首页 > 最新文献

Early human development最新文献

英文 中文
Early language delay among infants with hypoxic-ischaemic encephalopathy after therapeutic hypothermia: A prospective cohort study 低氧缺血性脑病患儿治疗性低温后的早期语言延迟:一项前瞻性队列研究
IF 2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2025-11-19 DOI: 10.1016/j.earlhumdev.2025.106444
Zsuzsanna Varga , Miklós Szabó , Tamás Kói , Bence Kas , Nóra Nyilas , Anna Dósa , Dóra Luca Bodócs , Ágnes Jermendy , Anett Ragó

Aim

To assess early language development in infants with hypoxic-ischaemic encephalopathy (HIE), treated with therapeutic hypothermia (TH) who survived without functional motor deficits, and to identify potential neonatal predictive markers for early language delay (ELD).

Methods

In a prospective cohort study, 77 infants with HIE treated with TH were recruited. Cognitive development was assessed using the Bayley Scales of Infant Development, Second Edition, and language development using the MacArthur-Bates Communicative Development Inventory in follow-up studies at a median age of 20 months.

Results

Thirty-two (41 %) infants had favorable cognitive and language development (FCLD group), 19 (25 %) exhibited ELD despite good cognitive skills, and 26 (34 %) showed concomitant adverse cognitive and language development (ACLD group). Despite differences in cognitive outcomes, the language profiles of the ELD and ACLD groups were comparable. No early clinical, socioeconomical, or MRI markers predicted language delay. However, maternal education was strongly associated with cognitive outcomes. Compared with maternal university education, infants of mothers with high school education had 3.9-fold higher odds (95 % CI 1.08–13.97) of adverse cognitive outcomes, and those with maternal elementary school education had 10.2-fold higher odds (95 % CI 2.56–40.31).

Conclusion

One-third of infants with HIE demonstrated favorable cognitive outcomes but concurrent early language delay, highlighting the need for linguistic screening to prevent later learning disorders. Longitudinal studies are warranted to determine whether ELD infants eventually catch up or remain at risk for persistent language deficits.
目的评估低氧缺血性脑病(HIE)患儿经治疗性低温(TH)治疗后无功能性运动缺陷存活的早期语言发育情况,并确定早期语言迟缓(ELD)的潜在新生儿预测标志物。方法在一项前瞻性队列研究中,招募77名接受TH治疗的HIE患儿。在中位年龄为20个月的随访研究中,使用Bayley婴儿发展量表(第二版)评估认知发展,使用麦克阿瑟-贝茨交际发展量表评估语言发展。结果fld组患儿认知和语言发育良好32例(41%),有良好认知能力的患儿19例(25%),有不良认知和语言发育的患儿26例(34%)。尽管认知结果存在差异,但ELD组和ACLD组的语言概况具有可比性。没有早期临床、社会经济或MRI标记预测语言延迟。然而,母亲教育与认知结果密切相关。与受过大学教育的母亲相比,受过高中教育的母亲的婴儿发生不良认知结局的几率高3.9倍(95% CI 1.08 ~ 13.97),受过小学教育的母亲的婴儿发生不良认知结局的几率高10.2倍(95% CI 2.56 ~ 40.31)。结论三分之一的HIE患儿表现出良好的认知结果,但同时存在早期语言迟缓,这突出了语言筛查预防后期学习障碍的必要性。有必要进行纵向研究,以确定ELD婴儿最终是否会赶上或仍有持续语言缺陷的风险。
{"title":"Early language delay among infants with hypoxic-ischaemic encephalopathy after therapeutic hypothermia: A prospective cohort study","authors":"Zsuzsanna Varga ,&nbsp;Miklós Szabó ,&nbsp;Tamás Kói ,&nbsp;Bence Kas ,&nbsp;Nóra Nyilas ,&nbsp;Anna Dósa ,&nbsp;Dóra Luca Bodócs ,&nbsp;Ágnes Jermendy ,&nbsp;Anett Ragó","doi":"10.1016/j.earlhumdev.2025.106444","DOIUrl":"10.1016/j.earlhumdev.2025.106444","url":null,"abstract":"<div><h3>Aim</h3><div>To assess early language development in infants with hypoxic-ischaemic encephalopathy (HIE), treated with therapeutic hypothermia (TH) who survived without functional motor deficits, and to identify potential neonatal predictive markers for early language delay (ELD).</div></div><div><h3>Methods</h3><div>In a prospective cohort study, 77 infants with HIE treated with TH were recruited. Cognitive development was assessed using the Bayley Scales of Infant Development, Second Edition, and language development using the MacArthur-Bates Communicative Development Inventory in follow-up studies at a median age of 20 months.</div></div><div><h3>Results</h3><div>Thirty-two (41 %) infants had favorable cognitive and language development (FCLD group), 19 (25 %) exhibited ELD despite good cognitive skills, and 26 (34 %) showed concomitant adverse cognitive and language development (ACLD group). Despite differences in cognitive outcomes, the language profiles of the ELD and ACLD groups were comparable. No early clinical, socioeconomical, or MRI markers predicted language delay. However, maternal education was strongly associated with cognitive outcomes. Compared with maternal university education, infants of mothers with high school education had 3.9-fold higher odds (95 % CI 1.08–13.97) of adverse cognitive outcomes, and those with maternal elementary school education had 10.2-fold higher odds (95 % CI 2.56–40.31).</div></div><div><h3>Conclusion</h3><div>One-third of infants with HIE demonstrated favorable cognitive outcomes but concurrent early language delay, highlighting the need for linguistic screening to prevent later learning disorders. Longitudinal studies are warranted to determine whether ELD infants eventually catch up or remain at risk for persistent language deficits.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"213 ","pages":"Article 106444"},"PeriodicalIF":2.0,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145577899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Universal maternal testing for group B streptococcus in late pregnancy: process outcomes and alongside qualitative study for the GBS3 trial 妊娠晚期B组链球菌的普遍产妇检测:GBS3试验的过程结果和定性研究
IF 2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2025-11-17 DOI: 10.1016/j.earlhumdev.2025.106442
Jane P. Daniels , Kate F. Walker , Lucy Bradshaw , Jon Dorling , Shalini Ojha , James Gray , James G. Thornton , Jane Plumb , Stavros Petrou , Susan Ayers , Eleanor Mitchell , Soo Downe , Nicky Grace , Tracey Cooper , Rachel Plachcinski , Sarah Moore , Ann-Marie Jones , Eleanor Harrison , Joanne Brooks , Kerry Barker-Williams , Sebastian Moody

Background

One in five pregnant women/birthing people carry group B streptococcus in the gut or genital tract, and over half of them will pass it to their child during pregnancy, labour (most commonly) or after birth. Most babies exposed to maternal GBS remain well, but 1 in 1750 newborns in the UK and Ireland develop early-onset GBS infection. Introducing routine testing for group B streptococcus (GBS) for all pregnant women and birthing people in late pregnancy may reduce cases of early-onset infection in the newborn but would likely increase the number of women given antibiotics during labour.
The GBS3 trial (ISRCTN49639731) is a cluster-randomised trial involving approximately 320,000 women/birthing people from 80 maternity units in England and Wales. It will determine the clinical and cost-effectiveness of routine testing, compared to the current risk-factor based strategy.

