Second-trimester maternal serum alpha-fetoprotein (MSAFP) iselevated in women with adverse pregnancy outcome associated with inherited thrombophilias

Obstetric complications, such as severe pre-eclampsia, fetal growth restriction, abruptio placentae, or stillbirth are associated with abnormally elevated second-trimester maternal serum alpha-fetoprotein (MSAFP) and β subunit of human chorionic gonadotrophin (βhCG). This has been attributed to placental abnormalities. Women with thrombophilias have been shown to have abnormalities of the placenta resulting in adverse pregnancy outcome in these patients. The purpose of the present study was to evaluate whether women with pregnancy complications and inherited thrombophilias have abnormally elevated second-trimester MSAFP or βhCG. Sixty-two women with pregnancy complications were tested for inherited thrombophilias several months after delivery. The thrombophilia group included 29 women with pregnancy complications and an inherited thrombophilia and the control group included 33 other patients without thrombophilia. Patients in the thrombophilia group had a higher median MoM MSAFP compared to the controls (1.337 vs 1.086, p=0.0516). The incidence of abnormally elevated MSAFP (>2.5 MoM) was also significantly higher in the thrombophilia group compared to controls (21% vs 3%, p=0.04). Neither the median MoM βhCG nor the incidence of abnormally elevated βhCG were significantly different between the groups. We conclude that second trimester MSAFP, but not βhCG, is abnormally elevated in patients with thrombophilia and obstetric complications. Copyright © 2001 John Wiley & Sons, Ltd.     

Serial patterns of biodiversity change in corals across shallow reef flats in Ko Phuket,Thailand, due to the effects of local (sedimentation) and regional (climatic) perturbations

A 17-year monitoring programme of reef flats at Ko Phuket, Thailand afforded an opportunity to evaluate both univariate and multivariate measures of environmental stress in an assessment of change on coral reef ecosystems. The sites at Ko Phuket suffered the effects of dredging in 1986-1987 and then anomalously low sea levels in 1997-1998 as a result of climate-related events in the Indian Ocean. Univariate measures of species diversity and taxonomic distinctness ((*) increased across the reef flat, reflecting the greater effects of physical stresses on the inner reef flats (compared with outer reef flats) at all sites, with more congeneric species present on the inner reef and more confamilial species on the outer reef. Multivariate measures showed a clear breakdown in seriation patterns at all sites during the dredging in 1987 and in 1998, as a result of earlier negative sea-level anomalies. Recovery from environmental disturbances was obvious within 12 months in each case. The domination of the reefs by massive coral species, which are physiologically adapted to intertidal living and which display partial rather than total colony mortality, may be a factor contributing to the apparent resilience of the reef flats together with continued recruitment and survival of juvenile corals during adverse environmental conditions. Elevated sea temperatures and extensive bleaching of corals in 1991, 1995, and 1998 had no effect upon coral community measures, with many corals recovering their zooxanthellae numbers within 3-5 months of the bleaching events.     

Effect of water pH and total dissolved solids on the species diversity of pelagic zooplankton in lakes: A statistical analysis

Statistical analysis of the combined influence of lake surface area (S), water pH, and total dissolved solids (TDS) on the formation of zooplankton communities in lakes has been made on the basis of available data on the number of species (N _sp ) of pelagic zooplankton in 256 lakes of the temperate zone of Europe, Asia, and North America. Graphic analysis and analysis of variance have shown that extremely high or extremely low values of pH and TDS inhibit lake zooplankton. If the value of one of these factors is extremely high, any increase in the other factor is favorable for the inhibited zooplankton, and this second factor determines the value of N _sp .     

Altitudinal zonality and diversity of butterflies in the southern Far East and Transbaikalia

Species richness, taxonomic diversity, and qualitative composition of the butterfly fauna (Lepidoptera, Diurna) are discussed in the light of data on the altitudinal zonality of local faunas in the southern Far East and Transbaikalia. It is shown that qualitative elevation-dependent changes in the fauna occur only in the western and northern parts of the region.     

Stable isotopes in southern right whale (Eubalaena australis) baleen as indicators of seasonal movements,feeding and growth

