Prenatal diagnosis of Apert syndrome: report of two cases

Two de novo cases with Apert Syndrome detected prenatally are presented herein. In the first, fetal ultrasound findings of syndactyly of the hands, craniosynostosis and proptosis resulted in a prenatal diagnosis in the nineteenth week of gestation. This is the earliest prenatal diagnosis of this syndrome in a not-at-risk case. Following counseling, this pregnancy was terminated and subsequent pathological examination and DNA analysis confirmed the diagnosis of Apert Syndrome and coarctation of the aorta. In the second case, fetal ultrasound at 21 weeks' gestation revealed a hypoplastic left heart and clover-leaf skull. Following counseling, this pregnancy was also terminated. Further examination of the fetus and DNA analysis led to a diagnosis of Apert Syndrome. These cases emphasize the need to complete a thorough fetal ultrasound in cases with potentially lethal cardiac abnormality and the importance of incorporating a fetal pathologist, as well as a medical geneticist, in the investigations performed after delivery or pregnancy termination when a fetal abnormality is detected on ultrasound. Copyright © 2003 John Wiley & Sons, Ltd.     

Changes in fetal heart rate pattern after intrauterine paracentesis in one twin with meconium peritonitis

We report a case of in utero paracentesis of ascites in a fetus with meconium peritonitis due to volvulus at 34 weeks which resulted in the correction of an abnormal fetal heart rate pattern and enabled vaginal delivery by preventing abdominal dystocia. The intrauterine intervention also helped to establish the diagnosis and potentially reduced the respiratory compromise after birth. Copyright © 2001 John Wiley & Sons, Ltd.     

Coping with riverbank erosion hazard and displacement in bangladesh: survival strategies and adjustments

As a deltaic plain, Bangladesh annually experiences riverbank erosion hazard due to sudden and rapid channel shifting, particularly in the major floodplain areas of the country. Consequently, valuable cultivable land is lost; also village settlements, markets and towns are destroyed, displacing tens of thousands of people. This paper examines the magnitude of river channel migration and encroachment on land, and the nature of human adjustment systems in the Brahmaputra–Jamuna floodplain, by investigating aspects of the social and cultural dynamics of resettlement of the displaced people. Some policy measures are recommended to improve the ability of the people in the floodplain to cope with these hazards.     

Statistical analyses of regional surface water quality in southeastern Ontario

Historical records from Ontario's Provincial Water Quality Monitoring Network (PWQMN) for rivers and streams were analyzed to assess the feasibility of mapping regional water quality patterns in southeastern Ontario which spans two major geologic zones, the Precambrian Shield and the St. Lawrence Lowlands, thus serving as a paradigm for much of Ontario. Despite biases toward the populated Lowlands and associated pollution problems, general spatial trends are evident via the analysis of intervariable relations, individual parameter maps and multivariate analysis. Using a robust algorithm designed to identify outliers and abstract underlying bivariate relations, a linear regional hardness-alkalinity relation was derived, where most anomalies proved to be mine drainage impacted sites. Regionally, multivariate ordination reveals that central tendencies of common indicators of ionic strength and nutrient richness correlate positively and that site clusters broadly reflect the transition from oligotrophic Shield waters to eutrophic conditions of heavily agricultural Lowland streams. Results suggest that on the Shield more precisely delineated aquatic regions may be realized by applying GIS to integrate river and synoptic lake survey data. Further synthesis with bedrock and surficial geology, physiography, pedology and other temporally invariant spatial attributes should yield regional patterns of background quality from which locally attainable water objectives might be defined. Additional synoptic surveys of sedimentary Lowland streams may be required as most available sites relflect anthropogenic pollution.     

