Neonatal hemochromatosis: management,outcome, and prevention

Neonatal hemochromatosis (NH) is a rare disorder but the most common cause of acute liver failure in neonates. NH is characterized by severe hepatic injury and iron overload and is associated with high perinatal mortality and morbidity rates. NH is often preceded by oligohydramnios and intrauterine growth restriction, suggesting an important impact of NH during fetal life. Stillbirth and prematurity are not uncommon. During the last decade, major discoveries on the etiology of NH have radically changed the management and outcome of this disease. NH is now regarded as an alloimmune disease and is, as such, often referred to as gestational alloimmune liver disease. Antenatal treatment with intravenous immunoglobulins starting at 14 weeks' gestation has been shown to prevent the development of NH in subsequent pregnancies. Postnatal treatment, previously based on the use of anti-oxidants and chelation therapy, has now successfully been replaced by exchange transfusions and intravenous immunoglobulins substitution. This review summarizes the latest discoveries on the etiology of NH and the new recommendations concerning its management and prevention. © 2013 John Wiley & Sons, Ltd.     

Monochorionic and dichorionic twin pregnancies discordant for fetal anencephaly: a systematic review of prenatal management options

The aim of this study was to evaluate the effect of selective feticide (SF) compared to expectant management (EM) on perinatal outcome in dichorionic and monochorionic twins discordant for anencephaly. For this purpose, we conducted a systematic review of literature and added ten unpublished cases. As a result, we found that in dichorionic twins, mean gestational age (GA) at birth in the SF group was 38.0 weeks versus 34.9 weeks (P = 0.0002). Mean birth weight was 2922 g in the SF group versus 2474 g (P = 0.03). In monochorionic twins, mean GA at birth was 35.2 weeks versus 32.7 weeks (P = 0.1). Mean birth weight was 2711 g versus 1667 g (P = 0.0001). We conclude that while SF does not reduce perinatal mortality, it does result in significantly longer gestations and higher birth weight, and appears to be the management of choice in dichorionic twins discordant for anencephaly. In monochorionic twins, SF also increases birth weight, but in view of the complexity of this group, no clear recommendations can be made. Copyright © 2008 John Wiley & Sons, Ltd.     

Percolation of clay liners of ash landfills in short and long time perspectives.

Top covers of waste landfills conventionally contain a drain layer over a 1(low-permeable clay liner usually containing smectite minerals. The rate of percolation of the clay liner, which may require tens of years to become water-saturated, determines the downward transport of ions released from the underlying waste to and through the bottom clay liner. The percolation rate is controlled by the composition and density of the tipper liner, which should be as tight as possible. This implies a high density and therefore a high swelling potential which must be moderated by proper design. The bottom clay liner is a less effective and reliable barrier since cation exchange will increase the hydraulic conductivity and cause a significant rise in percolation rate and risk of chemical attack by the percolate. The top liner will undergo very moderate strain if the ash fill is effectively compacted and undergoes little self-compaction. Processes that may cause degradation are freezing and drying and require proper design. In this paper the authors examine the performance of ash-fills isolated by clay liners and conclude that the most important issue is to design and construct the top liner to be as impermeable as possible paying less attention to the tightness of the bottom layer.     

Auf zu neuen Ufern — Postgraduale Weiterbildung mit dem zertifizierten Abschluss Fach?kotoxikologin/e SETAC/GDCh beginnt 2005

Ohne Zusammenfassung     

Effect of agricultural antibiotics on the persistence and transformation of 17beta-estradiol in a Sequatchie loam

