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Tana M, Bottoni A, Cota F, Papacci P, Di Polito A, Del Vecchio A, Vento AL, Campagnola B, Celona S, Cricenti L, Bastoni I, Tirone C, Aurilia C, Lio A, Paladini A, Nobile S, Perri A, Sbordone A, Esposito A, Fattore S, Ferrara PE, Ronconi G, Vento G. Early Respiratory Physiotherapy versus an Individualized Postural Care Program for Reducing Mechanical Ventilation in Preterm Infants: A Randomised Controlled Trial. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1761. [PMID: 38002852 PMCID: PMC10670353 DOI: 10.3390/children10111761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Revised: 10/19/2023] [Accepted: 10/27/2023] [Indexed: 11/26/2023]
Abstract
BACKGROUND Tactile stimulation manoeuvres stimulate spontaneous breathing in preterm newborns. The aim of this study is to evaluate the effect of early respiratory physiotherapy on the need for mechanical ventilation during the first week of life in preterm infants with respiratory failure. METHODS This is a monocentric, randomised controlled trial. Preterm infants (gestational age ≤ 30 weeks) not intubated in the delivery room and requiring non-invasive respiratory support at birth were eligible for the study. The intervention group received early respiratory physiotherapy, while the control group received only a daily physiotherapy program (i.e., modifying the infant's posture in accordance with the patient's needs). RESULTS between October 2019 and March 2021, 133 preterm infants were studied, 68 infants in the study group and 65 in routine care. The study group showed a reduction in the need for mechanical ventilation (not statistically significant) and a statistically significant reduction in hemodynamically significant patent ductus arteriosus with respect to the control group (19/68 (28%) vs. 35/65 (54%), respectively, p = 0.03). CONCLUSIONS early respiratory physiotherapy in preterm infants requiring non-invasive respiratory support at birth is safe and has proven to be protective against haemodynamically significant PDA.
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Affiliation(s)
- Milena Tana
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Anthea Bottoni
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Francesco Cota
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Patrizia Papacci
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Alessia Di Polito
- Servizio Medicina Fisica e Riabilitazione, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (A.D.P.); (A.D.V.); (A.L.V.); (B.C.); (S.C.); (L.C.); (I.B.); (P.E.F.); (G.R.)
| | - Arianna Del Vecchio
- Servizio Medicina Fisica e Riabilitazione, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (A.D.P.); (A.D.V.); (A.L.V.); (B.C.); (S.C.); (L.C.); (I.B.); (P.E.F.); (G.R.)
| | - Anna Laura Vento
- Servizio Medicina Fisica e Riabilitazione, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (A.D.P.); (A.D.V.); (A.L.V.); (B.C.); (S.C.); (L.C.); (I.B.); (P.E.F.); (G.R.)
| | - Benedetta Campagnola
- Servizio Medicina Fisica e Riabilitazione, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (A.D.P.); (A.D.V.); (A.L.V.); (B.C.); (S.C.); (L.C.); (I.B.); (P.E.F.); (G.R.)
| | - Sefora Celona
- Servizio Medicina Fisica e Riabilitazione, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (A.D.P.); (A.D.V.); (A.L.V.); (B.C.); (S.C.); (L.C.); (I.B.); (P.E.F.); (G.R.)
| | - Laura Cricenti
- Servizio Medicina Fisica e Riabilitazione, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (A.D.P.); (A.D.V.); (A.L.V.); (B.C.); (S.C.); (L.C.); (I.B.); (P.E.F.); (G.R.)
| | - Ilaria Bastoni
- Servizio Medicina Fisica e Riabilitazione, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (A.D.P.); (A.D.V.); (A.L.V.); (B.C.); (S.C.); (L.C.); (I.B.); (P.E.F.); (G.R.)
| | - Chiara Tirone
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Claudia Aurilia
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Alessandra Lio
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Angela Paladini
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Stefano Nobile
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Alessandro Perri
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Annamaria Sbordone
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Alice Esposito
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Simona Fattore
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
| | - Paola Emilia Ferrara
- Servizio Medicina Fisica e Riabilitazione, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (A.D.P.); (A.D.V.); (A.L.V.); (B.C.); (S.C.); (L.C.); (I.B.); (P.E.F.); (G.R.)
| | - Gianpaolo Ronconi
- Servizio Medicina Fisica e Riabilitazione, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (A.D.P.); (A.D.V.); (A.L.V.); (B.C.); (S.C.); (L.C.); (I.B.); (P.E.F.); (G.R.)
| | - Giovanni Vento
- Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy; (M.T.); (A.B.); (F.C.); (P.P.); (C.T.); (C.A.); (A.L.); (A.P.); (S.N.); (A.P.); (A.S.); (A.E.); (S.F.)
