Embryonic Resorption – a Longitudinal Ultrasonographic Study in the Model Species European Brown Hare (Lepus Europaeus PALLAS, 1778)

Total Page:16

File Type:pdf, Size:1020Kb

Embryonic Resorption – a Longitudinal Ultrasonographic Study in the Model Species European Brown Hare (Lepus Europaeus PALLAS, 1778) Aus dem Leibniz-Institut für Zoo- und Wildtierforschung (IZW) im Forschungsverbund Berlin e.V. und dem Fachbereich Veterinärmedizin der Freien Universität Berlin Embryonic resorption – a longitudinal ultrasonographic study in the model species European brown hare (Lepus europaeus PALLAS, 1778) Inaugural-Dissertation zur Erlangung des Grades eines Doktors der Veterinärmedizin an der Freien Universität Berlin vorgelegt von Katharina Dorothea Ilse Lidy Schröder Tierärztin aus Berlin Berlin 2014 Journal-Nr.: 3696 Gedruckt mit Genehmigung des Fachbereichs Veterinärmedizin der Freien Universität Berlin Dekan: Univ.-Prof. Dr. Jürgen Zentek Erster Gutachter: Univ.-Prof. Dr. Heribert Hofer Zweiter Gutachter: Prof. Dr. Sabine Meinecke-Tillmann Dritter Gutachter: PD Dr. Kerstin Müller Deskriptoren (nach CAB-Thesaurus): Amniocentesis, amnion, amniotic fluid, biopsy, blastocyst, conceptus, corpus luteum, chorion, embryology, embryo mortality, embryonic development, embryonic resorption, fertility, fetal development, fetal death, fetal growth, fetal membranes, fetal resorption, hares, Lagomorpha, Lepus europaeus, Leporidae, luteolysis, mammals, ovaries, ovulation, pregnancy, pregnancy diagnosis, prenatal development, prenatal diagnosis, rabbits, regression, reproduction, resorption, trophoblast, ultrasonography, ultrasound, chorionic villi (MesH) Tag der Promotion: 15.09.2014 Bibliografische Information der Deutschen Nationalbibliothek Die Deutsche Nationalbibliothek verzeichnet diese Publikation in der Deutschen Nationalbibliografie; detaillierte bibliografische Daten sind im Internet über <http://dnb.ddb.de> abrufbar. ISBN: 978-3-86387-543-5 Zugl.: Berlin, Freie Univ., Diss., 2014 Dissertation, Freie Universität Berlin D 188 Dieses Werk ist urheberrechtlich geschützt. Alle Rechte, auch die der Übersetzung, des Nachdruckes und der Vervielfältigung des Buches, oder Teilen daraus, vorbehalten. Kein Teil des Werkes darf ohne schriftliche Genehmigung des Verlages in irgendeiner Form reproduziert oder unter Verwendung elektronischer Systeme verarbeitet, vervielfältigt oder verbreitet werden. Die Wiedergabe von Gebrauchsnamen, Warenbezeichnungen, usw. in diesem Werk berechtigt auch ohne besondere Kennzeichnung nicht zu der Annahme, dass solche Namen im Sinne der Warenzeichen- und Markenschutz-Gesetzgebung als frei zu betrachten wären und daher von jedermann benutzt werden dürfen. This document is protected by copyright law. No part of this document may be reproduced in any form by any means without prior written authorization of the publisher. Alle Rechte vorbehalten | all rights reserved © Mensch und Buch Verlag 2014 Choriner Str. 85 - 10119 Berlin [email protected] – www.menschundbuch.de To my mother Gisela, my father Martin, my brother Nikolas and my aunt Barbara for their endless love and unmeasurable support Der Tod ist kein Abschnitt des Daseins, sondern nur ein Zwischenereignis, ein Übergang aus einer Form des endlichen Wesens in eine andere. (Wilhelm von Humboldt, Briefe an eine Freundin) Contents I. Introduction ......................................................................................................................... 9 1. Embryonic resorption in mammals ................................................................................... 9 1.1. Historical overview ..................................................................................................... 9 1.2. Definition .................................................................................................................. 11 1.3. Embryonic resorption in polytocous species ............................................................ 11 1.3.1. Macroscopic description ................................................................................ 11 1.3.2. Incidence ........................................................................................................ 12 1.3.2.1. Direct counts of embryonic resorptions ....................................... 12 1.3.2.2. The reliability of corpora lutea counts ......................................... 