Fetal cystic hygromata: Insights gained from fetal blood sampling

Twelve second-trimester fetuses with cystic hygroma underwent fetal blood sampling for rapid karyotyping, haematologic evaluation, and blood gas analysis. An abnormal karyotype was found in seven cases: monosomy X in five, trisomy 21 in one, and trisomy 13 in the other. Eight often fetuses undergoing blood gas analysis showed hypoxaemia, five of which were growth-retarded. Nine pregnancies were terminated. Of the remaining three, only one fetus survived the perinatal period.     

A survey of diagnostic amniocenteses in Oxford from 1974–1981

A survey was conducted of the results of mid-trimester diagnostic amniocenteses in the Oxford Region from 1974 to 1981. The survey used data relating to all 4357 singleton pregnancies in which an amniocentesis was performed during this period. Follow-up information on outcome was obtained in respect of 4284 (98 per cent) pregnancies. A cell culture to determine karyotype and an alpha-fetoprotein determination was carried out in all cases. From 1974 to 1981 amniocenteses became increasingly common, rising from 2 to 32 per 1000 births. The most common indication for amniocentesis was a high risk of a chromosome abnormality–56 per cent of all amniocenteses. Within this group advanced maternal age was responsible for 89 per cent of the cases. The next most common indication was a high risk of a neural tube defect (37 per cent of all amniocenteses)–in 1974 a raised maternal serum alpha-fetoprotein level accounted for only 4 per cent of these; by 1981 this had risen to 67 per cent. There were seven false-positive and 132 true-positive diagnoses of neural tube defect; since 1981, with the introduction of amniotic fluid acetylocholinesterase determination as a secondary diagnostic test for neural tube defects, there have been no further false-positive diagnoses. In 1981 76 per cent of women aged 35 years or more did not have an amniocentesis. It is not known to what extent this was due to not offering women in this age group amniocentesis or to women not accepting such an offer.     

Serum alpha-fetoprotein and neural tube defects in the first trimester of pregnancy

As part of the Medical Research Council randomized trial of vitamin supplementation in the prevention of neural tube defects (NTDs), maternal serum alpha-fetoprotein (AFP) was available for 19 NTD pregnancies. Each of these was matched with four unaffected controls, by maternal age, participating centre, and duration of sample storage. The samples came from women whose gestational age ranged from 6 to 14 completed weeks. The median AFP level in the affected pregnancies was 1·2 multiples of the median value in unaffected pregnancies of the same gestational age (95 per cent confidence interval (CI) 0·83–1·59). This confirmed the view that serum AFP measurement is of no practical value in the detection of NTDs in the first trimester of pregnancy. The study also showed that folic acid supplementation, used as a method of preventing NTDs, had no effect on the concentrations of maternal serum AFP up to 14 weeks of pregnancy.     

Duration of vaginal bleeding and trisomy at prenatal diagnosis

In the case-control study of 118 women with autosomal trisomy identified at prenatal diagnosis and their 442 karyotypically normal matched controls, we found that there was no overall association between risk of trisomy and the presence of vaginal bleeding during pregnancy. However, a lengthy duration of bleeding appears to predict increased risk of trisorny.     

Intrauterine manometry: Technique and application to fetal pathology

A technique is described for measuring pressure within the amniotic cavity and within fetal vessels and/or body compartments. Two saline-filled catheters were connected at one end to needles inserted during indicated invasive procedures and at the other to silicon strain gauge transducers. In 36 pregnancies with normal liquor volume, stable intra-amniotic pressure (IAP, range 1–14 mmHg) increased with gestation (r=0·48, p<0·01). In pregnancies complicated by severe oligohydramnios, IAP was ≤ 1 mm Hg and rose to normal levels with saline amnioinfusion. Raised IAP (range 17–26 mm Hg), found in pregnancies with gross polyhydramnios, fell with drainage of amniotic fluid. Subtraction manometry was used to determine supra-amniotic pressure within the intervillus space, umbilical vein, umbilical artery, abdominal and thoracic cavities, and the urinary tract in normal and/or pathological fetuses. Low intravesical and intrapelvicalyceal pressures (median 6·5, range 2–10 mmHg) were noted in fetuses with obstructive uropathies. Intrauterine subtraction manometry appears to be a useful tool in the understanding of fetal pathophysiology and may be of clinical benefit in the therapeutic drainage and infusion of amniotic fluid and in the assessment of certain fetal disease states.     

Maternal serum thyroid antibodies in early pregnancy and fetal Down's syndrome

Thyroid antibodies were measured in mid-trimester antenatal serum samples from 77 pregnancies affected by fetal Down's syndrome and 385 unaffected control pregnancies. Using a haemagglutination technique, thyroglobulin antibodies were detected in 5·2 per cent of cases (4) and 2·9 per cent of controls (11), and thyroid microsomal antibodies were detected in 22 per cent (17) and 15 per cent (59), respectively. Using an enzyme-linked immunosorbent assay (ELISA) for thyroglobulin antibodies and a cut-off level of 50 KIU/1, positive results were found in 25 per cent of cases (19) and 22 per cent of controls (84). Using an ELISA for thyroid microsomal antibodies and the same cut-off level, the proportions were 52 per cent (40) and 39 per cent (149), respectively. While not statistically significant, the differences were consistent with the previously reported increased levels of thyroid antibody found in nonpregnant women who had had pregnancies associated with Down's syndrome.     

