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1
Smarason, Alexander Kristinn. "Trophoblast-endothelial cell interactions in the maternal syndrome of pre-eclampsia." Thesis, University of Oxford, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.335845.
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Intrusi, Valentina. "Managing Challenges of Non Communicable Diseases during Pregnancy: An Innovative Approach." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2018. http://amslaurea.unibo.it/15675/.
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Le sfide lanciate dalle malattie non trasmissibili sono accolte da tecnologie sempre più all'avanguardia. Nonostante questo, ancora oggi gestire e monitorare gravidanze a rischio rimane un problema. La simulazione di condizioni come quella data dal diabete gestazionale, può aiutare a capire quali sono i principali fattori che influenzano l'andamento della malattia in modo da poterne evitare l'insorgenza e, in questo modo, migliorare la salute di madri e generazioni future.
Questa tesi ha come obietto lo studio e il miglioramento di un sistema Agent-Based pensato per il trattamento del diabete di tipo 1 e la modellazione di una sua estensione per il diabete gestazionale. Al termine della tesi è stato migliorato il sistema rendendolo più fedele ai cambiamenti fisiologici che avvengono durante il metabolismo del glucosio e la modellazione della placenta e relativamente delle modifiche che apporta all'intero sistema getta le basi per nuovi sviluppi legati al trattamento di malattie durante il periodo di gestazione.
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Leung, Tsin-wah. "Imprinting genes in gestational trophoblastic diseases /." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36434504.
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Leung, Tsin-wah, and 梁展華. "Imprinting genes in gestational trophoblastic diseases." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45010845.
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Magnusson, Linda L. "Parental exposures and occurrence of adverse pregnancy outcomes and childhood atopic diseases /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-673-5/.
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Ahrens, Katherine Antonia. "Consequences of controlling viral diseases during pregnancy: antiherpetic medication and influenza vaccination." Thesis, Boston University, 2012. https://hdl.handle.net/2144/12260.
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Thesis (Ph.D.)--Boston University
PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.The treatment and prevention of viral diseases during pregnancy are common concerns for medical providers and pregnant women, yet evidence regarding risks associated with these interventions is sparse. In study 1 we evaluated the association between antiherpetic medication use and the risk of gastroschisis, an abdominal wall birth defect, among women who participated in the National Birth Defects Prevention Study from 1997-2007. The mothers of 0.7% (n=7) of 941 gastroschisis cases and 0.3% (n=22) of 8,339 non-malformed controls reported antiherpetic medication use during the first trimester of pregnancy; after adjustment for confounders, the risk of gastroschisis was twice as high among women using antiherpetic medication during the first trimester compared with those reporting no use of antiherpetics during pregnancy. Our study raises the possibility of a modest adverse effect of either antiherpetic medication use during the first trimester or the herpes infection for which it was presumably indicated. In study 2 we examined the association between seasonal influenza vaccination during pregnancy and the risk of pre term birth (< 37 weeks' gestation) among a retrospective cohort of 2,279 mothers of non-malformed infants who participated in the Slone Birth Defect Study from 2006-2011. One third of women reported influenza vaccination during pregnancy and approximately 7% (n=164) experienced a preterm birth. We observed a null association between influenza vaccination at any time during pregnancy and the risk of preterm birth, after adjustment for confounders. For study 3 we evaluated the association between seasonal influenza vaccination during pregnancy and the risk of small infant size, also among mothers of non-malformed infants participating in the Slone Birth Defect Study from 2006-2011. Small infant size was defined as small for gestational age (SGA), i.e. <10th percentile in weight given gestational week of delivery, using both sex-specific birthweight references values (SGAr) and a customized standard (SGAc). Respectively, 9.6% (n=214) and 10.3% (n= 229) of infants were classified as SGAr and SGAc. We observed modest protective associations between influenza vaccination during pregnancy and the risks of SGAr and SGAc. Together with Study 2, these findings provide some support for the relative safety of influenza vaccination during pregnancy.
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Sihavong, Amphoy. "Management of reproductive tract infections among health providers and in the community in Lao People's Democratic Republic /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-383-2/.
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Robertus, Kacie Taylor. "Myths and misconceptions exploring beliefs about pregnancy and sexually transmitted diseases in adolescents /." Thesis, Montana State University, 2010. http://etd.lib.montana.edu/etd/2010/robertus/RobertusK0510.pdf.
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The purpose of this professional project was to explore myths and misconceptions about sexual activity in adolescents. Adolescent pregnancy and sexually transmitted diseases (STD) are a significant problem worldwide and have been studied for many decades (Kirby, 2002). The burden of treating pregnancy and STD in the adolescent population affects all aspects of healthcare. Because of the magnitude of the problem, prevention of pregnancy and sexually transmitted infections among adolescents has become a national priority (McBride & Gienapp 2000). A review of literature was conducted focusing on education, current myths and misconceptions of sexual activity, STD and pregnancy. A survey was created based on the literature. The questions asked were pregnancy or STD related and focused on fertility, condom use, and STD transmission. A convenience sample of four female and three male adolescents aged 15-18 participated. Important preliminary results were provided by the survey. Survey results indicated a high number of incorrect responses. Questions regarding pregnancy were the most frequently missed while questions about STD were answered correctly by most participants. Sample size was small, so generalization is impossible. However, knowing that these adolescents had limited knowledge about pregnancy prevention and sexually transmitted diseases may encourage inclusion about these topics in future educational programs for adolescents.
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Ives, Angela Denise. "Breast cancer and pregnancy : how does a concurrent or subsequent pregnancy affect breast cancer diagnosis, management and outcomes?" University of Western Australia. School of Surgery, 2010. http://theses.library.uwa.edu.au/adt-WU2010.0038.
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[Truncated abstract] A diagnosis of breast cancer is a life-changing event for any woman. For young women and their families it can be devastating. Women aged less than 45 years make up 20% of new cases of breast cancer diagnosed annually in Australia. With the trend for women to delay pregnancy, young women diagnosed with breast cancer may want at least the option to become pregnant after diagnosis and treatment but little is known about how pregnancy affects breast cancer or how breast cancer affects pregnancy. The aims of this thesis were to investigate how concurrent and subsequent pregnancy affects the development and outcomes of breast cancer and how breast cancer affects a concurrent or subsequent pregnancy. This study describes two groups of women identified from the entire Western Australian population less than 45 years of age when diagnosed with: 1. Gestational breast cancer, defined as breast cancer diagnosed while a woman is pregnant or in the first twelve months after completion of a pregnancy; and 2. Breast cancer who subsequently conceive. This study focused on three main areas; patterns of care and outcomes for women diagnosed with gestational breast cancer and those women diagnosed with breast cancer who subsequently conceived; the imaging and pathological characteristics of gestational breast cancer; and lastly the psychosocial issues associated with gestational breast cancer. ... This result was statistically significant. In an age and staged matched case control study lymph node negativity did not purvey a survival advantage for women diagnosed with gestational breast cancer as it did for the non- gestational breast cancer controls. Women diagnosed with breast cancer who have good prognosis tumours need not necessarily wait two years to become pregnant. In an age matched case control study women diagnosed with gestational breast cancer were more likely to have extensive insitu carcinoma, higher mitotic rates and tumours with medullary like features than their age matched controls. In a Cox's proportional hazards regression model which included pathological characteristics, there was no significant difference in survival for women diagnosed with gestational breast cancer were compared to women diagnosed with non-gestational breast cancers. The psychosocial issues for women diagnosed with gestational breast cancer are similar to other young women diagnosed with breast cancer but the effect on the 9 lives of women dealing with pregnancy and breast cancer simultaneously was much greater. The issues of breast cancer and pregnancy are complex at both a physical and psychological level. Much more research is needed to understand the mechanisms of how pregnancy affects breast cancer and its spread. Women who are pregnant when diagnosed with breast cancer or who consider pregnancy after their diagnosis need unbiased support from those around them. Survival is important but other survivorship issues may be just as important. To translate these findings into clinical practice and offer directions for future research eleven recommendations are proposed.
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Salonen, Ros Helena. "Preeclampsia and other circulatory diseases during pregnancy : etiological aspects and impact on female offspring /." Stockholm : Karolinska Univ. Press, 2001. http://diss.kib.ki.se/2001/91-89428-09-9/.
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林勇行 and Yung-hang Lam. "Sonographic features of fetuses with homozygous [alpha]-thalassaemia-1during early pregnancy." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31981744.
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Mathai, Elizabeth. "Genital and urinary tract infections in pregnancy in southern India : diagnosis, management and impact on perinatal outcome /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7140-129-6/.
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Chalana, Vikram. "Deformable models for segmentation of medical ultrasound images /." Thesis, Connect to this title online; UW restricted, 1996. http://hdl.handle.net/1773/8025.
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Reep, Daniel T. "Placental Eicosanoids and Sphingolipids in Preeclampsia." VCU Scholars Compass, 2018. https://scholarscompass.vcu.edu/etd/5553.
