Search Results (281)

Pregnancy-related acute kidney injury (PR-AKI) increases the risk of chronic kidney disease (CKD) in the postpartum period, yet mechanisms driving this transition remain unclear. Uremic toxins, including indoxyl sulfate (IS), are implicated in AKI-to-CKD progression. Using a rat model of PR-AKI induced by ischemia–reperfusion on gestational day (GD) 18, we assessed IS contributions to renal injury in the postpartum. A subset of rats received the oral adsorbent AST-120 in the postpartum period to reduce IS. Additional groups received IS during pregnancy with or without AST-120 treatment in the postpartum period. Renal function, blood pressure, circulating and urinary IS concentrations, and renal histopathology were evaluated. PR-AKI resulted in sustained postpartum elevations in circulating (p = 0.03) and urinary (p < 0.03) IS, reduced urine output (p = 0.03), increased proteinuria (p < 0.0001), increased serum albumin, and increased renal fibrosis (p = 0.008) compared to normal pregnant control rats. Absorption of indole, a precursor for IS, significantly reduced urinary IS (p = 0.03), reduced serum creatinine (p = 0.006), and attenuated renal fibrosis (p = 0.002) in treated PR-AKI rats. While not significant, indole absorption improved urine output (p = 0.06) and reduced proteinuria (p = 0.07) in treated PR-AKI rats. IS administration during pregnancy recapitulated key features of postpartum CKD. Elevated IS contributes to persistent renal injury following PR-AKI. Postpartum reduction in IS with AST-120 dampens the progression of renal injury. These findings highlight uremic toxins as mechanistic drivers and potential therapeutic targets in post partum CKD following PR-AKI. Full article

This study explores the biotechnological applications of the ovine secretome by mapping protein expression trends and lipidomic dynamics in Chios (n = 5) and Karagouniko (n = 10) ewes during early lactation (1, 3, 5, 9, and 15 days post-partum-DPP). Immunoglobulin-G (IgG) expression was monitored via ELISA, lactoferrin (Lf) profiles were quantified using densitometric Tricine-SDS-PAGE, and fatty acid (FA) patterns were resolved by gas chromatography. Two-way mixed-factor repeated-measures ANOVA and Principal Component Analysis (PCA) revealed a highly significant temporal transition (p < 0.0001) across all components. Total IgG expression dropped sharply from DPP 1 (62.0–83.5 mg/mL) to day 15 (12.8–21.4 mg/mL), displaying a significant breed-by-time interaction (p < 0.0001), while the resilient Karagouniko breed exhibited a more buffered clearance slope. Conversely, local Lf mucosal expression followed a parallel, breed-independent temporal decay trajectory (p = 0.5877). Concurrently, saturated FAs decreased while monounsaturated and polyunsaturated fractions rose (p < 0.01), optimizing health-related lipid indices over time, including Atherogenicity (IA), Thrombogenicity (IT), and Health-Promoting (HPI). Unsupervised PCA successfully isolated early colostrum profiles based on coordinated immunological and lipidomic vectors. These findings demonstrate that tracking early secretome trajectories serves as a valuable, non-invasive indicator for translational veterinary medicine, establishing these genotype-specific fractions as potential substrates for future evaluation in bioactive functional food matrices research. Full article

