Macrocephaly–cutis marmorata telangiectatica congenita syndrome—prenatal signs in ultrasonography

A new case of macrocephaly–cutis marmorata telangiectatica congenita (M-CMTC) syndrome is described. The patient presented typical congenital findings in utero, although the syndrome was diagnosed postnatally. The M-CMTC syndrome should be considered when there is a marked fetal overgrowth and progressive macrocephaly with no indications of maternal hyperglycemia or fetal hyperinsulinism. Our patient also had unilateral pleural effusion, curved femur and frontal bossing. Copyright © 2005 John Wiley & Sons, Ltd.     

Safety halls--an evaluation

PROBLEM: In most countries, drivers licensing systems usually include teaching some aspects of using safety equipment (e.g., airbags and seat belts). However, there is now evidence worldwide that such education is inadequate, as indicated by, for example, the overrepresentation of young drivers who do not use seat belts. METHOD: A randomized controlled study was conducted in Sweden to evaluate the effects of visiting a facility known as a "safety hall" in combination with the mandatory skid training. The results were assessed to determine the effects of the knowledge and attitudes of learner drivers in the following subjects: airbags, securing loads, seat belts, sitting posture, speed, and tires. An experimental group and a control group comprising 658 and 668 learners, respectively, answered identical questionnaires on three different occasions (pretest, posttest 1, and posttest 2). RESULTS: The results show that, for most of the topics considered, knowledge and attitudes in both groups were better at posttest 2 than at the pretest, and in general, the best knowledge and attitudes were found in the experimental group. The combined safety/skid training seems to have had the greatest effect on seat belts and loads. The findings also indicate that the safety halls can be further improved to achieve an even better effect. IMPACT ON TRAFFIC SAFETY: The use of safety halls has improved the knowledge and attitudes of learner drivers concerning several important areas related to traffic safety. Since knowledge and attitudes are important predictors of behavior, implementing safety halls can be expected to lead to improvements, especially regarding the use of safety belts and securing loads.     

Nickel and sulfur speciation of residual oil fly ashes from two electric utility steam-generating units

Representative duplicate fly ash samples were obtained from the stacks of 400- and 385-MW utility boilers (Unit A and Unit B, respectively) using a modified U.S. Environmental Protection Agency (EPA) Method 17 sampling train assembly as they burned 0.9 and 0.3 wt % S residual (No. 6 fuel) oils, respectively, during routine power plant operations. Residual oil fly ash (ROFA) samples were analyzed for Ni concentrations and speciation using inductively coupled plasma-atomic emission spectroscopy, X-ray absorption fine structure (XAFS) spectroscopy, and X-ray diffraction (XRD). ROFA deionized H2O extraction residues were also analyzed for Ni speciation using XAFS and XRD. Total Ni concentrations in the ROFAs were similar, ranging from 1.3-1.5 wt%; however, stack gas Ni concentrations in the Unit A were 0.990 microg/Nm3 compared with 0.620 microg/Nm3 for Unit B because of the greater residual oil feed rates employed at Unit A to attain higher 400-MW load conditions with a lower heating value oil. Ni speciation analysis results indicated that ROFAs from Unit A contain approximately 3 wt % NiSO4 x xH2O (where x is assumed to be 6 for calculation purposes) and appoximately 4.5 wt% of a Ni-containing spinel compound, similar in composition to (Mg,Ni)(Al,Fe)2O4. ROFAs from Unit B contain on average 2 wt% NiSO4 x 6 H20 and 1.1 wt% NiO. XAFS and XRD analyses did not detect any nickel sulfide compounds, including carcinogenic nickel subsulfide (Ni3S2) (XAFS detection limit is 5% of the total Ni concentration). In addition, XAFS measurements indicated that inorganic sulfate and organic thiophene species accounted for > 97% of the total S in the ROFAs. Unit A ROFAs contained much lower thiophene proportions because cyclone-separated ROFA reinjection is employed on this unit to collect and reburn the larger carbonaceous particles.     