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Placental dysfunction is implicated in the pathogenesis of preeclampsia. Chemical signals between the placenta and maternal circulation are a suspect cause of endothelial dysfunction and maternal hypertension. This study examined select lipid mediators of inflammation produced by the placenta. Patients were recruited from Virginia Commonwealth University’s pregnancy clinics and placentas were collected at delivery. Forty-eight-hour explant cultures of villous placental tissue were used to model lipid production. Electrospray ionization mass spectrometry was used to quantify concentrations of free lipids in the culture media. Bicinchoninic acid assays were performed to quantify protein in each culture for normalization of lipid data. After analysis, it was found that severity of preeclampsia was correlated with a unique lipid profile. Pro-inflammatory hydroxyeicosatetraenoic acids and sphingolipids were elevated. Aspirin usage in patients who developed preeclampsia was found to attenuate accumulation of isoprostane oxidative stress markers and thromboxane production while preserving omega-3-fatty acid and increasing prostacyclin levels.
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Boltman, Haaritha. "A systematic review on maternal and neonatal outcomes of ingested herbal and homeopathic remedies used during pregnancy, birth and breastfeeding." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&.
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Herbal and homeopathic compounds have been used to aid in childbearing and pregnancy for centuries. Much of this information is anecdotal and lacks scientific support, making it difficult to evaluate safety and efficacy. Increased public interest in alternative treatments leads to the need for a systematic review on the topic. Herbal remedies are most often used to treat the most common pregnancy-related problems like nausea, stretch marks and varicose veins. In contrast to this, concerns have also been raised about the adverse effects of these remedies. The primary objective of this research project was to conduct a systematic review to assess the maternal and neonatal outcomes of ingested herbal and homeopathic remedies using during pregnancy, birth and breastfeeding.
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Kalinowski, Juan. "Effect of low dietary zinc supply during pregnancy and lactation on the sow and the neonatal piglet." Thesis, McGill University, 1985. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=72019.
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Experiments were conducted with sows and littermate-gilts to investigate the effect of dietary zinc (Zn) restriction during either part or most of the pregnancy and lactation on dams and their offspring.Reduced dietary Zn (13 ppm) during the last 4 wk of pregnancy and first 2 wk of lactation presented no serious consequences to the dam or offspring. Reduction of dietary Zn throughout pregnancy and lactation (10 ppm) caused overt signs of Zn deficiency in one-half of the gilts, however, their offspring exhibited no obvious abnormalities. Zinc restriction did not affect feed consumption but depressed plasma and urinary Zn and plasma alkaline phosphatase activity (APA). The use of the balance technique and radiotracers revealed that gilts deficient in Zn initiated protective mechanisms such as, increased Zn absorption reduced endogenous Zn excretion, prolongation of the biological half life of Zn; all these responses affected higher efficiency of Zn utilization.
Despite the protective mechanisms, gilts depleted in Zn exhibited prolonged stressful parturition and a high incidence of intrapartum and neonatal mortality than control gilts. Piglets from gilts depleted in Zn showed depressed birth weight, reduced concentrations of plasma Zn, Cu and ammonia and low APA and hematocrit, increased plasma concentrations of glucose and lactate, reduced content of Zn in liver, heart, lung, skin, bone and carcass and higher concentrations of Cu and Mn in various tissues compared to controls. Zinc depletion did not change the Zn content of colostrum but did change it in milk. Content of Cu, Fe, and Mn was effected in colostrum and milk. Weight of piglets was lower at one wk but not at two wk of age. Two-week old piglets exhibited lower Zn and higher Cu concentrations in plasma; reduced Zn and increased Cu and Mn concentrations in liver and bone and changes in Cu and Mn in other tissues. At the end of lactation, gilts depleted in Zn exhibited low level of Zn and APA in plasma; reduced Zn content in liver, spleen, heart, small intestine; increased Cu content in liver and small intestine; increased Zn and Mn content in brain.
Although gilts depleted in Zn exhibited a highly efficient handling of Zn via homeostatic mechanisms, the reduced amount of corporal exchangeable Zn in these gilts caused biochemical changes affecting the performance of the dam and the offspring. (Abstract shortened with permission of author.)
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Henriques, Ana CilÃia Pinto Teixeira. "Risco cardiovascular em longo prazo em mulheres acometidas por sÃndromes hipertensivas na gestaÃÃo." Universidade Federal do CearÃ, 2012. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=8659.
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FundaÃÃo Cearense de Apoio ao Desenvolvimento Cientifico e TecnolÃgicoAs SÃndromes Hipertensivas Gestacionais (SHG) respondem por elevados Ãndices de morbimortalidade materna e neonatal, tendo estudos mostrado que seus efeitos nÃo resumem-se ao perÃodo da gestaÃÃo, acarretando em um perfil clÃnico e metabÃlico diferenciado conferindo maior risco para a ocorrÃncia de eventos cardiovasculares em mulheres com histÃria destas patologias. Objetivou-se neste estudo analisar o perfil de risco cardiovascular em mulheres com histÃria obstÃtrica de SHG. Tratou-se de uma coorte retrospectiva na qual foram avaliadas 60 mulheres (30 com histÃria de SHG e 30 com histÃria de gestaÃÃes sem complicaÃÃes) cujos partos ocorreram no perÃodo entre 1992 e 2002 em uma Maternidade TerciÃria de Fortaleza-Ce. As pacientes que aceitaram participar do estudo realizaram avaliaÃÃo antropomÃtrica, laboratorial e da funÃÃo endotelial atravÃs da dilataÃÃo fluxo-mediada da artÃria braquial. As variÃveis contÃnuas foram analisadas utilizando os testes de Kolmogorov-Smirnov para verificaÃÃo da normalidade destas, sendo utilizados os testes t-Student e Mann-Whitney para comparaÃÃo das mÃdias. As medidas clÃnicas e metabÃlicas foram categorizadas segundo os pontos de corte determinados por consensos nacionais segundo o risco cardiovascular, sendo utilizado o teste do qui-quadrado e Exato de Fisher para comparaÃÃo entre os grupos. Calculou-se a OR para as variÃveis que se mostraram estatisticamente significantes considerando p<0,05. O perÃodo de seguimento mÃdio dos grupos foi de 15,2Â3,5 anos. O estudo mostrou que mulheres com histÃria de SHG apresentam maiores valores de IMC, PAS, LDL-C e glicemia em jejum (p=0,03; 0,03; 0,02 e 0,02, respectivamente). Mostrou-se estatisticamente significante o uso de anti-hipertensivos (p=0,03) e tendÃncia ao uso de hipoglicemiantes (p=0,05). Encontrou-se uma frequÃncia de disfunÃÃo endotelial de 60% entre as expostas, demonstrando diferenÃa estatisticamente significante entre os grupos (p=0,01). Foi identificada SÃndrome MetabÃlica em 80% das expostas, com diferenÃa entre os grupos quanto ao diagnÃstico e o nÃmero de componentes da sÃndrome (p=0,01). As pacientes do grupo exposto apresentaram maiores pontuaÃÃes no Escore de Risco de Framingham e no Escore Global de RCV (p=0,03; 0,01). O estudo apresenta um perfil de risco cardiovascular desfavorÃvel em pacientes com histÃria de SHG corroborando com dados da literatura e contribuindo para embasar a necessidade de um melhor acompanhamento no pÃs-parto em longo prazo de mulheres com histÃria desta complicaÃÃo obstÃtrica.
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Lilliecreutz, Caroline. "Blood-and Injection Phobia in Pregnancy : Epidemiological, Biological and Treatment aspects." Doctoral thesis, Linköpings universitet, Hälsouniversitetet, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-59745.
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Introduction: Blood- and injection phobia is an anxiety disorder with a prevalence of approximately 3-5% in the general population. The etiology is often a combination of genetic factors and a conditioning experience. The symptoms of blood- and injection phobia are dizziness, confusion, nausea, epigastria discomfort, anxiety and sometimes panic attacks when receiving injections, seeing blood or having a blood sample taken. Unique for this specific phobia is the high probability of fainting when the phobic situation is encountered if there is no possibility to escape or to avoid the stimuli. During pregnancy and labor, women with blood- and injection phobia are exposed to most of their fears and they therefore find themselves in anxiety-ridden situations. Stress and anxiety during pregnancy is known to be risk factors for adverse obstetric and neonatal outcomes. Studies have shown an altered hypothalamic-adrenal-pituitary axis in women with stress or/and anxiety during pregnancy and increased cortisol concentrations can imply negative consequences for the unborn child. Cognitive behavioral therapy (CBT) is known to be effective in treating specific phobias such as blood- and injection phobia. Aim: The prevalence, obstetric and neonatal consequences, impact on the hypothalamic adrenal-pituitary axis and treatment aspects of blood- and injection phobia in a pregnant population have not been investigated before. The aims of this thesis were to study each of these phenomena. Material and methods: During 2005 a total of 1606 pregnant women were approached at their first visit in an antenatal care clinic in the southeast region in Sweden. They were asked to complete the “Injection Phobia Scale-Anxiety” questionnaire. All women who scored ≥ 20 on the “Injection Phobia Scale-Anxiety” questionnaire (N=347), were interviewed and either diagnosed for blood- and injection phobia or dismissed. In total, 110 women were diagnosed as having blood- and injection phobia. Among the women who scored <20 on the “Injection Phobia Scale-Anxiety” questionnaire, 220 women were randomly stratified for age and parity as a control group. The women in the study population answered questionnaires in gestational week 25, 36 and postpartum concerning symptoms of blood- and injection phobia, depression and anxiety. Samples of cortisol in the saliva were collected in the morning and evening in gestational week 25 and 36 in both groups of pregnant women. The medical records from the antenatal care visits, the delivery and postpartum check-up was used to collect data of importance. A treatment study was conducted using a two session cognitive behavioral therapy in a group of pregnant woman with blood- and injection phobia. Results: The prevalence of blood- and injection phobia is 7 % in a pregnant population. Pregnant women with blood- and injection phobia stated more often a fear of childbirth (p<0.001) and were more frequently delivered by elective cesarean section (p=0.032). The incidence of having a baby diagnosed with a complication (p=0.001) was also higher among these women. The women with blood- and injection phobia had increased cortisol concentrations in the saliva compared to the healthy controls (p=0.014). A two-session CBT in group for pregnant women with blood- and injection phobia reduced phobic (p<0.001) anxiety (p<0.001) and depressive (p<0.001) symptoms during pregnancy. Conclusions: Blood- and injection phobia during pregnancy is rather common. Pregnant women with blood- and injection phobia are more likely to be delivered by elective cesarean section and having a baby born with a complication compared to women not suffering from this specific phobia. Untreated blood- and injection phobia during pregnancy increases salivary cortisol concentrations indicating an altered hypothalamic-adrenal-pituitary axis during these weeks of pregnancy. To enhance psychological well being in pregnant women with blood- and injection phobia a two-session program providing CBT for groups of pregnant women is valuable and produces stable results for at least 3 months after delivery.