13 1.3.2.3. The reliability of placental scar counts ........................................ 13 1.4. Embryonic degeneration in monotocous species..................................................... 14 1.4.1. Incidence ........................................................................................................ 14 1.4.1. Multiple pregnancies ...................................................................................... 15 2. The European brown hare .............................................................................................. 15 2.1. Population decline .................................................................................................... 16 2.2. Factors associated with polpulation declines in Europe ........................................... 16 2.3. Reproductive research ............................................................................................. 17 2.4. Incidence of embryonic resorption in the European brown hare .............................. 18 3. Biopsy procedures and Amniocentesis ........................................................................... 18 3.1. Amniocentesis .......................................................................................................... 18 3.2. Chorionic villus sampling ......................................................................................... 19 3.3. Ultrasound guided assistance .................................................................................. 19 4. Objectives ....................................................................................................................... 20 II. Articles .............................................................................................................................. 21 Article I. Embryonic resorption in context to intragestational corpus luteum regression: a longitudinal ultrasonographic study in the Eurpean brown hare (Lepus europaeus PALLAS 1778). ..... 21 Article II. In vivo tissue sampling of embryonic resorption sites using ultrasound guided biopsy.. .... 37 Article III. Free blastocyst and implantation stages in the European brown hare: correlation between ultrasound and histological data.. ....................................................................................... 52 III. General discussion ......................................................................................................... 76 IV. Conclusion: Embryonic resorption as a physiological phenomenon in mammals.. 79 V. Summary/Zusammenfassung ......................................................................................... 84 VI. References ....................................................................................................................... 86 VII. Appendix ....................................................................................................................... 116 5 This thesis is based on the following manuscripts: 1. Schroeder, K., Drews, B., Roellig, K., Goeritz, F. and Hildebrandt, T.B. (2013) ‘Embryonic resorption in context to intragestational corpus luteum regression: a longitudinal ultrasonographic study in the European brown hare (Lepus europaeus PALLAS 1778)’, Theriogenology, vol. 80, pp. 778-784. - own contributions: ultrasonographic evaluation from day 5 to day 42 of pregnancy of 1) embryonic development, 2) embryonic resorptions and 3) CL-monitoring, 4) analysis and statistical calculations, 5) writing of the manuscript 2. Schroeder, K., Drews, B., Roellig, K., Menzies, B.R., Goeritz, F. and Hildebrandt, T.B. (2011) ‘In vivo tissue sampling of embryonic resorption sites using ultrasound guided biopsy’, Theriogenology, vol. 76, pp. 778-784. - own contributions: 1) implementation of the two biopsies techniques and in vivo extraction of resorption fluid and placental tissue, 2) ultrasonographic monitoring of embryonic resorptions and viable conceptus from day 5 to day 42, 3) histological analysis of resorption smears, 4) analysis and statistical calculations, 5) writing of the manuscript 3. Drews, B., Ringleb, J., Waurich, R., Hildebrandt, T.B., Schröder, K. and Roellig, K. (2013) ‘Free blastocyst and implantation stages in the European brown hare: correlation between ultrasound and histological data’, Reproduction, Fertility and Development, vol. 