Prenatal ultrasound diagnosis of Toriello–Carey syndrome

Toriello–Carey syndrome is a rare malformative complex, described for the first time in 1988, characterized by agenesis of the corpus callosum, facial anomalies, cardiac defects and hypotonia. Relatively few neonatal cases have been reported. We describe here the first prenatal ultrasound diagnosis of the syndrome based on the detection of agenesis of the corpus callosum and spongious cardiomyopathy in a 22-week-old fetus of a couple with positive family history. The first sib of the couple was diagnosed with Toriello–Carey syndrome at 1 year of age, and had, in addition to the typical facial anomalies not detectable by ultrasound, agenesis of the corpus callosum and the same heart lesion (spongious cardiomyopathy). This report demonstrates that prenatal diagnosis of Toriello–Carey syndrome is feasible in the second trimester of pregnancy. Copyright © 2002 John Wiley & Sons, Ltd.     

Pitfalls in molecular diagnosis in a family with severe factor VII (FVII) deficiency—misdiagnosis by direct sequence analysis using a PCR product

Molecular diagnostic tests are becoming a routine analysis in many laboratories. These modern analyses are widely used in clinical medicine, forensic, genetic and prenatal diagnosis and also in preimplantation genetic diagnosis. The accuracy of analysis is highly dependent on the success achieved in minimising genotyping errors. The pitfalls in molecular diagnostic tests can be due to a simple technique such as the polymerase chain reaction (PCR) used universally. This technique is routinely used for its apparent accuracy, but it is also a well-known source of errors. We report an error introduced during PCR reaction that leads to a wrong sequence result and consequently to a ‘false’ molecular result in a next prenatal diagnosis in a family with severe factor VII (FVII) deficiency. This error was verified using an unsuitable primer design in a rich repetitive sequence of the FVII gene that leads to a false annealing and then to a wrong molecular diagnosis. It is essential to link closely molecular data with clinical and phenotype analysis in order to avoid false-negative or false-positive results, which is of great importance to diagnosis and molecular prevention. Copyright © 2003 John Wiley & Sons, Ltd.     

Split notochord syndrome variant: prenatal findings and neonatal management

Spilt notochord syndrome is an extremely rare form of spinal dysraphism characterized by a complete cleft of the spine and a persistent communication between endoderm and ectoderm. A variant of split notochord syndrome was diagnosed in a 25-week-old fetus showing a prolapsed congenital colostomy and a spinal cystic lesion. The final diagnosis included protruding colon segment, imperforate anus with a rectourethral fistula and lipomyelomeningocele. The ultrasound features of the condition and the post-natal management are discussed. The neonate was successfully treated with a posterior sagittal anorectoplasty, while the lipomyelomeningocele was resected at a later stage. Copyright © 2005 John Wiley & Sons, Ltd.     

Deposition fluxes of PCDD/Fs in the area surrounding a steel plant in northwest Italy

The paper aims at investigating the contribution of a steel plant located in a rural area in northwestern Italy (700,000 tons of steel/year) to the deposition fluxes of Polychorinated Dibenzo-p-dioxins and Polychorinated dibenzofurans (PCDD/PCDFs) at local level through the analysis of sampling data, literature data, and air dispersion model (AERMOD)output data. Total measured deposition fluxes of PCDD/PCDFs in three monitoring stations were consistent with other studies carried out in Italy in urban and suburban areas and in rural European areas; while these were lower than those measured in other European urban/suburban areas or in sites influenced by industrial sources. Furthermore, the measured fluxes were also compared with the pattern of PCDD/Fs in ambient air sampled at the same sites in a previous study. This comparison showed a similarity between air concentration and deposition patterns of the samples collected at the three monitoring stations and a clear distinction of these from the source. The study was completed with AERMOD simulations, conducted with a mass mean particle diameter of 0.5 μm, according to the particle size distribution of the samples collected at the source. AERMOD calculated deposition fluxes of two to three orders of magnitude lower than those measured in two monitoring points; while in the most distant monitoring station, the deposition fluxes were too low to be calculated by the model. The simulations confirmed that the most distant monitoring station was not subject to emissions from the steel plant. The analysis highlighted the limited influence of the source in the local PCDD/F deposition fluxes.     

Recycling-oriented characterization of plastic frames and printed circuit boards from mobile phones by electronic and chemical imaging

This study characterizes the composition of plastic frames and printed circuit boards from end-of-life mobile phones. This knowledge may help define an optimal processing strategy for using these items as potential raw materials. Correct handling of such a waste is essential for its further “sustainable” recovery, especially to maximize the extraction of base, rare and precious metals, minimizing the environmental impact of the entire process chain. A combination of electronic and chemical imaging techniques was thus examined, applied and critically evaluated in order to optimize the processing, through the identification and the topological assessment of the materials of interest and their quantitative distribution. To reach this goal, end-of-life mobile phone derived wastes have been systematically characterized adopting both “traditional” (e.g. scanning electronic microscopy combined with microanalysis and Raman spectroscopy) and innovative (e.g. hyperspectral imaging in short wave infrared field) techniques, with reference to frames and printed circuit boards. Results showed as the combination of both the approaches (i.e. traditional and classical) could dramatically improve recycling strategies set up, as well as final products recovery.     