Raw and fermented Astragalus membranaceus (AM) serve promising herbal additives for small ruminants, yet their integrated regulatory functions across lactating ewes and suckling lambs are insufficiently characterized. This study aimed to elucidate how dietary supplementation with raw and fermented Astragalus membranaceus modulates ruminal microbial communities, circulating metabolites, redox homeostasis, and lactation performance in postpartum Turpan black ewes, and to characterize the consequent effects on immune development and body weight gain in their offspring. The findings are intended to inform evidence-based strategies for herbal supplementation in sheep production. Forty-five postpartum Turpan black ewes were randomly allocated to three groups (n = 15): control (basal diet), AM and FAM groups. Ewe plasma, rumen fluid, milk yield, milk composition and serum antioxidant indices were sampled periodically. Lamb body weight, plasma antioxidants, immunoglobulins, growth hormone (GH) and insulin-like growth factor-1 (IGF-1) were measured every 15 days. Rumen 16S rRNA sequencing and untargeted plasma metabolomics were performed on day 45 post-partum. The group of FAM significantly increased milk yield (p < 0.05) and markedly improved total antioxidant capacity in ewes (p < 0.01). In the AM group, metabolites such as linoleic acid were significantly downregulated (p < 0.05), with enrichment in the linoleic acid metabolism pathway, while flavonoid metabolites, including quercetin 4′-isobutyrate, were strongly upregulated (p < 0.01). In the FAM group, tetradecanoic acid, palmitoleic acid, and related metabolites were significantly reduced (p < 0.05), and these differential metabolites showed significant enrichment in fatty acid biosynthesis (p < 0.05). Flavonoid compounds represented by melilotocarpan E were also significantly upregulated (p < 0.05). Rumen microbial diversity was significantly higher in the FAM group (p < 0.05). At the genus level, the FAM group showed enrichment of fiber-degrading bacteria, including Rikenellaceae_RC9_gut_group, unclassified_Muribaculaceae, and unclassified_F082. In newborn lambs, plasma GH and IGF-1 levels increased markedly in both the FAM and AM groups (p < 0.01). In the FAM group, immunoglobulin A (IgA) and immunoglobulin G (IgG) concentrations were also markedly elevated (p < 0.01). In addition, lambs in the FAM group exhibited substantially higher plasma catalase (CAT) activity and nitric oxide (NO) concentration (p < 0.01), whereas plasma total antioxidant capacity was significantly lower (p < 0.01). In conclusion, AM and FAM supplementation increased the relative abundance of Bacteroidetes, regulated fatty acid synthesis through modulation of plasma metabolites, enhanced antioxidant capacity in ewes, increased milk fat percentage, and improved immune function, antioxidant status, and growth performance in lambs. To provide a theoretical basis and data support for its application in ewes after lambing and for improving the growth and development of lambs. Overall, FAM produced superior effect. Full article

The annual congress of the Italian Association of Plastic Aesthetic Surgery (AICPE), with more than 700 members, represents one of the most relevant conference meetings in Europe relating to Aesthetic Plastic Surgery due to the number of participants and due to the faculty of invited speakers chosen for their renowned scientific value. The 13th meeting was held in Rome (Italy) from 10 to 12 April 2026. Key focus areas of the scientific program concerned breast (reduction, lifting supported or not by mesh, implant surfaces, augmentation), face and neck (lifting, blepharoplasty, malar implants, feminization), body (abdominoplasty and torsoplasty, post-partum and ex-obesity surgery, body and limb contouring, complication treatments) and nose surgery combined with medical innovations in energy devices, threads and aesthetic medicine procedures. Special attention was also given to the theme of the therapeutic role of aesthetic surgery, which is increasingly becoming an integral part of a clinical pathway useful for restoring the patient’s psycho-physical balance. Presented here is a report of the abstracts accepted due to their innovative or cutting-edge content that were selected to be given as oral presentations during the congress sessions. The 2nd edition of the Saccomanno memorial award for the best abstract presented by a young surgeon has been organized with the endorsement of Surgical Techniques Development by MDPI. Full article

Although harbour seals have often bred successfully in captivity, there is little information on the behaviour and welfare of captive mothers and their pups. This study used video of a mother with her newborn pup (P1) during the first 16 days post-partum and further video of the same mother with a second pup (P2) during days 19–22. The most frequent behaviours in the water were body nosing and close body contact. The observations with pup P2 allowed for expanded descriptions of contact and following behaviours in the water. With P1, the mother displayed most responsibility for following and approaching, i.e., for maintaining contact. Suckling usually occurred immediately after the mother led the pup from the water to an onshore suckling location. P1 often rested alone while its mother checked on it continuously from the water and signalled it to return to the water by nudging, nosing and splashing at it. This mother engaged in close contact with both her pups, with both the mother and both pups displaying body language suggestive of positive emotion and, therefore, indicative of good welfare. These observations offer an argument in favour of allowing female harbour seals in captivity to give birth and wean their pups naturally. Full article

