Etiology and management of early pregnancy renal anhydramnios: Is there a place for serial amnioinfusions?

Early pregnancy renal anhydramios (EPRA) comprises congenital renal disease that results in fetal anhydramnios by 22 weeks of gestation. It occurs in over 1 in 2000 pregnancies and affects 1500 families in the US annually. EPRA was historically considered universally fatal due to associated pulmonary hypoplasia and neonatal respiratory failure. There are several etiologies of fetal renal failure that result in EPRA including bilateral renal agenesis, cystic kidney disease, and lower urinary tract obstruction. Appropriate sonographic evaluation is required to arrive at the appropriate urogenital diagnosis and to identify additional anomalies that allude to a specific genetic diagnosis. Genetic evaluation variably includes karyotype, microarray, targeted gene testing, panels, or whole exome sequencing depending on presentation. Patients receiving a fetal diagnosis of EPRA should be offered management options of pregnancy termination or perinatal palliative care, with the option of serial amnioinfusion therapy offered on a research basis. Preliminary data from case reports demonstrate an association between serial amnioinfusion therapy and short-term postnatal survival of EPRA, with excellent respiratory function in the neonatal period. A multicenter trial, the renal anhydramnios fetal therapy (RAFT) trial, is underway. We sought to review the initial diagnosis ultrasound findings, genetic etiologies, and current management options for EPRA.     

Evaluation of hydrophobicity in PAH-contaminated soils during phytoremediation

The impact of recalcitrant organic compounds on soil hydrophobicity was evaluated in contaminated soil from a manufactured gas plant site following 12 months of phytoremediation. Significant reduction in soil wetting and water retention was observed in contaminated soil compared to an uncontaminated control. Phytoremediation was effective at reducing total PAHs by 69% with corresponding changes in soil classification from extremely hydrophobic (initial sample) to moderately-strongly hydrophobic (planted) and hydrophilic-very hydrophilic (unplanted) after 12 months. The greatest reduction in soil hydrophobicity was observed in the unplanted, unfertilized treatments that had the lowest removal rate of PAHs. The presence of plants may contribute to hydrophobicity in contaminated soil.     

Cultivating hybrid collectives: research methods for enacting community food economies in Australia and the Philippines

Across the globe, groups are experimenting with initiatives to create alternatives to the dominant food system. What role might research play in helping to strengthen and multiply these initiatives? In this paper we discuss two research projects in Australia and the Philippines in which we have cultivated hybrid collectives of academic researchers, lay researchers and various non-human others with the intention of enacting community food economies. We feature three critical interactions in the “hybrid collective research method”: gathering, which brings together those who share concerns about community food economies; reassembling, in which material gathered is deliberatively rebundled to amplify particular insights; and translating, by which reassembled ideas are taken up by other collectives so they may continue to “do work”. We argue that in a climate-changing world, the hybrid collective research method fosters opportunities for a range of human and non-human participants to act in concert to build community food economies.     

Centaurea Species: the Forb That Won the West

Abstract: Grasslands of the western United States and Canada are being converted to ecosystems that resemble "old fields," dominated in terms of percent cover or biomass by forb species. In particular, five species of the genus Centaurea (star thistle, diffuse, spotted, squarrose, and Russian knapweed ) have invaded millions of hectares of western United States and Canadian grasslands. Centaurea species are fundamentally different from the preexisting dominant species and may exploit changes in resource availability to become established. We suspect that they then maintain dominance by preventing resources from returning to levels that favor the native species. Increased atmospheric nitrogen deposition, reduced fire frequency, and, possibly, direct and indirect fertilization resulting from cattle grazing appear to have reduced the historically strong nitrogen limitation to which native species of western grasslands are adapted. We suggest that the success of Centaurea species in dominating grasslands is explained by their ability to compete successfully for the new limiting resource or resources. Our preliminary evidence suggests that phosphorus limitation or a colimitation of phosphorus and water best explains the current dominance patterns.     

Source to sink tracking of selected human pharmaceuticals from two Oslo city hospitals and a wastewater treatment works

The occurrence of twenty pharmaceutical compounds was quantitatively determined in effluents from two major Oslo city hospitals, Rikshospitalet and Ullev?l, along with influent, sludge and final effluent from the city's VEAS wastewater treatment works (WTW). Composite hospital effluents were collected over a twelve week period and were showed to contain paracetamol, metoprolol, diclofenac, ibuprofen, 17beta-Estradiol, estriol, estrone, oxytetracycline, tetracycline, doxycycline, chlorotetracycline, demeclocycline, trimethoprim, ciprofloxacin, sulfamethoxazole, cyclophosphamide and ifosfamide. Three pharmaceuticals were not detected above the limit of detection; cefuroxime, 17alpha-ethinylestradiol and meclocycline. Composite influent, sludge and effluent samples were collected from VEAS WTW over a seven week period. The influent into VEAS WTW contained all of the same selected substances detected in the hospital effluents, except for oxytetracycline, chlorotetracycline, demeclocycline, cyclophosphamide and ifosfamide. The percentage of pharmaceuticals entering the works from the hospitals was <10% for all of the selected compounds. VEAS sludge samples contained a different profile of substances reflecting their physico-chemical properties. Hydrophobic antibiotics, such as oxytetracycline, tetracycline and ciprofloxacin, were detected in all of the collected sludge samples. Their absence in the collected influent samples suggests that they enter the works bound to effluent particles, with the dissolved fraction observed in the hospital effluents partitioning onto particulate matter within the sewerage network. The final effluent from VEAS WTW contained reduced concentrations of many pharmaceuticals, including paracetamol, ibuprofen and sulfamethoxazole. For other compounds, such as metoprolol, diclofenac and trimethoprim, there were often higher concentrations in the effluent than the influent. These effluent concentrations represent median inputs varying from low g day(-1) (e.g. paracetamol and ibuprofen) to nearly 200 g day(-1) (e.g. metoprolol and trimethoprim) into Oslofjord. A simple risk assessment showed that the antibiotic ciprofloxacin may at times pose an acute risk to the Oslofjord aquatic environment.     

