Delivery mode (Cesarean vs. vaginal delivery) was abstracted from maternal delivery records. Data about infant exposures to medication were derived from questions asked during the telephone questionnaires described above. Mothers were asked whether their infant had received a prescription medication in the first four months of life. A free text field was used to record the medication name. If the exact name could not be recalled, as much detail as could be recalled was recorded. Topical medications including those given for conjunctivitis and antifungals such as those given for thrush were not considered. Because antibiotic exposure has both been shown to influence the intestinal microbiome 7 (link) we excluded infants who had received a prescription antibiotic.
Conjunctivitis
It can be caused by a variety of factors, including viral and bacterial infections, allergies, and irritation from chemicals or foreign objects.
Symptoms may include redness, itching, burning, and discharge from the eye.
Proper diagnosis and treatment are important to prevent complications and ensure a full recovery.
This MeSH term provides a comprehensive overview of conjunctivitis, its causes, symptoms, and management options.
Most cited protocols related to «Conjunctivitis»
A. baumannii isolates AB4857, AB5075, AB5711, AB0057, and AB5256 were grown overnight in LB broth with aeration at 37°C, subcultured to mid-exponential phase, washed, and resuspended in PBS with optical density at 600 nm (OD600) values corresponding to 2 × 108 CFU/ml. For infection, mice were anesthetized with oxygenated isoflurane immediately prior to intranasal inoculation with 25 µl of bacterial cultures, corresponding to 5 × 106 CFU. For rifampin experiments, mice were injected IP daily, starting at 4 h postinfection. Animal morbidity was scored twice daily for 6 days using a system evaluating mobility, coat condition, and conjunctivitis as previously described (14 (link)). As mice became exceedingly moribund based on clinical score, they were humanely euthanized according to protocol.
To assess CFU burden in the lungs, mice were humanely euthanized according to protocol on days 2 and 3 postinfection via an injection of ketamine (100 mg/kg) and xylazine (10 mg/kg). To quantify the pulmonary CFU burden, lungs were homogenized in 1 ml PBS, and serial dilutions were plated using the Autoplate spiral plating system (Advanced Instruments, Norwood, MA) onto LB agar supplemented with 50 µg/ml carbenicillin. Bacterial load was reported as CFU per gram of lung tissue.
The centres directly managed immunosuppression in most instances, and kept detailed records that were available for review. Data about demographic, clinical, and treatment characteristics were obtained from medical records by a structured, protocol-driven review of every visit of every patient. At four centres, all eligible patients identified were studied. At the fifth centre, because of a larger volume of patients and limited resources, a random sample of about 40% of the eligible patients were studied, oversampling subgroups likely to have received immunosuppression and patients treated early in the period of observation,19 (link) so as to maximise the information gained about immunosuppression and mortality. Reviews were done by five residency trained ophthalmologists with masters level or higher epidemiology training and one highly experienced ophthalmic technician and research coordinator. Use of immunosuppressive agents before cohort entry was noted along with the dosages of immunosuppressive agents and corticosteroids at all clinic visits. The broad range of additional data collection has been described previously.19 (link) Quality control features built into the data system required immediate correction or verification of unlikely values. Records of patients who had been seen at more than one of the participating centres were merged.
Data on mortality incidence during 1979-2005 inclusive were obtained by linkage of patient identifiers to the US National Death Index,20 (link) which provides near perfect ascertainment of mortality when US social security numbers are available (as in about 90% of our cohort).21 (link)
22 (link) Ascertainment of mortality using this approach is outstanding even based on the other identifiers we used.21 (link) Perfect matches on social security number, all names, and date of birth were accepted as matches. Possible matches with inconsistencies or missing values in one or more of these fields were manually reviewed, and adjudicated by consensus.
Causes of death were obtained using the National Death Index “plus” feature, extracted from death certificates in the same manner as for US vital statistics, which has 96% code-recode reproducibility.23 (link) Return of cancer codes (international classification of disease [ICD]-9 codes 140.0 to 208.9, 239.0 to 239.9, or ICD-10 codes C00 to C97) as the cause of death were taken as indicating a cancer death, within which return of lymphoma codes (ICD-9 codes 200.0 to 202.9 or ICD-10 codes C81.0 to C85.9) were taken as indicating a lymphoma death.
The study was approved by the participating centres’ institutional review boards, each of which approved waiver of consent for this retrospective study, and also was approved by the National Death Index review board. The study was conducted in compliance with the Declaration of Helsinki.
