Managing twins discordant for fetal anomaly

An excess of structural anomalies is observed in twins compared to singletons. Approximately 1–2% of twin pregnancies may face the dilemma of expectant management versus selective termination following diagnosis of an anomaly affecting only one fetus. If the option of selective fetocide is considered, the main variable determining the technique to achieve this aim is chorionicity. In a dichorionic pregnancy, passage of substances from one twin into the circulation of the co-twin is unlikely due to the lack of placental anastomoses, hence KCl can be injected safely into the circulation of the affected twin to produce fetal asystole. In monochorionic twin pregnancies, selective termination needs to be performed by ensuring complete and permanent occlusion of both the arterial and venous flows in the umbilical cord of the affected twin, in order to avoid acute haemorrhage from the co-twin into the dying fetus, which may lead to death or organ damage. Bipolar cord coagulation under ultrasound guidance is associated with approximately 70–80% survival rates. Copyright © 2005 John Wiley & Sons, Ltd.     

Determination of selected microbial volatile organic compounds by diffusive sampling and dual-column capillary GC-FID--a new feasible approach for the detection of an exposure to indoor mould fungi?

A new, analytically valid procedure is described to assess the exposure of human beings to the so-called microbial volatile organic compounds (MVOCs) in air. The method can be used routinely for large sample numbers and is especially valuable as a basis for further research on the correlation between single MVOCs and indoor mould growth. The procedure is based on the fact that fungi produce a variety of volatile organic compounds, such as 3-methylbutan-1-ol, 3-methylbutan-2-ol, fenchone, heptan-2-one, hexan-2-one, octan-3-one, octan-3-ol, pentan-2-ol, alpha-terpineol, and thujopsene, which they emit into the indoor environment. Using diffusive samplers, these MVOCs are adsorbed onto charcoal during a sampling interval of four weeks. The described method is thus superior to existing methods which use short-term active sampling. After desorption with carbon disulfide, the MVOCs were determined by dual-column gas chromatography with flame ionization detection using the large-volume injection technique for sample introduction. The detection limits ranged between 0.15 and 0.53 microgram m-3, within-series precision was found to range between 6.5 and 19.0%, and recovery was between 77 and 118%. The procedure has been successfully applied in the context of a large field study to measure the indoor MVOC exposure in children's rooms of 132 dwellings. The objective of the study was to examine the relation between indoor mould growth, the indoor MVOC exposure and the prevalence of adverse health effects. Information about mould formation has been obtained by a questionnaire and by the determination of colony forming units of mould fungi in mattress dust. With the exception of 3-methylbutan-2-ol, fenchone, nonan-2-one, octan-2-one, and thujopsene, indoor air concentrations of all MVOCs under investigation were significantly higher inside damp and mouldy dwellings. From the primary MVOCs under investigation, 3-methylbutan-1-ol, hexan-2-one, heptan-2-one, and octan-3-ol were found to be most reliable indicators for mould formation. A correlation was also found between selected MVOCs and the occurrence of mould species in mattress dust. Aspergillus sp. correlated with heptan-2-one, hexan-2-one, octan-3-ol, octan-3-one, and alpha-terpineol, while the occurrence of Eurotium sp. was correlated with higher indoor air concentrations of 3-methylbutan-1-ol, 3-methylbutan-2-ol, heptan-2-one, hexan-2-one, octan-3-ol, and thujopsene. Children living in dwellings with elevated MVOC levels had a higher prevalence of asthma, hay fever, wheezing, and irritations of the eyes. These positive associations persisted after controlling for confounding factors such as age, sex, body-mass index, number of siblings, social status, passive smoking, type of heating, and ventilation habits. However, they were not statistically significant. This lack of significance may be a result of the small number of investigated samples.     

Computer software tool REALM for sustainable water allocation and management

REALM (REsource ALlocation Model) is a generalised computer simulation package that models harvesting and bulk distribution of water resources within a water supply system. It is a modeling tool, which can be applied to develop specific water allocation models. Like other water resource simulation software tools, REALM uses mass-balance accounting at nodes, while the movement of water within carriers is subject to capacity constraints. It uses a fast network linear programming algorithm to optimise the water allocation within the network during each simulation time step, in accordance with user-defined operating rules. This paper describes the main features of REALM and provides potential users with an appreciation of its capabilities. In particular, it describes two case studies covering major urban and rural water supply systems. These case studies illustrate REALM's capabilities in the use of stochastically generated data in water supply planning and management, modelling of environmental flows, and assessing security of supply issues.     

