[Early hospital discharge of preterm very low birt weight infants in the CMNT]

During a period of 2 years [2004-2005] 329 very low birth weight infants were discharged from the NICU of the CMNT. Mean birth weight was 1240g and mean gestational age was 30 weeks at admission. At discharge these babies weighed meanly 1575g and had post menstrual age of 35 weeks; 7, 2%of them were readmitted. The authors discuss the different conditions required for discharge of premature infants

[Acute post partum pancreatitis - about two cases]

The acute pancreatitis occurring during the pregnancy or the postpartum is rare but can be serious. It often causes diagnostic and therapeutic problems. It requires a multidisciplinary management and can sometimes threaten the vital prognosis. The authors report two observations of acute post-partum pancreatitis with biliary etiology, which is initially serious with a stage E scannogra-phic and more than 3 clinico-biological criteria of Ranson. The evolution under symptomatic treatment was favourable

[Positive response to inhaled milrinone of a severe neonatal pulmonary hypertension after a failure of inhaled nitric oxide]

We report a case of a new-born with a simple transposition of great arteries complicated by severe pulmonary hypertension which has responded to inhaled milrinone after a failure of inhaled nitric oxide. Mohamed born by cesarean section at 35 weeks, wheing 2650g, has presented a severe respiratory distress due to a simple transposition of great arteries complicated by pulmonary hypertension and a severe hemodynamic distress. He required artificial ventilation with an inspiratory oxygen fraction equal to 1 and vasoactive drugs. There was no response of pulmonary hypertension to inhaled nitric oxide. Inhaled milrinone at the dosage of 50 microg/kg/4h was attempted in the aim to research a selective pulmonary vasodilation. Response was immediately positive with a progressive decrease in inspiratory oxygen fraction without decrease in arterial systemic pressure. Despite, we can not be certain that this amelioration was imputed to inhaled milrinone, this case pushes to conduct animal and eventually human essays in the objective to test the relation between inhaled milrinone and selective pulmonary vasodilation

Evolution of twin pregnancies in the centre de maternite et de neonatalogie de Tunis

Multiples pregnancies and notably twin pregnancies are more and more frequent because of the development of the assisted reproduction technologies. These pregnancies contribute in a large part in the morbidity and the mortality among newborn because of prematurity. In this retrospective study, the authors fly to evaluate the status of twin pregnancies in the CMNT during 2001

[About a case of diabetes transient neonatal associated agenesis unilateral renal]

Transient neonatal diabetes is rare and seen in 1 case over 400.000 newborn babies. We report in this word what is, in our knowledge, the first case of transient neonatal diabetes associated with renal unilateral agenesis and a contralateral megalo-ureter

Les coarctations de l'aorte abdominale: a propos de 4 observations avec revue de la litterature

4 cases of abdominal aorta coarctation were reported and 287 reviews in the world literature. The congenital or acquired origin remains discussed. The arterial hypertension may take up the anatomic obstacle but a renal ischemia either the diagnosis reposes on an arterial hypertension presence, fermoral pulse abolition and an abdominal breath. The systematic angiography confirms the diagnosis, precises the seat and the coarctation extend and the associated arterial affection in particular renal and appreciate the collateral circulation importance The surgical cure is for to be a systematic attitude because of difficulties on which expose some anatomic forms

Formation de l'acide linoleique dans les graines oleagineuses

Fats are synthetized in oleaginous seeds according to the following. Diagramm: lipid synthesis, very slow immediately after fecundation, becomes very intensive between the second and the fifth weeks after florescence and is reduced to zero at the end of maturation. The desaturating activity of ammonium oleate is important in the first stages of development of the seeds