Background: Low back pain is a common musculoskeletal complaint among postpartum women due to physical changes that occur during pregnancy and delivery, which can lead to different disability levels. Therefore, the aim of this study was to evaluate the disability levels and associated factors of postpartum women within the first year after childbirth. Methods: A descriptive cross-sectional study design was used to gather data from post-partum women between 6 weeks and 12 months after childbirth using an online self-administered questionnaire. This questionnaire included demographic variables, the Nordic Musculoskeletal Symptoms Questionnaire, the Pain Intensity Numeric Rating Scale, and a back disability questionnaire. Results: Among 400 postpartum mothers, 71% reported low back pain, with 51.1% experiencing mild disability. Logistic regression showed significant predictors of disability, including cesarean delivery (6.49 times higher likelihood), having 4–5 children (1.98 times), and more than six children (3.45 times). Breastfeeding increased disability risk (2.44 times), while mixed feeding reduced it (0.52 times). The model explained 49.8% of disability variance (p < 0.001). Conclusions: Disability is a common problem among postpartum women, highlighting the importance of healthcare providers addressing these challenges. Full article

Introduction: Acute gallstone pancreatitis is a potentially severe disease associated with morbidity and mortality. Cholecystectomy is recommended to prevent recurrence. During pregnancy, surgical management is challenging, and in the post-partum period small gallstones may spontaneously disappear. Ursodeoxycholic acid (UDCA) is safe during the last 6 months of pregnancy and effective in dissolving small gallstones, although recurrence after discontinuation is common in the general population. The optimal strategy to prevent recurrent acute pancreatitis during and after pregnancy remains unclear. Methods: Between 2002 and 2017 we prospectively treated women with acute pancreatitis related to small gallstones (≤1 cm in diameter) during the last six months of pregnancy or within the first post-partum year who declined surgery. Patients received UDCA until stone dissolution. A patent cystic duct was confirmed by ultrasonography; after delivery, a non-contrast CT scan was performed to exclude calcified stones. Patients were followed for at least 6 years or until recurrence, with serial clinical and ultrasonographic examinations. Results: UDCA was associated with complete dissolution in 13/14 women within a mean ± SD of 7.77 + 3.1 months. One patient experienced gallstone recurrence 75 months after treatment discontinuation. Two patients developed recurrent pancreatitis (at 1 and 88 months respectively). Twelve women remained free of recurrence over a mean ± SD follow-up of 79.5 + 9.4 months. Discussion: This is an observational study in which we document that UDCA may facilitate the spontaneous dissolution of small gallstones after delivery and can be considered a bridge strategy during pregnancy when surgery is not feasible. However, this study cannot determine the additional benefit of UDCA over the spontaneous disappearance of stones observed after delivery because we had no control group. Cholecystectomy remains the standard of care post-partum. Medical therapy should be reserved for women who refuse surgery and it requires close ultrasonographic surveillance. The main strength of this study is the prospective long-term follow-up of a consecutive cohort with a rare condition. Limitations include the small sample size, missing control group and single-center design. Full article

Enzymes of the α-glucosidase group cleave α-D-glucose from the non-reducing end of short oligosaccharides. They contribute to carbohydrate digestion as maltase-glucoamylase in the intestinal brush border and as neutral α-glucosidase in other tissues. Neutral α-glucosidase is also active in blood, but little is known about its relevance as an indicator of the body’s metabolic state. Therefore, we proved whether the α-glucosidase activity level in blood does reflect the state of negative energy balance (NEB). As NEB commonly occurs in dairy cows around calving, our study included blood (serum, plasma) samples of 73 Holstein Friesian cows collected ±14 d to parturition. After the establishment and characterization of a fast and low-cost activity assay, these blood samples were analyzed for α-glucosidase compared to known NEB biomarkers. This analysis revealed the lowest α-glucosidase activity 5 d post partum (−25% compared to 14 d ante partum) by using two different α-glucosidase substrates. The reduced activity recovered 14 d post partum; however, the degree of recovery depended inversely on the number of parities. In this regard, α-glucosidase activity changed peripartum in line with known biomarkers (e.g., NEFA, IGF-1, glucose). In conclusion, the α-glucosidase activity is a new and easily detectable blood parameter of NEB in dairy cows. Full article

