Umbilical cord haemangioma associated with an eruptive cutaneous haemangioma in a female infant

We report a female infant noted prenatally to have an umbilical cord mass. At birth, a labial strawberry haemangioma was noted. She subsequently developed an abdominal mass which was discovered to be a proliferating haemangioma, continuous with both the labial and the umbilical stump lesions.     

Authentic leadership as a pathway to positive health

We propose to bridge the domains of positive health and leadership. We suggest that a “positive” health model helps explain highly effective leadership. The leader must strive for health and facilitate health in his/her followers. We look at leadership through this new and positive lens, that of “positive” health promotion. Copyright © 2008 John Wiley & Sons, Ltd.     

Development of Sediment and Nutrient Export Coefficients for U.S. Ecoregions

Water quality impairment due to excessive nutrients and sediment is a major problem in the United States (U.S.). An important step in the mitigation of impairment in any given water body is determination of pollutant sources and amount. The sheer number of impaired waters and limited resources makes simplistic load estimation methods such as export coefficient (EC) methods attractive. Unfortunately ECs are typically based on small watershed monitoring data, which are very limited and/or often based on data collected from distant watersheds with drastically different conditions. In this research, we seek to improve the accuracy of these nutrient export estimation methods by developing a national database of localized EC for each ecoregion in the U.S. A stochastic sampling methodology loosely based on the Monte‐Carlo technique was used to construct a database of 45 million Soil and Water Assessment Tool (SWAT) simulations. These simulations consider a variety of climate, topography, soils, weather, land use, management, and conservation implementation conditions. SWAT model simulations were successfully validated with edge‐of‐field monitoring data. Simulated nutrient ECs compared favorably with previously published studies. These ECs may be used to rapidly estimate nutrient loading for any small catchment in the U.S. provided the location, area, and land‐use distribution are known.     

The effect of an ergonomic intervention on musculoskeletal, psychosocial, and visual strain of VDT data entry work: the United States part of the international study.

The United States MEPS (musculoskeletal--eyestrain--psychosocial--stress) study consisted of 1 group of 28 female data entry operators. The intervention was in 3 parts: workstation redesign (including advanced ergonomic chairs, motorized adjustable workstations, advanced adjustable keyboards, adjustable copyholders, adjustable footrests, monitor support surfaces) and ergonomic training/coaching and corrective lenses. After the intervention, statistically significant reductions in physical signs (trigger points, neck and shoulder mobility), subjective reports of intensity and frequency of musculoskeletal pain, and subjective reports of visual problems were observed. Static load during the work sample, as assessed by experts, improved after the intervention as did measured postural angles of head and trunk and subjective assessment of users of ergonomic characteristics of the workplaces. For all of these measures, improvements observed 1 month after intervention were also observed in the 1-year follow-up. Trapezius load, as assessed by electromyography (EMG), decreased after intervention, but then increased in the follow-up. The increase was interpreted as a calibration problem.     

Estimating abundance of killer whales in the nearshore waters of the Gulf of Alaska and Aleutian Islands using line-transect sampling

Killer whale (Orcinus orca Linnaeus, 1758) abundance in the North Pacific is known only for a few populations for which extensive longitudinal data are available, with little quantitative data from more remote regions. Line-transect ship surveys were conducted in July and August of 2001–2003 in coastal waters of the western Gulf of Alaska and the Aleutian Islands. Conventional and Multiple Covariate Distance Sampling methods were used to estimate the abundance of different killer whale ecotypes, which were distinguished based upon morphological and genetic data. Abundance was calculated separately for two data sets that differed in the method by which killer whale group size data were obtained. Initial group size (IGS) data corresponded to estimates of group size at the time of first sighting, and post-encounter group size (PEGS) corresponded to estimates made after closely approaching sighted groups. ‘Resident’-type (fish-eating) killer whales were more abundant than the ‘transient’-type (mammal-eating). Abundance estimates of resident killer whales (991 [95% CI = 379–2,585] [IGS] and 1,587 [95% CI = 608–4,140] [PEGS]), were at least four times greater than those of the transient killer whales (200 [95% CI = 81–488] [IGS] and 251 [95% CI = 97–644] whales [PEGS]). The IGS estimate of abundance is preferred for resident killer whales because the estimate based on PEGS data may show an upward bias. The PEGS estimate of abundance is likely more accurate for transients. Residents were most abundant near Kodiak Island in the northern Gulf of Alaska, around Umnak and Unalaska Islands in the eastern Aleutians, and in Seguam Pass in the central Aleutians. This ecotype was not observed between 156 and 164°W, south of the Alaska Peninsula. In contrast, transient killer whale sightings were found at higher densities south of the Alaska Peninsula between the Shumagin Islands and the eastern Aleutians. Only two sightings of ‘offshore’-type killer whales were recorded during the surveys, one northeast of Unalaska Island and the other south of Kodiak Island. These are the first estimates of abundance of killer whale ecotypes in the Aleutian Islands and Alaska Peninsula area and provide a baseline for quantifying the role of these top predators in their ecosystem. Electronic Supplementary Material  Supplementary material is available in the online version of this article at and is accessible for authorized users.

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Transport and the environment: a critical review for Africa

This paper discusses the environment as a unit under threat of negative externalities (largely climate change and air pollution) induced by the many sectors albeit with a special reference to transport, bearing in mind that transport is an economic driver. We pay particular reference to the developments in the developed nations in as much as they can provide a framework upon which Africa can draw lessons for public policy and management. While the context may be different, this review is an attempt to inform transport policy and management for environmental sustainability in Africa. The review uses case studies of South Africa, Zimbabwe, Rwanda, Nigeria, Ethiopia and Kenya.     

WATER USE CONFLICT NEAR MADISON,NEBRASKA1

ABSTRACT: Nebraska statutes give first preference for use of ground water to domestic purposes, second to agriculture, and third to manufacturing or industrial purposes. Rapid growth in the number of irrigation wells has caused an increasing number of water use conflicts. One such conflict arose from the installation and use of an irrigation well near Madison in Madison County, Nebraska. Pumping from the irrigation well coincided with head declines in nearby domestic wells screened in the same sand and gravel, but appeared unrelated to water level changes in wells screened in a higher saturated sand. A drawdown-recovery test was performed to determine the degree of hydraulic connection between the wells involved. Operation of the irrigation well was determined to be the cause of the head decline in nearby domestic wells screened in the same sand and gravel. Partly as a result of this conflict, legislation recently introduced into the state legislature would require that wells of higher preference be “reasonably” constructed if wells of lower preference are to be held liable for head loss.     

Prenatal diagnosis of the Klippel-Trenaunay-Weber syndrome

The Klippel-Trenaunay-Weber syndrome is a complex developmental disorder of the vascular and skeletal systems. While many features of the syndrome are congenital, it has not been diagnosed often before birth. This paper describes a case of Klippel-Trenaunay-Weber syndrome diagnosed at 19 weeks' gestation on the basis of sonographic findings and family history. The clinical variability of the syndrome is emphasized and the importance of family history in differential diagnosis is stressed.