High levels of maternal serum alpha-fetoprotein and human chorionic gonadotrophins leading to the diagnosis of combined neural tube defect and partial mole

A case of combined partial mole and neural tube defect is presented. The detection of high levels of both maternal serum (MS) alpha-fetoprotein (AFP) and human chorionic gonadotrophin (hCG) during the second trimester led to the ultrasonic demonstration of anencephaly, omphalocele, and partial mole. This is the first report of combined elevation of MSAFP and MShCG.     

First-trimester maternal serum alpha-fetoprotein and human chorionic gonadotropin screening for chromosome defects

The aim of this study was to determine the efficacy of combined maternal serum alpha-fetoprotein (MSAFP) and maternal serum human chorionic gonadotropin (MShCG) screening in detecting chromosome defects in the first trimester of pregnancy. Sera of 492 women (previously assayed for MSAFP) were analysed for MShCG under code without knowledge of cytogenetic results. Overall, 48 of 492 patients (9·8 per cent) had either an MSAFP multiple of the median ⩽0·5 or an MShCG β/a z ratio multiple of the median ⩽ 0·25, eight of whom had a fetus with a serious chromosome defect. A third of fetuses with Down' s syndrome and 83 per cent with trisomy 18 were detected at a potential‘cost’ of providing chorionic villus sampling or amniocentesis in 8·6 percent of women screened.     

Mosaicism of autosomes and sex chromosomes in morphologically normal,monospermic preimplantation human embryos

We have previously detected chromosome abnormalities in human embryos whilst identifying the sex for preimplantation diagnosis of X-linked disease. In this study we assess the incidence of these abnormalities, both for sex chromosomes and autosomes 1 and 17, using dual fluorescent in situ hybridization (FISH). Sixty-nine normally fertilized embryos of good morphology at the 6–10 cell stage (day 3 post-insemination) were examined. The embryos were spread whole using HCl and Tween 20 to dissolve the cytoplasm. Thirty-four embryos were analysed for the sex chromosomes and 35 for autosomes 1 and 17. All probes were directly labelled with fluorochromes allowing analysis in 2 h. Control lymphocytes demonstrated that the probes were of high specificity. For the sex chromosomes, five embryos were mosaic (15 per cent) with the remaining 29 being uniformly XX or XY. In no case was an XX nucleus found in an otherwise XY embryo, indicating that even though mosaicism for the sex chromosomes is present, such abnormalities would not lead to a misdiagnosis of sex. For the autosomes, 16 embryos were abnormal (46 per cent); one embryo was triploid, one was monosomic for chromosome 1, and ten others were diploid mosaics (three diploid/aneuploid, three diploid/polyploid, and four diploid/haploid). A further four embryos had variable chromosome numbers in the majority of nuclei which appeared to be the result of uncontrolled mitotic division. The presence of haploidy or double monosomy, which occurred in 15 per cent of nuclei, has important implications for the diagnosis of trisomies and dominant disorders.     

Monitoring the levels of brominated and organophosphate flame retardants in passenger cars: Utilisation of car air filters as active samplers

Filters in residential and office air conditioning(A/C) systems have been used as sampling devices for monitoring different pollutants.However,cabin air filters(CAFs) in the A/C system of passenger cars have not been utilised for this purpose.In this study,we collected22 used CAFs from passenger cars in Hanoi,Vietnam to analyse for 8 polybrominated diphenyl ethers(PBDEs) and 10 organophosphate esters(OPEs).All the analytes were detected in more than 50% of samples with the exception of BDE153 and BDE154.The average concentrations of ∑_(10)OPEs and ∑_8 BDEs in the captured dust were 2600 and 40 ng/g,respectively with Tris(1-chloro-2-propyl) phosphate(TCIPP) and BDE209 as the dominant congener in OPE and BDE groups,respectively.CAFs are a potential tool to qualitatively assess the levels of semi-volatile chemicals in suspended dust in cars as a screening step for exposure assessment of those chemicals.     

Impact of environmental factors on gastric cancer: A review of the scientific evidence, human prevention and adaptation

Globally, gastric cancer (GC) ranks fifth in prevalence and third in fatalities, and shows a distinct geographical distribution in morbidity and mortality. Such a spatial pattern indicates that environmental factors could be an important contributor to GC. We reviewed a total of 135 relevant peer-reviewed articles and other literature published 1936–2019 to investigate the scientific evidence concerning the effects of environmental factors on GC worldwide. Environmental factors affect GC from the aspects of water, soil, air, radiation, and geology. Risk factors identified include water type, water pollution, water hardness, soil type, soil pollution, soil element content, climate change, air pollution, radiation, altitude, latitude, topography, and lithology; and most of them have an adverse impact on GC. Furthermore, we found that their effects followed five common rules: (1) the leading environmental factors that affect GC incidence and mortality vary by region, (2) the same environmental factors may have different effects on GC in different regions, (3) some different environmental factors have similar effects on GC in essence, (4) different environmental factors often interact to have combined or synergistic effects on GC, and (5) environmental factors can affect human factors to have an impact on GC. Environmental factors have a great impact on GC. Human beings may prevent GC by controlling carcinogenic factors, screening high-risk populations and providing symptomatic and rehabilitative treatments. Furthermore, adaptation measures are recommended to reduce GC risk on private and public levels. Future studies should transcend existing empirical studies to develop causal relationship models and focus on vulnerable population analysis.     

