Transverse limb reduction defects after chorion villus sampling: A retrospective Cohort study

A retrospective cohort study was performed in five Italian obstetrical centres from 1984 to 1991 in order to verify the association between chorionic villus sampling (CVS) and transverse limb reduction defects (TLRDs). TLRD rates by period of gestation at CVS were calculated, and the study's results were compared with data from the general population. Of the 3430 pregnancies for which CVS was performed, 2759 had a known outcome. The overall rate for TLRDs was 1 in 1143 CVS pregnancies, four times higher than that of the general population in Italy (1 in 4458). The rate of TLRDs was 2·9/1000 for CVS performed at 9 weeks' gestation and 1·0/1000 for CVS at 10 weeks' gestation. A scalp defect was detected in a pregnancy in which CVS was performed at 10 weeks. A high proportion of pregnancies lost to follow-up and the poor quality of the data may have affected the results. Nevertheless, our results suggest an association between CVS carried out at less than 10 weeks' gestation and TLRDs which is consistent with the findings of other studies. CVS should not be prepared at less than 10 weeks' gestation until additional evidence is obtained.     

Cardiac flow after fetal blood sampling in normally grown and growth-retarded fetuses

The objective of this study was to evaluate the effect of fetal blood sampling on cardiac flow velocity waveforms. Flow velocity waveforms were measured from the ascending aorta and pulmonary artery immediately before and after fetal blood sampling in 29 normally grown and 12 growth-retarded fetuses. The latter group was characterized by abnormal Doppler indices in the umbilical artery and middle cerebral artery suggestive of uteroplacental insufficiency as the causative factor of the impaired growth. The flow velocity parameters studied were the peak velocity, the time to peak velocity, and the left and right cardiac output and their ratio. In normally grown fetuses, the peak velocity and right and left cardiac output values increased significantly after fetal blood sampling, while no significant changes were observed in the other indices considered. The gestational age at the time of the procedure was positively related to the amplitude of these changes. In growth-retarded fetuses, fetal blood sampling did not induce any significant increase in cardiac output or peak velocities, while in more than 50 per cent of the fetuses these Doppler indices decreased. The amplitude of the decrease was significantly related to the severity of acidosis in the umbilical vein. In conclusion, the cardiac haemodynamic response to fetal blood sampling differs between normally grown and growth-retarded fetuses. This difference may explain the higher rate of complications occurring in the latter group of fetuses after blood sampling.     

First-trimester genetic diagnosis in multiple pregnancy: Principles and potential pitfalls

Both the principles of first-trimester genetic diagnosis in multiple pregnancy and the special considerations required to avoid potential diagnostic pitfalls are presented. The experience consisted of 65 cases of twins and one case of quadruplets. Dichorionic twins were recognized by sonography in 54 cases. Transabdominal aspiration was generally preferred to trans-cervical for obtaining chorionic tissue, although in two cases both approaches were used. Diagnostic error following erroneous sampling was reported in 3 out of 54 sets of dichorionic twins (5.5 per cent). When like-sex dichorionic twins cannot be differentiated by cytogenetic or DNA polymorphism studies, amniocentesis should be recommended to confirm the reliability of the result on chorionic tissue.     

Preliminary investigation on the environmental occurrence and effects of antibiotics used in aquaculture in Italy

A preliminary investigation has been carried out on the occurrence and effects of antibiotics used in Italian aquaculture with the objective of identifying priorities for monitoring programmes. According to the information available on the most pertinent and diffuse fish diseases and their related therapies, the presence of flumequine and oxytetracycline in sediments sampled from two trout farms and three sea-bass farms and in their surrounding environments was selected for an analytical investigation. The concentrations of oxytetracycline and flumequine varied up to a maximum of 246.3 and 578.8 microg/kg d.w., respectively. Flumequine was seen to have the highest toxicity in a bioluminescence assay with EC50 values varying within the range of 12-15 mg/l, while the EC50 values for oxytetracycline were within the range of 121-139 mg/l. The results of the present study indicate flumequine and oxytetracycline as priority chemicals to be monitored for possible environmental side effects of aquaculture in Italy. Apart from peak concentrations the chronic presence of flumequine and oxytetracycline in sediments both inside and outside farms should also be considered. In spite of the potential risks related to the use of antibiotics, the concentrations found in the sediments of the studied fish farms are significantly lower than those found in other areas.     

Fractal and multifractal approach to environmental pollution

A few case studies will be presented involving both radioactive and chemical pollution at small, medium, and large space-time scales. Reported are recent advances in the field of environmental pollution involving the use of fractals and multifractals. The mathematical tools proposed here may offer new perspectives for investigating many of the problems of nonlinear variability which commonly arise when dealing with pollutants, such as the presence of outliers and the sparseness of the sampling networks. They may also lead to a simplification of the models adopted for studying natural phenomena, thanks to a scaling approach. Finally, they may provide parameters whose values are directly related to the nonlinear dynamics involved in the pollutant distribution in the environment which, in turn, may be relevant for computer simulation and epidemiological or risk assessment purposes.     

Life cycle energy and CO2 emissions analysis of food packaging: an insight into the methodology from an Italian perspective

Packaging is strictly connected to environmental issues as it is a product characterised by high material consumption rate; it is often transported over long distances and has a short life. Providing environmental analysis is, therefore, urgent to identify energy and resources efficient solutions. The paper, taking advantage of a real case study, presents a life cycle-based comparative analysis among three different food packaging systems. The paper compares the life cycle of tin steel, polypropylene and glass-based packaging of an Italian preserves producer. The analysis leads to the conclusion that, for the baseline scenario, polypropylene packaging represents the greenest solution, whereas glass packaging is the worst choice. The paper presents a scenario analysis varying both the method used for accounting for recycling as well as the recycling rates of the packaging materials. Changes in overall results with parameters analysis changing are calculated and highlighted throughout the paper. The impact of a reuse policy of the glass-based solution is also analysed; a model for disposable glass packaging is proposed and the obtained results are compared with the single use polypropylene and tin steel-based packaging. In order to analyse the impact of different End of Life scenarios on the present case study, collecting as well as recycling rates of some European countries have been used. The results revealed a significant fluctuation both in energy consumption and in CO₂ emission as the nation changes. Summing up, a methodology for packaging environmental impact analysis is applied to a real case study, some crucial aspects of the methodology have been analysed in depth in order to give a contribution in packaging environmental impact analysis.