Titlebook: Kernicterus; David W. McCandless Book 2011 Springer Science+Business Media, LLC 2011

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Breast Milk Jaundice,in 1963 (Arias, I., et al. 1963a, b, 1964a, b). The suggestion was made that the hyperbilirubinemia was a result of the presence of the steroid pregnane-3-20-diol in breast milk which acted to inhibit glucuronyl transferase, the bilirubin-conjugating enzyme.

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Jaundice in Malaria,rasites. . and . represent the parasites which produce malaria. . is the protozoan which produces the most severe cases of malaria, whereas the other three produce a more mild form of malaria. Historically, malaria was described by early writers in China and India, and Hippocrates described clinical features of malaria in the fifth century BC.

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Non-phototherapy Treatment,n the next chapter. Of the non phototherapy-based treatments, some have been directed at stimulating or increasing conjugation of bilirubin, while others are attempts to reduce the levels of circulating unconjugated bilirubin.

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978-1-61779-701-9Springer Science+Business Media, LLC 2011

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Prologue: World Health Concerns,The enormous number of cases of hyperbilirubinemia worldwide can hardly be estimated. The World Health Organization estimates the number of people worldwide who have glucose-6-phosphate dehydrogenase (G-6-PDH) deficiency at 400 million. G-6-PDH deficiency is the disorder that contributes the largest number of jaundiced newborn infants.

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Jaundice in Congenital Hypertrophic Pyloric Stenosis,Congenital hypertrophic pyloric stenosis is usually initially noticed by the onset of vomiting, frequently in the first to third weeks of life. Cases have been reported in which vomiting does not begin until several weeks after birth.

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Kernicterus in Older Children and Adults,Kernicterus represents a metabolic encephalopathy afflicting newborns and children with unconjugated hyperbilirubinemia. Also occurring are several types of hyperbilirubinemia with both unconjugated and conjugated present in the serum.

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Biochemistry and Physiology of Bilirubin,possesses the unique ability to loosely bind oxygen, enabling it to be released to body tissues. Heme bound to iron is termed hemin, which has the chemical formula: C34 H32 O4 N4 FeCl. When iron is removed from hemi, porphyrins are the result.