Sonographic features of lethal multiple pterygium syndrome at 14 weeks

Lethal multiple pterygium syndrome is a rare inherited disorder. Previous reports suggest that the diagnosis may be based on prenatal sonographic demonstration of severe limb flexion, absence of fetal motion, and a large cystic hygroma in the second and third trimesters. We present the sonographic features and postmortem features of a fetus with lethal multiple pterygium syndrome at 13 weeks of gestation, which shows that the condition can possibly be diagnosed in the first trimester of pregnancy. Copyright © 2005 John Wiley & Sons, Ltd.     

Maternal serum activin A and inhibin A in trisomy 18 pregnancies at 10–14 weeks

In 45 cases of trisomy 18 and 493 control pregnancies at 10–14 weeks of gestation, maternal serum inhibin A, total activin A, free β-hCG and PAPP-A were measured. In the trisomy 18 pregnancies the median values were 0.74 MoM for inhibin A, 1.23 MoM for activin A, 0.38 MoM for free β-hCG and 0.16 MoM for PAPP-A. The degree of deviation from normal in the levels of inhibin and activin is small in comparison with free β-hCG and PAPP-A and they are therefore unlikely to be of value in improving the sensitivity of 90% for a 1% false-positive rate achieved by screening with fetal nuchal translucency and maternal serum free β-hCG and PAPP-A. Copyright © 2001 John Wiley & Sons, Ltd.     

Gender impact on first trimester markers in Down syndrome screening

The influence of fetal gender on the level in the first trimester of the serological markers alpha-fetoprotein (AFP), pregnancy-associated plasma protein-A (PAPP-A) and free beta human chorionic gonadotropin (βhCG) and on nuchal translucency is described for 2637 singleton pregnancies with normal outcome. Mean log MoM values for pregnancies with female and male fetuses were calculated using regression of log marker values on gestational age expressed as crown rump length and on maternal weight. A pronounced gender impact was found for free βhCG, being 16% higher for female than for male fetuses. Copyright © 2002 John Wiley & Sons, Ltd.     

Model parameterization for aerobic decomposition of plant resources drowned during man-made lakes formation

The formation of man-made reservoirs generates several impacts on water quality. In order to minimize some of these impacts mathematical models are currently used. This paper aims to discuss the issue associated with the degradation of plant resources (leaves, branches, barks and litter) that remain within the watershed of the new man-made lakes and parameterize a kinetic model related to decay of plant detritus. In these environments, the short-term variation of limnological parameters is mainly connected with biomass decay drowned during the filling operation. The kinetics of the degradation processes in reservoirs are discussed on the basis of information with related to detritus sources and the chemical properties of different types of compounds (i.e. labile and refractory fractions). Overall, the parameterization of the (first order) kinetic model showed that refractory fractions (ca. 86%) are predominant and the mineralization is a slow process, constituting the main route for decomposition and being affected by changes of environmental variables. The mineralization of labile and hydrosoluble compounds (ca. 14%) is responsible for the short-term water quality variation owing to decomposition; basically, the intensities of these changes depend on the labile/soluble compounds content of detritus and its chemical composition.