22 research outputs found
Diagnostic accuracy of S100B urinary testing at birth in full-term asphyxiated newborns to predict neonatal death.
No full textBACKGROUND: Neonatal death in full-term infants who suffer from perinatal asphyxia (PA) is a major subject of investigation, since few tools exist to predict patients at risk of ominous outcome. We studied the possibility that urine S100B measurement may identify which PA-affected infants are at risk of early postnatal death. METHODOLOGY/PRINCIPAL FINDINGS: In a cross-sectional study between January 1, 2001 and December 1, 2006 we measured S100B protein in urine collected from term infants (n = 132), 60 of whom suffered PA. According to their outcome at 7 days, infants with PA were subsequently classified either as asphyxiated infants complicated by hypoxic ischemic encephalopathy with no ominous outcome (HIE Group; n = 48), or as newborns who died within the first post-natal week (Ominous Outcome Group; n = 12). Routine laboratory variables, cerebral ultrasound, neurological patterns and urine concentrations of S100B protein were determined at first urination and after 24, 48 and 96 hours. The severity of illness in the first 24 hours after birth was measured using the Score for Neonatal Acute Physiology-Perinatal Extension (SNAP-PE). Urine S100B levels were higher from the first urination in the ominous outcome group than in healthy or HIE Groups (p1.0 microg/L S100B had a sensitivity/specificity of 100% for predicting neonatal death. CONCLUSIONS/SIGNIFICANCE: Increased S100B protein urine levels in term newborns suffering PA seem to suggest a higher risk of neonatal death for these infants
The Role of Ecological Chemistry in Pollution Research and Sustainable Development
No full textBruce W. Berdanier (with Mufeed I. Batarseh, Anwar G. Jiries, and Anf H. Ziadat) is a contributing author, Lichens (Punctilia rudecta) as Bioindicators for Air Pollution in Ohio, USA , pp. 149-156.
Book description: Proceedings of the NATO Advanced Research Workshop on The Role of Ecological Chemistry in Pollution Research and Sustainable Development, Chisinau, Moldova, 8-11 October 2008. Series: NATO Science for Peace and Security Series C: Environmental Security
The papers presented in this book demonstrate clearly the role of the processes defining the natural environment’s composition, structure and chemical properties adequate to the biologic value of habitation, the essential impacts of human activity and other related factors on all the environmental compartments, including water, soil and air. The research in ecological chemistry contribute to elimination of these negative impacts, and promote the rational using of natural resources, their qualified management, broader application of environmentally-friendly production technologies, thus leading to pollution reduction and sustainable development.https://digitalcommons.fairfield.edu/engineering-books/1003/thumbnail.jp
Increased maternal/fetal blood S100B levels following systemic endotoxin administration and periventricular white matter injury in preterm fetal sheep
No full textObjective. Intrauterine infection is suggested to cause perinatal brain white matter injury. In the current study, we evaluated whether S100B, a brain damage marker, may be also assessed in maternal bloodstream after white matter injury induced by fetal intravenous application of lypopolisaccharide (LPS) endotoxin. Methods. Fourteen fetal sheeps were chronically catheterized at a mean gestational age of 107 days. Three days after surgery, fetuses (n = 7) received 500 ng of LPS or 2 mL 0.9% saline (n = 7) intravenously (IV). Lypopolisaccharide and placebo groups were monitored by continuous hemodynamic data recordings and at 6 predetermined time points (control value; 3, 6, 24, 48, and 72 hours after LPS/placebo administration) blood was drawn for laboratory parameters and S100B assessment. Brain damage was evaluated by light microscopy after Klüver-Barrera staining. Selected areas of the periventricular white matter were also examined by electron microscopy. Results. White matter injury was detected in all LPS-treated fetuses, whereas no abnormalities were seen in control animals or in LPS-treated mothers. Maternal and fetal S100B protein levels were significantly higher in the LPS group than in the control group at all monitoring time points (P <.001). The highest fetal-maternal S100B levels were observed at 3-hour time-point (P <.001). Conclusions. We found that S100B protein is increased in the maternal district in presence of fetal periventricular brain white matter injury induced by endotoxin. The present data offer additional support for S100B assessment in the maternal circulation in pregnancies complicated by intrauterine infection at risk of white matter injury. © 2009 The Author(s)
Urine S100 BB and A1B dimers are valuable predictors of adverse outcome in full-term asphyxiated infants
No full textTo investigate whether S100A1B and BB dimers are predictors of early perinatal death in newborns with perinatal asphyxia (PA).
