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10.1016/j.placenta.2016.01.012 http://scihub22266oqcxt.onion/10.1016/j.placenta.2016.01.012 C4819396!4819396!26992676     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Placenta 2016 ; 39 (ä): 61-9 Nephropedia Template TP {{tp|p=26992676|t=2016. Correlation of Preterm Infant Illness Severity with Placental Histology |pdf=|usr=}}{{26992676}} gab.com Text Correlation of Preterm Infant Illness Severity with Placental Histology JO: Placenta http://www.kidney.de/pget.php?&tw=1&pmid=26992676 #FOAvip Introduction: A major goal of neonatal medicine is to identify neonates at highest risk for morbidity and mortality. Previously, we developed PhysiScore (Saria et al., 2010), a novel tool for preterm morbidity risk prediction. We now further define links between overall individual morbidity risk, specific neonatal morbidities, and placental pathologies. Methods: 102 placentas, including 38 from multiple gestations, were available from the previously defined PhysiScore cohort (gestational age ? 34 weeks and birth weight ? 2000 grams). Placentas were analyzed for gross and histologic variables including maternal malperfusion, amniotic fluid infection sequence, chronic inflammation, and fetal vascular obstruction. Risk as determined by PhysiScore and recorded neonatal morbidities were tested for statistical association with placental findings. Results: In pair-wise correlations, respiratory distress syndrome, bronchopulmonary dysplasia, acute hemodynamic instability, post-hemorrhagic hydrocephalus, culture positive sepsis, and necrotizing enterocolitis each significantly correlated with at least one placenta histology variable. Amniotic fluid infection sequence (p = 0.039), specifically the fetal inflammatory response (p = 0.017), correlated with higher PhysiScores (greater morbidity) but was not independent of gestational age and birth weight. In multivariate analyses correlating variables with all nine morbidities, gestational age (p <0.001), placental size <10th percentile, (p = 0.031) full thickness perivillous fibrin deposition (p = 0.001), and amniotic fluid infection sequence (umbilical arteritis, p = 0.031; ?2 chorionic plate vessels with vasculitis, p = 0.0125), each were significant associations. Discussion: Amniotic fluid infection sequence plays a significant role in neonatal morbidity. Less neonatal morbidity was observed in older and heavier infants and those with small placental size and full thickness perivillous fibrin deposition. The combined assessment of placental gross and histologic findings together with physiologic risk evaluation may allow more precise prediction of neonatal morbidity risk soon after delivery. Twit Text FOAVip Correlation of Preterm Infant Illness Severity with Placental Histology ????Placenta http://www.kidney.de/pget.php?&tw=1&pmid=26992676 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26992676 #FOAvip English Wikipedia <ref>{{Cite pmid|26992676}}</ref> Correlation of Preterm Infant Illness Severity with Placental Histology #MMPMID26992676 Chisholm KM; Heerema-McKenney A; Tian L; Rajani AK; Saria S; Koller D; Penn AA Placenta 2016[Mar]; 39 (ä): 61-9 PMID26992676show ga Introduction: A major goal of neonatal medicine is to identify neonates at highest risk for morbidity and mortality. Previously, we developed PhysiScore (Saria et al., 2010), a novel tool for preterm morbidity risk prediction. We now further define links between overall individual morbidity risk, specific neonatal morbidities, and placental pathologies. Methods: 102 placentas, including 38 from multiple gestations, were available from the previously defined PhysiScore cohort (gestational age ? 34 weeks and birth weight ? 2000 grams). Placentas were analyzed for gross and histologic variables including maternal malperfusion, amniotic fluid infection sequence, chronic inflammation, and fetal vascular obstruction. Risk as determined by PhysiScore and recorded neonatal morbidities were tested for statistical association with placental findings. Results: In pair-wise correlations, respiratory distress syndrome, bronchopulmonary dysplasia, acute hemodynamic instability, post-hemorrhagic hydrocephalus, culture positive sepsis, and necrotizing enterocolitis each significantly correlated with at least one placenta histology variable. Amniotic fluid infection sequence (p = 0.039), specifically the fetal inflammatory response (p = 0.017), correlated with higher PhysiScores (greater morbidity) but was not independent of gestational age and birth weight. In multivariate analyses correlating variables with all nine morbidities, gestational age (p <0.001), placental size <10th percentile, (p = 0.031) full thickness perivillous fibrin deposition (p = 0.001), and amniotic fluid infection sequence (umbilical arteritis, p = 0.031; ?2 chorionic plate vessels with vasculitis, p = 0.0125), each were significant associations. Discussion: Amniotic fluid infection sequence plays a significant role in neonatal morbidity. Less neonatal morbidity was observed in older and heavier infants and those with small placental size and full thickness perivillous fibrin deposition. The combined assessment of placental gross and histologic findings together with physiologic risk evaluation may allow more precise prediction of neonatal morbidity risk soon after delivery. äCorrelation of Preterm Infant Illness Severity with Placental Histolog(epmc).pdf DeepDyve Pubget Overpricing