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1.
Appl Radiat Isot ; 201: 111022, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37713996

RESUMO

Aluminum is lightweight durable, versatile, non-toxic, and corrosion-resistant surface, which makes aluminum a perfect material for improving the corrosion properties of aluminum-carbon steel which is important in the radiation domain. In this study, six carbon steel alloys doped with different aluminum concentrations were studied and compared with the standard austenite stainless steel AISI316L. Different parameters for shielding and dosimetry such as mass attenuation coefficient, tenth value layer, mean free path, equivalent effective atomic and electronic numbers were calculated using WinXCom, while the exposure absorption buildup factors, thermal and fast neutron removal cross-sections were calculated using MCNPX and the effective conductivity was calculated using Phy-X/PSD program. Regarding the radiation shielding performance, the addition of aluminum to the carbon alloys has a significant influence on the shielding parameters. The results suggest that the addition of aluminum to the carbon steel alloys would improve its shielding properties so that it is a good result to be used in the field of dosimetry and radiation shielding.

2.
Sci Rep ; 13(1): 6502, 2023 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-37081076

RESUMO

In this paper, a semi-discrete fractional derivative complex coupled dispersionless system is proposed. The properties of M-fractional derivative are utilized to convert discrete M-fractional derivative system to a classical discrete differential system. Then the invariant subspace method (ISM) is utilized to find dark, bright, kink and W-shaped soliton solutions for the proposed system.

3.
Appl Radiat Isot ; 196: 110724, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-36878087

RESUMO

In this work, Cobalt-free alloys are prepared as a capsule in which radioactive waste is placed for disposal, and this is a preventive measure to rid the environment of radioactive waste and bury it deep in the earth in a capsule. So, the buildup factor was measured for 1-5-10-40 MFP. The mechanical properties (hardness and toughness) of the processed samples were studied. The hardness was calculated by the Vickers hardness test additionally; the tolerance process was carried out using concentrated chloride acid for 30 days and NaCl 3.5% for 30 days for the studied samples. In this work the resulted developed alloys are resistant to stainless steel 316 L and therefore the alloys are a suitable material in the nuclear field as a container for burying and disposing of waste.

4.
Appl Radiat Isot ; 186: 110263, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35533605

RESUMO

By using an electro-slag re-melting procedure, new shielding steel alloys with varying chromium concentrations ranging from 2 to 18%, and a reduced nickel content of roughly 12% were developed. The mass attenuation µm, mean free path (MFP), effective atomic number Zeff, and electron density Neff, the energy buildup factor (EBF), and the energy absorption buildup factor (EABF) were calculated for the new developed steel alloys by using Phy-X/PSD software over the photon energy range (0,015-15 MeV). Furthermore, using the NGCAL online software, the macroscopic effective neutron removal cross-sections (ΣR) for 25.4 meV thermal neutrons, 4 MeV fast neutrons, and 10 MeV fast neutrons were determined. All cobalt-free steel prepared samples (S1, S2, S3, S4, and S5) were found to have lower mean free path (MFP) and half-value layer (HVL) values, as well as greater macroscopic effective neutrons removal cross section (ΣR) values, than their estimated equivalents for both carbon steel and stainless steel. Furthermore, based on the estimated values for the mean free path (MFP), the half-value layer (HVL), and the effective neutrons removal cross section (R), sample S5 with the greatest chromium content (17.68%) is shown to be a good candidate for gamma shielding rather than neutron shielding.

5.
Public Health ; 185: 95-96, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32593054
6.
Poult Sci ; 98(1): 105-111, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-30690611

RESUMO

Ornithobacterium rhinotracheale (ORT), a bacterium causing respiratory tract infection, has led to a significant problem in the intensive poultry production in Egypt. Polymerase chain reaction-amplified 784-bp specific ORT DNA fragments were found in 7 ORT isolates from lungs, air sacs, and tracheas of commercial broilers or layers in Egypt in 2015. The objective of this study was to investigate the role of the live variant IBV 4/91 with ORT infection. A total of 120 14-d-old broiler chickens (Cobb 500) were equally divided into 4 groups for experimental infection in a complete randomized design. Group 1 was infected with ORT strain and live infectious bronchitis vaccine (IBV 4/91) simultaneously; group 2 was infected with the bacterial strain alone; group 3 was vaccinated only with IBV 4/91, and group 4 was the non-vaccinated and non-infected control group. The respiratory signs, post-mortem lesions (tracheitis and pneumonia) and histopathological findings of lungs, trachea, and air sacs in the experimentally infected broiler chickens appeared to be more prominent in the chickens of group 1 than group 2. With respect to body weight, weight gain, feed conversion rate, and Ornithobacterium re-isolation, there was a difference (P ≤ 0.05) among the chickens of group 1 and the other groups. This reveals that the use of live infectious bronchitic vaccines, which is a common practice in the local Egyptian field of production, may concomitantly increase the pathogenicity of ORT in broiler chickens.