Cadmium solubility and sorption in a long-term sludge-amended arable soil

Cadmium solubility and sorption in an arable clay loam soil that had received sewage sludge for 41 years were compared to an unsludged control in batch studies. Soil pH dominated Cd sorption, explaining >92% of the variation in Kd values in both treatments. At any pH, Cd sorption was apparently slightly but significantly (p < 0.05) smaller in the sludge-amended soil compared to the control, even though the organic carbon content was 70% larger and the ammonium oxalate-extractable iron content was roughly doubled. Correction for dissolved organic carbon (DOC) complexation with the speciation model WHAM reduced the difference in sorption between treatments, but the sludged soil still had significantly smaller Kd values (p < 0.01). Batch equilibrations without addition of Cd showed that there was no significant difference in the solubility of "native" cadmium (defined as EDTA-extractable Cd) in sludged and control soils. The reason for the lack of increase in Cd sorption in the sludge-amended soil has not been established, but it may be due to competition for sorption sites on humic compounds with sludge-derived Fe and trace metals such as zinc. The fact that the pyrophosphate-extractable (i.e., organically associated) iron content was seven times larger in the sludged soil provides some supporting evidence for this hypothesis.     

Predicting inter-taxa differences in plant uptake of cesium-134/137

For (134/137)Cs, and many other soil contaminants, research into transfer to plants has focused on particular crops and phytoremediation candidates, producing uptake data for a small proportion of all plant taxa. Despite the significance of differences in uptake between plant taxa, the capacity of soil-to-plant transfer models to predict them is currently confined to those taxa for which data exist, there being no method to predict uptake by other taxa. We used residual maximum likelihood (REML) analysis on data from experiments (including 89 plant taxa from China plus 32 phytoremediation candidates) together with data from the literature, to construct a database of relative (134/137)Cs concentrations in 273 plant taxa. The REML (134/137)Cs concentrations in plants are not normally distributed but significantly clustered. Analysis of variance (ANOVA), coded with a recent ordinal phylogeny for flowering plants, showed that plant taxa do not behave independently for (134/137)Cs concentration because 42 and 15% of inter-taxa differences are associated with phylogeny above the species and ordinal level, respectively. In general, Eudicots, and especially the Caryophyllales, Asterales, and Brassicales, have high (134/137)Cs concentrations, while the Fabales and Magnoliids, in particular Poales, have low (134/137)Cs concentrations. Plants of the stress-tolerant ruderal (S-R) growth strategy sensu Grime have, in general, high concentrations of Cs, while those of the competitive (C) and generalist (C-S-R) strategies have low concentrations, although these effects are less pronounced than those of phylogeny. Plant phylogeny and growth strategy might thus be used to predict a significant portion of inter-taxa differences in plant uptake of (134/137)Cs.     

Projected twenty-first-century changes in the Central American mid-summer drought using statistically downscaled climate projections

Regional Environmental Change - In addition to periodic long-term drought, much of Central America experiences a rainy season with two peaks separated by a dry period of weeks to over a month in...     

Novel mesoporous microspheres of Al and Ni doped LMO spinels and their performance as cathodes in secondary lithium ion batteries

A facile, scalable, and solution-based technique is used to fabricate Al and Ni-doped (LiAl_0.1Mn_1.9O₄ and LiAl_0.1Ni_0.1Mn_1.8O₄) microspheres of lithium manganese oxide (LMO) spinels for use as reversible cathode materials for lithium ion batteries (LIBs). The spheres of the two samples exhibit different porosities. Cells with these LMO-based cathodes are then cycled between 4.5 V and 2 V to study their stabilities while simultaneously being subjected to the undesirable Jahn-Teller distortion that occurs around the ~3 V regime. The LiAl_0.1Mn_1.9O₄ (LAMO) and the LiAl_0.1Ni_0.1Mn_1.8O₄ (LANMO) cells exhibit comparable open circuit voltages (OCV) of 2.94 V and 2.97 V, respectively. During cell cycling, the LAMO cell exhibits a maximum specific capacity of 122.51 mAh g^?1 with a capacity fade of 65.35% after 75 cycles. The LiAl_0.1Ni_0.1Mn_1.8O₄ (LAMO) sample fares better and exhibits a maximum of 140.49 mAh g^?1 and a capacity drop of 52.59%. Detailed structural studies indicate that Ni doping and the greater degree of porosity of the LANMO sample to be a stabilizing factor. This is further confirmed by cyclic voltammetry (CV) and AC impedance spectra analysis.