Time to Pregnancy: A Computational Method for Using the Duration of Non-Conception for Predicting Conception

An important problem in reproductive medicine is deciding when people who have failed to become pregnant without medical assistance should begin investigation and treatment. This study describes a computational approach to determining what can be deduced about a couple''s future chances of pregnancy from the number of menstrual cycles over which they have been trying to conceive. The starting point is that a couple''s fertility is inherently uncertain. This uncertainty is modelled as a probability distribution for the chance of conceiving in each menstrual cycle. We have developed a general numerical computational method, which uses Bayes'' theorem to generate a posterior distribution for a couple''s chance of conceiving in each cycle, conditional on the number of previous cycles of attempted conception. When various metrics of a couple''s expected chances of pregnancy were computed as a function of the number of cycles over which they had been trying to conceive, we found good fits to observed data on time to pregnancy for different populations. The commonly-used standard of 12 cycles of non-conception as an indicator of subfertility was found to be reasonably robust, though a larger or smaller number of cycles may be more appropriate depending on the population from which a couple is drawn and the precise subfertility metric which is most relevant, for example the probability of conception in the next cycle or the next 12 cycles. We have also applied our computational method to model the impact of female reproductive ageing. Results indicate that, for women over the age of 35, it may be appropriate to start investigation and treatment more quickly than for younger women. Ignoring reproductive decline during the period of attempted conception added up to two cycles to the computed number of cycles before reaching a metric of subfertility.     

Guidelines for the Control of Human Immunodeficiency Virus Infection in Adolescents

Although adolescents account for only 0.4% of reported cases of the acquired immunodeficiency syndrome (AIDS) in the United States, they are sexually active and, therefore, at risk of acquiring human immunodeficiency virus (HIV) infection. To address issues of HIV control in adolescents, we developed guidelines that emphasize education and medical care and deemphasize antibody testing. For adolescents known to be infected with HIV, we recommend no restrictions on access to educational or treatment programs except when their health providers recommend such restrictions to protect them from exposure to opportunistic infections. For adolescents of unknown antibody status with a possible previous exposure to HIV, we recommend that as long as the incidence of HIV infection and clinical AIDS remains low, there should be no restrictions on residential placements and no routine antibody testing.     

Ecology of microalgae in a high rate pond for piggery effluent purification in Singapore

Summary An integrated system for the collection, treatment and utilisation of piggery wastewater has been developed in Singapore which uses the cultivation of microalgae in high rate ponds to achieve reduction of BOD₅ and COD₅ of the effluent as well as producing single cell protein. A wide range of algal flora occurs in the ponds;Oocystis, Micratinium, Scenedesmus, Ankistrodesmus, Chlorella andOscillatoria spp were identified. Total algal counts, recorded from 1979 to 1981, ranged up to 10⁷ per ml of pond water. There were considerable variations in the algal population and in the predominating species. No discernible pattern was evident. Consequently pond operations were frequently disturbed by these fluctuations in population which in turn was attributed to the heterogeneous composition of the piggery waste, to variable weather conditions and to predation by larger organisms particularlyMoina. After passing through the ponds, the total suspended solids were removed by a novel dissolved air flotation method which gave a clear effluent showing an 87% reduction in BOD₅ value.

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Resumen En Singapur se ha desrrollado un sistema integrado para le recogida, tratamiento y utilización de aguas residuales de pocilgas. Este sistema usa el cultivo de microalgas en estanques, de caudal rápido afin de reducir las DBO₅ y DCO₅ del efluencte produciendo asimismo proteínas celulares. La flora de algas producida en estos estanques es amplia y variada, habiendose identificado:Oocystis, Micratinium, Scenesdemus, Ankistrodesmus, Chlorella y Oscillatoria. Los recuentos totales de algas tomados desde 1979 a 1981 llegaron a alcanzar 10;⁷ por ml de agua del estanque. Se observaron variaciones considerables tanto en la población total de algas como en las especies predominantes sin que se pudiese, determinar un patrón de variación característico. Estas fluctuaciones en la población, causantes de frecuentes alteraciones en el funcionamiento del estanque, se atribuyeron a la composición heterogenea de los resuduos, a las variaciones climáticas y la predación por otros organismos particularmenteMoina Después de su paso por los estanque los solidos suspendidos totales se eliminaron mediante un nuevo método de flotación con aire disuelto, obteniendose un efluente limpio con una reducción de la DBO₅ del 87%.

