Use of Short-term Circulatory Support as a Bridge in Pediatric Heart Transplantation

Background:Heart transplantation is considered the gold standard therapy for the advanced heart failure, but donor shortage, especially in pediatric patients, is the main limitation for this procedure, so most sick patients die while waiting for the procedure.Objective:To evaluate the use of short-term circulatory support as a bridge to transplantation in end-stage cardiomyopathy.Methods:Retrospective clinical study. Between January 2011 and December 2013, 40 patients with cardiomyopathy were admitted in our Pediatric Intensive Care Unit, with a mean age of 4.5 years. Twenty patients evolved during hospitalization with clinical deterioration and were classified as Intermacs 1 and 2. One patient died within 24 hours and 19 could be stabilized and were listed. They were divided into 2 groups: A, clinical support alone and B, implantation of short-term circulatory support as bridge to transplantation additionally to clinical therapy.Results:We used short-term mechanical circulatory support as a bridge to transplantation in 9. In group A (n=10), eight died waiting and 2 patients (20%) were transplanted, but none was discharged. In group B (n=9), 6 patients (66.7%) were transplanted and three were discharged.The mean support time was 21,8 days (6 to 984h). The mean transplant waiting list time was 33,8 days. Renal failure and sepsis were the main complication and causeof death in group A while neurologic complications were more prevalent en group B.Conclusion:Mechanical circulatory support increases survival on the pediatric heart transplantation waiting list in patients classified as Intermacs 1 and 2.

Japan, as represented in Field Museum of Natural History / by Helen C. Gunsaulus, Assistant Curator of Japanese Ethnology.

Fieldiana, Popular Series, Anthropology, no. 3, 11

Japanese collections : Frank W. Gunsaulus Hall / by Helen C. Gunsaulus, Assistant Curator of Japanese Ethnology

no.3(1922)

Agriculture and short run macroeconomics

Neste trabalho, formula-se um modelo macroeconômico de curto prazo a fim de se derivar as interações entre os setores agrícola e não-agrícola por ocasião da aplicação de políticas de estabilização. As variáveis exógenas são mudanças nas políticas fiscal, monetária e cambial e nos preços internacionais. As variáveis endógenas explicitamente analisadas são renda real para cada setor e preços relativos. Os principais resultados são: (a) os preços relativos tendem a variar quando as variáveis exógenas variam; (b) a produção agrícola e os preços relativos da gricultura tendem a se reduzir face a políticas fiscais e monetárias expansivas mesmo quando a elasticidade-renda de demanda para produtos agrícolas for zero; (c) embora o efeito inflacionario de políticas monetárias e fiscais expansivas seja maior quando a elasticidade de oferta de produtos agrícolas é baixa, os preços nominais da agricultura tendem a crescer no máximo tanto quanto os preços nominais não-agrícolas. Os efeitos de diversas pressuposições a respeito da elasticidades de demanda e de oferta sobre os resultados do modelo são também derivados.

The Japanese sword and its decoration / by Helen C. Gunsaulus, Assistant Curator of Japanese Ethnology.

no.20(1924)

Japanese temples and houses / by Helen C. Gunsaulus, Assistant Curator of Japanese Ethnology.

no.14(1924)

Japanese costume / by Helen C. Gunsaulus, Assistant Curator of Japanese Ethnology.

no.12(1923)

Giant short-faced bear (Arctodus simus yukonensis) remains from Fulton County, northern Indiana / Ronald L. Richards --, William D. Turnbull -- ; with an appendix by E.J. Neiburger.

n.s. no.30(1995)

Japanese sword-mounts in the collections of Field Museum / by Helen C. Gunsaulus, assistant curator of Japanese ethnology, 61 plates. Berthold Laufer, Curator of Anthropology.

v.16(1923)

Systematic review of Japanese macaques, Macaca fuscata (Gray, 1870) / Jack Fooden, Mitsuru Aimi.

n.s. no.104(2005)

The Japanese New Year's festival, games and pastimes / by Helen C. Gunsaulus, Assistant Curator of Japanes Ethnology.

no.11(1923)

Gods and heroes of Japan / by Helen C. Gunsaulus, Assistant Curator of Japanese Ethnology.

no.13(1924)

New Japanese fungi. Notes and translations.

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