Background/Objectives: This study aimed to evaluate the effects of frenulotomy in mother–infant pairs with problematic tongue-tie. Methods: A 2-year prospective observational cohort study was performed. Mother–infant pairs were divided into frenulotomy and non-frenulotomy groups by maternal choice. Four breastfeeding practice outcomes were evaluated: reduced latching pain scores, improved LATCH scores, regained birth weight within 2 weeks post-partum, and successful exclusive breastfeeding (EBF) at 3 months of age. The comparison between groups was performed using multivariable risk regression with propensity score analysis. Results: A total of 350 mother–infant pairs were included. There were 226 mother–infant pairs who underwent frenulotomy and 124 pairs in the non-frenulotomy group. The median latching pain scores significantly decreased from 6 to 3 at 24 h post-operatively and from 6 to 0 at 1 week post-operatively (p < 0.001). The median LATCH scores increased significantly from 5 to 9 at 1 week post-operatively (p < 0.001). LATCH scores within 2 weeks were improved in the frenolotomy group (risk ratio = 1.31, p = 0.017). The success rate of EBF at 3 months was 72.12% in the frenulotomy group and 76.61% in the non-frenulotomy group, with no statistically significance. Conclusions: Short-term breastfeeding outcomes and LATCH scores in mother–infant pairs with tongue-tie improved faster in those who underwent the procedure, with no complications. Full article

Neonatal piglet mortality remains a major challenge in hyper-prolific sow herds, particularly under tropical conditions where low ambient oxygen (18–21%) may exacerbate hypoxia during prolonged farrowing. This study evaluated whether restoring normoxia (21% O₂) immediately after birth improved piglet colostrum intake, blood glucose levels, and survival to 3 d. A total of 1837 piglets from 95 sows were weighed at birth and assigned by litter to exposure to either a normoxic chamber (FiO₂ = 0.21) or ambient-air control (FiO₂ = 0.16–0.18) for 15 min post-partum. Piglet colostrum intake, blood glucose content, and survival to 24-h and 3 d were analyzed using mixed-effects models. Compared with controls, oxygen-supplemented piglets showed higher postnatal oxygen saturation (94.2 ± 3.6 vs. 88.1 ± 3.5%), greater colostrum intake (348 ± 263 vs. 320 ± 233 g), higher blood glucose (97.7 ± 13.0 vs. 93.8 ± 13.1 mg/dL), and increased 3-day survival (86.1% vs. 80.8%; p < 0.01). The effect was most pronounced in piglets < 1.0 kg and >1.3 kg, reflecting improved recovery from transient hypoxia. Mean weaning weight increased by 0.3 kg, indicating sustained benefits in early growth. These findings demonstrate that short-term normoxic oxygen supplementation is a practical, cost-effective intervention that enhances growth, metabolic stability, and survival in neonatal piglets under tropical commercial farm conditions. Full article

