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8 > Image 8 of Kentucky Alumnus, 1988, no. 4

Part of Kentucky alumnus

Il`li I I { I .................... -.. . V _ ____ Ii I B U Y I N G T I M E I A I I I I tg 1 l IL " I' .......................... . .............................................. . , , I wl l > li l _ H BY SUSAN H. DONOHEWANDLISSA D.ATKIl\l$ l>l>vSl immy was hom too II IIV _,,[5 _ ':_V [_ It v VV VVV _ VV T V_ ' V _;? ___,_ _ } _ __;/V _ substan II $ Wmghlng IY 600 I *7 * ' I I III, {/Iii V ml {ON I / I I ,I< M Ir V. 1 is I l g[`2[`[lS 5 ozs.), he In V r gclVcl1t10r arrived at 26 weeks, 14 Ir I I _V I.I_, I I, I _ - thm mu I i weeks CHTIY of being Full term TOdaY I /II III2I I II III II I SUPPIY il rirrrr weeks later, ins eyciras are stm * ;/~W; I I_I_ 5 * r iirrnatnrr II liusccl, and he eant maintain his body I _ IQ ,II' I x I'iI _I_IIII The i lj i '' Iffa ? _._. . lk? 1 ll temperature. HIS mOSt SI`1OUS ~ V -j.;V = - I-lg, , many p problems are his inability to breathe I I ,2 r _ ;? VjV _.i I Ii , with or IL and to digest {ood properly. Five years I I VE - " Iliv V V 1 II, V digcasc I "g" lm lI*I?IY I?I haw dd ll IIIi VIII I * ei ??PiZ IIS lhatt ll Instead he is surviving because of I {I V I VV vvi VV VV Vrr _IA VV I Oxygen ll advances in neonatal care, speciheally _ _,I___ I I iiliiiii if, I IIUY PUI l in the use ol ventilators and improved I. I 'i_ major p `Z Iormulas. Not all babies, however, IIII V II II I [lm; wh ti respond to the new techniques; others I I r I iii ,,,,,,_ I IIIIII IIi~/ 'W lii I IIV I I for-ged i improve but still develop serious nj I II Me II "" IIIA { )IIIII II I causes t complications. Partially supported by / I I VV It V V I I I I Oyercxp . . - "I WV,,,,,.,// I, (yp, I"_Ur V ' _ -7 ,I. -3 . V V. pf ' lundmg through the Infant Intensive ~ V VV,. z wjy/V V if ;_. V { I V . rupture l ( M l thc UK Medical I IIII Jil C -IiI I. II* tt' " I _I tIII _ t I - ct est ca I (leuteiIs three nconatologists; M. V 2 I IM, 3 - Vent E l)ouglas Cunningham, head ol II I,II A I V I i,,, i/I IIII 5I I I develop V neonatology; Nirmala Desai; and , I V M VV,_ VV _/ I I I, tl< signe ll 'l`homas Pauly are linding new ways to .- V II- II` { inl`gnt5_ treat these mlants. i VVVV VV;TI.. I 5 I , . . th-; sur\ ; l\Illll1ll{lIlgIll( Neonatal Intensive Vl lk n O V;} l incpcasq lll (Zare Unit (NICU), the neonatologists VV I ` `~* Q 1960s, 1 treat ($50 to 700 premature and {ull- VV J II I W wt;igh( . term inlants each year. According to I I II lalc 197 Q l)r. Pauly, (v0 percent ol all the babies 2 V V baby we l have respiratory disorders. For il VV l ~-I t 1 (jmnjn I premature inlants, their respiratory IVV il / V . pr {Cent ll problems arise from lung inunaturity. f `* V _VVI_I IIIII [ ii II_V I _ I infant. I l V "Il`hc lung is the last organ to I V I ,I__._,V, I survivaj lz Ixtomt lull) dtxtloptd lll tht Ittus, II,_ .. _ _,,I I , VV to save { I says l)r. (iunmngham. When babies V V p . V it I VVV ~ lnl3_mS_ I I are horn early. their lungs clon`t have I out M IIII - _ 1 (lll. lm.(ilumll.ul (H. (Ilu.mlCul maturity IVI. Douglos Cunninghom, chief ol neonotology, exomines one ol the NICU potienfs. I ` l'(`(lllll`(`(l to sustain their respiratory I .V myw- ueetls.II Wi ll i Normally. babies` lungs secrete a thm_thy>r dimcult to Separate I suI>stanVce. surlactant, which keeps the while theyre still wet. But, if you mix a ~l ~~. { l walls ol the alveoli lrom adhering. HTHE LUNG IS THE LAST detergent with the water, the gl&SS$ ali" i rt ;_ Surlactant is a mixture ol` chemicals easily pulled apam I jr [llll[ ['(`(llll`(`S lll(` lcllslon Pl`0(IU`(I xvhcn surfactant SCI"/CS a Sirrlilar function l i i IIII l V l?\`U`slll`I;lti(SVl`tll)<[()g((l1(jl`_ Phosphate in the lungs because it allows the lungs VwV IV __ ., S t (tt igents haw some ol the same DEVELOPED IN THE F H to remain pliable, However, th1S i l PIUPCI ties as surlactaut. l' or example. Chemical lSnt fully developed in the sl when you wash two smooth glasses- fetus until the 35th week (eight TDOUYIYS I II I Il;