A laboratory incubation study was conducted to investigate the effect of agricultural antibiotics (sulfamethazine, tylosin, and chlortetracycline) on the persistence and transformation of 17beta-estradiol in Sequatchie loam. We measured concentrations of 17beta-estradiol and its primary metabolite (estrone) in soils spiked with antibiotics and 17beta-estradiol. Dehydrogenase activity (DHA) was also measured as an indicator of the total microbial activity of the soils. The presence of antibiotics significantly decreased transformation of 17beta-estradiol to estrone. There was a positive correlation between the DHA and the concentrations of estrone in soil spiked with 17beta-estradiol only, implying that the reaction is mainly catalyzed by dehydrogenases. However, the positive correlation was weakened in soil spiked with 17beta-estradiol and antibiotics together. We recommend that any study evaluating the fate and transport of estrogenic hormones in soil should include the effect of agricultural antibiotics because antibiotics and estrogenic hormones are commonly excreted together in environmental samples.     

Artificial indoor streams as a method to investigate the impact of chemicals on lotic communities

The potential hazard of chemicals on aquatic communities are generally evaluated by standardised single-species bioassays. Safety assessment is based on results gained from organisms adapted to lentic systems and biological interactions in ecosystems are neglected. While lotic communities are often at first in contact with chemicals, it is astonishing that microcosms with lentic communities are mainly used as a bridge between laboratory bioassays and outdoor aquatic systems. Hence, we established five artificial indoor streams to simulate abiotic factors of small rivers. The closed-circuit system was filled with nutrients added to tap water. Washed pebbles were used as sediment. The dynamics of a simple biocoenoses consisting of aufwuchs, Lumbriculus variegatus Asellus aquaticus and Gammarus fossarum was investigated. The dynamic of aufwuchs and periphyton was determined as dry weight and chlorophyll-a, respectively and qualitatively by pigment pattern. The abundance of different developmental stages of L. variegatus was determined at the end of the experiment as well as the population dynamics of G. fossarum and A. aquaticus. Survival rates of gammarids and juveniles per female were investigated and data were used for modelling the population dynamics. The experiment was carried out to investigate the performance of the established artificial streams and the developed approaches to investigate effects of chemicals on a basic lotic community. The prime reason to establish this approach was to close a gap between complex artificial stream systems and laboratory single species tests to assess the impact of chemicals on the aquatic environment.     

Untersuchungen zur Charakterisierung von Brandrauch

Zusammenfassung  Ziel dieser Arbeit ist, zu kl?ren, ob ein Zusammenhang zwischen den organischen Brandzersetzungsprodukten und dem Brandgut besteht. Aus Gründen der Homogenit?t des Datenmaterials werden ausschlie?lich Untersuchungen der Forschungsstelle für Brandschutztechnik an der Universit?t Karlsruhe statistisch ausgewertet. Die Zusammenfassung strukturell ?hnlicher Verbindungen sowie die Zuordnung von Strukturindices erm?glicht Aussagen über die H?ufigkeit des Vorkommens bestimmter Stoffklassen im Brandrauch. Dabei steht die Ermittlung von Leitsubstanzen im Vordergrund, wobei anorganische Brandzersetzungsprodukte nicht, besonders leichtflüchtige (z.B. Acrolein oder Vinylchlorid) ebenso wie besonders schwerflüchtige organische Substanzen (z.B. h?here PAKs) aufgrund des analytischen Verfahrens nicht oder nur unvollst?ndig Berücksichtigung finden. Im Rahmen des vorhandenen Datenmaterials sind Benzol, Methylbenzol, Ethenylbenzol und Ethylbenzol immer im Brandrauch enthalten. Die Bildung dieser Stoffe wird modellhaft beschrieben. Neben solchen brandrauchtypischen Substanzen treten weitere organische Verbindungen auf, die für ein bestimmtes Brandgut typisch sind. Viele der Brandzersetzungsprodukte haben ein krebserregendes Potential. Aus diesen Ergebnissen ist abzuleiten, da? h?ufig exponierte Personen konsequenten Arbeitsschutz betreiben sollten. Um eine bessere Gefahrenabsch?tzung hinsichtlich der gesundheitlichen Risiken zu erm?glichen sind toxikologische Untersuchungen erforderlich.