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Ashar-Patel, Ami. "A Two-Pronged Approach to Preeclampsia: Understanding Gene Expression and Targeting sFlt1 using RNAi." eScholarship@UMMS, 2007. http://escholarship.umassmed.edu/gsbs_diss/909.
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Preeclampsia (PE) is a disorder affecting 2-10% of pregnancies worldwide. Clinical signs include high blood pressure (HBP) and proteinuria in the mother after the 20th week of pregnancy. Currently, the only cure for PE is delivery of the fetus, which is often necessary preterm and thus dangerous for both mother and fetus. Maternal symptoms of PE are caused by excess anti-angiogenic proteins of placental origin called soluble Flt1s (sFlt1s). sFlt1 mRNA isoforms are produced by alternative polyadenylation (APA) of full-length Flt1 (fl-Flt1) pre- mRNA. While fl-Flt1 encodes a transmembrane protein, sFlt1s encode truncated proteins that are soluble. Multiple sFlt1 isoforms exist, and their respective contribution to the pathophysiology of PE is unclear. Furthermore, it is unknown whether there is a genome-wide role for APA in PE.
In my thesis research, I developed a polyadenylation site sequencing method, and used this method to simultaneously quantify transcriptome-wide polyadenylation site usage and gene expression levels in normal, early-onset PE, and late-onset PE human placentae. I observed distinct expression profiles amongst the three groups, with differential expression of genes in several functional categories, including angiogenesis. I found that three sFlt1 isoforms account for >94% of all placental FLT1 transcripts, and that increased transcription of the entire FLT1 locus drives upregulation of both fl-Flt1 and sFlt1 in PE. I found that APA does not contribute substantially to PE pathophysiology. I also identified siRNAs that knock down sFlt1 mRNA efficiently in cell lines that pave the way for further development of novel RNAi based therapeutics to alleviate PE.
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Ashar-Patel, Ami. "A Two-Pronged Approach to Preeclampsia: Understanding Gene Expression and Targeting sFlt1 using RNAi." eScholarship@UMMS, 2017. https://escholarship.umassmed.edu/gsbs_diss/909.
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Preeclampsia (PE) is a disorder affecting 2-10% of pregnancies worldwide. Clinical signs include high blood pressure (HBP) and proteinuria in the mother after the 20th week of pregnancy. Currently, the only cure for PE is delivery of the fetus, which is often necessary preterm and thus dangerous for both mother and fetus. Maternal symptoms of PE are caused by excess anti-angiogenic proteins of placental origin called soluble Flt1s (sFlt1s). sFlt1 mRNA isoforms are produced by alternative polyadenylation (APA) of full-length Flt1 (fl-Flt1) pre- mRNA. While fl-Flt1 encodes a transmembrane protein, sFlt1s encode truncated proteins that are soluble. Multiple sFlt1 isoforms exist, and their respective contribution to the pathophysiology of PE is unclear. Furthermore, it is unknown whether there is a genome-wide role for APA in PE.
In my thesis research, I developed a polyadenylation site sequencing method, and used this method to simultaneously quantify transcriptome-wide polyadenylation site usage and gene expression levels in normal, early-onset PE, and late-onset PE human placentae. I observed distinct expression profiles amongst the three groups, with differential expression of genes in several functional categories, including angiogenesis. I found that three sFlt1 isoforms account for >94% of all placental FLT1 transcripts, and that increased transcription of the entire FLT1 locus drives upregulation of both fl-Flt1 and sFlt1 in PE. I found that APA does not contribute substantially to PE pathophysiology. I also identified siRNAs that knock down sFlt1 mRNA efficiently in cell lines that pave the way for further development of novel RNAi based therapeutics to alleviate PE.
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Ludvigsson, Jonas F. "Some epidemiological aspects of perinatal gastrointestinal disease /." Linköping : Univ, 2001. http://www.bibl.liu.se/liupubl/disp/disp2001/med707s.pdf.
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Abelius, Martina. "Immunological interactions between mother and child during pregnancy in relation to the development of allergic diseases in the offspring." Doctoral thesis, Linköpings universitet, Institutionen för klinisk och experimentell medicin, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-106220.
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Background: Pregnancy and allergic disease have both been postulated as T-helper 2 (Th2) phenomena. Thus, the increased propensity of allergic mothers to mount Th2-responses might generate favourable effects on the maintenance of pregnancy, but might also be unfavorable, as fetal exposure to a strong Th2 environment could influence the immune development in the offspring to a Th2-like phenotype, favouring IgE production and possibly allergy development later in life. The influence of the intrauterine environment on the immunity and allergy development in the offspring needs to be further investigated. Aim: The aim of this thesis was to explore the Th1/Th2 balance in allergic and non-allergic women during pregnancy and its influence on the shaping of the Th1/Th2 profile in the neonate and the development of allergic diseases in the offspring. Material and methods: The study group included 20 women with and 36 women without allergic symptoms followed during pregnancy (gestational week 10-12, 15-16, 25, 35, 39) and 2 and 12 months postpartum, and their children followed from birth to 6 years of age. The circulating Th1-like chemokines CXCL9, CXCL10, CXCL11, Th2-like chemokines CCL17, CCL18 and CCL22, and the allergen-induced secretion of interleukin-4 (IL-4), IL-5, IL-10, IL-13, Interferon-γ (IFN-γ), CXCL10 and CCL17 were measured by Luminex and ELISA. The allergen-specific and total IgE levels were quantified using ImmunoCAP Technology. mRNA expression of Th1-, Th2-, Treg- and Th17-associated genes were measured by PCR arrays and real-time PCR. Results: We found that sensitised women with allergic symptoms had increased total IgE levels and birch- and cat-induced IL-5, IL-13 and CCL17 responses during pregnancy as compared with postpartum. The non-sensitised women without allergic symptoms had elevated cat-induced IL-5 and IL-13 responses and lower birch- and cat-induced IFN-γ during pregnancy, but similar IgE levels as compared with postpartum. Maternal total IgE levels during and after pregnancy correlated with cord blood (CB) IgE and CCL22 levels (regardless of maternal allergy status). Circulating CXCL11, CCL18 and CCL22 levels during pregnancy and postpartum correlated with the corresponding chemokine levels in the offspring at various time points during childhood. Maternal IL-5 expression in peripheral blood mononuclear cells (PBMC) was associated with neonatal Galectin-1, and placental p35 expression was negatively associated with neonatal Tbx21 expression. Increased mRNA expression of CCL22 in cord blood mononuclear cells (CBMC), and increased CCL17 and CCL22 levels in CB were observed in children later developing allergic symptoms and sensitisation as compared with children who did not. Development of allergic symptoms and sensitisation were associated with increased total IgE, CCL17, CCL18 and CCL22 levels during childhood. Conclusions: Maternal allergy was associated with a pronounced Th2 deviation during pregnancy, shown as increased total IgE levels and birch- and cat-induced IL-5, IL-13 and CCL17 responses during pregnancy, possibly exposing their fetuses to a particular strong Th2 environment during gestation. Correlations were shown between the maternal immunity during pregnancy and the offspring’s immunity at birth and later during childhood, indicating an interplay between the maternal and fetal immunity. Allergy development during the first 6 years of life was associated with a marked Th2 deviation at birth and a delayed down-regulation of this Th2-skewed immunity during childhood.
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Olaiya, Samuel Tunde. "Medical cost savings attributable to comprehensive sex education programs that delay coitus and increase condom use among adolescents in the United States." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1135888323.
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Psaros, Christina Geller Pamela A. "Psychological processes involved in adherence to art and prenatal care utilization among HIV infected, pregnant women /." Philadelphia, Pa. : Drexel University, 2008. http://hdl.handle.net/1860/2808.
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Rodrigues, Leonardo Correa de Oliveira. "Interação da gestação na atividade da doença inflamatória intestinal e sua influência sobre o prognóstico gestacional e na fecundidade." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/5/5154/tde-08122009-173713/.