Background/Objectives: Pregnancy represents a unique physiological state marked by extensive metabolic adaptations, particularly in lipid pathways essential for maternal adjustments, fetal development, and postpartum recovery. This study aimed to explore these changes through untargeted lipidomic profiling. Methods: This observational, comparative, non-interventional clinical study included 107 women, of which 65 were in the third trimester of pregnancy (mean age 27.9 ± 5 years) and 42 were in the early postpartum period (≤7 days, mean age 28.9 ± 5.9 years). Inclusion criteria were singleton, term pregnancies (37–41 weeks) with neonates weighing > 2500 g and no associated pregnancy-related pathologies; exclusion criteria included multiple gestation, use of lipid-altering medications, maternal age > 40 years, or diagnosed pregnancy complications. Plasma samples were analyzed using High-Performance Liquid Chromatography–Quadrupole Time-Of-Flight–Electrospray Ionization (positive mode)–Mass Spectrometry, data were processed with MetaboAnalyst 6.0 using multivariate and univariate analyses (Partial Least Squares–Discriminant Analysis, Volcano Plot, Random Forest, Receiver Operating Characteristic analysis), with statistical significance set at p < 0.05. Results: Multivariate analysis demonstrated a clear separation between groups with high predictive accuracy as reflected by strong classification metrics (Accuracy = 0.90, R² = 0.75, Q² = 0.68). Several discriminative lipids were consistently identified across statistical models, including 2-Methoxyestrone (AUC = 0.861), Eicosanedioic acid (AUC = 0.854), and Pregnenolone sulfate (AUC = 0.843). These biomarkers were further categorized into five major lipid classes: steroid hormones, long-chain fatty acids, lysophospholipids, ceramides/sphingolipids, and glycerolipids. Conclusions: Untargeted lipidomic profiling revealed distinct metabolic signatures that differentiate late pregnancy from early post-partum states. The identification of robust lipid biomarkers with high discriminative performance highlights their potential utility in maternal health monitoring, obstetric risk assessment, and postpartum recovery surveillance. Full article

This study determined the effects of gestational obesity on the short- and long-term metabolic statuses of post-partum mothers and whether obesity management during pregnancy could attenuate these effects. At 120 days prior to estrus, eight ewes received 100% of the National Research Council (NRC) nutrient requirements (control group), and twenty-four ewes had free access to feed (obesity induction). Embryos from superovulated ewes with normal body condition were transferred to the uteri of control-fed or obese ewes on day 6 post-estrus to generate genetically similar singleton pregnancies. Thirty-five days after embryo transfer, eight obese ewes were subject to restricted feeding (65% of feed intake for the 100% NRC-fed control group) until parturition, and the remaining sixteen obese ewes (eight ewes/group) continued to have free access to feed throughout gestation. Following parturition, all but one group of obese ewes (that continued to have free access to feed) were fed 100% of NRC nutrient requirements. At post-partum days (PPD) 1 and 150, glucose tolerance tests were conducted with ewes. At both PPD1 and PPD150, obesity resulted in insulin resistance, impairment of whole-body glucose utilization, increased levels of circulating leptin, and altered profiles of amino acids in plasma, and these effects were attenuated in ewes receiving obesity management during or after gestation. At PPD150, obesity increased circulating levels of ammonia and urea in ewes, which were prevented by realimentation to 100% NRC requirements. These results indicate that weight reduction in obese ewes during pregnancy or after parturition can ameliorate the adverse metabolic effects of gestational obesity in ewes. Full article

Background/Objectives: Pregnant women with Inflammatory Bowel Disease (IBD) require careful management to ensure optimal maternal and fetal outcomes. Whether IBD is a risk factor for pre-eclampsia is controversial. We aimed to investigate the incidence of venous thromboembolism (VTE), pre-eclampsia, and risk of disease flare from low-dose aspirin. Methods: This is a retrospective study of the Leeds combined IBD antenatal clinic providing joint specialist gastroenterology and obstetric consultations from 2015 to 2024. Primary outcomes were incidence of VTE, incidence of pre-eclampsia, and disease flare whilst taking aspirin. Results: In 574 pregnancies a single episode of VTE occurred. Adherence to VTE prophylaxis guidelines was good for post-partum periods but only 2 of 51 cases with third-trimester flare received the required VTE prophylaxis. The incidence of pre-eclampsia in this cohort was low at 2.7%. The majority of women deemed high-risk for pre-eclampsia received prophylaxis with aspirin in accordance with guidelines. The risk of symptomatic disease flare was not increased for aspirin users (21.6% versus 22.2% for non-users (p = 0.61)). Conclusions: The incidence of VTE and pre-eclampsia was low in this cohort of pregnant women with IBD. Pre-eclampsia prophylaxis in adherence to guidelines was good and was not associated with an increased flare risk. VTE prophylaxis for third-trimester flares was insufficient and requires better attention from IBD specialists, who are most likely to encounter patients with IBD flares. Full article

