Search

The characteristics of cardiovascular manifestations in FGR are determined by the gestational age at onset and the severity of placental dysfunction, identified by the umbilical artery Doppler. The RI analysis of umbilical artery in our study showed: Se 80%, Sp 100%, PPV 100% and NPV of 75% for FGR because of HT at the age group of 32-36 weeks; serial observations of UA Doppler status remain a cornerstone for determining monitoring intervals in FGR.The assessing in real-time of the maternalfetal Doppler changes and selective monitoring in order to surprise the onset of the "brain sparing" phenomenon especially before 34 weeks are essential in risk pregnancies (PE and FGR) to decide the best time of birth and to reduce as much as possible perinatal morbidity and mortality [ABSTRACT FROM AUTHOR]

In the begining of 1990 Romania had the highest maternal and infant mortality in Europe and one of the highest in the world. Through complex and integrated programs, Romania succeded to improve it's mothers and child health. Improvements in mothers and childrens health were the result of both program implementation, which produced an increase of quality and eficiency of medical services and improvement in the socioeconomic conditions for the general population. The Cluj district presents an even higher improvement compared with the Romanian average; the district implements many of the programs included in the National Mother and Child Health Program. [ABSTRACT FROM AUTHOR]

Genital and perigenital human papilomavirus (HPV) infection in children has an incidence of 1.8% and the most frequently identified viral types are HPV 6 and 11. The mechanism of transmission of HPV to the anogenital area in children is vertical or perinatal transmission from an HPV-infected maternal genital tract (most likely in children under three years of age), horizontal transmission by auto- or heteroinoculation from cutaneous or mucosal warts elsewhere, and transmission by sexual abuse. The authors present several cases of infants aged under 24 month old referred to the clinic for multiple papillary lesions mainly found in anogenital region, the external genitalia and contiguous mucous membranes which, due to chronic friction, result in papules that are less verrucous and vary in color from pink to brown. Neither patient presented sings of sexual abuse; VDRL, TPHA and anti-HIV Ab were negative in all cases. The therapeutic approach was very difficult because of the extensive affected area and the patients' age. Initially, we used several applications of trichloracetic acid and electrodessication with very good results and a free of lesion mean period of two month. In one case the lesions reappeared and we combined several therapeutic modalities: podophyllin, electrodessication, cauterization, with good results. As a conclusion, treating extensive affected areas of HPV infection in children may be challenging and the need of repeated applications might be followed by side effects. [ABSTRACT FROM AUTHOR]

Neonatal sepsis (in utero), perinatal and afterbirth - postnatal is a disease with low incidence, but with high risk. Although incidence of the most common etiology - group B Streptococus - has been reduced by prophylactic treatment with penicillin - neonatal sepsis has not been eradicated, and vigilance must remain high. The author presents: etiology; pathogeny; clinical manifestations; diagnosis (positiv, differential, etiological); management with a plan of treatment with antimicrobial agents and supportive care; evolution, complication and prognosis in neonatal sepsis. [ABSTRACT FROM AUTHOR]