Laser therapy for twin-to-twin transfusion syndrome (TTTS)

Monochorionic twins are subjected to specific complications which originate in either imbalance or abnormality of the single placenta serving two twins including twin-to-twin transfusion syndrome. The diagnosis is well established in overt clinical forms with the association of polyuric polyhydramnios and oliguric oligohydramnios. The best treatment of cases presenting before 26 weeks of gestion is fetoscopic laser ablation of the intertwin anastomoses on the chorionic plate. Although subjected to subtle variations, the core technique follows robust guidelines which could help understanding and acquiring the required skills and experience to perform this procedure. However appropriate and tailored hands-on training and appropriate perinatal set-up are critical not only for surgical management but also for the follow-up and management of related complications. Copyright © 2011 John Wiley & Sons, Ltd.     

Investigation of the positive artifact formation during sampling semi-volatile aerosol using wet denuders

Wet denuders are used in several steam-based semi-continuous aerosol monitors to avoid gaseous absorption artifacts and pre-humidify the air stream, while simultaneously allowing measurements of water-soluble gaseous species. Unlike dry denuders, wet denuders saturate the sample air stream with water vapor, which can lead to re-partitioning of water-soluble volatile species to the aerosol phase, thereby causing a positive artifact in aerosol measurements. This paper investigates the magnitude of the positive artifact formation occurring in wet denuders using modeling techniques. Gaseous nitric acid was used as an example of volatile water-soluble gas in both flat and annular wet denuders. We have also verified the occurrence of the positive artifact in a flat wet denuder through a laboratory experiment. The model results indicate that the magnitude of the artifact is rather limited under typical conditions being less than 2.5% of ambient nitric acid concentration for the flat denuder and less than 0.6% for the annular denuder. The magnitude of the artifact increases with condensational sink of the aerosol (i.e. with the mean aerosol size and number concentration) and aerosol water solubility. While the artifact is relatively small in the absolute sense, it could be substantial for aerosol nitrate measurements, especially in ammonia limited conditions, when the concentration of the nitric acid is high and the concentration of nitrate is low. Therefore, we recommend that the artifact is assessed regularly by replacing the wet denuder with a dry denuder.     

Production of semiochemical and allelobiotic agents as a consequence of aphid feeding

Aphids have an extremely intimate relationship with their plant hosts. Although this might suggest that aphid infestation would be largely cryptic, there are a wide range of changes that can be detected behaviourally, chemically and also at the molecular genetic level. Colonisation by aphids can cause release of semiochemicals characteristic of the aphid species and besides reducing acceptability to incoming aphids; these can enable recruitment of specific parasitoids. Some semiochemicals involved in these processes can also influence the defence status of neighbouring intact plants through air or the rhizosphere. Electrophysiological and behavioural studies on the aphids, their parasitoids and other organisms facilitate the identification of compounds having direct effects on plant defence. New developments from work on semiochemicals such as (Z)-jasmone and 6-methyl-5-hepten-2-one, and allelobiotic agents such as 6-hydroxy-1,2,3,4-tetrahydro-β-carboline-3-carboxylic acid and 2,4-dihydroxy-7-methoxy-1,4-benzoxazin-3-one, as well as new work on these compounds and others as potential phytopheromones are discussed.     

An approach to preimplantation diagnosis of β-thalassaemia

Using the polymerase chain reaction (PCR), it was possible to amplify a single copy fragment of the β-globin gene from 2–32 human embryonic cells obtained from arrested preimplantation embryos. For the detection of β-thalassaemia mutations, allele specific priming of the PCR using nested primers was employed using approximately 10 pg of DN A from individuals known to carry these mutations. This approach was successful in detecting the presence or absence of five Asian Indian β-thalassaemia mutations that were selected for this study. In spite of meticulous precautions against contamination, false-positive amplification was observed, a problem that will have to be overcome before this approach can be used in clinical practice.     

Prenatal diagnosis of female monozygotic twins discordant for Turner syndrome: implications for prenatal genetic counselling

We describe a set of monozygotic (MZ) female twins, one of whom presented with a typical Turner syndrome (TS) phenotype and the other a normal female phenotype. Prenatal fetal ultrasonographic examination showed a monochorial diamniotic pregnancy with a hygroma colli and growth delay in Twin A and no anomalies in Twin B. Karyotypic analysis performed on fetal blood samples demonstrated a 46,XX/45,X (23/2) mosaicism in Twin A and a normal 46,XX chromosome constitution in Twin B. At birth, Twin A presented with a typical TS and Twin B had a normal female phenotype. Postnatal cytogenetic investigation of blood lymphocytes showed the same 46,XX/45,X mosaicism in both twins: 46,XX/45,X (40/7) in Twin A and 46,XX/45,X (40/5) in Twin B. Further investigations at the age of 10 months showed in Twin A a 46,XX/45,X (98/2) mosaicism in lymphocytes and 100% of 45,X (50 analysed cells) in fibroblasts, and in Twin B a normal 46,XX (100 analysed cells) chromosome constitution in lymphocytes but a mild 46,XX/45,X (78/2) mosaicism in fibroblasts. Monozygosity was confirmed by molecular analysis. To our knowledge, this is the first report of prenatal diagnosis of MZ female twins discordant for TS. Review of reported sets of MZ female twins (eight cases) or triplets (one case) discordant for TS shows, as in the present case, that the phenotype correlates better with the chromosomal distribution of mosaicism in fibroblasts than in lymphocytes. In the blood of MZ twins chimerism may modify the initial allocation of the mosaicism. These results suggest that, in cases of prenatal diagnosis of MZ female twins discordant for TS, the phenotype of each twin would be better predicted from karyotype analysis of cells from amniotic fluid than from fetal blood. Copyright © 2002 John Wiley & Sons, Ltd.     

Annual average radon concentrations in California residences.

A study was conducted to determine the annual average radon concentrations in California residences, to determine the approximate fraction of the California population regularly exposed to radon concentrations of 4 pCi/l or greater, and to the extent possible, to identify regions of differing risk for high radon concentrations within the state. Annual average indoor radon concentrations were measured with passive (alpha track) samplers sent by mail and deployed by home occupants, who also completed questionnaires on building and occupant characteristics. For the 310 residences surveyed, concentrations ranged from 0.10 to 16 pCi/l, with a geometric mean of whole-house (bedroom and living room) average concentrations of 0.85 pCi/l and a geometric standard deviation of 1.91. A total of 88,000 California residences (0.8 percent) were estimated to have radon concentrations exceeding 4 pCi/l. When the state was divided into six zones based on geology, significant differences in geometric mean radon concentrations were found between several of the zones. Zones with high geometric means were the Sierra Nevada mountains, the valleys east of the Sierra Nevada, the central valley (especially the southern portion), and Ventura and Santa Barbara Counties. Zones with low geometric means included most coastal counties and the portion of the state from Los Angeles and San Bernardino Counties south.