Amniopatch for iatrogenic rupture of the fetal membranes

With the increased use of invasive fetal procedures, the number of women facing post-procedure membrane rupture is increasing. Here we review the use of platelets and fresh frozen plasma for sealing iatrogenic fetal membrane defects by describing the mechanisms of action of the amniopatch procedure as well as published experience. In cases of iatrogenic preterm pre-labour rupture of the membranes, amniopatch effectively seals the fetal membranes in over two-thirds of cases. There is a risk of 16% of in utero fetal death, which may occur at varying intervals from the procedure and often for unknown reasons. Amniopatch has also been used as a treatment of chorionic membrane separation. In summary, current experience suggests that in cases of early onset but persistent amniotic fluid leakage following an invasive fetal procedure, amniopatch is an option. Copyright © 2011 John Wiley & Sons, Ltd.     

High diversity of deep-sea Gromia from the Arabian Sea revealed by small subunit rDNA sequence analysis

Gromia is a large marine protist with filose pseudopodia and ovoid test, common in coastal intertidal and sublittoral waters. Although deep-water Gromia-like morphospecies were discovered in the 1990s, their relations to the shallow water species have never been established. Moreover, very little is known about the diversity within Gromia, reflecting the fact that these morphologically relatively simple protists have few characters useful for species identification. Consequently, we have analysed the SSU rDNA and ITS rDNA genes to examine gromiid diversity in two different areas located on the Oman and Pakistan margins of the Arabian Sea (water depths 1,000–2,000 m). In total, 27 deep-sea gromiid sequences of the SSU rDNA gene and six sequences of the ITS rDNA region were obtained. Our data confirm that Gromia-like protists from the bathyal deep sea are related to the shallow-water gromiids. Within Arabian Sea Gromia, we identified seven distinctive lineages, five of which form a monophyletic group branching as a sister group to shallow-water species. Six lineages of Arabian Sea Gromia can be defined morphologically, while one lineage includes specimens that look identical to specimens from two other lineages. This indicates that each Gromia lineage represents probably a separate species and suggests that deep-sea gromiid diversity is higher than indicated by their simple morphology.     

Low-temperature inactivation of fecal coliforms in sludge digestion.

The goal of this research was to demonstrate the ability to achieve Class A pathogen standards in nonthermophilic acid digesters. It was proposed that the key mechanism responsible for fecal coliform inactivation was the presence of un-ionized volatile fatty acids. Lab-scale acid digesters were assembled and operated in a batch mode for 5 days at mesophilic (38 degrees C) and low-mesophilic (21 degrees C) temperatures and at different solids concentrations. The key factor recognized for successful pathogen inactivation was pH, which is also the main factor driving the shift in organic acids toward the un-ionized form. Compared to conventional mesophilic acid digestion, low-mesophilic acid digestion was effective in fecal coliform inactivation because the process maintained lower pH throughout the duration of the experiment, offered continuous release of organic acids, and showed higher concentrations of organic acids in un-ionized form, including acetate, propionate, butyrate, and valerate.