP medical support; inadequate remuneration; and GP admission rights removed due to bed closures or GP practices withdrawing from community hospital work.ConclusionMultiple factors have driven changes in the role of GP community hospital clinicians with a consequent loss of GP generalist skills in the community hospital setting. The NHS needs to develop a focused strategy if GPs are to remain engaged with community hospital care.


1995 ◽  
Vol 268 (4) ◽  
pp. H1586-H1592 ◽  
Author(s):  
Y. Gao ◽  
H. Zhou ◽  
J. U. Raj

Endothelium-derived nitric oxide (EDNO) modulates fetal pulmonary vasoactivity. The role of EDNO in regulation of vasomotor tone in fetal pulmonary arteries vs. that in veins is not known. We have investigated the role of EDNO in the responses of pulmonary arteries and veins of full-term fetal lambs. Fourth-generation pulmonary arterial and venous rings were suspended in organ chambers filled with modified Krebs-Ringer bicarbonate solution (95% O2-5% CO2 at 37 degrees C), and their isometric force was measured. N omega-nitro-L-arginine had no effect on the resting tension of pulmonary arteries with endothelium but caused contraction of pulmonary veins with endothelium. The basal level of intracellular guanosine 3',5'-cyclic monophosphate (cGMP) of pulmonary veins with endothelium was higher than that of arteries with endothelium. In pulmonary arteries, bradykinin, but not acetylcholine, induced endothelium-dependent relaxation and an increase in cGMP content. In pulmonary veins, acetylcholine, but not bradykinin, induced endothelium-dependent relaxation and an increase in cGMP content. Agonist-induced maximal relaxation and increases in cGMP content were smaller in pulmonary arteries than in veins. All these endothelium-dependent responses were abolished by N omega-nitro-L-arginine. In tissues without endothelium, nitric oxide induced significantly less relaxation and less increase in cGMP content in pulmonary arteries than in pulmonary veins. All vessels relaxed similarly to 8-bromoguanosine 3',5'-cyclic monophosphate. Our data suggest that the role of EDNO in modulating tone differs between pulmonary arteries and veins in full-term fetal lambs.(ABSTRACT TRUNCATED AT 250 WORDS)


CHEST Journal ◽  
2012 ◽  
Vol 142 (4) ◽  
pp. 918A
Author(s):  
Anindita Chowdhury ◽  
Vikramjit Mukherjee ◽  
Jessica Wang Memoli

2019 ◽  
Vol 19 (5) ◽  
pp. 402-408
Author(s):  
Barbara Snapp ◽  
Barbara Reyna

Sign in / Sign up

Export Citation Format

Share Document