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Urbanization and the efficiency of carbon dioxide and gravid traps for sampling Culex quinquefasciatus.

The efficiency of gravid and CO2 traps for sampling female Culex quinquefasciatus was evaluated along 2 parallel 6.4 km long urban (high housing density) to rural (low housing density) transects in east Bakersfield, Kern County, CA. There were no significant differences in the number of female Cx. quinquefasciatus collected by gravid traps within urban and rural zones. The number of females collected per trap night ranged from 6.8 to 15.5. The number of females collected by CO2 traps increased significantly from 1.4 to 3.1 per trap night in urban to 31.8 to 111.2 per trap night in rural zones and was inversely correlated with housing density. These results indicate that female Cx. quinquefasciatus were effectively sampled by gravid traps in urban subdivisions and by CO2 traps in rural mixed agricultural areas.

Animals↗

Retroverted impacted gravid uterus with acute urinary retention: report of two cases and a review of the literature.

Two cases of acute urinary retention in association with a retroverted impacted gravid uterus are described. Manual replacement of the uterus into an anterior position resolved the urinary retention in both cases. A review of the literature for retroverted impacted gravid uterus and related disorders is given. Successful treatment of retroverted impacted gravid uterus can usually be performed by initial bladder catheterization followed by manual replacement of the uterus, or by chronic bladder drainage until the uterus ascends out of the pelvis.

Adult↗

[Spontaneous rupture of gravid rudimentary horn of an uterus bicornis unicollis without connection with the cervical channel (author's transl)].

It is reported on a 24-year-old nullipara, who came to be operated with the diagnosis of perforated extrauterine gravidity. It was the question of the perforation of a gravid uterus bicornis with missing connection of the gravid horn to the cervical channel. The importance of an early diagnosis of uterus malformations is pointed out. The modus of implantation in the atresic uterus horn is placed under discussion.

Adult↗

Pregnancy risk following laparoscopic sterilization in nongravid and gravid women.

A multicenter data set was analyzed to compare incidences of poststerilization pregnancies between women who were not pregnant and those who were pregnant at admission of laparoscopic sterilization. The 12-month life-table poststerilization pregnancy rate was 6.0 per 1,000 procedures for the 7,696 nongravid and 32.8 for the 1,703 gravid women, for a fivefold difference. The crude pregnancy rates were consistently higher for the gravid women when data were classified by tubal occlusion technique and by patients' sociodemographic characteristics. The difference in pregnancy rates between the two groups was reduced to 2.4-fold when analysis was limited to data sets from centers that admitted both groups of women and that performed sterilization by the same technique. Results of this analysis support previous studies suggesting that gravid women, especially postpartum patients, carry a higher pregnancy risk following sterilization.

Female↗

Hematologic and serum biochemical and electrolyte values in clinically normal domestically bred rhesus monkeys (Macaca mulatta) according to age, sex, and gravidity.

Age, sex, and gravidity significantly affect blood values in rhesus monkeys (Macaca mulatta). The objective of the study reported here was to provide clinicians and researchers with complete blood values for clinically normal, domestically reared rhesus monkeys of Indian origin and of different age, sex, and gravidity. Values were obtained from 527 healthy, domestically bred and reared rhesus monkeys at The University of Texas M. D. Anderson's Department of Veterinary Sciences, Bastrop, Texas. Because standardized reference values are vital when dealing with the healthcare of a breeding population of rhesus monkeys, it is imperative to have a comprehensive set of reference serum biochemical and hematologic values based on sex, age, and gravidity to determine the overall health status of an individual monkey or a colony used for breeding or research. Establishing reference values allows accurate interpretation of biochemical and hematologic values for normal, subclinical, or clinically ill animals.

Aging↗

[Ursodeoxycholic acid: prospect for treatment of gravidic cholestasis? Report of 3 cases].

Ursodeoxycholic acid, employed in treatment of intrahepatic cholestasis as seen in primary biliary cirrhosis, primary sclerosing cholangitis, and chronic hepatitis; does not have marketing approval for prescription during pregnancy because of lack of data. In 3 cases of gravidic cholestasis, we administered oral ursodeoxycholic acid 1 g a day from the 34th week of amenorrhea to delivery. In each case, it took 3 days of treatment for the pruritus to regress incompletely and for plasma levels of biliary acid and transaminases to decrease. The infants, born between the 36th and 38th week of amenorrhea, presented with no problem. Forty-eight cases of gravidic cholestasis treated by ursodeoxocholic acid (0.4 to 1 g a day) have been reported in the literature; 18 cases belonging to 2 randomized studies. In 46 cases pruritus disappeared generally 3 days after treatment onset, and plasma level of biliary acid and transaminase decreased in one week. Only two patients experienced persisting pruritus despite biological improvement. No foetal adverse effect is reported. Ursodeoxycholic acid seems to be an efficient treatment of gravidic cholestasis. Long term observation of fetuses exposed in utero to this treatment is required to assess safety.

