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.     

Chemistry and physics of amorphous semiconductors

Our understanding of amorphous semiconductors has been greatly clarified by recent theoretical and experimental work. It is now evident that the electrical properties of these materials are generally controlled by intrinsic defects which are either thermodynamically required or induced via strains during the deposition process. The nature of these defects is intimately related to the chemistry of the constituent atoms.     

The use of amniotic fluid AFP action limits in diagnosing open neural tube defects

An analysis is made of alphafetoprotein (AFP) concentrations in 3630 amniotic fluids submitted for prospective prenatal diagnoses over a 7-year period. There were 89 cases of anencephaly, 74 of open spina bifida and 3467 with normal singleton outcomes. The AFP data were expressed in both standard deviations above the mean and multiples of the normal median for individual weeks of gestation. False positive and false negative rates were comparable in the two systems at selected cut-offs. It is concluded that either system may be used in setting action limits for the primary distinction of unaffected pregnancies from those in which an open neural tube defect is present.     

农场协作以提高可持续发展力

本文表明农场主之间的联合经营体(partnership arrangements)可能是保障农场经济生存能力和提高效益的途径之一.本文讨论了三种不同协作类型的经验分析,并强调了与协作经营关联的环境改善.在第一个案例中,对牛奶场和种植农场的协作进行了分析,结果表明多样化的提高和轮作具有实质的潜在效益,当协作包括机械时,其潜在效益更高.第二个例子论及生猪育崽和精饲管理的外部综合条件.协作利润源于生物因子和技术因子两方面,诸如提高生长率和增加猪舍的利用率等.最后,本文对一组种植农场协作进行了评估,认为效益的增加主要得益于机械费用的减少和/或来自其它因素的收益,如轮作和管理、营销策略等的改善.