Insights into the pathophysiology of twin–twin transfusion syndrome

Twin–twin transfusion syndrome (TTTS) is attributed to trans-anastomotic transfusion between twins. Anastomoses are ubiquitous in monochorionic (MC) placentae, yet TTTS develops in only 15%. Although ex vivo and in vivo studies fail to identify a unique anastomotic signature, TTTS placentae are typically associated with an imbalance in unidirectional arteriovenous anastomoses with absent bidirectional anastomoses. Doppler detection of an artery-artery anastomosis reduces the chance of TTTS, whereas, in those that develop the disease, it improves stage-independent survival. Selective laser is often curative, but an increasingly recognized risk of persistent or reverse TTTS may be attributable to atypical arteriovenous anastomoses not identifiable from the chorionic plate. Simple dysvolaemia fails to explain several phenotypic features, including haematological concordancy, recipient hypertension, and reversibly absent end diastolic flow in the donor. The renin-angiotensin system is upregulated in the donor and downregulated in the recipient's kidneys, while paradoxically raised renin levels in the recipient may contribute to raised afterload along with endothelin. Although research is limited in humans by therapy and the lack of a suitable experimental model, further studies of placental and vascular pathophysiology may not only refine current treatment modalities but may also, in addition, suggest further avenues for downstream management such as genetic predisposition testing or pharmacological intervention. Copyright © 2005 John Wiley & Sons, Ltd.     

Improving petroleum contaminated land remediation decision-making through the MCA weighting process

Internationally petroleum contamination is widespread, posing serious environmental risks including surface and groundwater contamination, thus remediation is essential. The implementation of remediation options is becoming more complex with the increasing influence of stakeholders on the outcome of decision-making processes. Acceptance of remediation schemes during implementation can be increased by involving stakeholders and the public in the decision-making stage. In petroleum remediation involving multiple stakeholders, Multicriteria Analysis has been employed due to its ability to incorporate the preferences of each stakeholder through weighting. The research focused on investigating ways to improve the weighting process. The study demonstrated the utility of SWING, and determined which type of participant and how many participants to include in the decision process, through the application of ELECTRE III and Weighted Summation. It was recommended that a mixture of stakeholders, the public and experts be involved. The total number of participants will be limited by the choice of participatory and weighting methods. The careful selection of participants, as well as the choice of participatory and weighting methods, can minimize the subjectivity involved in MCA weighting, thereby lending decisions in petroleum remediation greater legitimacy.     

Developing a standard for psychosocial risk management: PAS 1010

The nature of work has changed dramatically due to globalisation, migration, technological advances and the emergence of the knowledge-based economy. These changes have been accompanied by the increased prevalence of new and emerging types of risk to workers’ health and safety, such as psychosocial risks. This paper reviews the key regulatory and voluntary standards on occupational health and safety of relevance to the management of psychosocial risks in the workplace that are applicable to the European Union member states. The review indicates that regulatory standards set the minimum level of protection for workers and voluntary standards may further enable organisations to go beyond their legal obligations. However, the review also highlights that the terms ‘stress’ and ‘psychosocial risks’ are not mentioned explicitly in most pieces of legislation leading to lack of clarity on the terminology used. While voluntary standards seek to address this, very few provide specific guidance on the process of psychosocial risk management to enable organisations to manage psychosocial risks successfully. On the basis of the review, the case for the development of a voluntary standard for psychosocial risk management is presented. The paper further discusses the recent development of such a standard and its implications at the European level.     

Dynamic floodplain vegetation model development for the Kootenai River, USA

The Kootenai River floodplain in Idaho, USA, is nearly disconnected from its main channel due to levee construction and the operation of Libby Dam since 1972. The decreases in flood frequency and magnitude combined with the river modification have changed the physical processes and the dynamics of floodplain vegetation. This research describes the concept, methodologies and simulated results of the rule-based dynamic floodplain vegetation model "CASiMiR-vegetation" that is used to simulate the effect of hydrological alteration on vegetation dynamics. The vegetation dynamics are simulated based on existing theory but adapted to observed field data on the Kootenai River. The model simulates the changing vegetation patterns on an annual basis from an initial condition based on spatially distributed physical parameters such as shear stress, flood duration and height-over-base flow level. The model was calibrated and the robustness of the model was analyzed. The hydrodynamic (HD) models were used to simulate relevant physical processes representing historic, pre-dam, and post-dam conditions from different representative hydrographs. The general concept of the vegetation model is that a vegetation community will be recycled if the magnitude of a relevant physical parameter is greater than the threshold value for specific vegetation; otherwise, succession will take place toward maturation stage. The overall accuracy and agreement Kappa between simulated and field observed maps were low considering individual vegetation types in both calibration and validation areas. Overall accuracy (42% and 58%) and agreement between maps (0.18 and 0.27) increased notably when individual vegetation types were merged into vegetation phases in both calibration and validation areas, respectively. The area balance approach was used to analyze the proportion of area occupied by different vegetation phases in the simulated and observed map. The result showed the impact of the river modification and hydrological alteration on the floodplain vegetation. The spatially distributed vegetation model developed in this study is a step forward in modeling riparian vegetation succession and can be used for operational loss assessment, and river and floodplain restoration projects.     

