96 research outputs found
Diagnostic accuracy of basal TSH determinations based on the intravenous TRH stimulation test: An evaluation of 2570 tests and comparison with the literature
Determinants of birthweight and intrauterine growth in liveborn twins
We explored the relationship of umbilical cord insertion and fusion of placentas with birthweight in monozygotic monochorionic (MZ MC), monozygotic dichorionic (MZ DC), and dizygotic (DZ) twins. In addition, we evaluated some of the possible factors responsible for the restricted intrauterine growth of twins compared with singletons. The birthweight of 4529 liveborn twin pairs of the East Flanders Prospective Twin Survey was prospectively recorded, placentas were examined, and site of umbilical cord insertion was determined after delivery. Birthweight of 76 490 liveborn singletons was obtained from the Study Centre for Perinatal Epidemiology (SPE). Infants with a peripheral cord insertion weighed 150 g less (P < 0.001) than infants with a central cord insertion. DZ infants had a significantly (P < 0.001) higher incidence of central cord insertion than MZ DC and MZ MC infants. MZ DC infants with fused placentas and a peripheral cord insertion weighed on average 300 g less (P < 0.01) than infants with separate placentas and a central cord insertion. In DZ infants, fusion of the placentas did not affect birthweight. Twins gain less weight per week of gestation than singletons from 32 weeks onwards (twins: 128 g, 156 g, 75 g and singletons: 118 g, 251 g, 149 g, weeks 27-31,32-36, 37-42 respectively). From week 32 onwards, parity, birth rank, cord insertion and number of placentas also influenced birthweight of twins. We conclude that the difference between the birthweights of DZ, MZ DC, and MZ MC infants may originate from the least favourable antenatal situation, namely fused placentas with a peripheral cord insertion, which occurs most frequently in MZ twins. Gestation is the main determinant of birthweight. Other placental and maternal factors have a modest but significant influence on prenatal growth
Clustering of autoimmune disease in parents of siblings from the Type 1 diabetes Warren repository
A patient with hepatitis B, antimicrosomal antibodies, and autoimmune hypothyroidism
A 37-year-old man with chronic hepatitis B was diagnosed as having antimicrosomal antibodies and subclinical hypothyroidism. The association of autoimmune manifestations with hepatitis B has been less frequently reported than with hepatitis C virus. It is discussed whether this patient illustrates a case of spontaneous development of antimicrosomal antibodies, only casually associated with the presence of hepatitis B virus, or there is a real causative relationship between both conditions.FAC MED ABC,SANTO ANDRE,SP,BRAZILWeb of Scienc
Male Reproductive Hormones and Thyroid Function in Pesticide Applicators in the Red River Valley of Minnesota
Histological recurrence of autoimmune liver diseases after living-donor liver transplantation
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