Deceased co-twin as a cause of false positive amniotic fluid AFP and AChE

A pregnancy was terminated because of persistently elevated amniotic fluid AFP (+10 S.D.) and an AChE band of low intensity on gel electrophoresis. No fetal anomalies were detected by ultrasonographic examination. Autopsy revealed an apparently normal fetus of about 20 weeks gestation. Attached to the placenta was a small sac containing a fetus papyraceus co-twin of about 8–9 weeks gestation. The small deceased co-twin and its gestational sac were not detected prenatally despite multiple ultrasonographic examinations. The difficulty in the interpretation of apparently conflicting results is emphasized.     

Incidence of fetal chromosome abnormalities in 2264 low-risk women

Among a population of 6305 pregnant women, aged 25 to 34 years and estimated to be at no increased risk of genetic disease in the fetus, 4606 women participated in a randomized controlled trial of genetic amniocentesis between 1980 and 1984. In the study group having amniocentesis (2264 women), 23 fetal chromosome abnormalities (1.0 per cent) were found: eight autosomal aneuploidies, seven sex chromosome aneuploidies, seven balanced structural rearrangements and one case of a marker some. The structural rearrangements and the marker chromosome were all shown to be inherited. The study group seemed representative for the whole population of younger women at low genetic risk. Therefore, a 1.0 per cent total rate of fetal chromosome abnormalities, consisting of one-third autosomal aneuploidies, one-third sex chromosome aneuploidies and one-third structural rearrangements, may be expected in the second trimester in younger low-risk women. In the same period of time, 562 women in the same age group were offered amniocentesis because of an estimated increased risk of fetal genetic disease. The total rate of fetal chromosome abnormality in this ‘high-risk’ group was 0.9 per cent and thus no different from the rate in the low-risk group.     

Comparison of transabdominal and transcervical CVS and amniocentesis: Sampling success and risk

A total of 2931 women randomized to either transabdominal CVS, transceirvical CVS, or amniocentesis were studied. Unless intended or unintended abortion had occurred, they had completed up to 28 weeks of pregnancy. No significant difference was seen between total fetal loss in the transabdominal CVS group and the amniocentesis group (6.5 and 6.8 per cent, respectively, SE difference = 0.92 per cent, p = 0.01). The total fetal loss in the transcervical CVS group was 10.1 per cent. After pooling our data with data from the Canadian randomized study and the American non-randomized study, the difference in risk between trans-cervical CVS and amniocentesis was 1.8 per cent (SE difference = 0.64 per cent, p = 0.8). When the number of failed procedures and those cases evaluated as infeasible for the assigned method-for anatomical reasons-are compared, the overall sampling efficacy is poorer transcervically than transabdominally.     

Fetal chromosome analysis: Screening for chromosome disease?

The aim of the study was to investigate the rationale of the current indications for fetal chromosome analysis. 5372 women had 5423 amniocenteses performed, this group constituting a consecutive sample at the chromosome laboratory, Rigshospitalet, Copenhagen from March 1973 to September 1980 (Group A + B). Pregnant women 35 years of age, women who previously had a chromosomally abnormal child, families with translocation carriers or other heritable chromosomal disease, families where the father was 50 years or more and women in families with a history of Down's syndrome (group A), were compared to women having amniocentesis, although considered not to have any increased risk of fetal chromosome abnormality (1390 pregnancies, group B). They were also compared with 750 consecutive pregnancies in women 25–34 years of age, in whom all heritable diseases were excluded (group Q. The risk of unbalanced chromosome abnormality in group A (women with elevated risk) is significantly higher than in group B + C (women without elevated risk) (relative risk 2–4). Women with a known familial translocation and women 40 years or more have a relative risk of 5–7 of having an unbalanced chromosome abnormality compared with women without elevated risk. Spontaneous abortion rate and prematurity rate did not differ from rates expected without amniocentesis. It is concluded that current indications may be characterized as a mixture of evident high risk factors and factors with only a minor influence on risk. Indications for amniocentesis should therefore be reconsidered. Because it must be considered impractical and ethically wrong to limit amniocentesis to the two mentioned real high risk groups, and illogical to continue the present policy, which is not based on clearcut evidence, the possibility of offering amniocentesis to all who want it, is discussed. Screening for chromosome disease in all pregnancies is not without problems, but may be reasonable in some localities.     

Deforestation alters phytotelm habitat availability and mosquito production in the Peruvian Amazon.

