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Maternal and pregnancy factors contributing to the association between area deprivation and infant mortality in England: a retrospective cohort study.
Lancet Reg Health Eur
December 2024
School of Health and Wellbeing, University of Glasgow, UK.
Background: Socioeconomic inequality in infant mortality in the UK is rising. This study aims to identify contributory maternal and pregnancy factors that can explain the known association between area deprivation and infant mortality.
Methods: A cohort study was conducted using Clinical Practice Research Datalink (CPRD) primary care data between 2004 and 2019 linked to the Index of Multiple Deprivation (IMD), and infant mortality from the Office for National Statistics death data.
Diaphragm Pacing in Early Critical Illness? A Plea for a Super-relaxed Approach.
Am J Respir Crit Care Med
December 2024
Radboud University Medical Center, Intensive care medicine, Nijmegen, Netherlands.
Assessment of Phrenic Nerve Pacers in a Patient With Congenital Central Hypoventilation Syndrome.
Pediatr Pulmonol
December 2024
Department of Pediatrics, New York Medical College, Valhalla, New York, USA.
Diaphragm pacing compared with mechanical ventilation in patients with chronic respiratory failure caused by diaphragmatic dysfunction: a systematic review and meta-analysis.
Expert Rev Respir Med
December 2024
INSERM, UMRS1158 Neurophysiologie respiratoire expérimentale et Clinique, Sorbonne Université, Paris, France.
Background: The effectiveness of diaphragmatic electrical stimulation (DES) compared to mechanical ventilation (MV) in improving clinical outcomes such as quality-of-life (QOL) and hospital stay remains inconsistent.
Methods: We conducted a systematic review and meta-analysis by searching PubMed, Scopus, Google Scholar, LILACS, and IEEE Xplore. We included comparative studies (randomized controlled trials and observational studies) of DES administered via the phrenic nerve or intramuscular electrodes, compared with MV in adults with diaphragmatic paralysis or paresis.
PHRENIC NERVE RECONSTRUCTION WITH SHORT-TERM DIAPHRAGM PACING CORRECTS DIAPHRAGM PARALYSIS DUE TO INTRATHORACIC NERVE INJURY.
Plast Reconstr Surg
November 2024
Division of Plastic & Reconstructive Surgery, Department of Surgery, UCLA Medical Center, Los Angeles, CA.
Article Synopsis
- The study investigates the effectiveness of rebuilding the phrenic nerve and using diaphragm pacing for patients with diaphragm paralysis caused by nerve injury, based on a review of 34 patients.
- The majority of patients (88%) reported improved respiratory function, with significant increases in lung capacity and diaphragm motor activity.
- The findings suggest that this surgical approach is safe, effective, and should be included in treatment plans for those affected by diaphragmatic paralysis.
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