METHODS: The study compared 38 full-term newborns with PA [neonatal death n = 11; hypoxic ischaemic encephalopathy (HIE): n = 27] with a control group of 38 healthy infants. Clinical and laboratory parameters were recorded at eight time points and urine collected for S100B assessment. Multivariate analysis was performed in order to analyse the influence of various clinical parameters on the occurrence of neonatal death.
RESULTS: A1B and BB in PA nonsurvivor infants were significantly higher (p 42 ng/L) was the best predictor of early neonatal death (p < 0.05) of all the clinical and laboratory parameters studied.
CONCLUSION: These results suggest that S100s are valuable predictors of adverse outcome in PA infants. It is also suggested that these biomarkers be used in daily clinical practice, due to their low cost and stress, reproducibility and the possibility of longitudinal monitoring
High urinary concentrations of activin A in asphyxiated full-term newborns with moderate or severe hypoxic ischemic encephalopathy
No full textBackground: Hypoxic ischemic encephalopathy (HIE) is a major cause of permanent neurological disabilities in full-term newborns. We measured activin A in urine collected immediately after birth in asphyxiated full-term newborns, and assessed the ability of the measurements to predict the occurrence of perinatal encephalopathy. Methods: We studied 30 infants with perinatal asphyxia and 30 healthy term neonates at the same gestational age. We recorded routine laboratory variables, cranial assessments by standard cerebral ultrasound, and the presence or absence of neurological abnormalities during the first 7 days after birth. Urinary activin A concentrations were measured at first urination and 12, 24, 48, and 72 h after birth. Results: Asphyxiated infants were subdivided as follows: group A (n = 18): no or mild HIE with good prognosis and group B (n = 12): moderate or severe HIE with a greater risk of neurological handicap. Activin A concentrations in urine collected at birth (median collection time at first urination <2 h) and at 12, 24, 48, and 72 h from birth were significantly (P [removed]0.08 μg/L at first urination in 10 of 12 patients with moderate or severe HIE but in none of 18 patients with no or mild HIE. Conclusions: Activin A measurements in urine soon after birth may be a promising tool to identify which asphyxiated infants are at risk of neurological sequelae. © 2007 American Association for Clinical Chemistry
Evaluation of cost benefit analysis of municipal solid waste management systems
No full textThe rate of municipal solid waste (MSW) generation in developing countries is continuously growing in proportion to the gross national product. Landfilling, incineration, composting, and waste to energy (WtE) have a brief history as management strategies for MSW in India. Economic evaluation via cost benefit analysis (CBA) of MSW is establishing the most appropriate treatment/disposal strategy and it is often a major concern for solid waste management (SWM) policymakers. Thus, this study aims to analyze the municipal solid waste management (MSWM) activities in India's capital, Delhi, and the CBA of MSWM systems to identify the major problems and limitations involved. Sixty-six samples totaling 6,600 kg were collected and analyzed at random from various locations, including the sources of generation, composting plants, and disposal sites. Storage, collection, transportation, and recycling information were gathered from departments such as Municipal Corporation of Delhi (MCD), New Delhi Municipal Corporation (NDMC), Central Pollution Control Board (CPCB), and self-surveys. The total costs of each MSW option were calculated for cost analysis. The results revealed a high organic moisture content, indicating the possibility of composting and bio-methanation, except for waste from commercial, institutional area and restaurants that can be used to develop Refuse Derived Fuel (RDF). It was also revealed that only about 80% of the garbage generated in Delhi is collected. In terms of treatment and disposal, the MCD has proposed additional facilities such as disposal through sanitary landfills with linings, as well as a system for leachate collection and disposal. Furthermore, construction and demolition waste are used in the construction of various pavement components, such as base coarse, surface coarse, and so on. The total social value added by garbage trade operations in Delhi is expected to be INR 358.7 crores (approximately 46.60 million USD) between 2017 and 2020. Recycling saves the municipal budget about INR 17.6 crores (approximately 2.3 million USD per year).