Fetal exsanguination following intrauterine angiographic assessment and selective termination of a hydrocephalic,monozygotic co-twin

Selective termination by intracardiac potassium chloride injection was performed in twins discordant for hydrocephaly at 20 weeks' gestation. Because of the potential for vascular anastomoses to exist between the twins, fetal angiography was performed prior to the selective termination procedure. Determination of vascular connections between the fetuses was hindered by fetal bradycardia following intracardiac administration of contrast material. Selective termination was performed without difficulty using intracardiac potassium chloride (KCl) to produce asystole in the twin with hydrocephaly. The unaffected fetus appeared active and had a normal heart rate during and immediately after the procedure. However, both twins were found to have died the following day. Pathologic examination documented several vascular anastomoses between the monochorionic, diamniotic fetuses. A likely cause of death was exsanguination of the normal twin into the abnormal one. This case illustrates the difficulties encountered in selective termination of monozygotic twins and, to our knowledge, represents the first reported use of intrauterine fetal angiography.     

Microphthalmia–prenatal ultrasonic diagnosis: A case report

Prenatal real-time ultrasonographic diagnosis of microphthalmia is presented. Diagnosis was made at 18 weeks' gestation in a fetus of a patient with a previous infant affected with the syndrome of cryptophthalmia with absence of septum nasi and ambiguous genitalia (Fraser syndrome). Recognition of microphthalmia as a part of Fraser syndrome and the easy visualization of fetal facial bones and orbits in the second trimester made the diagnosis possible.     

Egyptian blue — Cuprorivaite a window to ancient Egyptian technology

Egyptian Blue, a multicomponent synthetic blue pigment has been recorded in ancient Egypt since the Fourth Dynasty of the Old Kingdom (2600–2480 B.C.). The pigment consisting of cuprorivaite (CaCuSi₄O₁₀) with variable amounts of wollastonite (CaSiO₃), Cu-rich glass and cuprite (Cu₃O) or tenorite (CuO) was prepared by melting the copper-rich ingredient with lime and desert sand. Low melting temperatures (below 742 °C) were achieved by addition of flux-like plant ashes. The high quality of the pigments collected from monuments of the Fifth Dynasty (2480–2320 B.C.) may indicate that the first manufacture was in early dynastic or perhaps predynastic eras. During the reign of Thutmosis III (18th Dynasty, 1490–1436 B.C.) probably bronze filings were first applied as starting material, thus indicating a technological innovation. This new method was employed till the Roman times.     

Antenatal diagnosis and palliative treatment of non-immune hydrops fetalis secondary to fetal parvovirus B19 infection

Hydrops fetalis was diagnosed at 22 weeks. An ultrasound examination demonstrated cardiomegaly and a fetal blood specimen obtained by cordocentesis revealed thrombocytopenia, anaemia, and neutropenia. Fetal paracentesis yielded straw-coloured fluid with electrolytes indicative of a transudate. Non-enveloped icosahedral viral particles approximately 23 mm in diameter were visualized in the ascitic fluid by electron microscopy. Immune electron microscopy confirmed human parvovirus B19. Direct fetal digitalization led to a reduction in umbilical artery resistance, a decline in the abdominal circumference from 20·3 to 17·8 cm, and resolution of the ascites within 72 h. Despite this dramatic response to therapy, fetal death occurred on day 5 of treatment. The initial maternal serum was positive for anti-B19 IgM and IgG antibodies. Electron microscopy of fetal cardiac tissue obtained post-mortem revealed intranuclear viral particles typical of B19, confirming the antenatal diagnosis of myocarditis. This case demonstrates that direct viral identification is applicable to prenatal diagnosis. To our knowledge, this is the first reported case of the antenatal diagnosis and palliative treatment of fetal viral infection.     

A comprehensive method for aeolian particle granulometry and micromorphology analyses

The aim of this study was to use a new approach to investigate aeolian particle granulometry and micromorphology. Taking total aeolian deposition into account, we used parameters such as, particle area, perimeter, shape analysis for particle roughness (area/perimeter) and elongation (long/short axis). These parameters were analyzed on temporal and spatial scales at four study sites in the eastern Negev Desert, Israel. The total collection of particles was sorted into three size groups based on particle area to facilitate comparison. The classic definition of particle size (equating particle length with particle diameter) produced relatively small variations among the three size classes (25-38.6%). Our proposed comprehensive method demonstrated significant variation among the three size classes (13.9-60.8%), e.g. the classic method placed 36.4% of the particles in size class two while the new method placed 60.8% of the particles in this size class; the differences were even more significant regarding size class 3 (38.6% vs. 13.9%, respectively). The classic method did not facilitate investigation of particle roughness and elongation. With this new approach, it was possible to clearly define the particles by size class, based on these characteristics. With roughness, the variation among size classes 2 and 3 was about 27%. With elongation, the variation among size classes two and three was about 21%. Applying similar investigation method to study the aeolian particle granulometry and micromorphology can better facilitate more detailed calculation of particle size distribution, roughness and elongation.     

A Study of the PSD Permitting Process in EPA Region X

An analysis was made of 49 applications for PSD permits in EPA Region X. Factors studied included the time needed to secure a permit, the regulation which determined the permit (BACT, NSPS, the PSD increment state regulation) and differences in suggested control techniques between EPA and the applicant. These factors were correlated with the category of industry applying for the permit and potential, reduction in air contamination.     

Prenatal diagnosis of 5p deletion syndrome following abnormally low maternal serum human chorionic gonadotrophin

Prenatal diagnosis of 5p deletion syndrome, or cri du chat, following an abnormally low measurement of a screening of serum human chorionic gonadotrophin (hCG), is reported. Karyotyping following amniocentesis revealed a terminal deletion in the short arm of one chromosome 5. The pregnancy was electively terminated. 5p deletion syndrome has been described with abnormally high hCG levels and normal hCG levels. This is the first report of its association with abnormally low levels. The association between chromosomal abnormalities and hCG is discussed. Copyright © 2003 John Wiley & Sons, Ltd.