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https://www.readbyqxmd.com/read/27862070/are-ultrasound-renal-aspects-associated-with-urinary-biochemistry-in-fetuses-with-lower-urinary-tract-obstruction
#1
Ahmed A Nassr, Chester Koh Koh, Alireza A Shamshirsaz, Jimmy Espinoza, Haleh Sangi-Haghpeykar, Dina Sharhan, Stephen Welty, Joseph Angelo, David Roth, Michael A Belfort, Michael Braun, Rodrigo Ruano
OBJECTIVE: To evaluate the association between ultrasonographic renal parameters and urine biochemistry in fetuses with lower urinary tract obstruction (LUTO). METHODS: Data were collected prospectively from 31 consecutive fetuses with LUTO that underwent vesicocentesis for fetal urinary biochemistry between April 2013 and September 2015. The following renal ultrasound markers were assessed immediately before the vesicocentesis: renal echogenicity, presence of cortical cysts, presence of findings suggestive of 'renal dysplasia' (hyperechogenic cystic kidneys with no cortical-medullary differentiation) and severe oligohydramnios (amniotic fluid < 5th percentile)...
November 12, 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/27680038/factors-associated-with-the-grief-after-stillbirth-a-comparative-study-between-brazilian-and-canadian-women
#2
Gisele Ferreira Paris, Francine de Montigny, Sandra Marisa Pelloso
OBJECTIVE: To verify the association between complicated grief and sociodemographic, reproductive, mental, marital satisfaction, and professional support characteristics in women after stillbirth. METHOD: Cross-sectional study with 26 women who had stillbirth in 2013, living in the city of Maringá, Brazil, and eight women who attended the Centre d'Études et de Rechercheen Intervention Familiale at the University of Quebec en Outaouais, in Canada. The instrument was administered as an interview to a small number of mothers of infants up to three months (n=50), who did not participate in the validation study...
July 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27384286/taking-care-of-the-newborn-dying-and-their-families-nurses-experiences-of-neonatal-intensive-care
#3
Fabiane de Amorim Almeida, Mariana Salim de Moraes, Mariana Lucas da Rocha Cunha
OBJECTIVE: To understand the experiences of nurses when caring for dying newborns and their families in the NICU; and redeem their perceptions about acting before the death and grieving process. METHOD: A descriptive exploratory study with a qualitative approach, developed with nine nurses at the ICU of a hospital in São Paulo (SP), Brazil. Data was collected through semi-structured interviews and analyzed using the Collective Subject Discourse (CSD). RESULTS: Caring for newborns who are dying and their families is very difficult for nurses, due to the intense involvement...
June 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27270578/effectiveness-of-vesico-amniotic-shunt-in-fetuses-with-congenital-lower-urinary-tract-obstruction-an-updated-systematic-review-and-meta-analysis
#4
Ahmed A Nassr, Sherif A M Shazly, Ahmed M Abdelmagied, Edward Araujo Júnior, Gabriele Tonni, Mark D Kilby, Rodrigo Ruano
OBJECTIVES: to evaluate the effect of vesico-amniotic shunt for treatment of lower obstructive uropathy on perinatal and postnatal survival. DATA SOURCES: search was conducted from inception to June 2015 including Ovid MEDLINE, Ovid EMBASE, Ovid Cochrane Central Register of Controlled Trials, Ovid Cochrane Database of Systematic Reviews, and Scopus. Study eligibility criteria Search for studies that compare outcomes of vesico-amniotic shunt to conservative management was performed using relevant search terms...
June 7, 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27061706/vesico-amniotic-shunting-for-lower-urinary-tract-obstruction-in-a-fetus-with-vacterl-association
#5
Tomonobu Kanasugi, Akihiko Kikuchi, Gen Haba, Yuri Sasaki, Chizuko Isurugi, Rie Oyama, Toru Sugiyama
Newborn cases of VACTERL association with lower urinary tract obstruction (LUTO) are rare and there have been no reports on those patients undergoing fetal therapy in English literature. We successfully performed vesico-amniotic shunting in a fetus having LUTO caused by abnormality of the external genitalia at 16 weeks' gestation. Although fetal karyotype was normal 46XY, follow-up fetal ultrasound examinations revealed ventriculomegaly in the brain, a small stomach and a right multicystic dysplastic kidney...
