Fetal phenotype of Prader–Willi syndrome due to maternal disomy for chromosome 15

Prader–Willi syndrome (PWS) results from either paternal deletion of 15q11–q13, or maternal uniparental disomy (UPD) of chromosome 15 or imprinting center mutation. Prenatal diagnosis of PWS is currently indicated for chromosomal parental translocation involving chromosome 15 and for decreased fetal movements during the third trimester of gestation. Here we present the prenatal diagnosis of PWS during the first trimester of gestation and autopsy findings. Chorionic villus sampling (CVS) was performed for advanced maternal age at 13 weeks' gestation. CVS showed mosaicism including cells with a normal karyotype and cells with trisomy 15. Amniocentesis showed cells with a normal karyotype. Molecular analysis demonstrated that the fetus had a typical PWS abnormal methylation profile and maternal disomy for chromosome 15. Fetal ultrasound examination showed slightly enlarged lateral ventricles and hypoplasic male external genitalia without intra-uterine growth retardation. The autopsy showed a eutrophic male fetus with facial dysmorphy, hypoplasic genitalia, abnormal position of both feet and posterior hypoplasia of the corpus callosum. This report points out that in a karyotypically normal fetus with ambiguous male external genitalia and cerebral anomalies, extensive cytogenetic and molecular biology studies are strongly recommended because of risk of PWS. Copyright © 2003 John Wiley & Sons, Ltd.     

A simple random path method for the analysis of flow networks

The path of a particle through an ecosystem is modelled as a Markov chain. For a given flow network, powers of the transition matrix are used to calculate the distribution of the particles over the network after each transition. The method may be applied for the definition and calculation of trophic levels in food webs. The algorithm yields the trophic level distribution of species, the species composition of trophic levels, and the path length distribution of output flows. In addition, the network can be described as a linear chain, with the throughflows at each step identified. Data from several ecosystems are analyzed by the method, showing that surprising insights may result.     

Non-aqueous-phase-liquid breakthrough during evaporative drying of clay barriers

In this study, an attempt has been made to model a real field scenario, whereby an initially almost saturated clay liner in a waste site is gradually drying, due to evaporation at its lower boundary. A detailed conceptual model that deals with the penetration and breakthrough of non-aqueous-phase-liquid (NAPL) in clay liners is introduced. Water content of clay samples was monitored during ambient evaporation through apertures at the base of sample holders. Clay drying rate served as the primary parameter for the NAPL breakthrough study. The interconnection between drying rates, structural damage formation (cracks and suction) and NAPL penetration is especially addressed. The processes taking place in the clay samples during drying appear to be associated with the capillary effects between the different fluid phases in the vicinity of either the NAPL-clay or the clay-air boundaries. A conceptual model of NAPL penetration and breakthrough of the clay layer has been considered, based on both indirect and direct observations of structural damages produced on either clay boundaries. A mutual interaction between these two boundaries is suggested and discussed. NAPL breakthrough is suggested to take place through cracks initiated on the upper soil surface.     

Prenatal sonographic signs of possible fetal genital anomalies

The sonographic markers of female and male external genitalia have been documented in early and late gestation. The aim of the present study was to report our experience of possible sonographic markers of fetal genital anomalies. Sonography was performed with a vaginal probe in early gestation and an abdominal sector scanner in advanced gestation. The following genital anomalies were observed: hypospadias, epispadias, ambiguous genitalia, and testicular feminization or Smith-Lemli-Opitz syndrome. It is therefore concluded that prenatal diagnosis of some genital anomalies is now possible.     

Antenatal thrombocytopenia in three patients with TAR (thrombocytopenia with absent radii) syndrome

Three fetuses with TAR (thrombocytopenia with absent radii) or TAR variant syndrome were found to be thrombocytopenic during the third trimester of the pregnancy. These findings indicate that fetal blood sampling, besides ultrasonography, skeletal radiographs, or even fetoscopy, may indeed contribute to the prenatal diagnosis of TAR syndrome, and thus may help in differentiating TAR syndrome from other syndromes with malformations of the upper limbs.     

Oligohydramnios with amnio-chorionic separation at 15–16 weeks' gestation

Nine patients with oligohydramnios and amnio-chorionic separation were identified out of 7000 women who underwent a vaginal ultrasound examination at 15–16 weeks' gestation. Oligohydramnios was defined as a reduced amount of amniotic fluid, a distance of more than 1 cm between the chorion and amnion, and a good turgor of the amnion without floating membranes or intrauterine sheets. Fetal malformations were observed in all nine cases. In four of six fetuses where chromosomal analysis was available, an abnormal karyotype was found. It is concluded that oligohydramnios in the early second trimester is associated with fetal abnormality.