Umbilical cord haematoma as a complication of intrauterine intravascular blood transfusion

Between October 1985 and February 1989, 49 ultrasound-guided intravascular fetal blood transfusions were performed in 16 patients (14 with rhesus (Rh) isoimmunization, 2 with non-immunologic hydrops fetalis (NIHF)). As an intra-operative complication, perivascular haematoma of the cord occurred in three patients (7 per cent). In two cases, fetal bradycardia necessitated delivery by Caesarean section at 30 and 32 weeks' gestation, respectively. In the third case, fetal bradycardia developed during transfusion, at 31 weeks' gestation, but normalized within 3 min. The baby was delivered as planned at 36 weeks of gestation, after another transfusion at 34 weeks. Dislodgement of the needle tip into perivascular tissue, caused by sudden fetal or maternal movements, is the reason for this complication. The haematoma develops as a result of delayed recognition and continuous transfusion into Wharton' s jelly. Cord haematoma may be diagnosed in time by continuous ultrasound imaging, as illustrated in case 3. To minimize the risk of needle dislodgement during transfusion, sedation of the mother and complete immobilization of the fetus by injecting a short-acting muscle relaxant into the umbilical vessel are recommended.     

Cytogenetic diagnoses after chorionic villus sampling are less reliable in very-high- or very-low-risk pregnancies

An increasing number of cytogenetic prenatal diagnoses are performed on chorionic villus samplings. The accuracy of this method is influenced by chromosomal mosaicism, mostly confined to direct preparation methods. Especially those investigators who have experienced false-negative and false-positive findings propagate the combined use of direct and culture methods. Yet large collaborative studies have shown that in approximately two-thirds of diagnostic cases only one procedure is applied. Moreover, the accuracy of a cytogenetic investigation depends not only on the ontogenetic origin of the tissues investigated, but also on interacting factors such as the ‘a priori risk’ and the ‘predictive value of a cytogenetic finding’. On this basis a differentiated prenatal diagnostic procedure is discussed, including either sole short-term culture (STC), combined STC and long-term culture (LTC), primary amniocentesis (AC), or primary percutaneous umbilical blood sampling (PUBS). The predictive value of the cytogenetic diagnosis from CVS varies significantly dependent on the a priori risk of a chromosome aberration and, in the case of an abnormal karyotype, on the specific chromosome involved. A non-mosaic and ‘non-lethal’ trisomy detected in STC is highly representative of the embryo/fetus, but there are exceptions of limited predictive value, e.g., trisomy 18. Guided by the strategy of an optional follow-up by LTC, AC, or PUBS in 1317 successive CV samplings, we are not aware of a false-negative diagnosis, but probably had one false-positive diagnosis: 47,XXY after STC; 46,XY after LTC. When referring to the rate of fetuses with an unbalanced karyotype expected in the different indication groups, a relative increase of false-positive findings in the very-low-risk group (maternal age ⩽35 years of age) and of false-negative findings in the very-high-risk group (abnormal ultrasonographic findings) of pregnant women when only performing CVS becomes obvious. Because of this dilemma, AC or—especially in the latter group—PUBS might be primarily offered to these indication groups instead of CVS.     

Investigation on downwind short-range transport of pesticides after application in agricultural crops

For the assessment of potential risks from total exposure to both spray drift and volatilised pesticides, field experiments in barley were carried out with insecticide application in May and June 2000. Pesticide concentrations in the air at the edge of the treated plot and at various distances in downwind direction were determined. The concentrations at 10 m distance were 0.29 and 0.58 microg/m(3) (lindane), 0.07 and 0.12 microg/m(3) (parathion) or <0.02 and 0.04 microg/m(3) (pirimicarb) after 1 d. To quantify the exposure of aquatic ecosystems, water containers simulating surface waters were placed in downwind direction of the plot at distances of 10 and 50 m. Lindane as the most volatile and most persistent of the investigated active substances showed the highest entries in surface water with 35 and 153 microg/m(2) after 1 d at a distance of 10 m, attributable to a larger extent to deposition of volatilised compound than to spray drift when drift reducing nozzles were used. Similar results were obtained for parathion, but at a lower level. Mainly due to its photolytic instability in water, pirimicarb decayed in surface water, where a maximum deposition was measured 2 h after application.     

