The Effect of Fluid Restriction on Respiratory Support and Hospitalization Duration in Transient Tachypnea of the Newborn

Objective: To compare the effects of restrictive versus maintenance fluid in the management of transient tachypnea of the newborn on respiratory support and hospitalization duration . Methods: The study sample included 68 full term neonates diagnosed with transient tachypnea of the newborn(TTN) in Neonatal Intensive Care Unit at Tishreen University Hospital in Lattakia during (2016 - 2017) Patients were randomized into two groups: 1_A group of 33 patients received restricted fluid management of 40ml/kg /day on the first day of life increased by 15ml/kg/day for all patients until 150ml/kg/day. 2_A group of 35 patients received standard fluid management of 60ml/kg /day on the first day of life increased as mentioned earlier. The two groups were assessed daily for indicators of dehydration including:(weight, urine output, electrolytes ,blood urea nitrogen, creatinine , glucose and urine specific gravity)blood oxygen saturation was monitored by arterial blood gas and pulse oximeter and respiratory

The Restriction Style by using the conjunctions (Bal – La - Lakena) in the Collection of Poems of ( Kossierazza ) - Rhetorical Stylish Referential Study-

Linguists classify the restriction methods into four sections : Restriction using negative and exceptions, restriction using "Inama", restriction using conjunctions "Bal, La, Lakin", restriction by preceding what must be delayed. There is also a fifth section. It is called (restriction by references and contexts throughout the speech). The later has three branches which are (restriction by adding interrupting pronoun), (restriction by defining both sides of contributing) and (restriction by preceding what has to be delayed). This research has chosen the restriction by using conjunctions "Bal, La, Lakin" . Initiating by explaining this method and its hotness and ending by studying it rhetorical stylish referential study in the collection of poems "kossierazza". This rhetorical study has divided the restriction's case by using conjunctions "Bal, La, Lakin" to the multiple poetical contexts and analyzing it according to its interaction with the poetical purpose in a special way. And its interaction with the text's context as a whole initiating by the most repeated restrictions and ending by the less repeated.