Doença de Hirschsprung : abordagem sumária de um caso clínico

Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014

Complex Congenital Heart Disease: The Influence of Prenatal Diagnosis

INTRODUCTION: Complex congenital heart disease is a group of severe conditions. Prenatal diagnosis has implications on morbidity and mortality for most severe conditions. The purpose of this work was to evaluate the influence of prenatal diagnosis and distance of residence and birth place to a reference center, on immediate morbidity and early mortality of complex congenital heart disease. MATERIAL AND METHODS: Retrospective study of complex congenital heart disease patients of our Hospital, born between 2007 and 2012. RESULTS: There were 126 patients born with complex congenital heart disease. In 95%, pregnancy was followed since the first trimester, with prenatal diagnosis in 42%. There was a statistically significant relation between birth place and prenatal diagnosis. Transposition of great arteries was the most frequent complex congenital heart disease (45.2%), followed by pulmonary atresia with ventricular septal defect (17.5%) and hypoplastic left ventricle (9.5%). Eighty-two patients (65.1%) had prostaglandin infusion and 38 (30.2%)were ventilated before an intervention. Surgery took place in the neonatal period in 73%. Actuarial survival rate at 30 days, 12 and 24 months was 85%, 80% and 75%, respectively. There was no statistically significant relation between prenatal diagnosis and mortality. DISCUSSION: Most patients with complex congenital heart disease did not have prenatal diagnosis. All cases with prenatal diagnosis were born in a tertiary center. Prenatal diagnosis did not influence significantly neonatal mortality, as already described in other studies with heterogeneous complex heart disease. CONCLUSION: prenatal diagnosis of complex congenital heart disease allowed an adequate referral. Most patients with complex congenital heart disease were not diagnosed prenatally. This data should be considered when planning prenatal diagnosis of congenital heart disease.

Seafloor magnetic anomalies and ages observed from shipboard and airborne measurements from New Zealand to the Amundsen Sea (south of 64°S)

Geophysical data acquired using R/V Polarstern constrain the structure and age of the rifted oceanic margin of West Antarctica. West of the Antipodes Fracture Zone, the 145 km wide continent-ocean transition zone (COTZ) of the Marie Byrd Land sector resembles a typical magma-poor margin. New gravity and seismic reflection data indicates initial continental crust of thickness 24 km, that was stretched 90 km. Farther east, the Bellingshausen sector is broad and complex with abundant evidence for volcanism, the COTZ is ~670 km wide, and the nature of crust within the COTZ is uncertain. Margin extension is estimated to be 106-304 km in this sector. Seafloor magnetic anomalies adjacent to Marie Byrd Land near the Pahemo Fracture Zone indicate full-spreading rate during c33-c31 (80-68 Myr) of 60 mm/yr, increasing to 74 mm/yr at c27 (62 Myr), and then dropping to 22 mm/yr by c22 (50 Myr). Spreading rates were lower to the west. Extrapolation towards the continental margin indicates initial oceanic crust formation at around c34y (84 Myr). Subsequent motion of the Bellingshausen plate relative to Antarctica (84-62 Myr) took place east of the Antipodes Fracture Zone at rates <40 mm/yr, typically 5-20 mm/yr. The high extension rate of 30-60 mm/yr during initial margin formation is consistent with steep and symmetrical margin morphology, but subsequent motion of the Bellingshausen plate was slow and complex, and modified rift morphology through migrating deformation and volcanic centers to create a broad and complex COTZ.

Iterative global flow techniques for detecting program anomalies /

Thesis--Illinois.

Some results on the working set anomalies in numerical programs /

"UILU-ENG 80 1744"--Cover.

Astronomy, or, The true system of the planets demonstrated : wherein are shewn by instrument, their anomalies, heliocentrick and geocentrick places both in longitude and latitude ... to which is prefix'd, an alphabetical catalogue of ... terms in astronomy ... /

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Mode of access: Internet.

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Mode of access: Internet.

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The physical, psycho-social, and vocational progress in congenital paraplegia due to spina bifida cystica

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Mode of access: Internet.

Essai sur les anomalies de la variole et de la varicelle : avec l'histoire analytique de l'épidémie éruptive qui a régné a Montpellier en 1816 /

Mode of access: Internet.