Trace level determination of perchlorate in water matrices and human urine using ESI-FAIMS-MS

High-field asymmetric waveform ion mobility spectrometry (FAIMS) separates perchlorate from interfering isobaric ions of bisulfate and dihydrogenphosphate in the gas-phase. The use of a new FAIMS prototype and waveform generator, along with the use of a mixed carrier gas, in this electrospray ionisation (ESI)-FAIMS-mass spectrometry (MS) study gave a detection limit for perchlorate in a relatively "clean" matrix of tap water of 0.050 ppb. Flow injection analysis (FIA) of dilutions of fortified waste water, a fortified river water certified reference material (CRM; SLRS-4, National Research Council of Canada), and a fortified human urine Standard Reference Material (SRM; 2381, National Institute of Standards and Technology) gave detection limits of 0.37 ppb, 0.50 ppb, and 4.8 ppb, respectively, in the undiluted matrices.     

Cystic hygroma and congenital diaphragmatic hernia: Early prenatal sonographic evaluation of Fryns' syndrome

We report a case of cystic hygroma and diffuse lymphangiectasia detected by sonogram at 12 weeks' gestation. Fetal karyotype was normal. At 20 weeks' gestation, herniation of the bowel into the chest was noted. At delivery, the infant was diagnosed as having Fryns' syndrome. This is the first reported case of Fryns' syndrome presenting with cystic hygroma.     

Amiodarone treatment in pregnancy for dilatative cardiomyopathy with ventricular malignant extrasystole and normal maternal and neonatal outcome

Amiodarone treatment in pregnancy might be difficult to handle because of the long half-life of the drug (14–28 days up to 2 months) and because it reduces maternal and neonatal thyroid activity. Although short-term use in pregnancy has been described in cases of fetal supraventricular tachycardia, there are few reports on the chronic use of the drug. In this paper we describe our experience with amiodarone treatment in two pregnant sisters with familial dilatative cardiomyopathy and ventricular malignant extrasystole. Prolonged administration of amiodarone (400–200 mg/die) since the beginning of pregnancy did not have any adverse effects; maternal and neonatal thyroid function was normal, as was the neurological and motor development of the neonates.     

On the parental origin of the X's in a prenatally diagnosed 49,XXXXX syndrome

A 49,XXXXX fetus was detected in amniotic fluid cell cultures from a 39-year-old mother. On ultrasonography, growth retardation and bilateral radioulnar synostosis were found. Additional clinical manifestations were mild facial anomalies and hypoplastic ovaries depleted of oocytes. Molecular analysis showed that this aneuploidy arose by successive maternal non-disjunction.     

Cardiotocographic and sonographic findings in two cases of antenatally diagnosed intrauterine fetal brain death

Intrauterine fetal brain death is a rare cause of a fixed fetal heart rate pattern. Seven cases have been previously reported in the literature, but only two of them were diagnosed prenatally and all the newborns died soon after delivery. Two additional cases of antepartum diagnosis of intrauterine fetal brain death, managed expectantly, are reported. We had the unique opportunity to document progressive sonographic cerebral changes during the follow-up period, following the neurological event, while the fetus continued life and growth in utero. The cardiographic and sonographic findings suggesting intrauterine fetal brain death were a prolonged fixed fetal heart rate, even following a vibroacoustic and contraction stress test; an atonic fetus without breathing and body movement; and the appearance of hydramnios and the development of ventriculomegaly.     

On Sustainable Development of Social Forestry in Bangladesh: Experiences from Sal (<Emphasis Type="Italic">Shorea Robusta</Emphasis>) Forests

Sustainability in forestry is a complex amalgam of trade-offs among its various dimensions and there is no easy route to achieve sustainable development. It is important that policy process and implementation strategy of these policies should be based on sound information about these trade-offs. There is a growing consensus amongst key forest decision-makers in Bangladesh that traditional forestry is needed to make the transition to more sustainable forestry, which is likely to involve local people in forest management. As a result, the government has initiated a social forestry program from 1981 with the assistance of the Asian Development Bank (ADB) loan and the United Nations Development Program (UNDP) grant and operated mainly in Sal forest areas. The most important objective of this program is to protect, manage, and develop forests in a sustainable way by involving local communities. Although several studies have focused on the management issues of social forestry, none of these studies has evaluated the indicators of sustainable social forestry. The purpose of this study is to evaluate the criteria of sustainable development of social forestry in Bangladesh. The study is based on primary cross-sectional data collected using the multistage stratified sampling technique. In total, 581 social forestry farmers were selected randomly and interviewed using a pre-tested questionnaire. The study evaluated some important components of sustainable development and identified the following conditions of social forestry in Bangladesh:(i) almost all the components of sustainable development of social forestry, although not at the aspiration level, were at good condition;(ii) participants were interested and committed to work with Forest Department in developing social forestry;(iii) they had been utilizing both hard and soft technology in practicing social forestry, although there exists ample scope of development;(iv) income of participants after involving in social forestry had increased, although not at satisfactory level; and(v) process of producing social and material goods had been under progress.However, there exist plenty of scopes for sustainable social forestry development through improving the sustainable development components more carefully.Readers should send their comments on this paper to: BhaskarNath@aol.com within 3 months of publication of this issue.     

Accelerating progress on salt iodisation in Sudan: time for action

This paper uses a public health approach to examine briefly: (a) the progress of universal salt iodisation (USI) in Sudan; (b) the roles of the main actors involved; and (c) the main issues around accelerating USI. The literature, especially that coming from the UN agencies, is analysed and experiences from the recently revitalised USI programme, and related relevant meetings, are distilled. In Sudan the prevalence of goitre is 22 per cent. It is assumed that productivity among the people affected is reduced by 5–25 per cent. Little apparent progress has been made with USI. The Government of Sudan, UN multilateral agencies, international consultative groups, bilateral agencies, global and national non-governmental organisations and, increasingly, the private sector must work together to find innovative approaches to increase awareness of the broader social, public health and nutritional contexts, and to advocate for increased national nd international funding.     

Antenatal ultrasonic diagnosis of dyssegmental dysplasia: A case report

Sonographic prenatal diagnosis and management of a pregnancy complicated by dys-segmental dysplasia of the Silverman-Handmaker type are presented. This is a documented case of this type of short-limbed dwarfism presenting in a family of Hispanic-American ancestry.     

First-trimester ultrasonic diagnosis of twin reversed arterial perfusion sequence

Twin reversed arterial perfusion (TRAP) syndrome sequence is a rare specific anomaly of twin gestation with fused placentae and umbilical anastomosis. This syndrome occurs once in very 35 000–48 000 births and has been described in the second trimester (23-29 weeks of gestation). We report on early sonographic diagnosis (10 and 12 weeks' gestation) of two cases of TRAP sequence, together with their umbilical cord Doppler studies.