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We are pleased to announce Clarissa Lewis has joined Woodley Equipment Company Clinical Trials Division as Accounts Supervisor based at Woodley Equipmenta€™s offices in Horwich, UK.
Today is International Clinical Trials Day and Woodley Equipment is pleased to offer our continued support to Clinical Trials Companies across the globe working to develop new treatments for patients.
Woodley Equipment Company Limited is exhibiting at Outsourcing in Clinical Trials East Coast 2016.The event is taking place on 25th a€“ 26th May 2016 Booth #66 at the Valley Forge Convention Center, King of Prussia, PA, USA. The Clearview® hCG pregnancy test is the one-step test for high sensitivity detection of hCG in urine.
It has the ability to detect pregnancy on the day of a missed period and has an inbuilt procedural control for confirmation that the test has been performed correctly. The test can be stored at room temperature so it is ready to use and leaves valuable refrigerator space free.
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To establish and successfully maintain a human pregnancy requires the coordinated secretion of hormones within and between the fetus, mother, and placenta. It's the presence of this hormone human chorionic gonadotropin or hCG that will determine a. Early pregnancy including hcg levels in single and twin pregnancies and ultrasound findings. Chorionic Gonadotrophin Level Doubling Time Calculator, hcg levels doubling calculator, normal hcg levels. It also has a long shelf life so small volume users need not worry that the product will expire before use. The placenta synthesizes and secretes steroid and peptide hormones that regulate hormonogenesis by endocrine glands in both the mother and the fetus.
Women can have different HCG levels woth varying rates of increase, all with perfectly normal. There are several different ways to figure out whether your HCG levels during pregnancy are normal. Enders32,33 has concluded that prior to attachment to the uterine epithelium, mononucleated cytotrophoblast cells of the trophectoderm fuse to form a syncytiotrophoblast layer. Moreover, the placenta metabolizes the large quantities of steroid hormones produced by the maternal endocrine glands to protect the fetus and to orchestrate the timing and development of fetal organ systems, the fetal pituitary-adrenocortical axis in particular.
Only after the embryo is totally embedded in the endometrium do cytotrophoblast cells begin to move from the trophoblastic shell to invade the uterus and the uterine vasculature.34,35,36Fig.
Because the study of maternal-fetal-placental function during human pregnancy is necessarily limited by ethical constraints, this chapter draws heavily on relevant information derived from in vivo experiments conducted in nonhuman primate models.
Finally, because of its broad scope, this chapter provides a more general review, rather than an in-depth analysis, of the factors important to pregnancy maintenance, parturition, and fetal development. The innercell mass, the cells destined to form embryonic structures, is seen between 3 and 6 o'clock. Changes in the composition of the uterine glycocalyx have also been observed during the peri-implantation period.
For example, the levels of two transmembrane glycoproteins, mucin (MUC-1) and keratan sulfate, increase on the endometrial glandular surface during the early luteal phase,9,47,48 then decrease as the window for implantation opens.9,48 Because MUC-1 is a relatively large cell surface molecule, its down-regulation may unmask smaller molecules on the uterine surface, such as the cadherins and integrins, thereby mediating specific adhesion of the trophectoderm to the endometrium.

Ledoux began her career as an ObGyn nurse practitioner prior to becoming a practicing midwife in the Santa Cruz community.
Working together with ObGyn physicians in her own practice, she has over 20 years experience in women's health, pregnancy and childbirth. Almost immediately after fertilization, the embryo secretes platelet-activating factor (PAF), interleukins-1 and -6, and early pregnancy factor. Although inhibition of PAF activity in vivo prevented implantation in rodents,60 a similar role in primate pregnancy has not been demonstrated. 4) and, as discussed later, appears to enhance testosterone production by the fetal testes that is required for differentiation of the internal duct system and external genitalia in males. Current perspective on the endocrine and local mechanisms activated during rescue of the corpus luteum at the start of pregnancy in primate species.
Solid lines indicate established pathways, whereas dotted lines indicate proposed pathways. Embryo-derived hCG, perhaps regulated by locally produced GnRH or other factors, prevents the typical regression of the corpus luteum at the end of the nonfertile ovarian cycle.
Therefore, the corpus luteum continues to produce progesterone, which sustains intrauterine pregnancy until the luteal-placenta shift. Boston, Academic Press, 1998)Placental Development, Vascularization, and Intrauterine Endovascular InvasionDECIDUALIZATIONUpon attachment of the embryo to the uterus, the uterine endometrial glycogen-containing stromal cells are rapidly transformed into large decidual cells that increase in size throughout the course of gestation.
The human decidua that represents the maternal component of the placenta is composed primarily of the decidua basalis, underlying the site of implantation, the decidua capsularis that initially overlies the gestational sac but gradually disappears with advancing gestation, and the decidua vera that lines the remainder of the uterine cavity.
Decidual prolactin expression increases markedly with advancing gestation and is stimulated by progesterone in both the human97,98 and baboon.99 Decidual prolactin is apparently secreted into the amniotic fluid in humans100,101 and baboons,102 and levels increase with advancing gestation. Although the precise role(s) of decidual prolactin remains unclear, it has been proposed that the hormone may enhance uterine contractility, an action also apparently antagonized by decidual relaxin.103,104PLACENTAL TROPHOBLAST DEVELOPMENT AND VASCULARIZATIONDuring human and nonhuman primate pregnancy, the placenta simultaneously accesses the maternal blood and develops a vascular network for the transport of nutrients to and waste products from the fetus across the syncytiotrophoblast to ensure fetal growth and development. Both processes depend on the ability of the primordial stem-cell cytotrophoblasts to take either the villous pathway where they remain in the fetal compartment and differentiate morphologically into the syncytiotrophoblast or the extravillous pathway where they proliferate, aggregate into cell columns of the anchoring villi, and invade the endometrial stroma (Fig. In Tie-2 null mice, endothelial cells develop and assemble into tubes, but vessels are immature, lacking branching networks, encapsulation by periendothelial support cells, and proper organization into small and large vessels.134,135 These associations indicate that the Tie-2 receptor may also mediate the capacity of endothelial cells to recruit stromal cells that encase endothelial tubes for vessel stabilization. As a result of extensive 16-hydroxylation of c19 steroids within the fetus,173 large quantities of estriol are produced by the placenta during human pregnancy. A fourth estrogen, estetrol, is also produced uniquely but in relatively low levels during human pregnancy.174Fig. The basic 18-carbon estrane nucleus, shared by estrone, estradiol, and estriol, is modified for each by differences in the number and arrangement of hydroxyl groups.Plasma concentrations of estrone, estradiol, and estriol increase as human pregnancy progresses (Fig.
It would appear that in both human and nonhuman primate pregnancy, estrogen is produced in considerable excess.Fig. Because pregnancy with an anencephalic fetus is associated with very low levels of urinary estrogen and fetal adrenal hypoplasia, Frandsen and Stakeman189 suggested that the fetal adrenal may provide the requisite androgen precursors for placental estrogen production.
Siiteri and MacDonald188,190 demonstrated that DHAS of maternal and fetal origin contributed about equally to estrone and estradiol synthesis, whereas more than 90% of estriol was synthesized from 16-hydroxy DHAS of fetal origin (Fig.
The biosynthesis of estrone ( E1 ), estradiol ( E2 ), and estriol ( E3 ) by the human fetal-placental unit. Once secreted by the fetal adrenal gland, DHA is rapidly sulfated in the fetal liver to form DHAS and subsequently hydroxylated at carbon 16 to form 16-hydroxy DHAS, the primary precursor for estriol formation.