Young northern pike,yellow perch and crayfish as bioindicators in a mercury contaminated watercourse

Young-of-the-year and yearling northern pike (Esox lucius), yearling yellow perch (Perca flavescens) and adult crayfish (Orconectes virilis) were collected in the mercury-contaminated Wabigoon/English/Winnipeg River System, Ontario, and analyzed for total mercury. Analysis of mercury concentrations in these organisms produced consistent geographical trends; i.e. mercury concentrations in biota downstream of Dryden > English River system > Winnipeg River system > control sites. In the Wabigoon River system the bioavailability of mercury increases with distance downstream of the historical point source. Mercury concentrations in the biota studied were highly correlated with mercury concentrations in fish species which are of sport and commercial interest. The locations where young fish obtain their bodyburdens are known typically within 100 m. The biota studied compare favourably with the criteria proposed by Phillips (1980) as prerequisites for biological indicators. The wide distribution of young pike, perch and crayfish in North America, Europe and Asia may enhance their appeal as biomonitors.The views expressed are those of the authors and do not necessarily reflect the views of the Ontario Ministry of the Environment. No endorsement should be inferred.     

Robust graphical methods for diagnosing trend in irregularly spaced water quality time series

Graphical methods can play an important role in the reliable assessment of trends in typically ill behaved river quality data series both as diagnostic tools and as visual corroborative evidence when assumptions required for formal statistical tests are not met. Robust, graphically-oriented trend diagnosis procedures are presented for data series characterized by nonnormal populations, uneven time spacing, nonmonotonic trend and other factors which can create serious problems for standard parametric time series methods. Cleveland's robust locally weighted regression (RLWR) developed for investigating nonlinearity in x-y scatterplots is adapted as a robust/resistant smoothing filter for the analysis of irregular time series comprising quantitative observations. Low powered RLWR trend lines reveal temporally local phenomena, e.g. abrupt jumps (often associated with point source impacts) and periodicities, while higher powered RLWR yields smooth lines characterizing medium and longer term trends. Simple variants of Tukey smoothing concepts are developed for series with censored observations. Applications to Ontario river quality series reveal that graphical evidence is frequently sufficient to obviate the need for formal trend testing. The methods are generally applicable to most time series.     

The interaction between physical and social-psychological factors in indoor environmental health

Indoor environmental health is now recognized as an important factor in preventing respiratory health problems in the United States. It is also a concern in Canada due to the amount of time that Canadians spend indoors because of cold weather and the potential for increased time indoors during the summer if theclimate warms. The negative health effects are often labeled assick building syndrome, but diagnosing a building or itsoccupants as sick is complicated by the variety of symptoms, thepresence of chronic versus acute symptoms and social andpsychological (socio-psychological) factors that may reduce theeffectiveness of an engineering solution. As a case study, thecontribution of various factors to indoor environmental health,in three buildings at the University of Toronto, was examinedusing five different methods. The results indicate that theinhabitants of the buildings consider features other than airquality in considering building health such as design,maintenance, funding cuts and socio-psychological factors.     

MERCURY EMISSION INVENTORY IN ONTARIO

Mercury is released to the environment from various anthropogenic and natural sources. This work is a compilation of mercury emissions from anthropogenic sources in Ontario, Canada. The goal of our study was to identify all sources of mercury, and develop an emission inventory of anthropogenic mercury in Ontario. The result of our investigation revealed that combustion of fossil fuels and emissions from landfill sites are two primary sources of mercury to the atmosphere. Other sources of significance are emissions from waste incinerators, various industrial activities, and cement production. Total mercury emission in Ontario is estimated as 4100 kg per year.     

Overestimates of black carbon in soils and sediments

Several recent reports suggest that black carbon (BC), which broadly encompasses charcoal, soot, and other forms of pyrogenic carbon, may constitute a significant proportion of the refractory carbon in soil and sedimentary organic matter. BC is a sink for biospheric and atmospheric carbon dioxide, and is intimately tied to the biogeochemical cycling of both carbon and oxygen through its role in organic matter cycling. Additionally, BC may represent a large fraction of the missing carbon sink in global carbon accounting. Here, we demonstrate that documented measurements of BC may be the result of methodological artifacts, which inadvertently overestimate the amount of BC. We found that a widely used thermal oxidative method can create a residue that falls under the operational definition of BC in samples that are relatively BC-free. Moreover, during this procedure, labile organic matter constituents are condensed into pyrogenic carbon, implying that the labile components are present in lesser quantities. These methodological deficiencies are promoting overestimates in the amount of refractory carbon in soil and sedimentary organic matter and may endorse inaccuracies in the rates of carbon fluxes, the mean residence times of terrestrial carbon, and organic matter burial rates in oceanic environments.