It has previously been reported that morphologic and functional indices of fetal lung maturation are delayed in male rabbit fetuses, and these differences cannot be overcome by glucocorticoid treatment. Since thyroid hormone also stimulates surfactant production we have studied the effects of triiodothyronine (T(3)) and dexamethasone on saturated phosphatidylcholine (SPC) synthesis by day 20 male and female rat lung. Control male lung slices incorporated significantly less ^3H-choline into SPC than females; surgery on day 17 markedly stimulated ^3H-choline incorporation into SPC by both sexes, but the sex difference persisted. The optimal dose of T(3) inhibited SPC synthesis by both sexes while dexamethasone was stimulatory. When T(3) and dexamethasone were given together they had a greater effect than that of dexamethasone or T(3) alone. Based on these results we conclude that the male deficit in pulmonary surfactant production may be overcome by the synergistic effects of T(3) and dexamethasone.

Significant variation exists in transport outcomes in Canada. Further investigation is required to optimize infant transport systems, processes, and clinical care.

Findings from this systematic review demonstrate clinical usefulness of the tools based on their assessment properties, however additional studies are needed to further establish their psychometric soundness.

No abstract