Paralytic ileus in a fetus–neonate after maternal intake of benzodiazepine

Paralytic ileus of the small bowel was diagnosed in a fetus at 32 weeks' gestation after referral because of polyhydramnios. The mother had taken clonazepam, a benzodiazepine, and carbamazepine during the entire pregnancy for epilepsy. All known causes for the ileus were ruled out and at 20 months the boy has developed normally. We conclude that maternal anticonvulsant drug intake was very likely the cause of the paralytic ileus. This side-effect is known in experimental and clinical pharmacology but has not yet been described in human fetuses.     

Appearance of excessive lipids in amniotic fluid as a sign of fetal hyperlipidaemia

The appearance of excessive lipids in amniotic fluid during Caesarean section raised the suspicion of a hyperlipidaemic fetus. The amniotic fluid had elevated cholesterol (53 mg/dl) and triglycerides (81 mg/dl). At the age of 2 months, the infant was hyperlipidaemic (cholesterol of 161 mg/dl and triglycerides of 84 mg/dl). The case suggests the possibility of prenatal diagnosis of hyperlipidaemia, a major risk factor for atherosclerosis.     

Prenatal diagnosis of Dandy-Walker malformation in a family displaying X-linked inheritance

The diagnosis of Dandy-Walker malformation was made on the ultrasonographic evaluation of a 33-week male fetus. Pedigree analysis revealed a family history of isolated Dandy-Walker malformation in three other males, suggesting an X-linked recessive inheritance pattern.     

Effects of cigarette and biomass smoke exposure on oxidant–antioxidant status in rabbits

To evaluate the effects of cigarette smoking and biomass (dried dung) smoke on the oxidant–antioxidant status, three groups each with 5 rabbits were used. Groups of rabbits were exposed to either cigarette smoke, dried dung smoke or dry air, 1?h daily for one month. Protein carbonyls, prostaglandin F_2α and malondialdehyde levels were significantly increased and protein sulfhydryls levels were significantly decreased in the cigarette smoke group compared with the control group. Only protein sulfhydryls levels were significantly decreased in dung group compared with the control group. Short course exposure to both cigarette smoke and biomass smoke decreased plasma antioxidant levels but only cigarette smoke increased plasma oxidant levels, whereas biomass smoke did not produce any change.     

Temporal limitations in the use of potassium dichromate as a blood preservative for the analysis of organohalogenated contaminants including polybrominated diphenyl ethers,dioxins and PCBs

Previous studies described the use of potassium dichromate (K₂Cr₂O₇) to successfully preserve whole blood for up to 34 days at room temperature (20–22°C) for analysis of chlorinated dioxins, dibenzofurans and PCBs. Potassium dichromate has been successfully employed as a preservative for cows’ milk and in a World Health Organization study of human milk. The use of two 100?mg tablets in 40 to 100?mL of whole blood in anticoagulant was found to provide almost identical levels of dioxins, dibenzofurans, PCBs and lipids as found in frozen comparison blood at??70°C which is generally regarded as the gold standard for blood preservation. Potassium dichromate was found to be preferable to 20 and 40% ethyl alcohol for this preservation. This finding opens opportunities for preservation under field conditions in developing countries where neither electricity nor dry ice is available. Not having to use dry ice for shipping also allows more flexibility in the choice of commercial carriers for transporting blood to an analytical laboratory. It is recommended considering a number of compounds in addition to those studied in our first report and extending the time beyond 34 days in order to determine if longer storage might also be feasible. Data on polybrominated diphenyl ethers (PBDEs), as well as polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), and selected polychlorinated biphenyls (PCBs) are reported. For the present study 3 and 6 months were chosen in potassium dichromate at room temperature compared to freezing at ?70°C. Data indicate that these times exceed the limits of efficacy of potassium dichromate for whole blood preservation. This was attributed to degradation of the lipid component of the blood. Since dioxins and closely related structural analogues are traditionally reported as lipid normalized blood levels, this degradation of lipids provides erroneous results. Therefore, potassium dichromate is not recommended for long-term storage beyond 34 days at room temperature. It is planned to study the time period between one and three months and higher temperature preservation for shorter time periods, simulating conditions in tropical countries, to attempt to extend further the ease and convenience of chemical preservation of blood.     

