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Stephen JM, Solis I, Janowich J, Stern M, Frenzel MR, Eastman JA, Mills MS, Embury CM, Coolidge NM, Heinrichs-Graham E, Mayer A, Liu J, Wang YP, Wilson TW, Calhoun VD. The Developmental Chronnecto-Genomics (Dev-CoG) study: A multimodal study on the developing brain. Neuroimage 2020; 225:117438. [PMID: 33039623 DOI: 10.1016/j.neuroimage.2020.117438] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 08/07/2020] [Accepted: 10/05/2020] [Indexed: 01/10/2023] Open
Abstract
Brain development has largely been studied through unimodal analysis of neuroimaging data, providing independent results for structural and functional data. However, structure clearly impacts function and vice versa, pointing to the need for performing multimodal data collection and analysis to improve our understanding of brain development, and to further inform models of typical and atypical brain development across the lifespan. Ultimately, such models should also incorporate genetic and epigenetic mechanisms underlying brain structure and function, although currently this area is poorly specified. To this end, we are reporting here a multi-site, multi-modal dataset that captures cognitive function, brain structure and function, and genetic and epigenetic measures to better quantify the factors that influence brain development in children originally aged 9-14 years. Data collection for the Developmental Chronnecto-Genomics (Dev-CoG) study (http://devcog.mrn.org/) includes cognitive, emotional, and social performance scales, structural and functional MRI, diffusion MRI, magnetoencephalography (MEG), and saliva collection for DNA analysis of single nucleotide polymorphisms (SNPs) and DNA methylation patterns. Across two sites (The Mind Research Network and the University of Nebraska Medical Center), data from over 200 participants were collected and these children were re-tested annually for at least 3 years. The data collection protocol, sample demographics, and data quality measures for the dataset are presented here. The sample will be made freely available through the collaborative informatics and neuroimaging suite (COINS) database at the conclusion of the study.
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Affiliation(s)
- J M Stephen
- The Mind Research Network a division of Lovelace Biomedical Research Institute, Albuquerque, NM, United States.
| | - I Solis
- The Mind Research Network a division of Lovelace Biomedical Research Institute, Albuquerque, NM, United States; Department of Psychology, University of New Mexico, Albuquerque, NM, United States
| | - J Janowich
- The Mind Research Network a division of Lovelace Biomedical Research Institute, Albuquerque, NM, United States; Department of Psychology, University of New Mexico, Albuquerque, NM, United States
| | - M Stern
- The Mind Research Network a division of Lovelace Biomedical Research Institute, Albuquerque, NM, United States; Department of Psychology, University of New Mexico, Albuquerque, NM, United States
| | - M R Frenzel
- University of Nebraska Medical Center, Omaha, NE, United States
| | - J A Eastman
- University of Nebraska Medical Center, Omaha, NE, United States
| | - M S Mills
- University of Nebraska Medical Center, Omaha, NE, United States
| | - C M Embury
- University of Nebraska Medical Center, Omaha, NE, United States
| | - N M Coolidge
- University of Nebraska Medical Center, Omaha, NE, United States
| | | | - A Mayer
- The Mind Research Network a division of Lovelace Biomedical Research Institute, Albuquerque, NM, United States
| | - J Liu
- The Mind Research Network a division of Lovelace Biomedical Research Institute, Albuquerque, NM, United States
| | - Y P Wang
- Tulane University, New Orleans, LA, United States
| | - T W Wilson
- University of Nebraska Medical Center, Omaha, NE, United States
| | - V D Calhoun
- The Mind Research Network a division of Lovelace Biomedical Research Institute, Albuquerque, NM, United States; Department of Electrical and Computer Engineering, University of New Mexico, Albuquerque, NM, United States; Tri-institutional Center for Translational Research in Neuroimaging and Data Science (TReNDS), Georgia State University, Georgia Institute of Technology, Emory University, Atlanta, GA, United States
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Idehenre IU, Mills MS. Multi-directional beam steering using diffractive neural networks. Opt Express 2020; 28:25915-25934. [PMID: 32906872 DOI: 10.1364/oe.400364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 08/08/2020] [Indexed: 06/11/2023]
Abstract
The modern-day resurgence of machine learning has encouraged researchers to revisit older problem spaces from a new perspective. One promising avenue has been implementing deep neural networks to aid in the simulation of physical systems. In the field of optics, densely connected neural networks able to mimic wave propagation have recently been constructed. These diffractive deep neural networks (D2NN) not only offer new insights into wave propagation, but provide a novel tool for investigating and discovering multi-functional diffractive elements. In this paper, we derive an efficient GPU-friendly D2NN methodology based on Rayleigh-Sommerfeld diffraction. We then use the implementation to virtually forge cascades of optical phase masks subject to different beam steering conditions. The input and output conditions we use to train each D2NN instance is based on commercial electro-optic modulated waveguide systems to encourage experimental follow-on. In total, we analyze the beam steering efficacy of 27 individual D2NN instances which explore different permutations of input sources, mask cascades, and output steering targets.