25, pp. 866-878. – own contributions: 1) ultrasonographic monitoring and 2) tissue collection 6 List of abbreviations: AES agri-environment schemes AI artificial insemination BVDV bovine viral diarrhea virus CL corpus luteum, corpora lutea CS caesarean section CT computed tomography CVS chorionic villus sampling d day DNA desoxyribonucleic acid Ebh European brown hare EBHS European Brown Hare Syndrome eCG equine chorionic gonadotropin EED early embryonic death eFh Europäischer Feldhase em embryo EPL early pregnancy loss ET embryo transfer GK Gelbkörper h hour kg kilogram LAP laparatomy LH luteinizing hormone mg milligram Mhz Megahertz min minute ml millilitre MRI magnetic resonance imaging ng nanogram OCT optical coherence tomography OHE ovariohysterectomy pl placental PLR partial litter resorption p.m. post mortem RES resorption s.d. standard deviation SRY sex determining region of Y 7 TLR total litter resorption UBM ultrasound biomicroscope US ultrasound µg microgram µl microlitre µm micrometre µM micromole 8 I. Introduction 1. Embryonic resorption in mammals 1.1. Historical overview The phenomenon of embryonic resorption
Recommended publications
  • Comparative Transcriptome Analysis of Embryo Invasion in the Mink Uterus
    Placenta 75 (2019) 16–22 Contents lists available at ScienceDirect Placenta journal homepage: www.elsevier.com/locate/placenta Comparative transcriptome analysis of embryo invasion in the mink uterus T ∗ Xinyan Caoa,b, , Chao Xua,b, Yufei Zhanga,b, Haijun Weia,b, Yong Liuc, Junguo Caoa,b, Weigang Zhaoa,b, Kun Baoa,b, Qiong Wua,b a Institute of Special Animal and Plant Sciences, Chinese Academy of Agricultural Sciences, Changchun, China b State Key Laboratory for Molecular Biology of Special Economic Animal and Plant Science, Chinese Academy of Agricultural Sciences, Changchun, China c Key Laboratory of Embryo Development and Reproductive Regulation of Anhui Province, College of Biological and Food Engineering, Fuyang Teachers College, Fuyang, China ABSTRACT Introduction: In mink, as many as 65% of embryos die during gestation. The causes and the mechanisms of embryonic mortality remain unclear. The purpose of our study was to examine global gene expression changes during embryo invasion in mink, and thereby to identify potential signaling pathways involved in implantation failure and early pregnancy loss. Methods: Illumina's next-generation sequencing technology (RNA-Seq) was used to analyze the differentially expressed genes (DEGs) in implantation (IMs) and inter- implantation sites (inter-IMs) of uterine tissue. Results: We identified a total of 606 DEGs, including 420 up- and 186 down-regulated genes in IMs compared to inter-IMs. Gene annotation analysis indicated multiple biological pathways to be significantly enriched for DEGs, including immune response, ECM complex, cytokine activity, chemokine activity andprotein binding. The KEGG pathway including cytokine-cytokine receptor interaction, Jak-STAT, TNF and the chemokine signaling pathway were the most enriched.
    [Show full text]
  • IL-10-Null Mice Inflammation-Induced Fetal Demise in Uterine NK Cells Mediate
    Uterine NK Cells Mediate Inflammation-Induced Fetal Demise in IL-10-Null Mice This information is current as Shaun P. Murphy, Loren D. Fast, Nazeeh N. Hanna and of September 27, 2021. Surendra Sharma J Immunol 2005; 175:4084-4090; ; doi: 10.4049/jimmunol.175.6.4084 http://www.jimmunol.org/content/175/6/4084 Downloaded from References This article cites 52 articles, 13 of which you can access for free at: http://www.jimmunol.org/content/175/6/4084.full#ref-list-1 http://www.jimmunol.org/ Why The JI? Submit online. • Rapid Reviews! 30 days* from submission to initial decision • No Triage! Every submission reviewed by practicing scientists • Fast Publication! 4 weeks from acceptance to publication by guest on September 27, 2021 *average Subscription Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 2005 by The American Association of Immunologists All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. The Journal of Immunology Uterine NK Cells Mediate Inflammation-Induced Fetal Demise in IL-10-Null Mice Shaun P. Murphy,* Loren D. Fast,† Nazeeh N. Hanna,‡ and Surendra Sharma2* Specialized NK cells are recruited in high numbers to the mammalian embryo implantation sites, yet remain pregnancy com- patible.