Methods

To obtain details of the timing, coverage and outcome of the testing process and use of IAP, about 130 consecutive maternity records of women who birthed after 32 weeks’ gestation and who were not scheduled for a planned caesarean birth, and the corresponding neonatal records, were scrutinised at each participating maternity unit.
We performed a baseline qualitative study to inform the trial design to explore women’s views on the acceptability of different methods of GBS testing in pregnancy, including self-swabbing procedures.
We explored the acceptability of different methods of routine testing for GBS colonisation to pregnant women and health care professionals (HCPs), and examined the barriers and facilitators to their implementation.

Results

We received detailed demographic data for 9179 women. Overall, in both testing groups, 72 % of women were offered a vaginal-rectal swab for GBS. Of those women offered a swab, 82 % accepted a vaginal-rectal swab. Of the women with a swab taken, 17 % were positive for GBS. 87 % of women had a test result ≥ 4 hours before birth.
Our baseline and embedded qualitative studies found that GBS testing is acceptable to most women and HCPs.

Conclusion

GBS testing is acceptable to pregnant women and health care professionals in the UK. When GBS testing is offered to eligible women, the offer is accepted, the test performed and a result available to guide the offer of IAP in a timely fashion for the majority of women.
背景:五分之一的孕妇/产妇在肠道或生殖道中携带B群链球菌,其中一半以上的人会在怀孕、分娩(最常见)或分娩后将其传染给孩子。大多数暴露于母体GBS的婴儿仍然健康,但在英国和爱尔兰,每1750个新生儿中就有1个会出现早发性GBS感染。对所有孕妇和妊娠后期的产妇进行B族链球菌(GBS)的常规检测可能会减少新生儿早发性感染病例,但可能会增加分娩期间服用抗生素的妇女人数。GBS3试验(ISRCTN49639731)是一项集群随机试验,涉及来自英格兰和威尔士80个产科单位的约32万名妇女/产妇。与目前基于风险因素的策略相比,它将决定常规检测的临床和成本效益。方法:为了获得IAP测试过程和使用的时间、覆盖范围和结果的详细信息,在每个参与的产科单位审查了约130例妊娠32周后分娩且未计划剖腹产的妇女的连续分娩记录以及相应的新生儿记录。我们进行了一项基线定性研究,为试验设计提供信息,以探讨妇女对妊娠期间不同GBS检测方法可接受性的看法,包括自拭子方法。我们探讨了对孕妇和卫生保健专业人员(HCPs)进行GBS定植常规检测的不同方法的可接受性,并检查了实施这些方法的障碍和促进因素。结果:我们收到了9179名妇女的详细人口统计数据。总的来说,在两个测试组中,72%的女性接受了阴道直肠拭子检测GBS。在提供棉签的女性中,82%的人接受了阴道直肠棉签。在抽取棉签的妇女中,17%的人呈GBS阳性。87%的妇女在出生前≥4小时有检测结果。我们的基线和嵌入定性研究发现,大多数妇女和医务人员都可以接受GBS检测。结论:英国孕妇和卫生保健专业人员可接受GBS检测。当向符合条件的妇女提供GBS测试时,该提议被接受,进行测试并获得结果,以指导大多数妇女及时提供IAP。
{"title":"Universal maternal testing for group B streptococcus in late pregnancy: process outcomes and alongside qualitative study for the GBS3 trial","authors":"Jane P. Daniels ,&nbsp;Kate F. Walker ,&nbsp;Lucy Bradshaw ,&nbsp;Jon Dorling ,&nbsp;Shalini Ojha ,&nbsp;James Gray ,&nbsp;James G. Thornton ,&nbsp;Jane Plumb ,&nbsp;Stavros Petrou ,&nbsp;Susan Ayers ,&nbsp;Eleanor Mitchell ,&nbsp;Soo Downe ,&nbsp;Nicky Grace ,&nbsp;Tracey Cooper ,&nbsp;Rachel Plachcinski ,&nbsp;Sarah Moore ,&nbsp;Ann-Marie Jones ,&nbsp;Eleanor Harrison ,&nbsp;Joanne Brooks ,&nbsp;Kerry Barker-Williams ,&nbsp;Sebastian Moody","doi":"10.1016/j.earlhumdev.2025.106442","DOIUrl":"10.1016/j.earlhumdev.2025.106442","url":null,"abstract":"<div><h3>Background</h3><div>One in five pregnant women/birthing people carry group B streptococcus in the gut or genital tract, and over half of them will pass it to their child during pregnancy, labour (most commonly) or after birth. Most babies exposed to maternal GBS remain well, but 1 in 1750 newborns in the UK and Ireland develop early-onset GBS infection. Introducing routine testing for group B streptococcus (GBS) for all pregnant women and birthing people in late pregnancy may reduce cases of early-onset infection in the newborn but would likely increase the number of women given antibiotics during labour.</div><div>The GBS3 trial (ISRCTN49639731) is a cluster-randomised trial involving approximately 320,000 women/birthing people from 80 maternity units in England and Wales. It will determine the clinical and cost-effectiveness of routine testing, compared to the current risk-factor based strategy.</div></div><div><h3>Methods</h3><div>To obtain details of the timing, coverage and outcome of the testing process and use of IAP, about 130 consecutive maternity records of women who birthed after 32 weeks’ gestation and who were not scheduled for a planned caesarean birth, and the corresponding neonatal records, were scrutinised at each participating maternity unit.</div><div>We performed a baseline qualitative study to inform the trial design to explore women’s views on the acceptability of different methods of GBS testing in pregnancy, including self-swabbing procedures.</div><div>We explored the acceptability of different methods of routine testing for GBS colonisation to pregnant women and health care professionals (HCPs), and examined the barriers and facilitators to their implementation.</div></div><div><h3>Results</h3><div>We received detailed demographic data for 9179 women. Overall, in both testing groups, 72 % of women were offered a vaginal-rectal swab for GBS. Of those women offered a swab, 82 % accepted a vaginal-rectal swab. Of the women with a swab taken, 17 % were positive for GBS. 87 % of women had a test result ≥ 4 hours before birth.</div><div>Our baseline and embedded qualitative studies found that GBS testing is acceptable to most women and HCPs.</div></div><div><h3>Conclusion</h3><div>GBS testing is acceptable to pregnant women and health care professionals in the UK. When GBS testing is offered to eligible women, the offer is accepted, the test performed and a result available to guide the offer of IAP in a timely fashion for the majority of women.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"213 ","pages":"Article 106442"},"PeriodicalIF":2.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145654114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictive factors of surgery in congenital anomalies of the kidney and urinary tract: Insights from a monocentric cohort study 先天性肾脏和尿路异常手术的预测因素:来自单中心队列研究的见解。
IF 2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2025-11-13 DOI: 10.1016/j.earlhumdev.2025.106439
Ashley Xavérine Wiseman , Isabelle Vidal , Christophe Combescure , Cecilia Dallan , Alexandra Wilhelm-Bals , Maria Rodriguez , Paloma Parvex , Jacques Birraux

Background

Congenital malformations of the kidney and/or urinary tract (CAKUT) are nowadays widely detected prenatally and are the first cause of end-stage renal disease and kidney transplantation in children.

