9 results match your criteria: "The Hudson Institute for Medical Research[Affiliation]"

Effect of initial and subsequent mask applications on breathing and heart rate in preterm infants at birth.

Arch Dis Child Fetal Neonatal Ed

November 2023

Division of Neonatology, Department of Paediatrics, Willem-Alexander Children's Hospital, Leiden University Medical Centre, Leiden, The Netherlands.

Article Synopsis
  • A study examined the effects of face mask applications on preterm infants during birth, focusing on the trigeminocardiac reflex and its possible relation to apnoea and bradycardia.
  • Out of 111 infants, 404 mask applications were analyzed, revealing that the first application led to more frequent instances of apnoea and bradycardia compared to later applications.
  • The findings indicate that lower breathing and heart rates before applying the mask increase the likelihood of apnoea, suggesting a need for careful monitoring during resuscitation.
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Paediatric exhaled CO detector causes leaks.

Arch Dis Child Fetal Neonatal Ed

July 2020

Neonatology, Leiden University Medical Center, Leiden, Zuid-Holland, The Netherlands.

Objective: To assess leakage caused by the Pedi-Cap.

Methods: Bench test I: Pedi-Caps were connected between the Neopuff and a test lung and placed underwater to detect the leak. Bench test II: the disposable Avea VarFlex Flow Transducer measured the leak.

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Objective: Lung hypoplasia associated with congenital diaphragmatic hernia (CDH) results in respiratory insufficiency and pulmonary hypertension after birth. We have investigated whether aerating the lung before removing placental support (physiologically based cord clamping (PBCC)), improves the cardiopulmonary transition in lambs with a CDH.

Methods: At ≈138 days of gestational age, 17 lambs with surgically induced left-sided diaphragmatic hernia (≈d80) were delivered via caesarean section.

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Introduction: During delayed umbilical cord clamping, the factors underpinning placental transfusion remain unknown. We hypothesised that reductions in thoracic pressure during inspiration would enhance placental transfusion in spontaneously breathing preterm lambs.

Objective: Investigate the effect of spontaneous breathing on umbilical venous flow and body weight in preterm lambs.

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Fetal growth restriction (FGR) affects up to 5% of pregnancies and is associated with significant perinatal complications. Maternal deficiency of vitamin D, a secosteroid hormone, is common in FGR-affected pregnancies. We recently demonstrated that decreased expression of the vitamin D receptor (VDR) in idiopathic FGR placentae could impair trophoblast growth.

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Hedgehog (Hh) signaling regulates cell fate and self-renewal in development and cancer. Canonical Hh signaling is mediated by Hh ligand binding to the receptor Patched (Ptch), which in turn activates Gli-mediated transcription through Smoothened (Smo), the molecular target of the Hh pathway inhibitors used as cancer therapeutics. Small cell lung cancer (SCLC) is a common, aggressive malignancy with universally poor prognosis.

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Objective: While delayed umbilical cord clamping (UCC) is thought to facilitate placental to infant blood transfusion, the physiological factors regulating flow in the umbilical arteries and veins during delayed UCC is unknown. We investigated the effects of gravity, by changing fetal height relative to the placenta, and ventilation on umbilical blood flows and the cardiovascular transition during delayed UCC at birth.

Methods: Catheters and flow probes were implanted into preterm lambs (128 days) prior to delivery to measure pulmonary, carotid, umbilical artery (UaBF) and umbilical venous (UvBF) blood flows.

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Bacterial membrane vesicles: Biogenesis, immune regulation and pathogenesis.

Cell Microbiol

November 2016

Centre for Innate Immunity and Infectious Diseases, The Hudson Institute for Medical Research, Clayton, Victoria, Australia.

Outer membrane vesicles were first described approximately 50 years ago and for many years were considered to be an artifact of bacterial growth. Since that initial discovery, it has become evident that outer membrane vesicles are produced by almost all Gram-negative bacteria as part of their normal growth in addition to driving pathogenesis within the host. More recently, the identification of membrane vesicle (MV) production by some Gram-positive bacteria, parasites, fungi, mycobacteria and infected host cells has significantly broadened the field of MV research and emphasized their importance to pathogenesis.

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