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  1. Article ; Online: Interventions to prevent perinatal depression: US Preventive Services Task Force Recommendation Statement.

    Kleine, Ira

    Archives of disease in childhood. Education and practice edition

    2019  Volume 105, Issue 4, Page(s) 242–243

    Language English
    Publishing date 2019-10-29
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2148818-6
    ISSN 1743-0593 ; 1743-0585
    ISSN (online) 1743-0593
    ISSN 1743-0585
    DOI 10.1136/archdischild-2019-317433
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Postnatal maternal depressive symptoms and behavioural outcomes in term-born and preterm-born toddlers

    Andrew Pickles / Serena Counsell / Ira Kleine / David Edwards / George Vamvakas / Alexandra Lautarescu / Chiara Nosarti / Shona Falconer / Andrew Chew

    BMJ Open, Vol 12, Iss

    a longitudinal UK community cohort study

    2022  Volume 9

    Abstract: Objectives To examine the association between maternal depressive symptoms in the immediate postnatal period and offspring’s behavioural outcomes in a large cohort of term-born and preterm-born toddlers.Design and participants Data were drawn from the ... ...

    Abstract Objectives To examine the association between maternal depressive symptoms in the immediate postnatal period and offspring’s behavioural outcomes in a large cohort of term-born and preterm-born toddlers.Design and participants Data were drawn from the Developing Human Connectome Project. Maternal postnatal depressive symptoms were assessed at term-equivalent age, and children’s outcomes were evaluated at a median corrected age of 18.4 months (range 17.3–24.3).Exposure and outcomes Preterm birth was defined as <37 weeks completed gestation. Maternal depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale (EPDS). Toddlers’ outcome measures were parent-rated Child Behaviour Checklist 11/2–5 Total (CBCL) and Quantitative Checklist for Autism in Toddlers (Q-CHAT) scores. Toddlers’ cognition was assessed with the Bayley Scales of Infant and Toddler Development—Third Edition (Bayley-III).Results Higher maternal EPDS scores were associated with toddlers’ higher CBCL (B=0.93, 95% CI 0.43 to 1.44, p<0.001, f2=0.05) and Q-CHAT scores (B=0.27, 95% CI 0.03 to 0.52, p=0.031, f2=0.01). Maternal EPDS, toddlers’ CBCL and Q-CHAT scores did not differ between preterm (n=97; 19.1% of the total sample) and term participants. Maternal EPDS score did not disproportionately affect preterm children with respect to CBCL or Q-CHAT scores.Conclusions Our findings indicate that children whose mothers reported increased depressive symptoms in the early postnatal period, including subclinical symptoms, exhibit more parent-reported behavioural problems in toddlerhood. These associations were independent of gestational age. Further research is needed to confirm the clinical significance of these findings.
    Keywords Medicine ; R
    Language English
    Publishing date 2022-09-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Neonatal outcomes of waterbirth: a systematic review and meta-analysis.

    Taylor, Henry / Kleine, Ira / Bewley, Susan / Loucaides, Eva / Sutcliffe, Alastair

    Archives of disease in childhood. Fetal and neonatal edition

    2016  Volume 101, Issue 4, Page(s) F357–65

    Abstract: Introduction: In 2015, 9% of babies born in the UK were delivered underwater. Waterbirth is increasing in popularity, despite uncertainty regarding its safety for neonates. This systematic review and meta-analysis appraises the existing evidence for ... ...

