Congenital limb deficiencies in newborn infants: prevalence,characteristics and prenatal diagnosis

Congenital limb deficiency (CLD) occurs in 0.54 to 0.59/1000 live-born infants and varies according to its anatomic location, type and cause. Our aim was to present a fetus with a prenatal ultrasonographic diagnosis of CLD (transverse reduction deficiency of the left upper limb), and to determine the prevalence and clinical characteristics of CLD at a tertiary medical centre in Israel. Among 78 500 live-born infants, there were 24 cases of CLD (0.31/1000): 45.8% of the CLD cases with affected upper limbs, 45.8% with affected lower limbs, and 8.4% with both limbs affected; 88.4% of the limb deficiencies were longitudinal and 11.6% were transverse; and, 33.3% (8/24) of the affected newborn infants had additional congenital anomalies. We conclude that CLD is not an infrequent finding in live-born infants. Comprehensive ultrasonography of the fetus allows early prenatal diagnosis of CLD and provides the parents with important information and helps them in their decision regarding the fate of the pregnancy. Copyright © 2003 John Wiley & Sons, Ltd.     

Environmental effects of aluminium

Aluminium (Al), when present in high concentrations, has for long been recognised as a toxic agent to aquatic freshwater organisms,i.e. downstream industrial point sources of Al-rich process water. Today the environmental effects of aluminium are mainly a result of acidic precipitation; acidification of catchments leads to increased Al- concentrations in soil solution and freshwaters. Large parts of both the aquatic and terrestrial ecosystems are affected.In the aquatic environment, aluminium acts as a toxic agent on gill-breathing animals such as fish and invertebrates, by causing loss of plasma- and haemolymph ions leading to osmoregulatory failure. In fish, the inorganic (labile) monomeric species of aluminium reduce the activities of gill enzymes important in the active uptake of ions. Aluminium seems also to accumulate in freshwater invertebrates. Dietary organically complexed aluminium, maybe in synergistic effects with other contaminants, may easily be absorbed and interfere with important metabolic processes in mammals and birds.The mycorrhiza and fine root systems of terrestrial plants are adversely affected by high levels of inorganic monomeric aluminium. As in the animals, aluminium seems to have its primary effect on enzyme systems important for the uptake of nutrients. Aluminium can accumulate in plants. Aluminium contaminated invertebrates and plants might thus be a link for aluminium to enter into terrestrial food chains.     

The prenatal diagnosis of cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) by mutation analysis

Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is an important cause of hereditary stroke. Mutations in the Notch3 gene are clearly causally linked to this progressive vascular disorder. Cerebral ischemic attacks, cognitive decline, strokes, and vascular dementia constitute the major manifestations of this disorder. This report details the prenatal detection of a Notch3 mutation in the fetus of a couple where the father had a known mutation in this gene. This is the first report of a prenatal diagnosis of CADASIL, and another example of a serious, highly penetrant, and relentlessly progressive degenerative genetic disorder presenting decades after birth and for which prenatal diagnosis is an option. Copyright © 2005 John Wiley & Sons, Ltd.     

A novel additive for the reduction of acid gases and NO(x) in municipal waste incinerator flue gas.

The reduction of SO2, HCl, and NO(x) concentrations using calcium magnesium acetate (CMA) as a novel sorbent in a simulated municipal waste incinerator flue gas was investigated. The reduction of individual SO2, HCl, and NO(x) concentrations was tested at 850 degrees C and it was found that CMA could reduce the SO2 concentration by 74%, HCl concentration by 64%, or NO(x) concentration by 94%. It was observed that individual SO2 or HCl capture increased with increasing initial oxygen concentration in the reacting gas or increasing sorbent input. NO(x) reduction decreased with increasing initial oxygen concentration in the reacting gas. The simultaneous reduction of SO2, HCl, and NO(x) concentrations by CMA was also investigated. It was found that CMA could simultaneously capture 60% SO2 and 61% HCl and reduce NO(x) concentrations by 26%, when the initial oxygen concentration in the reacting gas was 4%. During the simultaneous reduction of SO2, HCl, and NO(x), it was noted that as the initial oxygen concentration in the reacting gas increased, the efficiency of SO2 capture increased too, but the efficiency of HCl capture and the efficiency of NO(x) destruction decreased.