Assuntos
Infecções por Flavobacteriaceae/veterinária , Ornithobacterium/patogenicidade , Doenças das Aves Domésticas/microbiologia , Doenças das Aves Domésticas/virologia , Vacinas Virais/administração & dosagem , Animais , Galinhas , Infecções por Coronavirus/imunologia , Infecções por Coronavirus/veterinária , Egito , Infecções por Flavobacteriaceae/patologia , Vírus da Bronquite Infecciosa/imunologia , Vacinação/efeitos adversos , Vacinação/veterinária , Vacinas Atenuadas/administração & dosagem , Vacinas Atenuadas/efeitos adversos , Vacinas Virais/efeitos adversos
8.
J Helminthol ; 92(2): 142-153, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28382873

RESUMO

The potential therapeutic value of Moringa oleifera extract (MOE), due to its anti-inflammatory and anti-oxidant effects, has been reported previously. In this study, Hymenolepis nana antigen (HNA) in combination with MOE was used in immunization against H. nana infection. Adult worm and egg counts were taken, while histological changes in the intestine were observed. Mucosal mast (MMCs) and goblet cells (GCs) were stained with specific stains, while serum and intestinal IgA were assayed using enzyme-linked immunosorbent assay (ELISA). Reduced glutathione (GSH) and lipid peroxidation (thiobarbituric acid reactive substances, TBARS) were assayed. Real-time polymerase chain reaction (PCR) was used for detection of mRNA expression in ileum tissue. The results demonstrated an improvement in the architecture of intestinal villi, decreased inducible nitric oxide synthase (iNOs) and TBARS, and increased GSH in HNA, MOE and MOE + HNA groups. In the same groups, an increase in GCs, mucin 2 (MUC2), interleukins (IL)-4, -5 and -9, and stem cell factor (SCF) versus a decrease in both interferon-gamma (IFN-γ) and transforming growth factor (TGF-ß) expression appeared. HNA and MOE + HNA increased serum and intestinal IgA, respectively. MOE decreased MMCs and achieved the highest reductions in both adult worms and eggs. In conclusion, MOE could achieve protection against H. nana infections through decreased TGF-ß, IFN-γ and MMC counts versus increased GC counts, T-helper cell type 2 (Th2) cytokines and IgA level.


Assuntos
Himenolepíase/tratamento farmacológico , Hymenolepis/efeitos dos fármacos , Intestinos/efeitos dos fármacos , Intestinos/imunologia , Moringa oleifera/química , Extratos Vegetais/uso terapêutico , Animais , Anti-Helmínticos/administração & dosagem , Anti-Helmínticos/química , Anti-Helmínticos/uso terapêutico , Citocinas/efeitos dos fármacos , Citocinas/imunologia , Glutationa/análise , Himenolepíase/imunologia , Himenolepíase/parasitologia , Imunoglobulina A/análise , Imunoglobulina A/imunologia , Interferon gama/efeitos dos fármacos , Interferon gama/genética , Interferon gama/imunologia , Intestinos/parasitologia , Peroxidação de Lipídeos , Camundongos , Óxido Nítrico Sintase/efeitos dos fármacos , Óxido Nítrico Sintase/genética , Contagem de Ovos de Parasitas , Extratos Vegetais/administração & dosagem , Células Th2/efeitos dos fármacos , Células Th2/imunologia
9.
Clin Exp Immunol ; 190(1): 110-121, 2017 10.
Artigo em Inglês | MEDLINE | ID: mdl-28640379