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INTRODUÇÃO: A maioria das mulheres que desenvolvem doença inflamatória intestinal (DII) encontra-se em idade fértil, despertando preocupação dos médicos e mulheres no entendimento desta interação. Avaliamos a influência da DII sobre a fecundidade e gestação e vice- versa. MÉTODOS: Os protocolos de pacientes com doença de Crohn (DC) e retocolite ulcerativa (RC), de 1984 a 2006, em idade fértil, cadastrados no ambulatório de DII, foram revisados. Pacientes foram entrevistados para preenchimento de dados não encontrados nos protocolos. Outros tipos de colites, investigação incompleta, pacientes que não estavam em idade fértil ou sem capacidade cognitiva foram excluídos. Prematuridade, baixo peso ao nascer, anomalias congênitas, natimortalidade, abortamentos, tipos de partos, localização da doença na gestante e uso de medicamentos durante a gestação foram investigados. O método estatístico adotado foi o teste de qui- quadrado e Fisher, com nível de significância de 5%. Nenhum paciente se recusou a participar desta pesquisa. RESULTADOS: 140 gestações em 104 pacientes com DII foram avaliados (RC em 63 gestações e DC em 77). Houve redução da fecundidade após o início dos sintomas relacionados à DII em 41,6%, com influência da doença sobre a opção de não ter filhos em 20,6% (10,3% dos pacientes por medo da doença; 6,5% por orientação médica e 2,2% por más condições clínicas), sem diferenças entre DC e RC. A grande maioria não quis engravidar por já ter filhos, por ser solteira ou estar ter baixa idade (53,3%). A atividade da RC não foi alterada durante a gestação na maioria das pacientes (77,8%; p>0,003). A atividade da doença melhorou durante a gestação mais nas gestantes com DC do que nas com RC (p>0.0007). A incidência de prematuros, baixo peso ao nascer e natimortos foi maior quando todo o cólon estava acometido na RC (p < 0.037). A proporção estimada de prematuros e baixos pesos ao nascer foi de 83,3% [IC 95%: 10,3%; 100,0%]. Não houve diferença estatística quanto à localização da doença e alterações do feto na DC (p > 0,6513). Em 21 gestantes foram administrados aminossalicilatos e em 15, corticosteróides. Em 106 gestações, nenhum medicamento foi administrado. Não houve maior taxa de alterações do concepto quando aminossalicilatos ou corticosteróides foram administrados às gestantes com DII (p > 0,17 and p > 0,1585, respectivamente). CONCLUSÃO: A DII não influenciou diretamente na fecundidade na grande maioria das pacientes. A gestação influenciou positivamente a evolução da DC, independente do uso de medicamentos. A taxa de prematuridade foi maior nas proles de mães com DC. Houve maior taxa de proles com alterações quando todo o cólon estava comprometido na mãe com RC. A DC influenciou o tipo de parto, apenas nos casos de doença perianal extensa associada à doença colônica.INTRODUCTION: Most of women that develops inflammatory bowel disease (IBD) are in fertile age, concerning doctors and patients to understand this interaction. We evaluated the influence of IBD on fecundity and pregnancy and vice- versa. METHODS: the protocols of patients with Crohns disease (CD) and ulcerative colitis (UC), from 1984 and 2006, in fertile age, followed at the outpatient clinic were reviewed. Patients were interviewed by the research medical doctor, to complete missing data not found in their protocols. Patients with others colitis, incomplete investigation, not in fertile age or without cognitive capacity were excluded from this study. Preterm delivery, low birth weight, congenital anomalies, stillbirth, miscarriages, types of delivery, disease topography in pregnant patients and drug administration during pregnancy were investigated. The statistic method adopted was the chi-square and Fisher test, with significance level of 5%. No patient refused to participate in this study. RESULTS: 140 pregnancies in 104 patients with IBD were evaluated (UC in 63 and CD in 77 pregnancies). : a reduction of 41.6% in fecundity was observed after beginning of symptoms related to IBD, with influence of the disease in 20.6% (10.3% of patients didnt want to have children because of fear related to disease; 6.5% because of medical orientation and 2.2% for poor medical conditions). There was no difference between CD and UC. Most of patients didnt want to become pregnant because they already had children, were underage or alone (53.3%) Most of pregnancies didnt altered clinic conditions in UC patients (77.8% / p=0.003). Clinical conditions improved during pregnancies more in CD patients than UC patients (p=0.0007). The incidence of preterm delivery, low birth weight and stillbirth was higher when the whole colon was affected in UC (p < 0.037). The estimated rate of preterm delivery low birth weight was 83.3%[IC 95%: 10.29%; 100.00%]. There was no statistic difference between the disease topography and the fetus alteration in CD (p > 0.6513). In twentyone and fifteen pregnant women, aminosalicilates and corticosteroids were administered, respectively. In 106 pregnancies, no drugs were administered. There were no higher rates of fetus alteration when aminosalicilates or corticosteroids were administered to mothers with IBD (p > 0.17 and p > 0.1585, respectively). Conclusions: IBD didn´t have any direct influence on fecundity in most of the patients. Pregnancy influenced positively on CD evolution, independently of drug use. The preterm birth rate was higher in children of mothers with CD. There were higher rates of fetus alteration when the whole colon was affected in mothers with UC. CD influenced the type of delivery only when perianal disease was associated to colonic disease.
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Kloppenburg, Jessica. "Prevalence and Outcomes of Hypertension in Pregnancy in Non-Metropolitan and Metropolitan Communities." eScholarship@UMMS, 2021. https://escholarship.umassmed.edu/gsbs_diss/1128.
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Background: Hypertension during pregnancy is a leading cause of birthing parent mortality and adverse pregnancy outcomes. Since non-metropolitan communities face higher rates of several risk factors for hypertension in pregnancy and shortages in obstetrical services, persons residing in non-metropolitan areas may be at increased risk for adverse outcomes compared to those living in metropolitan areas. Our study objectives were to examine by county of birthing parent residence (1) the prevalence of chronic hypertension (cHTN) and hypertensive disorders of pregnancy (HDP), and (2) the prevalence of adverse birthing parent and neonatal outcomes associated with hypertension.
Methods: Using U.S. birth certificate data from 2016 to 2018, we described the prevalence of cHTN and HDP and the association of each with several birthing parent and neonatal outcomes, stratified by non-metropolitan versus metropolitan county of birthing parent residence. Multivariable Poisson regression models were used to calculate adjusted prevalence ratios for birthing parent and neonatal outcomes among individuals with cHTN or HDP who lived in non-metropolitan versus metropolitan U.S. counties.
Results: The prevalence of cHTN and HDP for US live births was 2.2% and 7.4%, respectively, among non-metropolitan pregnant individuals and 1.8% and 6.6%, respectively, among metropolitan pregnant individuals. After adjusting for several sociodemographic characteristics among those with HDP, the prevalence ratio for an APGAR score < 7 at 5 minutes (aPR 1.34, 95% CI 1.29-1.38) and neonatal death (aPR 1.36, 95% CI 1.15-1.62) was increased among offspring born to women who resided in non-metropolitan counties. Similar results were seen among those with cHTN.
Conclusion: The prevalence of cHTN and HDP is modestly more prevalent in non-metropolitan areas, but most pregnancy outcomes were similar among those residing in non-metropolitan areas compared to metropolitan areas. Further research should investigate the robustness of these findings using alternate definitions of rural and urban areas and the possible link between low APGAR score, low NICU admission, and neonatal death in non-metropolitan counties.
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Meyer, Justin M. "A program evaluation of Planned Parenthood Teen Council." Menomonie, WI : University of Wisconsin--Stout, 2006. http://www.uwstout.edu/lib/thesis/2006/2006meyerj.pdf.
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Lonczak, Heather Suzanne. "An examination of the long-term effects of the Seattle Social Development Project on sexual behavior and the related outcomes, and of the consequences of adolescent motherhood /." Thesis, Connect to this title online; UW restricted, 1999. http://hdl.handle.net/1773/7570.
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Rahman, Anisur. "Prenatal Arsenic Exposure and Consequences for Pregnancy Outcome and Infant Health : Epidemiological Studies in Bangladesh." Doctoral thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-100770.
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The aim of this thesis was to analyse possible effects of prenatal arsenic exposure on foetal and infant health. The setting is Bangladesh, where two cohorts were studied, both part of a health and demographic surveillance system in Matlab. A historical cohort 1991-2000 included 29,134 pregnant women with information on drinking water sources and arsenic testing of tube well water. A prospective cohort study included pregnant women 2002 - 2003 where urinary arsenic concentrations were assessed twice during pregnancy; 2,924 women and their pregnancy outcomes were evaluated for foetal loss, perinatal and infant mortality; 1,578 mother-infant pairs were analysed for size at birth; and 1,552 were analysed for morbidity during infancy. Women exposed to arsenic levels ≥ 50 µg/L in water had an increased risk of foetal loss and infant death in comparison with women exposed to arsenic levels < 50 µg/L. These findings were confirmed in the prospective cohort study. Women with urine arsenic concentrations at the 5th quintile had 62% increased risk of spontaneous abortion (OR 1.62, 95% CI 1.04 - 2.55) in comparison with women who had arsenic concentrations at the 1st quintile level. Increased risks of perinatal morality (RR 3.01, 95% CI 1.07 - 8.45) and infant mortality (RR 5.01; 95% CI: 1.41 - 17.84) were also observed at the 5th quintile of exposure. Significant negative dose-effect associations were found between arsenic exposure and birth weight, head and chest circumferences at a relatively low level of exposure (<100 µg/L in urine). In this range of exposure birth weight decreased by 1.68 g (SE 0.62) for each 1 µg/L increase of arsenic in urine. In comparison with exposure at the 1st quintile level the risk of lower respiratory tract infection was significantly increased (RR 1.68, 95% CI 1.35-2.07) for women who had urinary arsenic concentrations at the 5th quintile level. The risk was also increased for diarrhoeal diseases. The study findings highlight the negative effects of arsenic exposures on pregnancy outcomes and infant health. Mitigation programs need to be strengthened and women of reproductive ages should be prioritized in arsenic affected regions worldwide.