Ratios of stable carbon and nitrogen isotopes were examined in the baleen of 11 southern right whales originating from South Africa, including one neonate, six juveniles and four adults. Oscillations in carbon isotope ratios were marked, and indicated feeding north of or at the Subtropical Convergence (STC) alternating with feeding south of the STC. There was an inverse relationship in juveniles between the periodicity of the oscillations and the length of the baleen plate, indicating a reduction in baleen growth with age. The size of the periodicity predicted for the smallest juvenile plate was equivalent to the length of the baleen at 1 yr of age as estimated from the rate of baleen growth in calves, suggesting that the oscillations in carbon isotope ratios were annual events. On this assumption, the timing of the formation of the most recent carbon enrichment peak could be calculated for each individual, given the date of death and the rate of baleen growth in the preceding year; formation occurred over a period of 100 d from January to April (mean in February). A similar analysis indicated that valleys in the nitrogen isotope ratios were formed between January and June (mean in April), and enrichment peaks between August and May (mean in December). These patterns were not inconsistent with previous scenarios of southern right whale migration, if the enrichment peaks in carbon isotopes were taken to represent feeding just north of the STC, the subsequent decline in enrichment levels to represent feeding south of the STC in autumn, and the persistence of an isotopic signature characteristic of high latitude plankton throughout the winter and early spring to indicate that feeding essentially ceased when the northern migration began, and did not resume until the southern migration was under way. The oscillations in nitrogen isotope ratios would support this interpretation, if they were assumed to represent cycles of starvation and recovery. A comparison with baleen growth rates for bowhead whales allowed the ages of the six juveniles to be assessed. Their size at age, when compared to the lengths and growth rates of calves measured photogrammetrically, suggested that growth in body length of southern right whales slows markedly between weaning and 1 yr, and may be almost negligible from 1 to 4 yr of age.     

Prenatal diagnosis of congenital cytomegalovirus infection in 189 pregnancies with known outcome

An Erratum has been published for this article in Prenatal Diagnosis 21(7) 2001, 605. Prenatal diagnosis (PD) of fetal cytomegalovirus (CMV) infection was performed in 242 pregnancies, with known outcome in 189 cases. In 141/189 pregnancies, PD was carried out on account of suspicious maternal CMV serology up to gestational week (WG) 23, and in 48 cases on account of abnormal ultrasonic findings detected between WG 18 and 39. Chorionic villus samples (n=6), amniotic fluid (AF, n=176) and/or fetal blood specimens (n=80) were investigated for detection of virus by cell culture, shell vial assay, PCR and/or CMV-specific IgM antibodies. Of 189 fetuses correctly evaluated by CMV detection either in fetal tissue following therapeutic abortion/stillbirth (n=24) or in urine of neonates within the first 2 weeks of life (n=33), 57 were congenitally infected. In women with proven or suspected primary infection, the intrauterine transmission rates were 20.6% (7/34) and 24.4% (10/41), respectively. Of the congenitally infected live-born infants, 57.6% (19/33) had symptoms of varying degree. The overall sensitivity of PD in the serologic and ultrasound risk groups was 89.5% (51/57). A sensitivity of 100% was achieved by combining detection of CMV-DNA and CMV-specific IgM in fetal blood or by combined testing of AF and fetal blood for CMV-DNA or IgM antibodies. There was no instance of intrauterine death following the invasive procedure. The predictive value of PD for fetal infection was 95.7% (132/138) for negative results and 100% (51/51) for positive results. Correct results for congenital CMV infection by testing AF samples can be expected with samples obtained after WG 21 and after a time interval of at least 6 weeks between first diagnosis of maternal infection and PD. In case of negative findings in AF or fetal blood and the absence of ultrasound abnormalities at WG 22–23, fetal infection and neonatal disease could be excluded with high confidence. Positive findings for CMV infection in AF and/or fetal blood in combination with CMV suspicious ultrasound abnormalities predicted a high risk of cytomegalic inclusion disease (CID). Furthermore, detection of specific IgM antibodies in fetal blood was significantly correlated with severe outcome for the fetus or the newborn (p=0.0224). However, normal ultrasound of infected fetuses at WG 22–23 can neither completely exclude an abnormal ultrasound at a later WG and the birth of a severely damaged child nor the birth of neonates which are afflicted by single manifestations at birth or later and of the kind which are not detectable by currently available ultrasonographic techniques. Copyright © 2001 John Wiley & Sons, Ltd.     

Rehabilitation of the chernoistochinskii drinking water system,Nizhnii Tagil,Russia

The U.S. Environmental Protection Agency (EPA) performed a reservoir diagnosis and developed low-cost recommendations to improve drinking water quality for the city of Nizhnii Tagil, Russia. Despite widespread regional pollution, water quality within the drinking water supply source can be summarized as generally good. Sampling and analysis efforts did not reveal appreciable amounts of hazardous chemicals or metals. The major water quality problem stems from an abundance of blue-green algae during the summer months, causing drinking water taste and odor problems and filter clogging at the water treatment plant. City water treatment officials also frequently experience difficulties with maintaining an effective disinfection residual in the distribution system because it spans more than 30 kilometers in length. Regrowth of microorganisms in the distribution system often causes coliform bacteria counts to exceed standards. The implementation of a watershed protection and management program, and the installation of a new disinfection system, to purify drinking water and to reduce bacterial growth in the distribution system should improve drinking water quality for the city residents.