Most recents protocols related to «Conjunctivitis»
Example 2
Chlamydia is a common STI that is caused by the bacterium Chlamydia trachomatis. Transmission occurs during vaginal, anal, or oral sex, but the bacterium can also be passed from an infected mother to her baby during vaginal childbirth. It is estimated that about 1 million individuals in the United States are infected with this bacterium, making chlamydia one of the most common STIs worldwide. Like gonorrhea, chlamydial infection is asymptomatic for a majority of women. If symptoms are present, they include unusual vaginal bleeding or discharge, pain in the abdomen, painful sexual intercourse, fever, painful urination or the urge to urinate more frequently than usual. Of those who develop asymptomatic infection, approximately half may develop PID. Infants born to mothers with chlamydia may suffer from pneumonia and conjunctivitis, which may lead to blindness. They may also be subject to spontaneous abortion or premature birth.
Diagnosis of chlamydial infection is usually done by nucleic acid amplification techniques, such as PCR, using samples collected from cervical swabs or urine specimens (Gaydos et al., J. Clin. Microbio., 42:3041-3045; 2004). Treatment involves various antibiotic regimens.
In some embodiments, the disclosed device can be used to detect chlamydial infections from menstrual blood or cervicovaginal fluids.
The following 19 mental health search terms were queried from Google Trends, as described previously: “anxiety,” “depression,” “ocd” (obsessive-compulsive disorder), “hopeless,” “angry,” “afraid,” “apathy,” “worthless,” “worried,” “restless,” “irritable,” “tense,” “scattered,” “tired,” “avoiding,” “procrastinate,” “insomnia,” “suicidal,” and “suicide.” Aligning with previous work by the authors [10 (link),22 (link)], these terms were validated from previous research on using Google Trends to assess mental health [27 (link)], as well as from previous research assessing rapid affective symptom changes as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [28 ,29 (link)]. In addition to these terms, physical health search terms, both without known associations to COVID-19 (“abrasion,” “allergic,” “angina,” “apnea,” “bleeding,” “blister,” “bruising,” “conjunctivitis,” “constipation,” “discharge,” “earache,” “flatulence,” “fracture,” “hemorrhage,” “incontinence,” “inflammation,” “itching,” “lesions,” “rash,” “spasms,” “swelling,” and “syncope”; 22 terms) and with known associations to COVID-19 (“bloating,” “blurry,” “congestion,” “cough,” “coughing,” “croup,” “diarrhea,” “dizzy,” “fainting,” “fever,” “pain,” “sneezing,” “strep,” “stuffy,” and “vomiting”; 15 terms) were queried to ascertain whether any significantly detected patterns in mental health search term activity were unique to and distinct from those pertaining to physical health. Note that each mental and physical health search term was considered independently in this study; in other words, composite scores aggregating the individual search term counts to create a composite score capturing total mental and physical health activity were not created. This decision was made because combining individual search terms with differential trends throughout the pandemic may attenuate these individual trends in the composite score such that the composite score may not be reflective of changes in specific mental or physical health symptoms, therefore making it uninformative.
In the DM group, DM was diagnosed if patients were currently treated with oral hypoglycemic agents, with or without insulin, and if they fulfilled the American Diabetic Association (ADA) Guidelines diagnostic criteria [14 (link)]. In the non-DM group, all patients had glycosylated hemoglobin (HbA1c) <5.8%. Those with a history of ocular surgery involving the ocular surface or nasolacrimal apparatus, eyelid abnormalities (e.g., entropion and trichiasis), acute conjunctivitis, recent use of topical ophthalmic medication (e.g., steroids), and history of wearing contact lenses were excluded.
The study was approved by the Ethics Committee for Medical Research at the Jordan University Hospital and the University of Jordan. It adhered to the tenets of the Declaration of Helsinki. Informed consent for participation was obtained from all participants.
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More about "Conjunctivitis"
This eye condition can be caused by a variety of factors, including viral and bacterial infections, allergies, and irritation from chemicals or foreign objects.
Symptoms of conjunctivitis may include redness, itching, burning, and discharge from the eye.
Proper diagnosis and treatment are important to prevent complications and ensure a full recovery.
Diagnostic tests, such as the ImmunoCAP system or CAP-FEIA, can help identify the underlying cause of conjunctivitis.
In some cases, animal models like NOD-SCID-γc−/− (NSG) mice may be used to study the disease.
Treatment for conjunctivitis typically involves addressing the underlying cause.
Viral conjunctivitis may be managed with supportive care, while bacterial conjunctivitis often requires antibiotic eye drops or ointments.
Allergic conjunctivitis may be treated with antihistamines or corticosteroid eye drops.
In severe cases, procedures like the use of Sheep blood agar plates or the QIAsymphony® DSP Virus/Pathogen Midi Kit may be necessary.
To ensure the best possible outcome, it's important to follow the instructions provided by your healthcare provider, which may include the use of products like the ImmunoCAP or the application of Isoflurane.
Additionally, maintaining good hygiene, such as using a cell strainer to clean the eye, and avoiding contact with irritants can help manage conjunctivitis and prevent its recurrence.
By understanding the causes, symptoms, and management options for conjunctivitis, individuals can take proactive steps to address this common eye condition and maintain their eye health.