Toxic oxide deposits from the combustion of landfill gas and biogas

Oxide deposits found in combustion systems of landfill gas fired power stations contain relatively high concentrations of elements which form volatile species such as P, As, Sb and Sn. These deposits should be handled with care because of their potential toxicity. By contrast, deposits in biogas system engines were found to contain much lower levels of such elements. The enrichment of these elements can be attributed to a hypothetical multistage process. The elements form volatile species in the landfill body. They are selectively transported as part of the landfill gas into the gas-burning devices. Inside the burners, they are immobilized as nonvolatile oxides.     

Removal of DNAPL contamination from the saturated zone by the combined effect of vertical upward flushing and density reduction

A common aspect of innovative remediation techniques is that they tend to reduce the interfacial tension between the aqueous and non-aqueous phase liquids, resulting in mobilization of the organic contaminant. This complicates the remediation of aquifers, contaminated with Dense Non-Aqueous Phase Liquids (DNAPLs), as they are likely to migrate downwards, deeper into the aquifer and into finer layers. A possible solution is the use of swelling alcohols, which tend to reduce the density difference between the aqueous phase and the DNAPL. To avoid premature mobilization upon the initial contact between the DNAPL and the alcohol, several researchers have proposed the use of vertical upward flow of the alcohol. In this paper, we present an equation, which describes the upward mobilization of both continuous and discontinuous DNAPLs and so the important parameters governing the upward controlled mobilization of the DNAPL. The need and required magnitude of this specific discharge was investigated by conducting four column experiments in which the initial density of the DNAPL and the permeability was varied. It was shown that the required flow velocities increase with the permeability of the porous medium and the initial density difference between the aqueous phase and the DNAPL. Whenever the specific discharge falls below the critical value, the DNAPL moves downward. A second set of column experiments looked at the impact of permeability of porous medium on the solubilization and mobilization of DNAPL during alcohol flooding. Columns, packed with coarse or fine sand, containing a residual trichloroethylene (TCE) or perchloroethylene (PCE) saturation were flushed with the alcohol mixture at a fixed specific discharge rate. The induced pressure gradients in the aqueous phase, which were higher in the fine sand, resulted for this porous medium in extensive mobilization of the DNAPL against the direction of the buoyancy force. The density of the first NAPL coming out of the top of the fine sand was close to that of the pure DNAPL. In the coarser sand, the pressure gradients were sufficient to prevent downward migration of the DNAPL, but upward mobilization was minimal. The predominant removal mechanism in this case was the much slower solubilization.     

Einsatz der Hasse-Diagrammtechnik zur vergleichenden Bewertung von aquatischen Wirkungstests

