The ensemble of these works argues for the necessity of highly individualized care by taking advantage of continuous bedside monitoring of cerebral circulation. They also point to the urgent need for further studies addressing the exciting but difficult issue of cerebral blood flow autoregulation in the neonate.”
“A wide spectrum of common and uncommon diffuse liver diseases affecting neonatal and pediatric liver transplant candidates is Selleck VX-689 presented and analyzed using 16 and 64 multi-detector row helical CT (MDCT) and 1.5 T MRI fast imaging. Correlation of imaging findings and explanted liver or histology is illustrated in representative cases. Associated uncommon congenital anomalies are shown. In conclusion,
in pediatric liver transplant candidates, 16-MDCT and 1.5 T fast MRI are useful for diagnosis and staging of liver disease, as well as for the evaluation of associated congenital anomalies.”
“Background: even after successful surgical cure, Cushing’s Syndrome (CS) may induce cardiovascular (CV) diseases including hypertension, or elicit onset of CV risk factors, such as obesity.
Objectives: Compound C ic50 to evaluate some early markers of CV dysfunction in adolescent girls before and after successful surgical cure of CS; to compare
after surgery data with those of a control group (C) of healthy young girls
Methods: 23 girls affected by CS were enrolled (range: 11-17 years; mean: 14.3 PCI 32765 +/- 1.7 years). Epicardial fat thickness (EFT), intima-media thickness (LMT), N-terminal pro B-type natriuretic peptide (NT-proBNP) were assessed; transthoracic echocardiogram coupled with Tissue Doppler imaging (TDI) was performed.
Results (CS before surgery vs. CS after surgery): EFT (p<0.05). (CS after surgery vs. C): EFT (p=0.0001); IMT
(p=0.0001); NT-proBNP (p=0.0001). TDI: isovolumetric relaxation time (p=0.001); isovolumetric contraction time (p=0.001); myocardial performance index (p=0.001). Significant correlations: NT-proBNP with IRT (r = 0.45, p = 0.026), ICT (r = 0.47, p = 0.028), and myocardial performance index (r = 0.51, p = 0.0032).
Conclusions: important structural and functional modifications of heart and vessels are present in young female CS despite successful surgical cure, even in paediatric age. It underlines their significantly higher cardiovascular risk. Our findings confirm that EFT, IMT, NT-proBNP and TDI diastolic parameters, not previously tested in paediatric CS, are early markers of cardiovascular dysfunction. Because of its relationship with TDI, the assessment of NT-proBNP proves to be the best marker in detecting a cardiovascular dysfunction in this specific population.”
“Effective and safe drug administration in neonates should be based on integrated knowledge on the evolving physiological characteristics of the infant who will receive the drug and the pharmacokinetics (PK) and pharmacodynamics (PD) of a given drug.