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https://www.readbyqxmd.com/read/28416508/hus-and-atypical-hus
#1
T Sakari Jokiranta
Hemolytic uremic syndrome (HUS) is a thrombotic microangiopathy characterized by intravascular hemolysis, thrombocytopenia, and acute kidney failure. HUS is usually categorized as typical, caused by shiga-toxin producing E. coli (STEC) infection, atypical HUS (aHUS), usually caused by uncontrolled complement activation, or secondary HUS with a coexisting disease. In recent years, a general understanding of the pathogenetic mechanisms driving HUS has increased. Typical (i.e. STEC-HUS) follows a gastrointestinal infection with STEC, while aHUS is associated primarily with mutations or autoantibodies leading to dysregulated complement activation...
April 17, 2017: Blood
https://www.readbyqxmd.com/read/28407837/-effects-of-embryonic-lead-exposure-on-food-intake-and-bowel-movement-in-offspring-rats-and-possible-mechanisms
#2
Jian-Ping Zhou, Fan Wang, Xiao-Qing Yi, Xue-Ying Wang, Yong-Sheng Jiang, Yan Geng, Jing-Jing Wang
OBJECTIVE: To study the effects of embryonic lead exposure on food intake and bowel movement in offspring rats and possible mechanisms. METHODS: Sprague-Dawley rats were given 0.1% (low-dose lead exposure group) or 0.2% (high-dose lead exposure group) lead acetate freely during pregnancy to establish an animal model of embryonic lead exposure. A blank control group was also established. The male offspring rats were enrolled in the study, and 10 male offspring rats from each group were selected to observe the changes in food intake, bowel movement, gastric emptying, intestine propulsion, and pathological inflammatory response in the gastric mucosa...
April 2017: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/28399458/the-role-of-maternal-anxiety-and-depressive-disorders-prior-to-and-during-pregnancy-and-perinatal-psychopathological-symptoms-for-early-infant-diseases-and-drug-administration
#3
Linda Krause, Franziska Einsle, Johanna Petzoldt, Hans-Ulrich Wittchen, Julia Martini
BACKGROUND: Maternal mental health prior to and during pregnancy has been shown to be associated with inflammatory diseases and gastrointestinal complaints in the offspring. Unfortunately, many studies merely focused on perinatal distress without consideration of lifetime anxiety and depressive disorders. AIMS: To prospectively investigate associations of anxiety and depressive disorders prior to and during pregnancy as well as perinatal distress with infants' inflammatory diseases, gastrointestinal complaints and corresponding drug administration...
April 8, 2017: Early Human Development
https://www.readbyqxmd.com/read/28383533/iron-supplementation-in-singleton-pregnancy-is-there-a-benefit-to-doubling-the-dose-of-elemental-iron-in-iron-deficient-pregnant-women-a-randomized-controlled-trial
#4
S Shinar, A Skornick-Rapaport, S Maslovitz
OBJECTIVE: To assess the efficacy of doubling the 30 mg dose of iron in women with iron deficiency anemia (IDA) in singleton pregnancies. STUDY DESIGN: Prospective randomized controlled trial. Iron-deficient women were randomized during the second trimester to receive one or two capsules of daily iron supplement, containing 34 mg of ferrous sulfate, from 17 weeks until 6 weeks postpartum. The primary outcome was hemoglobin (Hgb) at 35 weeks. Secondary outcomes included ferritin at 35 weeks, Hgb during pregnancy and postpartum, birth weights, preterm birth rate, gastrointestinal side effects, intravenous iron administration and compliance...
April 6, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/28347462/interactions-of-iron-with-manganese-zinc-chromium-and-selenium-as-related-to-prophylaxis-and-treatment-of-iron-deficiency
#5
REVIEW
Geir Bjørklund, Jan Aaseth, Anatoly V Skalny, Joanna Suliburska, Margarita G Skalnaya, Alexandr A Nikonorov, Alexey A Tinkov
Iron (Fe) deficiency is considered as the most common nutritional deficiency. Iron deficiency is usually associated with low Fe intake, blood loss, diseases, poor absorption, gastrointestinal parasites, or increased physiological demands as in pregnancy. Nutritional Fe deficiency is usually treated with Fe tablets, sometimes with Fe-containing multimineral tablets. Trace element interactions may have a significant impact on Fe status. Existing data demonstrate a tight interaction between manganese (Mn) and Fe, especially in Fe-deficient state...