Forensic Evaluation of Metals (Cr,Cu, Pb,Zn), Isotopes (δ13C and δ15N), and C:N Ratios in Freshwater Sediment

A forensic approach was used to evaluate sediments from Portão Stream, including analysis of metals, carbon (C) and nitrogen (N) stable isotopes, and C:N ratios. Samples collected at various points located along the stream were tested in order to investigate a possible illegal leachate input. The studied stream is heavily impacted by sewage and industrial discharges from two cities along its course. Among the metals analyzed, chromium (Cr) was noticeably the main pollutant, showing the highest levels, above regulatory limits, downstream from some potential sources of effluents enriched with this metal. Isotope analyses revealed a general trend of depletion in the heavier isotope along the stream for C and N. The exception was one point near a hazardous waste landfill, where relatively more enriched δ¹³C and δ¹⁵N values were found. The isotope and metal analysis results indicated that this site was affected by a particular source, demonstrating the combination of these parameters could be used for the discrimination of sources in a heavily polluted stream. Nevertheless, further investigations are necessary to provide a comprehensive evaluation of the biogeochemical processes involved in the incorporation of leachate in sediments to use this analysis as evidence for the illegal leachate discharge.     

Pesticide exposure and serum organochlorine residuals among testicular cancer patients and healthy controls

The incidence of testicular cancer (TC) has been increasing worldwide during the last decades. The reasons of the increase remains unknown, but recent findings suggest that organochlorine pesticides (OPs) could influence the development of TC. A hospital-based case-control study of 50 cases and 48 controls was conducted to determine whether environmental exposure to OPs is associated with the risk of TC, and by measuring serum concentrations of OPs, including p,p'-dichlorodiphenyldichloroethylene (p,p'-DDE) isomer and hexachlorobenzene (HCB) in participants. A significant association was observed between TC and household insecticide use (odds ratio [OR] = 3.01, 95 % CI: 1.11-8.14; OR(adjusted) = 3.23, 95 % CI: 1.15-9.11). Crude and adjusted ORs for TC were also significantly associated with higher serum concentrations of total OPs (OR = 3.15, 95 % CI: 1.00-9.91; OR(adjusted) = 3.34, 95 % CI: 1.09-10.17) in cases compared with controls. These findings give additional support to the results of previous research that suggest that some environmental exposures to OPs may be implicated in the pathogenesis of TC.     

Presence of Torque Teno Virus (TTV) in Tap Water in Public Schools from Southern Brazil

Torque teno virus (TTV) was surveyed in tap water collected in schools from three municipalities located in the south of Brazil. TTV genomes were found in 11.7 % (4/34) of the samples. TTV DNA was detected in 10.5 % (2/19) of the samples collected at the city of Caxias do Sul and in 25 % (2/8) of the samples from Pelotas. Those cities have a low rate of sewage treatment. All samples from Santa Cruz do Sul, which has nearly 92 % of its sewage treated, were negative. These results suggest that the amount of sewage treated may have an effect on the detection rates of TTV DNA in drinking water in a given urban area, showing a mild negative correlation (r = ?0.76), when comparing the percentage of sewage treatment to the detection of TTV genomes. The detection rate of TTV was also compared with Escherichia coli, showing a strong correlation (r = 0.97), indicating that TTV may be a suitable marker of fecal contamination.     

Seasonal fluctuations of DDTs and PCBs in zooplankton and fish of Lake Maggiore (Northern Italy)

Concentrations of DDTs and PCBs were determined in the zooplankton and in three different fish species (shad, whitefish and roach) collected seasonally during 2009 and 2010 in three sites in Lake Maggiore, a south-alpine lake that has been contaminated by DDT since 1996. As previously observed in 2008, even during 2009 DDTs concentrations were higher in zooplankton than in fish, probably due to the very unstable situation of the lake still influenced by local inputs. The situation changed in 2010, when all DDT compounds increased in fish to levels much higher than those measured in zooplankton. Biomagnification was statistically demonstrated for pp′DDE in all the three fish species, indicating a probable signal of recovery of the lake.Although with respect to total PCBs we observed that the contamination levels varied across time periods and across fish species, biomagnification was evident from zooplankton to fish both in 2009 and in 2010. As concern individual PCBs, biomagnification from zooplankton to all three fish species was significant for PCB 153 and PCB 138.     

Socioeconomic development and vulnerability to land degradation in Italy

In recent years, the surface area affected by land degradation (LD) has significantly increased in southern European regions where the socioeconomic development has been proposed as a basic factor underlying the degree of vulnerability to LD. This paper investigates the correlation between several socioeconomic indicators and the level of vulnerability to LD in Italy, expressed as changes (1990–2000) in a composite index of land vulnerability (ΔLVI). The analysis was carried out over 784 local districts. The impact of per capita value added, agricultural intensity, industrial and tourism concentration, and urban growth was separately tested on ΔLVI. Results indicate that a lower district value added, crop intensification, irrigation, and the level of land vulnerability to degradation are strongly associated with the increasing level of land vulnerability over time, highlighting the role of the socioeconomic development as a main process underlying LD. In this framework, spatially equitable sustainable development may represent the effective strategy to mitigate the detrimental effects of economic growth and regional disparities on Mediterranean LD.