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.     

Early prenatal sonographic diagnosis of neuropathic arthrogryposis multiplex congenita with osseous heterotopia

A prenatal diagnosis of arthrogryposis multiplex congenita (AMC) has been carried out on a 19-week-old fetus by means of echography. The ultrasonographic characteristics were unnatural position of the four limbs associated with articular anomalies together with absence of active fetal movements. A therapeutic interruption of pregnancy was performed and the diagnosis was confirmed. At autopsy, architectural disorder of the motor neurons of the anterior medullary horn revealed a neuropathic pathogenesis of the arthrogryposis. Moreover, at the lumbar level the spinal cord was progressively replaced by heterotopic bony tissue which caused a more severe deformity of the lower limbs compared with the upper. The aspects of anatomo-pathological, genetic, and differential diagnosis are discussed showing the precocity of the prenatal diagnosis and the peculiarity of the aetiology of our case.     

Fetal echocardiography using transvaginal and transabdominal probes during the first period of pregnancy: A comparative study

The authors compare the diagnostic possibilities of fetal transabdominal echocardiography versus transvaginal echocardiography. A larger diagnostic capacity is verified in different gestation ages with transvaginal probe between the 11th and 14th week of gestation. The results are emphasized by colour Doppler.     

Mapping lightning/human-caused wildfires occurrence under ignition point location uncertainty

Fire managers need to study fire history in terms of occurrence in order to understand and model the spatial distribution of the causes of ignition. Fire atlases are useful open sources of information, recording each single fire event by means of its geographical position. In such cases the fire event is considered as point-based, rather than area-based data, completely losing its surface nature. Thus, an accurate method is needed to estimate continuous density surfaces from ignition points where location is affected by a certain degree of uncertainty. Recently, the fire scientific community has focused its attention on the kernel density interpolation technique in order to convert point-based data into continuous surface or surface-data. The kernel density technique needs a priori setting of smoothing parameters, such as the bandwidth size. Up to now, the bandwidth size was often based on subjective choices still needing expert knowledge, eventually supported by empirical decisions, thus leading to serious uncertainties. Nonetheless, a geostatistical model able to describe the point concentration and consequently the clustering degree is required. This paper tries to solve such issues by implementing the kernel density adaptive mode. Lightning/human-caused fires occurrence was investigated in the region of Aragón's autonomy over 19 years (1983–2001) using 3428 and 4195 ignition points respectively for the two causes of fire origin. An analytical calibration procedure was implemented to select the most reliable density surfaces to reduce under/over-density estimation, overcoming the current drawbacks to define it by visual inspection or personal interpretation. Besides, ignition point location uncertainty was investigated to check the sensitivity of the proposed model. The different concentration degree and the dissimilar spatial pattern of the two datasets, allow testing the proposed calibration methodology under several conditions. After having discovered the slight sensitivity of the model to the exact point position, the obtained density surfaces for the two causes were combined to discover hotspot areas and spatial patterns of the two causes. Evident differences in spatial location of the origin causes were noted and described. The general trend follows the geographical features and the human activity of the study areas. The proposed technique should be promising to support decision-making in wildfire prevention actions, because of the occurrence map can be used as a response variable in fire risk predicting models.     

Geologic emissions of methane to the atmosphere

The atmospheric methane budget is commonly defined assuming that major sources derive from the biosphere (wetlands, rice paddies, animals, termites) and that fossil, radiocarbon-free CH4 emission is due to and mediated by anthropogenic activity (natural gas production and distribution, and coal mining). However, the amount of radiocarbon-free CH4 in the atmosphere, estimated at approximately 20% of atmospheric CH4, is higher than the estimates from statistical data of CH4 emission from fossil fuel related anthropogenic sources. This work documents that significant amounts of "old" methane, produced within the Earth crust, can be released naturally into the atmosphere through gas permeable faults and fractured rocks. Major geologic emissions of methane are related to hydrocarbon production in sedimentary basins (biogenic and thermogenic methane) and, subordinately, to inorganic reactions (Fischer-Tropsch type) in geothermal systems. Geologic CH4 emissions include diffuse fluxes over wide areas, or microseepage, on the order of 10(0)-10(2) mg m(-2) day(-1), and localised flows and gas vents, on the order of 10(2) t y(-1), both on land and on the seafloor. Mud volcanoes producing flows of up to 10(3) t y(-1) represent the largest visible expression of geologic methane emission. Several studies have indicated that methanotrophic consumption in soil may be insufficient to consume all leaking geologic CH4 and positive fluxes into the atmosphere can take place in dry or seasonally cold environments. Unsaturated soils have generally been considered a major sink for atmospheric methane, and never a continuous, intermittent, or localised source to the atmosphere. Although geologic CH4 sources need to be quantified more accurately, a preliminary global estimate indicates that there are likely more than enough sources to provide the amount of methane required to account for the suspected missing source of fossil CH4.     

Performance of a narrow buffer strip in abating agricultural pollutants in the shallow subsurface water flux

The performance of a narrow buffer strip in abating dissolved P, electrical conductivity and herbicides (terbuthylazine, alachlor, nicosulfuron, pendimethalin, linuron) in subsurface water coming from cropland was tested in an experiment carried out on the low plains of the Veneto Region (NE Italy). The experiment lasted from December 1997 to June 1999, monitoring subsurface water quality entering and exiting a buffer composed of a grass strip (5 m wide) and 1 m wide row of trees. Dissolved phosphorus concentrations were reduced by almost 100% passing through the buffer and in most cases exiting water satisfied the limit for avoiding eutrophication. A positive effect was also detected on ECW (reduced by 20%), while pH was not significantly altered. Herbicide concentration abatement varied between 60 and 90%, depending on the chemical and the time elapsed since application.     

Azo-dyes photocatalytic degradation in aqueous suspension of TiO2 under solar irradiation

The photodegradation of two common and very stable azo-dyes, i.e. methyl-orange (C₁₄H₁₄N₃SO₃Na) and orange II (C₁₆H₁₁N₂SO₄Na), is reported. The photocatalytic oxidation was carried out in aqueous suspensions of polycrystalline TiO₂ irradiated by sunlight. Compound parabolic collectors, installed at the “Plataforma Solar de Almería” (PSA, Spain) were used as the photoreactors and two identical reacting systems allowed to perform photoreactivity runs for the two dyes at the same time and under the same irradiation conditions. The disappearance of colour and substrates together with the abatement of total organic carbon content was monitored. The main sulfonate-containing intermediates were found to be in lower number in respect to those obtained under artificial irradiation. In particular there were no more evidence of the presence of hydroxylated transients. The dependence of dye photooxidation rate on: (i) substrate concentration; (ii) catalyst amount; and (iii) initial pH was investigated. The influence of the presence of strong oxidant species (H₂O₂, S₂O₈²⁻) and some ions (Cl⁻, SO₄²⁻) on the process was also studied.