Use of the USCOM® noninvasive cardiac output measurement system to predict the development of pre-eclampsia in hypertensive pregnancies.

Objectives: To assess the ability of the USCOM® (USCOM), using measurements of cardiac output (CO) and systemic vascular resistance (SVR), to predict the development of pre-eclampsia (PE) and severe PE in hypertensive pregnancies.

Study Design: Prospective cohort study of women in the second or third trimester recruited at a tertiary center in Sydney, Australia. Demographic data and hemodynamic measurements using the USCOM were taken for all study participants at recruitment.

The effect of opening wedge thoracostomy on thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis.

Background: Thoracic insufficiency syndrome is the inability of the thorax to support normal respiration or lung growth and is seen in patients who have severe congenital scoliosis with fused ribs. Traditional spinal surgery does not directly address this syndrome.

Methods: Twenty-seven patients with congenital scoliosis associated with fused ribs of the concave hemithorax had an opening wedge thoracostomy with primary longitudinal lengthening with use of a chest-wall distractor known as a vertical, expandable prosthetic titanium rib.

The characteristics of thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis.

1. Thoracic insufficiency syndrome is the inability of the thorax to support normal respiration or lung growth. 2.

Children with special health-care needs in Texas.

A comprehensive system for the delivery of care to children with special healthcare needs and to their families has been developed by the department of pediatrics of The University of Texas Health Science Center at San Antonio. A description of the structure and operations of this system is presented and offered as a model for the state of Texas.