Administration, Oral↗

Torsion of a gravid uterus associated with maternal trauma. A case report.

BACKGROUND: Torsion of the gravid human uterus is rarely encountered. Reported cases include uterine leiomyomata, ovarian tumors, uterine anomalies and fetal malpresentation as contributing factors. No case has been reported before in association with maternal trauma. CASE: A 20-year-old woman, gravida 2, para 1, presented to the emergency room at 38 1/7 weeks' gestation after being involved in an automobile collision. Two hours after admission, she experienced a severe, prolonged fetal heart rate deceleration, which was unresponsive to conservative measures. An emergency cesarean section was performed. Following delivery of the fetus, it was noted that the uterus had levorotated 180 degrees, and posterior hysterotomy was performed. Placental inspection disclosed a 30% abruption. The mother recovered uneventfully, but the infant suffered acute and long-term morbidity. CONCLUSION: Uterine torsion should be considered in cases of blunt abdominal trauma to the gravid uterus.

Accidents, Traffic↗

Plasmodium berghei: efficacy and safety of combinations of chloroquine and promethazine in chloroquine resistant infections in gravid mice.

Efficacy and safety of combinations ofChloroquine (CQ) and doses of Promethazine (PR) against CQ resistant Plasmodium berghei infections in gravid mice was evaluated. Parasites were cleared faster in mice treated with CQ combined with doses of PR ranging from 20mg/kg to 50mg/kg (3.4 +/- 0.5 to 2.7 +/- 0.7) compared with CQ alone (4.7 +/- 0.8) (P<0.5). Parturition resulting in live pups in animals treated with CQ and 20mg/ kg and 30mg/kg of PR (81%) was significantly higher than in animals treated with CQ alone (44%) or saline (13%). Mean birth weight of pups delivered by infected gravid animals treated with CQ and 30mg/kg or 40mg/kg of PR (1.51 +/- 0.16 or 1.56 +/- 0.16) was significantly higher than animals treated with CQ alone (1.33 +/- 0.13) (P=0.00004, 0.0014 respectively). No gross malformations were observed in pups delivered by infected or non-infected animals treated with the combinations of chloroquine and Promethazine.

Animals↗

Effect of gravidity on maternal serum markers for Down's syndrome.

The effect of gravidity on maternal serum alpha-fetoprotein (AFP), unconjugated oestriol (uE3), and human chorionic gonadotrophin (hCG) levels was investigated in 27,592 women being screened for Down's syndrome. There was no difference in the median AFP level in primigravid and multigravid women, but the median hCG level in multigravid women was 5.9 per cent lower than in those tested in their first pregnancy (P < 0.0001) and the median uE3 level was 3.9 per cent lower (P < 0.0001). Among multigravid women, there was no material difference in hCG levels according to the number of previous pregnancies or livebirths, whereas uE3 levels declined steadily with increasing numbers. Both markers declined with advancing maternal age: for hCG this was an independent effect, but for uE3 it was due to the correlation between age and gravidity. Allowing for these effects will not greatly alter the Down's syndrome screening detection and false-positive rates.

Adult↗

Retrograde trafficking of tracer protein by the internal ovarian epithelium in gravid goodeid teleosts.

Gravid goodeid females harbor embryos in a preformed ovarian cavity for prolonged periods of gestation. Various nutrients for embryonic growth are provided by the internal ovarian epithelium (IOE). Its cells flatten during late stages of gestation and form an attenuated layer of cytoplasm covering a dense network of protruding capillaries, with the nuclear domains mostly recessing between the vascular meshes. The IOE in both Xenotoca eiseni and Girardinichthys viviparus exhibit morphological features associated with vesicular transport of macromolecules. The amounts of rough endoplasmic reticulum in the IOE cells seem insufficient to effectively synthesise proteinaceous secretions. Apparently, it rather serves as a transit route for serum-derived products. Cationized ferritin (CF) was injected into the ovarian cavity of gravid females. The electrostatic ligand spotwise attached to the luminal surface of the IOE and gained access by adsorptive micropinocytosis. Many tracer molecules were sequestered into lysosome-like vacuoles that became increasingly swollen after prolonged incubation intervals. In addition, CF traversed the IOE within small vesicles. At the basal pole of the cells the contents of transcytotic vesicles were evacuated, and localization of small CF-clusters was regularly in the basement lamina, in the underlying connective tissue, in vacuoles within migrant cells, in vesicular compartments of the capillary endothelia, in capillary lumina, and in intravascular leucocytes. Tracer molecules were never observed to enter stacked Golgi cisternae. Since the cationic marker probably follows retrograde pathways of the protein secretion, the experimental data support the morphologically derived conclusions that postulate a major role for the IOE in transepithelial transport.