Consensus Seasonal Flood Forecasts and Warning Response System (FFWRS): An Alternate for Nonstructural Flood Management in Bangladesh

Despite advances in short-range flood forecasting and information dissemination systems in Bangladesh, the present system is less than satisfactory. This is because of short lead-time products, outdated dissemination networks, and lack of direct feedback from the end-user. One viable solution is to produce long-lead seasonal forecasts—the demand for which is significantly increasing in Bangladesh—and disseminate these products through the appropriate channels. As observed in other regions, the success of seasonal forecasts, in contrast to short-term forecast, depends on consensus among the participating institutions. The Flood Forecasting and Warning Response System (henceforth, FFWRS) has been found to be an important component in a comprehensive and participatory approach to seasonal flood management. A general consensus in producing seasonal forecasts can thus be achieved by enhancing the existing FFWRS. Therefore, the primary objective of this paper is to revisit and modify the framework of an ideal warning response system for issuance of consensus seasonal flood forecasts in Bangladesh. The five-stage FFWRS—i) Flood forecasting, ii) Forecast interpretation and message formulation, iii) Warning preparation and dissemination, iv) Responses, and v) Review and analysis—has been modified. To apply the concept of consensus forecast, a framework similar to that of the Southern African Regional Climate Outlook Forum (SARCOF) has been discussed. Finally, the need for a climate Outlook Fora has been emphasized for a comprehensive and participatory approach to seasonal flood hazard management in Bangladesh.     

Distribution of fallout radionuclides (7Be, 137Cs, 210Pb and 239,240Pu) in soils of Taiwan

Depth profiles and cumulative deposition of four fallout radionuclides (7Be, 137Cs, 210Pb and 239,240Pu) were determined in presumably undisturbed soils in Taiwan. Inventories of these radionuclides in different areas correlate significantly with each other (except 7Be) and with mean annual rainfall, providing a necessary condition for the development of soil erosion studies in Taiwan. However, the data show very large spatial variability between and within landscape units, reflecting the steep topographic and meteorological gradients in the island. Thus, the application of fallout radionuclides to study soil conservation in Taiwan is expected to be a demanding task; it will call for dense sampling even at undisturbed reference sites.     

An assessment of fecal indicator and other bacteria from an urbanized coastal lagoon in the City of Los Angeles, California, USA

A study was performed in Del Rey Lagoon, City of Los Angeles, to determine if the lagoon was as a source or sink for fecal indicator bacteria (FIB: total coliforms, Escherichia coli, enterococci) and to screen for the presence of other potentially pathogenic bacteria. The lagoon receives tidal flows from the adjacent Ballona Estuary whose water usually is contaminated with FIB originating from the highly urbanized Ballona Creek Watershed. During 16 sampling events from February 2008 through March 2009, replicate water samples (n?=?3) were collected 1 h prior to the high tide and 1 h prior to the following low tide. FIB concentrations were measured by the defined substrate method (IDEXX, Westbrook, Me) followed by culturing of bacterial isolates sampled from positive IDEXX Quanti-Tray wells and were identified using the Vitek 2 Compact (bioMérieux, Durham, NC). Mean concentrations of FIB often differed by an order of magnitude from flood to ebb flow conditions. The lagoon tended to act as a sink for total coliforms based on the ratio of mean flood to ebb densities (R _F/E) >1.0 during 56 % of the sampling events and during ebb flows, as a source for E. coli and enterococci (R _F/E <1.69 % of events). Approximately 54 species were identified from 277 isolates cultured from the IDEXX Quanti-Trays. Of these, 54 % were species known to include pathogenic strains that can be naturally occurring, introduced in runoff, or originated from other sources. Diversity and cluster analyses indicated a dynamic assemblage that changes in species composition with day-to-day fluctuations as well as tidal action. The concept of monitoring the lagoon and estuary as a sentinel habitat for pathogenic assemblages is discussed.