Prenatal diagnosis and obstetrical management of multicystic dysplastic kidney disease

Multicystic dysplastic kidney disease (MDKD) is one of the most common congenital renal anomalies. We report 16 consecutive cases of MDKD recognized in the antenatal period by sonography. Diagnosis is usually easy as MDKD has in the vast majority of cases a striking ultrasound appearance including enlargement of the kidney and multiple renal cysts. However, differentiation from obstructive uropathy may be difficult, and we made a total of five erroneous diagnoses. Unilateral MDKD has almost invariably a good prognosis. However, severe life-threatening associated anomalies were found in six cases. Therefore, a detailed survey of fetal anatomy and determination of karyotype are strongly recommended.     

Krabbe's disease: First trimester diagnosis confirmed on cultured amniotic fluid cells and fetal tissues

Chorionic villi obtained during the first trimester from a pregnancy at risk for Krabbe's disease were shown to have reduced cerebroside-β-galactosidase (E.C. 3.2.1.46) activity using the artificial substrate trinitrophenylaminolauryl galactocerebroside (TNPAL-galactocerebroside). Assay of this enzyme in cultured amniotic fluid cells following amniocentesis, performed at the patient's request confirmed the diagnosis. Termination of pregnancy was performed and subsequent enzyme studies of the fetal tissues were consistent with the diagnosis of Krabbe's disease, thus confirming that chorionic villi can be used for first trimester diagnosis of this condition.     

Ontogeny of fetal liver glucose-6-phosphatase activity

A reliable and sensitive microassay for the measurement of liver glucose-6-phosphatase is described. Human fetal liver was assayed for glucose-6-phosphatase activity from 7.5 to 24 weeks of gestation and was found to have a mean activity of 2.11 nmol per min per mg of protein. This was approximately 30 per cent of the postnatal controls assayed by the same method, but there was no evidence of a change in activity during the gestational period examined. If fetal liver tissue can be reliably obtained, it may be possible to determine a deficiency of glucose-6-phosphatase in fetuses who are at risk.     

Using Coral Disease Prevalence to Assess the Effects of Concentrating Tourism Activities on Offshore Reefs in a Tropical Marine Park

Abstract: Concentrating tourism activities can be an effective way to closely manage high‐use parks and minimize the extent of the effects of visitors on plants and animals, although considerable investment in permanent tourism facilities may be required. On coral reefs, a variety of human‐related disturbances have been associated with elevated levels of coral disease, but the effects of reef‐based tourist facilities (e.g., permanent offshore visitor platforms) on coral health have not been assessed. In partnership with reef managers and the tourism industry, we tested the effectiveness of concentrating tourism activities as a strategy for managing tourism on coral reefs. We compared prevalence of brown band disease, white syndromes, black band disease, skeletal eroding band, and growth anomalies among reefs with and without permanent tourism platforms within the Great Barrier Reef Marine Park. Coral diseases were 15 times more prevalent at reefs with offshore tourism platforms than at nearby reefs without platforms. The maximum prevalence and maximum number of cases of each disease type were recorded at reefs with permanently moored tourism platforms. Diseases affected 10 coral genera from 7 families at reefs with platforms and 4 coral genera from 3 families at reefs without platforms. The greatest number of disease cases occurred within the spatially dominant acroporid corals, which exhibited 18‐fold greater disease prevalence at reefs with platforms than at reefs without platforms. Neither the percent cover of acroporids nor overall coral cover differed significantly between reefs with and without platforms, which suggests that neither factor was responsible for the elevated levels of disease. Identifying how tourism activities and platforms facilitate coral disease in marine parks will help ensure ongoing conservation of coral assemblages and tourism.     

尖孢镰刀菌致病相关因子及其分子生物学研究进展

由致病性尖孢镰刀菌(Fusarium oxysporum)侵染引起的植物枯萎病是一种世界性的土传真菌病害,对农业生产造成了巨大经济损失.研究表明,尖孢镰刀菌的致病与多种致病因子相关,包括信号传导系统(环腺苷酸单磷酸-蛋白激酶A和促分裂素原活化蛋白激酶信号途径)、细胞壁降解酶(木聚糖酶、果胶酶、果胶裂解酶、细胞毒素、纤维素酶、半纤维素酶和木质素降解酶等)、克服植物防御响应系统(降解抗真菌化合物和破坏植物细胞壁的化学修饰)以及其它(细胞毒素和过氧化物酶)等.此外对今后的研究工作提出展望.参26     

From the ground up: holistic management and grassroots rural adaptation to bovine spongiform encephalopathy across western Canada

Bovine spongiform encephalopathy (BSE) has been documented in 28 countries and adversely affected farmers and rural communities around the world. Our study examines the impacts of and adaptive responses of producers to BSE in western Canada. Moreover, it explores the role that holistic management (HM), and its combined focus on environmental, social, and economic sustainability, might play in mitigating the effects of BSE. One survey was sent to 835 HM producers and another to 9,740 producers across Manitoba, Saskatchewan, and Alberta. The disease, and concomitant climate change and low commodity prices, had devastating impacts on both groups. Yet, HM producers were much more optimistic about their ability to adapt to BSE and the future of agriculture than their non-HM counterparts. Social networks, namely HM clubs and the larger HM community, enabled these producers to mitigate the impacts of BSE. Agronomic responses, especially those associated with rotational grazing and increases in on-farm biodiversity were also important. That HM has been such an effective adaptive response to BSE indicates the importance of this and other grassroots responses to rural crises, whether they be associated with zoonotic diseases or indeed environmental change as a whole.     

Fetal bradyarrhythmia: Diagnosis and outcome

Seventeen patients were referred to our ultrasound unit because of fetal bradyarrhythmia (<100 bpm). Duration of pregnancy varied between 21 and 40 weeks. Bradyarrhythmia was diagnosed as atrioventricular block (n = 12), mild sinus bradycardia (n = 3), and irregular bradycardia (n = 2). The association with maternal collagen disease was 29 per cent and with cardiac structural defects 59 per cent. The overall mortality was 41 per cent. There were three abnormal karyotypes (17 per cent) and four cases of cardiac compromise (23 per cent). Prognosis depends on the nature of the bradyarrhythmia and recognition of associated pathology such as cardiac structural defects, abnormal karyotype and degree of cardiac compromise.     

Congenital heart disease and aneuploidy

Congenital heart disease (CHD) is one of the commonest prenatal diagnoses made on routine ultrasound screening. Overall, up to 33% of CHD are associated with fetal aneuploidy. However, some specific cardiac lesions have a significantly greater association with particular chromosomal abnormalities. The majority of fetuses with CHD and aneuploidy also have extra-cardiac anomalies and are best managed by a multidisciplinary team where the management and prognosis of the cardiac defect can be discussed in the context of the baby as a whole. It is therefore important for clinicians involved in the management of fetuses with CHD to be aware of the association of aneuploidy as well as the prognosis and management of these cases, so that they can appropriately counsel the parents. In this chapter, we review the frequency and types of aneuploidy associated with the commonly diagnosed CHD and discuss their management. Copyright © 2004 John Wiley & Sons, Ltd.     

基于社会燃烧理论的突发公共卫生事件网络情绪传播模型

为有效引导和管控突发公共卫生事件网络舆情,考虑社会相关性和网络群体间情绪状态转移的不确定性,基于社会燃烧理论研究突发公共卫生事件网络情绪传播机制.首先基于社会燃烧理论分析网络用户群体的社会影响因素,建立未燃-阴燃-燃烧-抑燃-稳定(UDBFS)网络情绪传播模型和考虑干预措施的网络情绪传播模型;然后以新冠肺炎(COVID...