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Thompson JR, Burrow JA, Shah PJ, Slagle J, Harper ES, Van Rynbach A, Agha I, Mills MS. Artificial neural network discovery of a switchable metasurface reflector. Opt Express 2020; 28:24629-24656. [PMID: 32907001 DOI: 10.1364/oe.400360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Accepted: 07/21/2020] [Indexed: 06/11/2023]
Abstract
Optical materials engineered to dynamically and selectively manipulate electromagnetic waves are essential to the future of modern optical systems. In this paper, we simulate various metasurface configurations consisting of periodic 1D bars or 2D pillars made of the ternary phase change material Ge2Sb2Te5 (GST). Dynamic switching behavior in reflectance is exploited due to a drastic refractive index change between the crystalline and amorphous states of GST. Selectivity in the reflection and transmission spectra is manipulated by tailoring the geometrical parameters of the metasurface. Due to the immense number of possible metasurface configurations, we train deep neural networks capable of exploring all possible designs within the working parameter space. The data requirements, predictive accuracy, and robustness of these neural networks are benchmarked against a ground truth by varying quality and quantity of training data. After ensuring trustworthy neural network advisory, we identify and validate optimal GST metasurface configurations best suited as dynamic switchable mirrors depending on selected light and manufacturing constraints.
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Kowalski BA, Tondiglia VP, Lee KM, Evans DR, White TJ, Mills MS. Spectrally tunable chiral Bragg reflectors for on-demand beam generation. Opt Express 2019; 27:16571-16577. [PMID: 31252881 DOI: 10.1364/oe.27.016571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2019] [Accepted: 05/14/2019] [Indexed: 06/09/2023]
Abstract
We demonstrate the generation of spectrally tunable phase-dependent wavefronts, using the 2D Airy as the primary test case, via a polymer-stabilized cholesteric liquid crystal (PSCLC) element. Specifically, we use a novel spatial light modulator (SLM) based projection system to photo-align the initial helix angle landscape of the PSCLC so that it imparts the appropriate cubic phase profile to the reflected beam. This element is spectrally selective, with a reflection bandwidth of ≈ 100 nm, and electrically tunable from λ = 530 nm to 760 nm. Under both green and red laser illumination, the element is shown to conditionally form an Airy beam depending on the position of the electrically tailored reflection band. We briefly demonstrate the generality of this approach by producing PSCLC elements which form a computer-generated hologram and a higher-order Mathieu beam.
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Eftekhar MA, Wright LG, Mills MS, Kolesik M, Correa RA, Wise FW, Christodoulides DN. Versatile supercontinuum generation in parabolic multimode optical fibers. Opt Express 2017; 25:9078-9087. [PMID: 28437982 DOI: 10.1364/oe.25.009078] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
We demonstrate that the pump's spatial input profile can provide additional degrees of freedom in tailoring at will the nonlinear dynamics and the ensuing spectral content of supercontinuum generation in highly multimoded optical fibers. Experiments and simulations carried out at 1550 nm indicate that the modal composition of the input beam can substantially alter the soliton fission process as well as the resulting Raman and dispersive wave generation that eventually lead to supercontinuum in such a multimode environment. Given the multitude of conceivable initial conditions, our results suggest that it is possible to pre-engineer the supercontinuum spectral content in a versatile manner.
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Mills MS, Kolesik M, Christodoulides DN. Dressed optical filaments. Opt Lett 2013; 38:25-27. [PMID: 23282826 DOI: 10.1364/ol.38.000025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
In this Letter we show that by appropriately providing an auxiliary "dress" beam one can extend the longevity of an optical filament by almost one order of magnitude. These optical dressed filaments can propagate substantially further by judiciously harnessing energy from their secondary beam reservoir. This possibility is theoretically investigated in air when the filament is dressed with a conically convergent annular Gaussian beam.
