P Johnson's research while affiliated with Imperial College London and other places

Publications (6)

Article
To examine longitudinal changes in middle cerebral artery blood flow assessed by Doppler in severely growth restricted fetuses. Eighteen structurally normal singleton pregnancies complicated by suspected intrauterine growth restriction were monitored by serial measurement of the pulsatility index of the middle cerebral artery over 7 to 72 days. Out...
Article
To obtain normal values for intracardiac pressures in the human fetus. Intracardiac pressures were measured directly in the four chambers of the human fetal heart during clinically indicated invasive obstetric procedures. Department of fetal medicine in a tertiary referral centre. 39 fetuses between 16 and 29 weeks of gestation. The ventricular wav...
Article
OBJECTIVE—To obtain normal values for intracardiac pressures in the human fetus. DESIGN—Intracardiac pressures were measured directly in the four chambers of the human fetal heart during clinically indicated invasive obstetric procedures. SETTING—Department of fetal medicine in a tertiary referral centre. PATIENTS—39 fetuses between 16 and 29 weeks...
Article
Trisomy 16 is frequently found confined to the placenta (confined placental mosaicism (CPM)), with a structurally normal fetus. In some cases of trisomy 16, the fetus has uniparental disomy for chromosome 16 (UPD16) which is associated with intrauterine growth restriction (IUGR) and fetal anomalies. We report a case of apparent confined placental m...
Article
To construct a reference range for fetal penile length. The length of the penis was measured during ultrasound assessment of 95 structurally normal male fetuses of gestational ages 16-38 weeks. Two fetuses with bladder outflow obstruction were also examined. Fetal penile length increases significantly with gestational age, from a mean value of 6.0...
Article
In man high levels of aneuploidy are seen in spontaneous abortions. Very few autosomal trisomies survive to birth, the three most common being those for chromosome 13, 18 and 21 giving rise to the syndromes named Patau, Edwards and Down respectively. Since the majority of these spontaneously abort, what makes the survivors different from the aborte...

Citations

... net), an electrical circuit simulator. It is illustrated in Fig. 2 (Pennati et al. 1997;Pennati and Fumero 2000), but we recalibrated it such that our FE and lumped parameter modeling for fetal Case 1 (32 WG) will match more recent invasive human fetal LV pressure measurements (Johnson et al. 2000), and descending aorta pulse pressure data (Versmold et al. 1981). The recalibration was achieved by scaling all resistances with a resistance scale factor, and all compliances with a compliance scale factor. ...
... Over 60% of first trimester miscarriages have an abnormal karyotype involving autosomal aneuploidies, thereby indicating aneuploidy as the major reason for pregnancy loss. 1 Although high levels of aneuploidy are seen in human spontaneous abortions, very few autosomal aneuploidies in the form of trisomies survive to birth. Autosomal trisomy refers to a condition where there is an extra copy of a particular autosome in the karyotype, resulting in three copies instead of the normal two copies. ...
... 21 who proposed a methodology for allometric scaling of the lumped parameter from 38 weeks gestational age (GA) to other GA, as briefly explained in supplementary section S1 (which includes Table S1). However, we recalibrated it to fit more recent human fetal clinical measurements, 10,34 in contrast to some of its original fit to fetal lamb measurements. To do this, all resistances were scaled by an age-dependent factor, while all compliances were scaled by another. ...
... From the eighth week onward, male and female developmental pathways diverge. In males, maternal chorionic gonadotropins from the placenta stimulate growth and development of the testicular Leydig cells, which eventually produce their own testosterone for further development (3). The development of the external genitalia in males is dependent on the conversion of testosterone to the active component dihydrotestosterone (DHT). ...
Citing article
... Birth weight less than the third percentile on a population-based or customized growth chart (86%) or at least 3 out of 5 of the following: Birthweight <10 th percentile on population-based (78%) or customized growth charts (94%) Head circumference <10 th percentile (82%) Length <10 th percentile (82%) Prenatal diagnosis of fetal growth restriction (88%) Maternal pregnancy information (e.g., hypertension or pre-eclampsia) (75%) relatively normal head size in a fetus that is otherwise growth restricted. [34][35][36][37] Typically, in the early placental insufficiency syndrome, fetuses are easily diagnosed because of their extreme phenotype. However, therapeutic options are limited as the "maturation vs. nutrition/oxygenation balance" is skewed towards the need for maturation. ...