The influence of obstetricians on the utilization of amniocentesis

A study of 173 Western New York State obstetricians was undertaken to study referral patterns for second-trimester amniocentesis in 1974–1978. Referral patterns were analysed in relation to obstetrician age, religion, board certification, hospital affiliation and practice location. Forty-seven per cent of the obstetricians had never referred a patient for amniocentesis. Those referring were overall younger than those not referring and were significantly more often board certified. Obstetrician religion was significantly related to referral with fewer Catholic obstetricians referring. Hospital affiliation (teaching versus non-teaching) and obstetrician practice location (urban versus rural) were not important factors after controlling for religion and board certification. Obstetrician factors account for a small but important part of the variability in referral, and other factors, such as cost and access to laboratory and obstetric care need further investigation.     

The mental health of expatriate and Kosovar Albanian humanitarian aid workers

The mental health consequences of exposure to traumatic events and the risk factors for psychological morbidity among expatriate and Kosovar Albanian humanitarian aid workers have not been well studied. In June 2000, we used standardised screening tools to survey 285 (69.5%) of 410 expatriate aid workers and 325 (75.8%) of 429 Kosovar Albanian aid workers from 22 humanitarian organizations that were implementing health programmes in Kosovo. The mean number of trauma events experienced by expatriates was 2.8 (standard deviation: 2.7) and by Kosovar staff 3.2 (standard deviation: 2.8). Although only 1.1% of expatriate and 6.2% of Kosovar aid workers reported symptoms consistent with the diagnosis for post-traumatic stress disorder, 17.2% and 16.9%, respectively, reported symptoms satisfying the definition of depression. Regression analysis demonstrated that the number of trauma events experienced was significantly associated with depression for the two sets of workers. Organisational support services may be an important mediating factor and should be targeted at both groups.     

Fibre crops as alternative land use for radioactively contaminated arable land

The transfer of radiocaesium, one of the most important and widespread contaminants following a nuclear accident, to the fibre crops hemp (Cannabis sativa L.) and flax (Linum usitatissimum L.) as well as the distribution of radiocaesium during crop conversion were studied for sandy soil under greenhouse and lysimeters conditions. Soil parameters did not unequivoqually explain the transfer factors (TF) observed. TFs to flax stems ranged from 1.34 to 2.80x10(-3) m2 kg(-1). TFs to seeds are about a factor of 4 lower. During the retting process for separating the fibres from the straw, more than 95% of the activity was removed with the retting water. For hemp, the TF to the stem was about 0.6x10(-3) m2 kg(-1). For hemp, straw and fibres were mechanically separated and TF to straw was about 0.5x10(-3) m2 kg(-1) and to fibres 1.0x10(-3) m2 kg(-1). Generally, the TFs to the useable plant parts both for hemp and flax, are low enough to allow for the production of clean end-products (fibre, seed oil, biofuel) even on heavily contaminated land. Given the considerable decontamination during retting, contamination levels in flax fibres would only exceed the exemption limits for fibre use after production in extreme contamination scenarios (>12,300kBq m(-2)). Since hemp fibres are mechanically separated, use of hemp fibres is more restricted (contamination <740kBq m(-2)). Use of stems as biofuel is restricted to areas with contamination levels of <250 and 1050kBq m(-2) for flax and hemp, respectively. Use of seeds for edible oil production and flour is possible almost without restriction for flax but due to the high TFs to seed observed for hemp (up to 3x10(-3) m2 kg(-1)) consumption of hemp seed products should be considered with care.     

Carbonation of MSWI-bottom ash to decrease heavy metal leaching, in view of recycling

The 0.1-2 mm fraction of a MSWI-bottom ash cannot be used as granular construction material because leaching of Cu exceeds Flemish limit values. In addition, leaching of Ba, Mo and Sb exceeds informal limit values. Leaching characteristics thus need to be improved. Carbonation was the chosen treatment method and this was performed by placing samples in a CO2 chamber. The CO2 percentage and the temperature of the chamber atmosphere, as well as the initial humidity of the samples, were varied to optimize carbonation parameters. Metal leaching was tested with the EN 12457 extraction test. Carbonation decreased Cu leaching from 3.3 to 1.0 mg/kg, but not yet to below the official limit value of 0.5 mg/kg. Leaching of Mo and Sb remained fairly constant or even increased after carbonation, but their limit values are only informal. Ba leaching decreased to below the informal limit value. Carbonation also caused Cr leaching to increase, in some cases to above the official limit value. Of the tested parameters, a CO2 percentage of 10% and a carbonation temperature of 50 degrees C in the atmosphere, together with ash humidity between 13% and 25% appeared to give the best leaching results. The main carbonation reactions took place within the first 24 h.     

