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Image 8 of Kentucky Alumnus, 1988, no. 4

Part of Kentucky alumnus

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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>v’Sl ” 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 /I»I I‘II2I I II I»II II ” I SUPPIY il rirrrr weeks later, ins eyciras are stm * ·;/~W;‘ I I_I_‘‘‘ 5 * r iirrnatnrr II liusccl, and he ean’t maintain his body I _ IQ ·,II·' I ’ x I'iI _I_IIII The i lj · · i '' ’ Iféfa ? _._. .· lk? 1 ll temperature. HIS mOSt S€I`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 l’“’I’*‘I?IY ‘”°¥‘I?I haw d‘€d‘ ll IIIi VIII I * ·ei‘ ” ‘??PiZ ‘ IIS lhatt ll Instead he is surviving because of I {I V I VV v‘’vi· VV VV V·r··¤·r _»I··A 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 I’I »»¤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’·‘<»s·*·¤¤ » thc UK Medical ‘ I IIII Jil C -IiI I. II’* ”¢ ‘tt' " I ‘_I tII‘I’‘· _ · t I - ct est ca I (leutei‘Is 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\Ilélll1ll{lIlgIll(‘ Neonatal Intensive Vl lk ’ n O V;} l incpcasq lll (Zare Unit (NICU), the neonatologists VV I ` `~* Q 1960s, 1 treat ($50 to 700 premature and {ull- VV J II I W wt;igh€( . term inlants each year. According to ’I ·‘·I “ II lalc 197 Q l)r. Pauly, (v0 percent ol all the babies 2 V V ‘ baby we l have respiratory disorders. For il VV ’ l ~-I t 1 (jmnjn I premature inlants, their respiratory IVV il / V . pr {Cent ll problems arise from lung inunaturity. f °`* V _VVI_I IIIII [ ii II_V I _ ‘I infant. I l V "Il`hc lung is the last organ to I V I ,I__._,V, I survivaj lz Ixtomt lull) dtxtloptd lll tht Ittus,· II,_ .. _ _,,I· I , VV to save { I says l)r. (iunmngham. When babies V V p .· V it I VVV ~ lnl‘3_mS_ ·I I are horn early. their lungs clon`t have I out M IIII - _ 1 (lll. lm.(ilumll.ul (H. (Ilu.mlCul maturity IVI. Douglos Cunninghom, chief ol neonotology, exomines one ol the NICU potienfs. I ° ° ° ° ` ‘ l'(`(lllll`(`(l to sustain their respiratory I .V myw- · ueetls.II Wi ll i Normally. babies` lungs secrete a th€m_th€y>r€ dimcult to Separate I suI>stanVce. surlactant, which keeps the while they’re still wet. But, if you mix a ~l ~~·. { l walls ol the alveoli lrom adhering. HTHE LUNG IS THE LAST detergent with the water, the gl&SS€$ 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 lSn’t fully developed in the sl when you wash two smooth glasses- fetus until the 35th week (eight TDOUYIYS I II I Il;