Second-trimester maternal serum alpha-fetoprotein (MSAFP) iselevated in women with adverse pregnancy outcome associated with inherited thrombophilias

Obstetric complications, such as severe pre-eclampsia, fetal growth restriction, abruptio placentae, or stillbirth are associated with abnormally elevated second-trimester maternal serum alpha-fetoprotein (MSAFP) and β subunit of human chorionic gonadotrophin (βhCG). This has been attributed to placental abnormalities. Women with thrombophilias have been shown to have abnormalities of the placenta resulting in adverse pregnancy outcome in these patients. The purpose of the present study was to evaluate whether women with pregnancy complications and inherited thrombophilias have abnormally elevated second-trimester MSAFP or βhCG. Sixty-two women with pregnancy complications were tested for inherited thrombophilias several months after delivery. The thrombophilia group included 29 women with pregnancy complications and an inherited thrombophilia and the control group included 33 other patients without thrombophilia. Patients in the thrombophilia group had a higher median MoM MSAFP compared to the controls (1.337 vs 1.086, p=0.0516). The incidence of abnormally elevated MSAFP (>2.5 MoM) was also significantly higher in the thrombophilia group compared to controls (21% vs 3%, p=0.04). Neither the median MoM βhCG nor the incidence of abnormally elevated βhCG were significantly different between the groups. We conclude that second trimester MSAFP, but not βhCG, is abnormally elevated in patients with thrombophilia and obstetric complications. Copyright © 2001 John Wiley & Sons, Ltd.     

FORMS OF NITROGEN (NO 3 - -N; NO 2 - -N AND NH 2 CONH 2 -N) AND THEIR RELATIONS TO A.O.U. IN THE INDIAN COASTAL WATERS OF ARABIAN SEA

The distribution of three important dissolved forms of nitrogen, viz. nitrate, nitrite and urea in the surface and bottom water samples collected from 27 selected hydrographic profiles, in the Arabian Sea, along the west coast of India is described. Of the three forms, nitrate concentrations were the highest and comparatively higher concentrations were observed in the bottom water. Decomposition of organic matter resulting in the release of the thermodynamically stable nitrogen species, i.e. nitrate, may be the major factor resulting in higher nitrate concentrations at these depths, where the water is also characterized by low values of dissolved oxygen and temperature. The significant positive correlation between A.O.U. and nitrate of the bottom water samples emphasizes the role of oxidative decomposition of organic matter which plays an active role in reducing the oxygen concentrations below the theoretical values since at this depth ( ≈200 m) the net production is taken to be zero. This is also evidenced by the negative correlation of nitrate with dissolved oxygen and temperature, for the bottom samples.     

Collection of vapors of selected chlorocarbons and benzene on Tenax GC

Breakthrough and retention volume studies have been done for a series of chlorocarbon compounds on Tenax GC adsorbent with results compared to data of other workers. Initial data indicates that carrier velocity (Time to establish equilibrium) may significantly effect retention of these chemicals.     

The importance of investigating for uniparental disomy in prenatally identified balanced acrocentric rearrangements

We report the finding of paternal isodisomy for chromosome 14 in a fetus found to have a der(14;14)(q10;q10) by amniocentesis. The pregnancy was complicated by severe polyhydramnios and elevated amniotic fluid alpha-fetoprotein (AFP). The infant showed features consistent with paternal uniparental disomy (UPD) including postnatal growth retardation, poor respiratory function, feeding difficulties, and evidence of hypertrophic cardiomyopathy. The present case, in addition to other reported cases of UPD involving balanced acrocentric rearrangements, supports testing for UPD in prenatally detected Robertsonian translocations and isochromosomes. Copyright © 2002 John Wiley & Sons, Ltd.     

Influential factors in freeway crash response and clearance times by emergency management services in peak periods

OBJECTIVE: Various factors influence the time performance of emergency management personnel when a freeway traffic crash occurs. The proper identification and prioritization of factors that contribute to emergency management services' response times and clearance times result in better usage of taxpayer resources. METHOD: Use of a proportional hazard-based Cox-regression model analyzed statewide, peak-period, traffic crash data from 1999 Ohio logs. These data included time performance measures of emergency management services. RESULTS: Traffic crash severity had the most effect on response times. Those crashes involving injuries or fatalities had up to 20% less emergency management service response times than "property damage only" crashes. Environmental factors such as weather or roadway conditions had minimal effect on response times to traffic crashes. Day of week, urban or rural area, off or opposing-lane crash location, number of vehicles involved, heavy vehicle involvement, and response time significantly affected clearance time and the resulting total time during peak periods. CONCLUSIONS: By assessing resources currently dedicated to insignificant factors, emergency management services can further improve response times to those casualties that crucially need emergency services. By accurately identifying and deciphering traffic crash severity from initial field reports, services can further improve. Moreover, improvements in crash severity prediction reduce "false alarms" for emergency services. The improvements reduce the probability of a very short response time for a property damage only crash in which initial reports implied a very severe injury. By focusing on factors that significantly reduce traffic crash clearance times on freeways in peak periods, more reductions in average delay experienced by freeway users, in fuel consumption, and in motor vehicle emissions can occur.