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Please find here videos of surgical procedures, lectures, operative techniques, case reports and expert's interviews in pediatric surgery. This site complies with the HONcode standard for trustworthy health information: verify here.
For over twenty years the Neonatal Intensive Care Unit (NICU) at The Women’s Hospital at Saddleback Memorial in Laguna Hills has been caring for premature and medically fragile infants. By posting on MemorialCare Health System social media pages you are agreeing to our Terms of Use & Web Site Privacy Policy. Kentucky Kids Crew is a specialty team that provides inter-facility (hospital-to-hospital) critical care transportation for both neonatal (newborn) and pediatric patients. The transport team utilizes state of the art ambulances, helicopters, and other equipment specially designed to meet the needs of our young patients. All patients transported by the Kentucky Kids Crew are admitted to Kentucky Children's Hospital or the Makenna David Pediatric Emergency Department. We also provide transport service from the Kentucky Children's Hospital when the patient can be returned to their community hospitals or other facilities.
Kentucky Kids Crew has been providing ground and air transportation support to physicians and health care facilities throughout Kentucky, West Virginia, Tennessee and Ohio since 1979. Our goal is to be the premier transport service for children in Central and Eastern Kentucky.  Additionally, we work to improve the pre-transport care of children in the region through outreach education and by strengthening ties with referring providers. The Cat Scratch newsletter was developed to share a little bit of our world, to provide education about infants and children, and to share stories about the children we serve.
This guide is a valuable resource for parents whose children have been transported to Kentucky Children’s Hospital. Call UK*MDs toll free at 800-888-5533for inter-facility transfers (health care providers only). Tennessee lawmakers have given the green light to a bill that would allow criminal assault charges to be filed against women whose infants suffer harm from their mothers’ prenatal drug abuse. Driven by the prescription drug addiction epidemic, Tennessee is seeing a dramatic rise in the number of newborns born with neonatal abstinence syndrome. Neonatal abstinence syndrome is a group of problems that occur in a newborn who was exposed to addictive illegal or prescription drugs while in the mother’s womb. Driven by the prescription drug addiction epidemic, Tennessee is seeing a dramatic rise in the number of newborns born dependent on drugs.
Newborns being born addicted to painkillers is yet another disturbing trend stemming from the rampant abuse of prescription drugs.
As a result, the incidence of babies being born with neonatal abstinence syndrome, a group of problems caused by maternal opiate use during pregnancy, has nearly tripled in the past decade. Tennessee is ranked in the top one percent of states that sell prescription painkillers, and is also in the nation’s top ten for overdose deaths, according to this article. Meanwhile, doctors in Tennessee prescribed 17 retail pain prescriptions per capita in 2009, versus the national average of 12, the article notes. This is Part Two of an ongoing series by Cityview concerning the opiate addiction epidemic in Knoxville, Tenn. Neonatal surgery refers to operations on children in the first month of life, almost always on an emergency or urgent basis. Many of these neonatal surgical problems are very rare, occurring in 1 in 5,000 to 1 in 25,000 live births. The goal of surgery in the neonatal period is complete repair of the heart defect whenever possible. In the normal heart, the right side of the heart pumps 'blue' blood (un-oxygenated) from the body to the lungs through the pulmonary artery (main artery to the lungs), while the left heart pumps "red" blood (oxygenated) from the lungs to the body through the aorta (main artery to the body).In the normal heart, the right side of the heart pumps 'blue' blood (un-oxygenated) from the body to the lungs through the pulmonary artery (main artery to the lungs), while the left heart pumps "red" blood (oxygenated) from the lungs to the body through the aorta (main artery to the body). In this defect, the position of the main vessels to the lungs and body is reversed so that the aorta arises from the right side of the heart and the pulmonary artery form the left side of the heart. The surgeons perform an arterial switch procedure for this anomaly, which connects the aorta to the left ventricle and connects the pulmonary artery to the right ventricle.
In the normal heart, pulmonary veins carry oxygenated blood from the lungs to the left side of the heart (left atrium), which pumps the oxygenated blood to the body. In a heart with TAPVR, the pulmonary veins connect to the right atrium, where the oxygenated blood mixed with the un-oxygenated blood through a hole in between the left and right atria.
