New and/or improved aspects of fetal surgery

Open fetal surgery through a wide hysterotomy is no longer a real option for prenatal intervention, but a minimally invasive approach has emerged as treatment for a small number of indications. Endoscopic ablation of placental vessels is the preferred treatment for severe twin-to-twin transfusion syndrome and it may be the only chance to salvage the most severe forms of congenital diaphragmatic hernia. Several other indications are currently under review and may become justified in the future, provided that diagnostic accuracy and patient selection become more accurate. Before invasive fetal intervention becomes widely accepted, however, we need to better define outcome. It is no longer acceptable to express results in terms of survival at birth. Survival at discharge and long-term morbidity must be considered as well. Copyright © 2011 John Wiley & Sons, Ltd.     

Assessing the impacts of sustainable development projects in the Amazon: the DURAMAZ experiment

Since 1992, a boom of “sustainable development projects” has been registered in the Brazilian Amazon, turning it into a kind of open-air laboratory for sustainability. But their real impacts remain unclear, especially because of inadequate evaluation tools. A new device is therefore needed to unveil the inner mechanisms of development aid despite the difficulties linked with the diversity of contexts or the heterogeneity in the relevant parameters. Those are the challenges we met when we engaged in comparing the impacts of sustainable development programs in 13 sites throughout the Brazilian Amazon in order to identify determining factors of sustainability. To achieve our objective, we conceived an indicator system based on the results of intensive fieldwork, including social, economic, environmental, and biographical issues. Our results show that the most prominent problem of sustainability—evaluation of effectiveness—has not been tackled; life conditions and environmental preservation continue to appear antagonistic. At the same time, variability appears among outwardly coherent social groups, showing that a case-to-case approach is definitely indispensable and confirming the need to go “beyond panaceas” to find resolutions. This article successively addresses three points. First, we present the starting point of our research, or how the Amazon region was turned into a laboratory for sustainability and how our research project aimed at analyzing the consequences of this trend. Second, we discuss how available indicator systems fail to respond to the need for a multidimensional evaluation at the local level and, therefore, how we constituted our own analytical tool. Third, we focus on some results that can be derived from our system, especially in terms of identifying key factors needed to achieve sustainability in the Amazon.     

Macroergonomics and Total Quality Management: How to Improve Quality of Working Life?

Abstract

In this paper, we present a macroergonomic model of work design that is applied and tested to examine Total Quality Management (TQM) in the public sector. According to the model, TQM can influence different aspects of work design and quality of working life (QWL), Questionnaire data collected in 2 public sector organizations in the USA show that TQM can have both positive and negative impact on work design and QWL. The main positive impact of TQM was found on job content, job control and participation, and social relationships. The main negative impact of TQM was on workload, uncertainty, and clarity of job duties. The impact of TQM on QWL was mixed. Our results show that the impact of TQM on work design and QWL varied very much across the 6 participating departments, as well as within the departments. Further research is warranted to assess the human impact of TQM, in particular research on the linkage between various aspects of TQM, on one hand, and work design and QWL, on the other hand.     

Operator dermal exposure and protection provided by personal protective equipment and working coveralls during mixing/loading,application and sprayer cleaning in vineyards

The efficiency of a working coverall combined with personal protective equipment to protect operators against dermal exposure to plant protection products under field conditions was studied. Operators wore a non-certified water-repellent finish polyester/cotton coverall plus a certified gown during the mixing/loading and the cleaning phases. Insecticide foliar application to a vineyard was selected as the exposure scenario. The overall dermal residue levels measured in this study were in the range of data recently collected in Europe. The water-repellent finish working coverall reduced body exposure by a factor of approximately 95%. Wearing a Category III Type 3 partial body gown during mixing/loading and cleaning of the application equipment led to a further protective effect of 98.7%. The combination of a water-repellent finish working coverall and partial body protection during specific tasks provided satisfactory levels of protection and can be considered as suitable protection for the conditions of use studied.     

Effects of activated sludge and UV disinfection processes on the bacterial community and antibiotic resistance profile in a municipal wastewater treatment plant

Environmental Science and Pollution Research - Wastewater tertiary treatment has been pointed out as an effective alternative for reducing the concentration of antibiotic resistant bacteria and...     

Coadsorption of carbofuran and lead at the air/water interface. Possible occurrence of non-volatile pollutant cotransfer to the atmosphere

The weak solubility of carbofuran allows adsorption at the air/water interface. Carbofuran-rich layers can then induce the coadsorption of metallic salts such as lead nitrate; on the other hand, when carbofuran is missing, no adsorption of this salt takes place. This phenomenon was quantitatively studied through surface tension measurements under concentration conditions close to the environmental ones. Heavy metal salt adsorbed about ten times more than carbofuran. Evidence was then provided that the simultaneous presence of both pollutants in water favours their adsorption and passing from water to the atmosphere through mechanisms such as bubbling.     

Exposure of caged mussels to metals in a primary-treated municipal wastewater plume

The biological availability of metals in municipal wastewater effluents is strongly influenced by the physical and chemical conditions of both the effluent and the receiving water. Aquatic organisms are exposed to both dissolved and particulate (food ingestion) forms of these metals. In the present study, the distribution of metals in specific tissues was used to distinguish between exposure routes (i.e. dissolved vs. particulate phase) and to examine metal bioavailability in mussels exposed to municipal effluents. Caged Elliptio complanata mussels were deployed at sites located between 1.5 km upstream and 12 km downstream of a major effluent outfall in the St. Lawrence River. Metals in surface water samples were fractionated by filtration techniques to determine their dissolved, truly-dissolved (<10 kDa), total-particulate and acid-reactive-particulate forms. At the end of the exposure period (90 days), pooled mussel soft tissues (digestive gland, gills, gonad, foot and mantle) were analyzed for several metals. The results showed that gills and digestive gland were generally the most important target tissues for metal bioaccumulation, while gill/digestive gland metal ratios suggest that both exposure routes should be considered for mussels exposed to municipal effluents. We also found that Ag and Cd in the dispersion plume nearest the outfall, in contrast to other metals such as Cu and Zn, are more closely associated with colloids and were generally less bioavailable than at the reference site in the St. Lawrence River.     

Distribution of carbon 14 in the terrestrial environment close to French nuclear power plants

For 10 years, (14)C measurements have been performed around French nuclear power plant sites, both in zones influenced and zones not influenced by gaseous releases. Examining the results from these measurements in the terrestrial environment shows that the discharges have a very slight impact on the radiocarbon level (with a relative increase in the specific activity of the order of 3 Bqkg(-1)C in the influenced areas). In correlation, there is a near-negligible increase in dose, on average less than 0.1 microSvyr(-1), with reference to a dose from background radiation, which is of the order of 10 microSvyr(-1). The deltaC13 values are very similar between the influenced zone and the non-influenced zone, with a mean of -27 per thousand. The mean DeltaC14 varies from 101 per thousand in the non-influenced zone to 123 per thousand in the influenced zone. Moreover, a general reduction in (14)C concentration was found, with a time constant of the order of 95 years. The current level of (14)C specific activity in terrestrial environment is estimated to be 242+/-6 Bqkg(-1)C.