Aim

The aim of this study is to explore potential prenatal and postnatal factors associated with the need for postnatal surgery in children prenatally diagnosed with CAKUT.

Methods

Patient data has been prospectively collected from a monocentric database. Were included children diagnosed with CAKUT at the time of routine prenatal ultrasound, between January 1, 2008 and December 31, 2015. Only children with at least 12 months postnatal follow-up were analyzed. Prenatal and postnatal imaging, laboratory results and operative reports were retrospectively reviewed. Based on their CAKUT diagnosis at birth, patients were divided in three groups: high, intermediate, low likelihood of requiring surgical management. Patients from the intermediate sub-group were further analyzed to determine potential clinical or radiological factors associated with need for surgery.

Results

147 patients were included. In total, 39 patients with CAKUT required surgery (26 %). Mean time to surgery was 6 months (0–62 months). 105/147 (71 %) patients had intermediate likelihood of requiring surgical management for their postnatal CAKUT diagnosis. In this subgroup, 30/105 patients (28 %) were operated on. A visible ureter on prenatal ultrasound and an anterior posterior renal pelvis diameter ≥ 10 mm, were associated with postnatal surgical management in our practice.

Conclusion

Prenatal and postnatal ultrasound are important non-invasive tools to detect children with a prenatal CAKUT diagnosis that may require surgery.
背景:先天性肾脏和/或尿路畸形(CAKUT)目前在产前被广泛发现,是儿童终末期肾脏疾病和肾移植的首要原因。目的:本研究的目的是探讨与产前诊断为CAKUT的儿童需要进行产后手术相关的潜在产前和产后因素。方法:前瞻性地从单中心数据库中收集患者数据。纳入2008年1月1日至2015年12月31日在常规产前超声检查时诊断为CAKUT的儿童。仅对产后随访至少12个月的儿童进行分析。产前和产后影像,实验室结果和手术报告回顾性审查。根据出生时的CAKUT诊断,将患者分为三组:高、中、低需要手术治疗的可能性。对中间亚组的患者进行进一步分析,以确定与手术需要相关的潜在临床或放射学因素。结果:纳入147例患者。总共有39例ckut患者需要手术(26%)。平均手术时间6个月(0 ~ 62个月)。105/147(71%)的患者有中等可能性需要手术治疗其产后CAKUT诊断。在这个亚组中,30/105例患者(28%)接受了手术。在我们的实践中,产前超声可见输尿管和前后肾盂直径≥10 mm与产后手术处理有关。结论:产前和产后超声是检测可能需要手术的产前CAKUT诊断儿童的重要非侵入性工具。
{"title":"Predictive factors of surgery in congenital anomalies of the kidney and urinary tract: Insights from a monocentric cohort study","authors":"Ashley Xavérine Wiseman ,&nbsp;Isabelle Vidal ,&nbsp;Christophe Combescure ,&nbsp;Cecilia Dallan ,&nbsp;Alexandra Wilhelm-Bals ,&nbsp;Maria Rodriguez ,&nbsp;Paloma Parvex ,&nbsp;Jacques Birraux","doi":"10.1016/j.earlhumdev.2025.106439","DOIUrl":"10.1016/j.earlhumdev.2025.106439","url":null,"abstract":"<div><h3>Background</h3><div>Congenital malformations of the kidney and/or urinary tract (CAKUT) are nowadays widely detected prenatally and are the first cause of end-stage renal disease and kidney transplantation in children.</div></div><div><h3>Aim</h3><div>The aim of this study is to explore potential prenatal and postnatal factors associated with the need for postnatal surgery in children prenatally diagnosed with CAKUT.</div></div><div><h3>Methods</h3><div>Patient data has been prospectively collected from a monocentric database. Were included children diagnosed with CAKUT at the time of routine prenatal ultrasound, between January 1, 2008 and December 31, 2015. Only children with at least 12 months postnatal follow-up were analyzed. Prenatal and postnatal imaging, laboratory results and operative reports were retrospectively reviewed. Based on their CAKUT diagnosis at birth, patients were divided in three groups: high, intermediate, low likelihood of requiring surgical management. Patients from the intermediate sub-group were further analyzed to determine potential clinical or radiological factors associated with need for surgery.</div></div><div><h3>Results</h3><div>147 patients were included. In total, 39 patients with CAKUT required surgery (26 %). Mean time to surgery was 6 months (0–62 months). 105/147 (71 %) patients had intermediate likelihood of requiring surgical management for their postnatal CAKUT diagnosis. In this subgroup, 30/105 patients (28 %) were operated on. A visible ureter on prenatal ultrasound and an anterior posterior renal pelvis diameter ≥ 10 mm, were associated with postnatal surgical management in our practice.</div></div><div><h3>Conclusion</h3><div>Prenatal and postnatal ultrasound are important non-invasive tools to detect children with a prenatal CAKUT diagnosis that may require surgery.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"213 ","pages":"Article 106439"},"PeriodicalIF":2.0,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145563254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigation of endotracheal tube position changes due to neck rotation in newborns 新生儿颈部旋转引起气管内管位置改变的研究
IF 2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2025-11-09 DOI: 10.1016/j.earlhumdev.2025.106436
Hidehiko Maruyama, Shoichiro Amari, Tetsuya Isayama, Yushi Ito

Background

There are few reports describing endotracheal tube (ETT) position changes due to neck rotation. Modifying ultrasonographic measurements of ETT tip and aortic distance, we aim to clarify the ETT tip position changes due to neck rotation.

Methods

Eligibility criteria: (1) birth between October 2022 and September 2023, between 32 and 41 gestational weeks, (2) ventilatory management with ETT fixed at the left mouth corner, and (3) physician judgment that respiratory and circulatory status is relatively stable. We measured the distance between the brachiocephalic artery bifurcation and the ETT tip on one plane in a close parasagittal section from the left neck. We compared them with the neck in right, neutral, and left rotation positions as distances R, N, and L, respectively.

Results

There were 30 study subjects. The means ± standard deviations of distances R, N, and L were 10.4 ± 2.1, 12.9 ± 3.5, and 13.7 ± 3.3 mm, respectively. Repeated measures analysis of variance found significant differences between groups (P < 0.001). A significant difference was found between distances R and N (mean difference − 2.50 [95 % confidence interval, −3.58, −1.42]) and between R and L (−3.31 [−4.72, −1.91]).

