妊娠期未足月胎膜早破病因分析

目的:分析妊娠期未足月胎膜早破孕妇发生孕周及病因,为临床处治提供指导。方法:103例未足月胎膜早破孕妇患者按孕周分为两组,对他们的临床资料进行回顾性研究。结果:2组在患者平均年龄及反应感染的血指标没有明显区别,均未提示入院时存在感染。103例PPROM患者破膜孕周主要发生在孕32-36+6周,双胎及生殖系统微生物感染为破膜的主要原因,终止妊娠原因主要为羊水过少。宫颈管微生物培养菌主要为GBS,其余可见的有白色念珠菌,表皮葡萄球菌,弓形虫,及其他厌氧菌。结论:生殖系统炎症尤其是GBS感染是导致未足月胎膜早破的重要原因;双胎也是导致PPROM发尤其是生的高危因素,减少胎膜早破,也有助于降低剖宫产率,改善胎儿结局。     

What is driving the relationship between height and cognition? Evidence from the Twins Early Development Study

Taller children tend to have better cognitive ability, and the relationship between height and cognition has been proposed as an explanation for the height-wage labor market premium. Height-cognition associations may arise due to social factors that favor taller individuals or be driven by “common factors” that are correlated with height and cognition. Indeed, there is now evidence of a genetic correlation between height and cognition that provides specific evidence for this concern. We examine whether genetic factors explain the relationship by estimating associations between childhood height and cognition in the Twins Early Development Study. We find that height is associated with better cognition even after controlling for genetic and environmental factors shared by twins. The association between height and cognition within fraternal twin pairs is also robust to controlling for individual genetic predictors of height and cognition. These results suggest that genetic factors are not solely responsible for driving the relationship between height and cognition.     

遗传和环境因素对儿童青少年身体高度及其比例的影响

目前有关儿童青少年坐高、下肢长及其比值的报道多为非双生子人群的研究。为了解遗传和环境因素对儿童青少年坐高、下肢长及坐高与下肢长比值影响的相对大小,我们对796对6～18岁双生子的身高和坐高进行了测量,计算下肢长及坐高与下肢长比值,采用结构方程模型分析其遗传和环境相对效应。结果发现,校正年龄后,男女15～18岁年龄组坐高和下肢长的遗传度(0.63～0.78)均分别高于同性别低年龄段儿童青少年(0.31～0.68);坐高与下肢长比值的遗传度除9～11岁女生(0.84)外,其他年龄组均较低(男0.16～0.46,女0.21～0.57);共同环境因素和特殊环境因素对6～14岁儿童青少年各指标的作用较大。本研究提示,在快速发育时期,坐高、下肢长和坐高与下肢长比值对环境因素更为敏感,遗传度较低;机体越成熟,其遗传效应更强。     

Costs of twins in free-ranging white-bellied spider monkeys (Ateles belzebuth belzebuth) at Tinigua National Park, Colombia

A female spider monkey (Ateles belzebuth belzebuth) that gave birth to twins was studied during 13 months, and her activity budget and diet were compared to those of females with single offspring and females with no offspring to assess selective pressures that could influence litter size. We recorded qualitative information on the development and social interactions of the twins and three other single infants. Emi, the female that had the twins, had the highest proportion of resting time and the lowest proportion of feeding and moving time compared to other adult females and males. Emi also had the lowest average daily travel distance and relied more heavily on flowers and leaves than other group members who included a higher proportion of fruits in their diets. These results suggest that twins are energetically costly to spider monkeys because of the direct energy allocated into raising and carrying the twins and, also, because these costs have direct effects in the ability of a mother to obtain high-quality resources (e.g., fruits). The twins had a slower rate of physical and social development as well as a smaller body size compared to same-aged singletons by the end of the study. Thus, the extended periods of maternal care and the costs associated with rearing and carrying offspring are some of the factors that influence the evolution and maintenance of a litter size of one in most anthropoid primates.     

