6 results on '"Brian Hooper"'
Search Results
2. Unravelling the links between the initiation of ventilation and brain injury in preterm infants
- Author
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Samantha Kate Barton, Mary eTolcos, Suzanne Lee Miller, Charles Christoph Roehr, Georg eSchmolzer, Peter Graham Davis, Timothy James Moss, Domenic A LaRosa, Stuart Brian Hooper, and Graeme Roger Polglase
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Cerebral Palsy ,Resuscitation ,Tidal Volume ,premature ,lungs ,Brain Injury ,Pediatrics ,RJ1-570 - Abstract
The initiation of ventilation in the delivery room is one of the most important but least controlled interventions a preterm infant will face. Tidal volumes (VT) used in the neonatal intensive care unit are carefully measured and adjusted. However, the VTs that an infant receives during resuscitation are usually unmonitored and highly variable. Inappropriate VTs delivered to preterm infants during respiratory support substantially increase the risk of injury and inflammation to the lungs and brain. These may cause cerebral blood flow instability and initiate a cerebral inflammatory cascade. The two pathways increase the risk of brain injury and potential life-long adverse neurodevelopmental outcomes. The employment of new technologies, including respiratory function monitors, can improve and guide the optimal delivery of VTs and reduce confounders such as leak. Better respiratory support in the delivery room has the potential to improve both respiratory and neurological outcomes in this vulnerable population.
- Published
- 2015
- Full Text
- View/download PDF
3. Ventilation before Umbilical Cord Clamping improves the physiological transition at birth.
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Sasmira eBhatt, Graeme Roger Polglase, Euan Morrison Wallace, Arjan B te Pas, and Stuart Brian Hooper
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umbilical cord clamping ,Transition to newborn life at birth ,ventilation onset at birth ,cardiovascular changes at birth ,third stage of labour ,Pediatrics ,RJ1-570 - Abstract
The transition from a fetus to a neonate at birth represents a critical phase in our life. Most infants make this transition without complications, but preterm infants usually require some form of assistance due to immature cardiopulmonary systems that predispose them to lifelong sequelae. As the incidence of preterm birth is increasing, there is now an urgent need for the development of management strategies that facilitate this transition, which will likely include improved strategies for the management of the maternal third stage of labour. For instance, recent studies on the physiological transition at birth have led to the discovery that establishing ventilation in the infant before the umbilical cord is clamped greatly stabilizes the cardiovascular transition at birth. While most benefits of delayed clamping have previously been attributed to an increase in placenta to infant blood transfusion, clearly there are other significant benefits for the infant, which are not well understood. Nevertheless, if ventilation can be established before cord clamping in a preterm infant, the large adverse changes in cardiac function that normally accompanies umbilical cord clamping can be avoided. As preterm infants have an immature cerebral vascular bed, large swings in cardiovascular function places them at high risk of cerebral vascular rupture and the associated increased risk of mortality and morbidity. In view of the impact that cord clamping has on the cardiovascular transition at birth, it is also time to re-examine some of the strategies used in the management of the third stage of labour. These include the appropriate timing of uterotonic administration in relation to delivery of the infant and placenta. As there is a lack of evidence on the effects these individual practices have on the infant, there is a necessity to improve our understanding of their impact in order to develop strategies that facilitate the transition to newborn life.
- Published
- 2014
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4. The use of clove oil, metomidate, tricaine methanesulphonate and 2-phenoxyethanol for inducing anaesthesia and their effect on the cortisol stress response in black sea bass (Centropristis striata L.)