Conclusion

The tip position of ETT secured at the left mouth corner was significantly deeper in the right rotation neck position. In addition to left-right neck rotation, flexion-extension neck movement greatly affects ETT position change. Therefore, we must take care of neck movement.
背景:由于颈部旋转导致气管内插管(ETT)位置改变的报道很少。修改超声测量的ETT尖端和主动脉距离,我们的目的是澄清ETT尖端的位置变化由于颈部旋转。方法入选标准:(1)2022年10月~ 2023年9月出生,孕周32 ~ 41周;(2)左嘴角固定ETT进行通气管理;(3)医师判断呼吸循环状况相对稳定。我们测量了头臂动脉分叉和ETT尖端在一个平面上的距离,从左颈部开始的近旁矢状面切片。我们将它们分别与右、中、左旋转位置的颈部进行距离R、N、L的比较。结果共纳入30例研究对象。距离R、N、L的均值±标准差分别为10.4±2.1、12.9±3.5、13.7±3.3 mm。重复测量方差分析发现组间存在显著差异(P < 0.001)。距离R和N之间存在显著差异(平均差异为- 2.50[95%置信区间,- 3.58,- 1.42]),距离R和L之间存在显著差异(- 3.31[- 4.72,- 1.91])。结论右转颈位固定于左口角的ETT尖端位置较右转颈位深。除了左右颈部旋转外,颈部屈伸运动对ETT位置变化影响很大。因此,我们一定要注意颈部的运动。
{"title":"Investigation of endotracheal tube position changes due to neck rotation in newborns","authors":"Hidehiko Maruyama,&nbsp;Shoichiro Amari,&nbsp;Tetsuya Isayama,&nbsp;Yushi Ito","doi":"10.1016/j.earlhumdev.2025.106436","DOIUrl":"10.1016/j.earlhumdev.2025.106436","url":null,"abstract":"<div><h3>Background</h3><div>There are few reports describing endotracheal tube (ETT) position changes due to neck rotation. Modifying ultrasonographic measurements of ETT tip and aortic distance, we aim to clarify the ETT tip position changes due to neck rotation.</div></div><div><h3>Methods</h3><div>Eligibility criteria: (1) birth between October 2022 and September 2023, between 32 and 41 gestational weeks, (2) ventilatory management with ETT fixed at the left mouth corner, and (3) physician judgment that respiratory and circulatory status is relatively stable. We measured the distance between the brachiocephalic artery bifurcation and the ETT tip on one plane in a close parasagittal section from the left neck. We compared them with the neck in right, neutral, and left rotation positions as distances <em>R</em>, <em>N</em>, and <em>L</em>, respectively.</div></div><div><h3>Results</h3><div>There were 30 study subjects. The means ± standard deviations of distances <em>R</em>, <em>N</em>, and <em>L</em> were 10.4 ± 2.1, 12.9 ± 3.5, and 13.7 ± 3.3 mm, respectively. Repeated measures analysis of variance found significant differences between groups (<em>P</em> &lt; 0.001). A significant difference was found between distances <em>R</em> and <em>N</em> (mean difference − 2.50 [95 % confidence interval, −3.58, −1.42]) and between <em>R</em> and <em>L</em> (−3.31 [−4.72, −1.91]).</div></div><div><h3>Conclusion</h3><div>The tip position of ETT secured at the left mouth corner was significantly deeper in the right rotation neck position. In addition to left-right neck rotation, flexion-extension neck movement greatly affects ETT position change. Therefore, we must take care of neck movement.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"213 ","pages":"Article 106436"},"PeriodicalIF":2.0,"publicationDate":"2025-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145479116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of physical activities on physical literacy and cognitive performance of children with autism spectrum disorder (ASD). 体育活动对自闭症谱系障碍(ASD)儿童身体素养和认知表现的影响。
IF 2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2025-11-01 Epub Date: 2025-07-31 DOI: 10.1016/j.earlhumdev.2025.106350
Morteza Homayounnia Firouzjah, Morteza Pourazar, Saeed Nazari Kakvandi, Refail Azadian Dalasm

Purpose: Autism spectrum disorder (ASD) is one of the most severe childhood disorders and every child with this disorder has a unique situation in terms of strengths or challenges in cognitive, motor, emotional and social fields.

Methods: This study is semi-experimental with pre-test and post-test design and a control group. The statistical population in this research included all (ASD) from 8 to 12 years old in the educational centers for children with this disorder in Mazandaran province in 2024. Random sampling method was applied to select the target sample, based on which 30 children with autism spectrum disorders were selected for this study. The training program was taken from Horwitz and Sissel (Horwitz R), which includes reinforcement, games, and sports activities for children, performed by the experimental group for 24 sessions (60 min each session and for 70 days). Canadian Assessment of Physical Literacy - Second Edition (CAPL-2) was employed to assess physical literacy and Tower of London test for cognitive performance. The data were analyzed by multivariate covariance method.

Results: The obtained results indicated that for the total physical literacy, the results of the post-hoc-test for the main effect of Practice intervention showed that the experimental group is significantly different from control group, all p < 0.05. Means comparisons showed that the experimental group resulted in higher physical literacy than control group. Also time test (reaction time) from the series of tests of the tower of London (Cognitive Performance) no significant differences two groups in the pre-test (F > 1), confirming that the two groups did not differ before training.

Conclusion: Therefore, it can be concluded that performing physical activities as an essential and main part of the daily schedule of these children can provide effective consequences in improving their cognitive performance and physical literacy.

目的:自闭症谱系障碍(Autism spectrum disorder, ASD)是儿童最严重的障碍之一,每个自闭症儿童在认知、运动、情感和社交等方面都有其独特的优势或挑战。方法:本研究采用前测和后测半实验设计,并设对照组。本研究的统计人群包括马赞达兰省2024年自闭症儿童教育中心8 - 12岁的所有自闭症儿童。采用随机抽样的方法选择目标样本,在此基础上选择30名自闭症谱系障碍儿童进行本研究。训练方案取自Horwitz和Sissel (Horwitz R),包括强化、游戏和儿童体育活动,由实验组进行24次(每次60分钟,持续70天)。采用加拿大物理素养测评第二版(CAPL-2)对物理素养进行测评,采用伦敦塔认知能力测试对认知能力进行测评。采用多元协方差法对数据进行分析。结果:所得结果表明,对于总身体素养,练习干预主效果的赛后测试结果显示实验组与对照组显著差异,均p < 1),证实两组在训练前无差异。结论:将体育活动作为儿童日常生活中必不可少的重要组成部分,对提高儿童的认知能力和身体素养具有有效的效果。
{"title":"The impact of physical activities on physical literacy and cognitive performance of children with autism spectrum disorder (ASD).","authors":"Morteza Homayounnia Firouzjah, Morteza Pourazar, Saeed Nazari Kakvandi, Refail Azadian Dalasm","doi":"10.1016/j.earlhumdev.2025.106350","DOIUrl":"10.1016/j.earlhumdev.2025.106350","url":null,"abstract":"<p><strong>Purpose: </strong>Autism spectrum disorder (ASD) is one of the most severe childhood disorders and every child with this disorder has a unique situation in terms of strengths or challenges in cognitive, motor, emotional and social fields.</p><p><strong>Methods: </strong>This study is semi-experimental with pre-test and post-test design and a control group. The statistical population in this research included all (ASD) from 8 to 12 years old in the educational centers for children with this disorder in Mazandaran province in 2024. Random sampling method was applied to select the target sample, based on which 30 children with autism spectrum disorders were selected for this study. The training program was taken from Horwitz and Sissel (Horwitz R), which includes reinforcement, games, and sports activities for children, performed by the experimental group for 24 sessions (60 min each session and for 70 days). Canadian Assessment of Physical Literacy - Second Edition (CAPL-2) was employed to assess physical literacy and Tower of London test for cognitive performance. The data were analyzed by multivariate covariance method.</p><p><strong>Results: </strong>The obtained results indicated that for the total physical literacy, the results of the post-hoc-test for the main effect of Practice intervention showed that the experimental group is significantly different from control group, all p < 0.05. Means comparisons showed that the experimental group resulted in higher physical literacy than control group. Also time test (reaction time) from the series of tests of the tower of London (Cognitive Performance) no significant differences two groups in the pre-test (F > 1), confirming that the two groups did not differ before training.</p><p><strong>Conclusion: </strong>Therefore, it can be concluded that performing physical activities as an essential and main part of the daily schedule of these children can provide effective consequences in improving their cognitive performance and physical literacy.</p>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"210 ","pages":"106350"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations between fetal movement and maternal-fetal attachment in late pregnancy. 妊娠后期胎儿运动与母胎依恋之间的关系。
IF 2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2025-11-01 Epub Date: 2025-08-06 DOI: 10.1016/j.earlhumdev.2025.106351
Kathy Ayala, Lissa Falcioni, Jeff Eilbott, Jocelyn Lamore, Kristin Voegtline, Helena J V Rutherford

