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Serum Liver Enzyme Pattern in Birth Asphyxia Associated Liver Injury
Chhavi, Nanda,Zutshi, Kiran,Singh, Niranjan Kumar,Awasthi, Ashish,Goel, Amit The Korean Society of Pediatric Gastroenterology 2014 Pediatric gastroenterology, hepatology & nutrition Vol.17 No.3
Purpose: To study temporal pattern of serum liver enzymes levels in newborns with hepatic injury associated with birth asphyxia (BA). Methods: Singleton term newborns with BA and ${\leq}72$ hours of age admitted to neonatal intensive care unit were prospectively enrolled. Term newborns with physiological jaundice and without BA were studied as controls. Serum liver enzymes were measured at <24 hours, 24-72 hours, and at 6-12 days of age for cases and at 1-6 days of age for controls. BA was defined by 1 minute Apgar score <7 or delayed or absent cry with hypoxic ischemic encephalopathy. BA-associated liver injury was defined as serum alanine aminotransferase (ALT) elevation beyond +2 standard deviation (ALT > +2 SD) above the mean of control subjects at any of the three time points. Results: Sixty controls and 62 cases were enrolled. Thirty-five cases (56%) developed BA-associated liver injury (ALT>81 IU/L). They had higher serum levels of ALT, aspartate aminotransferase, lactate dehydrogenase than the control infants, with peak at 24-72 hours. In controls, serum liver enzyme levels were significantly higher in appropriate-for-date (AFD) babies than small-for-date (SFD) babies. Serum enzyme pattern and extent of elevation were comparable between SFD and AFD babies. Degree of serum liver enzyme elevation had no relationship with severity of hypoxic encephalopathy. Conclusion: Serum liver enzyme elevation is common in BA; it peaks at 24-72 hours followed by a sharp decline by 6-12 days of age. Pattern and extent of enzyme elevation are comparable between SFD and AFD babies.
Serum Liver Enzyme Pattern in Birth Asphyxia Associated Liver Injury
Nanda Chhavi,Kiran Zutshi,Niranjan Kumar Singh,Ashish Awasthi,Amit Goel 대한소아소화기영양학회 2014 Pediatric gastroenterology, hepatology & nutrition Vol.17 No.3
Purpose: To study temporal pattern of serum liver enzymes levels in newborns with hepatic injury associated with birth asphyxia (BA). Methods: Singleton term newborns with BA and ≤72 hours of age admitted to neonatal intensive care unit were prospectively enrolled. Term newborns with physiological jaundice and without BA were studied as controls. Serum liver enzymes were measured at <24 hours, 24-72 hours, and at 6-12 days of age for cases and at 1-6 days of age for controls. BA was defined by 1 minute Apgar score <7 or delayed or absent cry with hypoxic ischemic encephalopathy. BA-associated liver injury was defined as serum alanine aminotransferase (ALT) elevation beyond +2 standard deviation (ALT > +2 SD) above the mean of control subjects at any of the three time points. Results: Sixty controls and 62 cases were enrolled. Thirty-five cases (56%) developed BA-associated liver injury (ALT>81 IU/L). They had higher serum levels of ALT, aspartate aminotransferase, lactate dehydrogenase than the control infants, with peak at 24-72 hours. In controls, serum liver enzyme levels were significantly higher in appropriate- for-date (AFD) babies than small-for-date (SFD) babies. Serum enzyme pattern and extent of elevation were comparable between SFD and AFD babies. Degree of serum liver enzyme elevation had no relationship with severity of hypoxic encephalopathy. Conclusion: Serum liver enzyme elevation is common in BA; it peaks at 24-72 hours followed by a sharp decline by 6-12 days of age. Pattern and extent of enzyme elevation are comparable between SFD and AFD babies.
Anamika Roy,Mamun Mandal,Sujit Das,Manoj Kumar,Robert Popek,Amit Awasthi,Balendu Shekher Giri,Kartick Chandra Mondal,Abhijit Sarkar 대한환경공학회 2023 Environmental Engineering Research Vol.29 No.3
Recent regulations on exhaust emissions have led to an increase in non-exhaust emissions, which now surpasses exhaust emissions. Non-exhaust emissions are mainly generated from brake and tire particle abrasion, road wear, and re-suspended road dust. In Asia, non-exhaust emissions have increased significantly over the past 50 years, resulting in almost 92% of the population breathing polluted air, which accounts for 70% of air pollution related-deaths. Most Asian countries with poor air quality are developing or underdeveloped. Taking this into consideration, the current study aims to shed light on particulate pollution from non-exhaust emissions in the Asian context to assess the current status and its health consequences and provides technological solutions. The study is based on an in-depth analysis of existing reviews and research concerning non-exhaust emissions and their health impacts in Asia to pinpoint knowledge gaps. The study found that particulate pollutants had exceeded WHOs standards in many Asian countries, bringing deleterious health consequences among children and the elderly. The findings underscore the significance of future researchers efforts to devise solutions that curtail non-exhaust emissions, ultimately reducing air pollution, augmenting air quality, fostering better health outcomes, and paving way for a more sustainable future before it is too late.