A validated normative model for human uterine volume from birth to age 40 years

Transabdominal pelvic ultrasound and/or pelvic Magnetic Resonance Imaging are safe, accurate and non - invasive means of determining the size and configuration of the internal female genitalia. The assessment of uterine size and volume is helpful in the assessment of many conditions including disorders of sex development, precocious or delayed puberty, infertility and menstrual disorders. Using our own data from the assessment of MRI scans in healthy young females and data extracted from four studies that assessed uterine volume using transabdominal ultrasound in healthy females we have derived and validated a normative model of uterine volume from birth to age 40 years. This shows that uterine volume increases across childhood, with a faster increase in adolescence reflecting the influence of puberty, followed by a slow but progressive rise during adult life. The model suggests that around 84% of the variation in uterine volumes in the healthy population up to age 40 is due to age alone . The derivation of a validated normative model for uterine volume from birth to age 40 years has important clinical applications by providing age-related reference values for uterine volume.Publisher PDFPeer reviewe

Vertical distribution and relative abundance of gelatinous zooplankton, in situ observations near the Mid-Atlantic Ridge

Fourteen dives were conducted with the ROVs Aglantha and Bathysaurus to depths of 2335 m along the Mid-Atlantic Ridge (42 degrees 52'-53 degrees 17'N). The most frequently observed gelatinous fauna in order of overall abundance included medusae, ctenophores, siphonophores, appendicularians, and tunicates. All of these animals, except the tunicates, occurred throughout the water column. Their relative abundances differed with depth and location. Identification to species was limited to easily recognized fauna because relatively few gelatinous animals were collected. Each group of gelatinous zooplankton tended to be most numerous in a region just south of the Charlie-Gibbs Fracture Zone. Medusae (mainly Aeginura grimaldii) were the most frequently encountered animals (LIP to 25 individuals per 100 m(3)). Oil a vertical scale their abundance peaked from 550 to 800 m and these maxima were consistently within the SAIW and NACWe. In the NACW their densities were notably lower (up 2 individuals per 100 m(3)) and the majority of the population was deeper, ranging from 800 to 1050 m. Ctenophores (mainly Bathocyroe fosteri) were most prominent (as many as 27 individuals per 100 m(3)) in a zone from 300 to 600 m in the NACWe. Appendicularians (primarily oikopleurids) had a broader vertical distribution in all water masses, mainly from 450 to 1000 m. Up to 12 houses per 100 m(3) were noted in the NACWe, and these estimates are considered to be very conservative. Sorties near the sea floor (as deep as 2100 m) indicated these detritivores were a prominent component (up to 5 houses per 100 m(3)) of the epibenthic macrozooplankton. Siphonophores (mostly calycophorans) reached densities of about 14 colonies per 100 m(3) in the NACWe and occurred mainly from 300 to 600 m, at most locations. Tunicates (salps and doliolids) were patchy in their distribution and infrequently observed. Salps were numerous (up to 3 solitary individuals per 100 m(3)) at only one location (sta. 50) near the surface. Deep-living doliolids (up to 1 individual per 100 m(3)) appeared from 400 to 500 m at this site and occasionally within the same depth range at most of the other stations. (c) 2007 Elsevier Ltd. All rights reserved

Infertility Treatment and Umbilical Cord Length-Novel Markers of Childhood Epilepsy?

BACKGROUND: Epilepsy is one of the most common neurologic disorders of childhood, affecting about 0.4-0.8% of all children up to the age of 20. METHODOLOGY: A population-based retrospective cohort study. Aim was to determine incidence and identify perinatal and reproductive risk factors of epilepsy in children born between 1989 and 2008 among women (n = 43,389) delivered in Kuopio University Hospital. Risk factors of childhood epilepsy were determined by using logistic regression analysis. PRINCIPAL FINDINGS: The incidence of childhood epilepsy was 0.7% (n = 302 of 43,389). Maternal epilepsy, major congenital anomalies and use of assisted reproductive technology (ART) were associated with 4.25-, 3.61-, and 1.67- fold increased incidence of childhood epilepsy. A 10 cm increase in umbilical cord length was associated with a 15% decrease in the incidence of epilepsy (adjusted OR 0.85, 95% CI 0.78-0.94). However, the above reproductive factors accounted for less than 2% of total incidence, whereas maternal epilepsy proved to be the highest risk factor. CONCLUSIONS: Perinatal and reproductive factors were shown to be minor risk factors of childhood epilepsy, implying that little can be done in obstetric care to prevent childhood epilepsy. Infertility treatment and umbilical cord length, independent of gestational age and congenital malformations, may be novel markers of childhood epilepsy