Computer-assisted surgical planning and intraoperative guidance in fetal surgery: a systematic review

Fetal surgery has become a clinical reality, with interventions for twin-to-twin transfusion syndrome (TTTS) and spina bifida demonstrated to improve outcome. Fetal imaging is evolving, with the use of 3D ultrasound and fetal MRI becoming more common in clinical practise. Medical imaging analysis is also changing, with technology being developed to assist surgeons by creating 3D virtual models that improve understanding of complex anatomy, and prove powerful tools in surgical planning and intraoperative guidance. We introduce the concept of computer-assisted surgical planning, and present the results of a systematic review of image reconstruction for fetal surgical planning that identified six articles using such technology. Indications from other specialities suggest a benefit of surgical planning and guidance to improve outcomes. There is therefore an urgent need to develop fetal-specific technology in order to improve fetal surgical outcome. © 2015 The Authors. Prenatal Diagnosis published by John Wiley & Sons Ltd.     

Can Red Pay for Blue? Methods to Estimate the Added Value of Water in Residential Environments

As a result of climate changes, more land is now needed in the Netherlands for water retention in towns and the countryside. Recently, this perceived need has resulted in new forms of water management and spatial planning strategies. Multi-functional land use is an option such as housing in combination with retention lakes. Some argue that the market potential is high and that water has an added value in residential environments. This added value could be used to compensate for non-profitable investments such as the creation of lakes. The key question is how to value this amenity. It is argued that non-economists often assume that a valuation is just a technique. The authors challenge this by presenting an overview of economic perspectives as well as techniques. A literature review reveals the main valuation perspectives and suggests estimated added values of 10‐15% for the seashore, 5‐10% for river locations (streams), and 5% for lakes.     

Dissipation of Tidal Energy and Associated Mixing in a Wide Fjord

This paper sets out to test the hypothesis that vertical mixing due to the dissipation of the internal tide accounts for a significant proportion of the total vertical mixing in a fjordic basin during a period of deep water isolation. During July and August 1999 two locations in the Clyde Sea were instrumented with moored RD Instruments Acoustic Doppler Current Profilers (ADCPs) and conductivity-temperature-pressure chains: Station C2, near the shallow entrance sill (55 m water depth), and station C1 in the deep basin (155 m water depth). A bottom pressure recorder was also deployed at station C3 by the seaward entrance to the Clyde Sea in the North Channel of the Irish Sea. A Free-falling Light Yo-yo shear microstructure profiler (FLY) was used to measure the dissipation rate of turbulent kinetic energy (TKE) throughout the water column over 25 h at both C1 and C2. These were interspersed with two-hourly conductivity-temperature-depth casts at both sites. The observations show agreement between the dissipation rate of TKE estimated by using a microstructure profiler and that estimated from the decay of the internal tide as measured by the two ADCPs. However, to account for all the implied mixing it is necessary to invoke an additional source of buoyancy flux, the most probable candidate mechanism is enhanced internal wave breaking near the sill and at the sloping boundaries of the deep basin. In addition, the vertical eddy diffusivity estimated from the micro-structure profiler (O(0.5 cm² s^–1) indicates that internal tide induced mixing away from any boundaries contributed significantly to the overall level of mixing which is required to account for the observed evolution of the deep basin water properties.     

Sensitivity of two dispersion models (AERMOD and ISCST3) to input parameters for a rural ground-level area source

As of December 2006, the American Meteorological Society/U.S. Environmental Protection Agency (EPA) Regulatory Model with Plume Rise Model Enhancements (AERMOD-PRIME; hereafter AERMOD) replaced the Industrial Source Complex Short Term Version 3 (ISCST3) as the EPA-preferred regulatory model. The change from ISCST3 to AERMOD will affect Prevention of Significant Deterioration (PSD) increment consumption as well as permit compliance in states where regulatory agencies limit property line concentrations using modeling analysis. Because of differences in model formulation and the treatment of terrain features, one cannot predict a priori whether ISCST3 or AERMOD will predict higher or lower pollutant concentrations downwind of a source. The objectives of this paper were to determine the sensitivity of AERMOD to various inputs and compare the highest downwind concentrations from a ground-level area source (GLAS) predicted by AERMOD to those predicted by ISCST3. Concentrations predicted using ISCST3 were sensitive to changes in wind speed, temperature, solar radiation (as it affects stability class), and mixing heights below 160 m. Surface roughness also affected downwind concentrations predicted by ISCST3. AERMOD was sensitive to changes in albedo, surface roughness, wind speed, temperature, and cloud cover. Bowen ratio did not affect the results from AERMOD. These results demonstrate AERMOD's sensitivity to small changes in wind speed and surface roughness. When AERMOD is used to determine property line concentrations, small changes in these variables may affect the distance within which concentration limits are exceeded by several hundred meters.     

