ࡱ> F0 %^qayJFIFKKMSO Palette C   ")$+*($''-2@7-0=0''8L9=CEHIH+6OUNFT@GHEC !!E.'.EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE"-!1AQ"aq2BR#!1Aa ?>2VmQMsF+IaGMz"1wwNhJN>2J^r(:B7)Z)fq #ek&PҷuNL2#8\g) a1Hm]h]`FwWf fˬxXws,e:`WD֩BWeB mQo)~;vLJZiPe9~Fu*$-;&/2ly{8@-ˬؑrķ3]9vNw9U/-SY/@~}^R v^2fnNxVʔUciF~fH]_G]OIp۳W^1*1j:WS8Hݘ45iZ%[z"EZ80O]9J?u(,D/ 2crK>2)[߬ri/%:5~1;[ȥRnj$uףD|]˨ZJ)ե~CƥǢ6GQ޾9/ԢVYVZh=fnƓf.1J==s]ѥ0NnU8cx9eD<Agm1KZoUmE^_~2JZ#}g(;8ckL_aa~U؅r:^KThٵ|fc'I֠hd9$ϕ_feOyħϓ3˫[4ʬ%ӺɑM!חXoܒoį~rދ6uu{Ո7SIc&AYMc:(5?##Yjr#z˥ Xpvi7󛖂Bdd m{sr~Q? D| 9ީC>\`Y{ff` R>&- {p_/̴>?" dd@,|?" dd@   " @ ` n?" dd@  @@``PR    @ ` ` p>> xp(    6_  `} a X Click to edit Master title style!!   0d]  ` ` RClick to edit Master text styles Second level Third level Fourth level Fifth level!    S   0 ] ^ ` _ X*  0] ^  ] ^*   0[ ^ ` ] ^*   fA$޽h ?Blue tissue paper"` 3380___PPT10.X4U Default Design( 0 $8(  $ $ 0PE P   E ^*   $ 0E    E R*  d $ c $ ?  E $ 0E  0 E RClick to edit Master text styles Second level Third level Fourth level Fifth level!    S  $ 6E _P  E ^*   $ 6E _  E `*  H $ 0޽h ? 3380___PPT10.C l !(    0T0  P   0  \*    0Y0     0  Z*   6^0  _P  0  \*    6]0  _  0  ^*  H  0޽h ? 3380___PPT10.{Jb,q 0  (     <A "T  ?     <OEA "T  ?WV   H  0޽h ? 33___PPT10i.X4Z+D=' 0 = @B +  0 0 u(      <EA "T  ?I'gX  E u  0EC"? 6 w CLD of prematurity Prolonged MV use Chronic aspiration Chronic infection Bronchiectasis Chronic ILD Asthma etc.x 2x@   ;   RB  s *D3Ԕr  S $E ` E H  0޽h ? 33___PPT10i.Y4m+D=' 0 = @B +  0 @ 6(     BXEA "T  ?9  E   0EC"?M'm jJan  Dec 2006 2    0oC"?'F Out-patient service - 464/1,095 visits (42%) - 116 cases - Chronic aspiration 42 cases - BPD 39 cases - Others 35 cases - 20% on home oxygen therapy - 2% on home ventilator 2  8jjX  0    0E z  S70% 2 RB   s *D3ԔYH  0޽h ? 33___PPT10i.Y4m+D=' 0 = @B +  0 P q(     BEA "T  ?w  E   0@EC"?? jJan  Dec 2006 2    0EC"?r JIn-patient service - 246/3,800 admissions (6.5%) - 246 cases - Chronic aspiration 91 cases - BPD 34 cases - Others 121 cases - Median age 1.3 yrs - Admission rate 2.5/case/yr - Duration of admission 70 days/case/yr 2  8jjX  0t   0ES M  a50%& 2 RB  s *D3ԔH  0޽h ? 33___PPT10i.Y4m+D=' 0 = @B +  0 ` .(     BYA "T  ?w  Y   0(SC"?e " Depend on underlying disease BPD  obstructive, air trapping, BHR Bronchiectasis - Mixed obstructive/restrictive, BHR - Not related to CT findings ILD - Restrictive - Diffusion defect VU 2Dxx$x$&E  o RB  s *D3ԔH  0޽h ? 33___PPT10i.Y4m+D=' 0 = @B +    0   ,q (  , ,  BP "T  ?w  P RB , s *D3Ԕ , 0Nz~  KCLD(2  RB ,@ s *DW } , 0MK lVentilatory impairment(2    RB , s *D   , 0 ,  ^Circulatory impairment(2  RB  , s *Dm c  , 0C T Malnutrition (2   RB  , s *D   , 0d     > Oxidative capacity of muscles (2   RB , s *DZ RB ,@ s *DS  c  , 0  ~   < O2 delivery & CO2 excretion N(2    , 0vq PExercise limitation ( Aerobic capacity))(2) ) RB , s *D j vRB ,@ s *DV  vH , 0޽h ? 33___PPT10i.Y4m+D=' 0 = @B +  0 a Y +< (  < < 0wz   MCLD(2    < 0Z YAirway problems(2  RB  <@ s *D  RB < s *D   < 0# `Lung mechanic problems(2   < 0(z - fChest wall mechanic problems(2  RB < s *D RB < s *D  < 0-Z  / Hypersecretion Bronchospasm Collapsed airway0 20@       < 0L2} f Restrictive Hyperinflation 2  RB < s *D } < 06C"?  ; Ineffective cough Retained secretion Exercise limitation< 2< < RB <@ s *Dm3 cRB < s *D  RB <@ s *DW0   < 0`86 W  ! Atelectasis Recurrent pneumonia" 2"&    LB "< c $DV )V LB #< c $DV RB $<@ s *DP  '< 6A3  ,,$@ 0 t,Pulmonary rehabilitation & Exercise training-(2- - RB (< s *D  B )< 0D3jJ  ,$D 0H < 0޽h ? 33___PPT10.6+DW' 0 = @B D' = @BA?%,( < +O%,( < +DI' =%(D' =%(DX' =A@BBB B0B%(D' =1:Bvisible*o3>+B#style.visibility<*'<%(D' =-6B+checkerboard(across)*<3<*'<D9' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*)<%(D' =-u6Bdiamond(in)*<3<*)<+8+0+'<0 +[   0 rj`(  `RB ` s *D3Ԕq$ ` 0PC"?/v @PFT at rest `" Exercise capacity 4!(2  ! ^2 ` 6 n @  ` 0RC"?  jExercise test is helpful in identifying pulmonary limitation during exercise optimal level of exercise &( 2C 2k k    ` ZS "T  ?'g    ` S Y `   H ` 0޽h ? 33___PPT10i.Y4m+D=' 0 = @B +   0  dF(  d d  H 5E "T  ?'g  E  d 06EC"?z6 M (2  RB d s *D3ԔqM d  f;E_ж_жGJHT? "`M' 5How to assess exercise capacity in children with CLD?(6x5   6 v&V  d c $>E~  E  H d 0޽h ?d 33___PPT10i.Y4m+D=' 0 = @B +}  0 (  x  c $,a`P   ~  s *a4   RB  s *D3Ԕ  S  dp `   P  s *޽h ?"` fp=___PPT10i.;:+D=' 0 = @B +S, 0   a (  2  6Ԕ0  ,$D  0  <8qm i ] Exercise test 0C(  RB  s *D3>RB  s *D3>  0uq_,$D  0 kVO280EM    Bd" pG@ ,$@  0B  6" ' ,$@  0B  s *Df> ,$D 0B  s *D>@0 ,$@   0  0}0  F0A .  6o 00 ,$ 0  VCO2/VO2>1Z 0AIAIA  B  0Df> P  ,$D  0x  <  ,$D   0 "Maximum O2 consumption (VO2max) #0 EO EMEG # 2  s *,$@   0  0@I t,$D  0 q Work load8 0 EM  H  0޽h ? ̙33* " ___PPT10 +D' = @B D' = @BA?%,( < +O%,( < +D'' =%(D' =%(D1' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-m6Bbox(in)*<3<* D>' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-m6Bbox(in)*<3<*D' =%(D' =%(D1' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-m6Bbox(in)*<3<* D>' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-m6Bbox(in)*<3<*D' =%(D3' =4@BBB B%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-o6Bbox(out)*<3<* D ' =%(D#' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =+4 8?dCB0-#ppt_w/2BCB#ppt_xB*Y3>B ppt_x<*D' =+4 8?\CB#ppt_yBCB#ppt_yB*Y3>B ppt_y<*D' =%(D1' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-m6Bbox(in)*<3<*D' =%(D3' =4@BBB B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-o6Bbox(out)*<3<*D`' =%(D' =%(D1' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<* %(D' =-m6Bbox(in)*<3<* D1' =4@BBBB%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-m6Bbox(in)*<3<*D>' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =-m6Bbox(in)*<3<*++0+0 ++0+0 ++0+0 ++0+0 + 0 h (  hX h C $   E h S  E$ 0  E " H h 0޽h ? 3380___PPT10.Dh 0 l (  lX l C $    l S |$ 0   " H l 0޽h ? 3380___PPT10.Dck 0 p (  pX p C $    p S NE$ 0   " H p 0޽h ? 3380___PPT10.Dck 0  t (  tX t C $    t S X$ 0   " H t 0޽h ? 3380___PPT10.Dck 0 0x (  xX x C $    x S $ 0   " H x 0޽h ? 3380___PPT10.Dck  0 P (  X  C $     S X$ 0   " H  0޽h ? 3380___PPT10.Dck  0 ` (  X  C $     S P$ 0   " H  0޽h ? 3380___PPT10.DckO 0  (  X  C $   0   S P/0 $ 0  0  " H  0޽h ? 3380___PPT10.Dck 0  (  X  C $   0   S 4B0 $ 0  0  " H  0޽h ? 3380___PPT10.Dck# 0  (  X  C $   0   S G0 $ 0  0  " H  0޽h ? 3380___PPT10.Dck$ 0  (  X  C $   0   S $M0 $ 0  0  " H  0޽h ? 3380___PPT10.Dckrpr'<?DjK?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnpqrstuvwxyz{|}~Root EntrydO)PicturesCurrent UserSummaryInformation(o0UPowerPoint Document(DocumentSummaryInformation8