Pulmonary stenosis and reactive right ventricular hypertrophy in the recipient fetus as a consequence of twin-to-twin transfusion

The present study describes an association between adverse outcome in the twin-to-twin transfusion syndrome (TTTS) and pulmonary stenosis or reactive right ventricular hypertrophy. Six discordant monozygotic twin pregnancies with TTTS are described. Ventricular hypertrophy and atrioventricular valvular regurgitation occurred in all the recipient twins with pulmonary valvular stenosis in three cases and infundibular stenosis in one case. The recipient twin in one pair and both twins in another pregnancy died as a consequence of immaturity but the remaining twins all survived. Surgical intervention was required in one baby for valvular pulmonary stenosis. Our observations suggest that elevated blood pressure in the transfusion recipient may play an important role in pathogenesis. We hypothesise that both pulmonary stenosis and right chamber hypertrophy are secondary to hemodynamic changes. Although we have found valvular pulmonary stenosis in three recipients and infundibular stenosis in only one, this (obstruction to outflow) could be due to right chamber hypertrophy. Copyright © 2001 John Wiley & Sons, Ltd.     

Effect of a reservoir in the water quality of the Reconquista River, Buenos Aires, Argentina

The lower portion of the Reconquista River is highly polluted. However, little is known about the state of the high and middle basins. The aims of this work were to assess the water quality on the high and middle Reconquista River basins and to determinate if the presence of a reservoir in the river has a positive effect on the water quality. We conducted a seasonal study between August 2009 and November 2010 at the mouth of La Choza, Durazno, and La Horqueta streams at the Roggero reservoir—which receives the water from the former streams—at the origin of the Reconquista River and 17 km downstream from the reservoir. We measured 25 physical and chemical parameters, including six heavy metal concentrations, and performed a multivariate statistical analysis to summarize the information and allow the interpretation of the whole data set. We found that the Durazno and La Horqueta streams had better water quality than La Choza, and the presence of the reservoir contributed to the improvement of the water quality, allowing oxygenation of the water body and processing of organic matter and ammonia. The water quality of the Reconquista River at its origin is good and similar to the reservoir, but a few kilometers downstream, the water quality declines as a consequence of the presence of industries and human settlements. Therefore, the Roggero reservoir produces a significant improvement of water quality of the river, but the discharge of contaminants downstream quickly reverses this effect.     

DDT, DDE, and 1-hydroxypyrene levels in children (in blood and urine samples) from Chiapas and Oaxaca, Mexico

The aim of this study was to evaluate the DDT, DDE, and 1-hydroxypyrene exposure levels of children living in communities located in southeastern Mexico. The study communities were Lacanja and Victoria in Chiapas state and Ventanilla in Oaxaca state. Children living in Lacanja had total blood DDT levels (mean?±?SD, 29,039.6?±?11,261.4 ng/g lipid) that were significantly higher than those of children in Victoria (10,220.5?±?7,893.1 ng/g lipid) and Ventanilla (11,659.7?±?6,683.7 ng/g lipid). With respect to the 1-hydroxypyrene levels in urine samples, the levels in Lacanja (4.8?±?4.1 μg/L or 4.5?±?3.9 μmol/mol creatinine) and Victoria (4.6?±?3.8 μg/L or 3.9?±?3.0 μmol/mol Cr) were significantly higher than levels found in Ventanilla (3.6?±?1.4 μg/L or 2.5?±?0.5 μmol/mol Cr). In conclusion, our data indicate high levels of exposure in children living in the communities studied in this work. The evidence found in this study could be further used as a trigger to revisit local policies on environmental exposures.     

Competitive Retention of Lead and Cadmium on an Agricultural Soil

Lead and cadmium contamination of an agricultural soil has been studied using batch and column experiments. Thermodynamics of theretention phenomena may be represented by a Langmuir isotherm foran aqueous metal concentration up to 100 mg L^-1. First order kinetics with respect to the solid phase yield good predictabilityfor both batch and column experiments. Kinetics and thermodynamics of lead retention predominate over those ofcadmium. As a consequence, lead is preferentially retainedand can even displace sorbed cadmium. In the event of anspill involving both metals, cadmium would move further inthe soil and its aqueous concentration downstream could beeven higher than that of the influent solution, increasingpotential risks. A two-region model has been used to fit all the experimental results. Satisfactory predictions for column experiments are obtained with parameters which are consistent with those obtained for the batch experiments, for which sorption is described by a Langmuir isotherm including competitive retention.     