On arrival in the placenta, sulfurylated c19 steroids precursors are desulfurylated by the enzyme sulfatase to yield unconjugated DHA and 16-hydroxy DHA.
The human type I 3β-HSD is expressed at high levels in placenta, whereas the type II isoform is almost exclusively expressed in the adrenal cortex and gonads. 10).215 The influence of uteroplacental blood flow on placental estrogen production has been confirmed by direct experiment. Novy and colleagues217,218 demonstrated that reductions in uteroplacental perfusion caused by graded reductions in maternal distal aortic blood flow in the pregnant baboon resulted in corresponding decreases in the placental clearance of DHA through estradiol formation. Consistent with these observations in the baboon, the MCR of DHAS is 50% lower in women with pregnancy-induced hypertension, presumably reflecting the marked decrease in intervillous perfusion that characterizes this clinical syndrome.219,220,221Fig. In fetal baboons, acute stress induced by hypoxemia results in a marked increase in fetal adrenal c19-steroid secretion and results in a corresponding rise in placental estrogen production.222 As pregnancy advances, the primate fetal adrenal exhibits a marked increase in growth, accompanied by a corresponding increase in umbilical serum levels of DHAS (Fig.
11).223,224,225,226 Throughout most of gestation, 75% or more of the human fetal adrenal cortex6 consists of the fetal zone, which expresses the P450c17 and P450scc mRNAs and proteins essential for c19 steroid DHA and DHAS production (see Fig. A number of studies have endeavored to define the mechanisms controlling growth and differential steroidogenesis in the three zones of the fetal adrenal gland (reviews available elsewhere1,2,6).
Indeed, fetal anencephaly, accompanied by absence of pituitary ACTH, is associated with fetal adrenal atrophy and a striking decline in mid- to late gestation estrogen production in humans232 and rhesus monkeys.233 Clearly, by stimulating fetal adrenal growth and the overall capacity for c19-steroid formation, fetal ACTH has a major role indirectly in regulating placental estrogen biosynthesis. J Clin Endocrinol Metab 57: 1173,1983)ACTH also has an important role in regulating elements of the steroid biosynthetic pathway in the primate fetal adrenal gland. For example, the mRNAs for and activities of the P450 cholesterol side-chain (P450scc) and P450c17 enzymes, and the hydroxysteroid-sulfotransferase (HST) enzyme that catalyzes the sulfurylation of DHA, are stimulated by ACTH in cultures of human fetal adrenal cells. 12)256 is accompanied by a corresponding rise in the concentrations of maternal ACTH and cortisol (Fig. 13)257 as well as levels of DHAS.258 Interestingly, in cultured human trophoblasts, glucocorticoids increase the expression of CRH,80,259 and it has been proposed that a positive feed-forward loop involving the maternal pituitary-adrenocortical axis and placental CRH may operate during primate pregnancy (Fig. 14).260 Whether a comparable feed-forward axis operates in the primate fetus, as originally suggested by Robinson and associates,80 remains to be determined.
Earlier studies conducted in pregnant women289,290 and with perfusion of the human fetoplacental unit in vitro291,292 showed that cholesterol in the maternal circulation is taken up and used for progesterone formation by the placenta. Moreover, Winkel and associates287,293 demonstrated that LDL uptake by human trophoblast cells in culture is mediated by high-affinity binding, is saturable and that LDL degradation is a consequence of cellular uptake and internalization. During mid- to late primate pregnancy, when the placenta is the principal source of progesterone, estrogen has a similar regulatory role within trophoblasts.
However, because human trophoblast cells do not express StAR,319 other unique mechanisms may be involved in the intracellular trafficking of cholesterol within the placenta.
Recent studies317 indicate that the mitochondria of human syncytiotrophoblasts exhibit a morphology that is quite different from cytotrophoblast, adrenal, or gonadal cells.
16)334 that estrogen regulates the ontogenetic change in placental glucocorticoid metabolism.2 Fig.

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