Paediatrics

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Paediatric surgery: a major challenge

UK — A report on the care of young surgical patients has been launched by The Children's Surgical Forum, a body of representatives from the medical royal colleges, surgical specialist associations, Department of Health, Royal College of Nursing and the Royal College of Surgeons Patient Liaison Group.

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Sonographic Indications of Fetal Chromosome Abnormalities

"Genetic ultrasound" is a refined technique in prenatal diagnostics. It aims to estimate as accurately as possible and non-invasively, the individual risk of a fetal chromosome abnormality. In conventional prenatal sonography (malformation screening) conspicuous fetal malformations are searched for selectively; naturally chromosomal anomalies of the fetus cannot be detected in this…

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Looking at a New Generation

Most babies are born healthy, but there is still a small risk for all women to give birth to a baby with some type of anomaly. Ultrasound has proven to be one of the most reliable procedures to prenatally diagnose some of these conditions. Ultrasound can be used during the entire pregnancy, but in the first trimester ultrasound examinations are, as a rule, used to exactly calculate the pregnancy,…

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New Image Guided Therapy Suites at Sick Kids

In May 2001, the world's first CT-XR hybrid suite for image guided therapy in paediatrics was put into operation. The new Centre for Image Guided Therapy (IGT) at The Hospital for Sick Children allows surgeons and interventional radiologists to do something that's never been done before - work side-by-side when diagnosing and treating children. A total of 4 interventional suites were equipped…

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Advancing Pediatric Imaging with 16-Slice CT

Pediatric imaging presents many unique and difficult challenges to the radiologist. Correct and rapid diagnosis is extremely important in pediatric imaging and to that end we constantly strive for tests that offer more information, accuracy and versatility. However, it is also our duty to provide tests that are safe and minimise exposure to ionizing radiation. In recent months there has been…

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Screening for Chromosomal Defects

Chromosomal abnormalities are major causes of perinatal death and childhood handicap. Consequently, the detection of chromosomal disorders constitutes the most frequent indication for invasive prenatal diagnosis. However, invasive testing, by amniocentesis, chorionicvillus sampling (CVS) or cordocentesis, is associated with a risk of miscarriage of about 1% and therefore these tests are carried…

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High-Frequency Eyeball Sonography in the Differential Diagnosis of Papillae Changes

Since the beginning of the 90s, sonography has been a solid diagnostic pillar in ophthalmology centers, but it is also used by related medical disciplines, such as pediatrics, whose patients require ophthalmological treatment. For all age groups, the fundus of the eye, and especially the optic disk, is well-suited for high-frequency sonography with linear transducers. This type of examination…

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The Non-Surgical Closure of Congenital Heart Defects

What is an “open foramen ovale”? The open foramen ovale medical abbreviation PFO for “patent foramen ovale”) is a usually small, only a few millimeter thick, membrane-covered slit in the septum between the atria of the heart. It is a remnant from human embryonic development that usually closes during the newborn period; however, in 10-25% of newborns a small opening remains that generally…

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Tissue Doppler Imaging of the Fetal Heart

In the last 25 years, fetal echocardiography has become established as an integral component of prenatal medicine. Structural heart defects are found in approx. 0.8% of all foetuses. They are consequently comparatively frequent and head the list of isolated fetal organ malformations. Routine screening of the four-chamber view and the outflow tract allows the experienced investigator to detect…

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Robust CT Protocols for Pediatric Cardiovascular Examinations

Pediatric cardiovascular disorders are extremely complex in nature and present with a widely variable array of abnormal anatomy. Imaging these disorders presents a unique set of challenges for the cardiovascular team. Complex anatomical variations require detailed volumetric image interpretation with high spatial and temporal resolution. In addition, the patients are invariably young. They may…

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Guess the best

Basic cardiopulmonary resuscitation (CPR), particularly when performed immediately by those witnessing a cardiac or respiratory arrest, definitively saves lives - especially in witnessed cases of ventricular fibrillation (VF) and childhood drowning events. Nevertheless, the frequency of bystander CPR still remains mostly low. In turn, survival chances for potentially salvageable patients remain…

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US$ 1.5 billion for pneumococcal vaccines development

Canada, Italy, Norway, Russia, the United Kingdom, and the Bill & Melinda Gates Foundation today committed US$1.5 billion to launch a pilot Advance Market Commitment (AMC) to help speed the development and availability of a new vaccine which is expected to save the lives of 5.4 million children by 2030. The new initiative will target pneumococcal disease, a major cause of pneumonia and meningitis…

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Article • Freezing cardiology

Cryoablation – a safer therapy for children with arrhythmias

Freezing abnormal electrical pathways in the hearts of young patients may be a safer alternative to zapping them with powerful radiofrequency probes to treat tachycardias and other arrhythmias, according to Dr Fabrizio Drago, of the Bambino Gesù Hospital, Rome. ‘If you have a child with a supraventricular tachycardia due to a re-entry circuit, or a target very close to the atrioventricular…

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