Maternal-fetal attachment (MFA) represents the evolving psychological bond between a pregnant person and their fetus, reflecting early emotional investment and expectations of the maternal role. Maternal awareness and response to fetal movement are key components of MFA, suggesting that fetal activity may serve as a meaningful cue in the development of maternal representations of the baby. Previous work shows that engaging in fetal movement counting significantly enhances MFA scores, and mothers who perceive greater fetal movements have higher MFA scores compared to those who perceive fewer movements. However, it remains unclear if this association reflects perception alone, or whether associations between objective fetal movement and MFA exist. Therefore, we objectively measured fetal movement alongside MFA in 51 pregnant women (mean age 28.9 years, SD = 6.0) in their third trimester (mean gestational weeks 36.7, SD = 2.2). Fetal movement was objectively measured with a Toitu MT-516 fetal actocardiograph and MFA was assessed using the Prenatal Attachment Inventory-Revised. Greater fetal movement was associated with higher MFA scores, independent of maternal mood, parity, knowledge of fetal sex, and gestational age. Taken together, these findings underscore the relevance of fetal movement within the psychology of pregnancy, suggesting that fetal movement outside of maternal perception may function as a communicative signal to enhance MFA. As maternal-fetal attachment is linked to postpartum bonding and caregiving, understanding these prenatal associations provides insight into how early psychological and relational processes shape postnatal development across the perinatal period.

母胎依恋(MFA)是孕妇与胎儿之间不断发展的心理纽带,反映了母亲早期的情感投入和对母亲角色的期望。母亲对胎儿运动的意识和反应是MFA的关键组成部分,这表明胎儿活动可能是母亲对婴儿表征发展的有意义的线索。先前的研究表明,参与胎儿运动计数显著提高了MFA得分,与那些感知胎儿运动较少的母亲相比,感知胎儿运动较多的母亲的MFA得分更高。然而,尚不清楚这种关联是否仅反映知觉,或者客观胎儿运动与MFA之间是否存在关联。因此,我们客观地测量了51名妊娠晚期(平均孕周36.7周,SD = 2.2)的孕妇(平均年龄28.9岁,SD = 6.0)的胎动和MFA。使用Toitu MT-516胎儿心电图仪客观测量胎儿运动,使用产前依恋量表(Prenatal Attachment Inventory-Revised)评估MFA。胎动越大,MFA评分越高,与母亲情绪、胎次、胎儿性别和胎龄无关。综上所述,这些发现强调了胎儿运动在怀孕心理中的相关性,表明母体感知之外的胎儿运动可能作为一种交流信号来增强MFA。由于母胎依恋与产后结合和照顾有关,了解这些产前关联可以深入了解早期心理和相关过程如何影响围产期的产后发育。
{"title":"Associations between fetal movement and maternal-fetal attachment in late pregnancy.","authors":"Kathy Ayala, Lissa Falcioni, Jeff Eilbott, Jocelyn Lamore, Kristin Voegtline, Helena J V Rutherford","doi":"10.1016/j.earlhumdev.2025.106351","DOIUrl":"10.1016/j.earlhumdev.2025.106351","url":null,"abstract":"<p><p>Maternal-fetal attachment (MFA) represents the evolving psychological bond between a pregnant person and their fetus, reflecting early emotional investment and expectations of the maternal role. Maternal awareness and response to fetal movement are key components of MFA, suggesting that fetal activity may serve as a meaningful cue in the development of maternal representations of the baby. Previous work shows that engaging in fetal movement counting significantly enhances MFA scores, and mothers who perceive greater fetal movements have higher MFA scores compared to those who perceive fewer movements. However, it remains unclear if this association reflects perception alone, or whether associations between objective fetal movement and MFA exist. Therefore, we objectively measured fetal movement alongside MFA in 51 pregnant women (mean age 28.9 years, SD = 6.0) in their third trimester (mean gestational weeks 36.7, SD = 2.2). Fetal movement was objectively measured with a Toitu MT-516 fetal actocardiograph and MFA was assessed using the Prenatal Attachment Inventory-Revised. Greater fetal movement was associated with higher MFA scores, independent of maternal mood, parity, knowledge of fetal sex, and gestational age. Taken together, these findings underscore the relevance of fetal movement within the psychology of pregnancy, suggesting that fetal movement outside of maternal perception may function as a communicative signal to enhance MFA. As maternal-fetal attachment is linked to postpartum bonding and caregiving, understanding these prenatal associations provides insight into how early psychological and relational processes shape postnatal development across the perinatal period.</p>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"210 ","pages":"106351"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12715726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the neurological impact of prematurity: Shared mechanisms in periventricular leukomalacia (PVL), intraventricular hemorrhage (IVH), and hydrocephalus 探讨早产对神经系统的影响:脑室周围白质软化症(PVL)、脑室内出血(IVH)和脑积水的共同机制。
IF 2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.earlhumdev.2025.106435
Oludamilola Adeshina , Tara P. Menon , Ayushi Ambekar , Collin Tanchanco , Jordan Darden
The earlier a baby is born, the greater the risk for developing complications, particularly relating to the development of the brain and neurological development. Common conditions seen with premature infants are periventricular leukomalacia (PVL), also known as white matter injury, intraventricular hemorrhage (IVH), and hydrocephalus. These conditions may result in varying degrees of structural damage to the brain parenchyma. This paper aims to discuss the shared pathophysiological mechanisms, clinical presentation, and current treatment approaches for PVL, IVH and hydrocephalus in premature infants with a focus on future research directions at improving neurodevelopmental outcomes. While the basic science continues to evolve rapidly, it is essential that future work prioritizes clinical translatability. Our review highlights an urgent need for therapies that balance efficacy and safety in these vulnerable patient populations. Collaborative efforts between clinicians and researchers will be vital to bridge this gap and ultimately improve outcomes for preterm infants affected by PVL, IVH, and hydrocephalus.
婴儿出生越早,出现并发症的风险就越大,尤其是与大脑和神经发育有关的并发症。早产儿常见的情况是脑室周围白质软化症(PVL),也称为白质损伤,脑室内出血(IVH)和脑积水。这些情况可导致脑实质不同程度的结构性损伤。本文旨在探讨早产儿PVL、IVH和脑积水的共同病理生理机制、临床表现和目前的治疗方法,并重点讨论未来在改善神经发育结局方面的研究方向。虽然基础科学继续快速发展,但未来的工作必须优先考虑临床可翻译性。我们的综述强调,迫切需要在这些脆弱的患者群体中找到平衡疗效和安全性的治疗方法。临床医生和研究人员之间的合作对于弥合这一差距并最终改善PVL、IVH和脑积水影响的早产儿的预后至关重要。
{"title":"Exploring the neurological impact of prematurity: Shared mechanisms in periventricular leukomalacia (PVL), intraventricular hemorrhage (IVH), and hydrocephalus","authors":"Oludamilola Adeshina ,&nbsp;Tara P. Menon ,&nbsp;Ayushi Ambekar ,&nbsp;Collin Tanchanco ,&nbsp;Jordan Darden","doi":"10.1016/j.earlhumdev.2025.106435","DOIUrl":"10.1016/j.earlhumdev.2025.106435","url":null,"abstract":"<div><div>The earlier a baby is born, the greater the risk for developing complications, particularly relating to the development of the brain and neurological development. Common conditions seen with premature infants are periventricular leukomalacia (PVL), also known as white matter injury, intraventricular hemorrhage (IVH), and hydrocephalus. These conditions may result in varying degrees of structural damage to the brain parenchyma. This paper aims to discuss the shared pathophysiological mechanisms, clinical presentation, and current treatment approaches for PVL, IVH and hydrocephalus in premature infants with a focus on future research directions at improving neurodevelopmental outcomes. While the basic science continues to evolve rapidly, it is essential that future work prioritizes clinical translatability. Our review highlights an urgent need for therapies that balance efficacy and safety in these vulnerable patient populations. Collaborative efforts between clinicians and researchers will be vital to bridge this gap and ultimately improve outcomes for preterm infants affected by PVL, IVH, and hydrocephalus.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"212 ","pages":"Article 106435"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145450541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brain ultrasound radiomics identify textural differences in basal ganglia and white matter between full term newborns HIV-exposed uninfected and HIV-unexposed in Botswana. 脑超声放射组学鉴定了博茨瓦纳艾滋病毒暴露、未感染和未感染的足月新生儿基底神经节和白质的结构差异。
IF 2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2025-11-01 Epub Date: 2025-08-06 DOI: 10.1016/j.earlhumdev.2025.106368
Laith R Sultan, Karen I Ramirez-Suarez, Sara Rae Schenkel, Monica Miranda Schaeubinger, Carmen Cerron-Vela, Samuel W Kgole, Gosego Masasa, Boitshepo Phale, Joseph Makhema, Thuso Mokane, Elizabeth D Lowenthal, Kathleen M Powis, Hansel J Otero