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Résumé Un système intégré pour la collecte, le traitement et l'utilisation d'eaux résiduaires de porcherie a été développé à Singapoure. Il utilise la culture de micro-algues tant pour la réduction accélérée en lagune de la DBO₅ et de la DCO de l'effluent que pour la production de protéines uni-cellulaires. On trouve une large gamme de flore algale dans les lagunes; des espèces d'-Oocystis, deMicratinium, deScenedesmus, Ankistrodesmus, deChlorella etd'Oscillatoria out été identifiées. Les comptages totaux d'algues, enregistrées de 1979 à 1981, ont donné jusqu' à 10⁷ cellules par ml d'eau de la lagune. On a observé des variations considérables de population algale tant quantitatives que qualitatives. On ne discernait pas de spectres évidents. En conséquence, les opérations lagunaires ont été fréquemment perturbées par ces fermentations en population, qui, à leur tour, ont été attribuées à la composition hétérogène de l'effluent de porcherie, aux conditions atmosphériques et climatiques variables et à la prédation par des organismes plus conséquents, plus particulièrement desMoina. Après passage par les lagunes, les solides totaux en suspension ont été enlevés par une méthode nouvelle de flottation à l'air dissous, qui a donné un effluent limpide, présentant une réduction de DBO₅ de 87%.

     

Identification of a protein encoded by the trans activator gene tatIII of human T-cell lymphotropic retrovirus type III.

The human T-cell lymphotropic virus type III (HTLV-III/LAV) is a retrovirus associated with acquired immune deficiency syndrome. The region on the viral genome that is necessary for trans-activation of the HTLV-III/LAV long terminal repeat called tatIII has previously been determined to lie between nucleotides 5365 and 5607. Here we report that a bacterial fusion protein containing amino acid sequences specified by the first coding exon of the tatIII gene is recognized by some patient antisera. We also demonstrate that lymphoid and epithelial cells that express the trans activator function express a 14-kilodalton (kDa) protein recognized by a patient antiserum that reacts with the bacterial tatIII fusion protein. Cells transiently transfected with a deletion mutant of the trans activator protein produce a 12-kDa protein rather than the 14-kDa protein. These observations indicate that the tatIII region contains a functional gene and is capable of expressing a protein that migrates with an apparent molecular size of 14 kDa in some lymphoid and epithelial cells transfected with plasmids containing the tatIII region. We propose that the product of the trans activator gene be designated p14tat-III.     

Evaluation of ion gradient-dependent H+ transport systems in isolated enterocytes from the chick

Summary The experiments reported here evaluate the capability of isolated intestinal epithelial cells to accomplish net H⁺ transport in response to imposed ion gradients. In most cases, the membrane potential was kept constant by means of a K⁺ plus valinomycin voltage clamp in order to prevent electrical coupling of ion fluxes. Net H⁺ flux across the cellular membrane was examined at pH 6.0 (the physiological lumenal pH) and at pH 7.4 using methylamine distribution or recordings of changes in media pH. Results from both techniques suggest that the cells have an Na⁺/H⁺ exchange system in the plasma membrane that is capable of rapid and sustained changes in intracellular pH in response to an imposed Na⁺ gradient. The kinetics of the Na⁺/H⁺ exchange reaction at pH 6.0 [K _t for Na⁺=57mm,V _max=42 mmol H⁺/liter 3OMG (3-O-methylglucose) space/min] are dramatically different from those at pH 7.4 (K _t for Na⁺=15mm,V _max=1.7 mmol H⁺/liter 3OMG space/min). Experiments involving imposed K⁺ gradients suggest that these cells have negligible K⁺/H⁺ exchange capability. They exhibit limited but measurable H⁺ conductance. Anion exchange for base equivalents was not detected in experiments performed in media nominally free of bicarbonate.     

Modulation of postinhibitory increase in plasma prolactin by domperidone in patients with prolactin secreting adenoma

To evaluate the PRL secretory mechanism in patients with PRL-secreting adenoma (PRL-oma), plasma PRL responses to dopamine (DA) were studied in these cases and in normal subjects. Plasma PRL values showed clear decreases during the infusion of DA (5 micrograms/kg/min for 90 min) in both 6 normal and 7 PRL-oma subjects (%decrease: 43.8 +/- 3.9% vs. 53.9 +/- 5.6%; NS) and postinhibitory increases after the termination. However, the postinhibitory increase occurred more promptly and markedly in PRL-oma patients than in normal subjects, i.e. the postinhibitory increase exceeded the basal level 45 min after the termination of DA infusion in PRL-oma patients, whereas the increase in normal subjects did not exceed the basal level even 90 min after the infusion. When domperidone was injected at the termination of DA infusion, the postinhibitory increases were significantly enhanced in either PRL-oma or normal subjects. The maximal increments in plasma PRL in the combination test of DA plus domperidone were significantly larger in PRL-oma patients, but were almost the same in normal controls, compared to the single domperidone test. In contrast, TRH did not modify the postinhibitory rises in 9 PRL-oma patients. These results indicate that the secretory properties and the sensitivities of lactotrophs to decreasing action of DA might be different between PRL-oma patients and normal controls. Further, the postinhibitory rebound phenomenon in PRL-oma patients is possibly determined by an overshoot of PRL storage concomitantly with a decreasing DA action.(ABSTRACT TRUNCATED AT 250 WORDS)