RESUMO

One of the most widespread and effective environmental factors is the infection with enteroviruses (EVs) which accelerate ß cell destruction in type 1 diabetes (T1D). This study represented a comparison between diabetic EV+ and EV- children as well as correlation analysis between autoantibodies, T1D markers, cytokines, complement activation products and anti-coxsackievirus (CV) immunoglobulin (Ig)G. EV RNA was detected in Egyptian children with T1D (26·2%) and healthy controls (0%). Detection of anti-CV IgG in T1D-EV+ resulted in 64% positivity. Within T1D-EV+ , previously diagnosed (PD) showed 74 versus 56% in newly diagnosed (ND) children. Comparisons between populations showed increased levels of haemoglobin A1c (HbA1c), C-reactive protein (CRP), nitric oxide (NO), glutamic acid decarboxylase and insulin and islet cell autoantibodies [glutamic acid decarboxylase autoantibodies (GADA), insulin autoantibodies (IAA) and islet cell cytoplasmic autoantibodies (ICA), respectively], interferon (IFN)-γ, tumour necrosis factor (TNF)-α, interleukin (IL)-1ß, IL -10, IL -12, IL -17, C3d and sC5-9 in T1D-EV+ versus T1D-EV- . Conversely, both IL-20 and transforming growth factor (TGF-ß) decreased in T1D-EV+ versus EV- , while IL-4, -6 and -13 did not show any changes. Correlation analysis showed dependency of accelerated autoimmunity and ß cell destruction on increased IFN-γ, IL-12 and IL-17 versus decreased IL-4, -6 and -13. In conclusion, IFN-γ, IL-12 and IL-17 played an essential role in exacerbating EV+ -T1D, while C3d, sC5b -9, IL-10 and -20 displayed distinct patterns.


Assuntos
Citocinas/metabolismo , Diabetes Mellitus Tipo 1/imunologia , Infecções por Enterovirus/imunologia , Enterovirus/imunologia , Ilhotas Pancreáticas/imunologia , Adolescente , Anticorpos Antivirais/metabolismo , Apoptose , Autoanticorpos/metabolismo , Criança , Pré-Escolar , Ativação do Complemento , Complemento C3d/metabolismo , Complemento C5b/metabolismo , Citocinas/genética , Diabetes Mellitus Tipo 1/complicações , Egito , Infecções por Enterovirus/complicações , Glutamato Descarboxilase/imunologia , Humanos , Insulina/imunologia , Ilhotas Pancreáticas/patologia
10.
Scand J Immunol ; 86(2): 83-90, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28513991

RESUMO

Hymenolepis nana is the most commonly known intestinal cestode infecting mainly human. This study aimed to investigate the potential effect of chitosan particles (CSP) to enhance the immune system against H. nana infection. Determination of worm burden, egg output, histopathological changes, oxidative stress markers (lipid peroxidation and reduced glutathione), goblet (GCs) and mucosal mast cells (MMCs) counts in intestinal ileum was performed. In addition, levels of intestinal mRNA expression of interleukin (IL)-4, IL-9, stem cell factor (SCF), type I and II interferons (IFN)-α/ γ, tumour necrosis factor (TNF)-α, mucin 2 (MUC2) and inducible nitric oxide synthase (iNOs) were investigated using real-time PCR. The results indicated induced reductions in adult worm and egg counts in infected mice after CSP treatment. This was associated with improvement in tissue morphometric measurements and oxidative stress which were altered after infection. Expression levels of iNOs, IFN-α, IFN-γ, TNF-α and IL-9 were decreased by CSP. Conversely, expression levels of MUC2, IL-4 and SCF increased compared to infected untreated group. In addition, GCs and MMCs counts were normalized by CSP. In conclusion, this study could indicate the immunoprotective effect of CSP against H. nana infection. This was characterized with Th2 anti-inflammatory responses.