    Abstract Introduction: In 2015, 9% of babies born in the UK were delivered underwater. Waterbirth is increasing in popularity, despite uncertainty regarding its safety for neonates. This systematic review and meta-analysis appraises the existing evidence for neonatal outcomes following waterbirth.
    Methods: A structured electronic database search was performed with no language restrictions. All comparative studies which reported neonatal outcomes following waterbirth, and that were published since 1995, were included. Quality appraisal was performed using a modified Critical Appraisal Skills Programme scoring system. The primary outcome was neonatal mortality. Data for each neonatal outcome were tabulated and analysed. Meta-analysis was performed for comparable studies which reported sufficient data.
    Results: The majority of the 29 included studies were small, with limited follow-up and methodological flaws. They were mostly conducted in Europe and high-income countries. Reporting of data was heterogeneous. No significant difference in neonatal mortality, neonatal intensive care unit/special care baby unit admission rate, Apgar scores, umbilical cord gases or infection rates was found between babies delivered into water and on land.
    Conclusions: This systematic review and meta-analysis did not identify definitive evidence that waterbirth causes harm to neonates compared with land birth. However, there is currently insufficient evidence to conclude that there are no additional risks or benefits for neonates when comparing waterbirth and conventional delivery on land.
    MeSH term(s) Apgar Score ; Baths/methods ; Baths/statistics & numerical data ; Delivery, Obstetric/adverse effects ; Delivery, Obstetric/methods ; Delivery, Obstetric/mortality ; Female ; Humans ; Infant ; Infant Mortality ; Infant, Newborn ; Parturition ; Pregnancy ; Pregnancy Outcome
    Language English
    Publishing date 2016-07
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2007331-8
    ISSN 1468-2052 ; 1359-2998
    ISSN (online) 1468-2052
    ISSN 1359-2998
    DOI 10.1136/archdischild-2015-309600
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Influence of CYP2C19 and CYP2D6 on side effects of aripiprazole and risperidone: A systematic review.

    de Brabander, Emma / Kleine Schaars, Kristian / van Amelsvoort, Therese / van Westrhenen, Roos

    Journal of psychiatric research

    2024  Volume 174, Page(s) 137–152

    Abstract: Variability in hepatic cytochrome P450 (CYP) enzymes such as 2C19 and 2D6 may influence side-effect and efficacy outcomes for antipsychotics. Aripiprazole and risperidone are two commonly prescribed antipsychotics, metabolized primarily through CYP2D6. ... ...

    Abstract Variability in hepatic cytochrome P450 (CYP) enzymes such as 2C19 and 2D6 may influence side-effect and efficacy outcomes for antipsychotics. Aripiprazole and risperidone are two commonly prescribed antipsychotics, metabolized primarily through CYP2D6. Here, we aimed to provide an overview of the effect of CYP2C19 and CYP2D6 on side-effects of aripiprazole and risperidone, and expand on existing literature by critically examining methodological issues associated with pharmacogenetic studies. A PRISMA compliant search of six electronic databases (Pubmed, PsychInfo, Embase, Central, Web of Science, and Google Scholar) identified pharmacogenetic studies on aripiprazole and risperidone. 2007 publications were first identified, of which 34 were included. Quality of literature was estimated using Newcastle-Ottowa Quality Assessment Scale (NOS) and revised Cochrane Risk of Bias tool. The average NOS score was 5.8 (range: 3-8) for risperidone literature and 5 for aripiprazole (range: 4-6). All RCTs on aripiprazole were rated as high risk of bias, and four out of six for risperidone literature. Study populations ranged from healthy volunteers to inpatient individuals in psychiatric units and included adult and pediatric samples. All n = 34 studies examined CYP2D6. Only one study genotyped for CYP2C19 and found a positive association with neurological side-effects of risperidone. Most studies did not report any relationship between CYP2D6 and any side-effect outcome. Heterogeneity between and within studies limited the ability to synthesize data and draw definitive conclusions. Studies lacked statistical power due to small sample size, selective genotyping methods, and study design. Large-scale randomized trials with multiple measurements, providing robust evidence on this topic, are suggested.
    Language English
    Publishing date 2024-04-06
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 3148-3
    ISSN 1879-1379 ; 0022-3956
    ISSN (online) 1879-1379
    ISSN 0022-3956
    DOI 10.1016/j.jpsychires.2024.04.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Correlation of serum and synovial leptin concentrations with body condition scores in healthy and osteoarthritic dogs.

    Kleine, Stephanie A / Sanderson, Sherry L / George, Clinton / Roth, Ira / Gogal, Robert M / Thaliath, Mary Ann / Budsberg, Steven C

    Veterinary surgery : VS

    2019  Volume 48, Issue 5, Page(s) 780–785

    Abstract: Objective: To evaluate the relationship between serum and synovial fluid (SF) leptin concentrations and body condition score (BCS) in healthy and osteoarthritic dogs.: Study design: Controlled, prospective, clinical study.: Animals: Nineteen ... ...