In eine ?kotoxikologische Bewertung von Schadstoffen müssen die Ergebnisse von Wirkungstests einflie?en. Die Qualit?t der Bewertung im ?kosystemaren Kontext steht und f?llt mit der ?kosystemaren Qualit?t der Tests. In der vorliegenden Arbeit wird eine Bestandsaufnahme aquatischer Wirkungstests (unabh?ngig von bestehenden legislativen Vorgaben) vorgenommen, und es werden die Ergebnisse in einer Tabelle zusammengestellt, die Einsatzbereiche, Anwendbarkeit für mathematische Wirkungsmodellierung und ?kosystemare Relevanz enth?lt. Die hieraus resultierende Tabelle ist schwer zu überblicken und Zusammenh?nge zwischen bestimmten Wirkungstests sind kaum überschaubar. So ist auch eine Einstufung der aquatischen Wirkungstests ohne zus?tzliche mathematische Hilfsmittel schwierig. Hier wird gezeigt, wie anhand der Technik derHasse-Diagramme die Einstufung der Wirkungstests nach ihrer Qualit?t erleichtert wird. Es zeigt sich u.a., da? es keinen Test gibt, der alle Anforderungen gleichzeitig erfüllt. Einerseits gibt es sechs Tests, die — nach ihren Einsatzbereichen und nach ihrer Umsetzbarkeit für die mathematische Modellierung beurteilt — zwar optimal sind, aber keine ?kosystemare Relevanz aufweisen. Andererseits gibt es zwei Tests, die besonders ausgezeichnet sind: Einer (Test 8), der drei Einsatzbereiche aufweist und gleichzeitig sowohl für die mathematische Modellierung geeignet, als auch ?kosystemar relevant ist, und einer, der in zwei anderen Einsatzbereichen positiv beurteilt wurde und noch ?kosystemar interessant ist (Test 54). Es zeigt sich, da? zwischen Tests mit breitem Einsatzbereich und solchen, die ?kosystemar relevant sind, eine Lücke klafft. An evaluation of pollutants depends on the ecotoxicological quality of the effect tests carried out. In this paper a compilation of aquatic tests is given independently on administration needs. The results are summarized in a table listing fields of application, importance for mathematical modelling and ecological relevance. The table includes 55 tests and 8 attributes characterizing each tests The interpretation of the results listed in this table is hardly feasible. An appropriate tool to rank the tests is the technique ofHasse-diagrams. Using this tool it can be deduced that no test fulfills all demands. There are six tests which are optimal with respect to applicability and mathematical modelling. However, they have no relevance for ecosystems. Only two tests are optimal with respect to ecotoxicology, There is still a gap between tests with a wide field of applications and those tests which are relevant with respect to ecotoxicology.     

The metabolization of lindane in a culture of mould and the degradation scheme of lindane

The metabolism of Lindane, gamma-Pentachlorcyclohexene and isomeric Tetrachlorobenzenes in a culture of Mould was investigated in this work. 1,2-, 1,4-Dichlorobenzene, 1,2,3-, 1,2,4-, 1,3,5-Trichlorobenzene, 1,2,3,4-, 1,2,4,5- and/or 1,2,3,5-Tetrachlorobenzene, Pentachlorobenzene, gamma-Pentachlorocyclohexene, Hexachlorobenzene, Tetrachlorocyclohexenol, 2,3,4-, 2,4,6-Trichlorophenol, 2,3,4,5-, 2,3,4,6- and/or 2,3,5,6-Tetrachlorophenol and Pentachlorophenol could be identified as metabolites of Lindane. A degradation scheme is proposed. It includes gamma-Pentachlorocyclohexene, Hexachlorocyclohexene, Pentachlorocyclohexenol, Tetrachlorocyclohexenol and Polychlorophenols as main metabolites. The pathway based on many earlier published experimental results of these and other authors so far as possible.In former papers we have already reported about the known literature concerning the metabolism of Lindane (1 – 4).Comprehensive studies about the metabolism of Lindane in cultures of mould (1, 5, 6), in rats (7 – 9), and in men (2, 3) are to contribute in explaining away any uncertainties about the degradation of Lindane. Many investigations contributed to work out degradation schemes of Lindane (10 – 21).     

Partielle Ordnung

Zusammenfassung  Sollen Chemikalien oder Umweltbelastungen ?kotoxikologisch beurteilt werden, so erfordert die Komplexit?t ?kosystemarer Zusammenh?nge, da? Bewertungsverfahren Informationen m?glichst nicht aggregieren soilten. Es gibt keine ?kologisch begründete, allgemein verwendbare Zielfunktion. Die Technik, dennoch beispielsweise Chemikalien miteinander vergleichen zu k?nnen, beruht auf der Verallgemeinerung des Ordnungsbegriffs und der Visualisierungsmethode durch Hasse-Diagramme. Am Beispiel von sechs Chemikalien wird das Verfahren erl?utert und gezeigt, da? ungünstige Einstufungen von Chemikalien verschiedene Ursachen haben k?nnen, die dann auch unterschiedliche ?kotoxikologische Konsequenzen bewirken.