Preimplantation Factor (PIF) Predicts Subsequent Pregnancy Loss

PROBLEM : To evaluate the ability of preimplantation factor (PIF) measured in the lymphocyte/platelet binding assay (LPBA) to predict subsequent spontaneous abortion. METHOD : Serum from 57 women experiencing first trimester pregnancy losses were studied using the LPBA (46 women conceived after in vitro fertilization and embryo transfer for treatment of infertility and 11 with a history of unexplained recurrent spontaneous abortion conceived spontaneously). The assay employs a combination of heat inactivated sera with donor O+ lymphocytes and platelets, complement and an antibody against CD2. Chromosome analysis was performed on 32 of the abortuses. Results of PIF assay were compared between karyotypically normal and abnormal abortuses. RESULTS : PIF assay was negative in all 57 women at the time of abortion. Among 12 karyotypically normal abortuses only 1 woman (8%) had an initial positive PIF, 11 (92%) had negative PIF. Serial PIF assays were performed on 15 women. PIF assay became negative a minimum of two weeks prior to demonstration of intrauterine demise at a time when hCG concentrations remained elevated. A trend to subnormal was seen in women with normal when compared to those with abnormal abortus karyotype, but the numbers were too small to reach statistical significance (P = 0.09). CONCLUSION : Measurement of PIF throughout the first trimester of pregnancy predicts subsequent pregnancy loss.     

In Vitro Effect of Anticardiolipin Autoantibodies Upon Total and Pulsatile Placental hCG Secretion During Early Pregnancy

BACKGROUND: The anticardiolipin syndrome is characterized among other features by recurrent thromboembolic events, thrombocytopenia, and recurrent fetal loss associated with high IgG titers of anticardiolipin antibodies and/or the presence of lupus anticoagulant. AIMS: The mechanisms for the fetal loss in this syndrome have not yet been clearly elucidated, although several hypotheses based on experimental data have been put forward. We wanted to evaluated the effect in vitro of anticardiolipin antibodies on the secretion of human chorionic gonadotropin. METHODS: Employing our previous experience with placental explants, we studied the effect of several mouse monoclonal and human polyclonal purified anticardiolipin antibodies (ACA), which were shown by us to induce experimental antiphospholipid syndrome (APLS), to affect the pulsatile secretion of beta human choriogonadotropin. RESULTS: The mouse monoclonal ACA antibodies caused an increase in the pulsatility of beta human choriogonadotropin, while human polyclonal ACA derived from patients with ACA had an inhibitory effect. CONCLUSION: These studies with placental explants show that ACA may have an additional effect on placental hormone secretion and thus affect the fate of the embryo.     

Personality and Substance Use Among Adolescents: a longitudinal study

The following hypotheses have been tested: (a) sensation seeking, A–State and Trait and Depressive Mood should positively affect the initiation and continuation of adolescent substance use: and (b) Following Zuckerman's conclusion with regard to the relationships between sensation seeking and drug use, and Khantzian's ‘self medication hypothesis’, different patterns of relationships between personality variables and substance use should be found: Whereas sensation seeking will be associated with substance use regardless of the specific psychopharmacological properties of a given substance, anxiety and depressive mood will be primarily associated with the use of depressants. One thousand nine hundred adolescents, 14–19 years old, were tested twice, 12 months apart, for alcohol and drug use. The major findings were as follows: (a) Sensation seeking was found to affect substance use among adolescents more than State and Trait Anxiety, and Depressive Mood; (b) Sensation seeking differentiated among abstainers, beginners, and users of all substances. A different pattern of relationship between State-Trait Anxiety, and Depressive Moods and substance use was found. These personality variables appeared to differentiate only among those subjects who used depressants; (c) It is also evident that previous experimentation with drugs significantly affect current–use. The implications of these findings for interventions among adolescents are discussed.     

Alcohol consumption among Israeli youth—1989: epidemiology and demographics

Epidemiological and sociodemographic findings on alcohol (wine, beer, hard liquor) consumption among the Israeli youth are presented. Three samples of adolescents, aged 12–18, were studied by means of an anonymous self-report questionnaire: a nationwide representative sample of high school students; a sample of detached youth; and a sample of inmates in institutions for juvenile delinquents. Alcohol consumption was assessed by three indices: frequency of use during the last year, use during the last month and use during the last week. Since alcohol is imbibed ceremonially in the Jewish tradition, only non-ritualistic consumption of alcoholic beverages was considered. Prevalence of drinking during the last year was 58%, during the last month 42% and during the last week 25%. Thus, it appears that Israeli youth are approaching the drinking prevalence of European adolescents. The results clearly indicate that alcohol consumption is concentrated among groups of deviant adolescents. These adolescents consume all types of alcoholic beverages at rates considerably exceeding those found among high school students. As for the effect of sociodemographic variables, the results strongly support previous findings showing that the patterns and contexts of alcohol use among Israeli youth are similar to those found among youth in other cultures.     

The Reliability and Consistency of Self-reports on Substance Use in a Longitudinal Study

The paper presents an evaluation of the stability and consistency of self-reported adolescent drug use. The data were collected from 1900 high-school students. Analyses included estimates of alternate forms reliability, non-response rates, logical consistency in the responses, test-retest reliability as well as estimates of exaggerated reports. The findings indicate a high rate of stability in self-reporting of substance use, both cross-sectionally and longitudinally. These results are in agreement with other studies of self-reported drug use and suggest that questionnaire may provide highly reliable data for research.