Assuntos
Quitosana/farmacologia , Himenolepíase/prevenção & controle , Hymenolepis nana/efeitos dos fármacos , Intestinos/efeitos dos fármacos , Animais , Quitosana/química , Quitosana/imunologia , Citocinas/genética , Citocinas/imunologia , Citocinas/metabolismo , Expressão Gênica/efeitos dos fármacos , Expressão Gênica/imunologia , Proteínas de Helminto/genética , Proteínas de Helminto/imunologia , Proteínas de Helminto/metabolismo , Interações Hospedeiro-Parasita/efeitos dos fármacos , Interações Hospedeiro-Parasita/imunologia , Humanos , Himenolepíase/imunologia , Himenolepíase/parasitologia , Hymenolepis nana/imunologia , Hymenolepis nana/fisiologia , Interferon-alfa/genética , Interferon-alfa/imunologia , Interferon-alfa/metabolismo , Interferon gama/genética , Interferon gama/imunologia , Interferon gama/metabolismo , Interleucina-4/genética , Interleucina-4/imunologia , Interleucina-4/metabolismo , Intestinos/imunologia , Intestinos/parasitologia , Camundongos , Mucina-2/genética , Mucina-2/imunologia , Mucina-2/metabolismo , Óxido Nítrico Sintase Tipo II/genética , Óxido Nítrico Sintase Tipo II/imunologia , Óxido Nítrico Sintase Tipo II/metabolismo , Contagem de Ovos de Parasitas , Tamanho da Partícula , Substâncias Protetoras/farmacologia , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Fator de Necrose Tumoral alfa/genética , Fator de Necrose Tumoral alfa/imunologia , Fator de Necrose Tumoral alfa/metabolismo
11.
Dis Esophagus ; 29(8): 1002-1006, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26354288

RESUMO

Gastrocolic reflux is a troublesome symptom causing repeated aspiration or chocking in patients underwent retrosternal colon interposition. Various techniques were described to avoid such complication, however, they entail complicated technique that may jeopardize the viability of the graft or cause obstructing symptoms. A simple antireflux procedure is described here alleviating this problem. Over the last 7 years, 87 patients had gastrocolic antireflux procedure for cologastric anastomosis; 75 patients as a primary procedure (group 1) and 12 patients as a secondary procedure treating symptomatic reflux (group 2). The technique entails the creation of cologastric angle after finishing the cologastric anastomosis by applying three stitches between the colon and the stomach, thus tucking the colon to the stomach for 3-4 cm. Gastrocolic reflux was evaluated clinically and radiologically 3 months postoperatively. In group 1, three cases (4%) suffered symptomatic gastrocolic reflux, and seven cases (9.3%) had radiological asymptomatic mild reflux, while all patients in group 2 had complete alleviation of their symptoms with gastrogram showing no reflux. Gastrocolic reflux can be treated simply by creation of cologastric angle; however, controlled trial is needed to confirm its effectiveness in comparison to other described techniques.


Assuntos
Anastomose Cirúrgica/métodos , Colo/transplante , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Atresia Esofágica/cirurgia , Estenose Esofágica/cirurgia , Refluxo Gastroesofágico/prevenção & controle , Complicações Pós-Operatórias/prevenção & controle , Estômago/cirurgia , Queimaduras Químicas/etiologia , Queimaduras Químicas/cirurgia , Cáusticos/toxicidade , Criança , Pré-Escolar , Estenose Esofágica/induzido quimicamente , Feminino , Refluxo Gastroesofágico/cirurgia , Humanos , Lactente , Masculino , Complicações Pós-Operatórias/cirurgia
12.
Epidemiol Infect ; 144(8): 1612-21, 2016 06.
Artigo em Inglês | MEDLINE | ID: mdl-26626237

RESUMO

Linked administrative population data were used to estimate the burden of childhood respiratory syncytial virus (RSV) hospitalization in an Australian cohort aged <5 years. RSV-coded hospitalizations data were extracted for all children aged <5 years born in New South Wales (NSW), Australia between 2001 and 2010. Incidence was calculated as the total number of new episodes of RSV hospitalization divided by the child-years at risk. Mean cost per episode of RSV hospitalization was estimated using public hospital cost weights. The cohort comprised of 870 314 children. The population-based incidence/1000 child-years of RSV hospitalization for children aged <5 years was 4·9 with a rate of 25·6 in children aged <3 months. The incidence of RSV hospitalization (per 1000 child-years) was 11·0 for Indigenous children, 81·5 for children with bronchopulmonary dysplasia (BPD), 10·2 for preterm children with gestational age (GA) 32-36 weeks, 27·0 for children with GA 28-31 weeks, 39·0 for children with GA <28 weeks and 6·7 for term children with low birthweight. RSV hospitalization was associated with an average annual cost of more than AUD 9 million in NSW. RSV was associated with a substantial burden of childhood hospitalization specifically in children aged <3 months and in Indigenous children and children born preterm or with BPD.


