Meckel-Gruber syndrome: Prenatal diagnosis at 10 menstrual weeks using embryoscopy

A case of Meckel—Gruber syndrome was diagnosed by embryoscopy at 10 menstrual weeks, allowing for early termination of pregnancy. Post-mortem examination confirmed the presence of polydactyly and bilateral cystic lesions of the mesonephros and metanephros. Both the forming nephrons and the collecting ducts were involved in the formation of renal cysts.     

Environmental health implications of global climate change

This paper reviews the background that has led to the now almost-universally held opinion in the scientific community that global climate change is occurring and is inescapably linked with anthropogenic activity. The potential implications to human health are considerable and very diverse. These include, for example, the increased direct impacts of heat and of rises in sea level, exacerbated air and water-borne harmful agents, and--associated with all the preceding--the emergence of environmental refugees. Vector-borne diseases, in particular those associated with blood-sucking arthropods such as mosquitoes, may be significantly impacted, including redistribution of some of those diseases to areas not previously affected. Responses to possible impending environmental and public health crises must involve political and socio-economic considerations, adding even greater complexity to what is already a difficult challenge. In some areas, adjustments to national and international public health practices and policies may be effective, at least in the short and medium terms. But in others, more drastic measures will be required. Environmental monitoring, in its widest sense, will play a significant role in the future management of the problem.     

Simulation of wind-driven dispersion of fire pollutants in a street canyon using FDS

Air quality in urban areas attracts great attention due to increasing pollutant emissions and their negative effects on human health and environment. Numerous studies, such as those by Mouilleau and Champassith (J Loss Prevent Proc 22(3): 316–323, 2009), Xie et al. (J Hydrodyn 21(1): 108–117, 2009), and Yassin (Environ Sci Pollut Res 20(6): 3975–3988, 2013) focus on the air pollutant dispersion with no buoyancy effect or weak buoyancy effect. A few studies, such as those by Hu et al. (J Hazard Mater 166(1): 394–406, 2009; J Hazard Mater 192(3): 940–948, 2011; J Civ Eng Manag (2013)) focus on the fire-induced dispersion of pollutants with heat buoyancy release rate in the range from 0.5 to 20 MW. However, the air pollution source might very often be concentrated and intensive, as a consequence of the hazardous materials fire. Namely, transportation of fuel through urban areas occurs regularly, because it is often impossible to find alternative supply routes. It is accompanied with the risk of fire accident occurrences. Accident prevention strategies require analysis of the worst scenarios in which fire products jeopardize the exposed population and environment. The aim of this article is to analyze the impact of wind flow on air pollution and human vulnerability to fire products in a street canyon. For simulation of the gasoline tanker truck fire as a result of a multivehicle accident, computational fluid dynamics large eddy simulation method has been used. Numerical results show that the fire products flow vertically upward, without touching the walls of the buildings in the absence of wind. However, when the wind velocity reaches the critical value, the products touch the walls of the buildings on both sides of the street canyon. The concentrations of carbon monoxide and soot decrease, whereas carbon dioxide concentration increases with the rise of height above the street canyon ground level. The longitudinal concentration of the pollutants inside the street increases with the rise of the wind velocity at the roof level of the street canyon.     

Sonographic findings in Beckwith–Wiedemann syndrome related to H19 hypermethylation

Beckwith–Wiedemann syndrome (BWS) is an overgrowth syndrome associated with congenital malformations and tumour predisposition. BWS results from variable mutations or epigenetic modifications of imprinted genes in the 11p15 chromosomal region. We present a fetus with mild general overgrowth and bilateral enlarged echogenic kidneys with loss of the corticomedullary differentiation in which prenatal diagnosis of BWS was suspected. The rest of the fetal anatomy and the amniotic fluid volume appeared normal. After termination of the pregnancy, molecular analysis confirmed the diagnosis of BWS by showing an isolated hypermethylation of the H19 gene. Copyright © 2004 John Wiley & Sons, Ltd.