Developing a Criterion for Delisting the Southern Sea Otter under the U.S. Endangered Species Act

Recent surveys of recovery plans indicate that criteria, such as population sizes, for delisting species from the U.S. Endangered Species Act (ESA) are often unrealistically low by scientific standards. We describe the delisting criterion for the threatened southern sea otter (Enhydra lutris nereis) developed by the Southern Sea Otter Recovery Team. A major oil spill is the most serious threat to this sea otter population. After extensive modeling of oil spills, the recovery team concluded that it was not scientifically defensible to develop a delisting criterion in terms of a single probability of extinction over a specified time period. Instead, the team decided to define a size at which it would consider the population endangered and to consider the population threatened as long as a major oil spill might reduce it to that size. The effective population size (N_e) for endangered status was set at 500, estimated to be about 1850 otters. Using a spill the size of the Exxon Valdez spill (250,000 bbl), the oil spill model was iterated to generate a frequency distribution of the number of sea otters contacted by oil, from which the team estimated that less than 800 otters would be killed by 90% of the simulated spills. Thus, the delisting criterion was set at 1850 + 800 = 2650 individuals. There have been several proposals to improve the Endangered Species Act by providing quantitative guidance, in the form of specific probabilities of extinction within some time frame or specific criteria like those used by the World Conservation Union as to the levels of extinction risk represented by the terms "threatened" and "endangered." Experiences of the Sea Otter Recovery Team indicate that guidelines should not be overly rigid and should allow flexibility for dealing with specific situations. The most important consideration is to appoint a recovery team that is both technically well qualified and unconstrained by pressures from management agencies.     

Passenger distractions among adolescent drivers

PROBLEM: Adolescents who drive with peers are known to have a higher risk of crashes. While passengers may distract drivers, little is known about the circumstances of these distractions among teen drivers. METHOD: This study used survey data on driving among 2,144 California high school seniors to examine distractions caused by passengers. RESULTS: Overall, 38.4% of youths who drove reported having been distracted by a passenger. Distractions were more commonly reported among girls and students attending moderate- to high-income schools. Talking or yelling was the most commonly reported type of distraction. About 7.5% of distractions reported were deliberate, such as hitting or tickling the driver or attempting to use the vehicle's controls. Driving after alcohol use and having had a crash as a driver were both significant predictors of reporting passenger-related distraction. CONCLUSION: Adolescents often experience distractions related to passengers, and in some cases these distractions are intentional. IMPACT ON INDUSTRY: These results provide information about teenage drivers who are distracted by passenger behaviors. In some cases, passengers attempted to use vehicle controls; however, it seems unlikely that this behavior is common enough to warrant redesign of controls to make them less accessible to passengers.     

Soil organic carbon and nitrogen accumulation in plots of rhizoma perennial peanut and bahiagrass grown in elevated carbon dioxide and temperature

Carbon sequestration in soils might mitigate the increase of carbon dioxide (CO2) in the atmosphere. Two contrasting subtropical perennial forage species, bahiagrass (BG; Paspalum notatum Flügge; C4), and rhizoma perennial peanut (PP; Arachis glabrata Benth.; C3 legume), were grown at Gainesville, Florida, in field soil plots in four temperature zones of four temperature-gradient greenhouses, two each at CO2 concentrations of 360 and 700 micromol mol(-1). The site had been cultivated with annual crops for more than 20 yr. Herbage was harvested three to four times each year. Soil samples from the top 20 cm were collected in February 1995, before plant establishment, and in December 2000 at the end of the project. Overall mean soil organic carbon (SOC) gains across 6 yr were 1.396 and 0.746 g kg(-1) in BG and PP, respectively, indicating that BG plots accumulated more SOC than PP. Mean SOC gains in BG plots at 700 and 360 micromol mol(-1) CO2 were 1.450 and 1.343 g kg(-1), respectively (not statistically different). Mean SOC gains in PP plots at 700 and 360 micromol mol(-1) CO2 were 0.949 and 0.544 g kg(-1), respectively, an increase caused by elevated CO2. Relative SON accumulations were similar to SOC increases. Overall mean annual SOC accumulation, pooled for forages and CO2 treatments, was 540 kg ha(-1) yr(-1). Eliminating elevated CO2 effects, overall mean SOC accumulation was 475 kg ha(-1) yr(-1). Conversion from cropland to forages was a greater factor in SOC accumulation than the CO2 fertilization effect.