Pierre robin sequence associated with amniotic band syndrome ultrasonographic diagnosis and pathogenesis

A case of prenatal diagnosis of the Pierre Robin sequence is reported in which hydramnios and amniotic bands are present. The possible pathogenesis is discussed.     

Fibrinopeptide a increases after Chorionic villus sampling

Fibrinopeptide levels were measured in 20 women during transcervical chorionic villus sampling (CVS). Fibrinopeptide A, a sensitive indicator of fibrinogen cleavage by thrombin, significantly increased in five subjects, whereas there was no change in Bβ peptide, an indicator of fibrinolysis. The data suggest that modest fibrin formation, uncompensated by fibrinolysis, may be induced in some women by CVS.     

First trimester diagnosis of Wolman's disease

Wolman's disease was diagnosed in the first trimester of pregnancy by the direct demonstration of acid lipase deficiency in chorionic villi. The diagnosis was confirmed by studies on cultured chorionic villus cells and fetal skin fibroblasts. Acid lipase activity was assayed with both 4-methylumbelliferyl-palmitate and radiolabelled cholesterol oleate as substrates. The higher specificity of the enzyme for the latter, natural, substrate makes it superior in prenatal diagnosis.     

Parental decisions regarding termination of pregnancy following prenatal detection of sex chromosome abnormality

In the period of a retrospective study (1979–1984 inclusive) forty cases of sex chromosome aneuploidy were identified at amniocentesis in Oxford, England and in Kuopio, Finland; 25 of these pregnancies were subsequently terminated. A decision to continue was made more often for XYY and XXX karyotypes, by older mothers and older fathers, by couples with more previous children, and by couples living in England. A decision to terminate was made more often for XXY and non-mosaic 45,X karyotypes, by younger mothers and younger fathers, by couples with few previous children, in all cases with abnormal ultrasound findings, when post-amniocentesis counselling was given by an obstetrician, and by couples living in Finland. Previous miscarriages, or terminations of pregnancy, previous problems with infertility, marital status, or the type of counselling given before amniocentesis, appeared not to influence a couples' decision. Religious and ethical ideas were not studied systematically at the time and cannot be reported on.     

Umbilical and uterine flow velocity waveforms in pregnancies complicated by major fetal anomalies

A continuous wave Doppler unit was used to obtain umbilical and uterine artery flow velocity waveforms in pregnancies complicated by a major fetal abnormality. A total of 139 examinations were performed on 32 women between 26 to 41 weeks' gestation, and the records were reviewed to determine the changes associated with fetal malformation. The systolic/diastolic (A/B) ratio was used as an index of blood flow resistance in the umbilical artery and the systolic minus diastolic divided by systolic (A–B)/A for the branches of the uterine artery. Seventeen out of 32 patients showed high systolic/diastolic ratio in waveforms taken from the umbilical artery. In 30 out of 32 patients the uterine artery waveform was normal (in two patients the results were equivocal). It appears that a fetal mechanism may determine the changes in the umbilical placental circulation resulting in an umbilical artery pattern of high flow resistance in more than half of the patients with congenital anomalies.     

Karyotypic differences between cells from placenta and other fetal tissues

Six cases are reported with discrepancies between the karyotypes of placental cells and cells from other fetal tissue. The respective findings were: (a) 48,+7,+18 resp. 47,+18. (b) 46, i(18q) resp. 46, del18(p11). (c) 46, XX resp. 46, XX/47, XXX. (d) 46, X, Yq+ and 46, XY resp. 46, XY. (e) 46/47,+12 resp. 46. (f) 46/47,+5 resp. 46. These differences were found in both early and term pregnancies. Care should be taken in deducing the fetal karyotype from the chromosomal pattern of placental cells.     

Prenatal diagnosis of del(11)(p13p15)

Prenatal diagnosis of del(11)(p13p15) was made on cultured amniotic fluid cells and confirmed on fetal skin fibroblasts after termination of pregnancy. Both irides appeared behind schedule in development by 2–3 weeks in reference to the gestational age of the fetus. It is suggested that the aniridia of the aniridia-Wilms tumour association is due to developmental arrest. Confirmation of this complex is difficult at mid-gestation without critical pathological study of the eyes.     

Environmental management in the UK: The way ahead for business

Summary Increasingly stringent environmental lesislation and a growing consciousness of environmental issues within the community are spurring companies into adopting environmental improvement programmes. Enhanced environmental management not only ensures compliance with legislation but has other benefits, including reduced energy and waste disposal costs, improved public image, acess to green markets and lower insurance premiums. BS7750 and the Eco-Management and Audit Scheme now offer businesses the opportunity to establish a systematic and accredited environmental management system which will serve as a yardstick of environmental quality.     

Salinity tolerance,salinity preference and temperature tolerance in the high-shore harpacticoid copepod Tigriopus brevicornis

Tigriopus brevicornis (O. F. Müller) were collected in 1992 from rock pools close to U.M.B.S. Millport, Isle of Cumbrae, U.K. and acclimated to various combinations of salinity and temperature for at least 1 wk prior to laboratory experiments. Higher salinities of acclimation enhanced tolerance to high salinity stress, while tolerance of low salinities was hardly affected by acclimation salinity. Acclimation to low temperature (10°C) extended the survivable salinity range for T. brevicornis. High-salinity acclimation enhanced the survivable temperature range. Copepods acclimated to 60 survived significantly lower and higher temperatures than did 34-acclimated individuals. At high temperature, 75-acclimated female copepods had the highest median lethal temperature, 38.9°C. Females were significantly more resistant to high temperatures than males. The copepods were seen to have a very low median lethal temperature when frozen into solid ice for 2 h; 50% mortality occurred at-16.9°C in 10°C, 34-acclimated T. brevicornis. Salinity preference experiments demonstrated an ability to discriminate between salinities differing by as little as 3. Copepods acclimated to 34 chose salinities near their acclimation salinity; individuals acclimated to 5 favoured slightly higher salinities, while copepods acclimated to 60 chose rather lower salinities.