Twins prematurity--the influence of prenatal surveillance

OBJECTIVE: To evaluate the influence of the local prenatal surveillance of twin pregnancies in the obstetrical results. METHODS: A prospective cohort study of multiple pregnancies delivered over a period of 16 years in a tertiary centre was conducted. In this study 861 twin pregnancies were included. They were compared for obstetric complications, gestational age at delivery, mode of delivery and birthweight, according to the place of the surveillance. RESULTS: Of the 861 cases examined, the following obstetric complications were significantly different: metrorrhagia (p = 0.039), infections (p < 0.001), HELLP (p = 0.007), PROMPT (p < 0.001) and fetal death (p = 0.024). The mode of delivery was similar but occurred mostly ≤32 weeks (p < 0.001), the birthweight was mostly <2000 g and occurred more NICU admission (p < 0.001) when surveillance was outside the MPC-MDM. CONCLUSION: Our results demonstrate the crucial importance of prenatal surveillance be carried in a differentiated referral centers with specific/strict protocols or the urgent implementation of same protocols in all other places of surveillance, since this straight surveillance greatly reduces the occurrence of prenatal complications, mainly PROMPT, PTD

Evolução dos resultados perinatais em gestações triplas

PURPOSE: To evaluate the obstetric and perinatal outcomes evolution of triplet pregnancies. METHODS: A prospective observational study was conducted in triplet pregnancies delivered over 16 years in a tertiary obstetric center with differentiated perinatal support. Evaluation of demographic factors, obstetric complications, gestational age at delivery, mode of delivery, birth weight and immediate newborn outcome were done over a 16 years period. A global characterization of the sample was performed considering the listed parameters. Variables were categorized in three groups according to year of occurrence: 1996-2000, 2001-2006, 2007-2011, and all parameters were compared. RESULTS: Of the 33 triplets included, 72.7% resulted from induced pregnancies. All except one patient received prenatal corticosteroids and five received tocolytics. All women delivered prenatally and no significant differences were seen in the mean gestational age at delivery or birth weight towards time. There were three intrauterine fetal deaths. Neonatal immediate outcomes were not significantly different over the years. CONCLUSION: Despite remarkable progresses in perinatal and neonatal cares, no noticeable impact in triplet gestations' outcomes was seen, sustaining that triplets should be avoided due to their great risk of prematurity and neonatal morbidities, either by limiting the numbers of embryos transferred or by fetal reduction.info:eu-repo/semantics/publishedVersio

Monoamniotic twins discordant for body stalk anomaly

Body stalk anomaly is a rare malformation. This anomaly in monozygotic twins is extremely unusual. We describe a case of monoamniotic pregnancy discordant for body stalk anomaly diagnosed at 11 weeks. Ultrasound showed a fetus with a large anterior abdominal wall defect, anomaly of the spine and no evidence of lower extremities and other with a normal morphology. As far as our concern, only three monoamniotic pregnancies discordant for this malformation were reported. Our case represents the fourth reported monoamniotic pregnancy discordant for body stalk anomaly with diagnosis made by ultrasound and the second diagnosed in the first trimester

Metadata analysis of systematic literature reviews on academic spin-offs: an overview of reviews

Besides assuming the role of teaching, research, and extension, the university, has expanded the boundaries of scientific knowledge to promote a business ecosystem. The business-related activities can be driven by the leadership of students with an entrepreneurial capacity, based on the technology transfer produced by the academic research and generated by companies that somehow have been idealized or had the active participation of the faculty members and the technology under their control. This model of companies, named in the literature as academic spin-off, has increased the attention of researchers at two main points: i. understanding the phenomenon itself and ii. contribute to identifying the lack of the process, whether related to the support structure or capacitation of faculty members to develop the entrepreneurial activities, as well as in understanding the commercialization of knowledge as technology transfer. In this context, the present work provided a metadata analysis of systematic literature reviews on the academic spin-off, mapping the knowledge on the subject and searching for reviews that cover the technology transfer models to study the viability of protecting the academic intellectual property as a product. Methodology: the data used in this study were retrieved from the database Web of Science and revised according to the protocol Extension for Scoping Reviews (PRISMA-ScR). The bibliometric analysis of metadata was conducted in RStudio software with the package Bibliometrix and its web interface Biblioshiny. Results: 40 review articles published in peer-reviewed journals from 2006 to 2021 were selected from the initial collection. Then, as result of the bibliometric analysis, it was obtained the data of production indices (main authors, sources, and most cited articles), the evolution of chronological discussion on the subject, and other complementary. Conclusion: it was found indications of studies that discuss technology transfer models and others that examined empiric models in the academic scenario. However, in the selected collection, was not identified any review papers on academic entrepreneurship that were related to the viability of intellectual property as products to be commercialized. Also, it was identified that the word academic entrepreneurship stands out as the main keyword word to represent the research

Epitope-imprinted polymers: design principles of synthetic binding partners for natural biomacromolecules

Molecular imprinting (MI) has been explored as an increasingly viable tool for molecular recognition in various fields. However, imprinting of biologically relevant molecules like proteins is severely hampered by several problems. Inspired by natural antibodies, the use of epitopes as imprinting templates has been explored to circumvent those limitations, offering lower costs and greater versatility. Here, we review the latest innovations in this technology, as well as different applications where MI polymers (MIPs) have been used to target biomolecules of interest. We discuss the several steps in MI, from the choice of epitope and functional monomers to the different production methods and possible applications. We also critically explore how MIP performance can be assessed by various parameters. Last, we present perspectives on future breakthroughs and advances, offering insights into how MI techniques can be expanded to new fields such as tissue engineering.This work was supported by Project NORTE-01-0145-FEDER-000021 supported by the Norte Portugal Regional Operational Program (NORTE 2020), under the PORTUGAL 2020 Partnership Agreement, through the European Regional Development Fund (ERDF); by the European Union Framework Program for Research and Innovation HORIZON 2020, under the Twinning grant agreement no. 810850–Achilles, European Research Council grant agreement no. 772817; and by FCT/MCTES (Fundação para a Ciência e a Tecnologia/Ministério da Ciência, Tecnologia, e Ensino Superior) through PhD grant PD/BD/143039/2018 for S.P.B.T., financed through the Doctoral Program in Advanced Therapies for Health (PATH) (FSE/POCH/ PD/169/2013), project PTDC/NAN-MAT/30595/2017, and individual contract 2020.03410. CEECIND for R.M.A.D. N.A.P. acknowledges support from the Cockrell Family Chair Foundation; the Institute for Biomaterials, Drug Delivery, and Regenerative Medicine; and the UT-Portugal Collaborative Research Program

Antony and Cleopatra

Analysis done 199