    Abstract Objective: To evaluate the relationship between serum and synovial fluid (SF) leptin concentrations and body condition score (BCS) in healthy and osteoarthritic dogs.
    Study design: Controlled, prospective, clinical study.
    Animals: Nineteen healthy dogs and 29 dogs with osteoarthritis (OA) secondary to cranial cruciate ligament injury.
    Methods: Synovial fluid was obtained from the femorotibial joint under sedation (healthy dogs) or during surgery (OA dogs). Serum and SF leptin and interleukin (IL)-1β concentrations were measured via enzyme-linked immunosorbent assay. Dogs were classified as optimal weight (BCS 4-5/9) or overweight (BCS >5/9). Radiographs were scored for OA severity by a radiologist. Owners completed the Liverpool Osteoarthritis in Dogs (LOAD) questionnaire.
    Results: Mean (± SD) SF leptin (4.09 ± 4 ng/mL) was lower than serum leptin (6.88 ± 5.52 ng/mL, P < .0001). Synovial fluid leptin was higher in overweight (5.28 ± 4.21) than in optimal body weight dogs (1.54 ± 1.72 ng/mL, P < .0001). Serum (P < .001) and SF leptin (P = .004) concentrations were associated with BCS. Concentration of SF leptin did not differ between healthy (2.4 ± 2.04 ng/mL) and OA (4.9 ± 4.3 ng/mL, P = .25) dogs. Synovial fluid leptin and LOAD scores were weakly associated (P = .03). No association was detected between SF leptin and radiographic score or IL-1β (P = .73).
    Conclusion: Serum and SF leptin correlated with BCS in this population. Synovial fluid leptin was weakly associated with LOAD scores but not with radiographic severity of OA or IL-1β.
    Clinical significance: Serum and SF leptin concentrations do not predict radiographic severity of canine OA but contribute to joint pain and dysfunction.
    MeSH term(s) Animals ; Anterior Cruciate Ligament Injuries/blood ; Anterior Cruciate Ligament Injuries/metabolism ; Anterior Cruciate Ligament Injuries/veterinary ; Body Composition ; Dog Diseases/blood ; Dog Diseases/metabolism ; Dogs ; Enzyme-Linked Immunosorbent Assay ; Female ; Humans ; Leptin/analysis ; Leptin/blood ; Leptin/metabolism ; Male ; Osteoarthritis/blood ; Osteoarthritis/metabolism ; Osteoarthritis/veterinary ; Prospective Studies ; Radiography ; Synovial Fluid/chemistry
    Chemical Substances Leptin
    Language English
    Publishing date 2019-06-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1491071-8
    ISSN 1532-950X ; 0161-3499
    ISSN (online) 1532-950X
    ISSN 0161-3499
    DOI 10.1111/vsu.13244
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Correlation of serum and synovial leptin concentrations with body condition scores in healthy and osteoarthritic dogs

    Kleine, Stephanie A / Sanderson, Sherry L / George, Clinton / Roth, Ira / Gogal, Robert M / Thaliath, Mary Ann / Budsberg, Steven C

    Veterinary surgery. 2019 July, v. 48, no. 5

    2019  

    Abstract: OBJECTIVE: To evaluate the relationship between serum and synovial fluid (SF) leptin concentrations and body condition score (BCS) in healthy and osteoarthritic dogs. STUDY DESIGN: Controlled, prospective, clinical study. ANIMALS: Nineteen healthy dogs ... ...