Background: Over 1 million infants born annually with fetal exposure to HIV and maternal antiretroviral treatment (ART) who remain HIV-uninfected (HEU) are at higher risk of neurodevelopmental delays compared to infants HIV-unexposed (HU).

Objective: We explored the use of brain ultrasound radiomics, specifically texture analysis, as an early imaging neurodevelopmental biomarker, comparing findings by newborn in utero HIV exposure status.

Methods: Brain ultrasound was performed on full-term newborns (≥ 37 weeks gestation) enrolled in a prospective observational study in Botswana. Radiomic ultrasound features, including first-order statistics, run-length, and co-occurrence matrix parameters, were extracted from the basal ganglia and periventricular white matter. Statistical comparisons were conducted based on fetal exposure to maternal HIV. The diagnostic performance of individual features was assessed, and logistic regression was used to combine the features for overall performance evaluation.

Results: Thirty-three infants (HEU: 20, HU: 13) were included in the analysis. The basal ganglia of HEU infants exhibited significantly lower heterogeneity (176.6 ± 10.76 vs. 205.97 ± 13.26, p = 0.04) and entropy (0.37 ± 0.01 vs. 0.41 ± 0.01, p = 0.03), and marginally lower gray level non-uniformity (310.04 ± 15.32 vs. 352.37 ± 24.20, p = 0.06) compared to HU infants, suggesting reduced parenchymal complexity. These combined radiomic features yielded an AUC of 0.72 with a specificity of 0.86. Similar trends were observed in the white matter, where HEU infants demonstrated marginally lower heterogeneity (191.66 ± 14.32 vs. 231.76 ± 17.34, p = 0.06). Gray level non-uniformity and run length non-uniformity were significantly lower in the HEU group (1996.87 ± 157.06 vs. 2487.43 ± 223.67, p = 0.04 and 284.66 ± 20.37 vs. 406.61 ± 47.77, p = 0.01, respectively). The combined white matter model demonstrated an AUC of 0.76 and a sensitivity of 0.86, indicating greater discriminatory power compared to the basal ganglia.

Conclusion: Ultrasound radiomics reveals distinct differences in brain texture between HEU and HU newborns, with significant findings in both basal ganglia and white matter features. These results highlight the potential of radiomics in identifying subtle neuroanatomical variations. Further research is needed to explore the neurodevelopmental implications of these findings.