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Affiliation(s)
- M S Mills
- CREOL, College of Optics and Photonics, University of Central Florida, Orlando, Florida 32816-2700, USA
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Abstract
Current advice on the management of breech presentation at term is that all uncomplicated cases should be offered external cephalic version (ECV) or an elective caesarean section. Clinical experience suggests that ECV is currently not offered as widely as advised and that the majority are delivered electively by caesarean section. We present the results of a patient attitude survey of term breech deliveries in a university teaching hospital over 12 months. The results show that half of respondents were not offered ECV and that two-thirds of these women were not eligible for ECV, either having had a previous caesarean or breech presentation diagnosed in labour. One-third of women, potentially suitable for ECV, were not made aware of their options. The majority are offered elective caesarean section with a small minority (10%) opting for planned vaginal breech delivery.
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Affiliation(s)
- S Caukwell
- Department of Obstetrics and Gynaecology, St Michael's Hospital, Bristol, UK
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Mills MS, Thurman EM. Mixed-mode isolation of triazine metabolites from soil and aquifer sediments using automated solid-phase extraction. Anal Chem 2002. [DOI: 10.1021/ac00041a038] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mills MS, Hill IR, Newcombe AC, Simmons ND, Vaughan PC, Verity AA. Quantification of acetochlor degradation in the unsaturated zone using two novel in situ field techniques: comparisons with laboratory-generated data and implications for groundwater risk assessments. Pest Manag Sci 2001; 57:351-359. [PMID: 11455814 DOI: 10.1002/ps.306] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Degradation of the herbicide acetochlor in the unsaturated zone was quantified using two unique in situ field techniques. The DT50 values generated at two different sites on surface soil and two subsoil depths using these techniques were compared with values generated under aerobic laboratory-incubation conditions (typically 20 degrees C, 40% maximum water holding capacity). Additionally, laboratory-degradation data were generated on surface and subsoils from four other sites. All subsoils were treated with acetochlor at 5% of the surface soil application rate. Acetochlor degradation in both field- and laboratory-incubated subsoils was rapid and often exceeded surface soil rates. Field and laboratory DT50 values from all sites ranged from 2 to 88 days in subsoil, compared with a range of 1 to 18 days in surface soils. The DT50 results from in situ field techniques were comparable with those generated from laboratory incubations in the same soils, confirming the validity of performing laboratory-based degradation studies to determine pesticide DT50 values in subsoils. Microbiological characterisation of selected soils revealed that subsoils had a viable and active population, although direct counts of bacteria were consistently lower in subsoil (10(8)-10(9) g-1 dry soil) compared with surface soils (10(10) g-1 dry soil). The leaching models used to perform groundwater risk assessments (e.g. PELMO, PESTLA, MACRO-DB, PRZM and the FOCUS EU leaching scenarios) have provision for inclusion of subsoil degradation rates. However, conservative default estimates are typically used, as no other alternative is available. Results presented here show that these default values may significantly underestimate true subsoil degradation contributions, and therefore not accurately predict pesticide concentrations in groundwater. The degradation data generated for acetochlor were applied to the mathematical model PELMO to demonstrate the importance of the inclusion of subsoil degradation data in groundwater risk assessment models and thereby in the registration of pesticides in Europe.
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Affiliation(s)
- M S Mills
- Syngenta, Jealott's Hill Research Station, Bracknell, Berkshire RG42 6ET, UK.
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Albrechtsen HJ, Mills MS, Aamand J, Bjerg PL. Degradation of herbicides in shallow Danish aquifers: an integrated laboratory and field study. Pest Manag Sci 2001; 57:341-350. [PMID: 11455813 DOI: 10.1002/ps.305] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Degradation of pesticides in aquifers has been evaluated based on a number of co-ordinated field and laboratory studies carried out in Danish aquifers. These studies included investigations of vertical and horizontal variability in degradation rates from the vadose zone to an aquifer, the effects of aerobic versus anaerobic conditions, and the importance of concentration on degradation kinetics for a selected range of herbicides. The studies were based on different experimental approaches ranging from simple batch experiments to column studies to field injection experiments and, where appropriate, results were compared. Some herbicides were degraded under aerobic conditions (some phenoxy acids, DNOC and glyphosate) and others under aerobic conditions (other phenoxy acids, DNOC; there was some indication of atrazine transformation). Certain pesticides were not degraded in any investigations (dichlobenil, the dichlobenil metabolite 2,6-dichlorobenzamide (BAM), bentazone, isoproturon, metamitron and metsulfuron-methyl). The spatial variability was substantial, since hardly any of the investigated pesticides were degraded in all comparable samples. This means that it is very difficult to claim that a given pesticide is readily degradable in aquifers. However, the experimental approaches used (with incubations lasting more than a year) may not be sensitive enough to verify the low degradation rates that may be significant as a result of the long retention time of groundwaters.
