Does a ‘notched’ nuchal translucency indicate Down syndrome fetuses or other adverse pregnancy outcome?

The aim of the present study was to assess the sonographic contour of the increased nuchal translucency (NT) and to correlate this with pregnancy outcome. Fifty sonographic images of fetuses with increased NT [>95th centile thickness of the normal range for crown–rump length (CRL) between 38 and 84 mm] were retrospectively assessed. In all the cases a complete pregnancy and even infancy follow-up (<36 months) was available. The NT appearances were subdivided into two forms: a ‘notched’ or ‘uniform’ appearance. The images were correlated with karyotype results [trisomy 21 (DS) vs euploid cases] and pregnancy outcome. Complicated outcomes were classified as being either DS fetuses, miscarriage or termination of pregnancy because of structural anomaly. Thus 30/35 (86%) of the euploid fetuses had a ‘uniformly’ increased NT, whereas 8/13 DS cases (62%) had a ‘notched’ appearance (Fisher's exact test, p=0.004). Additionally, 27/29 fetuses (93%) which had an uneventful pregnancy outcome had a ‘uniform’ increased NT, whereas 12/26 (57%) of the fetuses which had adverse pregnancy outcome had a ‘notched’ appearance of their NT (Fisher's exact test, p<0.001). Although it was not possible to correlate the sonographic data with post-evacuation microdissection findings, it is possible that a uniformly shaped, increased NT may be more representative of a developmental delay in a normal fetus. Conversely, a ‘notched’ nuchal surface may represent abnormal lymphatic or cardiovascular development more commonly seen in DS fetuses. Copyright © 2001 John Wiley & Sons, Ltd.     

导致上西里西亚工业区儿童血铅水平升高环境和社会经济因素研究

本文集中在横向分析近期波兰儿童铅暴露和铅暴露增加背后的社会经济因素。在上西里西亚工业区,铅是分布最广泛的有毒重金属之一。儿童血铅水平升高关系儿童幸福,不断引起严重关切。本研究涉及在1999 - 2013年间,上西里西亚地区3岁到18岁的4 882名儿童。记录了每一个孩子血液中铅的浓度。孩子的父母被要求回答关于儿童接触铅的环境和家庭社会经济条件的问卷调查。铅暴露增加的因素包括：父母受教育程度较低,父母失业、父母的职业铅暴,家庭的贫穷社会经济地位,在家吸烟,生活在建筑物底层,食用本地种植的蔬菜和水果,在污染环境中长期进行户外活动和男性性别。铅的环境暴露仍然是导致上西里西亚地区儿童慢性铅中毒的主要因素。与儿童血铅浓度关系最大的社会经济因素是儿童父母的低教育水平。
精选自Wojciech Pelc, Natalia Pawlas, Micha? Dobrakowski, S?awomir Kasperczyk. Environmental and socioeconomic factors contributing to elevated blood lead levels in children from industrial area of Upper Silesia. Environmental Toxicology and Chemistry: Volume 35, Issue 10, pages 2597–2603, October 2016. DOI: 10.1002/etc.3429
详情请见http://onlinelibrary.wiley.com/doi/10.1002/etc.3429/full
     

Fluoride in drinking water exacerbates glomerulonephritis and induces liver damage in ICR-derived glomerulonephritis mice

To evaluate the effects of fluoride on the kidney and the liver of ICR-derived glomerulonephritis (ICGN) mice by using laboratory tests and pathological examinations, fluoride was administered to the ICGN mice at 0, 25, 50, 100, and 150?ppm in drinking water for 4 weeks and to the ICR mice, which have normal kidney function at 0 and 150?ppm. The BUN, creatinine, GOT, and GPT in the serum of each mouse were determined. When a mouse died, the sample from the day closest to the death was assigned for the mean. Pathological changes in the kidney were examined after PAS (periodic acid-Schiff) staining. All of the ICGN mice in the 150?ppm group and one of seven in the 100?ppm group died before the end of week 4, but no ICR mice died. For ICGN mice, the mean value of body weight in the 150?ppm group was significantly lower than those in 0?ppm group and other fluoride-administered groups. The mean values of relative liver and kidney weights in the 100 and 150?ppm groups were significantly lower than those in the control. The mean values of BUN, creatinine, and GPT in the 150?ppm group were significantly higher than those in the control. The thickness of the glomerular capillary wall and the increased mesangial matrix in the kidney were prominent in the fluoride-administered ICGN mice. These results suggested that fluoride severely exacerbated glomerulonephritis and tublar-intestitial changes in ICGN mice.