Aerosol particle number concentration measurements in five European cities using TSI-3022 condensation particle counter over a three-year period during health effects of air pollution on susceptible subpopulations

In this study, long-term aerosol particle total number concentration measurements in five metropolitan areas across Europe are presented. The measurements have been carried out in Augsburg, Barcelona, Helsinki, Rome, and Stockholm using the same instrument, a condensation particle counter (TSI model 3022). The results show that in all of the studied cities, the winter concentrations are higher than the summer concentrations. In Helsinki and in Stockholm, winter concentrations are higher by a factor of two and in Augsburg almost by a factor of three compared with summer months. The winter maximum of the monthly average concentrations in these cities is between 10,000 cm(-3) and 20,000 cm(-3), whereas the summer min is approximately 5000-6000 cm(-3). In Rome and in Barcelona, the winters are more polluted compared with summers by as much as a factor of 4-10. The winter maximum in both Rome and Barcelona is close to 100,000 cm(-3), whereas the summer minimum is > 10,000 cm(-3). During the weekdays the maximum of the hourly average concentrations in all of the cities is detected during the morning hours between 7 and 10 a.m. The evening maxima were present in Barcelona, Rome, and Augsburg, but these were not as pronounced as the morning ones. The daily maxima in Helsinki and Stockholm are close or even lower than the daily minima in the more polluted cities. The concentrations between these two groups of cities are different with a factor of about five during the whole day. The study pointed out the influence of the selection of the measurement site and the configuration of the sampling line on the observed concentrations.     

Large-scale spatial pollution patterns around the North Sea indicated by coastal bird eggs within an EcoQO programme

To categorize the marine environmental health status, the Oslo and Paris commissions have recently formulated Ecological Quality Objectives (EcoQOs) for many ecological features including the contamination of coastal bird eggs with mercury and organochlorines. In this study, we describe spatial and temporal patterns of egg contamination around the North Sea and compared them to the EcoQOs. Concentrations of mercury, polychlorinated biphenyl (??PCB) congeners, dichlorodiphenyltrichloroethane (??DDT) and derivatives, hexachlorobenzene (HCB) and hexachlorocyclohexane (??HCH) isomers were analysed in two tern species (Sterna hirundo and Sterna paradisaea) and Oystercatcher (Haematopus ostralegus) eggs collected between 2008 and 2010 in a total of 21 sites in seven countries surrounding the North Sea. Hg, ??PCB and HCB were highest in the southern sites, while ??DDT and ??HCH concentrations were greatest in eggs from the western North Sea and the Elbe estuary. There were rarely any consistent decreases over time for any compounds. In the terns, Hg, HCB and ??HCH increased at most sites, ??PCB and ??DDT in Sweden and Norway. In the Oystercatcher, HCB and ??HCH increased at more than the half of the sites, ??PCB, ??DDT and Hg at several German sites. In the terns, Hg, ??PCB and ??DDT exceeded the EcoQO in all, HCB in most years and sites. At most sites, ??HCH fulfilled the EcoQO in some study years. In the Oystercatcher, Hg, ??PCB and ??DDT exceeded the EcoQO in all or most years and sites. HCB and ??HCH fulfilled the EcoQO in some or all years at most sites. The EcoQO was exceeded most frequently in estuaries. We conclude that EcoQOs are suitable for drawing contamination patterns of the coastal North Sea in an easily understandable manner, offering the opportunity to harmonize the EcoQOs with coordinated environmental monitoring programmes.     

Effects of Acidification and its Mitigation with Lime and Wood Ash on Forest Soil Processes in Southern Sweden. A Joint Multidisciplinary Study