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Affiliation(s)
- H J Albrechtsen
- Department of Environmental Science and Engineering, Groundwater Research Centre, Technical University of Denmark, Bldg 115, DK-2800 Lyngby, Denmark.
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Kinsella SM, Pirlet M, Mills MS, Tuckey JP, Thomas TA. Randomized study of intravenous fluid preload before epidural analgesia during labour. Br J Anaesth 2000; 85:311-3. [PMID: 10992845 DOI: 10.1093/bja/85.2.311] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
We performed a randomized controlled trial of the effect of intravenous fluid preload on maternal hypotension and fetal heart rate (FHR) changes in labour after the first epidural injection. Group 1 (49 women) received 1 litre of crystalloid preload. Group 2 (46 women) received no preload. No statistically significant difference was shown between the two groups for either of the outcomes. Hypotension was found in three women in group 1 and five in group 2 (P = 0.4). Deterioration in FHR pattern was found in four women in group 1 and 11 in group 2 (P = 0.08). This study has not shown a significant increase in the incidence of hypotension when intravenous preload is omitted before epidural analgesia using a low concentration of bupivacaine during labour. Because of the clinical importance of the difference in the rate of FHR deterioration between the two groups, we continue to administer preload for high-risk cases.
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Affiliation(s)
- S M Kinsella
- Sir Humphry Davy Department of Anaesthesia, St Michael's Hospital, Bristol, UK
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Mills MS, Murphy DJ. Midline episiotomy and anal incontinence. Results should be interpreted with caution in British context. BMJ 2000; 320:1601-2. [PMID: 10896431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
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Abstract
Accurate, timed urine collections for the measurement of glomerular filtration rate (GFR) may be impractical in infants or in patients with urological abnormalities. GFR may be measured without urine collection using a constant subcutaneous infusion of iothalamate. We compare the infusion clearance with conventional renal clearance in 14 children and young adults. The mean clearance ratio (infusion clearance/renal clearance +/- 1 SD) was 0.99 +/- 0.1 and the mean discrepancy between the two methods was 8.5% +/- 4.7%. The 95% limits of agreement for the ratio of the two methods are 0.83-1.23. These data indicate that subcutaneous infusion of iothalamate is a practical method for measuring GFR in children without a urine collection.
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Affiliation(s)
- A K Sharma
- Department of Pediatrics, Montreal Children's Hospital/McGill University, Quebec, Canada
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Gibbons JW, Burke VJ, Lovich JE, Semlitsch RD, Tuberville TD, Bodie JR, Greene JL, Niewiarowski PH, Whiteman HH, Scott DE, Pechmann JHK, Harrison CR, Bennett SH, Krenz JD, Mills MS, Buhlmann KA, Lee JR, Seigel RA, Tucker AD, Mills TM, Lamb T, Dorcas ME, Congdon JD, Smith MH, Nelson DH, Dietsch MB, Hanlin HG, Ott JA, Karapatakis DJ. Perceptions of Species Abundance, Distribution, and Diversity:Lessons from Four Decades of Sampling on a Government-Managed Reserve. Environ Manage 1997; 21:259-268. [PMID: 9008077 DOI: 10.1007/s002679900025] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
/ We examined data relative to species abundance, distribution, anddiversity patterns of reptiles and amphibians to determine how perceptionschange over time and with level of sampling effort. Location data werecompiled on more than one million individual captures or observations of 98species during a 44-year study period on the US Department of Energy's(DOE) Savannah River Site National Environmental Research Park (SRS-NERP) inSouth Carolina. We suggest that perceptions of herpetofaunal speciesdiversity are strongly dependent on level of effort and that land managementdecisions based on short-term data bases for some faunal groups could resultin serious errors in environmental management. We provide evidence thatacquiring information on biodiversity distribution patterns is compatiblewith multiyear spatially extensive research programs and also provide aperspective of what might be achieved if long-term, coordinated researchefforts were instituted