Prenatal diagnosis of giant cystic hygroma: Prognosis,counselling, and management; case presentation and review of the recent literature

Cystic hygromas have historically been associated with a grim prognosis when discovered during prenatal sonographic study of the fetus. This same grim prognosis is not observed by the paediatric surgeon who evaluates the neonate or paediatric patient. We present a fetal patient with a massive anterior cystic hygroma discovered in the third trimester prior to 30 weeks. This case and a review of the literature suggest tailoring the prognosis by category when counselling patients: (1) first trimester, normal karyotype-good; (2) first trimester, abnormal karyotype-poor; (3) second trimester and early third-poor to guarded; and (4) mid to late third trimester-good.     

Transabdominal chorionic villus sampling in the second trimester of pregnancy: Feto-maternal transfusions in relation to pregnancy outcome

Volumes of feto-maternal transfusions (FMTs) in transabdominal chorionic villus sampling (TACVS) in the second trimester of pregnancy were calculated from the difference between maternal alpha-fetoprotein (AFP) concentrations before and 1 h after TACVS. In 50 pregnancies, there existed no correlation between FMT volume and the amount of villi collected or the number of TACVS attempts. The expected risk of fetal exsanguination due to very voluminous FMT could not be substantiated. In one case, immunization could have been the cause of hydrops fetalis, although only a volume of 0.15 ml could be calculated.     

Oligohydramnios with amnio-chorionic separation at 15–16 weeks' gestation

Nine patients with oligohydramnios and amnio-chorionic separation were identified out of 7000 women who underwent a vaginal ultrasound examination at 15–16 weeks' gestation. Oligohydramnios was defined as a reduced amount of amniotic fluid, a distance of more than 1 cm between the chorion and amnion, and a good turgor of the amnion without floating membranes or intrauterine sheets. Fetal malformations were observed in all nine cases. In four of six fetuses where chromosomal analysis was available, an abnormal karyotype was found. It is concluded that oligohydramnios in the early second trimester is associated with fetal abnormality.     

Early second-trimester sonographic appearance of occipital haemangioma simulating encephalocele

Encephalocele is the most common cause of occipital midline extracranial mass associated with hydrocephalus. A case is presented where an occipital extracranial mass associated with hydrocephalus which was detected on second-trimester ultrasound examination turned out to be a haemangioma, a relatively benign lesion. We suggest that haemangioma should be considered in the differential diagnosis of extracranial masses detected prenatally.     

Antenatal sonographic diagnosis of arthrogryposis multiplex Congenita

Arthrogryposis Multiplex Congenita (AMC) was suspected on ultrasound examination of a fetus at 30·5 weeks of gestation. The criteria for establishing this prenatal diagnosis as well as the importance of establishing the diagnosis at any gestational age are discussed. The diagnosis of AMC was confirmed at birth in this case.     

Prenatal diagnosis of congenital my asthenia with arthrogryposis in a myasthenic mother

We studied two children born to a myasthenic mother. The first child, a female, had multiple flexion contractures. She died 1 h after birth. In the second pregnancy, 3 years later, ultra-sonographic examination at 20 weeks showed decreased fetal movements and multiple flexion contractures. The pregnancy was interrupted. Eight other cases of congenital rnyasthenia with arthrogryposis are known; four of them are siblings. The recurrence risk may be as high as 100 per cent. Our second case demonstrates that prenatal diagnosis is possible early enough to allow termination of pregnancy.     

Evaluation of military helmets and roof padding on head injury potential from vertical impacts

Objective: Soldiers in military vehicles subjected to underbelly blasts can sustain traumatic head and neck injuries due to a head impact with the roof. The severity of head and neck trauma can be influenced by the amount of head clearance available to the occupant as well as factors such as wearing a military helmet or the presence of padding on the interior roof. The aim of the current study was to examine the interaction between a Hybrid III headform, the helmet system, and the interior roof of the vehicle under vertical loading.

Methods: Using a head impact machine and a Hybrid III headform, tests were conducted on a rigid steel plate in a number of different configurations and velocities to assess helmet shell and padding performance, to evaluate different vehicle roof padding materials, and to determine the relative injury mitigating contributions of both the helmet and the roof padding. The resultant translational head acceleration was measured and the head injury criterion (HIC) was calculated for each impact.

