Lenticulostriate vasculopathy in routine brain ultrasonography in infants: next step?

Lenticulostriate vasculopathy (LSV) is a relatively common fi nding in routine cranial ultrasound examination that has been associated with many infectious and non-infectious conditions. The aim of this review was to provide a better understanding of LSV ultrasound fi nding, as well as the need for further laboratory and imaging examinations in infants. The most of the published studies represented small series, with few prospective long-term studies involving the control groups. Authors have mostly found an association between LSV, especially higher-grade (although there is no universally accepted classifi cation) with congenital cytomegalovirus (CMV) infection, classifying those children as at risk for sensorineural hearing loss. In contrast, some authors pointed out that LSV could be found relatively often, and believe that isolated LSV, especially lower-grade, is not predictive for an unfavourable outcome and a long-term prognosis. Therefore, although 35 years have passed since the fi rst publication of LSV, there is still no consensus among experts on the clinical signifi cance of isolated LSV, but caution is certainly needed given the fact that most infants with congenital CMV are asymptomatic

Surfactant administration in premature infants with RDS

Background. The significant advancement in the treatment of respiratory distress syndrome can be attributed to prenatal identification of high risk pregnancies, prevention of illness through antenatal care, prenatal administration of glucocorticoids, advancement in respiratory support and surfactant therapy. These measures resulted in the reduction of mortality and morbidity rates in preterm infants. Patients and methods. We analyzed data of 78 preterm babies with respiratory distress syndrome hospitalized in the NICU of the Pediatric Clinic, KCU Sarajevo. All children included in the study were mechanically ventilated and treated with one or more doses of bovine surfactant (Survanta) as rescue therapy. Surfactant was given to children with clinical and radiological signs of RDS, who required FiO2>0,40. We used the standard procedure of giving surfactant therapy to intubated children in sterile conditions, after we confirmed, by X-ray, correct tube placement. Results. We investigated the clinical efficacy of surfactant in relation to time of administration, O2 requirement and necessity of one or more doses of surfactant. We found that early treatment with surfactant replacement- within 6 hours of birth- is more effective, and resulted in a significant reduction of mortality rate (p<0,01). Treatment with multiple doses is more effective in comparison to one dose, although there was not a significant difference (p<0,20) between the treated groups. There is a significant difference (p<0,01) between groups related to O2 requirement. In the group of babies which required 60% or more O2 concentration in inhaled air at the time of surfactant replacement, mortality rate was significantly higher (p<0,01). Conclusion. Our study confirmed the benefits of surfactant therapy in preterm babies with respiratory distress syndrome. We confirmed the advantages of early treatment vs. late treatment, but we could not confirm the obvious advantage of multiple over single doses. So, a reasonable recommendation is to treat the infants as soon as clinical signs of developing respiratory distress appear with an individual dose for each infant

Surfactant administration in premature infants with RDS

Background. The significant advancement in the treatment of respiratory distress syndrome can be attributed to prenatal identification of high risk pregnancies, prevention of illness through antenatal care, prenatal administration of glucocorticoids, advancement in respiratory support and surfactant therapy. These measures resulted in the reduction of mortality and morbidity rates in preterm infants. Patients and methods. We analyzed data of 78 preterm babies with respiratory distress syndrome hospitalized in the NICU of the Pediatric Clinic, KCU Sarajevo. All children included in the study were mechanically ventilated and treated with one or more doses of bovine surfactant (Survanta) as rescue therapy. Surfactant was given to children with clinical and radiological signs of RDS, who required FiO2>0,40. We used the standard procedure of giving surfactant therapy to intubated children in sterile conditions, after we confirmed, by X-ray, correct tube placement. Results. We investigated the clinical efficacy of surfactant in relation to time of administration, O2 requirement and necessity of one or more doses of surfactant. We found that early treatment with surfactant replacement- within 6 hours of birth- is more effective, and resulted in a significant reduction of mortality rate (p<0,01). Treatment with multiple doses is more effective in comparison to one dose, although there was not a significant difference (p<0,20) between the treated groups. There is a significant difference (p<0,01) between groups related to O2 requirement. In the group of babies which required 60% or more O2 concentration in inhaled air at the time of surfactant replacement, mortality rate was significantly higher (p<0,01). Conclusion. Our study confirmed the benefits of surfactant therapy in preterm babies with respiratory distress syndrome. We confirmed the advantages of early treatment vs. late treatment, but we could not confirm the obvious advantage of multiple over single doses. So, a reasonable recommendation is to treat the infants as soon as clinical signs of developing respiratory distress appear with an individual dose for each infant

