Posted on February 28th 2010
Until recently, therapy for neonatal hypoxic ischemic encephalopathy (HIE) was nonspecific and limited. Treatment, consisting of efforts to maintain physiological stability and treat seizures with anticonvulsants, was supportive in nature and did not intervene with the basic mechanisms of hypoxic-ischemic brain injury. Although relatively uncommon (1-2 cases per 1,000 births), HIE has the potential to be devastating with residual symptoms, including cerebral palsy, developmental retardation, and epilepsy. Recent treatment studies with either total-body or selective head cooling have shown promising outcomes. Several studies strongly suggest that hypothermic therapy reduces death and neurologic disability in neonates with HIE without clinically significant complications. Selective cooling o...
Posted on February 28th 2010
CONCLUSIONS: Vocal fold pacing for aspiration pneumonia from a variety of neurologic insults appears to be appropriate as long as the glottis can be sealed. It is not sufficient when the cricopharyngeus must be independently opened.
PMID: 20392026 [PubMed - in process] (Source: The Annals of Otology, Rhinology, and Laryngology)
Posted on February 28th 2010
Steve served as Alpha Omega's International President in 2006 after having held every major position in the Buffalo-Gilead Alumni Chapter since joining as a student 38 years ago. After growing up in Queens, New York, and graduating from Queens College, CUNY, Steve studied dentistry at the State University of New York at Buffalo. He completed a 1-year general practice residency at E.J. Meyer Memorial Hospital in Buffalo, and in 1976 was the third dentist to join a dental practice that has grown to include 52 dentists in 13 locations, one of the most respected dental groups in Western New York. He has served on the staff of two local hospitals and a skilled nursing facility and is on the faculty of the University at Buffalo School of Dental Medicine. He has regularly donated his time and sk...
Posted on February 28th 2010
This article summarises changes in treatments for children with CP over the past 2 decades and the implications for adult health care services. A multidisciplinary clinic for adults with CP at a tertiary adult teaching hospital in Sydney (New South Wales) is described. DISCUSSION: Over the past 2 decades, interventions such as botulinum toxin-A, intrathecal baclofen infusion, gastrostomy feeding and single event multilevel orthopaedic surgery have improved the lives of children with CP. These interventions are generally delivered within multidisciplinary rehabilitation programs in paediatric hospitals. As the most recent cohorts of children move into adulthood, they, and their carers, have expectations of similarly structured services in the adult health care sector. The Children's Hospita...
Posted on February 28th 2010
Objective: This self-directed learning module focuses on the physiatric management of the common morbidities associated with pediatric traumatic brain injury and cerebral palsy. It is part of the study guide on pediatric rehabilitation in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation and pediatric medicine. The goal of this article is to enhance the learner's knowledge regarding current physiatric management of complications related with pediatric traumatic brain injury and cerebral palsy. (Source: PM and R)
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