Fetal and neonatal alloimmune thrombocytopenia: prenatal interventions

Fetal and neonatal alloimmune thrombocytopenia (FNAIT) is a potentially devastating condition, which may lead to intracranial haemorrhage (ICH) in the fetus or neonate, often with death or major neurological damage as consequence. In the absence of screening, preventive measures are only possible in the next pregnancy of women with an affected child. Controversy exists on the best intervention to minimise the risk of ICH. Most centres have abandoned treatment with serial fetal blood sampling (FBS) and platelet transfusions, because of a high rate of complications and the availability of quite effective non-invasive alternatives. In pregnancies with FNAIT and a previous affected child without ICH, weekly intravenous administration of immunoglobulins to the mother appears close to 100% effective to prevent fetal or neonatal ICH. Some centres add prednisone; this combination leads to slightly higher platelet counts at birth. In pregnant women with a previous child with ICH, the recurrence risk seems particularly high, and more aggressive maternal medical treatment is recommended, starting earlier with immunoglobulins. Whether a higher intravenous immunoglobulin dose or the addition of prednisone is really necessary is unclear. What does seem to be clear is that the use of FBS should be minimised, possibly even abandoned completely. Copyright © 2011 John Wiley & Sons, Ltd.     

Potentially Allergenic Airborne Particles in the Vicinity of a Yeast and Penicillin Production Plant

Potential health risks of exposure to emissions of a yeast and penicillin production plant were investigated by measuring viable particles and protein contents of particles in ambient air. The results showed a clear decrease of the downwind number of yeast colonyforming units with increasing distance from the source. Upwind the number of yeast colony-forming units was zero. Identification showed that nearly all yeast were of the species Saccharomlces cerevisiae. Such a trend could not be found for the total number of colony-forming units (yeasts, molds, and bacteria) although the upwind concentration was slightly lower than the downwind concentration. The downwind protein concentration was significantly elevated compared to the upwind concentration.     

Seasonal variations in sugar contents and microbial community in a ryegrass soil

The relationship among sugar concentrations, microbial community and physical variables (precipitation and soil temperature) was investigated in a ryegrass soil from January 2004 to January 2005. Mono- and disaccharide sugars were extracted using a mixture of dichloromethane and methanol and analyzed as their TMS derivatives by GC-MS. Changes in microbial community were assessed using phospholipid and neutral lipid fatty acids (PLFA and NLFA, respectively) analysis. The results of a one-year study showed that the seasonal variability of sugar contents found in the soil samples is mainly related to biomass or nutritional status of the fungal community. The increase in sucrose and fructose exudation by plant roots in the beginning of the growing season (early spring) may be responsible for the highest fungal biomass amount (PLFAs) observed in this study. Fungal storage lipid abundances (NLFAs) peaked in summer, during the same period that the highest concentrations of mannitol and trehalose were detected. This is consistent with these two sugars being stress-induced fungal metabolites, produced due to the low soil moisture observed during this season. In contrast, bacterial community growth seems to be more dependent on plant substrate than on physical variables, since the strongest decrease in bacterial biomass amounts (PLFAs) was found after cutting of the ryegrass field in early July.     

Long-term neurodevelopmental and cardiovascular outcome after intrauterine transfusions for fetal anaemia: a review

Perinatal survival rates after intrauterine transfusions (IUT) for red cell alloimmunisation now exceed 90%, which demonstrates the safety and efficacy of one of the most successful procedures in fetal therapy. However, improved perinatal survival could lead to an increased number of children with long-term disabilities. The importance of long-term follow-up studies in fetal therapy lies in both the necessity of evaluation of antenatal management as well as in evidence-based preconceptional and prenatal counselling. This review describes the possible long-term cardiovascular and neurodevelopmental sequelae after IUT treatment for different indications including red cell alloimmunisation, parvovirus B19 infection, fetomaternal haemorrhage and twin anaemia-polycythaemia sequence. © 2013 John Wiley & Sons, Ltd.     

The voluntary approach to externality problems: A survey of the critics

The literature critical of the Coase Theorem is synthesized. One conclusion is that bilateral bargaining in a voluntary, frictionless setting results in optimality only by accident, if at all. This is because of the problem of threats and the problem of small numbers bargaining behavior (it is not marginal). The second conclusion is that the placement of liability in general affects the allocation of resources. The exception is when there are no income effects, no transactions costs, and no nonseparabilities. But the existence of externalities implies transaction costs are high, which in turn implies that liability matters.     

Sustainable Water Purification and Energy Generation Over Crystalline Chitosan Grafted Polyaniline Composite

Journal of Polymers and the Environment - The present research demonstrates the design and development of a dual-compartment water purification proto-plant for microbial degradation of organic...