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Lundgren, Ingela. "Releasing and relieving encounters : Experiences of pregnancy and childbirth." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2002. http://publications.uu.se/theses/91-554-5292-2/.
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Andersson, Liselott. "Implications of psychiatric disorders during pregnancy and the postpartum period - A population-based study." Doctoral thesis, Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-369.
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Sianangama, Pharaoh Collins. "Effects of human chorionic gonadotropin administration at various times following breeding on corpus luteum number, diameter, progesterone profiles and pregnancy rates in dairy cattle." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28745.
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Corpus luteum (CL) dysfunction has been implicated among various factors predisposing early embryonic mortality in cattle. Two experiments were conducted to evaluate the efficacy of using human chorionic gonadotropin (hCG) given either at the time of breeding (day 0) , day 7 or 14 post breeding, in reducing that component of early embryonic mortality caused by CL dysfunction. The aims of experiment 1 were to investigate the effectiveness of using hCG, in inducing the development of accessory CL, their formation and growth, and the effect of such treatments on the function of both the induced and spontaneous CL.
Thirty-four lactating Holstein cows were randomly assigned to one of four treatments. A single intramuscular injection of 1000 IU of hCG was given either at the time of breeding (day 0, n=8), day 7 (n=9) or 14 (n=9) post breeding or no hCG given (control, n=8). A real-time ultrasound machine was used to study follicular dynamics and CL growth. The CL and antral follicle diameter was determined using a built-in system of calibrated callipers. Ultrasound scanning was carried out on days 7, 9, 11, 14, 16, 18, 21, 28, 35 and 42 post breeding. Blood and milk samples, for progesterone (P₄) determination using radioimmunoassay, were collected on days coincident with ultrasonography. Diameter of the CL is presented as the sum of the diameter of all luteal tissue in each animal. Differences in CL diameter, milk and plasma P₄ were analyzed using the General Linear Models Procedures while pregnancy data were analyzed using Chi-Square analysis in Statistical Analysis Systems (SAS, version 6.3).
Based on the day 7 ultrasound scanning, the incidence of twin ovulations was higher among cows treated on day 0 (3/8) compared to control cows (1/8) and day 7 (1/9). Accessory CL were detected in 7/9 of the day 7-treated cows compared to 4/9 among the day-14 treated cows. Least squares means (LSMeans) for CL diameter were significantly higher (P<0.001) among cows treated with hCG compared to control cows starting at day 7 continually until day 42. Plasma P₄ profiles were significantly higher (P<0.05), at days 18, 35 and 42, in cows treated on day 7 or 14 compared to control cows. The first detectable differences (P<0.05) between hCG treated and control cows, in milk P₄ occurred at day 21 and persisted until day 42. Pregnancy rates were highest among cows treated with hCG on day 7 where 6 of the 9 cows were diagnosed pregnant. Corresponding pregnancy rates for day 0, 14 or control cows, were 4/8, 5/9 and 3/8, respectively.
In the second experiment, two trials were conducted at two different farms to investigate the efficacy of using hCG to increase milk P₄ and pregnancy rates. In trial one, 79 lactating Holstein cows were exposed to the treatment protocol described in experiment 1. In addition to the milk sample collection schedule given in experiment 1, a sample was collected on day 0. Milk samples were stored at 4°C and later transported to the UBC laboratories for P₄ analysis. LSMeans for milk P₄ concentrations were different only at days 16 and 18 post breeding. Pregnancy rates were improved (P<0.01) by hCG treatments. The respective pregnancy rates for cows receiving hCG on day 0 (n=20), 7 (n=20), 14 (n=20) or control (n=19) were 25, 35, 35 and 21 %.
In the second trial, 121 lactating Holstein cows were randomly assigned to treatments as described earlier. Weekly milk samples were collected from each animal and assayed for P₄ as described above. LSMeans for milk P₄ were significantly different (P<0.05) among groups starting at day 14 until day 42 post breeding. hCG increased pregnancy rates over control cows. The pregnancy rates for cows treated on day 0, 7, 14 and control were 31, 50, 41 and 26 %, respectively.
In conclusion, this study revealed that treatment with hCG induced accessory CL development, increased P₄ production and improved pregnancy rates. It is evident, too, that treatment with hCG on day 7 post breeding may have greater potential for improving pregnancy rates not only in dairy and beef cattle but equally beneficial to the embryo transfer programmes. Increased pregnancy rates confirm the hypothesis that CL dysfunction does cost the livestock industry appreciable losses in embryos.Land and Food Systems, Faculty of
Graduate
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Graner, Sophie. "Reproductive outcomes in rural Vietnam. Perspectives and experiences by pregnant women and health care professionals on pregnancy promotion and maternal health care." Doctoral thesis, Umeå universitet, Obstetrik och gynekologi, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-37266.
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Background Reproductive health and health events associated with pregnancy including induced abortions are among the most important factors for the health of fertile women. Adverse outcomes have an impact on women’s reproductive health and their overall health as well as the health of their offspring. Pregnancy and child bearing take place within a cultural context. Risk factors for adverse pregnancy outcomes depend on factors both associated with the individual woman as well as contextual factors. Aims This thesis investigates reproductive health indicators and their determinants for women in a rural district in Vietnam with special focus on adverse pregnancy outcomes and their determinants. In addition, this thesis explores the perspectives and experiences among pregnant women and health care professionals on maternal health care in Vietnam and risks during pregnancy and delivery. Methods The studies used quantitative and qualitative methods. In the quantitative studies a total of 4,396 women reporting 5,838 pregnancies, and 5,521 infants were included. Parametric and non parametric tests and univariate and multivariate logistic regression analysis was performed. For the estimation of small for gestational age a population-specific reference curve was constructed based on the mean birth weight at term in the study population. In the qualitative studies data were collected from eight focus group discussions, four with pregnant women and four with health care professionals. Manifest and latent content analysis was applied. Main findings Women belonging to an ethnic minority or women giving birth at home were at increased risk of stillbirth. The risk of induced abortion increased with maternal age. Neonatal mortality was estimated to 11.6 per 1000 live births and perinatal mortality to 25.0 per 1000 births. The prevalence of small for gestational age was estimated to 6.4%. Risk factors for small for gestational age included women in farming occupations and post-term birth. There was a marked decrease in perinatal mortality after 33 weeks of gestation. Contextual conditions influenced both pregnant women’s use of maternal health care and the performance of the health care professionals. The use of maternal health care was influenced by economical conditions as well as cultural norms that impeded women’s autonomy. Structural constraints included inadequate financing of the health system, including lack of staff, insufficient professional re-training, and inadequate equipment. Pregnant women in rural Vietnam created a strategy to promote a healthy pregnancy through lifestyle adjustments, gathering of information, and seeking timely medical care. Insights in pregnancy-related conditions were sought from various sources and were influenced both by Vietnamese traditions and modern medical knowledge. Conclusions Knowledge about pregnancy complications and their related signs and symptoms, and a high confidence in the maternal health care probably contribute to the relatively good maternal health status and pregnancy outcomes in Vietnam. To improve perinatal and neonatal outcomes there is a need to ensure access for all pregnant women to delivery units with surgical capacity in case of an obstetrical emergency. Also, a higher proportion of premature infants need to be born at units with access to neonatal care. This may be achieved by an improved system for referral including capacity of medical care during transportation. Other desirable improvements include antenatal identification of small for gestational age foetuses. In our study the induced abortion rate increased with maternal age and was highest among married women, indicating that induced abortions may be used as a method for family planning. The cultural norms in Vietnam limit women’s autonomy and reduce their possibility to make independent decisions about their reproductive health. Our studies emphasize the importance of adequate access for all women to maternal health care adjusted for their individual needs. A better understanding is needed of context-specific factors that influence couples’ choice of family planning methods, place of birth, and maternal health care. The communication between pregnant women and health care professionals needs further investigation. This knowledge is essential in order to develop reproductive health services that are accessible, acceptable and affordable to all.
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Xavier, Maria José Pinto Barreira Rego de Sousa. "Rastreio combinado do 1º trimestre e doenças autoimunes : Impacto das variaveis pré-analíticas na avaliação do risco." Doctoral thesis, Faculdade de Ciências Médicas, 2014. http://hdl.handle.net/10362/12156.
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RESUMO: Contexto: As anomalias congénitas, com particular destaque para as neuploidias , afectam aproximadamente 2% dos recém-nascidos, constituindo causas frequentes de morbilidade e mortalidade. Actualmente, a avaliação do grau de risco para as aneuploidias mais prevalentes
(T21, T13, T18) é efectuada através do “Rastreio Combinado do 1º Trimestre”, devendo as grávidas com risco acrescido ser sujeitas a exames invasivos (ex.biópsia das vilosidades coriónicas,amniocentese). Quanto mais qualidade existir num rastreio, menos falsos positivos existirão e menor o número de exames diagnósticos invasivos desnecessários.