Results: For impacts with a helmeted headform hitting the steel plate only, which represented a common scenario in an underbelly blast event, velocities of ≤6 m/s resulted in HIC values below the FMVSS 201U threshold of 1,000, and a velocity of 7 m/s resulted in HIC values well over the threshold. Roof padding was found to reduce the peak translational head acceleration and the HIC, with rigid IMPAXX foams performing better than semirigid ethylene vinyl acetate (EVA) foam. However, the head injury potential was reduced considerably more by wearing a helmet than by the addition of roof padding.

Conclusions: The results of this study provide initial quantitative findings that provide a better understanding of helmet–roof interactions in vertical impacts and the contributions of the military helmet and roof padding to mitigating head injury potential. Findings from this study will be used to inform further testing with the future aim of developing a new minimum head clearance standard for occupants of light armored vehicles.     

The effects of daily cover soils on shear strength of municipal solid waste in bioreactor landfills

Bioreactor landfills are operated to enhance refuse decomposition, gas production, and waste stabilization. The major aspect of bioreactor landfill operation is the recirculation of collected leachate back through the refuse mass. Due to the accelerated decomposition and settlement of solid waste, bioreactor landfills are gaining popularity as an alternative to the conventional landfill. The addition or recirculation of leachate to accelerate the waste decomposition changes the geotechnical characteristics of waste mass. The daily cover soils, usually up to 20–30% of total MSW volumes in the landfill, may also influence the decomposition and shear strength behavior of MSW. The objective of this paper is to study the effects of daily covers soils on the shear strength properties of municipal solid waste (MSW) in bioreactor landfills with time and decomposition. Two sets of laboratory-scale bioreactor landfills were simulated in a laboratory, and samples were prepared to represent different phases of decomposition. The state of decomposition was quantified by methane yield, pH, and volatile organic content (VOC). Due to decomposition, the matrix structure of the degradable solid waste component was broken down and contributed to a significant decrease in the reinforcing effect of MSW. However, the daily cover soil, a non-degradable constituent of MSW, remains constant. Therefore, the interaction between daily cover soil particles and MSW particles will affect shear strength behavior. A number of triaxial tests were performed to evaluate the shear strength of MSW. The test results indicated that the shear strength of MSW was affected by the presence of cover soils. The friction angle of MSW with the presence of cover soil is higher than the friction angle of MSW without any cover soils. The friction angle of MSW increased from 27° to 30° due to the presence of cover soils for Phase 1 samples. The increased strength was attributed to the friction nature of sandy soil that was used as daily covers soils. Therefore, the effects of cover soils on the shear strength properties of MSW should be evaluated and taken into consideration during stability analyses and design.     

Metabolic effects of diazinon on the European eel

Abstract

Eels were exposed to a sublethal diazinon concentration of 0.042 mg/L for exposure times of 6, 24, 48, 72 and 96 hours. Biochemical analyses of blood composition, such as plasma glucose, total plasma cholesterol and triglycerides, plasma lactate, plasma urea and uric acid, showed significant differences between treated and control animals. Plasma glucose and lactate increased after 6 hours exposure to the insecticide. Plasma cholesterol and triglycerides content decreased during 96 hours treatment. Urea levels increased at 72 hours while uric acid content decreased significantly at 24, 72 and 96 hours exposure to the pesticide.

The observed effects of diazinon on eel metabolism suggested that the treated fish was faced with a serious metabolic crisis, and the fish looked for alternative methods of metabolism to overcome the toxic stress.     

CAREAIR: A Computer Aided Modeling Toolbox to Generate and Analyze Emission Data in High Temporal and Spatial Resolution

ABSTRACT

For the evaluation of air quality improvement strategies, emission data in high temporal and spatial resolution is necessary, including all emission sources and all relevant pollutant species. Computer aided models are usually used to generate this emission data because it is not possible to obtain measurements from all sources, and, furthermore, a large amount of data has to be handled. For the development of emission modeling systems, a software tool called CAREAIR has been created. The intention of this paper is to introduce CAREAIR to the international community dealing with emission inventories and air quality improvement strategies.

CAREAIR is not just a single emission model but a flexible modeling toolbox. The database contains data and formulas for data manipulation, which is performed by using a set of flexible operators with different specifications. The emission calculation is carried out by combining several data manipulation operators. The CAREAIR modeling toolbox allows model implementation for the calculation of emissions from different pollutants in a high spatial and temporal resolution. The application of CAREAIR within various investigation projects in Germany, Europe, and Nigeria shows that CAREAIR is an appropriate instrument for the development of flexible emission models by meeting the various demands of these projects. The function and the data structures of this modeling toolbox are described and, towards the end of the paper, an example of an emission calculation with CAREAIR is given.