Milliyet Merkezcilik Ve Düşmanlığın Satın Alma Niyeti Üzerindeki Etkisinin Kültürel Benzerlik Çerçevesinde İncelenmesi: Bosna Hersek Örneği

The purpose of this study is to investigate whether the impact of consumers ethnocentrism and animosity on their purchase intention toward foreign products differsbetween culturally similar and dissimilar countries. In this context, the proposed modelwas tested on a sample of Bosnian households in the different cities. For this purpose,data was collected from 300 participants via face to face questionnarie.According to applied One-way Analysis of Variance, the consumers purchaseintention and animosity levels are found to differ significantly. The results of MultipleRegression Analysis show that consumer ethnocentrism has a negative impact onpurchase intention toward foreign products.Bu çalışmanın amacı, tüketicilerin milliyet merkezcilik ve düşmanlık düzeylerinin, satınalma niyeti üzerindeki etkilerinin kültürü benzer ve benzer olmayan ülkeler arasındafarklılık gösterip göstermediğini araştırmaktır. Bu çerçevede önerilen modeli test etmekamacıyla Bosna Hersek in farklı şehirlerindeki hane halkı üzerinde araştırmagerçekleştirilmiştir. Bu amaçla, yüzyüze anket yoluyla 300 katılımcıdan veritoplanmıştır.Uygulanan Tek Yönlü Varyans Analizi ile ülkeler arasında tüketicilerin düşmanlıkdüzeyleri ile satın alma niyetlerinin farklılık gösterdiği tespit edilmiştir. Ayrıca yapılanÇoklu Regresyon Analizi ne göre tüketicilerin milliyet merkezciliğinin, yabancıürünleri satın alma niyetini olumsuz yönde etkilediği bulunmuştur

Staging the Romani Queer Revolution: New Approaches to the Study of Romani Queerness

I In this paper, I provide an intersectional analysis of Roma Armee, a theatre play staged at Berlin’s Maxim Gorki theatre. I wish to challenge preconceptions and representations of Romani queer and feminist identities by investigating the personal narratives and self-envisioning of queer and feminist Romani performers. While there are notions that Romani queers live only as victims, perpetrators of violence, or unwitting exoticized objects of desire for mainstream queer consumption, I favour a more complex image, showing how some Romani queers articulate their own sexuality, race, class, and agency. I look at how these articulations are met in some Romani communities, and by majoritarian audiences in Berlin and Stockholm, in order to problematize the complex nature of being a minority within a minority. I end with remarks on the revolutionary potential of the play, by arguing that the play creates spaces for healing and can be seen as a significant contribution to an epistemic and ontological shift when it comes to Romani queer and feminist knowledge production

Investigating consumer ethnocentrism and consumer animosity in the context of cultural similarity: Bosnia and Herzegovina application

Bu çalışmanın amacı, tüketicilerin milliyet merkezcilik ve düşmanlık düzeylerinin satın alma niyeti üzerindeki etkilerinin kültürü benzer ve benzer olmayan ülkeler arasında farklılık gösterip göstermediğini araştırmaktır. Bu çerçevede önerilen modeli test etmek amacıyla Bosna Hersek’in farklı şehirlerindeki hane halkı üzerinde araştırma gerçekleştirilmiştir. Bu amaçla, yüz yüze anket yoluyla 300 katılımcıdan veri toplanmıştır. Uygulanan Çoklu Regresyon Analizi’ne göre tüketicilerin milliyet merkezciliğinin yabancı ürünleri satın alma niyetini olumsuz yönde etkilediği bulunmuştur. Sonuçlar Bosna Hersek’teki tüketicilerin Sırbistan’a ve Hollanda’ya karşı savaş ve ekonomik düşmanlığın var olduğunu göstermektedir. Aynı zamanda, savaş ve ekonomik düşmanlığın yabancı ürünleri satın alma niyetini olumsuz yönde etkilediği tespit edilmiştir. Yapılan Chow Testi sonucunda ülkelere ait eğim ve katsayılarının anlamlı farklılık gösterdiği tespit edilmiştir. Analiz sonuçlarına göre, kültürel benzerliğin milliyet merkezcilik ve düşmanlığın yabancı ürünleri satın alma niyeti üzerindeki olumsuz etkisini azalttığı, savaş düşmanlığının yabancı ürünleri satın alma niyeti üzerindeki olumsuz etkisini ise azaltmadığı bulunmuştur.The purpose of this study is to investigate whether the impact of consumers’ ethnocentrism and consumer animosity on their purchase intention toward foreign products differs between culturally similar and dissimilar countries. In this context, the proposed model was tested on a sample of Bosnian households in the different cities. The data was collected from 300 participants. The results showed that consumer ethnocentrism has a negative impact on purchase intention toward foreign products. Results also showed that Bosnian consumers feel both war and economic animosty towards Serbia and Netherlands. Further, consumers’ war and economic animosity have a negative impact on their purchase intention toward foreign products. Cultural similarity between consumers’ home and foreign product’s country has a weakening effect on the negative impact of consumers’ ethnocentrism and economic animosity on their purchase intention toward foreign products but does not have a weakening effect on the negative impact of war animosity