- Department of Woman and Child Health and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
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Kilgour KM, Turner BL, Daniele M, Menegatti S. One-Step Quantification of anti-Covid-19 Antibodies via Dual Affinity Ratiometric Quenching Assays. Anal Chem 2023. [PMID: 37368953 DOI: 10.1021/acs.analchem.3c01266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/29/2023]
Abstract
The global pandemic caused by acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has affected millions of people and paralyzed healthcare systems worldwide. Developing rapid and accurate tests to detect and quantify anti-SARS-CoV-2 antibodies in complex fluids is critical to (i) track and address the spread of SARS-CoV-2 variants with different virulence and (ii) support the industrial manufacturing and clinical administration of anti-SARS-CoV-2 therapeutic antibodies. Conventional immunoassays, such as lateral flow, ELISA, and surface plasmon resonance (SPR), are either qualitative or, when quantitative, are laborious and expensive and suffer from high variability. Responding to these challenges, this study evaluates the performance of the Dual-Affinity Ratiometric Quenching (DARQ) assay for the quantification of anti-SARS-CoV-2 antibodies in bioprocess harvests and intermediate fractions (i.e., a Chinese hamster ovary (CHO) cell culture supernatant and a purified eluate) and human fluids (i.e., saliva and plasma). Monoclonal antibodies targeting the SARS-CoV-2 nucleocapsid as well as the spike protein of the delta and omicron variants are adopted as model analytes. Additionally, conjugate pads loaded with dried protein were studied as an at-line quantification method that can be used in clinical or manufacturing laboratories. Our results indicate that the DARQ assay is a highly reproducible (coefficient of variation ∼0.5-3%) and rapid (<10 min) test, whose sensitivity (∼0.23-2.5 ng/mL), limit of detection (23-250 ng/mL), and dynamic range (70-1300 ng/mL) are independent of sample complexity, thus representing a valuable tool for monitoring anti-SARS-CoV-2 antibodies.
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Affiliation(s)
- Katie M Kilgour
- Department of Chemical & Biomolecular Engineering, North Carolina State University, 911 Partners Way, Raleigh, North Carolina 27695, United States
| | - Brendan L Turner
- Joint Department of Biomedical Engineering, North Carolina State University and University of North Carolina at Chapel Hill, 911 Oval Drive, Raleigh, North Carolina 27695, United States
| | - Michael Daniele
- Joint Department of Biomedical Engineering, North Carolina State University and University of North Carolina at Chapel Hill, 911 Oval Drive, Raleigh, North Carolina 27695, United States
- Department of Electrical & Computer Engineering, North Carolina State University, 890 Oval Drive, Raleigh, North Carolina 27695, United States
| | - Stefano Menegatti
- Department of Chemical & Biomolecular Engineering, North Carolina State University, 911 Partners Way, Raleigh, North Carolina 27695, United States
- Biomanufacturing Training and Education Center (BTEC), 850 Oval Drive, Raleigh, North Carolina 27606, United States
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Igual Blasco A, Piñero Peñalver J, Fernández-Rego FJ, Torró-Ferrero G, Pérez-López J. Effects of Chest Physiotherapy in Preterm Infants with Respiratory Distress Syndrome: A Systematic Review. Healthcare (Basel) 2023; 11:healthcare11081091. [PMID: 37107923 PMCID: PMC10137956 DOI: 10.3390/healthcare11081091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 04/03/2023] [Accepted: 04/06/2023] [Indexed: 04/29/2023] Open
Abstract
Preterm birth carries a higher risk of respiratory problems. The objectives of the study are to summarize the evidence on the effect of chest physiotherapy in the treatment of respiratory difficulties in preterm infants, and to determine the most appropriate technique and whether they are safe. Searches were made in PubMed, WOS, Scopus, Cochrane Library, SciELO, LILACS, MEDLINE, ProQuest, PsycArticle and VHL until 30 April 2022. Eligibility criteria were study type, full text, language, and treatment type. No publication date restrictions were applied. The MINCIR Therapy and PEDro scales were used to measure the methodological quality, and the Cochrane risk of bias and Newcastle Ottawa quality assessment Scale to measure the risk of bias. We analysed 10 studies with 522 participants. The most common interventions were conventional chest physiotherapy and stimulation of the chest zone according to Vojta. Lung compression and increased expiratory flow were also used. Heterogeneities were observed regarding the duration of the interventions and the number of participants. The methodological quality of some articles was not adequate. All techniques were shown to be safe. Benefits were described after conventional chest physiotherapy, Vojta's reflex rolling, and lung compression interventions. Improvements after Vojta's reflex rolling are highlighted in the comparative studies.
