Home about us research projects research staff career opportunities contact us employee advisories research projects a follow-up to the management of myelomeningocele study (moms2) principal investigator:  elizabeth thom, ph. buy generic viagra online D.  the biostatistics center serves as the data coordinating center for moms2, the follow-up to the management of myelomeningocele (moms) (a multi-center randomized clinical trial comparing prenatal closure of myelomeningocele defects with the standard closures after birth) will attend one visit when the child is of school age (5-9 years old). The three participating medical institutions that participated in moms will be participating in the follow-up phase: the children's hospital of philadelphia, vanderbilt university medical center and the university of california at san francisco are again participating. buy viagra canada Follow-up visits will begin in spring 2012. The primary outcome is the vineland adaptive behavior scale. Funded by nichd u01-hd068540, 2011-2016. )  the george washington university biostatistics center © 2008   •  for more information contact webmaster@bsc. cheap viagra online Gwu. Edu. Ypes of spina bifida? Being diagnosed: how is spina bifida diagnosed? Getting treatment: what is the treatment for spina bifida? Living with spina bifida: how can i help my child who has spina bifida? cost viagra 20 mg Health toolsâ  health tools help you make wise health decisions or take action to improve your health. cost viagra 20 mg Decision points focus on key medical care decisions that are important to many health problems. ordering viagra online without visiting a doctor â  pregnancy: should i have the maternal serum triple or quadruple test? cost viagra 20 mg Actionsets are designed to help people take an active role in managing a health condition. buy generic viagra â  growth and development: helping your child build self-esteem symptoms there are no symptoms that indicate a pregnant woman has a fetus with spina bifida. The appearance and symptoms of a child who is born with spina bifida depend on how severe the condition is. If the spina bifida is mild, there may be no physical sign of the condition. how does generic viagra look In some cases a birthmark, dimple, or hairy patch may form over the defect. There are rarely any other signs. In severe cases, there usually is a fluid-filled swelling on the baby's spine. over the counter viagra substitute In the most severe cases ( myelomeningocele ), tissues and nerves from the spinal cord are exposed on the child's back. Children with severe spina bifida often have parts of the brain and upper spinal cord that are not formed normally. It is also common for these children to have fluid on the brain ( hydrocephalus ). Related problems can cause: 1 difficulty swallowing, which can lead to choking. Hoarseness. Breath-holding and problems breathing during sleep. Below-average intelligence. Seizure disorders. Strabismus (sometimes called crossed-eyes), a vision problem in which the eyes do not both look in the same direction at the same time. generic viagra canada If hydrocephalus is not treated, it can cause severe retardation or death. The most severe form of spina bifida (myelomeningocele) almost alw.