Fluoride removal and its impact on oral health in Sri Lanka's dry zone: Discussion and recommendation

Fifty percent of the dry zone areas in Sri Lanka have fluoride levels above 1 ppm. This paper discusses the ground conditions and recommends an appropriate range of fluoride in drinking water which can support preventive practices for improving the oral health of children 8-years old and younger. In efforts to address the Chronic Kidney Disease of Unknown etiology (CKDU), water treatment to reduce contaminant level in potable water has been implemented. Such treatment would also remove fluoride and has resulted in potable water with various fluoride levels, depending on concentrations in the raw water. While it is important to reduce fluoride levels, it is important to have appropriate residual levels for prevention of dental caries. It needs, however, to be noted fluoride in excess can cause dental fluorosis. In Sri Lanka's dry zone areas increasing prevalence of dental fluorosis with decreasing prevalence of dental caries has been noted. Consumption of tea and powdered milk could increase total intake of fluoride. Fluoridated toothpaste, when used properly, may, however, result in negligible intake of fluoride. Sri Lanka's hot tropical climate which results in substantial intake of fluids reinforces the need to consider reduction in water fluoride. Consideration of local studies and international standards indicate fluoride levels should be in the range of 0.225–0.500 ppm. In the range of 0.225–0.500 ppm, the prevalence of dental fluorosis and caries was only 14% and 8%, respectively, in an endemic district. When fluoride levels are above 0.500 ppm, the issue of dental fluorosis shall need to be addressed. When levels are below 0.225 ppm, oral health care services shall need to be directed at preventing dental caries.     

Prenatal diagnosis of Apert syndrome: report of two cases

Two de novo cases with Apert Syndrome detected prenatally are presented herein. In the first, fetal ultrasound findings of syndactyly of the hands, craniosynostosis and proptosis resulted in a prenatal diagnosis in the nineteenth week of gestation. This is the earliest prenatal diagnosis of this syndrome in a not-at-risk case. Following counseling, this pregnancy was terminated and subsequent pathological examination and DNA analysis confirmed the diagnosis of Apert Syndrome and coarctation of the aorta. In the second case, fetal ultrasound at 21 weeks' gestation revealed a hypoplastic left heart and clover-leaf skull. Following counseling, this pregnancy was also terminated. Further examination of the fetus and DNA analysis led to a diagnosis of Apert Syndrome. These cases emphasize the need to complete a thorough fetal ultrasound in cases with potentially lethal cardiac abnormality and the importance of incorporating a fetal pathologist, as well as a medical geneticist, in the investigations performed after delivery or pregnancy termination when a fetal abnormality is detected on ultrasound. Copyright © 2003 John Wiley & Sons, Ltd.     

炼铝作业氟化物接触剂量与发病关系的分析

目的 了解炼铝作业氟的危害状况,为工业性氟病的防治提供依据.方法 对氟作业环境作职业卫生学调查.采用剂量患病率寿命表法对866名电解铝作业工人工业性氟病的发病情况进行流行病学调查,并作相关回归分析.结果 该厂接氟工人工业性氟病的总患病率为1.73%,且患病率随累积接氟量的增加而升高,呈高度正相关(r＝0.997,P＜0.01).并据所求得回归方程(y＝10.34InD-18.21)推算出接氟工人控制患病率时的允许连续工作年限和今后的发病趋势.结论 该厂电解铝车间氟危害较重,应加强卫生防护措施,并建议将车间氟最高容许浓度从目前1 mg/m3降为0.5 mg/m3为宜.     

Specific features of the growth of Scots pine vegetative organs in the forest-steppe zone of Cisbaikalia

The dependence of the annual increment of vegetative organs on air temperature and humidity and the amount of precipitation per phenophase, as well as the period of their growth in Scots pine, were studied in the forest-steppe zone of Cisbaikalia. The multiple effect of variation in environmental conditions on the annual increment of organs increased when precipitation in September of the previous year was taken into account. These factors proved to have a stronger effect on variation in the annual increment of needles (R ² = 0.59, p = 0.00005) than that in the annual ring width (R ² = 0.38, p = 0.0002).     

Potential fluorosis problems around Chandidongri, Madhya Pradesh, India

The area around Chandidongri (latitude 21 deg 02 prime N and longitude 80 deg 37 prime E) is covered by granitic gneisses and amphibolites of the Amgaon Group and granites and rhyolites of the Dongargarh super group. The granites which cover the major portion of the area have been intruded into by a number of dolerite and epidiorite dykes and traversed by a few N–S trending shear zones. A well-known fluorite deposit is located along the Lamtidongri–Kotnapani shear zone. Besides this deposit, the authors have located a few occurrences of fluorite along other shear zones where epidiorite dykes are in association with granites. A number of cases of fluorosis have been reported from those parts of Rajasthan and Andhra Pradesh which are covered by granitic rocks and also from the eastern parts of Bhandara district which are adjacent to the area described here. The Chandidongri area is mainly covered by granitic rocks, which at places show the presence of fluorite mineralisation. Taking into consideration these facts, the authors have investigated the area to study the cases of fluorosis if any, and the impact of geology and fluorite mining on the water quality in this region. During the survey, we have not come across any cases of fluorosis in this region. The pH is more than 7 and the fluoride concentration is within the permissible limit.     

Ecological Survey of Coastal I Water Adjacent to Nuclear Power I Plants in Taiwan

A total of six nuclear reactors installed in three power plants, two along the northern and one along the southern coasts of Taiwan, started their operations one after another since October 1977. Owing to the large quantities of cooling water intake into and discharge from the plants, some environmental factors such as water temperature, chlorine, environmental radioactivity and nearshore currents may be significantly changed. Variations of these abiotic environmental factors may influence the biological activities in the ecosystem, particularly doing some kinds of damage to marine biological resources. Therefore, the possible environmental impact upon the biological systems including the fishery resources along the northern and southern coasts of Taiwan should be studied before and during the plant operation.

We have started the long-term programmes of biological, chemical and hydro-graphical surveys of the nuclear power plant sites on both northern (since July 1974) and southern (since July 1979) coasts of Taiwan. the survey items include ocean currents, physical and chemical properties of sea water, primary productivity, specific compositions and interspecific relationships among phyto- and zooplankton, algae, invertebrates, corals, and fishes; and radionuclides in water and biological specimens, and fishery statistics. in general, except for a few events, the operations of the six units of nuclear power plants have not produced detectable effects on the marine ecosystem. Radio activity levels and radionuclides in water and the biological specimens remained the same as background levels throughout the survey period. However, the events of coral bleaching and fish body anomalies caused by thermal discharges were observed respectively along the outlets of third and second Nuclear Power Plants. the purposes of this paper are to report and evaluate these two events during the operations of nuclear power plants in Taiwan.     

A new report of mesomelic camptomelia,polydactyly and Dandy–Walker complex in siblings

Two male siblings with several malformations are reported. The anomalies detected in both fetuses were mesomelic camptomelia, postaxial hexadactyly and Dandy–Walker complex. There was only one similar previous report in the literature. This combination could represent a specific pattern of malformation or a new syndrome, with different variants. The parents' consanguinity and the recurrence in a subsequent pregnancy suggest an autosomal recessive inheritance pattern. Copyright © 2003 John Wiley & Sons, Ltd.