Assuntos
Hospitalização/economia , Infecções por Vírus Respiratório Sincicial/epidemiologia , Infecções por Vírus Respiratório Sincicial/patologia , Vírus Sinciciais Respiratórios/isolamento & purificação , Pré-Escolar , Feminino , Custos de Cuidados de Saúde , Humanos , Incidência , Lactente , Recém-Nascido , Armazenamento e Recuperação da Informação , Masculino , New South Wales/epidemiologia , Estudos Retrospectivos
13.
Int Immunopharmacol ; 29(2): 538-543, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26453507

RESUMO

Hypothyroidism induced by methimazole (MMI), has a negative impact on the postnatal development. Neonatal Granulocyte Macrophage-Colony Stimulating Factor [GM-CSF; 50µg/kg, intramuscular injection at postnatal day (PND) 17] had been tested to ameliorate the effects of MMI [0.05%, (weight per volume; w/v), intraperitoneal injection at PND 15]-induced hypothyroidism in Wistar rats. The hypothyroid conditions due to the administration of MMI produced inhibitory effects on neonatal serum thyroxine (T4), 3,5,3'-triiodothyronine (T3), neutrophil count in bone marrow and blood, cerebellar glutathione (GSH) and acetylcholinesterase (AchE), although it induced stimulatory actions on serum thyrotropin (TSH), growth hormone (GH), insulin growth factor-II (IGF-II), tumor necrosis factor alpha (TNF-α), and cerebellar malondialdehyde (MDA) at PND 19. The treatment with GM-CSF could reverse the depressing and stimulating effects of MMI on these markers except for cerebellar AchE where its enhancement was non-significant (P>0.05) at tested PND. Thus, neonatal GM-CSF may be responsible for suppressing autoimmune responses and preventing hypothyroidism.


Assuntos
Hipotireoidismo Congênito/prevenção & controle , Fator Estimulador de Colônias de Granulócitos e Macrófagos/uso terapêutico , Acetilcolinesterase/sangue , Animais , Animais Recém-Nascidos , Cerebelo/efeitos dos fármacos , Cerebelo/crescimento & desenvolvimento , Hipotireoidismo Congênito/induzido quimicamente , Glutationa/sangue , Hormônios/sangue , Contagem de Leucócitos , Masculino , Malondialdeído/metabolismo , Metimazol , Ratos , Ratos Wistar , Tiroxina/sangue , Tri-Iodotironina/sangue
14.
Int Immunopharmacol ; 29(2): 714-721, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26388190

RESUMO

The potentiation of the immune system in pregnant rats was performed with Complete Freund's Adjuvant [CFA; 20µl, subcutaneous at gestation day (GD) 18] in experimentally-induced hyperthyroidism by Levo-thyroxine (L-T4; 10µg/100g of b.w., intraperitoneal from GD 2 to 17). The potential effects on the fetal neuroendocrine function were evaluated by observing some histopathological investigations in pregnant rats and measuring some biochemical parameters in dams and their fetuses at GD 20. In hyperthyroid group, an increase in maternofetal serum thyroxine (T4), triiodothyronine (T3) and a decrease in thyrotropin (TSH) levels were noticed, while the concentrations of fetal serum growth hormone (GH) and insulin-like growth factor-1 (IGF1) levels were increased at tested GD with respect to control and CFA groups. Moreover, the activity of uterine and placental myeloperoxidase (MPO) was increased (P<0.001) in CFA and CFA-treated hyperthyroid groups in respect to control or hyperthyroid groups, respectively. The gestational thyrotoxicosis led to some histopathological lesions in uterine and placental tissues characterized by severe degeneration in trophoblast spongioblast cell layer with congestion, mild congested blood vessels in the endometrium and deficient in spiral artery remodeling. Although, the elevation in fetal serum transforming growth factor-beta (TGFß) and cerebellar monoamines [norepineprine (NE), epinephrine (E), dopamine (DA) and 5-hydroxytryptamine (5-HT)] was observed, the reduction in fetal serum tumor necrosis factor-alpha (TNFα) and adipokines (Leptin and adiponectin) was detected. Treatment of dams with CFA showed an obviously reversing and protecting effect against hyperthyroid perturbations. Thus, the maternal CFA can be used in treatment of the fetal neuroendocrine dysfunctions.