nationwide.To conduct biotic surveys on government-managed lands, we recommend revisionsin the methods used by government agencies to acquire and report biodiversitydata. We suggest that government and industry employees engaged inbiodiversity survey efforts develop proficiency in field identification forone or more major taxonomic groups and be encouraged to measure the status ofpopulations quantitatively with consistent and reliable methodologies. Wealso suggest that widespread academic cooperation in the dissemination ofinformation on regional patterns of biodiversity could result byestablishment of a peer-reviewed, scientifically rigorous journal concernedwith status and trends of the biota of the United States. KEY WORDS: Abundance; Amphibian; Biodiversity; Distribution; Landmanagement; Reptile
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Affiliation(s)
- JW Gibbons
- Savannah River Ecology Laboratory, University ofGeorgia, Drawer E, Aiken, South Carolina 29802, USA
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Eckford SD, Vyas S, Mills MS, Bamfor DS. Delayed placental abruption after road traffic accident. J OBSTET GYNAECOL 1995. [DOI: 10.3109/01443619509015497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Thurman EM, Meyer MT, Mills MS, Zimmerman LR, Perry CA, Goolsby DA. Formation and transport of deethylatrazine and deisopropylatrazine in surface water. Environ Sci Technol 1994; 28:2267-2277. [PMID: 22176044 DOI: 10.1021/es00062a010] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Mills MS, Thurman EM. Preferential Dealkylation Reactions of s-Triazine Herbicides in the Unsaturated Zone. Environ Sci Technol 1994; 28:600-605. [PMID: 22196541 DOI: 10.1021/es00053a011] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Mills MS, Thurman EM. Reduction of nonpoint source contamination of surface water and groundwater by starch encapsulation of herbicides. Environ Sci Technol 1994; 28:73-79. [PMID: 22175835 DOI: 10.1021/es00050a011] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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Hull MGR, Eddowes HA, Fahy U, Abuzeid MI, Mills MS, Cahill DJ, Fleming CF, Wardle PG, Ford WCL, McDermott A. Expectations of assisted conception for infertility. Int J Gynaecol Obstet 1993. [DOI: 10.1016/0020-7292(93)90786-v] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Mills MS. Transvaginal sonography for fetal measurement in early pregnancy. Br J Obstet Gynaecol 1992; 99:626-7. [PMID: 1525114 DOI: 10.1111/j.1471-0528.1992.tb13840.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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Hull MG, Eddowes HA, Fahy U, Abuzeid MI, Mills MS, Cahill DJ, Fleming CF, Wardle PG, Ford WC, McDermott A. Expectations of assisted conception for infertility. BMJ 1992; 304:1465-9. [PMID: 1611367 PMCID: PMC1882242 DOI: 10.1136/bmj.304.6840.1465] [Citation(s) in RCA: 78] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
OBJECTIVE To provide reliable prognostic information for couples seeking assisted conception. DESIGN Analysis of four years' practice (1988-91). SETTING Private university service linked with NHS reproductive medicine services. PATIENTS 804 couples with various causes of subfertility, median duration five years, median age of women 34 years. INTERVENTIONS 1280 completed cycles: 950 in vitro fertilisation, 144 gamete intrafallopian transfer, and 186 intrauterine insemination and superovulation. MAIN OUTCOME MEASURES Pregnancy and birth rates per cycle and cumulative pregnancy and take home baby rates per couple. RESULTS In women under 40 years and men with normal sperm, whatever the cause of infertility, results with in vitro fertilisation improved steadily reaching a pregnancy rate per cycle of 30% (95% confidence interval 26% to 35%) during 1990-1 and birth rate per cycle of 29% (23% to 35%) in 1990. Pregnancy and birth rates for gamete intrafallopian transfer were 36% (28% to 44%) and 26% (17% to 37%) and for intrauterine insemination 18% (12% to 24%) and 16% (10% to 22%). After six cycles cumulative probability of pregnancy was 82% and cumulative take home baby rate 70%. Considering only in vitro fertilisation and gamete intrafallopian transfer after four cycles the pregnancy rate was 78% (66% to 91%). CONCLUSIONS Conception is less likely in women over 40 and men with sperm dysfunction. For other couples the prognosis for a live birth is at least as good as for fertile couples if they persist with treatment.
