Bohring-opitz syndrome - A case of a rare genetic disorder.

The diagnostic challenge of Bohring-Opitz Syndrome, a rare genetic disorder has haunted clinicians for ages. Our patient was born at term via caesarean-section with a birth weight of 1.95 kilograms. She had mild laryngomalacia, gastroesophageal reflux disease and seizures. Physical signs included microcephaly, hemangioma, low set ears, cleft palate, micrognatia and the typical BOS posture. Chromosomal analysis showed 46 xx -Bohring-Opitz Syndrome overlapped with C- syndrome. Goal-directed holistic care with integration of parent/carer training was started very early. She succumbed to a Respiratory- Syncitial-Virus and Pseudomonas pneumonia complicated with sepsis at the age of two years and 11 months.

Soil quality in New Zealand: policy and the science response.

Soil depletion and degradation have been increasingly recognized as important environmental issues in many parts of the world. Over the last decade a number of political and legislative measures have been introduced to encourage and enforce sustainable soil management in New Zealand. Application of the new legislation has highlighted gaps in our knowledge of soil quality and a lack of scientific methods to assess and monitor soil quality. This paper describes the legislative measures and outlines the sdentific response to the needs of regulatory agencies responsible for maintaining environmental quality. The research recommended a set of indicators to assess soil quality. Each soil quality attribute has an associated "target range" defining the acceptable value for the attribute. The paper also discusses the communication of results to end-users, including the development of a computerized assessment tool. The legislative measures and scientific response have fostered a closer relationship between the policy and science communities, leading to more well-focused research, but greater collaboration is still required.

Predicting groundwater nitrate concentrations in a region of mixed agricultural land use: a comparison of three approaches.

We investigated whether nitrate-N (NO3(-)-N) concentrations of shallow groundwater (< 30 m from the land surface) in a region of intensive agriculture could be predicted on the basis of land use information, topsoil properties that affect the ability of topsoil to generate nitrate at a site, or the 'leaching risk' at different sites. Groundwater NO3(-)-N concentrations were collected biannually for 3 years at 88 sites within the Waikato Region of New Zealand. The land use was classed as either the predominant land use of the farm where the well or bore was located, or the dominant land use within a 500 m radius of the well or bore. Topsoil properties that affect the ability of soil to generate nitrate were also measured at all the sites, and a leaching risk assessment model 'DRASTIC' was used to assess the risk of NO3(-)-N leaching to groundwater at each site. The concentration of NO3(-)-N in shallow groundwater in the Waikato Region varied considerably, both temporally and spatially. Nine percent of sites surveyed had groundwater NO3(-)-N concentrations exceeding maximum allowable concentrations of 11.3 ppm recommended by the World Health Organisation for potable drinking water which is accepted as a public health standard in New Zealand. Over half (56%) of the sites had concentrations that exceeded 3 ppm, indicating effects of human activities (commonly referred to as a human activity value). Very few trends in NO3(-)-N concentration that could be attributed to land use were identified, although market garden sites had higher concentrations of NO3(-)-N in underlying groundwater than drystock/sheep sites when the land use within 500 m radius of a sampling site was used to define the land use. There was also some evidence that within a district, NO3(-)-N concentrations in groundwater increased as the proportion of area used for dairy farming increased. Compared to pastoral land, market gardens had lower total C and N, potentially mineralisable N and denitrifying enzyme assay. However, none of these soil properties were directly related to groundwater NO3(-)-N concentrations. Instead, the DRASTIC index (which ranks sites according to their risk of solute leaching) gave the best correlation with groundwater NO3(-)-N concentrations. The permeability of the vadose zone was the most important parameter. The three approaches used were all considered unsuitable for assessing nitrate concentrations of groundwater, although a best-fit combination of parameters measured was able to account for nearly half the variance in groundwater NO3(-)-N concentrations. We suggest that non-point source groundwater NO3(-)-N contamination in the region reflects the intensive agricultural practices, and that localised, site-specific, factors may affect NO3(-)-N concentrations in shallow groundwaters as much as the general land use in the surrounding area.