Clinical and pathological factors in spontaneous abortion following chorionic villus sampling

Twenty-nine cases of spontaneous abortion following first-trimester chorionic villus sampling (CVS) were reviewed out of a series of 722 patients. Of the 29 cases, there were only four abnormal CVS results. Pathological examination was performed in 79 per cent of cases, and this did not identify any characteristic pathological feature associated with spontaneous abortion after CVS. There was no obvious difference in the pathological features following the transabdominal (TA) or the transcervical (TC) methods. The majority of miscarriages occurred within 4 weeks of the procedure, but 38 per cent of cases aborted between 7 and 14 weeks after CVS. The TC method was used in 22 patients; the TA in 6; and both methods in 1 patient. The TA method was associated with a significantly lower fetal loss rate than the TC method (TA 2 per cent, TC 9 per cent, p < 0.001).     

First-trimester diagnosis of duodenal stenosis associated with oesophageal atresia

Duodenal stenosis associated with oesophageal atresia was diagnosed by ultrasound at 12 weeks' gestation. The diagnosis was made by recognition of a double bubble sign which was more pronounced when a vaginal transducer was used. Post-abortion autopsy confirmed the diagnosis. Oesophageal and duodenal obstruction in this case had no effect on the amount of amniotic fluid or the alpha-fetoprotein concentration since swallowing and subsequent utilization of amniotic fluid do not occur before 12 weeks of gestation.     

Climate-driven changes in air quality over Europe by the end of the 21st century,with special reference to Portugal

Climate change alone may deeply impact air quality levels in the atmosphere because the changes in the meteorological conditions will induce changes on the transport, dispersion and transformation of air pollutants. The aim of this work was to evaluate the impact of climate change on the air quality over Europe and Portugal, using a reference year (year 1990) and a IPCC SRES A2 year (year 2100). The Hadley Centre global atmospheric circulation model (HadAM3P) was used to provide results for these two climatic scenarios, which were then used as synoptic forcing for the MM5-CHIMERE air quality modelling system. In order to assess the contribution of future climate change on O₃ and PM concentrations, no changes in regional emissions were assumed and only climate change forcing was considered. The modelling results suggest that the O₃ monthly mean levels in the atmosphere may increase almost 50 μg m^?3 across Europe in July under the IPCC SRES A2 scenario. In Portugal, this increase may reach 20 μg m^?3. The changes of PM10 monthly average values over Europe will depend on the region. The increase in PM10 concentrations during specific months could be explained by the average reduction of the boundary layer height and wind speed.     

Prenatal diagnosis and post-mortem study of a fetus with mosaic trisomy 14 due to a dic(14)(p11)

Amniocentesis at 17 weeks' gestation revealed a mosaic karyotype—46,XX/46,XX, — 14,+dic(14)(p11). No abnormalities were detected on ultrasound. Growth and placentation were normal. The fetus was examined after termination of pregnancy and micrognathia and pulmonary hyperlobation were the only abnormalities detected. Several tissues were set up for cytogenetics, including fetal skin, kidney, ovary, and placenta. The diagnosis was confirmed by these studies. The level of mosaicism varied between tissues, with the trisomy 14 cell line highest in amniotic fluid.     

Monitoring of pharmaceutically active compounds on the Guadalquivir River basin (Spain): occurrence and risk assessment

Guadalquivir River (South of Spain) is among the major freshwater sources of the European Atlantic basin. Until now scientific efforts have been focused on contamination by heavy metals and some priority pollutants in Guadalquivir River. However, the presence of "emerging contaminants", such as pharmaceutically active compounds, has not yet been studied. In this work the occurrence and risk assessment of sixteen pharmaceutically active compounds, belonging to different therapeutic groups, in Guadalquivir River during its course through Seville city are reported. Wastewater effluents from four wastewater treatment plants discharging into Guadalquivir River and river water samples were analyzed. All studied pharmaceutically active compounds, except sulfamethoxazole, trimethoprim, estrone and clofibric acid, were detected in effluent wastewaters at concentration levels up to 28.9 μg L(-1). Among the pharmaceutically active compounds found in effluent wastewater, seven were present in Guadalquivir River samples at concentration levels up to 0.75 μg L(-1), which indicated an important dilution from effluent discharge. Environmental risk assessment reveals that potential ecotoxicological risk cannot be expected on Guadalquivir River at measured concentration levels. Only, the lipid regulator gemfibrozil showed a medium risk for the environment. The risk for acute toxic effects in the environment with the current use of active pharmaceutical ingredients is unlikely. However, the results do not rule out the potential for chronic environmental effects.     

Optical fiber based methodology for assessment of thiocyanate in seawater

A new methodology for the assessment of thiocyanate (SCN(-)) is proposed based on optical fiber (OF) detection coupled to a liquid chromatography system (LC). The developed methodology showed an adequate performance for the analysis of SCN(-) comparable to a high performance liquid chromatography with UV detector (HPLC-UV) methodology: a detection limit of 3 μg L(-1), a linear range from 4 to 400 μg L(-1), and an analytical time of less than 6 min. The OF based methodology was of compact design and easy operation. This simple system has the potential to be used as a sensing approach for SCN(-) in seawater.     

Environmental implications of material leached from coal

Samples of coal were collected from different seams at a South African coal mine and comparative leaching experiments were carried out under various pH conditions and times to investigate the leaching behavior and potential environmental impact of possibly hazardous elements such as As, Cd, Co, Cr, Mn, Ni, Pb, Th and U. The calculated leaching intensities, sequential extraction results and cumulative percentages demonstrate that the leaching behavior of the elements is strongly influenced by the pH, the leaching time and the properties and occurrences of the elements. The leached concentrations of As, Cd, Co, Cr, Mn, Ni and Pb exceeded the maximum concentrations recommended by the Environmental Protection Agency (EPA) for surface water.