Die Betreuung und Reanimation des Neugeborenen

Entstehung und Anwendung dieser Empfehlungen Eine Arbeitsgruppe der Schweizerischen Gesellschaft für Neonatologie (SGN) hat im Jahr 2000 Empfehlungen zur Betreuung und Reanimation von Neugeborenen für die Schweiz ausgearbeitet. Nach einer ersten Überarbeitung 2007 werden diese nun aufgrund neuerer Daten und Evidenzen1) sowie Revisionen internationaler Empfehlungen2)– 7) erneut revidiert. Diese Leitlinien sollen als Empfehlungen verstanden werden, die im individuellen Fall angepasst werden können und sollen

Perinatale Betreuung an der Grenze der Lebensfähigkeit zwischen 22 und 26 vollendeten Schwangerschaftswochen

Die ersten Empfehlungen zur Betreuung von Frühgeborenen an der Grenze der Lebensfähigkeit in der Schweiz wurden im Jahre 2002 veröffentlicht1). Als Grundlage dienten damals unter anderem Empfehlungen europäischer2), 3) und kanadischer Fachgruppen4), sowie die relevanten edizinischethischen Richtlinien der Schweizerischen Akademie der Medizinischen Wissenschaften (SAMW)5), 6). Revidierte Empfehlungen aus Nordamerika und Europa7)–11), neue Empfehlungen aus weiteren Ländern12)–17) und neue Daten zu Mortalität und Morbidität18)– 22), insbesondere auch aus der Schweiz23), 24), haben Anlass dazu gegeben, die Empfehlungen für die Schweiz zu überarbeiten

Patterns of paediatric end-of-life care: a chart review across different care settings in Switzerland.

Paediatric end-of-life care is challenging and requires a high level of professional expertise. It is important that healthcare teams have a thorough understanding of paediatric subspecialties and related knowledge of disease-specific aspects of paediatric end-of-life care. The aim of this study was to comprehensively describe, explore and compare current practices in paediatric end-of-life care in four distinct diagnostic groups across healthcare settings including all relevant levels of healthcare providers in Switzerland. In this nationwide retrospective chart review study, data from paediatric patients who died in the years 2011 or 2012 due to a cardiac, neurological or oncological condition, or during the neonatal period were collected in 13 hospitals, two long-term institutions and 10 community-based healthcare service providers throughout Switzerland. Ninety-three (62%) of the 149 reviewed patients died in intensive care units, 78 (84%) of them following withdrawal of life-sustaining treatment. Reliance on invasive medical interventions was prevalent, and the use of medication was high, with a median count of 12 different drugs during the last week of life. Patients experienced an average number of 6.42 symptoms. The prevalence of various types of symptoms differed significantly among the four diagnostic groups. Overall, our study patients stayed in the hospital for a median of six days during their last four weeks of life. Seventy-two patients (48%) stayed at home for at least one day and only half of those received community-based healthcare. The study provides a wide-ranging overview of current end-of-life care practices in a real-life setting of different healthcare providers. The inclusion of patients with all major diagnoses leading to disease- and prematurity-related childhood deaths, as well as comparisons across the diagnostic groups, provides additional insight and understanding for healthcare professionals. The provision of specialised palliative and end-of-life care services in Switzerland, including the capacity of community healthcare services, need to be expanded to meet the specific needs of seriously ill children and their families

Care and resuscitation of the newborn infant

Development and Application of these Recommendations: A working group of the Swiss Society of Neonatology (SSN) published national recommendations on the care and resuscitation of the newborn infant in 2000. Following a first update in 2007, the current paper represents a revision of these recommendations based on new data and evidences1), and revised international guidelines2)-7). These recommendations should be considered as guidelines that can and should be adapted as the individual situation requires

Mobile Kommunikation. Teilvorhaben: Halbleitersendemodule fuer Kommunikationssysteme im 30-50 GHz-Bereich Abschlussbericht

The project 'GaAs Power Modules for Communication Systems in the Frequency Range 30-50 GHz' is embedded in the research program 'Mobile Communication' founded by the german Ministry of Education and Research (BMBF). In this work theoretical studies and basic technologies for the integration of 1 Watt power modules with cascaded power cells in flip chip technology were realized. In order to remove the power losses of the unthinned coplanar power cells, additionally to the electrical bump interconnects thermal bumps near the gate fingers on the source pads and high thermal conductive aluminum nitride substrates have been used. The influence of the thermal bump interconnects to the electrical characteristics of the power cells at high frequencies was determined by on wafer measurements. In order to establish a substrate integrated housing technology for frequencies up to 70 GHz coplanar feed through transmission lines have been realized by use of thin film multilayer technology with 25 #mu#m thick polyimide dielectrics. Manufacturing of the GaAs power cells was done in cooperation with Fraunhofer Institute IAF, Freiburg, and electromagnetic simulation of feed throughs, bump connections and parasitic modes in cooperation with Ferdinand braun Institute, Berlin. (orig.)Available from TIB Hannover: F99B1319+a / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEBundesministerium fuer Bildung und Forschung (BMBF), Bonn (Germany)DEGerman