Prenatal evaluation and in utero platelet transfusion for thrombocytopenia absent radii syndrome

A fetus with absent radii in both forearms was discovered on routine ultrasound examination performed at 18 weeks of pregnancy. No other significant abnormalities were found, and no signs of haemorrhage were detected. Serial ultrasound examinations revealed no evidence of fetal internal bleeding. At 37 weeks of pregnancy, a CBC obtained by cordocentesis under ultrasound guidance confirmed the diagnosis of thrombocytopenia absent radii (TAR) syndrome. Apheresis platelets were transfused into the umbilical vein to correct the thrombocytopenia and was followed by an uncomplicated delivery. No bleeding was encountered during the remainder of the baby's neonatal course. We conclude that TAR syndrome can be readily identified prenatally on sonogram, and if severe thrombocytopenia is confirmed by cordocentesis, platelets should be transfused to diminish the risk of serious internal bleeding during and immediately after delivery.     

Prenatal diagnosis of thrombocytopenia absent radius syndrome by ultrasound and cordocentesis

The prenatal diagnosis of thrombocytopenia absent radius (TAR) syndrome, utilizing ultrasound and cordocentesis, is described. To our knowledge, this represents the first prenatal diagnosis of this condition in an index case. The diagnostic evaluation of a fetus with upper extremity limb reduction defects is discussed.     

基于遗传算法的门限自回归模型在海温预测中的应用

提出了建立门限自回归模型（ＴＡＲ）的一套简便通用的方法。用作者提出的改进遗传算法，可同时优化门限值和自回归系数，成功地解决了ＴＡＲ建模过程所涉及的大量复杂寻优工作这一难题，为ＴＡＲ模型的广泛应用提供了强有力的工具。实例计算的结果说明了这套方法的可行性和有效性，同时也说明了，通过门限值的控制作用，ＴＡＲ模型可以有效地利用如海洋资源所隐含的时序分段相依性这一重要信息，限制了模型误差，从而保证了ＴＡＲ模型预测性能的稳健性，提高了预测精度。该方法具有通用性，在各种非线性时序预测中具有重要的理论意义和应用价值     

采用门限自回归模型预测环境空气质量

应用汤家豪博士提出的门限自回归模型，以上海市环境空气质量时间序列监测数据和相应的气象数据，建立门限自回归大气污染预测模型，对上海市环境空气质量进行预测预报。结果表明：门限自回归模型计算较为简便且便于计算机自动建模。显著性检验表明门限自回归预报方程高度显著，在实际应用中，采用最新的数据建模和采用分站建立模型的方法可以使预测精度进一步提高。     

Fetal and neonatal alloimmune thrombocytopenia: prenatal interventions

Fetal and neonatal alloimmune thrombocytopenia (FNAIT) is a potentially devastating condition, which may lead to intracranial haemorrhage (ICH) in the fetus or neonate, often with death or major neurological damage as consequence. In the absence of screening, preventive measures are only possible in the next pregnancy of women with an affected child. Controversy exists on the best intervention to minimise the risk of ICH. Most centres have abandoned treatment with serial fetal blood sampling (FBS) and platelet transfusions, because of a high rate of complications and the availability of quite effective non-invasive alternatives. In pregnancies with FNAIT and a previous affected child without ICH, weekly intravenous administration of immunoglobulins to the mother appears close to 100% effective to prevent fetal or neonatal ICH. Some centres add prednisone; this combination leads to slightly higher platelet counts at birth. In pregnant women with a previous child with ICH, the recurrence risk seems particularly high, and more aggressive maternal medical treatment is recommended, starting earlier with immunoglobulins. Whether a higher intravenous immunoglobulin dose or the addition of prednisone is really necessary is unclear. What does seem to be clear is that the use of FBS should be minimised, possibly even abandoned completely. Copyright © 2011 John Wiley & Sons, Ltd.     

Prenatal diagnosis of thrombocytopenia absent radius syndrome using ultrasound and fetoscopy

The prenatal diagnosis of thrombocytopenia absent radius syndrome in both dizygotic twins utilizing ultrasound, radiography and fetoscopy is described.     

