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  • 1
    Online Resource
    Online Resource
    S. Karger AG ; 2007
    In:  Neonatology Vol. 91, No. 2 ( 2007), p. 101-106
    In: Neonatology, S. Karger AG, Vol. 91, No. 2 ( 2007), p. 101-106
    Abstract: 〈 i 〉 Background: 〈 /i 〉 The positive relationship between fat mass, bone mass and leptin has been shown in fetal mouse cartilage/bone. It has been shown that umbilical venous leptin predicts both the size of the neonatal skeleton and its estimated volumetric mineral density. 〈 i 〉 Aims: 〈 /i 〉 This study investigates how birth weight and bone mineralization correlate with leptin levels. In addition, we aimed to determine the predictive value of anthropometrics measurements and gender on variability in bone mineral status. 〈 i 〉 Methods: 〈 /i 〉 Umbilical cord venous blood samples were obtained at the delivery from 100 term newborn infants. Forty of the newborn infants had birth weights appropriate for gestational age (AGA), 30 were small for gestational age (SGA) and 30 were large for gestational age (LGA). Data were acquired using the whole body dual energy X-ray obsorptiometry scanner in the first 24 h after birth. 〈 i 〉 Results: 〈 /i 〉 Leptin concentrations were higher in LGA (36.6 ±12.0 ng/ml; p 〈 0.0001), but lower in SGA (11.7 ± 5.6 ng/ml; p 〈 0.001) than in AGA infants (20.3 ± 7.6 ng/ml). Whole body bone mineral density and whole body bone mineral content were higher in LGA babies (0.442 ± 0.025 g/cm 〈 sup 〉 2 〈 /sup 〉 , 71.6 ± 9.0 g, p 〈 0.01, p 〈 0.001, respectively) but lower in SGA (0.381 ± 0.027 g/cm 〈 sup 〉 2 〈 /sup 〉 , 29.1 ± 9.1 g, p 〈 0.001, p 〈 0.001, respectively) than in AGA babies (0.426 ± 0.022 g/cm 〈 sup 〉 2 〈 /sup 〉 , 53.7 ± 9.6 g, respectively). The percentage of whole body bone mineral content was lower in SGA (1.3 ± 0.3) than in AGA (1.6 ± 0.2, p 〈 0.001) and LGA (1.7 ± 0.2, p 〈 0.001). In stepwise linear regression analyses models; leptin is not found related to the bone indices. 〈 i 〉 Conclusion: 〈 /i 〉 Our study does not provide support for the hypothesis that leptin may play a major role in the regulation of bone metabolism in the developing skeleton.
    Type of Medium: Online Resource
    ISSN: 1661-7800 , 1661-7819
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2007
    detail.hit.zdb_id: 2403535-X
    SSG: 12
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  • 2
    In: Fetal Diagnosis and Therapy, S. Karger AG, Vol. 20, No. 3 ( 2005), p. 171-174
    Abstract: Antenatal sonographic diagnosis of rhizomelic chondrodysplasia punctata depends on recognization of the combination of rhizomelic bone shortening and epiphyseal stippling. This is the only report of prenatal ultrasonographic diagnosis of bilateral cataracts in a fetus with rhizomelic chondrodysplasia punctata (type 1). Also, this is the first report of severe rhizomelic limb shortening, and bilateral cataracts prior to the recognization of epiphyseal stippling.
    Type of Medium: Online Resource
    ISSN: 1015-3837 , 1421-9964
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2005
    detail.hit.zdb_id: 1482292-1
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  • 3
    In: Hormone Research in Paediatrics, S. Karger AG, Vol. 67, No. 6 ( 2007), p. 277-283
    Abstract: 〈 i 〉 Background/Aims: 〈 /i 〉 Exposure to diabetes in utero has been established as a significantrisk factor for some of components of metabolic syndrome. A few studies have examined relationship between the metabolic syndrome and echocardiographic left ventricular (LV) mass. We aimed to investigate relationship between abdominal aortic intima-media thickness (aIMT), LV mass and lipid profile in macrosomic newborns. 〈 i 〉 Methods: 〈 /i 〉 Abdominal aIMT was measured in 30 macrosomic neonates of diabetic mothers (group A), 30 macrosomic neonates of healthy mothers (group B) and 30 healthy neonates (group C). Lipid profile and LV mass were determined. 〈 i 〉 Result: 〈 /i 〉 Mean aIMT was significantly higher in groups A and B (0.489 ± 0.015, 0.466 ± 0.019 mm, respectively) than in controls (0.375 ± 0.024 mm). Weight-adjusted aIMT in group A was significantly higher than in groups B and C. Macrosomia was associated with increased lipid concentrations. Both LV mass indexed for BSA (body surface area) and birth weight measurements were significantly increased in group A compared with control. 〈 i 〉 Conclusions: 〈 /i 〉 Macrosomic neonates of diabetic mothers have significant aIMT and LV mass indexed for BSA and birth weight with lipid alterations. It might play a role in the pathogenesis of atherosclerosis in adult life.