Assuntos
Adjuvantes Imunológicos/uso terapêutico , Glândulas Endócrinas/efeitos dos fármacos , Sistema Nervoso/crescimento & desenvolvimento , Complicações na Gravidez/tratamento farmacológico , Tireotoxicose/tratamento farmacológico , Animais , Cerebelo/crescimento & desenvolvimento , Cerebelo/metabolismo , Citocinas/sangue , Glândulas Endócrinas/fisiopatologia , Feminino , Hormônios/sangue , Hipertireoidismo/induzido quimicamente , Hipertireoidismo/complicações , Hipertireoidismo/fisiopatologia , Fator de Crescimento Insulin-Like I/metabolismo , Sistema Nervoso/fisiopatologia , Gravidez , Complicações na Gravidez/induzido quimicamente , Complicações na Gravidez/patologia , Ratos , Ratos Wistar , Tireotoxicose/induzido quimicamente , Tireotoxicose/fisiopatologia , Tiroxina/sangue
15.
J Perinatol ; 35(7): 493-6, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25695843

RESUMO

OBJECTIVE: Retinopathy of prematurity (ROP) is a vasoproliferative disorder of the retina affecting extremely preterm or low birth weight infants The aim of this study was to assess the feasibility and safety of 670 nm red light use in a neonatal intensive care unit. STUDY DESIGN: Neonates <30 weeks gestation and <1150 g were enrolled within 48 h of birth. Data collected included cause of preterm delivery, Apgar scores and birthweight. 670 nm red light was administered for 15 min per day from a distance of 25 cm, delivering 9 J cm(-)(2), from the time of inclusion in the study until 34 weeks postmenstrual age. Infants were assessed daily for the presence of any skin burns or other adverse signs. RESULT: Twenty-eight neonates were enrolled, seven 24 to 26 weeks and twenty-one 27 to 29 weeks gestation. The most common cause for preterm delivery was preterm labor (14/28) with five of these having evidence of chorioamnionitis. There were no skin burns or other documented adverse events. Entry into the study was readily achieved and treatment was well accepted by parents and nursing staff. CONCLUSION: 670 nm red light appears to be a safe and feasible treatment for further research in respect to ROP.


Assuntos
Lactente Extremamente Prematuro , Fototerapia , Retinopatia da Prematuridade/terapia , Peso ao Nascer , Estudos de Viabilidade , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Masculino , Fototerapia/efeitos adversos
16.
J Perinatol ; 34(12): 909-13, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24945162

RESUMO

OBJECTIVE: A substantial number of children exposed to gestational opioids have neurodevelopmental, behavioral and cognitive problems. Opioids are not neuroteratogens but whether they affect the developing brain in more subtle ways (for example, volume loss) is unclear. We aimed to determine the feasibility of using magnetic resonance imaging (MRI) to assess volumetric changes in healthy opioid-exposed infants. STUDY DESIGN: Observational pilot cohort study conducted in two maternity hospitals in New South Wales, Australia. Maternal history and neonatal urine and meconium screens were obtained to confirm drug exposure. Volumetric analysis of MRI scans was performed with the ITK-snap program. RESULT: Scans for 16 infants (mean (s.d.) gestational age: 40.9 (1.5) weeks, birth weight: 3022.5 (476.6) g, head circumference (HC): 33.7 (1.5 cm)) were analyzed. Six (37.5%) infants had HC <25th percentile. Fourteen mothers used methadone, four used buprenorphine and 11 used more than one opioid (including heroin, seven). All scans were structurally normal whole brain volumes (357.4 (63.8)) and basal ganglia (14.5 (3.5)) ml were significantly smaller than population means (425.4 (4.8), 17.1 (4.4) ml, respectively) but lateral ventricular volumes (3.5 (1.8) ml) were larger than population values (2.1(1.5)) ml. CONCLUSION: Our pilot study suggests that brain volumes of opioid-exposed babies may be smaller than population means and that specific regions, for example, basal ganglia, that are involved in neurotransmission, may be particularly affected. Larger studies including correlation with neurodevelopmental outcomes are warranted to substantiate this finding.


