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“Background A register-based retrospective case-control study to investigate the long-term morbidity mortality and welfare among women with alcohol and/or substance misuse identified during pregnancy
Methods Cohort of 524 women followed-up ante- and perinatally 1992-2001 at special out-patient clinics of maternity hospitals in the capital area of Finland The control group of 1792 women with no evidence of alcohol or substance misuse was matched for maternal age parity date of birth and hospital of index delivery Both groups
were followed-up until end of 2007
Results 79% (42/524) of the cases and 0 2% (4/1792) of the controls had died by the end of the median follow-up of 9 years (OR 38 95% CI 14-108) The cases displayed significant morbidity requiring inpatient BIBF 1120 purchase care in the areas of mental disorders (AOR 8 8 95% CI 6 5-11 9) viral (AOR 23 5 95% CI 8 8-62 7) and bacterial (AOR 6 1 95% CI 3 5-10 4) infections skin diseases (AOR 3 9 95% CI 2 0-7 8) and injury and poisoning (AOR 4 2 95% CI 3 1-5 6) The cases displayed more out-patient visits (OR 2 7 95% CI 2 7-2 8) Their mean length of hospital stay was longer compared to controls (10 3 vs 44 days p < 0 001) The risk of pension granted due to a disorder disease or disability (OR 8 8 95% CI 6 0-13 0) and the risk for minimum unemployment benefit were
higher compared to controls (OR 2 1 95% CI 1 8-2 5)
Conclusions These women display significant long-term morbidity mortality and loss of productivity after delivery The results emphasize
the importance of adequate postnatal follow-up and treatment for misuse (C) 2010 Elsevier GSK461364 Ireland Ltd All rights reserved”
“Human cytomegalovirus (HCMV) is a double-stranded DNA virus with the largest genome (similar to 235 kb) of the known human herpes viruses. The coding potential and transcript structures of most HCMV predicted genes have not been identified. New or unknown genes could exist in clinical strains. The SMART (switching mechanism at 5. end of RNA template of reverse transcriptase) technique was used to construct a full-length cDNA library of an HCMV clinical strain selleck products in the late expression phase. Randomly selected clones were sequenced. The sequenced expressed sequence tags were used to identify the expression and transcript structures of some predicted and unpredicted genes of HCMV. The transcripts of the UL99, TRL5/IRL5, UL73 to UL75, UL4, and UL115 genes, which were previously detected, were obtained with full-length structures from this library. Some novel transcripts, including several transcripts of UL/b’ genes and three antisense transcripts of UL83, UL87 and UL31 were found. The novel transcripts that were found, particularly the antisense transcripts of UL83, UL87 and UL31, showed that the transcription of HCMV genes is more complex than previously predicted.