A putative octopamine/tyramine receptor mediating appetite in a hungry fly

In the blowfly Phormia regina, experience of simultaneous feeding with d-limonene exposure inhibits proboscis extension reflex (PER) due to decreased tyramine (TA) titer in the brain. To elucidate the molecular mechanism of TA signaling pathway related to the associated feeding behavior, we cloned cDNA encoding the octopamine/TA receptor (PregOAR/TAR). The deduced protein is composed of 607 amino acid residues and has 7 predicted transmembrane domains. Based on homology and phylogenetic analyses, this protein belongs to the OAR/TAR family. The PregOAR/TAR was mainly expressed in head, with low levels of expression in other tissues at adult stages. Gene expression profile is in agreement with a plethora of functions ascribed to TA in various insect tissues. The immunolabeled cell bodies and processes were localized in the medial protocerebrum, outer layer of lobula, antennal lobe, and subesophageal ganglion. These results suggest that decrease of TA level in the brain likely affects neurons expressing PregOAR/TAR, causing mediation of the sensitivity in the sensillum and/or output of motor neurons for PER.     

Prenatal treatment of fetal hydrops associated with the hypertelorism-dysphagia syndrome (opitz-g syndrome)

Non-immunological fetal hydrops diagnosed prenatally presents a difficult diagnostic and therapeutic problem. In the case presented, fetal hydrops was recognized at 19 weeks gestation and no specific cause was found prenatally in spite of extensive investigations. The fetal hydrops was treated in utero by thoracocentesis and an intravenous infusion of albumin carried out at fetoscopy. After birth the infant was recognized to have the hypertelorismdysphagia syndrome (or Opitz-G syndrome, McK no. 30710). This autosomal dominant syndrome consists of hypertelorism, laryngeal abnormalities, swallowing difficulties, hyprospadias and an imperforate anus. Fetal hydrops has been reported on one previous occasion in this syndrome. The intrauterine treatment given in this case may have been successful in reducing the neonatal complications of the Opitz-G syndrome.     

东海近岸表层沉积物中正构烷烃的组成、分布及来源分析

本文对东海近岸的19个表层沉积物样品中正构烷烃的分布及其组成特征进行分析。结果表明,该调查站位表层沉积物中正构烷烃均呈双峰群分布,前峰群短链烷烃无明显奇偶优势,主要来源于海洋藻类和细菌;后峰群长链烷烃具有明显的奇碳数优势,主要来源于陆生高等植物。短链和长链烷烃分布均呈现中间高两端低的分布趋势,这可能与沉积物的粒度有关,粒度越小越易吸附有机质,造成了海源和陆源都在中部出现高值。陆、海源烷烃比(ΣT/ΣM)和陆、海源烷烃优势比(TAR)对沉积有机质来源的指示是一致的,空间分布呈现近舟山群岛有高值分布,指示有较强的陆源输入。陆海比(P_mar-aq)、平均链长(ACL)、烷烃指数(AI)、奇偶优势指数(OEP)指示研究海区主要以陆源输入为主且草本植物和木本植物的输入比例相近且没有受到石油污染。     

Prenatal DNA diagnosis of Noonan syndrome in a fetus with massive hygroma colli,pleural effusion and ascites

Prenatal molecular genetic diagnosis for Noonan syndrome I is reported. Noonan syndrome was suspected because of large cystic hygroma colli, massive pleural effusion and ascites at 23 weeks of gestation and normal karyotype (46,XX). DNA was prepared from amnion cells and screened for mutations in the PTPN11 gene. In exon 8, a missense mutation (S285F) was found. Delivery was induced at 33 weeks of gestation because of silent cardiotocography (CTG). Despite immediate drainage of the hydrothorax, mechanical ventilation was insufficient and the child died 9 h after birth due to severe pulmonary hypoplasia. Pleural punctate was enriched for small lymphocytes and thus was characterized as chylus. Prenatal ultrasound findings in Noonan syndrome usually are unspecific and rarely lead to a diagnosis. However, with the combination of cystic hygroma, pleural effusion, ascites and normal karyotype Noonan syndrome should be considered and DNA testing for PTPN11 mutations may be appropriate. Malformations of lymphatic vessels and/or chylothorax in Noonan syndrome seem to be more frequent than usually anticipated. Copyright © 2005 John Wiley & Sons, Ltd.     