A joint multidisciplinary investigation was undertaken to studythe effects of lime and wood ash applications on two Norway spruce forest Spodosolic soils. The two sites, typical for southern Sweden, were treated in 1994 with either 3.25 t ha^-1 dolomite or 4.28 t ha^-1 wood ash (Horröd site) or in 1984 with either 3.45 or 8.75 t ha^-1 dolomite (Hasslöv site). Both sites show signs of acidification by atmospheric anthropogenic deposition and possessed low soil pH(4.3) and high concentrations of inorganic Al (35 M) in theupper illuvial soil solution. The prevailing soil conditions indicated perturbed soil processes. Following treatment with lime or wood ash, the soil conditions were dramatically altered. Cation exchange capacity (CEC) and base saturation (BS) was considerable increased after addition. Four years after application most of the added Ca and Mg was still present in the mor layer. Fifteen years after application,Mg in particular, became integrated deeper in the soil profile with a greater proportion lost by leaching incomparison to Ca. The concentrations of these ions were greatestin the mor layer soil solutions and Mg had higher mobility givinghigher concentrations also deeper in the profile. Four years after treatment, the application of wood ash and limeresulted in lower pH values and higher inorganic Al in mineral subsoil solutions compared to the untreated soil. We hypothesize that this was probably due to an increased flow of hydrogen ionsfrom the upper soil as a result of displacement by Ca and Mg ionsin the enlarged exchangeable pool. In contrast, fifteen years after lime and wood ash application, the mineral subsoil horizonspossessed a higher pH and lower soil solution Al content than theuntreated plots.Liming promoted soil microbial activity increasing soil respiration 10 to 36%. This is in the same range as net carbon exchange for forests in northern Sweden and could potentially have a climatological impact. The turnover of low molecularweight organic acids (LMWOA) by the soil microbial biomass werecalculated to contribute 6 to 20% to this CO₂ evolution.At Horröd, citrate and fumarate were the predominant LMWOAs with lowest concentrations found in the treated areas. In contrast, at the Hasslöv site, propionate and malonate were the most abundant LMWOAs. Higher microbial activity in the upper soil horizons was also theprobable cause of the considerably higher DOC concentrations observed in the soil solution of ash and lime treated areas. Thelime-induced increase in DOC levels at Hasslöv could be attributed to increases in the 3–10 kDa hydrophobic size fraction. Liming also promoted nitrification with high liming doses leading to extreme concentrations of NO₃ ^- (1 mM) in soil solution.At Hasslöv the community of mycorrhizal fungi was dramatically changed by the addition of lime, with only four of 24 species recorded being common to both control and treated areas.Many of the observed effects of lime and ash treatment can be viewed as negative in terms of forest sustainability. After fouryears of treatment, there was a decrease in the pH of the soil solution and higher concentrations of inorganic Al and DOC. Increased organic matter turnover, nitrification and NO₃ ^-leakage were found at Hasslöv. Considering that the weathering rate and the mineral nutrient uptake by trees is mostprobably governed by mycorrhizal hyphae etchingmineral grains in the soil, it is important to maintain this ability of the mycorrhizal fungi. The lime and ash-induced changed mycorrhizal community structure may significantly affect this capability. In light of this investigation and others, as reviewed by Lundström et al. (2003), the implications ofliming on forest health are multifaceted with complex relationships occurring over both space and time.     

Pools and Fluxes of Cations,Anions and Doc in Two Forest Soils Treated With Lime and Ash

The effect of liming and ash treatment on pools, fluxes and concentrations of major solutes was investigated at two forestedsites (Norway spruce) in S. Sweden. One site was treated 15 yrprior to sampling (Hasslöv-Hs; dolomite: 3.45 and 8.75 t ha^-1) and the other 4 yr before (Horröd-Hd; dolomite: 3.25 t ha^-1; wood ash: 4.28 t ha^-1). Effects of limingwere most pronounced in the O horizon solutions where higher pH,elevated Ca (120–700 M) and Mg (50–600 M) were observed as compared to control plots. The impact on the mineralsoil was more moderate. Soil solution concentrations were combined with modelled hydrological flow to calculate mass flows,which largely followed the trends of the solution composition. Liming also resulted in large increases of both exchangeable Caand Mg as well as effective cation exchange capacity (CEC_E;2–5 times the controls). The base saturation (BS%) was raised to 60–100% in the O horizon while in the mineral soil elevated values were only seen at the Hs site (20–60%; down to 10–15 cm depth for 8.75 t ha^-1). Ash treatment did notaffect either the soil solution nor the exchangeable pool to thesame extent as lime. In general, the impact at the Hd site was less pronounced especially in the mineral soil, which might be due to shorter treatment time (4 vs. 15 yr) and also differentthickness of the O horizon. Budget calculations for Ca and Mg originating from the lime showed that a major part of the Ca (40–100%) was retained in the top 30 cm of the soil, of which30–95% was present in the O horizon. The mobility of Mg wasgreater and it was estimated that a significant part had been leached from the profile (30 and 50 cm depth) after 15 yr. Increased mass flows of NO₃ ^- due to nitrification resulting from liming at the Hs site were calculated in the range120–350 mmol m^-2 yr^-1 (or 1.2–3.5 kmol ha^-1 yr^-1). There was significant leaching of Al (25–60 mmol m^-2 yr^-1), of which about 70% was inorganic, in thelower B horizon at both sites with no influence of liming.