Sequential extractions of selenium soils from Stewart Lake: total selenium and speciation measurements with ICP-MS detection

Different techniques have been employed in order to evaluate the most efficient procedure for the extraction of selenium from soil as required for speciation. Selenium contaminated sediments from Stewart Lake Wetland, California were used. A strong acid mineralization of the samples gives quantitative total selenium, which is then used to estimate recoveries for the milder extraction methods. The different extraction methodologies involve the sequential use of water, buffer (phosphate, pH 7) and either acid solution (e.g. HNO3 or HCl) or basic solutions (e.g. ammonium acetate, NaOH or TMAH). Pyrophosphate extraction was also evaluated and showed that selenium was not associated with humic acids. The extractants were subsequently analyzed by size exclusion chromatography (SEC) with UV (254 and 400 nm) and on-line ICP-MS detection; anion exchange chromatography, and ion-pair reversed phase chromatography with ICP-MS detection. For sequential extractions the extraction efficiencies showed that the basic extractions were more efficient than the acidic. The difference between the acidic and the basic extraction efficiency is carried to the sulfite extraction, suggesting that whatever is not extracted by the acid is subsequently extracted by the sulfite. The species identified with the different chromatographies were selenate, selenite, elemental selenium and some organic selenium.     

Iron, cadmium, and chromium in seagrass (Thalassia testudinum) from a coastal nature reserve in karstic Yucatán

The management of protected areas in karstic regions is a challenge because flooded cave systems form there and provide underground hydrological conducts that may link different zones. As a consequence, affectations to the protected areas can possibly occur as a consequence of human activities in remote areas and may therefore pass undetected. Thus, the monitoring of possible contaminants in these regions is becoming imperative. In this work, we analyze the concentration of essential (iron) and non-essential metals (cadmium and chromium) in the seagrass Thalassia testudinum that grows in Yalahau Lagoon, located in a near-to-pristine protected area of the Yucatán Peninsula, close to the rapidly developing touristic belt of the Mexican Caribbean. Salinity and silicate patterns show that Yalahau is an evaporation lagoon, where groundwater discharge is important. High iron (>400 μg/g), cadmium (>4 μg/g), and chromium (≈1 μg/g) concentrations were found in the area of highest groundwater input of the lagoon. High levels (5.1 μg/g) were also found near the town dump. In the rest of the sampling sites, metal concentrations remained near to background levels as estimated from other works. Temporal changes of concentrations in the seagrass tissues show also a local input and an input from the groundwater that could provoke an environmental problem in the Yalahau Lagoon in the near future.     

Fast simultaneous determination of traces of Cu(II) and Co(II) in soils and sediments with the luminol/perborate chemiluminescent system

A flow injection analysis method based on ion chromatography and luminol chemiluminescence detection was used for the simultaneous determination of copper (II) and cobalt (II) trace levels in soils and sediments following microwave-assisted acid digestion. Detection was based on chemiluminescence (CL) of the luminol–perborate system in an alkaline medium, which is catalyzed by both transition metals. The concentration and pH of the eluent (oxalic acid) was found to affect CL intensities and retention times, both of which were inversely proportional to the oxalic acid concentration. The calibration curves for both metal ions were linear and allowed a limit of detection of 0.003 μg l^?1 for cobalt (II) and 0.014 μg l^?1 for cooper (II) to be calculated. The proposed method was successfully used to determine both metal ions in certified reference materials of stream and river sediments and soil samples. Based on the results, the determination is free of interferences from the usual concomitant ions.     

Occupational accidents model based on risk–injury affinity groups

This article sets outs a generalized utility model for the diagnosis and prediction of accidents among the Spanish workforce. Based on observational data classified into a risk–injury contingency table (19 × 19), we have summarized the accident rate of all Spanish companies over an 11-year period (75,19,732 accidents). By using correspondence analysis a structure composed of three axes can be obtained, the combination of which identifies three separate risk and injury groups, which we use as a general Spanish pattern. The relationships of greater affinity or likelihood amongst the risks and injuries identified in the pattern facilitate decision-making at the risk-assessment stage in Spanish companies. Each risk–injury group has its own characteristics, interpretable within the phenomenological framework of the accident.The main advantage of this model is its potential application to any other country and the feasibility of contrasting results from different countries. One limiting factor, however, is that the model currently lacks a common classification frame for risks and injuries which would enhance this contrast. The aim of this model is to automatically manage work-related accidents at a national level.     

The development of probabilistic models to estimate accident risk (due to runway overrun and landing undershoot) applicable to the design and construction of runway safety areas

The risks of landing overrun (LDOR – LanDing OverRun), Take-off Overrun (TOOR – Take-Off OverRun) and landing undershoot (LDUS – LanDing UnderShoot) are dependent on multiple factors related to operating conditions. These include wind, runway surface conditions, landing or take-off distances required, the presence of obstacles, runway distance available, the existence and dimensions of runway safety areas.In this paper we propose risk models for runway overrun and landing undershoot, using a probabilistic approach. These models are supported by historical data on accidents in the area around the runway and will enable us to determine if the risk level is acceptable or whether action must be taken to mitigate such risks at a given airport. Furthermore, these models permit comparison of the results of different risk mitigation actions in terms of operational risk and safety.The principal advantage of this method is the high quality results obtained for a limited investment in terms of time, computing power and data. As such the method is extremely practical and easy to apply in aerodrome planning, development and operation.