A possible new approach in the prediction of late gestational hypertension: The role of the fetal aortic intima-media thickness

The aim was to determine the predictive role of combined screening for late-onset gestational hypertension by fetal ultrasound measurements, third trimester uterine arteries (UtAs) Doppler imaging, and maternal history. This prospective study on singleton pregnancies was conducted at the tertiary center of Maternal and Fetal Medicine of the University of Padua during the period between January 2012 and December 2014. Ultrasound examination (fetal biometry, fetal wellbeing, maternal Doppler study, fetal abdominal aorta intima-media thickness [aIMT], and fetal kidney volumes), clinical data (mother age, prepregnancy body mass index [BMI], and parity), and pregnancy outcomes were collected. The P value <0.05 was defined significant considering a 2-sided alternative hypothesis. The distribution normality of variables were assessed using Kolmogorov-Smirnoff test. Data were presented by mean (±standard deviation), median and interquartile range, or percentage and absolute values. We considered data from 1381 ultrasound examinations at 29 to 32 weeks’ gestation, and in 73 cases late gestational hypertension developed after 34 weeks’ gestation. The final multivariate model found that fetal aIMT as well as fetal umbilical artery pulsatility index (PI), maternal age, maternal prepregnacy BMI, parity, and mean PI of maternal UtAs, assessed at ultrasound examination of 29 to 32 weeks’ gestation, were significant and independent predictors for the development of gestational hypertension after 34 weeks’ gestation. The area under the curve of the model was 81.07% (95% confidence interval, 75.83%-86.32%). A nomogram was developed starting from multivariate logistic regression coefficients. Late-gestational hypertension could be independently predicted by fetal aIMT assessment at 29 to 32 weeks’ gestation, ultrasound Doppler waveforms, and maternal clinical parameters. Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc

First trimester PAPP-A serum levels and long-term metabolic outcome of mothers and their offspring

Low maternal serum levels of pregnancy associated plasma protein A (PAPP-A) are known to be associated with the development of pregnancy-related complications like small for gestational age infants, intrauterine fetal demise, gestational diabetes and preeclampsia. The study aims to find possible long-term correlations with the development of metabolic and cardiovascular complications in the mothers and their progeny in later life. This is a retrospective cohort study conducted on consecutive unselected women screened for chromosomal anomalies in the first trimester of pregnancy between 2004 and 2010. PAPP-A values as well as clinical data collected at childbirth were considered. A maternal and neonatal follow-up was performed through a telephone interview with the mother during 2015. The body-mass-index and the presence of cardiovascular diseases, dyslipidaemia and diabetes mellitus were evaluated. The analysis included 988 patients. The median time of follow-up was 7 years (IQR 6\u20139). Lower first trimester maternal blood PAPP-A quartiles were associated with small stature of the offspring (z-score 1st-2nd quartile 0.37 IQR 120.42 and 1.17 vs 3rd-4th quartile 0.67 IQR 120.17 and 1.36, p < 0.05). Furthermore, low first trimester PAPP-A in pregnancy without other gestations following the index one, in Kaplan-Meier analysis was associated to a significant increase of hypoglycemic agents use at 7 and 10 years (respectively 1.12% CI.95 0\u20132.38% and 5.45% CI.95 0\u201310.82%) compared to the control group of high first trimester PAPP-A values (0% CI.95 0\u20130%) (p < 0.05). Low PAPP-A serum levels in the first trimester of pregnancy are associated with short stature in offspring and de-novo development of maternal diabetes mellitus in later life

In-House Validation of Rapid Detection PCRs for Bacterial Pathogens Causing Infant Diarrhea

