Prenatal detection of cystic fibrosis; comparative study of maltase and alkaline phosphatase activities in amniotic fluid

The potential value of microvillar enzymes in the prenatal diagnosis of cystic fibrosis (CF) has previously been demonstrated and is corroborated in the present comparative study. Maltase and alkaline phosphatase (ALP) activities were studied in the amniotic fluids of 57 pregnancies with a 1 in 4 risk for CF or with a known CF outcome and in 489 controls. A simple assay for maltase activity (MU-maltase) with the fluorogenic substate 4-methylumbelliferyl α-glucoside, offers great technical advantages and an at least equal detection rate of CF, when compared to the previously used test with maltose as substrate. Intestinal ALP was estimated either as phenylalanine inhibitable activity (PI-ALP) or as the proportions of residual activity in the presence of the inhibitors phenylalanine or homoarginine. MU-maltase and PI-ALP appeared the most successful methods: both tests were able to detect 14 of the 16 (88 per cent) pregnancies with fetal CF. Each of the two tests alone also allowed a correct prediction in 24 of the 25 pregnancies at risk but with normal outcome; however all 25 cases could be correctly predicted by a combined evaluation. It is suggested that more than one intestinal enzyme activity should be evaluated to allow optimal results in the prenatal monitoring of pregnancies at high risk for CF.     

The citrus pyslla, Trioza erytreae (Del Guercio) (hemiptera: Triozidae): A review

The literature on the citrus psylla, Trioza erytreae, published since 1897, is reviewed. The citrus psylla is an important vector of the greening disease of citrus. The stages of development and life history are discussed. Of the factors that influence population size, flushing of the host plants and high saturation deficits are the most important. Methods of population monitoring and control are summarised. The main means of reducing vector numbers and therefore the spread of greening disease, are resistance of citrus trees to greening disease, restricting citrus growing to hot, low-lying regions of the country, and strict vector control in nurseries. Requirements for further research, are discussed.     

Prenatal diagnosis of zellweger's syndrome by chorionic villus sampling-and a caveat

At 7·5 weeks gestation, two small chorionic villous biopsies were obtained from a woman at risk for Zellweger's cerebro-hepato-renal syndrome, and were separately established in culture. After 3 weeks, dihydroxyacetone phosphate acyltransferase (DHAP-AT) activity was measured in both cultures. The enzyme was markedly deficient in one cell strain and this was subsequently shown to have a male karyotype. However, the second culture had normal enzyme activity and a female karyotype. The pregnancy was terminated at 11·5 weeks gestation, and follow-up studies on fetal tissues confirmed a male fetus with markedly deficient DHAP-AT activity.     

In utero diagnosis and treatment of fetal goitrous hypothyroidism,caused by maternal use of propylthiouracil

A fetal goitre is a potentially dangerous phenomenon because of mechanical obstruction and possible fetal thyroid function disorders. In this report we describe a patient with Graves' disease diagnosed in early pregnancy and treated with propylthiouracil, which resulted in a large fetal goitre and fetal hypothyroidism. The diagnostic problems are discussed and we focus on the need for fetal thyroid hormone serum evaluation. The only reliable way to obtain information about the fetal thyroid status is percutaneous fetal umbilical cord blood sampling, since amniotic fluid levels do not properly represent the fetal thyroid function. Fetal hypothyroidism can thus be diagnosed in utero and treated with intra-amniotic injections of thyroxine. The recommended dose and frequency of injections are only based on a few case reports and for that reason we performed a second fetal blood sampling 1 week later to evaluate our therapy. Weekly intra-amniotic injections of 250 μg of thyroxine seem to be sufficient to reduce a fetal goitre and give a normal thyroid hormone level.     

Prenatal analyses in a pregnancy at risk for β-mannosidosis

Prenatal analyses were performed in the pregnancy of the mother of a patient with β-mannosidase deficiency. Partial deficiency of β-mannosidase activity in the chorionic villi indicated a heterozygous fetus and this first-trimester diagnosis was subsequently confirmed by amniocentesis.     

A case of partial sirenomelia and possible vitamin A teratogenesis

Prenatal echographical findings of a partial sirenomelic fetus are described. An attempt was made to terminate pregnancy by administration of prostaglandin F₂a, but uterine rupture occurred. The teratogenic role of vitamin A ingested by the mother in the penconceptional period is discussed.     

Amniotic fluid disaccharidases in the prenatal detection of cystic fibrosis

Intestinal disaccharidases in amniotic fluid were studied in 41 pregnancies with a recurrence risk for cystic fibrosis (CF). In 11 out of 13 pregnancies with CF fetuses the maltase and sucrase activities were either below the control range (8 cases) or below the 10th percentile of control values (3 cases). Trehalase and lactase were slightly less informative indicators of CF. Of the other 28 pregnancies 3 had low amniotic fluid activities of several intestinal enzymes and were terminated, 12 resulted in the birth of a healthy child and 13 are continuing. The findings in fetal CF suggest an impairment of the defaecation of intestinal contents into the amniotic fluid. Reduced or low amniotic fluid disaccharidase activities were also found in other fetal disorders with demonstrated or presumed intestinal anomalies: e.g. anal atresia (2 cases), anencephaly (3 our of the 7 cases), trisomy 13 (5 cases), trisomy 18 (3 of the 5 cases) and trisomy 21 (19 of the 22 cases). Reduced amniotic fluid disaccharidase activities, although not specific for CF, are highly informative in pregnancies at high risk for CF. Using the 10th percentile of the normal range for amniotic fluid disaccharidase activities as an action line, the sensitivity of CF detection is estimated at 80 to 90 per cent, which could in high risk pregnancies reduce the risk of having another affected child from 1 in 4 to 1 in 20.     