September 2016: Congenital Anomalies
https://www.readbyqxmd.com/read/26978650/serial-amnioinfusions-for-fetal-pulmonary-palliation-in-fetuses-with-renal-failure
#6
Sina Haeri, David H Simon, Kartik Pillutla
Fetal lower urinary tract obstruction (LUTO) encompasses a heterogeneous group of congenital pathologies and generally results in oligohydramnios. Fetal intervention (e.g. vesicoamniotic shunting, fetal cystoscopy) has traditionally been reserved for cases with a favorable renal profile, while those with unfavorable renal function have been offered termination or expectant management with the latter leading to high incidence of marked pulmonary hypoplasia, neonatal morbidity and mortality. Here, we describe two cases, which were not candidates for traditional intervention based on abnormal fetal renal function, who elected to proceed with serial amnioinfusions for fetal pulmonary palliation to attenuate the risk of pulmonary hypoplasia...
March 29, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26927656/-semblance-of-dr-luis-ben%C3%A3-tez-bribiesca
#7
Fabio Salamanca-Gómez
No abstract text is available yet for this article.
January 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/26853810/robust-superhydrophobic-surface-on-al-substrate-with-durability-corrosion-resistance-and-ice-phobicity
#8
Guoyong Wang, Shuai Liu, Sufeng Wei, Yan Liu, Jianshe Lian, Qing Jiang
Practical application of superhydrophobic surfaces is limited by the fragility of nanoscale asperities. Combining chemical etching and anodization, microscale pits and nanoscale pores, instead of the micro and nano protrusions on traditional superhydrophobic surfaces mimicking Lutos leaves, were fabricated on commercially pure aluminum surfaces. After modified by FDTS, the surfaces were superhydrophobic and self-cleaning. The ultrahigh hardness and electrochemical stability of Al2O3 coating endowed the surface excellent mechanical durability and good corrosion resistance...
2016: Scientific Reports
https://www.readbyqxmd.com/read/26739350/two-year-outcomes-after-diagnostic-and-therapeutic-fetal-cystoscopy-for-lower-urinary-tract-obstruction
#9
Nicolas Sananes, Rogelio Cruz-Martinez, Romain Favre, Ricardo Ordorica-Flores, Raphaël Moog, Ariane Zaloszy, Amilcar Martins Giron, Rodrigo Ruano
OBJECTIVES: Our objective is to report long-term outcome after fetal cystoscopy for lower urinary tract obstruction (LUTO), as well as to investigate the accuracy of fetal cystoscopy in diagnosing the cause of bladder outlet obstruction. METHODS: This is a retrospective cohort study of all fetuses who underwent cystoscopy for prenatal diagnosis of LUTO in three tertiary referral centers. Fetal diagnostic cystoscopy was performed to determine prenatally the cause of LUTO and to ablate the posterior urethral valves (PUV)...
April 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/26690832/fetal-lower-urinary-tract-obstruction-a-proposal-of-standardized-multidisciplinary-prenatal-management-based-on-disease-severity
#10
Rodrigo Ruano, Nicolas Sananes, Clark Wilson, Jason Au, Chester J Koh, Patricio Gargollo, Alireza A Shamshirsaz, Jimmy Espinoza, Adnan Safdar, Amirhossein Moaddab, Nicolas Meyer, Darrell L Cass, Oluyinka O Olutoye, Olutoyin A Olutoye, Stephen Welty, David R Roth, Michael C Braun, Michael A Belfort
OBJECTIVES: To present a single center experience of a standardized prenatal multidisciplinary management protocol for fetal lower urinary tract obstruction (LUTO) and to propose a classification of fetal LUTO based on disease severity. METHODS: This is a retrospective cohort study of 25 consecutive fetal patients with prenatal diagnosis of primary LUTO. Fetal intervention was offered after evaluation by a multidisciplinary team. Analyses were conducted using Bayesian methodology...
