Intrauterine intervention in a case of recurrent meconium peritonitis

We present a case of recurrent meconium peritonitis detected in the second trimester and treated by intrauterine intervention. Antenatal ultrasound findings included fetal ascites and intra-abdominal calcification. Aspiration of fetal ascites under ultrasound guidance and determination of the bilirubin concentration established the diagnosis of meconium peritonitis. Paracentesis was repeated to remove irritating intestinal contents and to decrease pressure on the fetal thorax. Although the exact cause of the meconium peritonitis remains unknown, the recurrence of the condition suggests a genetic basis. A possibility of cystic fibrosis was not considered because the clinical picture did not suggest it. Intrauterine intervention helped to establish the diagnosis of meconium peritonitis and may have contributed to the good outcome.     

Estimation of runoff and sediment yield in the Redrock Creek watershed using AnnAGNPS and GIS

Sediment has been identified as a significant threat to water quality and channel clogging that in turn may lead to river flooding. With the increasing awareness of the impairment from sediment to water bodies in a watershed, identifying the locations of the major sediment sources and reducing the sediment through management practices will be important for an effective watershed management. The annualized agricultural non-point sourcepollution(AnnAGNPS) model and newly developed GIS interface for it were applied in a small agricultural watershed, Redrock Creek watershed, Kansas, in this pilot study for exploring the effectiveness of using this model as a management tool. The calibrated model appropriately simulated monthly runoff and sediment yield through the practices in this study and potentially suggested the ways of sediment reduction through evaluating the changes of land use and field operation in the model for the purpose of watershed management.