Perinatal morbidity and health utilization among mothers of medically fragile infants

Objective: To determine the burden of perinatal morbidity among mothers of medically fragile infants. Study design: We conducted a retrospective cohort study of 6849 mothers who delivered liveborn infants at a quaternary care hospital during a two-year period. We compared mothers of well babies with mothers of infants admitted to the Neonatal Intensive Care Unit (NICU), and we used logistic regression to model predictors of postpartum acute care utilization among NICU mothers. Results: Rates of obstetric morbidity were highest for mothers of infants staying ≥72 h in the NICU; 54.2% underwent cesarean birth, 7.5% experienced severe maternal morbidity, and 6.6% required a blood transfusion. Factors independently associated with postpartum acute care use included gestational age 38 °C and receiving psychiatric medication during the birth hospitalization. Conclusion: Focused support for mothers of NICU infants has the potential to reduce maternal morbidity and improve health

Langerhans cell histiocytosis (histiocytosis X)

There has been a renewed interest in Langerhans cell histiocytosis in recent years due both to advances in basic research and to improvements in diagnostic and treatment approaches. In this article, we review the various aspects of the disease and the potential implications of these recent scientific researches for our understanding and management of the disorder.published_or_final_versio

Expression of ciliary neurotrophic factor and the neurotrophins - Nerve and growth factor, brain-derived neurotrophic factor and neurotrophin 3 - in cultured rat hippocampal astrocytes

Cultured astrocytes are known to possess a range of neurotrophic activities in culture. In order to examine which factors may be responsible for these activities, we have examined the expression of the genes for four known neurotrophic factors - ciliary neurotrophic factor (CNTF), nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF) and neurotrophin 3 (NT3) - in purified astrocyte cultures derived from neonatal rat hippocampus. Hippocampal astrocytes were found to expresssd mRNA for three neurotrophic factors - CNTF, NGF and NT3 - at significantly higher levels than other cultured cell types or cell lines examined. BDNF messenger RNA (mRNA), however, was undetectable in these astrocytes. The levels of CNTF, NGF and NT3 mRNA in astrocytes were largely unaffected by their degree of confluency, while serum removal caused only a transient decrease in mRNA levels, which returned to basal levels within 48 h. Astrocyte-derived CNTF was found to comigrate with recombinant rat CNTF at 23 kD on a Western blot. Immunocytochemical analysis revealed strong CNTF immunoreactivity in the cytoplasm of astrocytes, weak staining in the nucleus, but no CNTF at the cell surface. NGF and NT3 were undetectable immunocytochemically. CNTF-like activity, as assessed by bioassay on ciliary ganglion neurons, was found in the extract of cultured astrocytes but not in conditioned medium, whereas astrocyte-conditioned medium supported survival of dorsal root ganglion neurons but not ciliary or nodose ganglion neurons. This conditioned medium activity was neutralized with antibodies to NGF. Astrocyte extract also supported survival of dorsal root ganglion and nodose ganglion neurons, but these activities were not blocked by anti-NGF. Part, but not all, of the activity in astrocyte extracts which sustained nodose ganglion neurons could be attributed to CNTF

The Annapolis Accords on the use of toxicology in decision-making. Annapolis Center Workshop Report.

The science of toxicology plays an important role in identifying safe conditions of use or exposure for many different kinds of environmental agents. The use of toxicologic information in risk assessment requires careful analysis, evaluation of data, and scientific judgment. These Annapolis Accords are intended to guide appropriate use in risk assessment of the scientific information from toxicology. We believe that application of these principles will improve the scientific credibility of risk assessment and the quality of decisions aimed at reducing and eliminating risks to human health and the environment

Desenvolvimento pós-natal e potencial teratogênico da prole de ratos Wistar no estudo da toxicidade reprodutiva de duas preparações fitoterápicas contendo soja Glycine max (L.) Merr

Avaliou-se o efeito de duas preparações fitoterápicas comerciais que continham soja sobre o desenvolvimento geral e sexual da progênie de ratos Wistar e sobre o potencial teratogênico das preparações fitoterápicas durante um estudo de toxicidade reprodutiva. Para tanto, observaram-se, diariamente, as características de desenvolvimento dos filhotes e analisou-se o comportamento em campo aberto, e, para avaliar o potencial teratogênico, realizou-se diafanização dos fetos removidos por cesariana. Inferiu-se que o tratamento dos pais não comprometeu o desenvolvimento de sua progênie e também não determinou efeitos teratogênicos aos fetos de ratos Wistar