- Author
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Stephanie Hillsgrove, William King, David L. Berlinsky, Christopher Benton, and Brian Hooper
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food.ingredient ,Dose ,biology ,Sedation ,Tricaine methanesulphonate ,Aquatic Science ,Metomidate ,biology.organism_classification ,Bass (fish) ,food ,Anesthesia ,medicine ,Juvenile ,Black sea ,medicine.symptom ,Centropristis ,medicine.drug - Abstract
Juvenile and adult black sea bass (Centropristis striata L.) were exposed to various concentrations of four anaesthetics to determine practical dosages for handling as well as for procedures such as bleeding, ovarian biopsy or tag implantation. In experiment 1, juveniles exposed to either 2.0 mg L−1 metomidate, 15 mg L−1 clove oil, 70 mg L−1 tricaine methanesulphonate (TMS) or 200 mg L−1 2-phenoxyethanol (2-PE) reached stage II of anaesthesia in 3–5 min and could be handled for weighing and measuring. All fish had completed recovery to stage III within 6 min. In experiment 2, the established concentrations of each anaesthetic were tested on juveniles to determine their ability to prevent a reflex to a subcutaneous needle puncture. All of the fish exposed to clove oil (20 mg L−1) and 40% of the TMS-treated (70 mg L−1) fish reacted while none of the fish anaesthetized in metomidate (2.0 mg L−1) or 2-PE (200 mg L−1) responded to the needle puncture. In experiment 3, metomidate (5.0 mg L−1), clove oil (30 mg L−1) TMS (125 mg L−1) or 2-PE (300 mg L−1) were all effective for performing an ovarian biopsy or tag implantation on adults. In experiment 4, TMS (125 mg L−1) exacerbated the cortisol response to a short handling stressor during a 30 min exposure. Fish anaesthetized in 2-PE (300 mg L−1), metomidate (5.0 mg L−1) or clove oil (40 mg L−1) had increased cortisol levels associated with the handling stressor but there were no further increases during the remainder of the experimental period. The results demonstrate that these anaesthetics are effective for sedation and anaesthesia of black sea bass and that the best choice is dependant upon the procedures to be performed.
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- 2005
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- View/download PDF
5. Thrombospondin-1 expression and localization in the developing ovine lung
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Foula Sozo, Stuart Brian Hooper, and Megan Wallace
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Lung Diseases ,endocrine system ,Time Factors ,Transcription, Genetic ,Gestational Age ,Mechanotransduction, Cellular ,Thrombospondin 1 ,Transforming Growth Factor beta1 ,Mice ,Pregnancy ,Animals ,Humans ,RNA, Messenger ,Lung ,In Situ Hybridization ,Cell Proliferation ,Early Growth Response Protein 1 ,Sheep ,Reverse Transcriptase Polymerase Chain Reaction ,Gene Expression Regulation, Developmental ,Epithelial Cells ,Fibroblasts ,Blotting, Northern ,Immunohistochemistry ,Trachea ,Pulmonary Stretch Receptors ,Animals, Newborn ,Respiratory ,Female ,Perspectives - Abstract
Fetal lung growth is critically dependent on the degree to which the lungs are expanded by liquid, although the mechanisms involved are unknown. As thrombospondin-1 (TSP-1) can regulate cell proliferation, attachment, spreading and angiogenesis, we investigated the effects of alterations in fetal lung expansion on TSP-1 expression in sheep. TSP-1 mRNA levels were investigated using Northern blot analysis and in situ hybridization, whereas the protein levels were determined by immunohistochemistry. Early growth response 1 (EGR1) mRNA levels were measured by quantitative real-time PCR. TSP-1 was expressed in type-II alveolar epithelial cells and fibroblasts and its mRNA levels increased from 100.0 +/- 14.0% in control fetuses to 347.5 +/- 73.6% at 36 h of increased lung expansion (P0.05), and were reduced to 39.4 +/- 6.1% of control levels (100.0 +/- 20.4%) at 20 days of decreased lung expansion (P0.05). The percentage of cells positive for TSP-1 mRNA increased from 1.9 +/- 0.4% to 5.2 +/- 0.8% at 36 h of increased fetal lung expansion (P0.01). The proportion of tissue stained positive for TSP-1 protein doubled at 36 h of increased lung expansion (23.3 +/- 2.2%) compared to controls (11.7 +/- 3.2%; P0.05). Conversely, at 20 days of decreased lung expansion, the percentage of tissue that stained positive for TSP-1 was halved (25.7 +/- 3.2%) compared to controls (39.8 +/- 3.3%; P0.05). The increase in TSP-1 expression may be due to increased mRNA levels of the transcription factor EGR1 at 36 h of increased lung expansion (2.7 +/- 0.7-fold of control levels (1.0 +/- 0.2); P0.05). Given the known functions of TSP-1 and its localization within the lung, we speculate that TSP-1 may have a significant role in regulating fetal lung growth.
6. In-vivo Synchrotron PIV for the masurement of airway motion
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Julio Soria, Andreas Fouras, Callum Atkinson, Stephen Eric Dubsky, Jayne Thanh Nguyen, Kerry Hourigan, Marcus John Kitchen, Beth Allison, Megan Jane Wallace, Melissa Li-Lian Siew, Karen Kit Wan Siu, Robert Lewis, Kentaro Uesugi, Naoto Yagi, and Stuart Brian Hooper
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