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.     

The Formation of Mg3Ca(S04)4 during the Sulfation Reaction of Dolomite

Abstract

Inspection and maintenance programs for motor vehicles in the United States increasingly use loaded mode mass emissions testing (IM240). A method was developed to predict mass emission rates and mass emission changes, particularly from repair benefits, using a low-cost, portable four-gas non-dispersive infrared (NDIR) vehicle exhaust gas analyzer. A single vehicle was tested several times with the analyzer while on the dynamometer and undergoing successive repairs. Excellent correlations for CO and HC were observed. Five vehicles were measured using an on-road driving loop before and after emissions-related repairs, while another three vehicles were tested with no repairs performed. The on-road concentration data used to guide the repair process were converted to grams per gallon; when divided by estimated miles per gallon, this gave grams per mile emissions for comparison to IM240. Correlation coefficients (r²) of 0.87 for CO and 0.76 for HC were achieved for the 13 tests. The linear correlations between IM240 and emissions measured by this method would allow repair facilities to perform a relatively inexpensive test for diagnostic purposes and to estimate repair effectiveness without the need for a dynamometer.     

An Overview of EPA’s Quality Assurance Program

Quality Assurance has been defined in many different ways to express concern for the “quality” of the output of some operation or function. For the purpose of this presentation, quality assurance is defined as the sum of those activities within an environmental monitoring or measurement program which are primarily for the purpose of documenting the precision, accuracy, representativeness, and completeness of the data that are produced. Further, we view quality assurance as a management tool which encompasses both administrative and technical functions which generally fall into three categories: (1) Prevention which includes those activities carried out prior to the proper placement and operation of the measurement system; (2) Evaluation which includes the continuous overview and checks on the performance of the systems and operators; and (3) Correction which includes changes made to improve or stabilize the capability and performance of the system.     

Field studies of ethoprop movement and degradation in two Florida soils

Unsaturated- and saturated-zone field studies were conducted under two different agricultural conditions in Florida, U.S.A., to measure the movement and degradation of ethoprop.When ethoprop was applied to a sand soil in an orange grove located on the Florida central ridge, soil residues declined with a half-life of 13 days to near the limit of detection (0.01 μg g⁻¹ within 2 months. Ethoprop residues were generally contained in the upper 2 m of soil. Although low levels of ethoprop were found in four groundwater samples within the first 3 months after application, the cause of these isolated and transient residues could not be determined. The data show that there was no widespread plume of ethoprop residues beneath or downgradient from the treated area.On a flatwood soil on the west coast of Florida, ethoprop was incorporated into raised beds and protected by a plastic mulch in which tomatoes were grown. When the plastic mulch was present, ethoprop soil residues declined with a half-life of 40 days and were confined to the upper 0.3 m of soil. After the mulch was removed at crop harvest, the remaining ethoprop dissipated with a half-life of 12 days. Groundwater residues in excess of 1 μg L⁻¹ were confined to a single sample collected after the well had been damaged during a rototilling operation. Resides of < 1 μg L⁻¹ were present in three later samples from this well. At the sampling interval where the highest residues were detected in the damaged well, ethoprop residues of < 1 μg L⁻¹ were also found in three other wells but no residues were detected in these wells in later samples.     

WATER YIELD AUGMENTATION THROUGH FOREST AND RANGE MANAGEMENT - ISSUES FOR THE FUTURE1

The demand for more water is increasing throughout the country. Research on upland watersheds clearly demonstrates that water yield can be increased using forest and range management practices. Based on the experience of the past several decades and a review of six papers in a recent AWRA series on water yield augmentation through vegetation management, the following issues and concerns are discussed: predicting increased yields from large basins; economic evaluation of additional flows; court acceptance and need for system models; the legal question of ownership and transferability of increased yields; and management emphasis on private and federal lands. The immediate potential for water yield augmentation is on carefully selected watersheds that have the bio-physical potential to produce high value water under environmentally acceptable multiple use management. We predict water yield management on a broader scale will result from increased pressures to solve the legal and economic issues involved.     

HEAVY RAINSTORMS IN CHICAGO: INCREASING FREQUENCY,ALTERED IMPACTS,AND FUTURE IMPLICATIONS1

ABSTRACT: Operations of a dense raingage network in the Chicago area since 1989 provided data to assess the temporal and spatial distributions of heavy rainstorms. The 12‐year average was 4.4 storms per year, 40 percent more than in the 1948 to 1980 period, reflecting an ongoing Midwestern increase in heavy rains. The total rainfall from the 53 heavy rainstorms maximized over the city, reflecting previous observations that the influence of the city and Lake Michigan on the atmosphere causes an increase in heavy rains. Impacts from the record high number of eight storms in 2001 revealed that efforts to control flooding including the Deep Tunnel system, had reduced street and basement flooding in the moderate intensity storms, but the two most intense storms, each with 100‐year rainfall values, led to excessive flooding and a need to release flood waters into Lake Michigan. Results suggest continuing increases in the number of heavy rainstorms in future years, which has major implications for water managers in Chicago and elsewhere.     

Implications of fluoride--an endless uncertainty

Fluorosis has become pandemic and it has assumed global status in the public health point of view. The paper deals with the health issues pertaining to fluorosis with special emphasis in the Indian context. It explains the equivocal evidences of fluoride-related problems and discusses the control measures of fluorosis. In general, it reveals how fluoride is useful at very low concentrations and at the same time brings forth manifestation of clinical abnormalities at higher concentrations that are the basis of the principles of toxicology.     

Remediation with cyclodextrin: Recovery of the remedial agent by membrane filtration

Cyclodextrin‐enhanced flushing of contaminants from the subsurface is a promising innovative remediation technology. It will become more economically viable at more sites if methods can be developed to recover and reconcentrate the cyclodextrin solution after it has been flushed through an aquifer. The goal of this study was to determine if membrane technology is capable of meeting that need. Five membranes with different material properties were tested for this purpose in the laboratory. The results of these tests indicate that there are large differences both in the efficiency of these membranes to extract hydroxpropyl‐β‐cyclodextrin (HPCD) and their stability when exposed to trichloroethylene (TCE) at concentrations near aqueous solubility. Not only does the molecular weigh cutoff (MWCO) of a membrane determine if HPCD can be retained, but crucial selection criteria are the membrane's resistance and compatibility with TCE. Of the five membrane materials tested, only two (polymer composite membrane and polysulfone) met both these requirements. The polymer composite membrane (MPF‐44) showed reliable and stable HPCD recoveries (>95 percent) even when exposed to high TCE concentrations. The polysulfone membrane showed high HPCD recoveries, 88.5 ± 0.4 percent to 97 percent ±1 percent for ultrafiltration and nanofiltration membranes, respectively. However, membrane swelling and deterioration became a problem at high TCE concentrations (>1,000 mg/L). These problems diminished when the TCE concentration was less than 1 mg/L. Field tests demonstrated that batch mode treatment by ultrafiltration doubled the cyclodextrin concentration from 5 to 10 percent within three hours at a constant operating pressure of 13 psi. Under continuous single‐pass treatment conditions, cyclodextrin concentration also increased, although the rate of increase was much smaller than in batch mode. Overall, these tests showed that cyclodextrin recovery is possible under field conditions. © 2007 Wiley Periodicals, Inc.