Continuous subcutaneous insulin infusion (CSII) in pregnant diabetic patients

The efficacy of the insulin infusion pump (CSII) in pregnancy was examined in 12 diabetic patients and compared with intermittent insulin therapy (IIT). In patients poorly controlled on IIT constant and rapid equilibrium was achieved with CSII (mean of glucose levels: CSII versus IIT=84 versus 137 mg/dl; S.D. = 36 versus 63 mg/dl; mean amplitude of glycemic excursion (MAGE)=65 versus 112 mg/dl. In patients well controlled on IIT, CSII led to a reduction in the variation of glucose excursions (S.D.= 29 versus 36 mg/dl; MAGE=48 versus 76 mg/dl). CSII generally produced a reduction of 20–37 per cent of daily insulin dose (in three cases there was an increase of dose with the achievement of glycemic control). Furthermore in CSII treated-patients amniotic glucose, insulin and C-peptide concentrations werefound tobeinthenormalrange(22.1±10.1 mg/dl; 5.2±2.7μ/ml; 1.25±0.71 ng/ml, respectively). All infants were horn at or near-term, had no macrosomia or neonatal problems. It is concluded that CSII is a highly efficient way to achieve normal glucose levels in pregnancy, not only in type I, hut also in type II or gestational diabetes.     

Prenatal diagnosis of β thalassaemia by reverse phase HPLC

Reverse phase HPLC of radioactive globin chains has been compared to classical carboxy methyl cellulose chromatography for the prenatal diagnosis of β thalassaemia. The two methods correlated highly (r = 0.97 p < 0.0005) and provided an identical diagnosis for 40 fetal blood samples of fetuses homozygous or heterozygous for β thalassaemia. The HPLC procedure was much faster and required fewer biochemical steps (no globin preparation). It was at least as accurate and more sensitive than the classical chromatography. A single column can be used for 150 analyses and is always ready to be used. Last but not least it is much less expensive than CMC chromatography.     

The importance of chorionic villus sampling after first trimester diagnosis of cystic hygroma

The prenatal diagnosis of The Turner Syndrome is described at a menstrual age of 12 weeks. Detection of cystic hygroma was followed by vaginal chorionic villous sampling (CVS) which revealed a 45,X karyotype. Early documentation of fetal karyotype in the presence of a cystic hygroma is essential for accurate diagnosis and genetic counselling.     

Immediate prenatal diagnosis of Zellweger syndrome by direct measurement of very long chain fatty acids in chorionic villus cells

We report a gas chromatographic-mass spectrometric method which allows the very long chain fatty acids content of trophoblastic tissue to be directly measured in samples collected by biopsy between 8 and 11 weeks of gestation. This method has been successfully applied to the detection of fetal Zellweger syndrome in two pregnant women who had previously delivered affected infants. In one of them, increased concentrations of C26:0 (0.254 versus 0.108±0.035 μ/mg proteins) and C24:0 (1.32 versus 0.815±0.325 μ/mg proteins) in trophoblast indicated that the fetus had Zellweger syndrome, a diagnosis confirmed by pathological findings after abortion. In the second case, the pregnancy was allowed to proceed, on the basis of normal concentrations of very long chain fatty acids in trophoblastic tissue, and its outcome was actually a healthy newborn.     

Using diatoms as quality indicators for a newly-formed urban lake and its catchment

Periphytic diatoms were studied to evaluate the water quality of a newly created lake, formed by the enclosure of the formerly tidal Cardiff Bay (Wales, UK), and the effects of two inflowing rivers which drain densely populated and industrialised catchments. Seven sites in Cardiff Bay and two locations on the inflowing rivers were monitored for diatoms and water chemistry over 2 years. Water quality was assessed using a revised UK trophic diatom index (TDI) and new methods to determine ecological quality ratios and ecological status classes as required by the EU Water Framework Directive. Diatom assemblages reflected spatiotemporal variations in environmental conditions between the rivers and Cardiff Bay and within the bay. In the bay, diatoms reflected differences in river quality and possibly local pollution in certain areas of the lake. High values of the TDI indicated eutrophic to hypertrophic conditions in both rivers and in the bay and diatoms indicated poor ecological status.     

Essential (Cu) and nonessential (Cd and Pb) metals in ichthyofauna from the coasts of Sinaloa state (SE Gulf of California)

With the aim of giving an overview on concentration and distribution of Cd, Cu, and Pb in fish from the coasts of Sinaloa state (SE Gulf of California), specimens with different feeding habits were collected in five locations. Sampling occurred between June 2003 and March 2004. Metal analyses on fish tissues were made by graphite furnace (Cd, Pb) and flame (Cu) atomic absorption spectrophotometry. Metal concentrations in tissues of carnivorous fish were grouped together and compared with corresponding concentrations in non-carnivorous fish; Cu and Pb levels were significantly (p?<?0.05) higher in liver of non-carnivorous species. Though no samples exceeded the maximum level set in international legislation for fish, from the perspective of the public health and considering the legal limits of fishery products for human consumption, Cu concentrations were exceeded (in tissues different from muscle) in four carnivorous and five non-carnivorous species according to the Australian legislation. In the case of Cd, two carnivorous species (Pomadasys leuciscus and Caulolatilus princeps) and one non-carnivorous species (Mugil cephalus), showed concentrations over the maximum level of 2 μg g^???1 dry weight considered in the Mexican legislation. Considering average amounts of fish consumption in Mexico, daily mineral intake (DMI) values for Cu and percentage weekly intake (PWI) of Cd and Pb were estimated; none of the analyzed metals in edible portion of analyzed fish could be detrimental to humans.     

Environmental quality assessment studies of coal handling on peripheral land near Kanika siding, Basundhra-Garjanbahal area of MCL, Sundergarh, Orissa, India

Coal has been recognized as the most important source of energy generation in India. The present work was undertaken in order to assess the environmental impact of coal handling on peripheral land under near Kanika siding, Orissa, India. The data on suspended particulates in ambient air indicates an additional load of 50.5–108.7 μg/m³) to the ambient air due to coal loading which is equivalent to 50 × 365 to 108 × 365 kg/year. However, in the southern side (opposite to siding) covering the crop fields, the dust accumulation was maximum, i.e., 0.021 to 0.035 mg/cm² area in comparison to 0.001 to 0.021 in the eastern side and 0.001 to 0.029 in western side of the crop fields. The physical and chemical properties of soil was also assessed. The results reveal that the coal loading has definite negative impact on the peripheral land near the site.