Francesca ’s story: Beating a heart tumor

Although her parents were warned she might not breathe when she was born, the moment Francesca Durkos came into this world, she let out a gutsy cry. “It was music to our ears,” says her mom. Michelle Carino Durkos was 40 weeks pregnant when she learned there was a tumor attached to her unborn daughter’s heart — a tumor so large that doctors near her home in Pensacola, Florida, were unsure if the baby would live. “It was a shock, because at 20 weeks everything was normal,” says Michelle. “We had a wonderful ultrasound; we saw all four chambers.” Yet, call it a mother’s intuition, Michelle knew something was wrong. “The whole pregnancy I had this strange feeling. I didn’t want to upset her, so I’d sleep sitting up, as if she was fragile — as if she was in distress.” Francesca in July 2012, shortly after her birth Cardiac fibroma: A devastating diagnosis Francesca’s tumor, a rapidly growing cardiac fibroma, is just one example of a group of benign congenital cardiac tumors that typically occur in children, and in most cases, are detected during in utero or infancy. But, because the heart is a vital organ, even benign tumors can be life threatening — interfering with the way the heart works, causing blockages and arrhythmias. In Francesca’s case, her heart-sized tumor triggered ventricular tachycardia, an abnormal heart rhythm that originates in the ventricles and is of...
Source: Thrive, Children's Hospital Boston - Category: Pediatrics Authors: Tags: Our Patients’ Stories cardiac fibroma cardiac tumor Department of Cardiac Surgery Department of Cardiology Dr. Pedro del Nido Dr. Tal Geva echocardiogram ECMO Fetal Cardiology Program heart tumor neona ultrasound Source Type: news

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Conclusions Higher cardiovascular endurance may mitigate the relationship between poorer subjective sleep quality and lower EC thickness. Future longitudinal studies should examine the interactive effects of sleep and fitness on brain health among older and more vulnerable populations.
Source: Medicine and Science in Sports and Exercise - Category: Sports Medicine Tags: APPLIED SCIENCES Source Type: research
Conclusions In conclusion, using contemporary methods to assess muscle architecture and calculate EFFPCSA did not enhance the muscle strength–size association. For understanding/monitoring muscle size, the major determinant of strength, these findings support the assessment of muscle volume, which is independent of architecture measurements and was most highly correlated with strength.
Source: Medicine and Science in Sports and Exercise - Category: Sports Medicine Tags: APPLIED SCIENCES Source Type: research
September 19, 2021 (RARITAN, N.J.) – The Janssen Pharmaceutical Companies of Johnson &Johnson today announced preliminary results from the Phase 1b CHRYSALIS-2 (NCT04077463) study evaluating RYBREVANT® (amivantamab-vmjw) in combination with lazertinib in the treatment of patients with non-small cell lung cancer (NSCLC) characterized by epidermal growth factor receptor (EGFR) exon 19 deletion or L858R mutations whose disease had progressed after treatment with osimertinib and platinum chemotherapy.[i] While previously reported results have demonstrated durable responses with RYBREVANT® in combination with ...
Source: Johnson and Johnson - Category: Pharmaceuticals Tags: Innovation Source Type: news
September 19, 2021 (RARITAN, N.J.) – The Janssen Pharmaceutical Companies of Johnson &Johnson today announced a new analysis from the CHRYSALIS (NCT02609776) study evaluating RYBREVANT® (amivantamab-vmjw) monotherapy and a combination regimen with lazertinib in advanced non-small cell lung cancer (NSCLC) patients with epidermal growth factor receptor (EGFR) mutations who progressed after osimertinib.[1] The analysis showed higher activity and longer duration of response (DOR) in patients treated with the combination therapy, demonstrating the potential benefit of targeting the extracellular (outer) and cataly...
Source: Johnson and Johnson - Category: Pharmaceuticals Tags: Innovation Source Type: news
[UNFPA] JUBA, South Sudan--To make a difference in the lives of youth, government funding and multi-sectoral action are required to implement the nation's commitments to sexual and reproductive health, said First Vice President, Riek Machar. He was speaking at a high-level meeting on commitments made by South Sudan at the Nairobi Summit on the International Conference on Population and Development (ICPD) in 2019.
Source: AllAfrica News: Pregnancy and Childbirth - Category: OBGYN Source Type: news
COL6-related dystrophies are a form of congenital muscular dystrophy, ranging in phenotype from the severe Ullrich congenital muscular dystrophy (UCMD) to the milder Bethlem muscular dystrophy with intermediate COL6-RD falling in between. COL6-RDs display well-known patterns on muscle MRI including a "central cloud" and "rimming" in the rectus femoris muscle and an "outside-in" pattern in the vastus lateralis muscle; however, MRI cannot routinely be performed in young children without sedation. We conducted a retrospective review of muscle ultrasound (US) performed in our cohort of genetically...
Source: Neuromuscular Disorders - Category: Neurology Authors: Source Type: research
We present a case of an 11-year-old boy who presented with motor developmental delay and inability to walk. He was born after an uneventful pregnancy and delivery, with non-consanguineous marriage of his parents. Motor milestones were delayed, walking without support at the age of 3.
Source: Neuromuscular Disorders - Category: Neurology Authors: Source Type: research
Although intellectual disability was included in the first description of Duchenne muscular dystrophy (DMD), the cognitive and neurodevelopmental (ND) components of DMD and Becker muscular dystrophy (BMD) remain overshadowed by their motor, cardiac, and pulmonary manifestations. To assess the ND comorbidity burden in dystrophinopathy patients at Le Bonheur Children's Hospital neuromuscular clinic, abstraction of the electronic medical record was performed for 46 patients. Diagnoses of ADHD, epilepsy, autism spectrum, obsessive compulsive, oppositional defiant, mood, anxiety, and sleep disorders, along with discussion of an...
Source: Neuromuscular Disorders - Category: Neurology Authors: Source Type: research
This study aims to investigate whether children with Duchenne muscular dystrophy (DMD) have sleep disorders in addition to evaluate the sleep quality and daytime sleepiness in mothers who are primary caregivers using questionnaires. Demographic and clinical data in addition to gross motor functional status of 24 patients with a DMD diagnosis were measured using gross motor function classification system (GMFCS). The patients were given the sleep disturbance scale for children (SDSC) in order to evaluate their sleep features.
Source: Neuromuscular Disorders - Category: Neurology Authors: Source Type: research
The decline of respiratory function in patients with Duchenne muscular dystrophy (DMD) leads to alteration of nocturnal gas exchange, with nocturnal hypoventilation (NH) representing the first manifestation. Current expert guidelines warrant the implementation of nocturnal non-invasive ventilation (NIV) when forced vital capacity (FVC)% falls below 50. However, there is limited evidence on the pulmonary function threshold correlating with the onset of NH. With this retrospective, longitudinal study on pediatric patients who underwent a sleep study (SS) at Great Ormond Street Hospital, London, between 2010-2020, we aim to i...
Source: Neuromuscular Disorders - Category: Neurology Authors: Source Type: research
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