Superoxide production by marine microalgae

This study investigated the possible roles of superoxide produced by raphidophyte and prymnesiophyte microalgae as an ichthyotoxic agent to damselfish and an allelopathic agent to bacteria. We found that the rate of superoxide production varied with algal cell density, with cell densities of the raphidophyte Chattonella marina >10,000 cells ml^–1 producing less environmental levels of superoxide per cell (94±14 chemiluminescence units) than cell densities <10,000 cells=">^–1 (390±54 units per cell). Microalgal cells have the capacity to change their superoxide production rate over a period of 1 h, dependent on cell density and metabolic activity. We also examined the effect of superoxide on suppression of bioluminescence of the marine bacterium Vibrio fischeri as a model for bacterial alleopathy and found that both superoxide and free fatty acids such as eicosapentaenoic acid (EPA; 20:53) present in raphidophyte microalgal cells cause suppression of bacterial bioluminescence. The combination of superoxide in the presence of EPA further enhanced bioluminescence suppression. Superoxide was also found to enhance the toxicity of free fatty acid EPA to damselfish (Acanthochromis polycanthus) at concentrations as low as 0.2 mg l^–1. In conclusion, consideration should be given to density dependent and/or metabolic variations of toxicity when publishing minimum alert levels for superoxide producing ichthyotoxic microalgal species. A secondary role of superoxide production may be to enhance the toxicity of algal exudates or serve as an allelopathic agent against bacterial fouling.     

Transport and metabolic fate of sewage particles in a recipient stream

Although the implementation of wastewater treatment plants (WWTP) has dramatically increased the quality of surface waters in urbanized areas, WWTPs can still discharge noticeable amounts of solutes and particles to recipient streams. Although the fate of WWTP nutrients has received considerable attention, transport and in-stream transformation of sewage-derived particulate organic matter (SDPOM) have not. To investigate the transport and transformation of SDPOM in recipient streams, we experimentally injected fluorescently labeled SDPOM into a headwater stream and tracked its downstream fate at baseflow. Most SDPOM disappeared from the streamwater within a 160-m long reach with an average deposition velocity of 0.14 mm s(-1). We further coupled hydrometric measurements of specific water fluxes through the streambed interface with a mixing model to estimate streambed oxygen removal, and found significantly higher oxygen removal in the deposition (0.75 g O2 m(-2) d(-1)) than in the downstream post-deposition (0.36 g O2 m(-2) d(-1)) subreach. Contrary to our expectations, we did not detect any apparent effect of SDPOM deposition on streambed clogging. Our results show the capacity of a recipient stream to retain SDPOM and to reduce its downstream export, and thus contribute to a better understanding of ecosystem services of human-altered streams.     

Breakdown products on metabolic pathway of degradation of benz[a]anthracene by a ligninolytic fungus

Cultures of the ligninolytic fungus Irpex lacteus incubated in a nutrient liquid medium degraded more than 70% of the initially applied benz[a]anthracene within 14 days. At the first step of metabolization, benz[a]anthracene was transformed via a typical pathway of ligninolytic fungi to benz[a]anthracene-7,12-dione (BaAQ). The product was further transformed by at least two ways, whereas one is complied with the anthracene metabolic pathway of I. lacteus. Benz[a]anthracene-7,12-dione was degraded to 1,2-naphthalenedicarboxylic acid and phthalic acid that was followed with production of 2-hydroxymethyl benzoic acid or monomethyl and dimethylesters of phthalic acid. Another degradation product of BaAQ was identified as 1-tetralone. Its transformation via 1,4-naphthalenedione, 1,4-naphthalenediol and 1,2,3,4-tetrahydro-1-hydroxynaphthalene resulted again in phthalic acid. None of the intermediates were identified as dead-end metabolites. Metabolites produced by ring cleavage of benz[a]anthracene using the ligninolytic fungus are firstly presented in this work.     

Passive sampler derived air concentrations of PBDEs along an urban-rural transect: spatial and temporal trends

Passive air samplers consisting of polyurethane foam (PUF) disks housed in chambers were deployed at several sites along a approximately 75 km urban-rural gradient in Toronto and analyzed for polybrominated diphenyl ethers (PBDEs). Samplers were allowed to integrate gas-phase PBDEs over three consecutive seasons starting in the summer of 2000. PBDEs were fairly uniform along the transect with air concentrations in Toronto (10-30 pgm(-3)) about a factor of two greater than at rural sites. Lowest concentrations were observed during the winter and probably associated with reduced inputs from indoor sources of PBDEs and to a preference for PBDEs to partition to the particle-phase at colder temperatures. The composition of PBDEs in the air samples did not differ across the transect or for the different seasons.     

Geochemical and Pb isotopic evidence for sources and dispersal of metal contamination in stream sediments from the mining and smelting district of Príbram, Czech Republic

Stream sediments from the mining and smelting district of Príbram, Czech Republic, were studied to determine the degree, sources and dispersal of metal contamination using a combination of bulk metal and mineralogical determinations, sequential extractions and Pb isotopic analyses. The highest metal concentrations were found 3-4 km downstream from the main polymetallic mining site (9800 mg Pb kg(-1), 26 039 mg Zn kg(-1), 316.4 mg Cd kg(-1), 256.9 mg Cu kg(-1)). The calculated enrichment factors (EFs) confirmed the extreme degree of contamination by Pb, Zn and Cd (EF>40). Lead, Zn and Cd are bound mainly to Fe oxides and hydroxides. In the most contaminated samples Pb is also present as Pb carbonates and litharge (PbO). Lead isotopic analysis indicates that the predominant source of stream sediment contamination is historic Pb-Ag mining and primary Pb smelting (206Pb/207Pb=1.16), while the role of secondary smelting (car battery processing) is negligible.