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  • 2000-2004  (2)
  • 1980-1984  (4)
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  • 1
    Electronic Resource
    Electronic Resource
    Maternal diabetes and neonatal respiratory distress. II. Prediction of fetal lung maturity (1984)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 91 (1984), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Fifty babies were born at ≤ 37 weeks to mothers with diabetes. Delivery was undertaken in all patients with the reassurance that the L/S ratio was ≥2.0 within the preceding 72 h. Five babies (10%) developed respiratory distress syndrome (RDS). Prediction of fetal lung maturity was improved dramatically by measuring amniotic fluid concentrations of phosphatidylcholine (PC), phosphatidylinositol (PI) and phosphatidyl-glycerol (PG). Fourteen babies were predicted as having ‘no surfactant’ (PC 〈 20 mg/1, PI 〈 2 mg/1 and PG 〈 2 mg/1), five developed RDS. None of the remaining 36 babies developed the illness: they were predicted as having either ‘early surfactant’ (PC ≥ 20 mg/1, PI ≥ 2 mg/1 but PG 〈 2 mg/1) or ‘late surfactant’ (PC ≥ 20 mg/1, PI ≥ 2 mg/1 and PG ≥ 2 mg/1). Measurement of PC levels alone was the most accurate method of predicting RDS. There was a significant association between low surfactant phospholipid concentrations and the development of transient tachypnoea of the newborn.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1984.tb05917.x
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Maternal diabetes and neonatal respiratory distress. I. Maturation of fetal surfactant (1984)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 91 (1984), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: The phospholipid composition of amniotic fluid samples from 30 normal patients and 44 diabetic patients over the last 10 weeks of pregnancy was studied. Higher levels of phosphatidylcholine (PC) and phosphatidylinositol (PI) were found in diabetic pregnancies where there was excellent glucose control. These differences were statistically significant at 34–36 weeks. Phosphatidylglycerol (PG) aeared significantly earlier in the well controlled diabetic pregnancies. but even in the poorly controlled diabetics the levels of PC, PI and PG were comparable to those in normal pregnancies. There was no evidence of delayed aearance of fetal surfactant phospholipids in either the well or poorly controlled diabetic pregnancies. The absolute lecithin (PC)/sphingomyelin (SM) ratio in diabetic pregnancies was generally greater for any given gestational age than those in normal pregnancies. Whilst in most cases this was due to a higher PC concentration, in a few poorly controlled diabetics it was the result of a lower concentration of SM.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1984.tb05916.x
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Is the lecithin/sphingomyelin ratio outdated? (1983)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 90 (1983), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. The lecithin/sphingomyelin (L/S) ratio in amniotic fluid is an excellent predictor of fetal lung maturity in most pregnancies but today its value is limited. A review of the use of the L/S ratio service in Manchester from 1975 to 1981 (inclusive) shows a dramatic and consistent fall in the number of requests made over the last 18 months of this period resulting in inconvenience and inefficiency in the laboratory service. Possible explanations for the declining use of the L/S ratio service are discussed with particular reference to St Mary's Hospital, Manchester and a regional re-organization of laboratory assessment of fetal lung maturity is proposed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1983.tb06436.x
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Influenza virus infection in the second and third trimesters of pregnancy: a clinical and seroepidemiological study (2000)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 107 (2000), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To determine whether maternal influenza virus infection in the second and third trimesters of pregnancy results in transplacental transmission of infection, maternal auto-antibody production or an increase in complications of pregnancy.Design Case-control cohort study.Population Study and control cohorts were derived from 3975 women who were consecutively delivered at two Nottingham teaching hospitals between May 1993 and July 1994. A complete set of three sera was available for 1659 women.Methods Paired maternal ante- and postnatal sera were screened for a rise in anti-influenza virus antibody titre by single radial haemolysis and haemagglutination inhibition. Routine obstetric data collected during and after pregnancy were retrieved from the Nottingham obstetric database. Cord samples were tested for the presence of IgM anti-influenza antibodies, and postnatal infant sera were tested for the persistence of influenza-virus specific IgG. Paired antenatal and postnatal sera were tested against a standard range of auto-antigens by immunofluorescence.Main outcome measures