Animals↗

William Hunter's casts of the gravid uterus at the University of Glasgow.

The Hunterian Collection at the University of Glasgow possesses 11 plaster casts showing the pregnant uterus. Three correspond to Plates I, IV, and VI of Hunter's The Anatomy of the Gravid Uterus Exhibited in Figures (1774), progressive stages of dissection of the same specimen. A further three casts show consecutive stages of dissection of a uterus containing a fetus presenting by the breech. The other specimens show a normal pregnancy at about 6 months, a normal full-term uterus with the fetal head becoming engaged, a breech presentation with placenta previa and the umbilical cord around the fetal neck, and an obstructed labor with distended bladder and colon. The 10 on display show realistic coloring and are mounted on black wooden stands. An 11th specimen, amateurishly painted, is not on display. The casts differ in their style; some show only the abdomen, pelvis, perineum, and thighs, others show the full torso. They also differ in the amount of detail shown. The first three casts show the cut femur and muscles at the transected ends of the thighs, also shown in some of the plates in the Gravid Uterus. Although these features enhance the artistic impact of both the engravings and the casts, the authors are unconvinced that Hunter deliberately used them to achieve this, as has been claimed.

Adult↗

A large-scale laboratory maintenance system for gravid purple sea urchins (Strongylocentrotus purpuratus).

A large-scale laboratory facility for the maintenance of several thousand gravid sea urchins (S. purpuratus) is described. Gametes of this species provide an important research resource for studies of animal development. Methods are described for culturing adult S. purpuratus for periods up to two years or more with almost no mortality after the first three to four weeks following collection. Adult females can be maintained in a fertile state in the culture system for four to six months. When spawned, gravid females living in the culture facility will routinely regenerate normal sized populations of fertile oocytes at 1 to 2-month intervals. Such females can be used repeatedly as a source of mature gametes for laboratory research. The reproductive performance of these females can be predicted approximately by the number of late vitellogenic oocytes present in their ovaries. After several months the pool of these oocytes is exhausted and no further mature oocytes can be found for a long period. We show, however, that such females are able to carry out a complete annual cycle of oogenesis if held for a long enough period of time in the culture system.

Animals↗

The influence of gravidity on Down's syndrome screening with free beta hCG.

Total human chorionic gonadotropin (hCG) levels have been shown in one previous small study to vary with gravidity. In order to establish if maternal serum free beta hCG was similarly affected, approximately 4500 pregnancies of varying gravidity were analysed. The results indicated that there was a 6 per cent higher median MOM in primigravid compared with multigravid women. The impact of such elevation in Down's syndrome screening programmes will be minimal.

Body Weight↗

Vitellogenin association and oocytic accumulation of thyroxine and 3, 5,3'-triiodothyronine in gravid Fundulus heteroclitus.

The association of the thyroid hormone (TH) thyroxine (T(4)) and its metabolically active metabolite 3,5,3'-triiodothyronine (T(3)) with serum vitellogenin (VTG) in gravid female and estrogenized male (E2+) Fundulus heteroclitus was investigated. In in vivo, time-course experiments, sera from gravid female fish exposed to [(125)I]T(4) showed time- and dose-dependent increases in total [(125)I]TH content. The [(125)I]T(4):[(125)I]T(3) ratio was also affected by dose and time. In analysis of sera from female fish, >80% of detected radioactivity was associated with VTG (approximately 35%) and a second chromatographic peak (approximately 45%), a lipoprotein fraction possibly consisting of high-density lipoproteins. In experiments comparing estrogenized versus control male fish, the presence of VTG significantly increased the overall quantity and altered the profile of serum protein-associated [(125)I]TH. When serum VTG was present in the very large quantities typical of male fish treated with high doses of E2, the majority (59-70%) of detected radioactivity was associated with VTG. Both [(125)I]T(4) and [(125)I]T(3) were detected in extracts from oocytes collected during the in vivo female study. The total TH content and [(125)I]T(4):[(125)I]T(3) ratios in these extracts presented an accumulation profile that mirrored, in a delayed manner, the profiles observed in sera data. Furthermore, this accumulation was related to oocyte maturational state (i.e., size) and, correspondingly, VTG uptake. Together, these data suggest an important role for VTG as a vector of maternal transfer for both T(4) and T(3).

Animals↗

Gravid uterine dehiscence: MR findings.

Gravid uterine rupture can be a difficult diagnosis, both clinically and radiologically. Ultrasound has been successful in detection of some indirect signs of uterine rupture but thus far has shown little success in demonstrating the myometrial defect. We present the MR findings in a case of gravid uterine dehiscence in which the actual uterine wall defect was well demonstrated. Gross pathologic correlation is provided.

