Cord blood albumin as a predictor of neonatal jaundice.

Background and Aim: Bilirubin can have a toxic effect on the brain, so newborns must be carefully checked to identify those who may develop significant hyperbilirubinemia and bilirubin encephalopathy (kernicterus). The study aimed to determine if cord blood albumin could be utilized to predict the onset of significant newborn jaundice in healthy-term babies. Patients and Methods: A cohort study was carried out in AL-Zahraa teaching hospital in AL-Najaf city during the period from January 1 to November 1, 2020. A randomized 100 full-term healthy neonates were enrolled. A blood sample was drawn by milking the cord and sent for serum albumin estimation. Patients were then followed up on the third and fifth days of life for total serum bilirubin (TSB). Results: Out of 100 healthy-term neonates that were included in this study, 60 of them had low cord blood albumin (<2.8 g/dl), and 40 of them had normal cord blood albumin (≥2.8 g/dl) with an age range of 1-5 days. There is a statistically significant difference between low cord blood albumin and significant neonatal jaundice on the third day with a 5 times more risk of developing significant jaundice than neonates with normal cord blood albumin. Conclusion: Cord blood albumin levels are sensitive to predicting subsequent neonatal jaundice in the healthy term newborn.

Analysis of the Spatial Patterns of Pierce's Disease Incidence in the Lower San Joaquin Valley in California.

ABSTRACT The incidence of Pierce's disease (PD), caused by Xylella fastidiosa, was monitored in 11 naturally infested commercial vineyards to determine the presence of an X. fastidiosa vector, Homalodisca coagulata (glassy-winged sharpshooter [GWSS]), to examine the spatial patterns of the disease and elucidate possible influences of surrounding environments. Disease incidence ranged from <1 to 65% among vineyards in 2001. Our efforts to trap or capture potential disease vectors have indicated that the GWSS is the most likely vector. Disease incidence doubled in most vineyards during the 2002 production season. Spatial patterns of symptomatic vines in 2001 and 2002, as determined by ordinary runs analysis, showed strong evidence for within- and across-row aggregation of infected vines. In most fields, they were no disease gradients observed relative to GWSS source (e.g., citrus). Within fields, however, disease incidence displayed strong spatial dependence and a high degree of anisotropy, indicating strongly aggregated patterns of disease with distinct directional orientation. The within-row (0 degrees ) and across-row (90 degrees ) orientations generally were the predominant directions of increased disease incidence, consistent with vine-to-vine spread of X. fastidiosa. We concluded that the distribution of PD in vineyards reflected the feeding pattern of vectors carrying X. fastidiosa. Based on these results, effective PD management is likely to be based on practices that reduce significant insect vector populations and remove infected vines as soon as identified and on the use of resistant cultivars.