As doenças autoimunes são doenças inflamatórias crónicas em cuja fisiopatologia se encontram distúrbios da imunidade humoral e celular, dependentes de factores genéticos, hormonais,psicológicos e ambientais. Atingem mais o sexo feminino e durante a idade fértil,podendo influenciar o outcome da gravidez e a saúde neonatal causando significativa morbilidade
e mortalidade. O lúpus eritematoso sistémico para além de potencialmente afectado
pelas alterações imunoendócrinas fisiológicas da gravidez, associa-se frequentemente a problemas de fertilidade. Recentemente, foi sugerido que as anormalidades ocorridas durante a invasão precoce do sinciciotrofoblasto, resultando em deficiente diferenciação, deficiente
maturação e diminuição na produção de hCG, poderão ser o mecanismo fisiopatológico
primário para as perdas fetais no primeiro trimestre, nos doentes com SLE.
A ocorrência de níveis elevados de hCG total e ß-hCG livre no rastreio para despiste de síndrome de Down do segundo e do primeiro trimestre foi assinalada em grávidas portadoras de lúpus, mas a escassez de estudos comprovativos e a pequena dimensão das amostras estudadas constituiu uma limitação significativa na fidedignidade dos resultados obtidos.
Objectivos: O estudo teve como objectivos i. estabelecer valores normativos Portugueses e
de distribuição para as MoM’s dos parâmetros séricos do primeiro trimestre, por semana de
gestação:(PAPP-A e ß-hCG livre), ii. avaliar a influência que as doenças autoimunes têm sobre as MoM’s individuais dos parâmetros bioquímicos PAPP-A e/ou ß-hCG livre, utilizados no rastreio pré-natal combinado do 1º trimestre, e iii. saber se as doenças autoimunes podem condicionar um aumento da taxa de resultados falsos positivos, com consequente aumento do número de amniocenteses. Metodologia: Estudo longitudinal prospectivo, consistindo num rastreio pré-natal combinado de 1º trimestre para pesquisa de aneuploidias, em duas amostras provenientes do Reino Unido (n= 45,854) e de Portugal (n=3122). Foram avaliados parâmetros socio-demográficos,
ecográficos, laboratoriais, e calculados os indicadores de desempenho do rastreio combinado.
A execução analítica dos testes bioquímicos séricos (PAPP-A e ß-hCG livre) foi realizada no autoanalisador Brahms Kryptor e no autoanalizador 6000 Delfia Xpress. Compararam-se os grupos autoimune e não autoimune das amostras.
Resultados: Relativamente às características populacionais, o grupo auto imune tinha valores significativamente superiores nas variáveis idade materna e idade gestacional. Comparando os grupos com e sem doença autoimune, constatou-se a existência de uma elevação das MoM’s da ß-hCG livre nas grávidas com doença autoimune, nomeadamente nos casos de lúpus eritematoso sistémico.
Conclusões: os resultado obtidos reforçam a indicação do rastreio combinado do 1º trimestre certificado pela FMF nas grávidas com doenças autoimunes, nomeadamente para
as doentes com LES; no entanto, devem ser calculados e introduzidos factores de correcção no algoritmo de risco, de modo a evitar a subida no número de resultados falso-positivos, e consequentemente a sobre- utilização de métodos invasivos.------------ ABSTRACT: Context: Congenital anomalies, with particular reference to aneuploidias, affect approximately 2% of newborns, and are frequent causes of morbidity and mortality. Currently, the risk evaluation for the most prevalent aneuploidias (T21, T13, T18) is carried out through the “combined first trimester screening”, and pregnant women with increased risk are subjected
to invasive tests (e.g. villus biopsy done, amniocentesis). The more quality exists in a screening, less false positives exists and fewer unnecessary invasive diagnostic exams. Autoimmune diseases are chronic inflammatory diseases in whose pathophysiology are immune humoral and cellular disorders, dependent on genetic factors, hormonal, psychological and environmental factors. The disease is more prevalent among females, during the child-bearing age, and may influence the outcome of pregnancy and neonatal health causing significant morbidity and mortality. Lupus Erythematosus in addition to potentially affected by immunoendocrine physiological changes of pregnancy, is often associated with fertility problems.
Recently, it has been suggested that the abnormalities that occurred during the early invasion of the syncytiotrophoblast, resulting in insufficient differentiation, deficient maturation and decrease in production of hCG may be the primary pathophysiological mechanism for fetal losses in the first quarter, in patients with SLE. The occurrence of elevated levels of total hCG and free ß-hCG in screening for Down’s syndrome of the second and first trimester was reported in pregnant women with lupus, but the paucity of supporting studies and the small size of the samples studied constituted a significant limitation on the trustworthiness of the results obtained.
Objectives: this study aims to i. establish normative values for the serum parameters MoM’s (PAPP-A and free β-hCG) and it’s distribution, in the first trimester, by week of pregnancy; ii. assess the influence that the autoimmune diseases have on the MoM’s of individual biochemical
PAPP-A and/or β-hCG, used in antenatal screening combined for the first trimester,
and iii. whether the autoimmune diseases may make an increased rate of false positives, with consequent increase in the number of amniocenteses.Methodology: Prospective longitudinal study, consisting of a combined first trimester antenatal screening for aneuploidies lookup in two samples from the United Kingdom (n=45.854) and Portugal (n= 3.122). Socio-demographic, echographic and laboratory parameters were evaluated, and combined screening performance indicators were calculated. The analytical run of serum biochemical tests (PAPP-A and ß-hCG) was held at the Brahms Kryptor and in Delfia Xpress 6000. Comparisons between autoimmune group and non-autoimmune group were made.
Results: Relating to population characteristics, the autoimmune group had significantly diferente values in the variables maternal age and gestational age. Comparing the groups with and without autoimmune disease, it was noted that there is an elevation of the MoM’s of free
ß-hCG levels in pregnant women with autoimmune disease, particularly in cases of systemic lupus erythematosus.
Conclusions: The results obtained reinforce the indication of FMF certified combined
screening in pregnant women with autoimmune diseases, notably to the patients with SLE;
However, correction factors should be calculated and entered in the risk algorithm, in order to avoid the rise in the number of false positive results, and consequently the over-use of invasive methods.
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Clausson, Britt. "Risk factors and adverse pregnancy outcomes in small-for-gestational-age births." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2000. http://publications.uu.se/theses/91-554-4858-5/.
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Wang, Yiqun. "Comparative fatty acid status of population groups from inland, lake/river and coastal regions of China : implications for pregnancy and non-communicable diseases." Thesis, London Metropolitan University, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.536741.
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Männistö, T. (Tuija). "Maternal thyroid function during pregnancy:effects on pregnancy, peri- and neonatal outcome and on later maternal health." Doctoral thesis, Oulun yliopisto, 2011. http://urn.fi/urn:isbn:9789514294037.
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Abstract Maternal thyroid dysfunction and/or antibodies are present in 5–10% of pregnancies and may be associated with increased risks of adverse pregnancy and perinatal outcomes. In the present study maternal thyroid function and antibody status in the Northern Finland Birth Cohort 1986 was analyzed using early pregnancy serum samples. The impact of long-term storage on the stability of thyroid hormones and antibodies was studied and while TSH and thyroid hormone levels were not affected by storage time the concentrations of thyroid antibodies appeared to be significantly increased after 10 years of storage. Normal maternal thyroid function was evaluated by calculating thyroid hormone reference intervals in the thyroid antibody-negative population using a biobank of stored serum samples. Thyrotropin, free thyroxine and triiodothyronine reference intervals in the first and second trimester were 0.07–3.1 mU/L and 0.10–3.5 mU/L, 11.4–22.4 pmol/L and 11–18.9 pmol/L; and 3.4–7.0 pmol/L and 3.5–7.3 pmol/L, respectively, in this population (Abbott Architect method). Compared with thyroid antibody-negative mothers, antibody-positive mothers had significantly higher TSH and lower fT4 concentrations and an increased risk of experiencing death of an infant in the perinatal period with odds ratios (ORs) of 3.1 (95% confidence interval 1.4–7.1) for thyroid-peroxidase and OR 2.6 (1.1–6.2) for thyroglobulin antibody positivity. These infants were more often born very preterm, which could possibly explain these increased risks. Positive thyroid antibody status was not associated with preterm birth in this study. No other major pregnancy or perinatal complications were observed among mothers or newborns of mothers with thyroid dysfunction/antibodies. Mothers, who had hypothyroidism or thyroid antibodies during pregnancy, had a very high risk of subsequent thyroid disease: hazard ratio (HR) 17.7 (7.8–40.6) for overt hypothyroidism, 4.2 (2.3–7.4) for thyroid-peroxidase and 3.3 (1.9–6.0) for thyroglobulin antibody positivity. Mothers with hypothyroidism during pregnancy had increased risk of subsequent diabetes, (HR 6.0 [2.2–16.4]). Women at risk of thyroid dysfunction should be recognized and their prepregnancy counseling, blood sampling and treatment is probably beneficial. Whether universal screening of all pregnant women is justified is still under debateTiivistelmä Kilpirauhasen toimintahäiriö tai ainoastaan kilpirauhasvasta-aineita (tyreoideaperoksidaasi- tai tyreoglobuliinivasta-aineita) esiintyy 5–10 % raskaana olevista naisista ja ne mahdollisesti lisäävät riskiä raskausajan ja vastasyntyneisyyskauden ongelmiin. Tässä väitöskirjatyössä tutkittiin Pohjois-Suomen syntymäkohorttia vuodelta 1985–1986. Äitien kilpirauhasen toimintaa tutkittiin alkuraskauden verinäytteiden avulla. Selvitimme pitkäaikaisen (20 vuotta) pakkassäilytyksen vaikutusta kilpirauhaslaboratoriokokeisiin. Tutkimuksessamme pakkassäilytyksellä ei ollut vaikutusta kilpirauhashormonien pitoisuuksiin, mutta kilpirauhasvasta-aineiden pitoisuudet olivat merkittävästi lähtötasoa korkeampia 10 säilytysvuoden jälkeen. Äitien normaali kilpirauhasen toiminta arvioitiin laskemalla aineistosta kilpirauhashormonien viitevälit kilpirauhasvasta-ainenegatiivisille naisille raskauden ensimmäiselle ja toiselle kolmannekselle käyttäen Abbott Architect metodia. Viitearvot olivat: tyreotropiinille 0.07–3.1 mU/l ja 0.10–3.5 mU/l, vapaalle tyroksiinille 11.4–22.4 ja 11–18.9 pmol/l sekä vapaalle trijodotyroniinille 3.4–7.0 ja 3.5–7.3 pmol/l. Äidin kilpirauhasen toimintahäiriöt eivät liittyneet vaikeisiin raskausajan tai vastasyntyneisyyskauden ongelmien, kuten ennenaikaisuuden ja kohtukuolemien esiintymiseen. Äidin kilpirauhasvasta-aineiden esiintyminen, mikä osoittaa kroonista autoimmuunityreoidiittia, lisäsi riskiä lapsen kohtukuolemaan ja ensimmäisen elinviikon kuolemaan; riski oli jopa kolminkertainen tyreoideaperoksidaasivasta-ainepositiivisten äitien vastasyntyneillä. Nämä vastasyntyneet olivat usein syntyneet hyvin ennenaikaisina (ennen 28. raskausviikkoa), mikä voi selittää tätä riskiä. Äidin kilpirauhasvasta-aineet eivät kuitenkaan lisänneet ennenaikaisten synnytysten riskiä tässä tutkimuksessa. Äideillä, joilla oli todettu kilpirauhasen vajaatoiminta tai kilpirauhasvasta-aineita, itsellään oli korkea, jopa 17-kertainen, riski sairastua myöhempiin kilpirauhasen sairauksiin, ja kilpirauhasen vajaatoiminta kuusinkertaisti sokeritautiin sairastumisriskin. Olisi tärkeää tunnistaa jo ennen raskautta ne naiset, joilla on riski sairastua kilpirauhasen vajaatoimintaan. Raskauden aikaisesta yleisestä seulonnasta ei vielä ole yksimielisyyttä
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Burton, LizaJoy. "Snail-Cathepsin L Signaling in Human Breast and Prostate Cancers." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2017. http://digitalcommons.auctr.edu/cauetds/60.