    [Show full text]
  • Role of Some Cytokines on Reproduction
    Middle East Fertility Society Journal (2011) 16, 220–223 Middle East Fertility Society Middle East Fertility Society Journal www.mefsjournal.com www.sciencedirect.com ORIGINAL ARTICLE Role of some cytokines on reproduction Batool Mutar Mahdi * Department of Microbiology, Al-Kindy College of Medicine, Baghdad University, AL-Nahda Square, Baghdad, Iraq Received 11 December 2010; accepted 13 March 2011 Available online 9 April 2011 KEYWORDS Abstract Background: The etiology of female reproductive failure may be very complex owing to Infertility; a neuro-endocrine-immune association. Dysregulated immunity has been implicated in reproductive Cytokines; failure. Lower TH1 cytokines is supportive for physiological pregnancy. IL-10; Aim of the study: To measure serum levels of pro-inflammatory cytokines (tumor necrosis factor IL-6; (TNF-a), interferon-gamma (IFN-c) and anti-inflammatory cytokines (IL-10 and IL-6) in repro- IFN-c; ductive failure women. TNF-a Patients and methods: A cross- sectional study was carried out in Kammal El-Sammrari Hospital from 2008 to 2010. Forty-five women with reproductive failure participated in the study. Serum lev- els of cytokines (IL-6, IL-10, TNF-alpha and IFN-gamma) were done by Enzyme Linked Immuno Sorbent Assay (ELISA) and compared with age, body mass index and ethnicity matched thirty fer- tile women. Results: There is a significant increase in IL-10 (18.09) (p = 0.002) and IFN-c (49.62) (p = 0.0001) in women with reproductive failure. TNF-a and IL-6 showed no significance different with fertile group. Conclusions: There is increase in IL-10 and IFN-c in women with reproductive failure.
    [Show full text]
  • For Review Only 19 10 Telephone: +44 1223 333729 20 21 Fax: +44 1223 333346
    Submitted to Phil. Trans. R. Soc. B - Issue The role of the maternal immune system in the regulation of human birth weight For ReviewJournal: Philosophical Only Transactions B Manuscript ID: RSTB-2014-0071.R1 Article Type: Review Date Submitted by the Author: n/a Complete List of Authors: Moffett, Ashley; University of Cambridge, Pathology Hiby, Susan; University of Cambridge, Pathology Sharkey, Andrew; University of Cambridge, Pathology Issue Code: Click <a href=http://rstb.royalsocietypublishing.org/site/misc/issue- BIRTH codes.xhtml target=_new>here</a> to find the code for your issue.: Developmental biology < BIOLOGY, Evolution Subject: < BIOLOGY, Genetics < BIOLOGY, Immunology < BIOLOGY Birth weight, Natural Killer (NK) cells, Keywords: Immunology, pre-eclampsia, fetal growth restriction, placental development http://mc.manuscriptcentral.com/issue-ptrsb Page 1 of 27 Submitted to Phil. Trans. R. Soc. B - Issue 1 1 2 3 4 5 The role of the maternal immune system in the regulation of 6 7 human birth weight 8 9 10 1,2 1 1 11 5 Ashley Moffett , Susan E . Hiby and Andrew Sharkey 12 1 Department of Pathology and Centre for Trophoblast Research, 13 14 University of Cambridge, Tennis Court Road, Cambridge CB2 1QP, UK 15 16 17 2Corresponding author. E-mail address: [email protected] (A. Moffett). 18 For Review Only 19 10 Telephone: +44 1223 333729 20 21 Fax: +44 1223 333346. 22 23 24 Summary 25 26 Human birth weight is subject to stabilizing selection. Large babies are at 27 15 risk of obstetric complications such as obstructed labour, which endangers 28 29 both mother and child.
    [Show full text]
  • Early Pregnancy Diagnosis and Embryo/Fetus Mortality
    EARLY PREGNANCY DIAGNOSIS AND EMBRYO/FETUS MORTALITY IN CATTLE A Dissertation by JUAN EDUARDO ROMANO Submitted to the Office of Graduate Studies of Texas A&M University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY December 2004 Major Subject: Physiology of Reproduction EARLY PREGNANCY DIAGNOSIS AND EMBRYO/FETUS MORTALITY IN CATTLE A Dissertation by JUAN EDUARDO ROMANO Submitted to Texas A&M University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Approved as to style and content by: _____________________________ _________________________________ Duane C. Kraemer David W. Forrest (Co-Chair of Committee) (Co-Chair of Committee) _____________________________ _________________________________ Mark E. Westhusin James A. Thompson (Member) (Member) _____________________________ John W. McNeill (Head of Department) December 2004 Major Subject: Physiology of Reproduction iii ABSTRACT Early Pregnancy Diagnosis and Embryo/Fetus Mortality in Cattle. (December 2004) Juan Eduardo Romano, D.V.M., University of Uruguay; M.S., University of Minnesota Co-Chairs of Advisory Committee: Dr. Duane C. Kraemer Dr. David W. Forrest Pregnancy diagnosis by transrectal ultrasonography (using a 5 MHZ linear probe) presented the maximum sensitivity and negative predictive values at day 26 and day 29 after estrus in heifers and cows, respectively. Palpation per rectum using the fetal membrane slip for pregnancy diagnosis did not increase embryo/fetus mortality when compared with a positive control group of non-palpated females. The use of a controlled randomized block design was a useful approach to study this problem. Blocking for category and number of embryos allowed us to remove these confounding factors. Factors that affected pregnancy loss during the first four months of pregnancy were: period of pregnancy, age of the animal, number of previous lactations and number of embryos.