Adult↗

[Comparison of vitamin B6 status of gravid and nongravid rats with varying vitamin B6 supplements].

In a two-factorial experiment the influence of graded vitamin B6 supplements on the vitamin B6 status of pregnant and nonpregnant rats was examined. Additionally the question concerning a vitamin B6 super-retention in pregnancy should be investigated. The experiment was carried out with 69 female SPF-Sprague-Dawley rats. Nine rats served as controls and were killed at the beginning of the experiment. On the first experimental day half of the remaining animals were mated at an average body weight of 210 g. The rats were then divided into five dietary groups, each containing 6 gravid and 6 nongravid animals. Throughout the experiment the rats received a semisynthetic casein-starch diet, containing 1, 6, 12, 24, and 48 mg vit. B6/kg respectively. The trial ended at day 19 of pregnancy. Liver, right and left gastrocnemius muscle and the remaining carcass (without the intestinum and the reproductive product of the pregnant animals) were microbiologically analysed for their vitamin B6 contents. The vitamin B6 status of the liver, which contained an average of 8.4 micrograms vit. B6/g fresh matter (FM) was not influenced by pregnancy. In muscle and carcass, however, pregnancy caused significantly reduced vitamin B6 levels of 4.8 and 2.6 micrograms vit. B6/g FM. Compared to the concentrations of the nongravid animals the values of the gravid rats were decreased by 6 and 7% respectively. The vitamin B6 supply of 1 mg/kg diet caused significantly lowered vitamin B6 concentrations in muscle and carcass of all animals. Intake levels of more than 6 ppm vitamin B6, however, did not further improve the vitamin B6 status of these organs. The carcass was only poorly affected by the vitamin B6 supplementations. Significant differences in vitamin B6 concentrations were only found between the 1 and 48 ppm vitamin B6 treatment. The whole vitamin B6 pool of the maternal organism, except the reproductive product, decreased in pregnancy from an average of 651 to 596 micrograms vitamin B6. Because of these results a super-retention could not be proved for vitamin B6. Moreover, a recommendation for the optimal vitamin B6 requirement in pregnancy was derived from the present results. Accordingly a supply of 6 mg vit. B6/kg diet, equivalent to a daily intake of 80 micrograms vitamin B6, is thought to be adequate to ensure an optimal vitamin B6 status in pregnant rats.

Animals↗

The effects of dexmedetomidine on spontaneous contractions of isolated gravid rat myometrium.

The direct effects of dexmedetomidine on isolated gravid rat myometrium were investigated in this in vitro study; such effects may have clinical repercussions in the administration of anesthesia to obstetric patients. Samples of myometrium were taken from 12 gravid rats. Myometrial strips were dissected microscopically and mounted on the myograph at a resting tension of 1 g in bath that contained Krebs solution. After spontaneous contractions of the myometrium had been steadily established, increasing concentrations of dexmedetomidine were added to baths via micropipette, and the effects of these additions were recorded via myograph. Dexmedetomidine in vitro caused a significant increase in the amplitude, frequency, and area under the curve of myometrial contractions in a dose-dependent manner. Results of this study demonstrate that dexmedetomidine increases spontaneous contractions in rat myometrium; however, further investigation is needed to clarify the usefulness of dexmedetomidine in the administration of obstetric anesthesia.

Anesthesia, Obstetrical↗

Transplacental pharmacokinetics of flecainide in the gravid baboon and fetus.

The objective of this study was to characterize the transfer of flecainide across the placenta and determine the fetal: maternal ratio of flecainide in the gravid baboon. Flecainide acetate has been especially successful for the treatment of fetal supraventricular tachycardia associated with hydrops fetalis. However, the degree of transplacental transmission remains unknown. In this study, all animals were placed under general anesthesia. Flecainide 2.5 mg/kg was administered intravenously. Percutaneous umbilical blood sampling was performed simultaneously with maternal sampling. Flecainide levels were measured using high-performance liquid chromatography with ultraviolet detection. A total of six gravid baboons were studied at an average gestational age of 132 days. The mean maternal volume of distribution at steady state was 5.1 +/- 1.8 L/kg. The mean combined elimination constant (k(el)) was 0.79 +/- 0.19 hr(-1) [95% confidence interval (CI), 0.64-0.93]. There was a linear relationship between maternal and fetal concentrations, with a ratio of fetal-to-maternal serum levels of 0.49 +/- 0.05 (95% CI, 0.39-0.59). At steady state, fetal flecainide levels are approximately 50% of maternal flecainide levels. Flecainide is rapidly distributed in the mother and fetus following a single intravenous dose with a maternal volume of distribution similar to that reported in normal healthy human adults. Since fetal levels correlate closely with maternal levels, we propose that it is possible to estimate fetal levels by monitoring maternal levels.

Animals↗