WELFARE IMPLICATIONS OF TUBEWELL IRRIGATION IN BANGLADESH1

ABSTRACT: This paper investigates and estimates the welfare loss due to monopoly in tubewell irrigation water market in Bangladesh. In this context, an attempt has been made to evaluate the efficacy of the landless irrigation groups. Using cross-sectional data and regression analysis, cost and demand functions for irrigation water are estimated. The study demonstrates the relatively superior performance of the landless groups in terms of economic efficiency in shallow tubewell irrigation operation, in comparison to irrigation operation by the landowners.     

Methane in ocean waters: Concentration and carbon isotope variability at East Pacific Rise and in the Arabian Sea

Methane concentrations and stable carbon isotope ratios of water samples from the East Pacific Rise (EPR) at 21°S and the Arabian Sea (24°N, 65°E) have been determined. EPR surface water is in equilibrium (ca. 50 nl/L and –50<¹³CH₄<–46) with atmospheric methane. Deep background water has the signature of the remaining fraction of atmospheric methane partially oxidized in the water column by bacteria. Bottom near, hydrothermally influenced vent methane (>100nl/L and –30<¹³CH₄<–22) is detectable only close to the seep site. There is no input of hydrothermal methane into the atmosphere. EPR water is considered to be rather a sink than a source of atmospheric methane. Surface waters of the Arabian Sea are enriched in methane relative to the atmosphere (source for atmospheric methane). Carbon isotope ratios point to a bacterial origin of methane (¹³CH₄<–55) that is generated in the surface waters. Concentration changes and variations of carbon isotope ratios also suggest that methane seeping from the sea floor sediments of the Arabian Sea is oxidized by bacterial activity and does not reach the atmosphere.     

Detection of Methamidophos in Vegetables Using a Photometric Flow Injection System

A flow injection analysis (FIA) system using immobilized acetylcholinesterase (AChE) has been used for the detection of methamidophos in vegetable extracts. Methamidophos is one of the most commonly used organophosphate insecticides in South East Asia. AChE was immobilized onto magnetic particles; using a magnetic reactor, the particles could easily be separated from the test sample. Results show that complex matrices such as vegetable extracts have no inhibitory effect on AChE activity in the FIA system. The presence of methamidophos in the extracts caused AChE inhibition. The response could be followed as an inhibition curve and the inhibition constant calculated. Results show that using 85% AChE residual activity as the detection limit, methamidophos could be detected in lettuce and cabbage at 12 and 3 mg/kg vegetable material respectively. In a simulated field situation, cabbage leaves were spiked with 20 to 40 mg/kg methamidophos, homogenized and tested in the FIA system. The corresponding methamidophos levels predicted by the experimental results came very close to the known calculated values. Data presented here suggest that it is feasible to use this system to supplement the traditional chromatographic analysis methods for methamidophos analysis.     

Environmental quality assessment of Port Blair in Andaman islands

The Andman and Nicobar archipelago comprises of about 556 small and big islands covering an area of 8493 sq. kms in the Bay of Bengal. The very remoteness of these islands from the mainland has preserved their pristine environment and spectacular natural beauty. The Andman and Nicobar Administration is going for major developmental projects to cope with the increasing needs of the people, which ultimately results in significant changes in environmental quality. This paper describes the existing environmental quality around Port Blair city, which will give baseline scenario to assess the environmental impacts due to developments in the future.In order to monitor the air quality of the region, sampling stations were selected based on the locations of various industries and domestic activities. Suspended Particulate Matter (SPM), Sulphur dioxide (SO₂) and Nitrogen Oxides (NOx) were monitored for a period of one month during winter season. In addition, micrometeorological data, viz. wind speed and direction were also recorded and analysed to obtain the representative meteorological scenario of the air basin. The monitored values of ambient air quality was found to be within the NAAQ standards of India.Similarly, noise levels were also measured at various locations viz., residential areas, commercial centres, villages, stone quarry sites and construction sites. Noise levels were found to exceed the standards at stone quarry, construction sites and other locations.Water quality studies were carried out with respect to surface and ground water. The various physico- chemical and bacteriological parameters were analysed. It was observed that the physico-chemical parameters of surface and ground water lie within the standards stipulated for Indian subcontinent except for heavy metals which exceed the limits in ground water samples. Bacteriological analysis of sea water and ground water indicate that they are contaminated with faecal matters. Further, the ground water can be used for drinking purposes only after adequate treatment.