    Type of Medium: Online Resource
    ISSN: 1663-2818 , 1663-2826
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2007
    detail.hit.zdb_id: 2540224-9
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  • 4
    Online Resource
    Online Resource
    S. Karger AG ; 2005
    In:  Hormone Research in Paediatrics Vol. 64, No. 2 ( 2005), p. 61-63
    In: Hormone Research in Paediatrics, S. Karger AG, Vol. 64, No. 2 ( 2005), p. 61-63
    Abstract: Hyperinsulinism of infancy is a major cause of persistent hypoglycaemia in the newborn period. Transient mild self-limiting hyperinsulinaemia and hypoglycaemia have been described in neonates born to mothers taking ritodrine therapy for premature labour. Ritodrine crosses the placental barrier and enters the fetal circulation readily but the mechanism of how it causes hyperinsulinaemia and hypoglycaemia is unclear. We report the case of severe prolonged hyperinsulinaemic hypoglycamia in a neonate born to a mother taking ritodrine therapy from 16 weeks’ gestation for preterm labour. The hyperinsulinaemic hypoglycaemia was managed with oral nifedipine as diazoxide was contraindicated due to fluid overload. Possible mechanisms of ritodrine-induced hypoglycaemia and insulin secretion are discussed.
    Type of Medium: Online Resource
    ISSN: 1663-2818 , 1663-2826
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2005
    detail.hit.zdb_id: 2540224-9
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  • 5
    In: Hormone Research in Paediatrics, S. Karger AG, Vol. 65, No. 6 ( 2006), p. 269-275
    Abstract: 〈 i 〉 Background and Aim: 〈 /i 〉 Low birth-weight is known to be associated with an increase in cardiovascular risk similar to that seen with major environmental risk factors, such as cigarette smoking or hypertension. Much epidemiological evidence has linked low birth-weight with hypertriglyceridaemia. 〈 i 〉 Method: 〈 /i 〉 We measured aortic wall thickness by ultrasonography and lipid profile in 40 newborn babies with intrauterine growth restriction and 40 controls. 〈 i 〉 Results: 〈 /i 〉 Maximum and mean aortic intima-media thickness were significantly higher in the babies with intrauterine growth retardation (0.58 ± 0.06, 0.52 ± 0.03 mm, respectively) than in controls (0.44 ± 0.05, 0.40 ± 0.03 mm, p 〈 0.0001, p 〈 0.0001, respectively), more so after adjustment for birth-weight (maximum intima-media thickness: 0.23 ± 0.03 mm/kg vs. 0.12 ± 0.02 mm/kg, p 〈 0.0001; mean intima-media thickness: 0.21 ± 0.02 mm/kg vs. 0.11 ± 0.01 mm/kg, p 〈 0·0001). Serum triglyceride levels were significantly higher in the intrauterine growth retardation group (48.9 ± 14.8 mg/dl) compared with the control group (32.5 ± 9.8 mg/dl, p 〈 0.0001). The mean body mass index, prepregnancy weight, weight gain during pregnancy, maternal LDL cholesterol level and, height of the mothers were significantly lower in the intrauterine growth retardation group compared with the control group. For maximum aIMT, significant associations included the ponderal index (p = 〈 0.01), length (p = 0.01) and serum triglyceride levels of infants (p = 0.02). 〈 i 〉 Conclusion: 〈 /i 〉 Newborn babies with growth restriction have significant maximum aortic thickening with hypertriglyceridaemia, suggesting that prenatal events might predispose to later cardiovascular risk.
    Type of Medium: Online Resource
    ISSN: 1663-2818 , 1663-2826
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2006
    detail.hit.zdb_id: 2540224-9
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  • 6
    In: Neonatology, S. Karger AG, Vol. 91, No. 4 ( 2007), p. 256-259
    Abstract: Congenital pulmonary lymphangiectasia is a rare condition that may present antenatally with pleural effusions and hydrops, and the prognosis is reported to be very poor. Treatments for lymphangiectasia have included corticosteroids for patients with primary inflammatory conditions, dietary modifications, surgical resection for isolated lesions, octreotide, antiplasmin therapy and fibrin glue pleurodesis. However, there is no experience with pleurodesis by autologous blood therapy in the literature. We present a newborn with primary pulmonary lymphangiectasis who developed progressively profuse chylous pleural effusions after enteral full feeding from the 8th day of life and improved with pleurodesis by autologous blood therapy.
    Type of Medium: Online Resource
    ISSN: 1661-7800 , 1661-7819
    Language: English
    Publisher: S. Karger AG
    Publication Date: 2007
    detail.hit.zdb_id: 2403535-X
    SSG: 12
    Location Call Number Limitation Availability
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