[The status of perinatal care and its results in Czechoslovakia in 1987].
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Biomedical subjects
Publications and source records attributed to F Mandys.
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The photochemical degradation of bilirubin was studied in vitro using high-performance liquid chromatography and spectrophotometry. Attention was centered on the formation of biliverdin, which is produced as an intermediate in the photooxidation catalysed by riboflavin. approximate values of the overall and partial relative rate constants were calculated using the physiochemical criteria for a pseudo-monomolecular reaction. A more precise evaluation was made by non-linear regression programmes on a Hewlett-Packard 9835 A computer. In addition to the formation of biliverdin, attention was also paid to accompanying processes affecting the reaction mechanism, which were explained as aggregation and dimerization of bilirubin and biliverdin. It was also found that during phototherapy of newborn babies suffering from hyperbilirubinaemia the level of biliverdin in the plasma increased. The results are discussed from the point of view of phototherapy.
The computer laboratory of the Research Institute for the Care of Mother and Child in Prague performs annually a countrywide analysis of perinatal outcome in order to obtain a background for the preparation of the optimal strategy for improving perinatal care in CSR in the future. The total as well as weight specific perinatal mortality rate further sub-divided into early neonatal death rate and late fetal death rate and differentiated according to the birthweight, was correlated with the incidence of different factors influencing the perinatal mortality rate both countrywide and for each of the eight provinces of CSR. This way a correlation was found between some of the mentioned perinatal outcomes and e.g. instrumental equipment of obstetrical departments and neonatal intensive care units, frequency of caesarean sections, or transport of LBW newborns in incubators or "in utero" etc. The results of this analysis have proved that there still remain in some provinces opportunity for further decrease in perinatal mortality due to the incomplete observance of the two intervention strategies "Risk approach" and "New technology" which were introduced in the whole country during the last 10 years.
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