Children born with single ventricle offer complex challenges, such as hypoplastic left heart syndrome. HLHS is a severe congenital heart defect in which the left side of the heart does not develop during pregnancy. Surgical repair requires three stages to enable the single working chamber to do the work of two ventricles. In a normal heart, the tricuspid valve controls blood blow from the right atrium to the right ventricle. When a person has Ebstein's anomaly, the leaflets of the tricuspid valve are not formed correctly, and the valve is located lower than normal. Successful heart surgery at We Care India partner hospital allows Robert Clarke to live a normal life despite a rare genetic disorder We Care india helped Robert find best super specialised surgeon for his rare conditions.
A 42-year-old male presents to the emergency department complaining of 2 days of depressed mood, muscle aches and spasms, and diarrhea.
Send Home Our method Usage examples Index Contact StatisticsWe do not evaluate or guarantee the accuracy of any content in this site. All streaming videos are charge-free, however, for users interested in our high quality videos (480p), they are available for purchase and download on WeBSurg HD. We hope you never need us, but should the need arise we are well-equipped to care for infants requiring immediate, advanced care. We are the only transport team in the region exclusively dedicated to transporting newborns and children. Our vehicles are equipped as mobile intensive care units that enable the team to provide neonatal and pediatric critical care.
It provides directions, information about where to stay and what to bring and includes a glossary of medical terms as well as other important information. In just slightly more than nine months last year, more babies in the state were born dependent on drugs their mothers took during pregnancy than in all of 2011, according to this article.
In just slightly more than nine months this year, more babies in the state have been born dependent on drugs their mothers took during pregnancy than in all of 2011, according to this article. Nationwide, the number of pregnant women who were dependent on or using opiates when they delivered increased from 4,839 in 2000 to 23,009 in 2009. Since the state’s establishment of a prescription drug monitoring database in 2004, 1,059 Tennesseans died of prescription drug overdoses, the article says. In fact, one of the state’s doctors wrote more than five million prescriptions for opiates like oxycodone among 3,600 patients in 2011.
Many of these conditions are interesting and myriad, ranging from common in-born anomalies (cardio-vascular and gastro-intestinal) to fortunately rarer lethal conditions.


Pediatric surgeons have specialized training in treating these conditions, thus affording your baby the best possible outcome. The consequences of this reversal are severe, since blood which has gone to the lungs to pick up oxygen is not pumped to the body as it should be, but instead returns to the lungs. To repair this defect, the aorta is clamped on either side of the narrowing, the segment of narrowing is removed, and the two ends of the aorta are sewn together.
In the defect known as Truncus, the two main vessels are fused into one large channel into which both pumping chambers empty.
This means the left ventricle (the pumping chamber that sends blood to the body) and the aorta (the main artery that carries the blood to the body) and the mitral and aortic valves are very small and cannot support life.
The first stage, the Norwood I procedure is typically performed within the first 2 weeks of life. When a person has Ebstein's anomaly, the leaflets of the tricuspid valve are not formed correctly, and the valve is located lower than normal.In a normal heart, the tricuspid valve controls blood blow from the right atrium to the right ventricle. The leaflets do not control the blood flow properly, resulting in a right ventricle that is too small, and a right atrium that is too large. In the immediate pre-calving, 2.5 ml of Echinacea purpurea were orally administered to the first group (A) and, after calving, Nux vomica, Chelidonium and Lycopodium were administered at 7 days intervals. The patient reports a long history of IV drug use and says he drinks half a pint of vodka daily. A family member mentioned to the nursing staff that the patient had been chronically taking a medication for her anxiety. Restlessness, confusion, tremulousness, psychosis, and generalized seizure are all symptoms consistent with withdrawal from benzodiazepines.Benzodiazepines are sedative hypnotic medications commonly used in the treatment of anxiety. The NICU at The Women’s Hospital provides a full complement of board certified neonatologists, pediatric subspecialists, experienced nurses, respiratory therapists, social workers and pediatricians. By the first week of October 2013, 643 babies were born dependent, compared with 629 for all of 2011. Some NAS babies may need to receive fluids intravenously; others with more severe symptoms may require medicine to treat withdrawal.
By the first week of October, 643 babies were born dependent, compared with 629 for all of 2011, and officials are projecting more than 800 drug dependent babies by the end of this year, the article says. Unintentional drug overdose is now the leading cause of death in Tennessee, exceeding death rates for motor vehicle crashes, homicides and suicides. The article points out that any licensed doctor can open and run a pain management clinic, even those without training in pain management – and doctors who prescribe opiates can make as much as $7,000 to $10,000 per day by billing insurance or getting cash from patients. All neonatal surgeries are undertaken by the senior staff in cooperation with the Specialist Neonatal Medical and Paediatric Anaesthesiology staff. The only way blood with oxygen can reach the body is by passing through a hole between the upper collecting chambers and mixing with the "blue" blood.
