Sternal cleft is a very rare congenital defect of the sternum, reported only in a limited number of publications. Surgical treatment in the neonatal period is preferred. A case of a child with congenital sternal cleft operated on at 17 months of age with a successful outcome of repair was reported.
Introduction There is considerable uncertainty about the reproducibility of the various instruments used to measure dyspnea, their ability to reflect changes in symptoms, whether they accurately reflect the patient's experience and if its evolution is similar between acute heart failure syndrome patients and nonacute heart failure syndrome patients.URGENT was a prospective multicenter trial designed to address these issues.Methods Patients were interviewed within 1 hour of first physician evaluation, in the emergency department or acute care setting, with dyspnea assessed by the patient using both a five-point Likert scale and a 10-point visual analog scale (VAS) in the sitting (60º) and then supine (20º) position if dyspnea had not been considered severe or very severe by the sitting versus decubitus dyspnea measurement.Results Very good agreements were found between the five-point Likert and VAS at baseline (0.891, P <0.0001) and between changes (from baseline to hour 6) in the five-point Likert and in VAS (0.800, P <0.0001) in acute heart failure (AHF) patients.Lower agreements were found when changes from baseline to H6 measured by Likert or VAS were compared with the seven-point comparative Likert (0.512 and 0.500 respectively) in AHF patients.The worse the dyspnea at admission, the greater the amplitude of improvement in the first 6 hours; this relationship is stronger when dyspnea is measured with VAS (Spearman's rho coefficient = 0.672) than with the five-point Likert (0.272) (both P <0.0001) in AHF patients.By the five-point Likert, only nine patients (3% (1% to 5%)) reported an improvement in their dyspnea, 177 (51% (46% to 57%)) had no change, and 159 (46% (41% to 52%)) reported worse dyspnea supine compared with sitting up in AHF patients.The PDA test with VAS was markedly different between AHF and non-AHF patients.Conclusions Both clinical tools five-point Likert and VAS showed very good agreement at baseline and between changes from baseline to tests performed 6 hours later in AHF patients.The PDA test with VAS was markedly different between AHF and non-AHF patients.Dyspnea is improved within 6 hours in more than threequarters of the patients regardless of the tool used to measure the change in dyspnea.The greater the dyspnea at admission, the greater the amplitude of improvement in the first 6 hours. P2
ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Wiśniewska-Ulfik D, Behrendt J, Nawrat A, Szymańska A, Stachurska-Klimczak A, Stojewska M. Increased serum vaspin concentration in full-term neonates with early-onset infections. Pediatria Polska - Polish Journal of Paediatrics. 2019;94(4):235-240. doi:10.5114/polp.2019.88040. APA Wiśniewska-Ulfik, D., Behrendt, J., Nawrat, A., Szymańska, A., Stachurska-Klimczak, A., & Stojewska, M. (2019). Increased serum vaspin concentration in full-term neonates with early-onset infections. Pediatria Polska - Polish Journal of Paediatrics, 94(4), 235-240. https://doi.org/10.5114/polp.2019.88040 Chicago Wiśniewska-Ulfik, Dominika, Jakub Behrendt, Alicja Nawrat, Anna Szymańska, Aneta Stachurska-Klimczak, and Małgorzata Stojewska. 2019. "Increased serum vaspin concentration in full-term neonates with early-onset infections". Pediatria Polska - Polish Journal of Paediatrics 94 (4): 235-240. doi:10.5114/polp.2019.88040. Harvard Wiśniewska-Ulfik, D., Behrendt, J., Nawrat, A., Szymańska, A., Stachurska-Klimczak, A., and Stojewska, M. (2019). Increased serum vaspin concentration in full-term neonates with early-onset infections. Pediatria Polska - Polish Journal of Paediatrics, 94(4), pp.235-240. https://doi.org/10.5114/polp.2019.88040 MLA Wiśniewska-Ulfik, Dominika et al. "Increased serum vaspin concentration in full-term neonates with early-onset infections." Pediatria Polska - Polish Journal of Paediatrics, vol. 94, no. 4, 2019, pp. 235-240. doi:10.5114/polp.2019.88040. Vancouver Wiśniewska-Ulfik D, Behrendt J, Nawrat A, Szymańska A, Stachurska-Klimczak A, Stojewska M. Increased serum vaspin concentration in full-term neonates with early-onset infections. Pediatria Polska - Polish Journal of Paediatrics. 2019;94(4):235-240. doi:10.5114/polp.2019.88040.
The aim of the paper was to estimate 9 spirometric parameters in 38 children aged 8-12, among them in16 with past bronchopulmonary dysplasia and in 22 healthy ones. Mean values of VC, FEV1, FVC Ex, PEF, MEF 75, MEF 50 and MEF 25 in children with past bronchopulmonary dysplasia were significantly lower than in healthy children. In children with past bronchopulmonary dysplasia VC was decreased comparing to normal values in 94% of cases, FVC Ex and MEF 50 in 75% and FEV1 in 63% of subjects. Tiffeneau coefficient and value of FEV1% FVC Ex were normal. Inhaled salbutamol increased significantly the mean values of VC and MEF 25 in children with dysplasia. The increase of FEV1 > 15% in 56% and VC > 15% only in 25% of these children was observed. It was found, that past bronchopulmonary dysplasia induces ventilatory disorders, mainly restriction changes with obstruction component in airways of school-age children.
