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Objective. To examine factors prior to pregnancy in patients with systemic lupus erythematosus (SLE) that are prognostic for the occurrence of active disease during and shortly after pregnancy.Methods. Case-control study of pregnant SLE patients and nonpregnant SLE controls, using logistic regression analyses to assess the role of prepregnancy disease activity as a prognostic factor for flare during pregnancy or the postpartum followup period.Results. Lupus flares occurred frequently and in similar percentages of pregnant SLE patients and control SLE patients. Active lupus at study entry, both in control and in pregnant patients, was not predictive of flare. Inactive lupus at onset was not protective against flare in controls but was protective in pregnant lupus patients.Conclusion. Inactive disease at the onset of pregnancy in SLE provides optimum protection against the occurrence of flare during pregnancy.There is currently controversy in the literature as to whether pregnancy in systemic lupus erythema-

During three summers field studies were made of Merino wethers deprived of water while exposed to sun and to maximum air temperatures ranging from 84°F (29°C) to 10S°F (42°C) at Julia Creek, lat. 21° S. Evaporative cooling determined the rate and extent of water and electrolyte changes and produced a different pattern each year. Control of body temperature failed when 31% of body weight was lost by the end of 10 days without water. In hotter weather 5 days without water caused a 25% loss of body weight and in some sheep irreversible circulatory failure. In the course of dehydration, after an initial increase, the plasma and extracellular volume decreased up to 45% while concentrations of haemoglobin and plasma protein increased by 60%. In the plasma, potassium and sodium concentration increased less than that of haemoglobin. When 25% or more of weight was lost, plasma urea concentration rose to 136 mg/100 ml. Plasma osmolarity in some sheep reached 490 m-osmoles/l after 10 days. Urine volume fell after 2 days without water, and in a hot season less than 100 ml/24 hr was passed on the fourth or subsequent days. Concentrations increased over the first 4 or 5 days, reaching a maximum of 3.8 osmoles/l, then declined. Between half and two-thirds of the osmolarity was accountable to sodium and potassium salts. In rapid dehydration, more sodium was excreted than potassium. There was reduced sodium excretion when water was ingested after dehydration. Renal function studies in ewes indicated that filtration, renal plasma flow, and glucose reabsorption were reduced to half after 5 days without water in the heat. The chance of survival in dehydration appears to be increased by low rates of water loss in the first 3 days, together with high sodium and low potassium excretion. A full rumen, containing water up to 13% of body weight, could provide all the extracellular fluid loss. More than half of the weight loss appears, however, to come from intracellular sources. Extracellular fluid was drawn upon to a greater extent when the rate of dehydration was rapid, than in the cooler periods of slow weight loss. Survival in the sun without water depends upon insulation, water conservation, water reserves in rumen and extracellular fluid, the ability to adjust electrolyte concentrations, and the ability to maintain circulation with lowered plasma volume.