In Argentina, conventional culture methods for the isolation of diarrheal bacteria continue to be the most widely used form of diagnosis in many clinical laboratories. In this work we validated 11 in-house real-time polymerasechain reactions (PCRs) assays for the specific and rapid detection of Salmonella spp., Shigella spp., enteroinvasive E. coli, enteropathogenic E. coli, enterotoxigenic E. coli, Shiga toxin-producing E. coli, E. coli O157, Cronobacter sakazakii, Campylobacter jejuni, Campylobacter coli, Vibrio cholera and Clostridium difficile. The sensitivity of the assays was less than 100 CFU/ml for all the studied pathogens; selectivity and specificity were 100% in all cases and robustness was optimal. These PCR methods could be used to accurately detect the main bacterial causes of infant gastroenteritis.Fil: Londero, Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico CONICET- La Plata. Instituto de Genética Veterinaria "Ing. Fernando Noel Dulout". Universidad Nacional de La Plata. Facultad de Ciencias Veterinarias. Instituto de Genética Veterinaria; ArgentinaFil: Leotta, Gerardo Anibal. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico CONICET- La Plata. Instituto de Genética Veterinaria "Ing. Fernando Noel Dulout". Universidad Nacional de La Plata. Facultad de Ciencias Veterinarias. Instituto de Genética Veterinaria; ArgentinaFil: Brusa, Victoria. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico CONICET- La Plata. Instituto de Genética Veterinaria "Ing. Fernando Noel Dulout". Universidad Nacional de La Plata. Facultad de Ciencias Veterinarias. Instituto de Genética Veterinaria; ArgentinaFil: Costa, Magdalena. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico CONICET- La Plata. Instituto de Genética Veterinaria "Ing. Fernando Noel Dulout". Universidad Nacional de La Plata. Facultad de Ciencias Veterinarias. Instituto de Genética Veterinaria; ArgentinaFil: Golijow, Carlos Daniel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico CONICET- La Plata. Instituto de Genética Veterinaria "Ing. Fernando Noel Dulout". Universidad Nacional de La Plata. Facultad de Ciencias Veterinarias. Instituto de Genética Veterinaria; ArgentinaFil: Gutkind, Gabriel Osvaldo. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Farmacia y Bioquímica; ArgentinaFil: Gonzalez, E.. Centro de Diagnóstico Molecular S.A.; ArgentinaFil: Galli, Lucía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico CONICET- La Plata. Instituto de Genética Veterinaria "Ing. Fernando Noel Dulout". Universidad Nacional de La Plata. Facultad de Ciencias Veterinarias. Instituto de Genética Veterinaria; Argentin

In-House Validation of Rapid Detection PCRs for Bacterial Pathogens Causing Infant Diarrhea

In Argentina, conventional culture methods for the isolation of diarrheal bacteria continue to be the most widely used form of diagnosis in many clinical laboratories. In this work we validated 11 in-house real-time polymerasechain reactions (PCRs) assays for the specific and rapid detection of Salmonella spp., Shigella spp., enteroinvasive E. coli, enteropathogenic E. coli, enterotoxigenic E. coli, Shiga toxin-producing E. coli, E. coli O157, Cronobacter sakazakii, Campylobacter jejuni, Campylobacter coli, Vibrio cholera and Clostridium difficile. The sensitivity of the assays was less than 100 CFU/ml for all the studied pathogens; selectivity and specificity were 100% in all cases and robustness was optimal. These PCR methods could be used to accurately detect the main bacterial causes of infant gastroenteritis.Instituto de Genética Veterinari

Encoding a qubit into multilevel subspaces

We present a formalism for encoding the logical basis of a qubit into subspaces of multiple physical levels. The need for this multilevel encoding arises naturally in situations where the speed of quantum operations exceeds the limits imposed by the addressability of individual energy levels of the qubit physical system. A basic feature of the multilevel encoding formalism is the logical equivalence of different physical states and correspondingly, of different physical transformations. This logical equivalence is a source of a significant flexibility in designing logical operations, while the multilevel structure inherently accommodates fast and intense broadband controls thereby facilitating faster quantum operations. Another important practical advantage of multilevel encoding is the ability to maintain full quantum-computational fidelity in the presence of mixing and decoherence within encoding subspaces. The formalism is developed in detail for single-qubit operations and generalized for multiple qubits. As an illustrative example, we perform a simulation of closed-loop optimal control of single-qubit operations for a model multilevel system, and subsequently apply these operations at finite temperatures to investigate the effect of decoherence on operational fidelity.Comment: IOPart LaTeX, 2 figures, 31 pages; addition of a numerical simulatio