HYDROLOGIC SIMULATION OF THE LITTLE WASHITA RIVER EXPERIMENTAL WATERSHED USING SWAT1

ABSTRACT: Precipitation and streamflow data from three nested subwatersheds within the Little Washita River Experimental Watershed (LWREW) in southwestern Oklahoma were used to evaluate the capabilities of the Soil and Water Assessment Tool (SWAT) to predict streamflow under varying climatic conditions. Eight years of precipitation and streamflow data were used to calibrate parameters in the model, and 15 years of data were used for model validation. SWAT was calibrated on the smallest and largest sub‐watersheds for a wetter than average period of record. The model was then validated on a third subwatershed for a range in climatic conditions that included dry, average, and wet periods. Calibration of the model involved a multistep approach. A preliminary calibration was conducted to estimate model parameters so that measured versus simulated yearly and monthly runoff were in agreement for the respective calibration periods. Model parameters were then fine tuned based on a visual inspection of daily hydrographs and flow frequency curves. Calibration on a daily basis resulted in higher baseflows and lower peak runoff rates than were obtained in the preliminary calibration. Test results show that once the model was calibrated for wet climatic conditions, it did a good job in predicting streamflow responses over wet, average, and dry climatic conditions selected for model validation. Monthly coefficients of efficiencies were 0.65, 0.86, and 0.45 for the dry, average, and wet validation periods, respectively. Results of this investigation indicate that once calibrated, SWAT is capable of providing adequate simulations for hydrologic investigations related to the impact of climate variations on water resources of the LWREW.     

Global water crisis: the major issue of the 21st century,a growing and explosive problem

The authors explore what is considered to be the emerging issue of the 21st century, shortages of water. It is expected that the Netherlands, which is entirely dependent on water from other countries, will be in an extremely vulnerable position. The quantity of fresh water is limited. Contamination of water reduces water quality and availability. Many World Bank projects focus on management of the water supply for sanitation, irrigation, hydroelectric power, and construction of dikes in order to prevent flooding. The World Bank concludes that everyone worldwide must acknowledge that fresh water is a scarce natural resource. The Action Plan, Agenda 21, of the UN Rio Conference emphasized the importance of the widespread shortage, gradual destruction, and increased pollution of fresh water reserves. The four major world problems with fresh water are 1) shortages of renewable supplies, 2) unequal distribution of supplies, 3) problems of water quality and health, and 4) disastrous effects of unrestrained construction of dams and reservoirs. Only 2.5% of the total amount of water on earth is fresh water, of which 69.4% is in the form of ice, snow, or permafrost and most of the remainder is ground water. Fresh water in lakes and rivers is only about 1% of fresh water available on earth. Most of the precipitation that falls on land every year is lost through evaporation. 45,000 sq. km is the absolute maximum available annually. Distribution of water among industry, agriculture, and households varies by country. Arid regions constitute about 33% of Europe, 60% of Asia, 85% of Africa, and most of Australia and western North America. 14% of countries are at or under the poverty line of water availability, 37% have dangerously dry conditions, 14% have average levels, and 35% have ample supplies. Examples of water management are given for the Amazon River, the Euphrates and Tigris, the Aral Sea, and the Rhine River Basin. It is estimated that the world supply of fresh water would meet the needs of 4.5-9.0 billion people.     

Modelling the distribution of domestic ducks in Monsoon Asia

Domestic ducks are considered to be an important reservoir of highly pathogenic avian influenza (HPAI), as shown by a number of geospatial studies in which they have been identified as a significant risk factor associated with disease presence. Despite their importance in HPAI epidemiology, their large-scale distribution in monsoon Asia is poorly understood. In this study, we created a spatial database of domestic duck census data in Asia and used it to train statistical distribution models for domestic duck distributions at a spatial resolution of 1 km. The method was based on a modelling framework used by the Food and Agriculture Organisation to produce the Gridded Livestock of the World (GLW) database, and relies on stratified regression models between domestic duck densities and a set of agro-ecological explanatory variables. We evaluated different ways of stratifying the analysis and of combining the prediction to optimize the goodness of fit of the predictions. We found that domestic duck density could be predicted with reasonable accuracy (mean RMSE and correlation coefficient between log-transformed observed and predicted densities being 0.58 and 0.80, respectively), using a stratification based on livestock production systems. We tested the use of artificially degraded data on duck distributions in Thailand and Vietnam as training data, and compared the modelled outputs with the original high-resolution data. This showed, for these two countries at least, that these approaches could be used to accurately disaggregate provincial level (administrative level 1) statistical data to provide high resolution model distributions.