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Affiliation(s)
- M G Hull
- University of Bristol IVF Unit, BUPA Hospital
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Mills MS, Eddowes HA, Cahill DJ, Fahy UM, Abuzeid MI, McDermott A, Hull MG. A prospective controlled study of in-vitro fertilization, gamete intra-fallopian transfer and intrauterine insemination combined with superovulation. Hum Reprod 1992; 7:490-4. [PMID: 1522191 DOI: 10.1093/oxfordjournals.humrep.a137677] [Citation(s) in RCA: 53] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
The relative effectiveness of in-vitro fertilization (IVF), gamete intra-Fallopian transfer (GIFT) and intrauterine insemination (IUI) combined with superovulation in the treatment of infertility were compared in 151 couples undergoing a single cycle of treatment. Treatment was selected as appropriate (IVF for tubal disease, GIFT or IUI/superovulation for nontubal infertility) but possible bias due to non-randomization was overcome by all couples having had favourable fertilization in a previous cycle of IVF. Furthermore, in a preliminary study of initial IVF treatment in 265 couples from whom the study patients were drawn, implantation and pregnancy rates in the diagnostic groups were similar. In the definitive study comparing IVF, GIFT and IUI/superovulation, the pregnancy rate observed with GIFT was highest (40%) but this was not significantly higher than with IVF (28%) or IUI/superovulation (20%). However, the implantation rate per egg transferred by GIFT (21%) was significantly higher than the implantation rate per embryo transferred by IVF (11%). Although the pregnancy rates with GIFT were not statistically greater than with IVF, a significant advantage is likely to be observed in larger groups in view of the better implantation rate. The lower pregnancy rates with IUI superovulation are to be expected because of limited ovarian stimulation, they are nevertheless of comparative interest.
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Affiliation(s)
- M S Mills
- University Department of Obstetrics and Gynaecology, Bristol Maternity Hospital, UK
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Abstract
Two cases of subclavian vein thrombosis following ovarian stimulation for in-vitro fertilization and subsequent ovarian hyperstimulation syndrome (OHSS) are described. Both occurred several weeks after complete resolution of the OHSS. The site of the lesions and their timing suggest that there is a generalized disturbance of coagulation associated with OHSS, which persists beyond the duration of the clinical syndrome.
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Affiliation(s)
- M S Mills
- University Department of Obstetrics and Gynaecology, Bristol Maternity Hospital, UK
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Fox R, Mills MS, Hutton JD. Obstetric case reports: Auto-immune thyroid disease complicating a pregnancy associated with systemic lupus erythematosus. J OBSTET GYNAECOL 1992. [DOI: 10.3109/01443619209015513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Abstract
The attitudes of 234 anonymous couples undergoing in vitro fertilization toward sperm and oocyte donation were explored by questionnaire. All the questionnaires were returned of which 222 (95%) were complete and analysed. A high proportion of couples found the use of donor sperm acceptable for therapeutic, diagnostic and treatment purposes (77%, 90% and 97% respectively) and 72%, 84% and 90% respectively were willing to donate oocytes for these purposes. Of potential oocyte donors 41% would agree to nonanonymous donation, 12% would wish to meet the recipient couple and although only 4% wanted to choose the recipient, a quarter of the couples would prefer a relative or friend as the recipient. Provision of nonidentifying information about the donor to the recipient couple was acceptable to almost 70% whereas 40% found giving the same information to the child acceptable.
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Affiliation(s)
- T Oskarsson
- Institute of Obstetrics and Gynaecology, Royal postgraduate Medical School, Hammersmith Hospital, London
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Abstract
The biophysical profile score is widely accepted as a superior predictor of acute-on-chronic fetal asphyxia over the nonstress test. Nevertheless, in the United Kingdom facilities for assessment of high-risk pregnancies by nonstress test are more widely available than with the biophysical profile score. After a retrospective review of 2038 biophysical assessments in 500 high-risk pregnancies, it is suggested that biophysical evaluation of the fetus can be rationalized on the basis of the clinical problem and fetal growth. Terminal acute-on-chronic fetal asphyxia can be excluded by a two-tier method of fetal assessment by initial nonstress test backed up by the biophysical profile score when the nonstress test is suboptimal.
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Affiliation(s)
- M S Mills
- Feto-Maternal Assessment Unit, Southmead Hospital, Bristol, England
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Mills MS. Fetal supraventricular tachycardia: detection by routine auscultation and successful in-utero management. Br J Obstet Gynaecol 1989; 96:501-2. [PMID: 2751970 DOI: 10.1111/j.1471-0528.1989.tb02437.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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