    [Show full text]
  • Antibody-Induced Pregnancy Loss
    TNF-α Is a Critical Effector and a Target for Therapy in Antiphospholipid Antibody-Induced Pregnancy Loss This information is current as Jessica Berman, Guillermina Girardi and Jane E. Salmon of September 24, 2021. J Immunol 2005; 174:485-490; ; doi: 10.4049/jimmunol.174.1.485 http://www.jimmunol.org/content/174/1/485 Downloaded from References This article cites 48 articles, 7 of which you can access for free at: http://www.jimmunol.org/content/174/1/485.full#ref-list-1 Why The JI? Submit online. http://www.jimmunol.org/ • Rapid Reviews! 30 days* from submission to initial decision • No Triage! Every submission reviewed by practicing scientists • Fast Publication! 4 weeks from acceptance to publication *average by guest on September 24, 2021 Subscription Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 2005 by The American Association of Immunologists All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. The Journal of Immunology TNF-␣ Is a Critical Effector and a Target for Therapy in Antiphospholipid Antibody-Induced Pregnancy Loss1 Jessica Berman, Guillermina Girardi, and Jane E. Salmon2 The antiphospholipid syndrome (APS) is characterized by recurrent fetal loss, intrauterine growth restriction, and vascular thrombosis in the presence of antiphospholipid (aPL) Abs.
    [Show full text]
  • Seminal CD38 Is a Pivotal Regulator for Fetomaternal Tolerance
    Seminal CD38 is a pivotal regulator for fetomaternal tolerance Byung-Ju Kima,b, Yun-Min Choia,b, So-Young Raha,b, Dae-Ryoung Parka,b, Seon-Ah Parka, Yun-Jo Chunga, Seung-Moon Parkc, Jong Kwan Parkd, Kyu Yun Jange, and Uh-Hyun Kima,b,f,1 + aNational Creative Research Laboratory for Ca2 Signaling Network and Departments of bBiochemistry, dUrology, and ePathology, Chonbuk National University Medical School, Jeonju, 561-180, Korea; cDivision of Biotechnology, College of Environmental and Bioresource Sciences, Chonbuk National University, Iksan, 570-752, Korea; and fInstitute of Cardiovascular Research, Chonbuk National University, Jeonju, 561-180, Korea Edited by John J. Eppig, The Jackson Laboratory, Bar Harbor, ME, and approved December 22, 2014 (received for review July 16, 2014) A successful pregnancy depends on a complex process that estab- a variety of inflammatory diseases (20–23). For example, recombi- lishes fetomaternal tolerance. Seminal plasma is known to induce nant CD38 inhibits LPS-induced inflammatory signals in mouse maternal immune tolerance to paternal alloantigens, but the seminal macrophages and human DCs through an interaction with CD31 factors that regulate maternal immunity have yet to be characterized. (24, 25). Here, we show that a soluble form of CD38 (sCD38) released from In this study, we found that CD38 is truncated and released seminal vesicles to the seminal plasma plays a crucial role in inducing into the seminal plasma from seminal vesicles (SVs) as a soluble + + + tolerogenic dendritic cells and CD4 forkhead box P3 (Foxp3 )reg- form (sCD38) in humans and mice. This finding prompted us to ulatory T cells (Tregs), thereby enhancing maternal immune tolerance examine whether CD38 plays a role in maternal immune toler- and protecting the semiallogeneic fetus from resorption.
