ABSTRACT
INTRODUCTION: Transport of patients undergoing extracorporeal membrane oxygenation is currently available in 5 referral centers in our country. METHODS: Retrospective case series of patients managed by our mobile extracorporeal membrane oxygenation team and transferred to San Gerardo University Hospital from December 2004 to December 2012. RESULTS: 42 patients were transported. The mean age was 42.11 (standard deviation ±18.11) years, with a range between 2 years and 70. 14 patients were females (33%) and 28 males (67%). The average transport distance was 121.69 km (±183.08) with a range between 9 km and 1044 Km. The mission's mean time was equal to 508 minutes (±185) with range of 120-960 minutes. 29 patients (69%) were transported with extracorporeal membrane oxygenation support, while 13 patients (31%) were transported with conventional ventilation. In 28 patients (97%) a veno-venous bypass was utilized, while in one case (3%) a Veno-Arterial cannulation was performed. 32 patients survived (76%) and have been discharged alive from hospital. No major clinical or technical issues were observed during the transport. CONCLUSIONS: According to our data, we conclude that a dedicated mobile team allowed safe ground transportation of patients with severe acute lung injury to our tertiary care institution.
ABSTRACT
The data of three years of activity (1985-1987) at the 4th Obstetrics and Gynecology Department of the University of Milan, S. Gerardo Hospital in Monza, for a total of 5595 deliveries and 5672 new-borns are reviewed. Each case of perinatal death has been evaluated for gestational age, weight, way of delivery and preexisting or pregnancy-induced maternal diseases, trying to single out the primary causes of death. In order to compare these data with the ones of the previous three years the results have been divided, following the gestational age, in two groups (less or more and equal than 28 weeks). Late perinatal death rate (including all the babies older than 24 weeks of gestational age, still-born or live-born and dead within the 28th day of life) has been 1.8%, compared to the 2.1% in the previous 3 years. Obstetrical procedures and neonatal outcomes are analyzed in depth. Puerperium was pathological in 8.9% of patients. Only 4.2% of women decided not to breast-fed their babies.
Subject(s)
Congenital Abnormalities , Fetal Death , Fetal Diseases , Infant Mortality , Obstetric Labor Complications , Pregnancy Complications , Puerperal Disorders , Adult , Cesarean Section , Congenital Abnormalities/mortality , Female , Fetal Diseases/mortality , Humans , Infant, Newborn , Italy , Labor Presentation , Male , Pregnancy , Pregnancy, MultipleABSTRACT
When the growth medium of Clostridium acidiurici was supplemented with trace metals, glycine synthase and glycine-CO2 exchange activities in cell-free extracts were found to increase significantly. The glycine-CO2 exchange system was purified and shown to consist of a heat-labile component and a heat-stable component. By gel filtration, heat-labile component had an estimated native Mr = 230,000 and contained two subunits of Mr = 65,000 and 58,000 on sodium dodecyl sulfate-polyacrylamide gels, indicating an alpha 2 beta 2 tetramer. Heat-stable component had an estimated Mr = 20,000 and could not be replaced by lipoic acid in reaction mixtures. Pyridoxal phosphate was not bound to either of the purified components but was essential for glycine-CO2 exchange. By spectral analysis, heat-labile component was shown to interact with pyridoxal phosphate and that reductant influenced this interaction.