Lower fetal fraction in clinical cell-free DNA screening results is associated with increased risk of hypertensive disorders of pregnancy.

OBJECTIVE: To evaluate if fetal fraction (FF) reported on cell-free DNA (cfDNA) screening is a marker for adverse obstetric outcomes. METHODS: We retrospectively reviewed medical records from a cohort of women with singleton pregnancies who had cfDNA screening. We evaluated if reported FF could predict the following pregnancy complications: hypertensive disorders of pregnancy (HDP), fetal growth restriction, preterm delivery, gestational diabetes mellitus, or a composite maternal morbidity, defined as the presence of at least one of these outcomes. RESULTS: Receiver operating curve analysis was performed on FF from 534 women to define the FF that differentiated a low FF group (<10%; N = 259) and a high FF group (≥10%; N = 275). Hypertensive disorders of pregnancy were more common for women in the low FF group (32.0% vs. 11.6% and p < 0.001), who had a two-fold odds of developing HDP (p = 0.006). Composite maternal morbidity was also more common for women in the low FF group (51.4% vs. 30.2% and p < 0.001), who had a 1.7-fold odds of developing any of the adverse obstetrical outcomes (p = 0.014). CONCLUSION: We found that low FF on cfDNA screening is associated with an increased risk of HDP. Fetal fraction reported that cfDNA screening reports have potential as a predictive marker for the development of HDP and adverse outcomes.

Multisensory perceptual interactions between higher-order temporal frequency signals.

Naturally occurring signals in audition and touch can be complex and marked by temporal variations in frequency and amplitude. Auditory frequency sweep processing has been studied extensively; however, much less is known about sweep processing in touch because studies have primarily focused on the perception of simple sinusoidal vibrations. Given the extensive interactions between audition and touch in the frequency processing of pure tone signals, we reasoned that these senses might also interact in the processing of higher-order frequency representations like sweeps. In a series of psychophysical experiments, we characterized the influence of auditory distractors on the ability of participants to discriminate tactile frequency sweeps. Auditory frequency sweeps systematically biased the tactile perception of sweep direction. Importantly, auditory cues exerted little influence on tactile sweep direction perception when the sounds and vibrations occupied different absolute frequency ranges or when the sounds consisted of intensity sweeps. Thus, audition and touch interact in frequency sweep perception in a frequency- and feature-specific manner. Our results demonstrate that audio-tactile interactions are not constrained to the processing of simple sinusoids. Because higher-order frequency representations may be synthesized from simpler representations, our findings imply that multisensory interactions in the temporal frequency domain span multiple hierarchical levels in sensory processing. (PsycINFO Database Record (c) 2019 APA, all rights reserved).