    Abstract OBJECTIVE: To evaluate the relationship between serum and synovial fluid (SF) leptin concentrations and body condition score (BCS) in healthy and osteoarthritic dogs. STUDY DESIGN: Controlled, prospective, clinical study. ANIMALS: Nineteen healthy dogs and 29 dogs with osteoarthritis (OA) secondary to cranial cruciate ligament injury. METHODS: Synovial fluid was obtained from the femorotibial joint under sedation (healthy dogs) or during surgery (OA dogs). Serum and SF leptin and interleukin (IL)‐1β concentrations were measured via enzyme‐linked immunosorbent assay. Dogs were classified as optimal weight (BCS 4–5/9) or overweight (BCS >5/9). Radiographs were scored for OA severity by a radiologist. Owners completed the Liverpool Osteoarthritis in Dogs (LOAD) questionnaire. RESULTS: Mean (± SD) SF leptin (4.09 ± 4 ng/mL) was lower than serum leptin (6.88 ± 5.52 ng/mL, P < .0001). Synovial fluid leptin was higher in overweight (5.28 ± 4.21) than in optimal body weight dogs (1.54 ± 1.72 ng/mL, P < .0001). Serum (P < .001) and SF leptin (P = .004) concentrations were associated with BCS. Concentration of SF leptin did not differ between healthy (2.4 ± 2.04 ng/mL) and OA (4.9 ± 4.3 ng/mL, P = .25) dogs. Synovial fluid leptin and LOAD scores were weakly associated (P = .03). No association was detected between SF leptin and radiographic score or IL‐1β (P = .73). CONCLUSION: Serum and SF leptin correlated with BCS in this population. Synovial fluid leptin was weakly associated with LOAD scores but not with radiographic severity of OA or IL‐1β. CLINICAL SIGNIFICANCE: Serum and SF leptin concentrations do not predict radiographic severity of canine OA but contribute to joint pain and dysfunction.
    Keywords blood serum ; body condition ; cranial cruciate ligament ; dog diseases ; dogs ; enzyme-linked immunosorbent assay ; interleukin-1beta ; leptin ; osteoarthritis ; overweight ; pain ; questionnaires ; radiography ; sedation ; surgery ; synovial fluid
    Language English
    Dates of publication 2019-07
    Size p. 780-785.
    Publishing place John Wiley & Sons, Inc.
    Document type Article
    Note JOURNAL ARTICLE
    ZDB-ID 1491071-8
    ISSN 1532-950X ; 0161-3499
    ISSN (online) 1532-950X
    ISSN 0161-3499
    DOI 10.1111/vsu.13244
    Database NAL-Catalogue (AGRICOLA)

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  7. Article ; Online: Hospital admission for hyperemesis gravidarum in women at increased risk of spontaneous preterm birth.

    Kleine, Ira / Da Silva, Ana / Ahmed, Wafaa / Forya, Frida / Whitten, Sara M / David, Anna L / James, Catherine P

    Birth (Berkeley, Calif.)

    2017  Volume 44, Issue 4, Page(s) 384–389

    Abstract: Background: Progesterone administration prevents spontaneous preterm birth (sPTB) in women at increased risk. Progesterone concentration is lower in women with subsequent sPTB. Conversely, high concentrations of progesterone are implicated in the ... ...

    Abstract Background: Progesterone administration prevents spontaneous preterm birth (sPTB) in women at increased risk. Progesterone concentration is lower in women with subsequent sPTB. Conversely, high concentrations of progesterone are implicated in the pathogenesis of hyperemesis gravidarum (HG). We hypothesized that women at increased risk of sPTB or spontaneous late miscarriage would be less likely to have a diagnosis of HG. To explore this hypothesis, we compared the incidence of HG in women at increased risk of sPTB and women with no identifiable risk factors.
    Methods: Women at increased risk of sPTB were identified from a specialist Preterm Birth Clinic (PTBC) database where criteria for PTBC attendance are previous cervical surgery, previous sPTB <34 weeks, previous spontaneous late miscarriage, incidental sonographic cervical shortening, and uterine anomaly. Hospital antenatal booking and coding records for the same time period were examined to identify HG admissions. Women with multiple gestations, trophoblastic disease, or pre-existing abnormal thyroid function were excluded. The incidence of HG among PTBC (n=394) and non-PTBC attendees (n=4762) was calculated.
    Results: The incidence of HG was lower in women at increased risk of sPTB (1.52%, n=6) compared with women with no identifiable risk factor for sPTB (3.33%, n=159; P=.049).
    Conclusion: Hospital admission for HG is reduced in women with risk factors for sPTB compared with those without risk factors. Exploration of the pathogenesis of HG may improve understanding of the mechanisms underlying sPTB.
    MeSH term(s) Female ; Hospitalization/statistics & numerical data ; Humans ; Hyperemesis Gravidarum/epidemiology ; London/epidemiology ; Pregnancy ; Pregnancy Complications/epidemiology ; Premature Birth/epidemiology ; Risk Factors
    Language English
    Publishing date 2017-08-30
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604869-9
    ISSN 1523-536X ; 0730-7659
    ISSN (online) 1523-536X
    ISSN 0730-7659
    DOI 10.1111/birt.12303
    Database MEDical Literature Analysis and Retrieval System OnLINE

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