    [Show full text]
  • Preterm Birth and Preeclampsia Fetal
    The Journal of Immunology TLR9 Provokes Inflammation in Response to Fetal DNA: Mechanism for Fetal Loss in Preterm Birth and Preeclampsia Andrea Scharfe-Nugent,*,1 Sine´ad C. Corr,†,1 Susan B. Carpenter,‡ Louise Keogh,x Brendan Doyle,{ Cara Martin,{ Katherine A. Fitzgerald,‡ Sean Daly,* John J. O’Leary,{,2 and Luke A. J. O’Neill†,2 Preterm birth, the major cause of neonatal mortality in developed countries, is associated with intrauterine infections and inflam- mation, although the exact mechanisms underlying this event are unclear. In this study, we show that circulating fetal DNA, which is elevated in pregnancies complicated by preterm labor or preeclampsia, triggers an inflammatory reaction that results in sponta- neous preterm birth. Fetal DNA activates NF-kB, shown by IkBa degradation in human PBMCs resulting in production of proinflammatory IL-6. We show that fetal resorption and preterm birth are rapidly induced in mice after i.p. injection of CpG or fetal DNA (300 mg/dam) on gestational day 10–14. In contrast, TLR92/2 mice were protected from these effects. Furthermore, this effect was blocked by oral administration of the TLR9 inhibitor chloroquine. Our data therefore provide a novel mechanism for preterm birth and preeclampsia, highlighting TLR9 as a potential therapeutic target for these common disorders of preg- nancy. The Journal of Immunology, 2012, 188: 5706–5712. retermbirth(PTB),definedasdeliverybefore37wk disorders of pregnancy. TLRs are an important class of pathogen gestation, has become an epidemic in developed countries. recognition receptors, which signal during infection to bring about P Indeed, PTB and preeclampsia (PEC) are leading causes of immune reactions that have been implicated in PTB (3).
    [Show full text]
  • Amended Safety Assessment of Hydroquinone and P-Hydroxyanisole As Used in Cosmetics
    Amended Safety Assessment of Hydroquinone and p-Hydroxyanisole as Used in Cosmetics Status: Draft Amended Report for Public Comment Release Date: November 15, 2013 Panel Meeting Date: December 9-10, 2013 The 2013 Cosmetic Ingredient Review Expert Panel members are: Chairman, Wilma F. Bergfeld, M.D., F.A.C.P.; Donald V. Belsito, M.D.; Curtis D. Klaassen, Ph.D.; Daniel C. Liebler, Ph.D.; Ronald A. Hill, Ph.D. James G. Marks, Jr., M.D.; Ronald C. Shank, Ph.D.; Thomas J. Slaga, Ph.D.; and Paul W. Snyder, D.V.M., Ph.D. The CIR Director is Lillian J. Gill, D.P.A. This report was prepared by Lillian C. Becker, Scientific Analyst/Writer. © Cosmetic Ingredient Review 1101 17th Street, NW, Suite 412 Washington, DC 20036-4702 ph 202.331.0651 fax 202.331.0088 cirinfo@cir- safety.org Distributed for Comment Only -- Do Not Cite or Quote Commitment & Credibility since 1976 MEMORANDOM To: CIR Expert Panel and Liaisons From: Lillian C. Becker, M.S. Scientific Analyst and Writer Date: November 15, 2013 Subject: Hydroquinone & p-Hydroxyanisole As Used In Nail Products in Cosmetics This is the Draft Report of hydroquinone and p-hydroxyanisole as used in nail products. In March, 2013, the Panel decided to review submitted data accompanying a request to amend the 2010 conclusion to include the use of nail polishes that require UV curing. This data, as well as relevant literature on the use of UV nail lamps, are included in this report. The Panel is to review the presented data and decide if there is sufficient information to come to a conclusion on the use of hydroquinone and p-hydroxyanisole in nail products that require UV curing.
