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EN
The aim of the study was to evaluate the origin of the inferior epigastric artery, in relation to the inguinal ligament, in various stages of human life. The study was conducted on randomly selected 220 non-fixed cadavers, including 110 males and 110 females, from the age of the 7th month of prenatal life, to 82 years. In all examined bodies, the inferior epigastric artery originated mostly from the external iliac, or less commonly, from the femoral artery. Three types of origin were observed: above, at the level or below the ligament. In males, the lowest incidence of typical anatomical origin, over the ligament, was observed in the group aged 60-69 years. Herein, the artery departed usually on the level of the ligament. The highest incidence of typical anatomical origin was found during the prenatal period and among children. Similar data, but with higher asymmetry, was revealed among females. The lowest incidence of typical origin was seen on the left side in the group aged 60-69. Less commonly, the artery originated at the level or occasionally below the ligament. In conclusion, the origin of the inferior epigastric artery differs throughout prenatal and postnatal life, in both sexes. However, it is usually located above the inguinal ligament.
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Content available remote Organ and prenatal toxicity of nonsteroidal anti-inflammatory drugs
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EN
Non-selective cyclooxygenase (COX) inhibitors, commonly referred to as nonsteroidal anti-inflammatory drugs (NSAIDs), are among the most taken pharmaceuticals. In adults, they can have a series of side effects, including especially gastroenterotoxicity, hepatotoxicity, nephrotoxicity, chondrotoxicity, and neurotoxicity, and they can induce allergic reactions. Any exacerbation of symptoms depends on the chemical structure of the drug, its dosage and duration of exposure, individual sensitivity, comorbidities and the degree of inhibition of basic COX isoenzymes - the constitutive (COX-2) and induced (COX-1) expressions. However, data on prenatal toxicity are inconsistent. Classic nonselective COX inhibitors do not result in an increase in the risk of developing significant congenital defects; however, if used in the late-pregnancy period, they can have an adverse effect on the foetus, by inducing the premature closure of the ductus arteriosus and by producing a tocolytic effect. Individual reports also indicate the increased risk of developing heart and anterior abdominal wall defects, as well as hypospadias.
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