May 2017: Journal of Trace Elements in Medicine and Biology
https://www.readbyqxmd.com/read/28337207/gastrointestinal-microbiome-dysbiosis-in-infant-mice-alters-peripheral-cd8-t-cell-receptor-signaling
#6
Gabriela Gonzalez-Perez, Esi S N Lamousé-Smith
We recently reported that maternal antibiotic treatment (MAT) of mice in the last days of pregnancy and during lactation dramatically alters the density and composition of the gastrointestinal microbiota of their infants. MAT infants also exhibited enhanced susceptibility to a systemic viral infection and altered adaptive immune cell activation phenotype and function. CD8(+) effector T cells from MAT infants consistently demonstrate an inability to sustain interferon gamma (IFN-γ) production in vivo following vaccinia virus infection and in vitro upon T cell receptor (TCR) stimulation...
2017: Frontiers in Immunology
https://www.readbyqxmd.com/read/28316402/prevalence-and-risk-factors-for-gastrointestinal-parasitism-in-traditionally-maintained-goat-flocks-of-south-gujarat
#7
L M Sorathiya, A B Fulsoundar, T K S Rao, Niranjan Kumar
A total of 360 faecal samples of goat belonging to Ahir community were collected randomly from eight villages on monthly basis. On same day, collected samples were subjected to qualitative faecal examination and positive samples were categorized into mild, moderate and heavy infected groups. The risk factors considered for study were age, pregnancy, lactation, seasons, wet land grazing and hygiene in housing. Overall 41.11 % animals were found positive for helminth eggs and among them 24.17, 10.56 and 6.39 % of goats were mildly, moderately and heavily infected, respectively...
March 2017: Journal of Parasitic Diseases: Official Organ of the Indian Society for Parasitology
https://www.readbyqxmd.com/read/28288763/can-the-amount-of-digestible-undegraded-protein-offered-to-ewes-during-late-pregnancy-affect-the-performance-and-immune-response-of-their-offspring-to-gastrointestinal-nematodes
#8
Rocco S Sebastiano, Torres Sweeney, Barbara Good, James P Hanrahan, Timothy W J Keady
Maternal nutrition during pregnancy is a major environmental influence on foetal development with consequent effects on postnatal performance. We hypothesised that the level of intake of digestible undegraded protein (DUP) by the dam in late pregnancy would impact on the effectiveness of the immune response by offspring to gastrointestinal nematode infection. Eighty-five twin/triplet-bearing ewes, which were indoors from mid-pregnancy, were randomly assigned to 4 treatment groups for the final 6 weeks of pregnancy...
March 15, 2017: Veterinary Parasitology
https://www.readbyqxmd.com/read/28278146/cdc-grand-rounds-public-health-strategies-to-prevent-neonatal-abstinence-syndrome
#9
Jean Y Ko, Sara Wolicki, Wanda D Barfield, Stephen W Patrick, Cheryl S Broussard, Kimberly A Yonkers, Rebecca Naimon, John Iskander
Neonatal abstinence syndrome (NAS) is a drug withdrawal syndrome that most commonly occurs in infants after in utero exposure to opioids, although other substances have also been associated with the syndrome (1). NAS usually appears within 48-72 hours of birth with a constellation of clinical signs, including central nervous system irritability (e.g., tremors), gastrointestinal dysfunction (e.g., feeding difficulties), and temperature instability (1) (Box 1). Opioid exposure during pregnancy might result from clinician-approved use of prescription opioids for pain relief; misuse or abuse of prescription opioids; illicit use (e...
March 10, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28273703/-the-composition-of-the-gastrointestinal-bacterial-flora-of-mouse-embryos-and-the-placenta-tissue-bacterial-flora
#10
D Lei, Y Lin, X Jiang, L Lan, W Zhang, B X Wang
Objective: To explore the composition of the gastrointestinal bacterial flora of mouse embryos and the placenta tissue bacterial flora. Method: Twenty-four specimens were collected from pregnant Kunming mouse including 8 mice of early embryonic (12-13 days) gastrointestinal tissues, 8 cases of late embryonic (19-20 days)gastrointestinal tissues, 8 of late pregnancy placental tissues.The 24 samples were extracted by DNeasy Blood & Tissue kit for high-throughput DNA sequencing. Result: The level of Proteobacteria, Bacteroidetes, Actino-bacteria and Firmicutes were predominantin all specimens...
