The nuchal translucency and the fetal heart: a literature review

In this overview the current knowledge of the relationship between an increased nuchal translucency (NT) measurement and fetal heart structure and function in chromosomally normal fetuses is reviewed. Relevant pathophysiological theories behind the increased NT are discussed. Fetuses with an increased NT have an increased risk for congenital heart disease (CHD) with no particular bias for one form of CHD over another. This risk increases with increasing NT measurement. Although the NT measurement is only a modestly effective screening tool for all CHD when used alone, it may indeed be effective in identifying specific CHD “likely to benefit” from prenatal diagnosis. The combination of an increased NT, tricuspid regurgitation and an abnormal ductus venosus (DV) Doppler flow profile, is a strong marker for CHD. A fetal echocardiogram should be performed at 20 weeks' gestation in fetuses with an NT ≥ 95th percentile but < 99th percentile. When the NT measurement is ≥ 99th percentile, or when tricuspid regurgitation and/or an abnormal DV flow pattern is found along with the increased NT, an earlier echocardiogram is indicated, followed by a repeat scan at around 20 weeks' gestation. The resultant increased demand for early fetal echocardiography and sonographers with this special expertise needs to be planned and provided for. Copyright © 2009 John Wiley & Sons, Ltd.     

Outcome of cases of de novo structural rearrangements diagnosed at amniocentesis

The frequency of de novo rearrangements at amniocentesis was determined in 76952 prenatal diagnoses from centres in the United States. Rates for balanced rearrangements are slightly greater than rates previously reported in the newborn, possibly because banding studies were not used in the latter. Rates for unbalanced rearrangements are considerably higher in the amniocentesis data not only because banding was used but also because a substantial loss of abnormal conceptions is to be expected between amniocentesis and birth. The higher frequency of cases with supernumerary markers at amniocentesis is unexplained. A review of 66 apparently balanced de novo rearrangements found at amniocentesis revealed evidence of abnormality in five; in four of these the abnormality was noted in the abortus. The number of cases observed is still too small to rule out a risk of abnormality no greater than the usual rate of abnormalities at birth. Abnormalities were detected in 6 of 10 cases with unbalanced de novo rearrangements. In 33 cases of non-familial supernumerary chromosomes 6 (18.2 per cent) showed abnormality. Non-satellited markers appeared to have a higher rate of abnormality than satellited markers but the difference is not statistically significant. Further studies and improved follow-up of de NOVO cases diagnosed at amniocentesis are required.     

断层逸出气CO_2的有感小震前兆异常及预报意义

简要介绍了目前国内断层逸出气CO2的主要观测状态与观测方法。给出了苏州地区近4年来5次有感小震群前断层逸出气CO2的前兆异常特征与典型图像,总结了它的灵敏性及其时、空、强的规律性,分析了它的超前时间、异常幅度、有效监测范围等特征及其对地震预报的实际意义。     

近52年太阳活动与江淮梅雨异常关系分析

我国涝灾主要集中在江淮地区,其中6-7月的旱涝,大部分是由梅雨异常引起的。为了研究梅雨的影响因子,利用1954-2005年太阳黑子、江淮地区33站梅雨期降水资料,分析了太阳活动对江淮地区梅雨的影响。研究表明,梅雨量趋势系数的最大值中心位于杭州地区,而太阳活动与杭州地区的梅雨基本上没有关系。太阳活动对江淮地区梅雨量、梅雨强度的影响具有地域性。太阳活动与梅雨量的相关关系由北向南,依次呈现为负相关性、正相关性和负相关性,太阳活动强的年份,江淮地区北部和南部梅雨量偏少,江淮中部梅雨量偏多;太阳活动与梅雨强度的相关关系由北向南,依次呈现正相关性、负相关性,太阳活动强的年份,江淮地区北部梅雨强度较强,江淮南部梅雨强度较弱。合成分析结果表明:太阳活动谷年江淮地区普遍偏涝。     

Common frogs response to agrochemicals contamination in coffee plantations,Western Ghats,India

This study highlights the health status of frogs in coffee plantations of Western Ghats. Coffee is one of the major commercial crops in the Western Ghats of India. In these plantations, farmers extensively use agrochemicals including pesticides and synthetic fertilisers. The practice of agrochemical usage can negatively affect non-target organisms like amphibians. The area has reported many amphibian species living in and around plantations. A total of 334 frogs from reference sites (10 abnormal frogs) and a total of 258 frogs (19 abnormal frogs) were collected from contaminated sites. We considered major biomarkers like hepato-somatic index, gonado-somatic index, morphological abnormalities and acetylcholinestarse activities for evaluating the health status of frogs. In our study, the hepato-somatic index and gonado-somatic index were found to be higher in a grochemical contaminated sites. Whereas, acetycholine esterase activity in brain and liver tissues of frogs in contaminated sites were low compared to reference sites. High rate of incidence of morphological abnormality (7.36%), increased hepato-somatic index (14.86%) and gonado-somatic index (male; 8.88% and female; 17.51%) and low acetylcholine esterase activities in brain (41.5%) and liver (46.9%) indicates the lower health status of frogs living in coffee plantations that are regularly treated with agrochemicals.     

Non-mosaic trisomy 22: a report of 2 cases

Non-mosaic trisomy 22 is a common cause of first trimester miscarriage and has a livebirth incidence of 1 in 30 000–50 000. Consequently there is a paucity of information for counselling parents. Detection in the second trimester is rare. It is commonly associated with severe growth retardation and multiple structural abnormalities. Oligohydramnios is frequently seen and can make detection of other abnormalities difficult. The outlook is uniformly poor and survival beyond the first trimester may present management dilemmas. A thorough fetal assessment including high-resolution cytogenetics with or without FISH is required for counselling. Careful plans for intrapartum and neonatal management may be necessary. The recurrence risk is thought to be low but information is very limited as there have been no reported cases of recurrence. We present two case of non-mosaic trisomy 22 including the first to be diagnosed subsequent to investigation for a high serum screening Down's risk. Copyright © 2006 John Wiley & Sons, Ltd.     

The influence of prenatal diagnosis on postnatal outcome in patients with structural congenital heart disease

Examination of the fetal heart has become an established part of mid-trimester anomaly scanning. Along side this has emerged the ability to diagnose congenital heart disease in the fetus with accuracy. Despite this, the development of screening programmes to look for fetal cardiac disease has only been partially successful. Furthermore, when detected, there seems to be little survival advantage associated with prenatal diagnosis. Demonstrating such an advantage is complicated by the nature of fetal cardiac disease, which tends to be severe and is often associated with extra-cardiac abnormalities. More selective studies, mostly involving small numbers of cases, are now beginning to demonstrate both improved survival and reduced morbidity in prenatally diagnosed infants presenting to cardiac intensive care units compared to those with a postnatal diagnosis. Copyright © 2004 John Wiley & Sons, Ltd.