TÜKETİCİ MİLLİYET MERKEZCİLİĞİ VE DÜŞMANLIĞININ KÜLTÜREL BENZERLİK ÇERÇEVESİNDE İNCELENMESİ: BOSNA HERSEK UYGULAMASI

p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica; min-height: 14.0px} p.p2 {margin: 0.0px 0.0px 0.0px 0.0px; font: 9.0px Helvetica} span.s1 {font: 12.0px Helvetica} &nbsp;Bu çalışmanın amacı, tüketicilerin milliyet merkezcilik ve düşmanlık düzeylerinin satın alma niyeti üzerindeki etkilerinin kültürü benzer ve benzer olmayan ülkeler arasında farklılık gösterip göstermediğini araştırmaktır. Bu çerçevede önerilen modeli test etmek amacıyla Bosna Hersek’in farklı şehirlerindeki hane halkı üzerinde araştırma gerçekleştirilmiştir. Bu amaçla, yüz yüze anket yoluyla 300 katılımcıdan veri toplanmıştır. Uygulanan Çoklu Regresyon Analizi’ne göre tüketicilerin milliyet merkezciliğinin yabancı ürünleri satın alma niyetini olumsuz yönde etkilediği bulunmuştur. Sonuçlar Bosna Hersek’teki tüketicilerin Sırbistan’a ve Hollanda’ya karşı savaş ve ekonomik düşmanlığın var olduğunu göstermektedir. Aynı zamanda, savaş ve ekonomik düşmanlığın yabancı ürünleri satın alma niyetini olumsuz yönde etkilediği tespit edilmiştir. Yapılan Chow Testi sonucunda ülkelere ait eğim ve katsayılarının anlamlı farklılık gösterdiği tespit edilmiştir. Analiz sonuçlarına göre, kültürel benzerliğin milliyet merkezcilik ve düşmanlığın yabancı ürünleri satın alma niyeti üzerindeki olumsuz etkisini azalttığı, savaş düşmanlığının yabancı ürünleri satın alma niyeti üzerindeki olumsuz etkisini ise azaltmadığı bulunmuştur.&nbsp

Pneumothorax in premature infants with respiratory distress syndrome: focus on risk factors

Introduction: Pneumothorax is a life threatening condition, more often seen in immature infants receiving mechanical ventilation. It carries a significant risk of death and impaired outcome. Objective: To determine predictive factors for the occurrence of pneumothorax in preterm infants with respiratory distress syndrome (RDS). Patients and methods: The present study was conducted in a tertiary research and educational hospital, NICU, Pediatric Clinic UKC Sarajevo, from January 2010 to December 2013. All infants had chest X-ray at admission, and were treated due to RDS with nasal continuous positive airway pressure (CPAP), mechanical ventilation, or high frequency oscillatory ventilation. At admission we registered data regarding birth weight, gestational age, Apgar score, prenatally given steroids. Inclusion criteria were fulfilled by 417 infants. Data about timing, circumstances, side and treatment of pneumothorax were gathered from medical records. Results: Mean birth weight was 1,477 g, mean gestational age 29.6 weeks. We report 98 infants who did not survive. We also report incidence of pneumothorax in 5% of the infants with RDS. In this study pneumothorax and non-pneumothorax groups didn’t differ regarding sex, gestational age (median 29 and 30) nor birth weight (p = 0.818). Apgar score at the 1st and 5th minute of life had no influence in genesis of pulmonary air leak, neither prenatally given steroids (p = 0.639), nor surfactant administration. There was a low coverage of preterm infants with prenatal steroids (overall 28.29%). We found that FiO2 ≥ 0.4 in the first 12 hours of life, and need for mechanical ventilation are predicting factors for developing pneumothorax (p < 0.05). Conclusion: Together with mechanical ventilation, inspired fraction of oxygen higher than 40%, needed to provide adequate oxygenation in the first 12 hours of life in preterm infants, could be a predictive factor in selecting the highest risk babies for development of neonatal pneumothorax