Human and organizational factors in Chinese hazardous chemical accidents: a case study of the ‘8.12’ Tianjin Port fire and explosion using the HFACS-HC

Human and organizational factors have been proven to be the prime causes of Chinese hazardous chemical accidents (HCAs). A modified version of the Human Factors Analysis and Classification System (HFACS), namely the HFACS-Hazardous Chemicals (HC), was developed to identify the human factors involved in Chinese HCAs. The ‘8.12’ Tianjin Port fire and explosion, the costliest HCA in recent years, was reanalyzed using this framework, and the results were compared with the official accident inquiry report to determine their differences related to the identification of human and organizational factors. The study revealed that interacting human factors from different levels in Ruihai Company led to this catastrophe, and the inquiry report had limitations in the identification of human factors and the guidance for similar accident prevention. This study showed the applicability of the HFACS-HC in HCA analyses as well as the necessity to recommend this approach for future HCA investigations.     

Application of human factors evaluation in engineering design and safe operation of dense phase ethylene treaters

Ethylene treaters are widely used in the petrochemical industry to remove impurities from ethylene feedstock imported from pipeline networks or storage caverns. The safety concerns of dense phase ethylene treaters due to the reactive and highly flammable nature of ethylene are well known and studied. Under certain conditions, ethylene may self-polymerize and decompose violently with heat release. Under other conditions, ethylene will auto-refrigerate, generating cold liquids that may cause potential brittle fracture hazards. Therefore, dense phase ethylene treaters present design challenges with the unique combination of high temperature decomposition and cold temperature brittle fracture hazards.Due to these safety concerns, it is important to select the appropriate engineering design options for dense phase ethylene treaters and the associated regeneration facilities. Totally automated treater regeneration systems add complexity and instrument maintenance requirements while manually operated systems rely heavily on operator training and procedures. Unfortunately, little or no information or design guidance is available from published research findings in the literature on the evaluation and risk assessment of current industrial design options and practices for dense phase ethylene treaters.This paper presents a systematic risk assessment method to evaluate the engineering design and safe operation options for dense phase ethylene treaters. The proposed risk assessment method integrates human factors task analysis into the traditional HAZOP, LOPA and fault tree analysis to allow evaluation of automated, manual and hybrid approaches with a goal of selecting and optimizing design options to ensure plant safety. This approach provides a realistic assessment of the operational risk and allows identification of fit-for-purpose risk reduction. Applying this systematic risk assessment approach, a simpler and more cost effective design solution can be justified, thereby avoiding the need for a high integrity protective system.     

Protection of Antarctic soil environments: A review of the current issues and future challenges for the Environmental Protocol

2016 marked the 25th anniversary of the Protocol on Environmental Protection to the Antarctic Treaty. Terrestrial ice-free areas constitute approximately 0.18% of Antarctica, but represent the most biologically active, historically rich, and environmentally sensitive sites. Antarctic soils are easily disturbed and environmental legacies of human activities are scattered across the continent; many are remnants of the 1950s-1980s when environmental protection was less comprehensive than today. Adoption of the Environmental Protocol in 1991 represented an important and proactive shift in Antarctic governance, securing environmental protection as a fundamental tenet of the Treaty System. Twenty five years on standards of environmental management have greatly improved, yet environmental pressures are compounding. Shortcomings in the implementation of the Environmental Protocol exist due to disparities in cultural values, operational realities, and inconsistent environmental impact assessments among governments and National Antarctic Programs. Non-native species management remains underdeveloped; and there is inadequate representation of all biogeographic regions within the Protected Area system; therefore jeopardizing conservation of Antarctic biodiversity and the integrity of the soil environment. Fundamental improvements are required to address the current shortcomings and ensure effective environmental protection for the next 25 years, including: (1) increased multinational and multidisciplinary collaboration to answer targeted research questions addressing contemporary management challenges, (2) effective communication of science to policy makers and environmental managers to inform decision- making, and (3) making the mandate of long-term monitoring of the terrestrial environment a high priority for all governments signatory to the Antarctic Treaty.     

Aluminum interaction with human brain tau protein phosphorylation by various Kinases

Abstract

Phosphorylation is an indispensable process for energy and signal transduction in biological systems. AlCl₃ at 10 nM to 10 uM range activated in‐vitro [γ‐³²P)ATP phosphorylation of the brain (tau) T protein in both normal human or E.coli expressed T forms; in the presence of the kinases P34, PKP, and PKC. However, higher concentrations of ALCl₃ inhibited the T phosphorylation with P34, PKP, and PKC to a maximum at 1 mM level. AlCl₃ at 100 uM to 500 uM range induced non‐enzymatic phosphorylation of T with γ‐ATP, γ‐GTP, and α‐GTP. AlCl₃ activated histone phosphorylation by P34 in a similar pattern. The hyperphosphorylation of T by Al³⁺ was accompanied by molecular shift and mobility retardation in SDS‐PAGE. This may demonstrate the mechanism of the longterm neurological effect of Al³⁺ in human brain leading to the formation of the neurofibrillary tangles related to Alzeheimer's disease.