The objective of this paper is to determine whether color and pulsed Doppler of the splenic artery is helpful in the prenatal diagnosis of polysplenia or asplenia in heterotaxic syndromes. Over a 3-year period, localization of the splenic artery by color and pulsed Doppler was attempted on all fetuses with the diagnosis of heterotaxic syndromes. Postnatal follow-up was obtained on all neonates. The diagnosis of heterotaxic syndromes was performed on eight fetuses during the study period. Mean gestational age at diagnosis was 20.1 weeks. All fetuses had situs ambiguous and complex cardiac abnormalities. All pregnancies were managed expectantly and none were terminated. The splenic artery was imaged by color and pulsed Doppler in 6 of 8 fetuses, all with one or multiple spleens confirmed postnatally. The splenic artery could not be imaged in two fetuses, both with asplenia confirmed postnatally. The perinatal mortality rate was 88% (7 of 8) and the one surviving infant is currently alive and well at 3 years of age. Color and pulsed Doppler of the splenic artery can aid in the prenatal diagnosis of heterotaxic syndromes. This information is of value and should result in improved prenatal counseling and management of affected pregnancies.
Mesostructured silica thin films and particles prepared by surfactant‐templated sol–gel techniques are highly versatile substrates for the formation of functional materials. The ability to deliberately place molecules possessing desired activities in specific spatially separated regions of the nanostructure is an important feature of these materials. Such placement utilizes strategies that exploit the physical and chemical differences between the silica framework and the templated pores. As an example of placement of pairs of molecules, donor and acceptor molecules can be targeted to different regions of mesostructured thin films and energy transfer between them can be measured. The results not only demonstrate the spatial separation but also are used as a molecular ruler to measure the average distance between them. Mesostructured silica is also an excellent support for molecular machines. Molecules that undergo large amplitude motion, when attached to the silica, can function as impellers and nanovalves when activated by light, electrical (redox) and chemical (pH, competitive binding) energy. Derivatized azobenzene molecules, attached to pore walls by using one of the placement strategies, function as impellers that can move other molecules through the pores. Rotaxanes and pseudorotaxanes, placed at pore entrances, function as gatekeepers that can trap and release molecules from the pores when stimulated. Deliberately placed functional molecules on and in mesostructured silica offer many possibilities for both fundamental studies on the nanoscale and for applications in fields as diverse as fluidics, biological drug delivery and controlled release.
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