We quantified the effects of deforestation, and subsequent cultivation and forest regeneration, on the abundance and composition of mosquito larval habitats, specifically phytotelmata (plant-held waters), in the western Amazon basin. Recently deforested sites were characterized by increased phytotelm density (1.6 phytotelmata/m2) and greater relative abundance of fallen-plant-part phytotelmata (76%) compared to intact forests (0.9 phytotelmata/m2 and 25% fallen plant parts). As a result, the total volume of colonizable phytotelm water was significantly larger in new clearings. Subsequent cultivation of cleared land with mixed crops including pineapple and plantain had similar consequences: phytotelm density (2.2 units/m2) was significantly larger in plantations than in forests due to greater relative abundance of water-filled plant axils (71% vs. 39% in forest). Such axils are the preferred larval habitats for Wyeomyia spp. mosquitoes, which showed a similarly significant increase in production in plantations (0.25 larvae/m2) vs. forests (0.04 larvae/m2). Likewise, Limatus spp. mosquitoes were an order of magnitude more abundant in altered landscapes (especially in recently deforested and cultivated areas) than in mature forest, due to increased abundance of fallen-plant-part phytotelmata, in which they are typically the most common colonists. Because they are potential vectors of pathogens in a region of high endemic and emergent virus activity, increases in local abundance of Limatus spp. and Wyeomyia spp. due to large-scale deforestation and agriculture may influence rates of disease transmission.     

Ontogeny of feeding behavior and cranial morphology in the whitespotted bambooshark <Emphasis Type="Italic">Chiloscyllium plagiosum</Emphasis>

Morphological and behavioral development of the feeding apparatus over early ontogeny can profoundly affect the ability of an organism to obtain nourishment, ultimately impacting survival. The interplay between morphology and behavior over the first year of life was studied in the whitespotted bambooshark Chiloscyllium plagiosum (Bennett 1830) beginning in March of 2002 using high-speed videography and dissection. Externally measured variables describing cranial growth, and jaw weight, scaled at or near isometry while jaw and hyoid musculature, especially the coracohyoideus, demonstrated considerable hypertrophication. The difference between the volume of the buccal cavity when open and closed scaled with substantial positive allometry while the time to reach maximum jaw and hyoid abduction exhibited weak allometry, resulting in the capacity for more rapid and greater volumetric intake during feeding. In addition, the relative forward motion of the predator during a strike decreased over ontogeny and the feeding modality became more suction-dominated. Kinematic variables exhibited little variability and the primary aspect of food capture that was modulated in response to food type was the forward motion of the predator. An increase in capture success was noted for live, elusive shrimp over ontogeny indicating that morphological and behavioral changes have direct consequences for prey acquisition. Conservation of head shape coupled with a narrow behavioral repertoire is hypothesized to increase prey capture success in the wild over ontogeny as individuals become more proficient in the execution of a single, low-variability, suction-dominated capture behavior.     

The economics of forestry when the rate of harvest is constrained

Harvesting sequences which maximize the present value of an on-going forest are derived. Control theory is used to allow for various impingements on the rate of harvest. New harvesting rules are derived which generalize classical results. These emerge as special cases in an extended context.     

Bi-directional sex change: testing the growth-rate advantage model

Bi-directional sex change in coral-dwelling fishes (genera Gobiodon and Paragobiodon) has been attributed to a growth-rate advantage for females during the non-breeding season. This model predicts that the smallest individual in a newly formed pair should always be female. To determine if a growth-rate advantage exists for female Gobiodon histrio, I monitored the growth of males and females in natural pairs during the breeding and non-breeding season. I then used a manipulative field experiment to test four predictions of the growth-rate advantage model: (1) the larger individual should change sex to male in new pairs containing two females; (2) the smaller individual should change sex to female in new pairs containing two males; (3) neither individual should change sex in heterosexual pairs where the male is larger than the female; and (4) both individuals should change sex in heterosexual pairs where the female is larger than the male. A growth-rate advantage was detected for female G. histrio during the non-breeding season; however, only the first three of the predicted outcomes were observed in the manipulative experiment. Sex change did not occur in heterosexual pairs where the female was larger than the male. Furthermore, growth did not differ between sex-changed and non-sex-changed fish; therefore, the absence of sex change in these pairs is not due to a growth cost to sex change. I propose that the risk of moving among spatially isolated habitat patches and the low probability of finding a mate have been more important than sex-specific differences in growth rates to the evolution of bi-directional sex change in coral-dwelling gobies.     

Maternal serum free beta hCG screening: Results of studies including 480 cases of down syndrome

The median maternal serum free beta human chorionic gonadotropin (hCG) multiple of the median (MOM) of 480 Down syndrome cases in the second trimester was 2·64, significantly greater than the reported median MOM of intact hCG (p<0·0001). In 234 of these cases from retrospective and prospective studies, the effectiveness of maternal serum free beta hCG was evaluated in combination with alpha-fetoprotein (AFP) and maternal age in second-trimester Down syndrome screening. Down syndrome detection in the gestational age range of 14–16 weeks was 82 per cent. In all gestational weeks (14–22), a 77·7 per cent Down syndrome detection rate was achieved. In prospective screening of 44 272 patients under the age of 35 years, 69 per cent of Down syndrome cases were detected (73 per cent in gestational weeks 14–16). The false-positive rate for the prospective study was 3·8 per cent. The use of free beta hCG combined with maternal serum AFP and maternal age-related risk for Down syndrome in a screening population (i.e., women under 35 years) yields an improved detection efficiency over other protocols.