    [Show full text]
  • Amended Safety Assessment of Hydroquinone As Used in Cosmetics
    Amended Safety Assessment of Hydroquinone as Used in Cosmetics Status: Draft Amended Report for Panel Review Release Date: February 21, 2014 Panel Meeting Date: March 17-18, 2014 The 2014 Cosmetic Ingredient Review Expert Panel members are: Chairman, Wilma F. Bergfeld, M.D., F.A.C.P.; Donald V. Belsito, M.D.; Curtis D. Klaassen, Ph.D.; Daniel C. Liebler, Ph.D.; Ronald A. Hill, Ph.D.; James G. Marks, Jr., M.D.; Ronald C. Shank, Ph.D.; Thomas J. Slaga, Ph.D.; and Paul W. Snyder, D.V.M., Ph.D. The CIR Director is Lillian J. Gill, D.P.A. This report was prepared by Lillian C. Becker, Scientific Analyst/Writer. © Cosmetic Ingredient Review 1620 L Street, NW, Suite 1200 Washington, DC 20036-4702 ph 202.331.0651 fax 202.331.0088 [email protected] i Commitment & Credibility since 1976 MEMORANDOM To: CIR Expert Panel and Liaisons From: Lillian C. Becker, M.S. Scientific Analyst and Writer Date: February 21, 2014 Subject: Hydroquinone As Used In in Cosmetics In December 2013, the Panel tabled the Draft Amended Report of hydroquinone and p- hydroxyanisole as used in nail products for the purpose of collecting more data on the use of UV nail lamps. The papers that were requested have been sent to you by email and are summarized in the appropriate section of the report. A paper that Dr. Liebler asked to review (Hansch et al. 2000) is also included in the email. The previous safety assessments on these ingredients are also included in case more information than what is provided in the summaries is needed.
    [Show full text]
  • Recurrent Pregnancy Loss
    Recurrent Pregnancy Loss November 2017 Version 2 0 ESHRE Early Pregnancy Guideline Development Group [1] Version 2 was published 1 April 2019 and includes a correction in the numbers mentioned in section 4.2 on page 39 (changes were marked in green). No further changes were made as compared to version 1 (published November 2017) DISCLAIMER The European Society of Human Reproduction and Embryology (hereinafter referred to as 'ESHRE') developed the current clinical practice guideline, to provide clinical recommendations to improve the quality of healthcare delivery within the European field of human reproduction and embryology. This guideline represents the views of ESHRE, which were achieved after careful consideration of the scientific evidence available at the time of preparation. In the absence of scientific evidence on certain aspects, a consensus between the relevant ESHRE stakeholders has been obtained. The aim of clinical practice guidelines is to aid healthcare professionals in everyday clinical decisions about appropriate and effective care of their patients. However, adherence to these clinical practice guidelines does not guarantee a successful or specific outcome, nor does it establish a standard of care. Clinical practice guidelines do not override the healthcare professional's clinical judgment in diagnosis and treatment of particular patients. Ultimately, healthcare professionals must make their own clinical decisions on a case-by-case basis, using their clinical judgment, knowledge, and expertise, and taking into account the condition, circumstances, and wishes of the individual patient, in consultation with that patient and/or the guardian or carer. ESHRE makes no warranty, express or implied, regarding the clinical practice guidelines and specifically excludes any warranties of merchantability and fitness for a particular use or purpose.
    [Show full text]
  • The Vanishing Triplet
    her and ot C M h il n d i H s e c i a l n t i l h Chen, Clinics Mother Child Health 2015, 12:4 C Clinics in Mother and Child Health ISSN: 2090-7214 DOI: 10.4172/2090-7214.1000196 Case Report Open Access The Vanishing Triplet Pi-Hua Chen Department of Obstetrics and Gynecology, Shuang Ho Hospital , Taipei Medical University, Taipei, Taiwan Corresponding author: Pi-Hua Chen, Department of Obstetric and Gynecology, Shuang-Ho Hospital, Zhonghe District, New Taipei City, Taiwan,Tel: +886222490088; E-mail: [email protected] Received date: October 8, 2015; Accepted date: October 19, 2015; Published date: October 25, 2015 Copyright: © 2015 Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Vanishing fetuses are frequently encountered in pregnancies results from in vitro fertilization. Ultrasound scans taken at the 4-5th weeks showed multiple gestation has occurred, it frequently happens that more than one amniotic sac can be seen in early pregnancy, whereas a few weeks later there is only one to be seen and the other has disappeared. Whereas the triplet pregnancy evolved into a normal twin gestation, and may further evolve into a singleton gestation. These very high resorption rates, which can be explained on the basis of the intense fetal competition for space, nutrition, or other factors during early gestation with frequent loss of the other fetus. Here, we report a case of a vanishing triplet of spontaneous pregnancy, one fetus vanished in the first month of pregnancy while another fetus disappeared at the end of second month.
    [Show full text]