Books for Review

BookReview

Books for Review     

Clonal variation in heavy metal accumulation and biomass production in a poplar coppice culture. II. Vertical distribution and phytoextraction potential

Short rotation coppice cultures (SRC) are intensively managed, high-density plantations of multi-shoot trees. In April 1996, an SRC field trial with 17 different poplar clones was established in Boom (Belgium) on a former waste disposal site. In December 1996 and January 2001, all shoots were cut back to a height of 5 cm to create a coppice culture. For six clones, wood and bark were sampled at the bottom, middle and top of a shoot in August and November 2002. No significant height effect of metal concentration was found, but for wood, metal concentrations generally increased toward the top of the shoot in August, and decreased toward the top of the shoot in November. Phytoextraction potential of a clone was primarily determined by metal concentration and by biomass production. Shoot size and number of shoots per stool were less important, as a high biomass production could be achieved by producing a few large shoots or many smaller shoots. Clone Fritzi Pauley accumulated 1.4 kg ha(-1) of Al over two years; Wolterson and Balsam Spire showed a relatively high accumulation of Cd and Zn, i.e. averaging, respectively 47 and 57 g ha(-1) for Cd and 2.4 and 2.0 kg ha(-1) for Zn over two years.     

Heavy metal content of moss from Kampinos National Park in Poland

The results are presented of studies on the content of Zn, Pb, Cu, Ni and Cd inPleurozium schreberi moss within the spatial system of Kampinos National Park (KPN) adjacent to the Warsaw urban agglomeration. Over a large area (64.3–78.3%) of the Park, mosses contain the following amounts of metals in mg kg^–1 dw: 80–120 of Zn, 60–80 of Pb, 10–15 of Cu, 4–8 of Ni and 0.6–0.9 of Cd. All trace metals were found to accumulate in elevated amounts in moss in the south-eastern portion of the Park bordering the urban area, and it is this part of the Park that should be considered as most polluted by heavy metals.     

Adding infection to injury: synergistic effects of predation and parasitism on amphibian malformations

We explored the importance of interactions between parasite infection and predation in driving an emerging phenomenon of conservation importance: amphibian limb malformations. We suggest that injury resulting from intraspecific predation in combination with trematode infection contributes to the frequency and severity of malformations in salamanders. By integrating field surveys and experiments, we evaluated the individual and combined effects of conspecific attack and parasite (Ribeiroia ondatrae) infection on limb development of long-toed salamanders (Ambystoma macrodactylum). In the absence of Ribeiroia, abnormalities involved missing digits, feet, or limbs and were similar to those produced by cannibalistic attack in experimental trials. At field sites that supported Ribeiroia, malformations were dominated by extra limbs and digits. Correspondingly, laboratory exposure of larval salamanders to Ribeiroia cercariae over a 30-day period induced high frequencies of malformations, including extra digits, extra limbs, cutaneous fusion, and micromelia. However, salamander limbs exposed to both injury and infection exhibited 3-5 times more abnormalities than those exposed to either factor alone. Infection also caused significant delays in limb regeneration and time-to-metamorphosis. Taken together, these results help to explain malformation patterns observed in natural salamander populations while emphasizing the importance of interactions between parasitism and predation in driving disease.     

Metal accumulation in intertidal litter through decomposing leaf blades, sheaths and stems of Phragmites australis

Metal contents of decomposing leaf blades, leaf sheaths and stems of common reed (Phragmites australis) were monitored by a litter bag method on the sediment of an intertidal brackish marsh in the Scheldt estuary (The Netherlands). On monthly intervals, two litter bags were retrieved from the marsh during 9 months for both leaf blades and sheaths and during 16 months for stems. All samples were dried, weighed and analysed for ash and Cd, Cu, Cr, Ni, Pb and Zn contents. Most concentrations increased considerably during the decomposition. Generally, also a very important net metal inflow into the litter bags could be observed. The inflow was highest for leaf blades. High correlations between ash contents and metal concentrations for leaf blades suggest that the increase of leaf blade metal contents can be due to physicochemical sorption of dissolved metals and an important infiltration of mud particles, which were not removed by rinsing the leaf blades with distilled water preceding the analyses. For stems, smaller amounts of inflowing ash and even outflowing ash amounts were found, which suggests that inflow of inorganic particles is not the major factor determining metal accumulation by stems on medium term. Ergosterol concentrations in stem tissue however proved to be correlated with metal contents, which suggests a significant role of fungal litter colonizers in metal accumulation. For leaf sheaths, the effects of physicochemical sorption, infiltration of mud particles and incorporation by microbial litter colonizers do not seem to be as pronounced as for stems and leaf blades.     

A multi-objective optimization framework for surfactant-enhanced remediation of DNAPL contaminations

The occurrence of Dense Non-Aqueous Phase Liquid (DNAPL) contaminations in the subsurface is a threat for drinkwater resources in the western world. Surfactant-Enhanced Aquifer Remediation (SEAR) is widely considered as one of the most promising techniques to remediate DNAPL contaminations in-situ, be it with considerable additional costs compared to classical pump-and-treat remediations. A cost-effective design of the remediation set-up is therefore essential. In this work, a pilot SEAR test is executed at a DNAPL contaminated site in Belgium in order to collect data for the calibration of a multi-phase multi-component model. The calibrated model is used to assess a series of scenario-analyses for the full-scale remediation of the site. The remediation variables that were varied were the injection and extraction rate, the injection and extraction duration, and the surfactant injection concentrations. A constrained multi-objective optimization of the model was applied to obtain a Pareto set of optimal remediation strategies with different weights for the two objectives of the remediation: (i) the maximal removal of DNAPL and (ii) a total minimal cost. These Pareto curves can help decision makers to select an optimal remediation strategy in terms of cost and remediation efficiency. The Pareto front shows a considerable trade-off between the total remediation cost and the removed DNAPL mass.