Assuntos
Analgésicos Opioides/efeitos adversos , Encéfalo/patologia , Doenças do Recém-Nascido/patologia , Transtornos Relacionados ao Uso de Opioides/patologia , Efeitos Tardios da Exposição Pré-Natal/patologia , Adulto , Feminino , Humanos , Recém-Nascido , Doenças do Recém-Nascido/etiologia , Imageamento por Ressonância Magnética , Masculino , Exposição Materna/efeitos adversos , Transtornos Relacionados ao Uso de Opioides/etiologia , Tamanho do Órgão , Projetos Piloto , Gravidez , Adulto Jovem
17.
J Perinatol ; 34(6): 417-24, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24457255

RESUMO

To review and summarise the literature reporting on cannabis use within western communities with specific reference to patterns of use, the pharmacology of its major psychoactive compounds, including placental and fetal transfer, and the impact of maternal cannabis use on pregnancy, the newborn infant and the developing child. Review of published articles, governmental guidelines and data and book chapters. Although cannabis is one of the most widely used illegal drugs, there is limited data about the prevalence of cannabis use in pregnant women, and it is likely that reported rates of exposure are significantly underestimated. With much of the available literature focusing on the impact of other illicit drugs such as opioids and stimulants, the effects of cannabis use in pregnancy on the developing fetus remain uncertain. Current evidence indicates that cannabis use both during pregnancy and lactation, may adversely affect neurodevelopment, especially during periods of critical brain growth both in the developing fetal brain and during adolescent maturation, with impacts on neuropsychiatric, behavioural and executive functioning. These reported effects may influence future adult productivity and lifetime outcomes. Despite the widespread use of cannabis by young women, there is limited information available about the impact perinatal cannabis use on the developing fetus and child, particularly the effects of cannabis use while breast feeding. Women who are using cannabis while pregnant and breast feeding should be advised of what is known about the potential adverse effects on fetal growth and development and encouraged to either stop using or decrease their use. Long-term follow-up of exposed children is crucial as neurocognitive and behavioural problems may benefit from early intervention aimed to reduce future problems such as delinquency, depression and substance use.


Assuntos
Cannabis/efeitos adversos , Desenvolvimento Fetal/efeitos dos fármacos , Abuso de Maconha/epidemiologia , Efeitos Tardios da Exposição Pré-Natal/epidemiologia , Adulto , Aleitamento Materno , Criança , Feminino , Feto , Humanos , Lactente , Recém-Nascido , Abuso de Maconha/complicações , Gravidez , Fatores de Risco
18.
Eur J Surg Oncol ; 39(4): 358-64, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23422323

RESUMO

PURPOSE: To prospectively present the technique, functional and oncological outcome of internal genitalia sparing cystectomy for bladder cancer in 15 selected women. PATIENTS AND METHODS: Between January 1995 and December 2010, 305 women underwent orthotopic neobladder after radical cystectomy. Of these, 15 cases with a mean age of 42 years underwent genitalia sparing. Inclusion criteria included stage (T2b N0 Mo or less, as assessed preoperatively, unifocal tumors away from the trigone, sexually active young women and internal genitalia free of tumor. Cystectomy with preservation of the uterus, vagina and ovaries and Hautmann neobladder were performed. Oncological, functional, urodynamic and sexual outcome using Female Sexual Function Index (FSFI) were evaluated. RESULTS: Definitive histopathology showed advanced stage not recognized preoperatively in 2 patients, who developed local recurrence and bony metastasis after 3-4 months. A third patient developed bony metastasis after 15 months. No recurrence developed in the retained genital organs. The remaining 12 patients remained free of disease with a mean follow-up of 70 months. Among women eligible for functional evaluation, daytime and nighttime continence were achieved in 13/13 (100%) and 12/13 (92)%, respectively. Chronic urinary retention was not noted. The urodynamic parameters were comparable to those in other patients without genital preservation. Sexual function (FSFI) was better in these patients than in others without genital preservation. CONCLUSIONS: Genital sparing cystectomy for bladder cancer is feasible in selected women. It provides a good functional outcome, better sexual function and the potential for fertility preservation. So far, the oncological outcome is favorable.


