Thursday, February 6, 2014

Peds/OB/GYN

Immune system 'overdrive' in pregnant women puts male child at risk for brain disorders
Johns Hopkins researchers report that fetal mice — especially males — show signs of brain damage that lasts into their adulthood when they are exposed in the womb to a maternal immune system kicked into high gear by a serious infection or other malady. The findings suggest that some neurologic diseases in humans could be similarly rooted in prenatal exposure to inflammatory immune responses.

In a report on the research published online last week in the journal Brain, Behavior and Immunity, the investigators say that the part of the brain responsible for memory and spatial navigation (the hippocampus) was smaller over the long term in the male offspring exposed to the overactive immune system in the womb. The males also had fewer nerve cells in their brains and their brains contained a type of immune cell that shouldn't be present there. Eurekalert!

Stem cells to treat lung disease in preterm infants
All patients who received the treatment tolerated the procedure well without any immediate serious adverse effects. Thirty-three percent of treated infants developed moderate BPD and none developed severe BPD, and 72 percent of a matched comparison group developed moderate or severe BPD. Another serious side effect of very preterm birth, retinopathy of prematurity requiring surgery, tended to occur less often in treated infants. Overall, all nine treated infants survived to discharge, and only three developed moderate BPD. Eurekalert!

Early treatment with AED reduces duration of febrile seizures
New research shows that children with febrile status epilepticus (FSE) who receive earlier treatment with antiepileptic drugs (AEDs) experience a reduction in the duration of the seizure. The study published in Epilepsia, a journal of the International League Against Epilepsy (ILAE), suggests that a standard Emergency Medical Services (EMS) treatment protocol for FSE is needed in the U.S. MedicalXpress

Ventilatory abnormalities persist for adults born prematurely
Those born prematurely continue to have abnormal ventilatory responses to hypoxia and hyperoxia as adults, which may have clinical consequences such as sleep disorders, according to a study published in the Feb. 6 issue of the New England Journal of Medicine. MedicalXpress

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