Background: Desmoid tumors (DTs) are rare, locally aggressive soft-tissue neoplasms that often affect women of reproductive age. Pregnancy and prior abdominal surgery or trauma have been associated with tumor development and growth, while imaging frequently overlaps with abdominal-wall endometriosis. We present the case of a 39-year-old woman with an abdominal-wall DT and provide a narrative review of the literature focused on pregnancy/postpartum patterns, differential diagnosis, and management. Methods: A narrative review of PubMed/MEDLINE and Web of Science (January 1982–December 2024) was conducted. We included English-language case reports/series, narrative/descriptive reviews, and consensus statements relevant to DTs in pregnancy or reproductive-age women, emphasizing abdominal-wall disease. Results: The patient’s right abdominal-wall mass enlarged during pregnancy and further post-partum imaging repeatedly suggested endometriosis. En bloc resection revealed desmoid-type fibromatosis composed of bland spindle cells in a collagenous stroma, with nuclear β-catenin and lymphoid enhancer–binding factor 1 (LEF1) positivity on immunohistochemistry. Magnetic resonance imaging (MRI) at 12 months showed no recurrence. Across included studies, pregnancy and post-partum enlargement is common, abdominal-wall DTs frequently mimic scar endometriosis, and pre-operative ultrasound has limited specificity. Current practice supports watch-and-wait for stable, asymptomatic lesions and function-preserving surgery for symptomatic progression, while systemic options (anti-estrogens, low-dose chemotherapy, and tyrosine kinase inhibitors) are reserved for progressive or unresectable disease. Recurrence risk relates to age, size, site, and β-catenin status; future pregnancy is not contraindicated. Conclusions: Abdominal-wall DTs, although rare, should be considered in the differential diagnosis of reproductive-age women presenting with abdominal-wall masses, particularly during or after pregnancy. Full article

This case describes an outbreak of salmonellosis caused by Salmonella enterica subspecies enterica serotype Agona in a Rottweiler breeding kennel, associated with raw meat-based diet (RMBD) of unlicensed origin. The report presents the clinical, epidemiological, and microbiological characteristics of the outbreak, as well as the control and preventive measures undertaken. Methods: Samples of faeces, vomit, raw food, and environmental surfaces were collected and examined. The isolated pathogen was identified using bacteriological culture, biochemical testing, MALDI-TOF mass spectrometry, and serotyping according to the White–Kauffmann–Le Minor scheme. Antimicrobial susceptibility was determined by the broth microdilution method in accordance with standards of Clinical and Laboratory Standards Institute (CLSI). Results: Clinical signs included vomiting, diarrhoea, lethargy, and dehydration without fever, with disease exacerbation observed in post-partum animals. Extensive carriage and faecal shedding of S. Agona were detected in affected dogs, along with widespread contamination of food and the kennel environment. The isolate was susceptible to some antimicrobial agents but resistant to cephalexin, aminoglycosides, lincosamides, macrolides, and fusidic acid, and showed intermediate susceptibility to polymyxin B. Following discontinuation of raw meat feeding, targeted antimicrobial therapy, and environmental disinfection, all dogs recovered, and subsequent tests for Salmonella spp., were negative. All human contacts also tested negative. Conclusions: This represents the first documented outbreak of S. Agona infection in dogs in Bulgaria linked to a RMBD. The findings emphasise the importance of feed safety, biosecurity, and traceability of feed sources in kennels, as well as the potential zoonotic risk associated with raw feeding practices. The diagnostic and therapeutic measures implemented in this case provide an effective model for managing similar epidemiological events within the One Health framework. Full article