Serum screening with Down's syndrome markers to predict pre-eclampsia and small for gestational age: Systematic review and meta-analysis

<p>Abstract</p> <p>Background</p> <p>Reliable antenatal identification of pre-eclampsia and small for gestational age is crucial to judicious allocation of monitoring resources and use of preventative treatment with the prospect of improving maternal/perinatal outcome. The purpose of this systematic review was to determine the accuracy of five serum analytes used in Down's serum screening for prediction of pre-eclampsia and/or small for gestational age.</p> <p>Methods</p> <p>The data sources included Medline, Embase, Cochrane library, Medion (inception to February 2007), hand searching of relevant journals, reference list checking of included articles, contact with experts. Two reviewers independently selected the articles in which the accuracy of an analyte used in Downs's serum screening before the 25^thgestational week was associated with the occurrence of pre-eclampsia and/or small for gestational age without language restrictions. Two authors independently extracted data on study characteristics, quality and results.</p> <p>Results</p> <p>Five serum screening markers were evaluated. 44 studies, testing 169,637 pregnant women (4376 pre-eclampsia cases) and 86 studies, testing 382,005 women (20,339 fetal growth restriction cases) met the selection criteria. The results showed low predictive accuracy overall. For pre-eclampsia the best predictor was inhibin A>2.79MoM positive likelihood ratio 19.52 (8.33,45.79) and negative likelihood ratio 0.30 (0.13,0.68) (single study). For small for gestational age it was AFP>2.0MoM to predict birth weight < 10^thcentile with birth < 37 weeks positive likelihood ratio 27.96 (8.02,97.48) and negative likelihood ratio 0.78 (0.55,1.11) (single study). A potential clinical application using aspirin as a treatment is given as an example.</p> <p>There were methodological and reporting limitations in the included studies thus studies were heterogeneous giving pooled results with wide confidence intervals.</p> <p>Conclusion</p> <p>Down's serum screening analytes have low predictive accuracy for pre-eclampsia and small for gestational age. They may be a useful means of risk assessment or of use in prediction when combined with other tests.</p

Temperature sensitivity of mid-infrared type II "W" interband cascade lasers (ICL) emitting at 4.1μm at room temperature

The thermal properties of 5-stage “W” Interband-Cascade Lasers emitting at 4.1μm at RT are investigated. It is shown that inter-valence band absorption coupled with non-radiative recombination govern their maximum operating temperature

Multiheterodyne spectroscopy using interband cascade lasers

© 2017 The Authors. While midinfrared radiation can be used to identify and quantify numerous chemical species, contemporary broadband midinfrared spectroscopic systems are often hindered by large footprints, moving parts, and high power consumption. In this work, we demonstrate multiheterodyne spectroscopy (MHS) using interband cascade lasers, which combines broadband spectral coverage with high spectral resolution and energy-efficient operation. The lasers generate up to 30 mW of continuous-wave optical power while consuming <0.5W of electrical power. A computational phase and timing correction algorithm is used to obtain kHz linewidths of the multiheterodyne beat notes and up to 30 dB improvement in signal-to-noise ratio. The versatility of the multiheterodyne technique is demonstrated by performing both rapidly swept absorption and dispersion spectroscopic assessments of low-pressure ethylene (C2H4) acquired by extracting a single beat note from the multiheterodyne signal, as well as broadband MHS of methane (CH4) acquired with all available beat notes with microsecond temporal resolution and an instantaneous optical bandwidth of ∼240GHz. The technology shows excellent potential for portable and high-resolution solid-state spectroscopic chemical sensors operating in the midinfrared

Multi-species sensing using multi-mode absorption spectroscopy with mid-infrared interband cascade lasers

The application of an interband cascade laser, ICL, to multi-mode absorption spectroscopy, MUMAS, in the mid-infrared region is reported. Measurements of individual mode linewidths of the ICL, derived from the pressure dependence of lineshapes in MUMAS signatures of single, isolated, lines in the spectrum of HCl, were found to be in the range 10–80 MHz. Multi-line spectra of methane were recorded using spectrally limited bandwidths, of approximate width 27 cm−1, defined by an interference filter, and consist of approximately 80 modes at spectral locations spanning the 100 cm−1 bandwidth of the ICL output. Calibration of the methane pressures derived from MUMAS data using a capacitance manometer provided measurements with an uncertainty of 1.1 %. Multi-species sensing is demonstrated by the simultaneous detection of methane, acetylene and formaldehyde in a gas mixture. Individual partial pressures of the three gases are derived from best fits of model MUMAS signatures to the data with an experimental error of 10 %. Using an ICL, with an inter-mode interval of ~10 GHz, MUMAS spectra were recorded at pressures in the range 1–10 mbar, and, based on the data, a potential minimum detection limit of the order of 100 ppmv is estimated for MUMAS at atmospheric pressure using an inter-mode interval of 80 GHz

Multi-species detection using mid-infrared multi-mode absorption spectroscopy, MUMAS

Multi-mode absorption spectroscopy has been used to detect CH4, NH3 and N2O individually or simultaneously in mixtures using multi-mode radiation generated by difference frequency generation at 3.3 μm or inter-band cascade lasers at 3.7 μm. © 2014 OSA

Multi-species detection using mid-infrared multi-mode absorption spectroscopy, MUMAS

Multi-mode absorption spectroscopy has been used to detect CH4, NH3 and N2O individually or simultaneously in mixtures using multi-mode radiation generated by difference frequency generation at 3.3 μm or inter-band cascade lasers at 3.7 μm. © 2014 OSA