December 22, 2015: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/26525197/defining-and-predicting-intrauterine-fetal-renal-failure-in-congenital-lower-urinary-tract-obstruction
#11
Rodrigo Ruano, Adnan Safdar, Jason Au, Chester J Koh, Patricio Gargollo, Alireza A Shamshirsaz, Jimmy Espinoza, Darrell L Cass, Oluyinka O Olutoye, Olutoyin A Olutoye, Stephen Welty, David R Roth, Michael A Belfort, Michael C Braun
BACKGROUND: The aim of this study was to identify predictors of 'intrauterine fetal renal failure' in fetuses with severe congenital lower urinary tract obstruction (LUTO). METHODS: We undertook a retrospective study of 31 consecutive fetuses with a diagnosis of LUTO in a tertiary Fetal Center between April 2013 and April 2015. Predictors of 'intrauterine fetal renal failure' were evaluated in those infants with severe LUTO who had either a primary composite outcome measure of neonatal death in the first 24 h of life due to severe pulmonary hypoplasia or a need for renal replacement therapy within 7 days of life...
April 2016: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/26441047/current-applications-of-in-utero-intervention-for-lower-urinary-tract-obstruction
#12
REVIEW
L I Smith-Harrison, Helen Y Hougen, Matthew D Timberlake, Sean T Corbett
PURPOSE: Since the early 1980s with the inception of fetal intervention for obstructive uropathy, there have been creative attempts to improve both perinatal and long-term outcomes. Despite advances in technology and an improved understanding of lower urinary tract obstruction (LUTO) in the fetus, the results for these therapeutic interventions remain guarded and the long-term renal morbidity among survivors remains problematic. RECENT FINDINGS: Fetal LUTO represents a range of disorders but the most common of these is posterior urethral valves (PUVs)...
December 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/25890016/body-shape-index-versus-body-mass-index-as-correlates-of-health-risk-in-young-healthy-sedentary-men
#13
COMPARATIVE STUDY
Marzena Malara, Anna Kęska, Joanna Tkaczyk, Grażyna Lutosławska
Recently a new simply calculated index of body composition -a body shape index (ABSI) has been introduced as an index more reliable than BMI of association between body composition and all-cause mortality. However, until now associations between ABSI and metabolic risk factors have not been evaluated. A total of 114 male university students not engaged in any planned physical activity participated in the present study. Anthropometric measurements (weight, height, waist circumference) were recorded. Body mass index (BMI) was calculated from weight and height, body shape index (ABSI) was calculated from waist circumference, weight, height and BMI...
2015: Journal of Translational Medicine
https://www.readbyqxmd.com/read/25779136/body-shape-index-versus-body-mass-index-as-correlates-of-health-risk-in-young-healthy-sedentary-men
#14
Marzena Malara, Anna Kęska, Joanna Tkaczyk, Grażyna Lutosławska
Recently a new simply calculated index of body composition -a body shape index (ABSI) has been introduced as an index more reliable than BMI of association between body composition and all-cause mortality. However, until now associations between ABSI and metabolic risk factors have not been evaluated. A total of 114 male university students not engaged in any planned physical activity participated in the present study. Anthropometric measurements (weight, height, waist circumference) were recorded. Body mass index (BMI) was calculated from weight and height, body shape index (ABSI) was calculated from waist circumference, weight, height and BMI...
2015: Journal of Translational Medicine
https://www.readbyqxmd.com/read/25689128/outcome-in-fetal-lower-urinary-tract-obstruction-a-prospective-registry-study
#15
RANDOMIZED CONTROLLED TRIAL
R K Morris, L J Middleton, G L Malin, E Quinlan-Jones, J Daniels, K S Khan, J Deeks, M D Kilby
OBJECTIVE: To describe influences on decision-making and prognostic variables in the prenatal management of fetal lower urinary tract obstruction (LUTO). METHODS: This was a prospective registry study of pregnant women with a male fetus with LUTO from centers within the British Isles and The Netherlands. Women and/or their clinicians were given the treatment option of either conservative management or vesicoamniotic shunting (VAS). Baseline characteristics of women in the registry, reasons for entry to the registry and pregnancy outcomes were assessed...