Assuntos
Cistectomia/métodos , Genitália Feminina , Tratamentos com Preservação do Órgão , Neoplasias da Bexiga Urinária/cirurgia , Bexiga Urinária/transplante , Adulto , Idoso , Feminino , Preservação da Fertilidade , Humanos , Pessoa de Meia-Idade , Sexualidade , Análise de Sobrevida , Resultado do Tratamento , Urodinâmica
19.
Arch Dis Child Fetal Neonatal Ed ; 98(3): F205-11, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23154916

RESUMO

OBJECTIVE: To compare neurodevelopmental outcomes of extremely preterm infants conceived after assisted conception (AC) compared with infants conceived spontaneously (non-AC). DESIGN: Population-based retrospective cohort study. SETTING: Geographically defined area in New South Wales and the Australian Capital Territory, Australia served by a network of 10 neonatal intensive care units. PATIENTS: Infants <29 weeks' gestation born between 1998 and 2004. INTERVENTION: At 2-3 years corrected age, 1473 children were assessed with either the Griffiths Mental Developmental Scales or the Bayley Scales of Infant Development. MAIN OUTCOME MEASURE: Moderate/severe functional disability defined as developmental delay (Griffiths General Quotient or Bayley Mental Developmental Index >2 SD below the mean), cerebral palsy (unable to walk without aids), deafness (bilateral hearing aids or cochlear implant) or blindness (visual acuity <6/60 in the better eye). RESULTS: Mortality and age at follow-up were comparable between the AC and non-AC groups. Developmental outcome was evaluated in 217 (86.5%) AC and 1256 (71.7%) non-AC infants. Using multivariate adjusted analysis, infants born after in-vitro fertilisation at 22-26 weeks' gestation (adjusted OR 1.79, 95% CI 1.05 to 3.05, p=0.03) but not at 27-28 weeks' gestation (adjusted OR 0.81, 95% CI 0.37 to 1.77; p=0.59) had higher rate of functional disability than those born after spontaneous conception. CONCLUSIONS: AC is associated with adverse neurodevelopmental outcome among high risk infants born at 22-26 weeks' gestation. This finding warrants additional exploration.


Assuntos
Deficiências do Desenvolvimento/epidemiologia , Lactente Extremamente Prematuro/crescimento & desenvolvimento , Doenças do Prematuro/epidemiologia , Técnicas de Reprodução Assistida/efeitos adversos , Adulto , Austrália , Estudos de Coortes , Avaliação da Deficiência , Feminino , Seguimentos , Humanos , Recém-Nascido , Doenças do Prematuro/mortalidade , Unidades de Terapia Intensiva Neonatal , New South Wales , Avaliação de Resultados em Cuidados de Saúde , Gravidez , Estudos Prospectivos , Técnicas de Reprodução Assistida/mortalidade , Estudos Retrospectivos , Adulto Jovem
20.
J Perinatol ; 32(10): 737-47, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22652562

RESUMO

The objective of this study is to review and summarize available evidence regarding the impact of amphetamines on pregnancy, the newborn infant and the child. Amphetamines are neurostimulants and neurotoxins that are some of the most widely abused illicit drugs in the world. Users are at high risk of psychiatric co-morbidities, and evidence suggests that perinatal amphetamine exposure is associated with poor pregnancy outcomes, but data is confounded by other adverse factors associated with drug-dependency. Data sources are Government data, published articles, conference abstracts and book chapters. The global incidence of perinatal amphetamine exposure is most likely severely underestimated but acknowledged to be increasing rapidly, whereas exposure to other drugs, for example, heroin, is decreasing. Mothers known to be using amphetamines are at high risk of psychiatric co-morbidity and poorer obstetric outcomes, but their infants may escape detection, because the signs of withdrawal are usually less pronounced than opiate-exposed infants. There is little evidence of amphetamine-induced neurotoxicity and long-term neurodevelopmental impact, as data is scarce and difficult to extricate from the influence of other factors associated with children living in households where one or more parent uses drugs in terms of poverty and neglect. Perinatal amphetamine-exposure is an increasing worldwide concern, but robust research, especially for childhood outcomes, remains scarce. We suggest that exposed children may be at risk of ongoing developmental and behavioral impediment, and recommend that efforts be made to improve early detection of perinatal exposure and to increase provision of early-intervention services for affected children and their families.


Assuntos
Transtornos Relacionados ao Uso de Anfetaminas/epidemiologia , Anfetaminas/efeitos adversos , Troca Materno-Fetal , Complicações na Gravidez/epidemiologia , Efeitos Tardios da Exposição Pré-Natal/epidemiologia , Transtornos Relacionados ao Uso de Anfetaminas/tratamento farmacológico , Anfetaminas/administração & dosagem , Criança , Feminino , Humanos , Recém-Nascido , Gravidez , Complicações na Gravidez/tratamento farmacológico , Resultado da Gravidez , Fatores de Risco
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