March 2, 2017: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/28254207/unusual-clinical-presentations-of-choriocarcinoma-a-systematic-review-of-case-reports
#11
REVIEW
Mishu Mangla, Deepak Singla, Harpreet Kaur, Sushmita Sharma
Choriocarcinoma (CC) is a highly malignant tumor originating in the trophoblastic tissue. The clinical presentation of CC is so much varied that every case may be one of its kinds and thus can be a diagnostic challenge. Numerous case reports have been published in various journals regarding the unusual clinical presentations of this cancer. Therefore, we conducted a systematic review of all case reports in English language on gestational CC published in PubMed-indexed journals from 1998 to 2015. The main aim was to provide a summary and critical analysis of all the data and evidence published regarding the atypical clinical presentations of CC in recent years...
February 2017: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28251544/-malaria-and-intestinal-parasitosis-in-pregnant-woman-at-abobo-district-abidjan-c%C3%A3-te-d-ivoire
#12
G Coulibaly, K P Yao, M Koffi, B A Ahouty, L K Louhourignon, M N'Cho, E K N'Goran
A prospective study was carried out from 2010 to 2012 at the Hôpital Général d'Abobo (HGA) in Abidjan, in order to determine the impact of infectious and parasitic diseases on child cognitive development. Blood samples were examined by means of thick drop and blood smear; as for stool by direct examination and concentration by formalin-ether method. We evaluated the prevalence, the parasite load of malaria and gastrointestinal parasites; then we investigated the risk factors for these disorders. Overall, 331 pregnant women in the last trimester of their pregnancy were enrolled...
March 1, 2017: Bulletin de la Société de Pathologie Exotique
https://www.readbyqxmd.com/read/28215873/can-the-amount-of-digestible-undegraded-protein-offered-to-ewes-in-late-pregnancy-affect-the-periparturient-change-in-resistance-to-gastrointestinal-nematodes
#13
Rocco S Sebastiano, Torres Sweeney, Timothy W J Keady, James P Hanrahan, Barbara Good
Ewes experience a temporary decline in resistance to gastrointestinal nematodes (GIN) during the periparturient period, characterised by a rise in faecal egg count (FEC) that represents a major source of pasture contamination for naïve progeny. The aim of this study was to assess the effect of level of supplementation with digestible undegraded protein (DUP) during the last 6 weeks of pregnancy on periparturient FEC and the performance of ewes with a naturally acquired parasite infection. Eighty-five Belclare and Belclare x Scottish Blackface twin/triplet-bearing ewes were allocated to 1 of 4 dietary groups representing the combination of 2 concentrates (DUP concentration 29 and 94g/kg dry matter) with 2 levels of concentrate during the final 6 weeks of gestation (18 and 30kg in total for ewes with twins; 24 and 35kg for ewes with triplets)...
February 15, 2017: Veterinary Parasitology
https://www.readbyqxmd.com/read/28185689/imaging-of-acute-pelvic-pain-in-girls-ovarian-torsion-and-beyond-%C3%A2
#14
REVIEW
Lena Naffaa, Tejaswini Deshmukh, Shanthan Tumu, Chris Johnson, Kevin P Boyd, Arthur B Meyers
Identifying the etiology of acute pelvic pain in girls is often clinically challenging. Particularly in young girls, it is often difficult to determine if acute pelvic symptoms are originating from a gynecologic source or from a genitourinary or gastrointestinal etiology based on the child's clinical examination alone. Therefore, imaging plays a key role in establishing a diagnosis and in directing medical and surgical treatment. Pediatric gynecologic conditions, which can present acutely with pain or mass or both include ovarian torsion, hematometrocolpos, pelvic inflammatory disease, inguinal hernias containing an ovary or the uterus or both, adnexal cysts, pregnancy, vaginal foreign bodies, and ovarian vein thrombosis...
December 21, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28162865/what-to-expect-when-they-are-expecting-magnetic-resonance-imaging-of-the-acute-abdomen-and-pelvis-in-pregnancy
#15
REVIEW
Hemang M Kotecha, Lacey J McIntosh, Hao S Lo, Byron Y Chen, Carolyn S Dupuis
In this article, we discuss the challenges in the diagnosis of acute abdominopelvic pain in pregnant patients, role of imaging, and advantages of MRI over other modalities. Methods consist of pictorial review. We review the differential diagnoses and illustrate the MRI findings in pregnant patients with acute abdominopelvic pain, including gastrointestinal, gynecologic, urologic, and vascular etiologies.