In-situ monitoring of chromium cytotoxicity in sugarcane

The potential of in-situ monitoring of cytotoxic effects of chromium through root-tip assay was studied in a sugarcane cultivar CoLk 8102 (Saccharum spp. hybrid). Sugarcane setts supplied with graded concentrations of chromium (VI), exhibited a reduction of 85.92 and 95.10 % in mean root length at 40 and 80 ppm Cr dosages along with 61.25 and 82.50% reduction in mean root number/node respectively. Mitotic index of root tip cells of treated setts declined and the frequency of aberrant mitotic phases increased pari passu to the increasing chromium concentration. To compare and quantify the effect of graded chromium dosages on frequency of chromosome aberrations vis-à-vis inhibition of mitotic activity, a 'Decretion factor' (D.F.) has been used for the first time. The value of DF increased with the increase in the chromium dosages. The increase in chromosome aberration frequency was low at low chromium dosages (1 or 2 ppm), but the high Cr dosages (40 and 80 ppm), induced sharp reduction in mitotic efficiency of root system along with anomalies in the process of cell division and induced chromosome aberrations in sugarcane root meristem, which in turn affected the over all plant growth.     

Comparative analysis of the concentrations of serum cotinine and hydroxycotinine for US children,adolescents, and adults: impact of exposure to environmental tobacco smoke at home and other indoor environments

Environmental Science and Pollution Research - This study was carried out to investigate how serum cotinine and hydroxycotinine concentrations compare and vary by age, gender, race/ethnicity,...     

Controlling environmental pollution: dynamic role of fiscal decentralization in CO2 emission in Asian economies

Environmental Science and Pollution Research - The “environment” has become one of the important and debatable topics of the world and policymakers identifying the new predictors of CO2...     

Active carbon-pools in rhizosphere of wheat (Triticum aestivum L.) grown under elevated atmospheric carbon dioxide concentration in a Typic Haplustept in sub-tropical India

Study on active and labile carbon-pools can serve as a clue for soil organic carbon dynamics on exposure to elevated level of CO2. Therefore, an experimental study was conducted in a Typic Haplustept in sub-tropical semi-arid India with wheat grown in open top chambers at ambient (370 micromol mol-1) and elevated (600 micromol mol-1) concentrations of atmospheric CO2. Elevated atmospheric CO2 caused increase in yield and carbon uptake by all plant parts, and their preferential partitioning to root. Increases in fresh root weight, volume and length have also been observed. Relative contribution of medium-sized root to total root length increased at the expense of very fine roots at elevated CO2 level. All active carbon-fractions gained due to elevated atmospheric CO2 concentration, and the order followed their relative labilities. All the C-pools have recorded a significant increase over initial status, and are expected to impart short-to-medium-term effect on soil carbon sequestration.     

Characterization and source identification of polycyclic aromatic hydrocarbons (PAHs) in the urban environment of Delhi

This paper reports on polycyclic aromatic hydrocarbons (PAHs) in the atmospheric particulate matter of Jawaharlal Nehru University campus, an urbanized site of New Delhi, India. Suspended particulate matter samples of 24h duration were collected on glass-fiber filter paper for four representative days in each month during January 2002 to December 2003. PAHs were extracted from filter papers using toluene with ultrasonication method and analysed. Quantitative measurements of polycyclic aromatic hydrocarbons (PAHs) were carried out using the gas chromatography technique. The annual average concentration of total PAHs were found to be 668+/-399 and 672+/-388 ng/m3 in the years 2002 and 2003, respectively. The seasonal average concentrations were found to be maximum in winter and minimum during in the monsoon. The results of principal component analysis (PCA) indicate that diesel and gasoline driven vehicles are the principal sources of PAHs in all the seasons. In winter coal and wood combustion also significantly contribute to the PAH levels.     

Exposure and health risks potentially posed to petroleum storage tank cleaners by volatile organic compounds

This study models and assesses the significance of risks to health potentially posed to individuals exposed to volatile organic compounds (VOCs) due to being occupationally engaged in cleaning petroleum storage tanks. Exposure processes include hydrocarbon vapor inhalation, ingestion via hand-to-mouth contact, and dermal exposure. Under confined space entry regulations, tank cleaners must wear protective clothing and a breathing apparatus. However, such regulations are recent and sometimes violated. Several factors were found to influence exposure of unprotected individuals cleaning tanks. One factor is climate. This paper reports on a study of tanks in south Texas, which is sunny and hot during most of the year. Solar irradiation of metal surfaces may elevate internal temperatures above ambient air temperatures. Vaporization then elevates airborne hydrocarbon concentrations, and ventilation reduces them, producing a dynamic equilibrium. Human entry, however, disturbs this equilibrium by agitating petroleum residuals. Based upon the above considerations, we have modeled petroleum fuel storage tank dynamics in a case study. We considered three cases: manways closed, manways open, and manways actively ventilated. For CASE I, the concentration of each pollutant in the vapor phase was calculated using Raoult's Law. CASE II and CASE III applied Raoult's Law and also evaluated a mass balance via a mass transfer coefficient derived using the Reynolds Number and the Schmidt Number. Based upon empirical data, the velocity of the air within the tank was assumed to be 1.6 mph. Outputs of the case study included the steady-state concentration of each constituent and time required to reach it. Health risk assessment was conducted to quantify non-cancer risks posed by individual substances (the hazard quotient, HQ) and by simultaneous and/or sequential exposure to multiple substances (the hazard index, HI). During hot months, gross exceedances of acceptability criteria for acute and chronic exposures to mixed solvent vapors occurred. The HI exceeded the acceptability criterion by more than three orders of magnitude. The HI for chronic occupational neurological risks exceeded the acceptability criterion by more than two orders of magnitude. This result is consistent with observed neurological deficits among tank cleaners, such as depression of performance on memory tests among crew members who had worked during hot months. Finally, in such instances, eight-hour time-weighted average mixed-solvent vapor concentrations can exceed half of lethal levels, suggesting that tank cleaners can potentially approach lethal exposure routinely during hot seasons.