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Pregnancies with fetal trisomy 21 have been associated with low amniotic fluid alpha-fetoprotein levels (AFAFP). This observation led to the suggestion that low AFAFP levels be used as a criterion for completion of a chromosomal analysis in patients who are not otherwise at increased risk for a fetal chromosome abnormality and in whom karyotyping might not have been completed for economic reasons. In order to assess the usefulness of such criteria, we reviewed the AFAFP levels of 90 cases of fetal trisomy 21, 23 cases of trisomy 18, and 10 cases of trisomy 13. These were compared with 2400 control samples with normal chromosome constitution. AFAFP levels were generally lower in pregnancies with trisomy 21, showing a median value of 0·72 MoM. However, 40 per cent of the trisomy 21 samples had AFAFP values greater than 0·8 MoM and 20 per cent were over 1·0 MoM. These data imply that over 50 per cent of Down syndrome cases might have been missed using a cut-off level of 0·70 MoM for completion of chromosome analysis. Using a higher cut-off level will leave only a small percentage of samples unkaryotyped. The distribution of AFP levels in trisomy 13 and 18 is no different from controls; we therefore believe that fetal karyotyping should be completed in every amniotic fluid sample obtained. 相似文献
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本文对张道口-1井模拟水位、数字化水位观测精度进行了对比,进一步分析了影响数字化水位观测精度的几个因素,提出了数字化水位在日常观测中应注意的几个问题。 相似文献
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In Hydra vulgaris at the level of dissociated single cells endodermal cells adhere to each other more readily than to ectodermal cells at the
initial adhesion. The time required for adhesion to occur between two adjacent cells is shorter for both endodermal and ectodermal
homotypic cell adhesions once the initial adhesion of the first pair of cells has been established. It is confirmed that contact
of an aggregated pair with additional homotypic cells facilitates the occurrence of homotypic adhesions; heterotypic adhesions
are discouraged. This suggests that adhesion of homotypic cells contributes to an increased readiness for subsequent homotypic
cells to adhere.
Received: 25 August 1999 / Accepted in revised form: 11 January 2000 相似文献