December 15, 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/28143501/safe-and-successful-birth-following-pelvic-radiotherapy-for-rectal-mucosa-associated-lymphoid-tissue-lymphoma-a-case-report
#16
Yoshiomi Hatayama, Masahiko Aoki, Hideo Kawaguchi, Katsumi Hirose, Mariko Sato, Hiroyoshi Akimoto, Mitsuki Tanaka, Ichitaro Fujioka, Shuichi Ono, Yoshihiro Takai
BACKGROUND: Mucosa-associated lymphoid tissue lymphomas can occur in various parts of the body, and half of mucosa-associated lymphoid tissue lymphomas occur in the gastrointestinal tract. Gastric mucosa-associated lymphoid tissue lymphoma is the most common lymphoma of the gastrointestinal tract and primary rectal mucosa-associated lymphoid tissue lymphoma is very rare. Because of the high radiosensitivity of mucosa-associated lymphoid tissue lymphomas, this condition can be controlled with radiotherapy of approximately 30 Gy alone...
February 1, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28139235/functional-outcomes-after-disc-excision-in-deep-endometriosis-of-the-rectum-using-transanal-staplers-a%C3%A2-series-of-111-consecutive-patients
#17
Horace Roman, Basma Darwish, Valérie Bridoux, Rachid Chati, Sabrina Kermiche, Julien Coget, Emmanuel Huet, Jean-Jacques Tuech
OBJECTIVE: To assess the postoperative outcomes of patients with rectal endometriosis managed by disc excision using transanal staplers. DESIGN: Prospective study using data recorded in the CIRENDO database (NCT02294825). SETTING: University tertiary referral center. PATIENT(S): A total of 111 consecutive patients managed between June 2009 and June 2016. INTERVENTION(S): We performed rectal disc excision using two different transanal staplers: [1] the Contour Transtar stapler (the Rouen technique); and [2] the end to end anastomosis circular transanal stapler...
April 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/28127850/the-emerging-role-of-metformin-in-gestational-diabetes-mellitus
#18
REVIEW
Susan G Gray, Treasure McGuire, Neale Cohen, Peter J Little
Metformin use during pregnancy is controversial and there is disparity in the acceptance of metformin treatment in women with gestational diabetes mellitus (GDM) in Australia. Despite short term maternal and neonatal safety, the placental transfer of metformin during GDM treatment and absence of long term safety data in offspring has regulators and prescribers cautious about its use. To determine the current role in GDM management, this literature review describes the physiological changes that occur in GDM and other forms of diabetes in pregnancy (DIP), and international changes in guidelines for GDM diagnosis...
January 27, 2017: Diabetes, Obesity & Metabolism
https://www.readbyqxmd.com/read/28116654/autonomic-neuropathy-in-its-many-guises-as-the-initial-manifestation-of-the-antiphospholipid-syndrome
#19
Jill R Schofield
Autonomic disorders have previously been described in association with the antiphospholipid syndrome. The present study aimed to determine the clinical phenotype of patients in whom autonomic dysfunction was the initial manifestation of the antiphospholipid syndrome and to evaluate for autonomic neuropathy in these patients. This was a retrospective study of 22 patients evaluated at the University of Colorado who were found to have a disorder of the autonomic nervous system as the initial manifestation of antiphospholipid syndrome...
January 24, 2017: Immunologic Research
https://www.readbyqxmd.com/read/28103868/probiotics-for-vaginal-health-in-south-africa-what-is-on-retailers-shelves
#20
Anna-Ursula Happel, Shameem Z Jaumdally, Tanya Pidwell, Tracy Cornelius, Heather B Jaspan, Remy Froissart, Shaun L Barnabas, Jo-Ann S Passmore
BACKGROUND: Probiotics are widely used to improve gastrointestinal (GI) health, but they may also be useful to prevent or treat gynaecological disorders, including bacterial vaginosis (BV) and candidiasis. BV prevalence is high in South Africa and is associated with increased HIV risk and pregnancy complications. We aimed to assess the availability of probiotics for vaginal health in retail stores (pharmacies, supermarkets and health stores) in two major cities in South Africa. METHODS: A two-stage cluster sampling strategy was used in the Durban and Cape Town metropoles...
January 19, 2017: BMC Women's Health
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