GENETIC ANALYSIS OF MORNINGNESS AND EVENINGNESS

We studied the influence of genetic factors on individual differences in morningness-eveningness in a sample of Dutch twin families. Data were collected from adolescent twins (mean age 17.8 yr) and their parents (mean age of fathers 48.0 yr and of mothers 46.0 yr) and a sample of older twins (mean age 46.5 yr). Scores on morningness-eveningness were rated on a 5-point scale. Parents were more morning oriented than their children, and women were more morning oriented than men. With a twin-family study, separation of genetic and environmental influences on variation in morningness-eveningness is possible. Including parents and older twins in the study makes it possible to explore generation differences in these effects. The correlation between monozygotic twins was more than twice the correlation between dizygotic twins. This indicates that genetic effects may not operate in an additive manner. Therefore, a model that included genetic dominance was explored. Biometrical model fitting showed no sex differences for the magnitude of genetic and environmental factors. The total heritability—the sum of additive and nonadditive genetic influences—for morningness-eveningness was 44% for the younger generation and 47% for the older generation. However, the genetic correlation between the generations turned out to be lower than 0.5, suggesting that different genes for morningness-eveningness are expressed in both generations. (Chronobiology International, 18(5), 809-822, 2001)     

Heritability of running economy: a study made on twin brothers

Running economy (RE), defined as the steady-state of oxygen uptake (V˙O₂) for a given running velocity, is a factor of sports performance the genetic component of which has seldom been reported to date. We studied this component using a heritability index (HI) in a group of 32 male twins, 8 monozygotic (MZ) and 8 dizygotic (DZ) pairs, all sportsmen with similar perinatal and environmental backgrounds. Zygocity was determined by the identity of erythrocytic antigenic, protein and enzymatic polymorphism, and human leucocyte antigen serologic types between co-twins. The subjects exercised twice on a treadmill, once until exhaustion and again at submaximal intensities. Pulmonary gas exchange was measured continuously using an automatic analyser system during both tests. Blood samples were obtained during the recovery period to determine lactate concentrations. No significant differences were observed between MZ and DZ, in respect of RE at any speed or in maximal V˙O₂ relative to body mass. Nevertheless, significant HI (P < 0.05) was found in maximal lactate concentrations (HI = 0.75) and in respiratory equivalent for oxygen at two speeds, 7 km · h⁻¹ (HI = 0.71) and 8 km · h⁻¹ (HI = 0.79), differences which probably suggest that there are differences in RE. In conclusion, we did not detect a genetic component in RE or in maximal oxygen uptake, but a genetic component for markers of anaerobic metabolism was present. Accepted: 5 November 1997     

Physical anthropology and the biobehavioral approach to child growth and development

Recent progress in primatology, neurology and psychology has made it possible to begin to synthesize and combine the data and concepts from these fields into the physical anthropological approach to child growth and development. This paper attempts to conceptualize this new biobehavioral approach, reviewing two studies which exemplify it, already under research at the Krogman Growth Center. The first, which deals with mother-newborn social interaction, explores neonate attachment behaviors and predictable maternal response. The methodology of this study relies heavily on ethological techniques. The second study, involving pre-pubescent and post-pubescent same sex twins, aims to delineate the genetic and environmental components of certain human behavioral qualities, such as intelligence, using the genetic approach to human variation. The problem of how this possibly interacts with the secular trend is also discussed.     