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Prostate and breast cancer are the leading causes of cancer-related death in men and women, respectively, and metastasis is the primary factor underlying the high mortality rates.1 Snail transcription factor is an important molecule that drives prostate and breast cancer metastasis through the process of epithelial mesenchymal transition (EMT). Proteolytic enzymes that promote invasion and metastasis such as the lysosomal cysteine protease cathepsin L (Cat L) have been shown to degrade E-cadherin, promoting the epithelial mesenchymal transition (EMT).2 It has also been shown that silencing Cat L can inhibit transforming growth factor-beta (TGF-β)-mediated EMT by suppressing Snail transcription factor.3 Several recent studies have highlighted an additional unexpected localization and site of action for Cat L within the nucleus in breast, colon and prostate cancer.4 Natural products have been shown to be efficacious in prevention and possible treatment of cancer.5 Specifically, we have been studying Muscadine Grape Skin Extract (MSKE) as a possible candidate to inhibit Snail signaling. MSKE has previously been shown to promote prostate cancer apoptosis.6 We hypothesized that Snail promotes nuclear localization of Cat L, which promotes EMT associated with increased migration and invasion, and that antagonizing Snail-Cat L signaling would lead to mesenchymal epithelial transition (MET). We showed for the first time that MSKE promotes apoptosis through induction of endoplasmic reticulum stress response and autophagy. Additionally, MSKE could inhibit Snail-mediated EMT via scavenging reactive oxygen species. Moreover, Snail could promote nuclear localization of Cat L, which then promoted cleavage of CDP/Cux, increased Snail transcription and decreased E-cadherin transcription by direct promoter binding of cleaved CDP/Cux, leading to EMT associated with increased migration and invasion. Interestingly, Z-FY-CHO, a small molecule specific inhibitor of Cat L, as well as MSKE could antagonize this signaling by promoting nuclear to cytoplasmic re-localization of Cat L. Therefore, we have dissected novel mechanisms of action of Snail and how it can be antagonized by MSKE natural product.
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Majoko, Franz. "Assessing Antenatal Care in Rural Zimbabwe." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6018.
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Larsson, Christer. "Pathobiology of African relapsing fever Borrelia." Doctoral thesis, Umeå : Univ, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1452.
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Santos, Pâmela Antoniazzi dos. "Prevalência de diabetes mellitus gestacional e fatores de risco associados em população do sistema único de saúde." reponame:Repositório Institucional da UCS, 2018. https://repositorio.ucs.br/11338/3939.
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Muehlenbachs, Atis. "Maternal-fetal conflict during placental malaria : hypertension, trophoblast sVEGFR1 expression and maternal inflammation /." Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/5104.
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Päkkilä, F. (Fanni). "Thyroid function of mother and child and their impact on the child’s neuropsychological development." Doctoral thesis, Oulun yliopisto, 2016. http://urn.fi/urn:isbn:9789526211268.
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Abstract Maternal gestational thyroid dysfunction has been associated with adverse neuropsychological development in children. This study investigated the effects of maternal thyroid dysfunction in early pregnancy and/or antibodies on the thyroid function and antibody status of children, as well as their association with the offspring’s ADHD symptoms, scholastic performance and sensory development. The study population consisted of the Northern Finland Birth Cohort of 1986. The mothers’ TSH, fT4 and TPO-Ab concentrations were evaluated in early pregnancy and in their offspring at 16 years of age. Data on the mothers and their families, their child’s health, development, behavior and scholastic performance were collected via parental questionnaires conducted in early pregnancy and when the children were 7-8 and 16 years old. Their teachers evaluated the children’s behavior and scholastic performance at 8 years of age, and at 16 years old the adolescents evaluated themselves. Maternal gestational thyroid dysfunction associated with adolescents’ increased odds of having the same thyroid dysfunction type. Adolescents of TPO-Ab-positive mothers had increased odds of being TPO-Ab-positive themselves. TPO-Ab-positive children had increased odds of having thyroid dysfunction. Increasing maternal TSH concentrations increased a child’s odds of having ADHD symptoms (OR 1.4 [95% CI 1.1-1.8]). Children of hypothyroxinemic mothers had increased odds of repeating a class at school (OR 3.5 [1.1-11.5]), and those of hyperthyroid mothers had increased odds of Finnish language learning difficulties (1.6 [1.03-2.4]). Furthermore, thyroid dysfunction in adolescents increased their odds of learning difficulties. No association was observed between maternal thyroid dysfunction and a child’s diagnosed intellectual deficiency and sensory development. Maternal thyroid dysfunction during pregnancy associated with thyroid dysfunction in the offspring. Maternal thyroid dysfunction may have a mild impact on her offspring’s neuropsychological development, but it had no effect on a child’s risk of diagnosed intellectual deficiency or sensory development. Children have compensatory mechanisms for overcoming early developmental thyroid hormone insufficiencies. Randomized trials for screening and treating maternal thyroid dysfunction during pregnancy are needed to evaluate the benefits to offspringTiivistelmä Äidin raskauden aikaiset kilpirauhasen toimintahäiriöt on yhdistetty lapsen neuropsykologisen kehityksen ongelmiin, mutta aiempi tutkimustieto aiheesta on ristiriitaista. Tämän vuoksi tutkimme äidin raskauden ajan kilpirauhasen toimintahäiriöiden ja/tai vasta-aineiden vaikutusta nuoren kilpirauhastoimintaan ja vasta-ainestatukseen, ja näiden molempien vaikutusta lapsen ADHD-oireisiin, koulumenestykseen ja aistien kehitykseen. Tämän väitöskirjatyön aineistona oli väestöpohjainen Pohjois-Suomen syntymäkohortti 1986, johon kuuluu yli 99 % alueen raskaana olevista naisista. Äitien TSH, T4-V ja TPO-Ab – mittaukset tehtiin alkuraskaudessa ja kohortin lasten mittaukset 16-vuotiaana. Molempien kohdalla käytettiin väestöpohjaisia viitevälejä toimintahäiriön määrittämiseksi. Tietoja raskaudesta, äidin ja muun perheen sairastavuudesta, elintavoista ja sosioekonomisista tekijöistä ja lapsen terveydestä, kehityksestä, koulumenestyksestä ja käyttäytymisestä kerättiin kyselylomakkeilla raskauden aikana, 7-8-vuotiaana ja 16-vuotiaana. Myös luokanopettajat arvioivat lapsen koulumenestystä ja käyttäytymistä, ja nuoret itse arvioivat koulumenestystään 16-vuotiaina. Äidin raskauden aikainen kilpirauhasen toimintahäiriö nosti nuoren riskiä saada sama kilpirauhasen toimintahäiriö kuin äidillään. Äidin TPO-vasta-aine-positiivisuus nosti nuoren riskiä vasta-ainepositiivisuuteen. Nuoren positiiviset vasta-ainepitoisuudet nostivat riskiä poikkeaville kilpirauhasarvoille. Äidin nouseva TSH-pitoisuus yhdistyi lapsen suurempaan riskiin saada ADHD oireita 8-vuotiaana, mutta selkeää raja-arvoa sille ei löytynyt. Äidin hypo- tai hypertyreoosi eivät nostaneet lapsen ADHD-oireiden riskiä. Äidin kilpirauhastoimintahäiriöt nostivat hieman nuoren riskiä oppimisvaikeuksille ja luokan kertaamiselle. Myös nuoren oma kilpirauhastoiminta vaikutti vähäisessä määrin oppimiseen ja keskittymiseen. Äidin kilpirauhastoiminnalla ei ollut vaikutusta lapsen matalaan älykkyysosamäärään tai aistien kehitykseen Äidin raskaudenaikainen kilpirauhasen toimintahäiriö vaikutti lapsen neuropsykologiseen kehitykseen lievästi, mutta löydösten kliininen merkitys on vähäinen. Lasten keskushermoston korjaavat mekanismit todennäköisesti kompensoivat varhaiskehityksen kilpirauhashormonien vajetta. Randomoidulla tutkimuksella voitaisiin selvittää, hyötyisivätkö lapset äidin kilpirauhassairauden seulomisesta ja hoitamisesta alkuraskaudessa
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Lönn, Linnea, and Elin Norström. "Unga kvinnors preventivmedelsanvändning och riskbeteende vad gäller könssjukdomar och oönskade graviditeter." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-174147.
