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Record W4309510694 · doi:10.1111/bdi.13275

Lithium in breast milk transiently affects the renal electrolytic balance of infants

2022· article· en· W4309510694 on OpenAlexaff
Irfan Ahmed, Muhammad Shehzad Khan, Victor Ma, Hina Magsi, Renardi Gunawan, Abdul‐Mojeed Olabisi Ilyas, Najeeb ur Rehman Lashari, Naveed Wassan, Santosh Kumar Paidi, Zulfiqar Ali, Alan Wing Lun Law, Yanpeng Zhang, William C. Cho, Martin Alda, Veerle Bergink, Ishan Barman, Condon Lau

Bibliographic record

VenueBipolar Disorders · 2022
Typearticle
Languageen
FieldMedicine
TopicBipolar Disorder and Treatment
Canadian institutionsDalhousie University
FundersCity University of Hong Kong
KeywordsLithium (medication)EndocrinologyInternal medicineOffspringBreast milkMedicineMammary glandChemistryBreast cancerBiologyPregnancyBiochemistryCancer

Abstract

fetched live from OpenAlex

Abstract Background The use of lithium during breast‐feeding has not been comprehensively investigated in humans due to concerns about lithium toxicity. Procedure We analyzed lithium in the kidneys of nursed pups of lithium medicated mothers, using analytical spectroscopy in a novel rat model. The mothers were healthy rats administered lithium via gavage (1000 mg/day Li 2 CO 3 per 50 kg body weight). Results Lithium was detected in the breast milk, and in the blood of pups (0.08 mM), of lithium‐exposed dams at post‐natal day 18 (P18), during breast‐feeding. No lithium was detected after breast‐feeding, at P25 (4 days after cessation of nursing). The lithium pups blood had elevated urea nitrogen at P18 and reduced total T 4 at P18 and P25, indicating a longer‐term effect on the kidneys and the thyroid gland. Multivariate machine‐learning analysis of spectroscopy data collected from the excised kidneys of pups showed elevated potassium in lithium‐exposed animals both during‐ and after breast‐feeding. The elevated renal potassium was associated with low nephrin expression in the kidneys measured immunohistochemically during breast‐feeding. After lithium exposure is stopped, the filtration of lithium from the kidneys reverses these effects. Our study showed that breastfeeding during lithium use has an effect on the kidneys of the offspring in rats.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.110
Threshold uncertainty score0.583

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.005
GPT teacher head0.222
Teacher spread0.217 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations5
Published2022
Admission routes1
Has abstractyes

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