背景:与未接触艾滋病毒(HU)的婴儿相比,每年有超过100万的胎儿暴露于艾滋病毒和母亲抗逆转录病毒治疗(ART)但仍未感染艾滋病毒(HEU)的婴儿神经发育迟缓的风险更高。目的:我们探索使用脑超声放射组学,特别是纹理分析,作为早期成像神经发育的生物标志物,比较新生儿在子宫内HIV暴露状态的结果。方法:在博茨瓦纳的一项前瞻性观察研究中,对足月新生儿(≥37周妊娠)进行脑超声检查。从基底节区和脑室周围白质中提取放射学超声特征,包括一阶统计量、行程长度和共现矩阵参数。根据胎儿暴露于母体艾滋病毒进行统计比较。评估单个特征的诊断性能,并使用逻辑回归将特征组合起来进行整体性能评估。结果:33例婴儿(HEU: 20, HU: 13)纳入分析。HEU组基底节区异质性(176.6±10.76 vs. 205.97±13.26,p = 0.04)和熵值(0.37±0.01 vs. 0.41±0.01,p = 0.03)显著低于HU组,灰度非均匀性(310.04±15.32 vs. 352.37±24.20,p = 0.06)显著低于HU组,表明HEU组基底节区实质复杂性降低。这些综合放射学特征的AUC为0.72,特异性为0.86。在白质中也观察到类似的趋势,HEU婴儿的异质性略低(191.66±14.32 vs 231.76±17.34,p = 0.06)。HEU组灰度不均匀性和跑程不均匀性显著低于对照组(1996.87±157.06 vs. 2487.43±223.67,p = 0.04; 284.66±20.37 vs. 406.61±47.77,p = 0.01)。联合白质模型的AUC为0.76,灵敏度为0.86,与基底节区相比具有更强的分辨能力。结论:超声放射组学显示HEU和HU新生儿的脑质地存在明显差异,基底节区和白质特征均有显著差异。这些结果突出了放射组学在识别细微神经解剖学变异方面的潜力。需要进一步的研究来探索这些发现对神经发育的影响。
{"title":"Brain ultrasound radiomics identify textural differences in basal ganglia and white matter between full term newborns HIV-exposed uninfected and HIV-unexposed in Botswana.","authors":"Laith R Sultan, Karen I Ramirez-Suarez, Sara Rae Schenkel, Monica Miranda Schaeubinger, Carmen Cerron-Vela, Samuel W Kgole, Gosego Masasa, Boitshepo Phale, Joseph Makhema, Thuso Mokane, Elizabeth D Lowenthal, Kathleen M Powis, Hansel J Otero","doi":"10.1016/j.earlhumdev.2025.106368","DOIUrl":"10.1016/j.earlhumdev.2025.106368","url":null,"abstract":"<p><strong>Background: </strong>Over 1 million infants born annually with fetal exposure to HIV and maternal antiretroviral treatment (ART) who remain HIV-uninfected (HEU) are at higher risk of neurodevelopmental delays compared to infants HIV-unexposed (HU).</p><p><strong>Objective: </strong>We explored the use of brain ultrasound radiomics, specifically texture analysis, as an early imaging neurodevelopmental biomarker, comparing findings by newborn in utero HIV exposure status.</p><p><strong>Methods: </strong>Brain ultrasound was performed on full-term newborns (≥ 37 weeks gestation) enrolled in a prospective observational study in Botswana. Radiomic ultrasound features, including first-order statistics, run-length, and co-occurrence matrix parameters, were extracted from the basal ganglia and periventricular white matter. Statistical comparisons were conducted based on fetal exposure to maternal HIV. The diagnostic performance of individual features was assessed, and logistic regression was used to combine the features for overall performance evaluation.</p><p><strong>Results: </strong>Thirty-three infants (HEU: 20, HU: 13) were included in the analysis. The basal ganglia of HEU infants exhibited significantly lower heterogeneity (176.6 ± 10.76 vs. 205.97 ± 13.26, p = 0.04) and entropy (0.37 ± 0.01 vs. 0.41 ± 0.01, p = 0.03), and marginally lower gray level non-uniformity (310.04 ± 15.32 vs. 352.37 ± 24.20, p = 0.06) compared to HU infants, suggesting reduced parenchymal complexity. These combined radiomic features yielded an AUC of 0.72 with a specificity of 0.86. Similar trends were observed in the white matter, where HEU infants demonstrated marginally lower heterogeneity (191.66 ± 14.32 vs. 231.76 ± 17.34, p = 0.06). Gray level non-uniformity and run length non-uniformity were significantly lower in the HEU group (1996.87 ± 157.06 vs. 2487.43 ± 223.67, p = 0.04 and 284.66 ± 20.37 vs. 406.61 ± 47.77, p = 0.01, respectively). The combined white matter model demonstrated an AUC of 0.76 and a sensitivity of 0.86, indicating greater discriminatory power compared to the basal ganglia.</p><p><strong>Conclusion: </strong>Ultrasound radiomics reveals distinct differences in brain texture between HEU and HU newborns, with significant findings in both basal ganglia and white matter features. These results highlight the potential of radiomics in identifying subtle neuroanatomical variations. Further research is needed to explore the neurodevelopmental implications of these findings.</p>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"210 ","pages":"106368"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12638123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144803769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of maternal blood glucose control on infant body composition at birth. 母亲血糖控制对婴儿出生时身体成分的影响。
IF 2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2025-11-01 Epub Date: 2025-07-31 DOI: 10.1016/j.earlhumdev.2025.106347
Lauren E Staiger, Kara Wong Ramsey, James Davis, Catherine Tarleton, Sheree Kuo

Objectives: The objectives of this study were to determine whether infants born to mothers with gestational or pregestational diabetes (IDM) and infants born to mothers with uncomplicated pregnancies have differences in percent body fat at birth, and to examine the relationship between glycemic control in pregnancy and infant body fat.

Study design: Percent body fat was measured in 132 IDM in the well-baby nursery using air displacement plethysmography and compared to a previously published cohort of 249 healthy control infants using t-tests. Linear regression models were used to examine the relationship between maternal glycemic control and infant percent body fat at birth.

Results: The difference in body fat between IDM and infants born to mothers with uncomplicated pregnancies was not clinically significant (12.9 ± 5 % vs 13.9 ± 4 %, p < 0.05). Among IDM, increasing maternal fasting blood glucose values and increasing percentages of elevated post-prandial glucose values were associated with increasing infant percent body fat. (β=0.19 and 0.08 respectively, P < 0.05).

Conclusion: Our cohort of healthy IDM that remained admitted to the term nursery did not have a clinically significant difference in percent body fat compared to control infants born to mothers with uncomplicated pregnancies. Among IDM, elevated maternal glucose levels correlated with increased infant percent body fat, suggesting glycemic control in pregnancy can affect body composition within this population.

目的:本研究的目的是确定患有妊娠期或妊娠期糖尿病(IDM)的母亲所生的婴儿与无并发症妊娠的母亲所生的婴儿出生时体脂百分比是否存在差异,并研究妊娠期血糖控制与婴儿体脂之间的关系。研究设计:使用空气置换体积脉搏仪测量132名健康婴儿托儿所的IDM体脂百分比,并与先前发表的249名健康对照婴儿使用t检验进行比较。使用线性回归模型来检验母亲血糖控制与婴儿出生时体脂百分比之间的关系。结果:IDM与妊娠无并发症母亲所生婴儿的体脂率差异无临床意义(12.9±5% vs 13.9±4%,p)。结论:我们的健康IDM队列与妊娠无并发症母亲所生的对照婴儿相比,体脂率无临床意义差异。在IDM中,孕妇血糖水平升高与婴儿体脂百分比增加相关,这表明孕期血糖控制可以影响该人群的身体组成。
{"title":"The effect of maternal blood glucose control on infant body composition at birth.","authors":"Lauren E Staiger, Kara Wong Ramsey, James Davis, Catherine Tarleton, Sheree Kuo","doi":"10.1016/j.earlhumdev.2025.106347","DOIUrl":"10.1016/j.earlhumdev.2025.106347","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives of this study were to determine whether infants born to mothers with gestational or pregestational diabetes (IDM) and infants born to mothers with uncomplicated pregnancies have differences in percent body fat at birth, and to examine the relationship between glycemic control in pregnancy and infant body fat.</p><p><strong>Study design: </strong>Percent body fat was measured in 132 IDM in the well-baby nursery using air displacement plethysmography and compared to a previously published cohort of 249 healthy control infants using t-tests. Linear regression models were used to examine the relationship between maternal glycemic control and infant percent body fat at birth.</p><p><strong>Results: </strong>The difference in body fat between IDM and infants born to mothers with uncomplicated pregnancies was not clinically significant (12.9 ± 5 % vs 13.9 ± 4 %, p < 0.05). Among IDM, increasing maternal fasting blood glucose values and increasing percentages of elevated post-prandial glucose values were associated with increasing infant percent body fat. (β=0.19 and 0.08 respectively, P < 0.05).</p><p><strong>Conclusion: </strong>Our cohort of healthy IDM that remained admitted to the term nursery did not have a clinically significant difference in percent body fat compared to control infants born to mothers with uncomplicated pregnancies. Among IDM, elevated maternal glucose levels correlated with increased infant percent body fat, suggesting glycemic control in pregnancy can affect body composition within this population.</p>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"210 ","pages":"106347"},"PeriodicalIF":2.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12593238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extreme temperature and preterm birth: Time windows and geographical disparities 极端温度和早产:时间窗口和地理差异
IF 2 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Pub Date : 2025-10-27 DOI: 10.1016/j.earlhumdev.2025.106426
Meng-Wei Ge , Wei Du , Lu-Ting Shen , Ur-Rehman Attiq , Wei Li , Xi-Yuan Peng , Li Shi , Juan Miao , Rui Feng , Kang Zhong , Si-Qi Gao , Hong-Lin Chen

Objectives

To thoroughly explore how exposure to heat or cold influences the preterm birth (PTB) risk in different time windows.