Classification of women as having definite serological evidence of an influenza virus infection in pregnancy (cases) or as controls.Results Intercurrent influenza virus infections were identified in 182/1659 (11.0%) pregnancies. None of 138 cord sera from maternal influenza cases was positive for influenza A virus specific IgM. IgG anti-influenza antibodies did not persist in any of 12 infant sera taken at age 6–12 months. Six of 172 postnatal maternal sera from cases of influenza were positive for auto-antibodies. In all cases the corresponding antenatal serum was also positive for the same auto-antibody. There were no significant differences in pregnancy outcome measures between cases and controls. Overall, there were significantly more complications of pregnancy in the cases versus the controls, but no single type of complication achieved statistical significance.Influenza infection in the second and third trimesters of pregnancy is a relatively common event. We found no evidence for transplacental transmission of influenza virus or auto-antibody production in pregnancies complicated by influenza infections. There was an increase in the complications of pregnancy in our influenza cohort.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.2000.tb11621.x
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    Effects of gestational diabetes on junctional adhesion molecules in human term placental vasculature (2000)
    Springer
    Diabetologia 43 (2000), S. 1185-1196 
    Details
    ISSN: 1432-0428
    Keywords: Keywords Endothelium ; VE-cadherin ; β-catenin ; occludin ; ZO ; 1 ; gestational diabetes ; placenta
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Aims/hypothesis. The aim of this study was to investigate whether gestational diabetes mellitus, which occurs in the microvascular remodelling phase of placental development, causes alterations in surface expression of tight and adherens junctional molecules involved in endothelial barrier function and angiogenesis. Methods. Term placenta, delivered by elective Caesarian section, from normal pregnancy (n = 5) and those complicated by gestational diabetes (n = 5) were perfusion-fixed and analysed by indirect immunofluorescence and confocal scanning microscopy. Using systematic random sampling, the surface expression of endothelial junctional proteins and the relative incidences of immunostained vessels were compared between the two study groups. Total vessel lengths were measured by stereological techniques. Results. The adherens junctional molecules, vascular-endothelial cadherin and β-catenin, and the tight junctional molecules, occludin and zonula occludens-1 were localised to paracellular clefts in both study groups. The diabetic placentae showed pronounced reductions in the intensity of immunofluorescence and in the number of immuno-positive vessels. A corresponding statistically significant increase (from 19 % to 56 %) in the percentage of vessels showing junctional anti-phosphotyrosine immunoreactivity was found. The differences observed represented real changes in the absolute lengths of immunostained regions along the vessels. The stereological measurements failed to detect any statistically significant change in the combined length of fetal vessels in gestational diabetic placenta. Conclusion/interpretation. Our results suggest that even short duration diabetic insult, alters the surface expression of placental junctional proteins. This alteration could be mediated by the tyrosine-phosphorylation pathway. The changes suggest impaired barrier function rather than accelerated vascular growth. [Diabetologia (2000) 43: 1185–1196]
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001250051511
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Reproductive value and appropriateness of response to predators by White-Crowned Sparrows (1980)
    Springer
    Behavioral ecology and sociobiology 7 (1980), S. 227-231 
    Details
    ISSN: 1432-0762
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Summary Twenty-five pair of breeding Whitecrowned Sparrows were presented with a live snake and models of a hawk, jay, and junco. Pairs were tested either when the female was brooding eggs, feeding nestlings, or fledglings. It was found that the snake was responded to the most when the pair had nestlings, very little when the female was brooding eggs, and at a moderate level with fledglings. The hawk and jay models were responded to the least with eggs, more with nestlings, and the most with fledglings. The junco model elicited little response. Both the pattern and level of response is influenced by whether or not the stimulus represents an effective predator at the particular stage of the breeding cycle. They also are influenced by the reproductive value of the progeny. A model is suggested that includes two factors: stimulus value and reproductive value. We propose that this combined model is more suitable than a single factor one.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00299368
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    Paper (German National Licenses)
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