学龄双生子儿童身体围度与宽度指标的遗传学分析

为探讨遗传和环境因素对学龄双生子儿童身体围度及宽度等体格指标的影响,对351对6~12岁双生子儿童身高、胸围、腰围、臀围、肩宽、骨盆宽指标进行测量,计算各指标的相关指数。应用Mx软件拟合最佳结构方程模型计算各指标遗传度,分析年龄与性别的作用。结果发现,各指标拟合的最佳模型均为ACES,各测量指标的年龄方差较大(0.21~0.76),衍生指数中除腰臀比(女0.15,男0.05)外几乎均不存在年龄方差;各指标的共同环境方差变异较大(0.00~0.53);衍生指数的特殊环境因素方差(0.09~0.25)总体上高于测量指标(0.01~0.09)。校正年龄后,各指标遗传度为身高(女63%,男59%)、胸围(女84%,男88%)、身高胸围指数(女87%,男55%)、腰围(女46%,男64%)、臀围(女61%,男61%)、腰臀比(女44%,男44%)、肩宽(女78%,男78%)、骨盆宽(女62%,男62%)、身高肩宽指数(女40%,男40%)、身高骨盆宽指数(女35%,男48%)、肩宽骨盆宽指数(女24%,男24%)。结果表明学龄双生子儿童身高、胸围、身高胸围指数、臀围、肩宽、骨盆宽主要受遗传因素影响;腰臀比、身高肩宽指数、身高骨盆宽指数及肩宽骨盆宽指数受环境因素影响更大;遗传与环境因素对身高胸围指数、腰围指标的影响可能存在一定性别差异;年龄对学龄双生子儿童身体围度及宽度相关指数的影响较小。     

Pregnancy patterns during the early fetal period in high producing dairy cows treated with GnRH or progesterone

In order to explore pregnancy patterns in high producing dairy cows treated with GnRH or progesterone at pregnancy diagnosis (Days 28-34), two consecutive experiments were designed. In Experiment 1, cows bearing a single embryo were randomly assigned to a PRID (n = 40; cows fitted with a progesterone releasing intra-vaginal device for 28 days), GnRH (n = 40; cows receiving GnRH) or Control (n = 26; untreated cows) group. PRID treatment led to a rise in plasma progesterone concentrations in the 7 days following the onset of treatment compared to the other two groups. In Experiment 2, in which we also examined twin pregnancies, animals were randomly assigned to PRID (n = 312) or GnRH (n = 294) treatment groups. Treatments were the same as described for Experiment 1. Logistic regression procedures revealed that in cows with a single corpus luteum, the probability of pregnancy loss between the first (Days 28-34) and second (Days 65-62) pregnancy diagnosis decreased by a factor of 0.51 in the PRID group compared to the GnRH group. However, in cows with two or more corpora lutea, PRID treatment increased the likelihood of pregnancy loss by a factor of three, compared to GnRH treatment. In cows carrying twins, the conceptus reduction rate was higher (P = 0.02) for the GnRH (36%) than for the PRID (16.4%) group. Formation of a new corpus luteum was recorded in 17.7% of cows in the GnRH group. Our results indicate that compared to GnRH treatment, progesterone treatment given at pregnancy diagnosis in high producing dairy cows, reduced by a factor of 0.51 and increased by a factor of 3 the probability of pregnancy loss in cows with a single or with two or more corpora lutea, respectively, and reduced the conceptus reduction rate in cows carrying twins. The practical implications of our findings are that in herds with a high incidence of early fetal loss of a non-infectious nature, treatment at the time of pregnancy diagnosis with PRID in cows with one corpus luteum and with GnRH in cows with two or more corpora lutea should offer considerable benefits.     

圈养大熊猫母兽成功哺育双胞胎成活初探

圈养大熊猫产下双胞胎后,母兽一般难以同时哺育二仔。2003年,圈养大熊猫母兽“梅梅”同时哺育双胞胎成活,本文对该首例哺育双胞胎成活的原因进行了初步分析,认为满足母兽的营养需求、适宜的育幼环境及人工护理,特别是“梅梅”的母性好、有丰富的育幼经验、食欲强、泌乳充足等在同时哺育双胞胎成活中起着重要作用,同时对“梅梅”哺育的双胞胎与其哺育的另两只单胎幼仔的体重增长情况进行了比较,为圈养大熊猫成功哺育双胞胎,增加幼仔成活率,提供了有关借鉴信息和资料。