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Affiliation(s)
- Ana Igual Blasco
- International School of Doctorate of the University of Murcia (EIDUM), University of Murcia, 30100 Murcia, Spain
- Early Intervention Center Fundación Salud Infantil, 03201 Elche, Spain
| | - Jessica Piñero Peñalver
- Early Intervention Center Fundación Salud Infantil, 03201 Elche, Spain
- Nebrija Center for Research in Cognition of Nebrija University (CINC), Nebrija University, 28015 Madrid, Spain
- Department of Developmental and Educational Psychology, Faculty of Psycology, University of Murcia, 30100 Murcia, Spain
- Research Group in Early Intervention of the University of Murcia (GIAT), University of Murcia, 30100 Murcia, Spain
| | - Francisco Javier Fernández-Rego
- Research Group in Early Intervention of the University of Murcia (GIAT), University of Murcia, 30100 Murcia, Spain
- Department of Physical Therapy, Faculty of Medicine, University of Murcia, 30100 Murcia, Spain
| | - Galaad Torró-Ferrero
- Research Group in Early Intervention of the University of Murcia (GIAT), University of Murcia, 30100 Murcia, Spain
| | - Julio Pérez-López
- Department of Developmental and Educational Psychology, Faculty of Psycology, University of Murcia, 30100 Murcia, Spain
- Research Group in Early Intervention of the University of Murcia (GIAT), University of Murcia, 30100 Murcia, Spain
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[Effect of delayed cord clamping and umbilical cord milking on cerebral hemodynamics in preterm infants: a randomized double-blind controlled trial]. ZHONGGUO DANG DAI ER KE ZA ZHI = CHINESE JOURNAL OF CONTEMPORARY PEDIATRICS 2021; 23. [PMID: 33840403 PMCID: PMC8050552 DOI: 10.7499/j.issn.1008-8830.2011158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
OBJECTIVE To compare the effect of delayed cord clamping (DCC) versus umbilical cord milking (UCM) on cerebral blood flow in preterm infants. METHODS This was a single-center, prospective, double-blind, randomized controlled trial. A total of 46 preterm infants, with a gestational age of 30-33+6 weeks, who were born in Suining Central Hospital from November 2, 2018 to November 15, 2019 were enrolled and randomly divided into DCC group and UCM group, with 23 infants in each group. The primary outcome indexes included cerebral hemodynamic parameters[peak systolic velocity (PSV), end-diastolic velocity (EDV), and resistance index (RI)] measured by ultrasound within 0.5-1 hour, (24±1) hours, (48±1) hours, and (72±1) hours after birth. Secondary outcome indexes included hematocrit, hemoglobin, red blood cell count, and serum total bilirubin levels on the first day after birth and the incidence rate of intraventricular hemorrhage during hospitalization. RESULTS A total of 21 preterm infants in the DCC group and 23 in the UCM group were included in the statistical analysis. There was no significant difference in PSV, EDV, and RI between the two groups at all time points after birth (P > 0.05). There was also no significant difference between the two groups in the hematocrit, hemoglobin, red blood cell count and total bilirubin levels on the first day after birth, and the incidence rate of intraventricular hemorrhage during hospitalization (P > 0.05). CONCLUSIONS DCC and UCM have a similar effect on cerebral hemodynamics in preterm infants with a gestational age of 30-33+6 weeks.
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