The surgical repair of anomalous pulmonary veins involves the redirection of the abnormal veins to the left atrium, usually by connecting them directly to the back wall of the atrium. The second stage, the bi-directional Glenn, is typically performed before the infant is 6 months old.
There are varying degrees of severity of Ebstein's anomaly, and there is usually an atrial septal defect.
The second group (B) was only subjected to the post-calving treatment, while the third group (C) represented the control group.
Three days ago he had his wallet stolen and has since not been able to buy drugs or alcohol.
If by the third day of her hospitalization, the patient has not been restarted on her home medication regimen, what clinical manifestations could be experienced by her? We provide a full range of specialized, family-centered services–intensive, intermediate and continuing care–for premature and medically fragile newborns. The majority of these births involved a mother taking medicine prescribed by a health care provider. The majority of these births involved a mother taking medicine prescribed by a health care provider, according to the article. To repair this defect, the aorta is clamped on either side of the narrowing, the segment of narrowing is removed, and the two ends of the aorta are sewn together (end to end anastomosis).
At two to three years old, the third, and final stage - the Fontan operation is completed.Rarely, the staged approach cannot be performed on an HLHS heart, and a Heart Transplant is performed. Flu-like symptoms may be present, including nausea, diarrhea and stomach cramps, and patients often complain of joint and muscle aches. The symptoms of benzodiazepine withdrawal include anxiety, restlessness, confusion, disorientation, tremulousness, generalized seizures, psychosis, tachycardia, elevated blood pressure, and hyperthermia.
Preventing relapse then becomes the most important factor in eliminating opioid dependence.
Bell reviews heroin addiction, noting that the goal of most treatment programs is to reduce street heroin use and associated crime and deviant behavior. Methadone programs have often reduced street heroin use less than expected due to suboptimal dosing and other deviations from evidence-based approaches.Illustration A describes symptoms of opiate withdrawal. This situation drives a development of infectious diseases of high mortality, showing symptoms affecting the gastrointestinal apparatus with diarrhoeic events leading to severe dehydration that often carries the calf to death [2].
To deal this situation the farmers use commercial products that help stimulating the immune system against the main pathology caused by Clostridia, E. Is important to know that the buffalo calves, like all other ruminants, missing of circulating immunoglobulin (Ig), for placenta impermeability to the Ig, and only the recruitment of the colostrums Ig gives them an adequate immunity in the neonatal period [3], until the development of their self immune system. The maternal antibodies, giving a passive immunization if the intake of colostrums occurs one hour after birth, are transferred, after ingestion, from the intestinal lumen to the blood of the calf within 24 hours after calving [4]. The intestine ability of Ig absorption set up quickly, to become negligible when the cells appointed to this absorption are replaced by more mature cells that do not absorb macromolecules [5]: this happens 8 hours after birth in cattle calves, and 1 to 5 hours in buffalo calves if they take colostrums after 30 min from birth. This rapid closing of intestine reduces the incidence of infections in the calves [7]. Hence the need for early and proper administration of colostrums to the calves, as its failure or delayed recruitment or its poor quality predisposes the animals to neonatal infections [8,9]. Moreover, poor hygiene, the incorrect diet as well as lack or inadequate intake of colostrums, are the most important factors that promote the onset of diseases, as reported by Galiero (2001) [10]. Hence it is an obvious opportunity to reserve a particular attention to environmental conditions (hygiene, nutrition, management, etc.) in the pre-calving phases in buffalo cows and in the first three months of life of buffalo calf. This phase will determine significantly the economy and development of the farm. The clinical picture is due to an attack by viruses and bacteria in the small intestine, causing intestinal desquamation of epithelium. The Conventional farm usually employs the vaccination techniques while the Organic farm relies on a homeopathic approach.


The period of pregnancy is considered the best time for the action of homeopathic remedies. In this period, the buffalo cows would show greater sensitivity to the doses of homeopathic remedies involving the physical economy as a whole [12].
The knowledge of the effects and mechanisms of homeopathic remedies are incomplete and controversial [17] and also the ways of actions of E. It is a medium-sized tree in the family Loganiaceae that grows in open habitats. It is a major source of the highly poisonous alkaloids strychnine and brucine, derived from the seeds inside the tree’s round, green to orange fruit.
