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. 相似文献
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. 相似文献
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. 相似文献
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 F2α 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. 相似文献
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. 相似文献
Marmato, Colombia, has been an important centre of gold mining since before the first Spanish colonizers arrived in 1536. The Marmato deposit is hosted in a dacite and andesite porphyry stock as sheeted sulphide-rich veinlet systems. The district is currently experiencing a surge in both major mining projects and artisanal mining, driven by sustained high gold prices. Ore from small-scale and artisanal gold mining is processed in numerous small mills (entables) around Marmato, which impact surface water quality through the discharge of milled waste rock slurry, highly alkaline cyanide-treated effluent, and high dissolved metal loads. To investigate the impact of artisanal mining and ore processing, water samples were collected in January 2012 from streams around Marmato. The average dissolved metal concentrations in impacted streams were Zn, 78 mg L?1; Pb, 0.43 mg L?1; Cu, 403 µg L?1 Cd, 255 µg L?1; As, 235 µg L?1; Ni, 67 µg L?1; Co, 55 µg L?1; Sb, 7 µg L?1; and Hg, 42 ng L?1, exceeding World Health Organization drinking water guidelines. In addition, arsenic speciation was conducted in-situ and indicated that 91–95% of inorganic arsenic species is in the form of As(V). Spatial analysis of the data suggests that entables processing ore for artisanal miners are the main contributor to water pollution, with high sediment loads, alkalinity and elevated concentrations of dissolved arsenic, cadmium, mercury and lead, caused by the processing of gold-bearing sulphides in the entables. Geochemical data from surface water were compared to a comprehensive data set of whole rock analyses from drill core and channel samples from the deposit, indicating that the deposit is significantly enriched in gold, silver, lead, zinc, arsenic, antimony, and cadmium compared to crustal averages, which is reflected in the surface water geochemistry. However, elevated mercury levels in surface water cannot be explained by enrichment of mercury in the deposit and strongly suggest that mercury is being added to concentrates during ore processing to amalgamate fine gold.
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. 相似文献