Methods

Embase, Web of Science, PubMed and Scopus were systematically searched for studies about the association of abnormal temperature exposure and PTB risk from inception to March 2025. Corresponding data like the time window of temperature exposure, temperature, and PTB prevalence etc. were extracted. A random effects model was employed to merge effect estimates (risk ratios, RR) in the statistical analysis, stratified by temperature percentile and exposure time window, and a total of six independent meta-analyses were performed. This research was carried out and documented in line with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guidelines.

Results

This study incorporated 32 studies. High temperatures within one week before delivery significantly increased PTB risk (RR = 1.05, 95 % CI: 1.02–1.08), particularly in subtropical regions (RR = 1.09, 95 % CI: 1.01–1.18), developing countries (RR = 1.06, 95 %CI: 1.01–1.12), and prospective studies (RR = 1.23, 95 % CI: 1.02, 1.49). For exposure windows of 1–4 weeks before delivery, a positive association was found (RR = 1.07, 95 % CI: 1.02–1.12), with subtropical regions at highest risk (RR = 1.10, 95 % CI: 1.01–1.20). Exposure beyond four weeks before delivery also increased PTB risk (RR = 1.20, 95 % CI: 1.00–1.44). Cold exposure did not significantly increase PTB risk, but did so more than four weeks (RR = 1.21, 95 % CI: 1.05–1.39).

Conclusions

This study indicates that prenatal high-temperature exposure is associated with an elevated risk of preterm birth, particularly during early pregnancy and in subtropical climates. The impact of cold exposure on PTB is unclear, but highlights the need for climate-resilient prenatal care amid global warming, including heat health warnings and cooling aid. This evidence is vital for tackling climate change's health risks to mothers and infants.
目的探讨不同时间窗暴露于高温或低温环境对早产(PTB)风险的影响。方法系统检索sembase、Web of Science、PubMed和Scopus自成立至2025年3月间有关异常温度暴露与肺结核风险相关性的研究。提取相应的温度暴露时间窗、气温、肺结核患病率等数据。统计分析采用随机效应模型合并效应估计(风险比,RR),按温度百分位和暴露时间窗分层,共进行6项独立荟萃分析。本研究按照系统评价和荟萃分析(PRISMA)报告指南的首选报告项目进行并记录。结果本研究纳入32项研究。分娩前一周内的高温显著增加了肺结核的风险(RR = 1.05, 95% CI: 1.02 - 1.08),特别是在亚热带地区(RR = 1.09, 95% CI: 1.01-1.18)、发展中国家(RR = 1.06, 95% CI: 1.01-1.12)和前瞻性研究(RR = 1.23, 95% CI: 1.02, 1.49)。对于分娩前1-4周的暴露窗口,发现呈正相关(RR = 1.07, 95% CI: 1.02-1.12),其中亚热带地区的风险最高(RR = 1.10, 95% CI: 1.01-1.20)。分娩前超过四周暴露也会增加肺结核的风险(RR = 1.20, 95% CI: 1.00-1.44)。暴露在寒冷环境中没有显著增加肺结核的风险,但超过四周后会增加(RR = 1.21, 95% CI: 1.05-1.39)。结论:本研究表明,产前高温暴露与早产风险增加有关,特别是在早期妊娠和亚热带气候下。寒冷暴露对PTB的影响尚不清楚,但强调了在全球变暖背景下对气候适应型产前护理的需求,包括热健康警告和冷却辅助。这一证据对于应对气候变化给母亲和婴儿带来的健康风险至关重要。
{"title":"Extreme temperature and preterm birth: Time windows and geographical disparities","authors":"Meng-Wei Ge ,&nbsp;Wei Du ,&nbsp;Lu-Ting Shen ,&nbsp;Ur-Rehman Attiq ,&nbsp;Wei Li ,&nbsp;Xi-Yuan Peng ,&nbsp;Li Shi ,&nbsp;Juan Miao ,&nbsp;Rui Feng ,&nbsp;Kang Zhong ,&nbsp;Si-Qi Gao ,&nbsp;Hong-Lin Chen","doi":"10.1016/j.earlhumdev.2025.106426","DOIUrl":"10.1016/j.earlhumdev.2025.106426","url":null,"abstract":"<div><h3>Objectives</h3><div>To thoroughly explore how exposure to heat or cold influences the preterm birth (PTB) risk in different time windows.</div></div><div><h3>Methods</h3><div>Embase, Web of Science, PubMed and Scopus were systematically searched for studies about the association of abnormal temperature exposure and PTB risk from inception to March 2025. Corresponding data like the time window of temperature exposure, temperature, and PTB prevalence etc. were extracted. A random effects model was employed to merge effect estimates (risk ratios, RR) in the statistical analysis, stratified by temperature percentile and exposure time window, and a total of six independent meta-analyses were performed. This research was carried out and documented in line with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guidelines.</div></div><div><h3>Results</h3><div>This study incorporated 32 studies. High temperatures within one week before delivery significantly increased PTB risk (RR = 1.05, 95 % CI: 1.02–1.08), particularly in subtropical regions (RR = 1.09, 95 % CI: 1.01–1.18), developing countries (RR = 1.06, 95 %CI: 1.01–1.12), and prospective studies (RR = 1.23, 95 % CI: 1.02, 1.49). For exposure windows of 1–4 weeks before delivery, a positive association was found (RR = 1.07, 95 % CI: 1.02–1.12), with subtropical regions at highest risk (RR = 1.10, 95 % CI: 1.01–1.20). Exposure beyond four weeks before delivery also increased PTB risk (RR = 1.20, 95 % CI: 1.00–1.44). Cold exposure did not significantly increase PTB risk, but did so more than four weeks (RR = 1.21, 95 % CI: 1.05–1.39).</div></div><div><h3>Conclusions</h3><div>This study indicates that prenatal high-temperature exposure is associated with an elevated risk of preterm birth, particularly during early pregnancy and in subtropical climates. The impact of cold exposure on PTB is unclear, but highlights the need for climate-resilient prenatal care amid global warming, including heat health warnings and cooling aid. This evidence is vital for tackling climate change's health risks to mothers and infants.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"212 ","pages":"Article 106426"},"PeriodicalIF":2.0,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Early human development
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1