3 results on '"Heying R"'
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2. Mid-term follow-up after multiple system organ failure following cardiac surgery in children.
- Author
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Heying, R, Seghaye, M-C, Grabitz, RG, Kotlarek, F, Messmer, BJ, and von Bernuth, G
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MULTIPLE organ failure , *COMPLICATIONS of cardiac surgery , *CHILDREN - Abstract
Multiple system organ failure after cardiac surgery in children is a severe complication with unknown mid- and long-term sequelae. We therefore evaluated 11 children (aged 20-126 mo, median: 67 mo) having survived multiple system organ failure after cardiac operations for congenital cardiac defects in a cross-sectional follow-up study 12-76 mo (median: 32 mo) after surgery. Clinical and laboratory examinations included cardiac, pulmonary, renal, hepatic, neurological and psychological function tests. All patients had adequate cardiac function. Lung mechanics were abnormal in three children and glomerular renal function was abnormal in two patients. Slight elevation of γ-glutamyl transpeptidase and coagulation factor deficiency was present in six and seven patients, respectively (five of whom had undergone the Fontan operation). Severe neurological sequelae such as diplegia (n = 1) and mental retardation (n = 1) were observed in two patients. In addition, five children presented delayed motor, graphomotor and/or speech development. Two children were found to have abnormal intelligence. We conclude that with the exception of neurological impairment, mid-term sequelae of multiple system organ failure after cardiac surgery in children are mild. However, longer follow-up using an appropriate control group is mandatory. [ABSTRACT FROM AUTHOR]
- Published
- 1999
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3. Paediatric and adult congenital cardiology education and training in Europe
- Author
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Colin J. McMahon, Ruth Heying, Werner Budts, Anna Cavigelli-Brunner, Maria Shkolnikova, Ina Michel-Behnke, Rainer Kozlik-Feldmann, Håkan Wåhlander, Daniel DeWolf, Sylvie Difilippo, Laslo Kornyei, Maria Giovanna Russo, Anna Kaneva-Nencheva, Senka Mesihovic-Dinarevic, Samo Vesel, Gylfi Oskarsson, George Papadopoulos, Andreas C. Petropoulos, Berna Saylan Cevik, Antonis Jossif, Gabriela Doros, Thomas Krusensjerna-Hafstrom, Joanna Dangel, Otto Rahkonen, Dimpna C. Albert-Brotons, Silvia Alvares, Henrik Brun, Jan Janousek, Olli Pitkänen-Argillander, Inga Voges, Inguna Lubaua, Skaiste Sendzikaite, Alan G. Magee, Mark J. Rhodes, Nico A. Blom, Frances Bu’Lock, Katarina Hanseus, Ornella Milanesi, Mcmahon, Colin J, Heying, Ruth, Budts, Werner, Cavigelli-Brunner, Anna, Shkolnikova, Maria, Michel-Behnke, Ina, Kozlik-Feldmann, Rainer, Wåhlander, Håkan, Dewolf, Daniel, Difilippo, Sylvie, Kornyei, Laslo, Russo, Maria Giovanna, Kaneva-Nencheva, Anna, Mesihovic-Dinarevic, Senka, Vesel, Samo, Oskarsson, Gylfi, Papadopoulos, George, Petropoulos, Andreas C, Cevik, Berna Saylan, Jossif, Antoni, Doros, Gabriela, Krusensjerna-Hafstrom, Thoma, Dangel, Joanna, Rahkonen, Otto, Albert-Brotons, Dimpna C, Alvares, Silvia, Brun, Henrik, Janousek, Jan, Pitkänen-Argillander, Olli, Voges, Inga, Lubaua, Inguna, Sendzikaite, Skaiste, Magee, Alan G, Rhodes, Mark J, Blom, Nico A, Bu'Lock, France, Hanseus, Katarina, Milanesi, Ornella, Paediatric Cardiology, ACS - Heart failure & arrhythmias, McMahon C. J., Heying R., Budts W., Cavigelli-Brunner A., Shkolnikova M., Michel-Behnke I., Kozlik-Feldmann R., Wahlander H., DeWolf D., Difilippo S., et al., Pediatrics, RS: SHE - R1 - Research (OvO), Onderwijsontw & Onderwijsresearch, and Clinical sciences
- Subjects
Kardiyoloji ,Cardiac & Cardiovascular Systems ,certification ,education ,SOCIETY ,CHILDREN ,HEART-DISEASE ,Sağlık Bilimleri ,Cardiovascular ,Pediatrics ,Clinical Medicine (MED) ,RECOMMENDATIONS ,Çocuk Sağlığı ve Hastalıkları ,Child Health and Diseases ,KALP VE KALP DAMAR SİSTEMLERİ ,Health Sciences ,Medicine and Health Sciences ,FELLOWSHIP ,Klinik Tıp (MED) ,Internal Medicine Sciences ,Science & Technology ,training ,Klinik Tıp ,paediatric cardiology ,adult CHD ,congenital cardiology ,WORKING GROUP ,General Medicine ,Dahili Tıp Bilimleri ,ASSOCIATION ,Perinatology and Child Health ,CLINICAL MEDICINE ,CARE ,Tıp ,Adult CHD ,TRAINEES ,CARDIOVASCULAR MAGNETIC-RESONANCE ,Pediatrics, Perinatology and Child Health ,Cardiovascular System & Cardiology ,Medicine ,PEDİATRİ ,Cardiology and Cardiovascular Medicine ,Life Sciences & Biomedicine ,CARDIAC & CARDIOVASCULAR SYSTEMS - Abstract
Background:Limited data exist on training of European paediatric and adult congenital cardiologists.Methods:A structured and approved questionnaire was circulated to national delegates of Association for European Paediatric and Congenital Cardiology in 33 European countries.Results:Delegates from 30 countries (91%) responded. Paediatric cardiology was not recognised as a distinct speciality by the respective ministry of Health in seven countries (23%). Twenty countries (67%) have formally accredited paediatric cardiology training programmes, seven (23%) have substantial informal (not accredited or certified) training, and three (10%) have very limited or no programme. Twenty-two countries have a curriculum. Twelve countries have a national training director. There was one paediatric cardiology centre per 2.66 million population (range 0.87–9.64 million), one cardiac surgical centre per 4.73 million population (range 1.63–10.72 million), and one training centre per 4.29 million population (range 1.63–10.72 million population). The median number of paediatric cardiology fellows per training programme was 4 (range 1–17), and duration of training was 3 years (range 2–5 years). An exit examination in paediatric cardiology was conducted in 16 countries (53%) and certification provided by 20 countries (67%). Paediatric cardiologist number is affected by gross domestic product (R2 = 0.41).Conclusion:Training varies markedly across European countries. Although formal fellowship programmes exist in many countries, several countries have informal training or no training. Only a minority of countries provide both exit examination and certification. Harmonisation of training and standardisation of exit examination and certification could reduce variation in training thereby promoting high-quality care by European congenital cardiologists.
- Published
- 2022
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