Ivemark syndrome with agenesis of the corpus callosum: a case report with a review of the literature

Asplenia associated with situs ambiguus, symmetric liver, bilateral trilobulated lungs, and a complex heart defect was diagnosed on autopsy in a 14-day-old infant. Furthermore, examination of the brain displayed agenesis of the corpus callosum (ACC) with pachygyria and hydrocephalus. The characteristic association of asplenia with visceroatrial heterotaxia is traditionally named after the Swedish pediatrician, Ivemark. Although exceptional, association of Ivemark syndrome with callosal agenesis has been reported recently. The concept of ‘developmental fields’ describes morphogenetically reactive units of the embryo determining and controlling the development of complex structures in a hierarchical manner. Lateralization defects such as situs inversus, asplenia or polysplenia due to defective left–right axis development, as well as decussation defects such as ACC, are considered as defects of the primary developmental field. Therefore, additional callosal agenesis in Ivemark syndrome may be a coherent and synchronic defect in the primary developmental field rather than a causally independent malformation. Copyright © 2002 John Wiley & Sons, Ltd.     

First-trimester free beta (hCG) screening for Down syndrome

Maternal serum free beta (hCG) levels are elevated (median 2·20 MOM) in the first trimester of pregnancy in 38 Down syndrome cases as compared with appropriate controls. This observation may form the basis for its use as a marker in screening for Down syndrome in the first trimester. Altered levels of the free beta analyte are observed in pregnancy conditions or complications other than Down syndrome.     

弘文重教十余年的《文教资料简报》

创刊于1972年12月的《文教资料简报》是由南京师范学院(1984年易名为南京师范大学)内部编印的资料性月刊,主要目的是为文科教研服务。本文回顾该刊从创办至拥有"统一刊号"、从非正式出版物至成为正式出版物的历史沿革,具体观照该刊的编辑理念,总结该刊的内容特色、文献价值及经验启示。     

Maternal serum leptin concentration during the second trimester of pregnancy: association with fetal chromosomal abnormalities

Recent studies suggest that leptin, the product of the obese gene, is produced by the placenta during pregnancy. The present study addressed the question whether second trimester maternal serum leptin could be altered by fetal Down syndrome or Edwards syndrome. Maternal serum leptin concentrations were measured in 18 pregnancies complicated with Down syndrome, six pregnancies complicated with Edwards syndrome and 183 uncomplicated pregnancies during the second trimester of pregnancy. The present results demonstrate that leptin concentrations in uncomplicated pregnancies slightly decrease from the 16th week of pregnancy, reaching a minimum of 18.8 ng/ml around the 20th week, and then rapidly increase to 28.2 ng/ml by the 24th week. Leptin correlation with maternal body weight decreases from r=0.695 at 16–17 week of gestation to r=0.544 at >22 weeks of gestation. There was no significant difference between the mean MoMs of Down syndrome- (0.926) or Edwards syndrome- (0.960) affected pregnancies and normal pregnancies (1.002). A weak correlation (r=0.18, p<0.02) was observed between corrected leptin MoMs and human chorionic gonadotrophin (hCG) MoMs in normal pregnancies. It is assumed that around the 20th week of pregnancy placental leptin production is activated or at least is accelerated and it is added to the amount of leptin produced by maternal adipose tissue. Fetal Down syndrome or Edwards syndrome does not seem to alter maternal leptin concentration and therefore leptin cannot be used as a marker for these chromosomal abnormalities in the early second trimester of pregnancy. Copyright © 2002 John Wiley & Sons, Ltd.     

舟山海域表层海水正构烷烃、甾萜烷特征参数研究

本文选择舟山海域作为研究对象,对舟山海域的表层海水中有机物特征参数进行了研究。采集的表层海水样品,经正己烷洗脱后,旋转蒸发和氮吹浓缩定容转移至气相分析样品瓶中待GC-MS上机分析。结果表明,从正构烷烃分布来看,峰型为双峰优势碳型和后峰优势碳型,Pr、Ph丰度相对较高,可能是受到石油污染的影响。碳优势指数（CPI）均在1左右,结合Σn-Alk/C₁₆、陆生与水生类脂物比值（TAR）、Pr/Ph、奇偶优势指数（OEP）参数,指示了舟山海域石油污染的存在。舟山海域各站位甾烷萜烷分布趋势上相似,大部分站位检出了18α（H）-奥利烷,Ts/Tm、C₃₁αβ（S/（S+R））、C₃₂αβ（S/（S+R））、C₂₉甾ααα（S/（S+R））等参数指示了该区域有机物成熟度较高,可能与石油污染有关。     

