Growth patterns and cardiovascular abnormalities in SGA fetuses: 2. Normal growth and progressive growth restriction

Author(s):  
Russell L. Deter ◽  
Patrick Dicker ◽  
Wesley Lee ◽  
Elizabeth C. Tully ◽  
Fiona Cody ◽  
...  
Author(s):  
Noura Magdy Sonkor ◽  
Diaa Mounir Aglan ◽  
Amr Mohamed Tawfek ◽  
Walid Mamdouh Ataallah

Background: Some trials have shown decreased weight of fetal kidney in cases of reduced neonatal weight and infants with growth-restriction at birth.   In infants with growth-restriction due to poor nutrition, most of the fetal blood supply is directed to vital organs such as fetal heart and brain that leads to deprivation of remaining organs from its nutrients, such as kidney. This work aimed to assess whether the size of fetal kidney in cases of normal and restricted fetal growth patterns after 28 weeks could be affected by reduced fetal renal blood supply or not. Methods: This case-control trial included 60 patients who were divided into two groups: Each group composed of 30 patients; Study group: fetuses with IUGR and control group: fetuses with normal growth pattern. Results: There was no significance between both study groups as regard to age, weight, BMI, and gravidity. No significance between the studied groups regarding the clinical findings, gestational age, diabetes, HTN, congenital fetal anomalies, and previous C.S. A high significance was present among both groups as regard to measurements of renal artery Doppler. A correlation of statistical significance was noted as regard Doppler indices and kidney volume in the study group. Conclusions: The elevated pulsatility index of the renal artery of fetus in fetuses with IUGR showed -ve correlation with the volume of the fetal kidney, resulting in reduced nephron-genesis and perfusion. Restrictions in intrauterine growth are believed to be associated with a significant reduction in renal volume compared to the normal growth of fetuses. The Doppler of renal artery also reveals significant differences among study groups.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kate McGrath ◽  
Laura Sophia Limmer ◽  
Annabelle-Louise Lockey ◽  
Debbie Guatelli-Steinberg ◽  
Donald J. Reid ◽  
...  

AbstractEarly life stress disrupts growth and creates horizontal grooves on the tooth surface in humans and other mammals, yet there is no consensus for their quantitative analysis. Linear defects are considered to be nonspecific stress indicators, but evidence suggests that intermittent, severe stressors create deeper defects than chronic, low-level stressors. However, species-specific growth patterns also influence defect morphology, with faster-growing teeth having shallower defects at the population level. Here we describe a method to measure the depth of linear enamel defects and normal growth increments (i.e., perikymata) from high-resolution 3D topographies using confocal profilometry and apply it to a diverse sample of Homo neanderthalensis and H. sapiens anterior teeth. Debate surrounds whether Neanderthals exhibited modern human-like growth patterns in their teeth and other systems, with some researchers suggesting that they experienced more severe childhood stress. Our results suggest that Neanderthals have shallower features than H. sapiens from the Upper Paleolithic, Neolithic, and medieval eras, mirroring the faster growth rates in Neanderthal anterior teeth. However, when defect depth is scaled by perikymata depth to assess their severity, Neolithic humans have less severe defects, while Neanderthals and the other H. sapiens groups show evidence of more severe early life growth disruptions.


Author(s):  
Jan Aart M. Schipper ◽  
Manouk J. S. van Lieshout ◽  
Stefan Böhringer ◽  
Bonnie L. Padwa ◽  
Simon G. F. Robben ◽  
...  

Abstract Objectives Data on normal mandibular development in the infant is lacking though essential to understand normal growth patterns and to discriminate abnormal growth. The aim of this study was to provide normal linear measurements of the mandible using computed tomography performed in infants from 0 to 2 years of age. Material and methods 3D voxel software was used to calculate mandibular body length, mandibular ramus length, bicondylar width, bigonial width and the gonial angle. Intra- and inter-rater reliability was assessed for these measurements. They were found to be sufficient for all distances; intra-class correlation coefficients were all above 0.9. Regression analysis for growth modelling was performed. Results In this multi-centre retrospective study, 109 CT scans were found eligible that were performed for various reasons (e.g. trauma, craniosynostosis, craniofacial abscesses). Craniosynostosis patients had larger mandibular measurements compared to non-craniosynostosis patients and were therefore excluded. Fifty-one CT scans were analysed. Conclusions Analysis showed that the mandible increases more in size vertically (the mandibular ramus) than horizontally (the mandibular body). Most of the mandibular growth occurs in the first 6 months. Clinical relevance These growth models provide insight into normal mandibular development in the first 2 years of life. This reference data facilitates discrimination between normal and abnormal mandibular growth.


2003 ◽  
Vol 23 (1) ◽  
pp. 40-43 ◽  
Author(s):  
Chih-Ping Chen ◽  
Schu-Rern Chern ◽  
Tung-Yao Chang ◽  
Chen-Chi Lee ◽  
Li-Feng Chen ◽  
...  

2016 ◽  
Vol 2 (4) ◽  
pp. 31-37 ◽  
Author(s):  
Pankaj Verma ◽  
Hema Chaudhary

Intrauterine Growth Restriction (IUGR) is defined as the inability of a fetus to gain the normal growth potential due to maternal-placental-fetal factors. These factors mainly involve metabolic disorders, infections, substance abuse and exposure to harmful substances. Incidence of IUGR is higher in developing countries. Proper diagnosis at suitable time is necessary for proper treatment and management. Although, the mechanism is not clear but oxidative stress, immunological factors, aryl hydrocarbon receptor and adduct formation are some pathways which are involved in IUGR. The aftermaths of IUGR involves post-birth complications, perinatal mortality and morbidity. Therefore, management and treatment involves use of both pharmacological (Tocolytics, Corticosteroids, antibiotics) and non-pharmacological methods (bed rest, cerclage). This review highlights the possible risk factors, mechanisms, other biochemical pathways involved, as well as pharmacological and non-pharmacological management of IUGR.Journal of Biomedical Sciences. 2015;2(4):31-37


2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Erich Cosmi ◽  
Tiziana Fanelli ◽  
Silvia Visentin ◽  
Daniele Trevisanuto ◽  
Vincenzo Zanardo

Intrauterine growth restriction is a condition fetus does not reach its growth potential and associated with perinatal mobility and mortality. Intrauterine growth restriction is caused by placental insufficiency, which determines cardiovascular abnormalities in the fetus. This condition, moreover, should prompt intensive antenatal surveillance of the fetus as well as follow-up of infants that had intrauterine growth restriction as short and long-term sequele should be considered.


PEDIATRICS ◽  
1970 ◽  
Vol 46 (6) ◽  
pp. 979-979
Author(s):  
Helen B. Pryor

exhibit various deviations from normal growth patterns. Anthropometry is a valuable method of studying these physically handicapped children. The December 1969 issue of Pediatrics (44:973) published my paper called "Objective Measurement of Interpupillary Distance. Objective Measurement of Interpupillary Distance." Following this a general interest in the subject has prompted a number of doctors to ask where they can buy sliding and spreading calipers to do the measurements described and also other head and face measurements.


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