Other alkaloids present include methyl 2'-(7,8- dihydrosanguinarine-8-yl)acetate, allocryptopine, stylopine, protopine, norchelidonine, berberine, chelidonine, sanguinarine, chelerythrine and 8-hydroxydihydrosanguinarine. Sanguinarine is particularly toxic with and LD50 of 18 mg per kg body weight. Some alkaloids have shown potential activity against methicillin-resistant Staphylococcus aureus.
In vitro experiments on animal cells celandine is shown to be cytostatic [19] an immune stimulating effect has also been noted.
The alkaloids cause limpness and tone reduction of smooth muscle in rabbits. The alkaloids are also noted to stimulate the heart and lungs of frogs, cats and dogs, raising the blood pressure and widening the arteries [20-22]. Lycopodium is adapted more especially to ailments gradually developing, functional power weakening, with failures of the digestive powers, where the function of the liver is seriously disturbed.
The Herds This study was conducted at an organic and conventional farms located in the south Italy, both near Salerno. The vanguard milking techniques guarantee impeccable hygiene, superior milk quality and well-being of the animals in fact the introduction of robots for the milking have changed the milking process itself: the buffaloes regained a more natural and less distressing rhythm of life, they can decide themselves when to give milk.
The farmers on the other hand no longer need to subject themselves to the animals needs but assume the role of observers and supervisors. They milked 500 head twice a day, with an average of 23 tons per year of lactation per head. Artificial insemination is practiced by the '80s, in addition to improving livestock genetics has helped to focus it shares seasonal variations in spring-summer, and autumn births would naturally clashing with the demands of the market.
Farms Investigations In the organic farm, 30 pluriparous buffaloes, uniform for stage of calving and parity (all in third lactation), were selected for the test on early lactation, while 20 pluriparous buffaloes, uniform for stage of calving and parity (all in third lactation), were considered in the conventional farm.
In the organic farm, the animals were divided in three groups, labelled A (treated group in the pre-and post-calving), B (treated only in post-calving) and C (control) group. All administrations were done orally and immediately after the morning milking, before feeding. Effect of administration of homeopathic remedies on the parameters of milk in organic farm. Effect of administration of homeopathic remedies on the parameters of milk in conventional farm. The average change in production (Kg) during the first 120 days of lactation in the three treated and in vaccinated groups.
Chemical haematic profile on treated buffaloes at T0, T14 and T21 in organic farm. Chemical haematic profile on vaccinated buffalo cows at T0, T14 and T21 in conventional farm. Similar trend is evident for glucose, cholesterol, urea, NEFA, ßOH-butyrate and triglycerides values.
GOT values were found significantly lower in A and B groups in comparison to C group. Only in T14 the treated groups showed higher value for considered parameters. Figure 2 shows the number of calves born and dead in the different farms and the subdivision in males and females.
In this farm the mortality for the first week was 10% and increased through the second and third month in both groups of calves (treated and not treated), and the general mortality of the organic farm was 33.17%.
Purpurea, that helps the calves in the critical period of immunization from the birth to the administration of colostrums.
When subdividing the mortality over the time it is evident that the treated group has a critical moment in the 2 - 3 months interval, while for non-treated group this is in the first month.
This distribution is due to the alimentary stress linked to the transition from a liquid to a solid feeding received by animals in the 2 - 3 months period.
This alimentary stress changes the intestinal micro population and represents a situation not manageable by Echinacea. This problem can be afforded with a different management and with homeopathic remedies favouring the normal physiologic change in this period of calf life, for example carbonic calcarea. Milk consumption determines the modulation of the gastrointestinal microbial development, provided by lactose, caseins, lysozyme, and lactoferrin. For this reason, removing the milk determines an alteration of the internal flora.
In this phase there is a reduction of the populations of lactobacilli and enterococci. In subsequent steps, the definitive associations typical of the adult animal are realized. Distribution of births and deaths of calves in organic and conventional farms. ACKNOWLEDGEMENTS The authors are grateful to Giuseppe Grazioli for the technical assistance.
Saunders Company, Philadelphia, USA, Handbook, FAO, ISBN 0-7216-4686-7. Terapia e profilassi Atti I Congresso Nazionale sull’Allevamento del Bufalo, 3-5 ottobre, Eboli (Sa), 51-59. International Journal of Immunopharmacology, 19, 371-379. African Journal of Traditional, Complementary, and Alternative Medicines, 7, 286-290.



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