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Syfte: Undersöka preventivmedelsanvändning, sexuellt riskbeteende gällande könssjukdomar och oönskade graviditeter samt skillnader i sexuellt riskbeteende mellan olika ursprung, självförtroende och ålder vid sexuell debut hos kvinnor i åldern 14-31 år. Metod: En enkätundersökning, konsekutivt urval, utförd på RFSU-kliniken under år 2011 inkluderade 419 kvinnor. Resultat: Kondom var det vanligaste preventivmedlet vid första samlaget och p-piller var vanligast vid senaste samlaget. Nästan hälften, 48,7 %, hade haft en könssjukdom, klamydia var vanligast. Över hälften, 60,2 %, hade riskerat att få en könssjukdom och 45,6 % hade riskerat att bli oönskat gravid under de senaste tolv månaderna. Den främsta anledningen till detta var på grund av att de struntade i kondom ”i stundens hetta”. Kvinnor som haft sin sexuella debut i yngre ålder angav oftare att de haft en könssjukdom och någon gång under de senaste tolv månaderna riskerat att bli oönskat gravid. Kvinnor som skattat sitt självförtroende som högt struntade oftare i att använda kondom ”i stundens hetta”. Slutsats: Över hälften hade ett sexuellt riskbeteende gällande könssjukdomar och oönskade graviditeter. Kvinnor som hade sin sexuella debut i yngre ålder samt kvinnor som skattade sitt självförtroende högt visade oftare på ett sexuellt riskbeteende. Det fanns ingen signifikant skillnad mellan svenskfödda och utlandsfödda gällande ett sexuellt risktagande.Aim: Investigate contraceptive use, sexual risk behavior regarding sexually transmitted diseases (STD’s) and unwanted pregnancies and examine differences in sexual risk behavior regarding different backgrounds, self-confidence and age at first intercourse in women aged 14-31 years. Method: Consecutive sample including 419 women with a questionnaire, at a RFSU-clinic in Stockholm, 2011. Results: Condoms were most common at first intercourse and oral contraceptives most common at latest intercourse. Almost half had had an STD, Chlamydia the most common. Almost 60 % risked getting STD’s and 45,6 % risked unwanted pregnancies at sometime during the last twelve months. Main reason why participants risked this was because they ignored the condom in “the heat of the moment”. Women who had their first intercourse at a young age more often have had an STD and during the last twelve months risked an unwanted pregnancy. Women with a high self-confidence more often ignored using a condom in “the heat of the moment”. Conclusion: Over half of the participants had a sexual risk behavior regarding STD’s and unwanted pregnancies. Women who had their first intercourse at a young age and women with a high self-confidence showed signs of sexual risk-taking. There’s no significant difference between Swedish born and foreign born participants regarding sexual risk-taking.
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Williamson, Nancy D. "Psychological Responses of Fathers and Mothers to Amniocentesis." Master's thesis, University of Central Florida, 1985. http://digital.library.ucf.edu/cdm/ref/collection/RTD/id/15675.
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University of Central Florida College of Arts and Sciences ThesisAmniocentesis is one of the most widely used prenatal diagnostic techniques for congenital disorders. It was hypothesized that the spychological responses of mothers and fathers to amniocenthesis during high-rish pregnancies would be positively correlated on scales of Symptomatology (Anxiety, Depression, Anger, and Somatic Complaints) and Well-Being (Relaxed, Contented, Friendliness, and Somatic Well-Being). It was also hypothesized that Symptomatology would be negatively correlated with Well-Being. Nineteen couples, who were referred by their physicians, voluntarily participated in the study. Each partner completed the Symptom Questionnaire (Kellner, 1983), a self-rating scale of Symptomatology and Well-Being, in addition to the Pre-Amniocentesis and Post-Amniocentesis Questionnaires (original questionnaires developed for this study) at intervals prior to and following the procedure, while awaiting results. A Pearson product-moment correlation of the total scores revealed a positive correlation (p < 0.5) between the scores of fathers and mothers on the Symptomatology Scale, both pre- and post-amniocentesis (r = .47 and .47). In addition, there was a significant negative correlation (p < .05) between Symptomatolgy and Well-Being scores for both mothers (r = -.55 and -.60) and fathers (r = -.48 and -.74) at the pre- and post-amniocentesis periods, respectively. The hypothesis cannot be completely accepted because the positive correlation does not exist at the post-amniocentesis level. Mothers appear to experience more Symptomatology and less Well-Being than fathers at the post-amniocentesis level. The results are interpreted to suggest that fathers and mothers may both benefit from pre- and post-amniocentesis supportive intervention.
M.S.;
Masters
Arts and Sciences;
Clinical Psychology;
42 p.
vii, 42 leaves, bound : ill. ; 28 cm.
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Knoppers, Sherry M. "Perceptions of invulnerability and adolescent sexual activity." Diss., Connect to online resource - MSU authorized users, 2006.
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Thesis (Ph. D.)--Michigan State University. Dept. of Family and Child Ecology, 2006.Title from PDF t.p. (viewed on June 19, 2009) Includes bibliographical references (p. 140-152). Also issued in print.
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Okonkwo, Beatrice Ihegharauche, and Marissa Louise Sitz. "Influences of alcohol, marijuana, peer pressure, parental or adult supervision, knowledge of STD's/HIV and pregnancy on the initiation of sexual activity." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2509.
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The purpose of the study was to show the variables that influence adolescents' sexual activities that have not been well defined. What leads adolescents to be more sexually active than previous generations? A Survey was conducted at the Fontana Unified School District.
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Massawe, Siriel Nanzia. "Anaemia in women of reproductive age in Tanzania : A study in Dar es Salaam." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2002. http://publications.uu.se/theses/91-554-5308-2/.
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McClain, Melanie A. "Pregnancy and the post-partum period regulate experimental autoimmune encephalomyelitis through immunoregulatory cytokine production." Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1119898792.
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Thesis (Ph. D.)--Ohio State University, 2005.Title from first page of PDF file. Document formatted into pages; contains xv, 95 p.; also includes graphics (some col.) Includes bibliographical references (p. 85-95). Available online via OhioLINK's ETD Center
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Platt, Kristen M. "Impact of Positive and Negative Health Behaviors on Female Mice and/or their Offspring." UKnowledge, 2014. http://uknowledge.uky.edu/pharmacol_etds/8.
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Obesity is an ever-growing concern in the developed world that carries with it a plethora of health issues. For example, obesity increases an individual’s risk for Type 2 Diabetes and cardiovascular disease. Pregnancy is a vital time for a woman to maintain optimal health, both for her own benefit as well as that of her offspring, and yet almost half of women in the United States who are of age to bear children are overweight or obese. In mice, we found that offspring born to dams fed a high fat diet did not have impaired glucose tolerance, contrary to our hypothesis. In addition, we challenged the offspring with a high fat diet, and found no difference in glucose tolerance as a result of maternal diet. Exercise is at the opposite end of the wellness spectrum – individuals who exercise experience many health benefits. Even overweight or obese individuals who exercise without losing weight have improved insulin sensitivity, for example. Studies have previously used voluntary running and found that offspring born to exercised dams have improved glucose tolerance. With the goal of controlling variable running times and distances, we developed a novel model of controlled exercise and have shown that it is a safe intervention that warrants further study. In addition, many individuals choose to take dietary supplements for various reasons. Branched chain amino acids (BCAAs) are a common dietary supplement that have been shown to increase lean mass, and may be implicated in glucose metabolism. We supplemented female mice with BCAAs for 16 weeks and found that exercise plus BCAAs improved body composition compared to sedentary control-diet fed animals, when exercise alone did not. In summary, we herein explore a number of health behaviors in female mice, both negative treatments such as consumption of a high fat diet and positive interventions such as exercise and BCAA supplementation, and the impact that they may have on the female animal and/or her offspring.