TY  - THES
A1  - Krupinski, Tabea
T1  - Nachweis von morphologischen Veränderungen beim Nierenscreening von Frühgeborenen und deren klinische Relevanz
T1  - Significance of planimetry and densitometry of sonograms in preterm infantswith suspected minor nephrocalcinosis
N2  - Die Sonographie ist für die Diagnosestellung der Nephrokalzinose Goldstandard. Gerade durch die technische Weiterentwicklung kommen aber immer wieder neue Herausforderungen auf den Untersucher zu. Höhere Frequenzen und dadurch höhere Auflösungen der Bilder führen zu einer häufigeren Darstellung von Veränderungen, die es zu interpretieren gilt. So kommt es bei Nierenuntersuchungen Frühgeborener auffällig oft zu einem Auftreten von Echogenitätsanhebungen, die meist als Nephrokalzinose diagnostiziert werden. Die vorliegende Studie sollte durch Messungen von Helligkeit und Größenverhältnissen, sowie durch Auswertung bestimmter Laborparameter weitere und unabhängigere Kriterien zur Diagnosestellung der Nephrokalzinose finden.
N2  - To assess the possible additional value of planimetry and densitometry of sonograms in preterm infants (PI) with sonographically suspected minor nephrocalcinosis (NC).
KW  - Ultraschall
KW  - Frühgeborenes
KW  - Planimetrie
KW  - Nephrokalzinose
KW  - Echogenität
KW  - nephrocalcinosis
KW  - echogenicity
KW  - preterm infants
KW  - ultrasound
Y1  - 2012
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-73915
ER  - 
TY  - JOUR
A1  - Ritz, Thomas
A1  - Enlow, Michelle Bosquet
A1  - Schulz, Stefan M.
A1  - Kitts, Robert
A1  - Staudenmayer, John
A1  - Wright, Rosalind J.
T1  - Respiratory Sinus Arrhythmia as an Index of Vagal Activity during Stress in Infants: Respiratory Influences and Their Control
JF  - PLoS One
N2  - Respiratory sinus arrhythmia (RSA) is related to cardiac vagal outflow and the respiratory pattern. Prior infant studies have not systematically examined respiration rate and tidal volume influences on infant RSA or the extent to which infants' breathing is too fast to extract a valid RSA. We therefore monitored cardiac activity, respiration, and physical activity in 23 six-month old infants during a standardized laboratory stressor protocol. On average, 12.6% (range 0-58.2%) of analyzed breaths were too short for RSA extraction. Higher respiration rate was associated with lower RSA amplitude in most infants, and lower tidal volume was associated with lower RSA amplitude in some infants. RSA amplitude corrected for respiration rate and tidal volume influences showed theoretically expected strong reductions during stress, whereas performance of uncorrected RSA was less consistent. We conclude that stress-induced changes of peak-valley RSA and effects of variations in breathing patterns on RSA can be determined for a representative percentage of infant breaths. As expected, breathing substantially affects infant RSA and needs to be considered in studies of infant psychophysiology.
KW  - responses
KW  - heart-rate-variability
KW  - pulmonary gas-exchange
KW  - still-face
KW  - baroreflex mechanism
KW  - period variability
KW  - preterm infants
KW  - waking states
KW  - reactivity
KW  - attention
Y1  - 2012
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-135396
VL  - 7
IS  - 12
ER  -