October 2015: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/25613991/successful-fetoscopic-surgery-to-release-a-complete-obstruction-of-the-urethral-meatus-in-a-case-of-congenital-megalourethra
#16
Federico Migliorelli, José María Martínez, Olga Gómez, M Bennasar, Fatima Crispi, Luis García, Montserrat Castañón, Eduard Gratacós
We report the successful use of fetoscopy to treat a case of severe low urinary tract obstruction (LUTO) secondary to a congenital megalourethra. A second trimester male fetus presented at 21 weeks of gestation with massive dilatation of the penile urethra. In addition, bilateral hydronephrosis, an enlarged and hypertrophic bladder, with progressive oligohydramnios were found, suggesting poor prognosis. Extensive counselling was performed and, after the approval from the local ethics committee and informed consent, patients accepted fetal therapy by fetoscopy...
2015: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/25412852/fetal-urine-biochemistry-at-13-23-weeks-of-gestation-in-lower-urinary-tract-obstruction-criteria-for-in-utero-treatment
#17
W Abdennadher, G Chalouhi, S Dreux, J Rosenblatt, R Favre, F Guimiot, L J Salomon, J F Oury, Y Ville, F Muller
OBJECTIVES: To assess the value of fetal urine biochemistry before 23 weeks of gestation in cases of lower urinary tract obstruction (LUTO) to refine prognosis and to select potential candidates for in-utero intervention. METHODS: This was a retrospective study including 72 cases of LUTO with fetal urine sampled before 23 weeks and assayed for total protein, β-2-microglobulin, sodium, chloride, calcium, phosphorus, glucose and gamma-glutamyl transpeptidase (GGTP)...
September 2015: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/25157756/fetal-intervention-for-severe-lower-urinary-tract-obstruction-a-multicenter-case-control-study-comparing-fetal-cystoscopy-with-vesicoamniotic-shunting
#18
R Ruano, N Sananes, H Sangi-Haghpeykar, S Hernandez-Ruano, R Moog, F Becmeur, A Zaloszyc, A M Giron, B Morin, R Favre
OBJECTIVE: To evaluate the efficacy of fetal intervention using fetal cystoscopy or vesicoamniotic shunting in the treatment of severe lower urinary obstruction (LUTO). METHODS: A cohort of 111 fetuses with severe LUTO attending two centers between January 1990 and August 2013 were included retrospectively. Fetuses were categorized into three groups based on the method of intervention: (1) fetal cystoscopy, (2) vesicoamniotic shunting or (3) no intervention. Multivariate analyses were performed to determine the probability of survival and normal renal function until 6 months of age by comparing fetal cystoscopy and vesicoamniotic shunting to no fetal intervention...
April 2015: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/24934451/fetal-therapy-for-the-treatment-of-congenital-bladder-neck-obstruction
#19
Mark D Kilby, R Katie Morris
Lower urinary tract obstruction (LUTO) comprises a heterogeneous group of pathologies associated with early-onset oligohydramnios and cystic renal disease that have high rates of perinatal morbidity (from renal disease) and mortality (from pulmonary hypoplasia). The use of prenatal detailed ultrasonography and fetal urine analysis has been only partially successful in identifying fetuses with LUTO with relatively good prognosis that would benefit from in utero therapy. The most common prenatal therapy is vesicoamniotic shunting...
July 2014: Nature Reviews. Urology
https://www.readbyqxmd.com/read/24899778/the-influence-of-thyroid-function-and-bone-turnover-on-lipoprotein-profile-in-young-physically-active-men-with-different-insulin-sensitivity
#20
A Kęska, G Lutosławska, A Czajkowska, J Tkaczyk, K Mazurek, P Tomaszewski
Physical activity induces changes in the endocrine system. Previous data indicated that changes in insulin secretion and the tissue response to this hormone are very important for energy metabolism. It is believed that they are accompanied by changes in lipid metabolism, but factors contributing to this process are still disputed. The aim of this study was to assess interactions among insulin sensitivity, thyroid function, a bone turnover marker and serum lipid profile in young physically active men. Eighty-seven physical education students, aged 18-23 years, participated in the study...
June 2014: Biology of Sport
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