Neonatal alloimmune thrombocytopenia due to anti-P1A1 (anti-hpa-1a): Importance of paternal and fetal platelet typing for assessment of fetal risk

Neonatal alloimmune thrombocytopenia (NAIT), which usually involves sensitization to P1^A1 (HPA-1a), may have devastating complications for the fetus. These may be prevented by antenatal treatment of severe cases with either maternally administered high-dose gamma-globulin and/or repeated intrauterine platelet transfusions. Determination of the paternal platelet phenotype is useful for counselling parents who have had one or more affected pregnancies. This report of an unaffected pregnancy in a woman with a history of previous pregnancies complicated by NAIT illustrates the role of paternal and fetal platelet phenotyping in managing existing pregnancies at risk of NAIT.     

Fetal cardiac anomalies and genetic syndromes

Cardiac anomalies may occur in isolation or can be part of a genetic syndrome. In this article, we describe some of the genetic syndromes commonly associated with cardiac anomalies where there are other sonographic features that may aid accurate prenatal diagnosis. Copyright © 2004 John Wiley & Sons, Ltd.     

The benefits and limitations of cell-free DNA screening for 22q11.2 deletion syndrome

Cell-free DNA testing is increasingly being used to screen pregnant women for fetal aneuploidy. This technology may also identify microdeletion syndromes, including 22q11.2 deletion syndrome, the most common microdeletion syndrome, and the 22q11.2 duplication syndrome. The purpose of this paper is to provide an overview of the 22q11.2 deletion syndrome, to review the early experience with cell-free DNA screening for this deletion and to consider the potential benefits that may be associated with prenatal detection of the deletion. © 2016 John Wiley & Sons, Ltd.     

Amniotic band syndrome in second trimester associated with fetal malformations

The Possibility of severe fetal malformations, including neural tube defects, secondary to early amniotic rupture followed by formation of fibrous bands (amniotic band syndrome) is a well-known entitity. The fact that these pregnancies are usually uneventful makes prenatal diagnosis difficult, but routine determination of serum alphafetoprotein, followed by ultrasound scanning, may detect some of the malformations. We present a case, where detection of a neural tube defect led to induced second trimester abortion of a fetus severely affected by this syndrome. There appeared to be a causal relationship between maternal trauma and the amniotic rupture.     

网湖沉积物正构烷烃分布特征及其记录的环境变化

通过对网湖沉积岩芯中正构烷烃含量和组成特征的分析,探讨了网湖近百年来的湖泊环境变化.结果表明,网湖沉积岩芯中正构烷烃的碳数范围在n-C14~n-C33之间,其中以高碳数组分为主,并具有明显的奇偶优势,反映了沉积物有机质以大型水生植物和陆生植物贡献为主,较低的2n-C31/(n-C27+n-C29)比值指示陆源输入中以木本植物输入为主.根据正构烷烃参数指示的沉积物有机质来源变化特征,近百年来网湖水体环境变化具有如下3个阶段:20世纪50年代以前,网湖与长江水体交换频繁,湖泊水体处于低营养环境状态,沉积物正构烷烃高/低分子量正构烷烃比值(H/L)和陆/水生类脂物比值(TAR)较高,沉积物有机质主要来源于陆生植物和大型水生植物,湖泊浮游藻类贡献少;20世纪50~80年代,H/L和TAR值明显下降,中、短链正构烷烃的比例略有升高,表明陆源植被对沉积物有机质的贡献降低,水生植物和浮游藻类贡献的有机质增加,但较低的2n-C17/(n-C23+n-C25)值表明浮游藻类有机质较低,此时湖泊水体较为稳定,湖泊受长江水位影响减小,湖泊营养水平有所升高;1980s以来,总体上湖泊受流域人类活动影响明显,湖泊水体营养水平升高,沉积物正构烷烃表现为H/L和TAR值升高后下降,正构烷烃总量和2n-C17/(n-C23+n-C25)比值显著升高,2000年后尤其明显,表明湖泊沉积物有机质输入增加,其中湖泊浮游藻类贡献明显增加.