(c) 2022 The Author(s). Published by Elsevier B.V. on behalf of King Saud University. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Mixing of Dead Sea and Red Sea waters and changes in their physical properties
No full text© 2020 The Author(s) Environmental science, Geochemistry, Earth sciences, Hydrology, Oceanography, Physical, Temperature, pH, Level, Dissolved oxygen, Density, Salinity and viscosity, Dead sea; Red Sea; Mixin
Early predictors of abnormal MRI patterns in asphyxiated infants: S100B protein urine levels
No full textObjectives The early detection and stratification of asphyxiated infants at higher risk for impaired neurodevelopment is challenging. S100B protein is a well-established biomarker of brain damage, but lacks conclusive validation according to the "gold standard" methodology for hypoxic-ischemic encephalopathy (HIE) prognostication, i.e. brain MRI. The aim of the present study was to investigate the predictive role of urinary S100B concentrations, assessed in a cohort of HIE infants receiving therapeutic hypothermia (TH), compared to brain MRI. Methods Assessment of urine S100B concentrations was performed by immunoluminometric assay at first void and at 4, 8, 12, 16, 20, 24, 48, 72, 96, 108 and 120-h after birth. Neurologic evaluation, routine laboratory parameters, amplitude-integrated electroencephalography, and cerebral ultrasound were performed according to standard protocols. Brain MRI was performed at 7-10 days of life. Results Overall, 74 HIE neonates receiving TH were included in the study. S100B correlated, already at first void, with the MRI patterns with higher concentrations in infants with the most severe MRI lesions. Conclusions High S100B urine levels soon after birth constitute trustable predictors of brain injury as confirmed by MRI. Results support the reliability of S100B in clinical daily practice and open the way to its inclusion in the panel of parameters used for the selection of cases suitable for TH treatment
Perinatal asphyxia: Kidney failure does not affect S100B urine concentrations
No full textBACKGROUND: S100B protein is a well-established marker of brain damage. Its importance in urine assessment is the convenience of a collection and sampling procedure that can be repeated without risk for the newborn. Since S100B is mainly eliminated by the kidneys and perinatal asphyxia (PA) is often associated with kidney failure we investigated whether S100B release might be kidney-mediated, thereby modifying the protein's reliability as a brain-damage marker.
METHODS: We examined a cohort of healthy (n=432) and asphyxiated newborns (n=32) in whom kidney function parameters (blood urea and creatinine concentrations and urine gravity) and urine S100B concentrations were assessed in the first hours after birth. Data were analyzed by multiple logistic regression analysis with S100B as independent variable among a variety of clinical and laboratory monitoring parameters.
RESULTS: S100B urine concentrations were significantly higher (P<0.01) in PA newborns than controls. No significant correlations (P>0.05, for all) between total urine S100B levels and kidney function parameters such as creatinine (r=0.03), urea (r=0.04) and urine gravity (r=0.06) were found. Multiple logistic regression analysis of a series of clinical and laboratory monitoring parameters (odds ratio at sampling: 9.47) with S100B as independent variable showed a positive significant correlation only between S100B levels (P<0.001) and the occurrence of PA.
CONCLUSION: The present study shows that altered kidney function is not an adverse and/or confounding factor in urine S100B assessment and marks a new step towards the introduction of longitudinal monitoring of brain constituents in clinical practice
