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Outcomes of Portosystemic Shunts in Children with and without Liver Transplantation
Hamza Hassan Khan,Stuart S. Kaufman,Nada A. Yazigi,Khalid M. Khan 대한소아소화기영양학회 2024 Pediatric gastroenterology, hepatology & nutrition Vol.27 No.1
Purpose: Limited data exist regarding outcome and morbidity associated with portosystemic shunts in the pediatric transplant population. Our study assesses the outcomes of pediatric patients who underwent a portosystemic shunt procedure, both with and without liver transplantation (LT). Methods: This study retrospectively reviewed the medical records of pediatric patients aged 0–19 years who underwent shunt placement between 2003 and 2017 at a tertiary care center. The analysis included cases of shunt placement with or without LT. Results: A total of 13 pediatric patients were included in the study with median age of 8.8 years. Among the cases, 11 out of 13 (84.6%) underwent splenorenal shunt, 1 (7.7%) underwent a mesocaval shunt, and another 1 (7.7%) underwent a Modified Rex (mesoportal) shunt. Additionally, 5 out of 13 (38.5%) patients had LT, with 4 out of 5 (80.0%) receiving the transplant before shunt placement, and 1 out of 5 (20.0%) receiving it after shunt placement. Gastrointestinal bleeding resulting from portal hypertension was the indication in all cases. A total of 10 complications were reported in 5 patients; the most common complication was anemia in 3 (23.1%) patients. At the most recent follow-up visit, the shunts were functional without encephalopathy, and no deaths were reported. Conclusion: Shunt placement plays a crucial role in the management of patients with portal hypertension. Our study demonstrates favorable long-term outcomes in pediatric patients who underwent shunt placement. Long term shunt outcomes were similar and unremarkable in patients with LT and without LT.
Study on Development of Portable Incubator
Amre Eizad(에이자드 아믈),Falak Zahra(파락 자흐라),Hamza Alam(함자 알람),Hassan Tahir(하산 따히르),Afrasiab Khan Bangash(아프라시압 칸 반가시),Sung-Ki Lyu(류성기) 한국기계가공학회 2019 한국기계가공학회지 Vol.18 No.9
Preterm children require a controlled environment that is as close as possible to that inside the womb. Incubators are well equipped to fulfill this requirement; however, they are cumbersome and expensive, thereby restricting their portability and availability in less developed and rural areas. This research comprises the development and system validation of a portable incubator. The system consists of a collapsible baby enclosure that can be stowed inside the system base when not in use. The enclosure is made from acrylic such that it is easy to clean and allows unhindered visual observation of the occupant while being robust enough to withstand transit conditions. The system can be powered either by a mains supply or a 12-VDC automobile power supply. Additionally, it has an onboard battery to ensure a continuous supply during transit. A Peltier plate controlled using a microcontroller ensures the desired enclosure temperature irrespective of the ambient temperature. Built-in sensor probes can measure the skin temperature, pulse rate, blood oxygenation level, and ECG of the infant and display them on the system screen. The system function is validated by testing its peak power consumption and the heating and cooling performances of the environment control system.