Computer-assisted surgical planning and intraoperative guidance in fetal surgery: a systematic review

Fetal surgery has become a clinical reality, with interventions for twin-to-twin transfusion syndrome (TTTS) and spina bifida demonstrated to improve outcome. Fetal imaging is evolving, with the use of 3D ultrasound and fetal MRI becoming more common in clinical practise. Medical imaging analysis is also changing, with technology being developed to assist surgeons by creating 3D virtual models that improve understanding of complex anatomy, and prove powerful tools in surgical planning and intraoperative guidance. We introduce the concept of computer-assisted surgical planning, and present the results of a systematic review of image reconstruction for fetal surgical planning that identified six articles using such technology. Indications from other specialities suggest a benefit of surgical planning and guidance to improve outcomes. There is therefore an urgent need to develop fetal-specific technology in order to improve fetal surgical outcome. © 2015 The Authors. Prenatal Diagnosis published by John Wiley & Sons Ltd.     

Can Red Pay for Blue? Methods to Estimate the Added Value of Water in Residential Environments

As a result of climate changes, more land is now needed in the Netherlands for water retention in towns and the countryside. Recently, this perceived need has resulted in new forms of water management and spatial planning strategies. Multi-functional land use is an option such as housing in combination with retention lakes. Some argue that the market potential is high and that water has an added value in residential environments. This added value could be used to compensate for non-profitable investments such as the creation of lakes. The key question is how to value this amenity. It is argued that non-economists often assume that a valuation is just a technique. The authors challenge this by presenting an overview of economic perspectives as well as techniques. A literature review reveals the main valuation perspectives and suggests estimated added values of 10‐15% for the seashore, 5‐10% for river locations (streams), and 5% for lakes.     

Dissipation of Tidal Energy and Associated Mixing in a Wide Fjord

This paper sets out to test the hypothesis that vertical mixing due to the dissipation of the internal tide accounts for a significant proportion of the total vertical mixing in a fjordic basin during a period of deep water isolation. During July and August 1999 two locations in the Clyde Sea were instrumented with moored RD Instruments Acoustic Doppler Current Profilers (ADCPs) and conductivity-temperature-pressure chains: Station C2, near the shallow entrance sill (55 m water depth), and station C1 in the deep basin (155 m water depth). A bottom pressure recorder was also deployed at station C3 by the seaward entrance to the Clyde Sea in the North Channel of the Irish Sea. A Free-falling Light Yo-yo shear microstructure profiler (FLY) was used to measure the dissipation rate of turbulent kinetic energy (TKE) throughout the water column over 25 h at both C1 and C2. These were interspersed with two-hourly conductivity-temperature-depth casts at both sites. The observations show agreement between the dissipation rate of TKE estimated by using a microstructure profiler and that estimated from the decay of the internal tide as measured by the two ADCPs. However, to account for all the implied mixing it is necessary to invoke an additional source of buoyancy flux, the most probable candidate mechanism is enhanced internal wave breaking near the sill and at the sloping boundaries of the deep basin. In addition, the vertical eddy diffusivity estimated from the micro-structure profiler (O(0.5 cm² s^–1) indicates that internal tide induced mixing away from any boundaries contributed significantly to the overall level of mixing which is required to account for the observed evolution of the deep basin water properties.     

Flooding and the Role of Planning in England and Wales: A Critical Review

In this paper the authors raise some important questions about the extent to which planning is fostering an environment susceptible to flooding. They argue that severe UK flooding incidents in recent years should result in the government re-examining the planning system to ensure relevancy and effectiveness in dealing with such problems in the future. They identify where the current policy and practice weaknesses lie in planning to limit both flood source and flood impact areas and suggest ways in which the government and the profession could take remedial steps to increase local and regional sustainability.     

Aerosol composition as a function of haze and humidity levels in the Southwestern U.S.

The observed composition of visibility-reducing aerosols in the Grand Canyon region is summarized in climatological terms. Observations are from SCENES, a measurement program extending from 1984 to 1989. Results are presented as average mass balances stratified by various factors.Aerosols were found to exhibit substantial seasonal variation, but little systematic diurnal variation. Crustal material was a dynamic component, and peaked during springtime. Aerosol composition, but not total concentration, depended strongly on ambient relative humidity, with crustal material augmented at low humidities and sulfates augmented at high humidities. Total fine-particle concentrations correlated strongly with light scattering, as expected; however, little association between chemical composition and light scattering was observed.     

Evidence for microfloral succession on allochthonous plant litter in Apalachicola Bay,Florida, USA

Changes in hydrolytic, respiratory,catabolic and lipid biosynthetic activities depend at least in part on successional changes in the microfloral populations of allochthonous plant litter incubated in a semi-tropical estuary. Initial colonization is by populations which have a high content of muramic acid relative to the adenosine triphosphate (ATP) and which are progressively displaced by a microflora with a lower ratio of muramic acid to ATP. Scanning electron micrography of the plant-litter microflora shows a succession of forms, with an initial bacterial colonization and its progressive displacement by more complex forms. Estimates of the microbial mass and the rates of phospholipid synthesis suggest that the detrital microflora has a relatively slow growth rate compared to its growth potential.     

Superoxide production by marine microalgae

This study investigated the possible roles of superoxide produced by raphidophyte and prymnesiophyte microalgae as an ichthyotoxic agent to damselfish and an allelopathic agent to bacteria. We found that the rate of superoxide production varied with algal cell density, with cell densities of the raphidophyte Chattonella marina >10,000 cells ml^–1 producing less environmental levels of superoxide per cell (94±14 chemiluminescence units) than cell densities <10,000 cells=">^–1 (390±54 units per cell). Microalgal cells have the capacity to change their superoxide production rate over a period of 1 h, dependent on cell density and metabolic activity. We also examined the effect of superoxide on suppression of bioluminescence of the marine bacterium Vibrio fischeri as a model for bacterial alleopathy and found that both superoxide and free fatty acids such as eicosapentaenoic acid (EPA; 20:53) present in raphidophyte microalgal cells cause suppression of bacterial bioluminescence. The combination of superoxide in the presence of EPA further enhanced bioluminescence suppression. Superoxide was also found to enhance the toxicity of free fatty acid EPA to damselfish (Acanthochromis polycanthus) at concentrations as low as 0.2 mg l^–1. In conclusion, consideration should be given to density dependent and/or metabolic variations of toxicity when publishing minimum alert levels for superoxide producing ichthyotoxic microalgal species. A secondary role of superoxide production may be to enhance the toxicity of algal exudates or serve as an allelopathic agent against bacterial fouling.     

Transport and metabolic fate of sewage particles in a recipient stream

Although the implementation of wastewater treatment plants (WWTP) has dramatically increased the quality of surface waters in urbanized areas, WWTPs can still discharge noticeable amounts of solutes and particles to recipient streams. Although the fate of WWTP nutrients has received considerable attention, transport and in-stream transformation of sewage-derived particulate organic matter (SDPOM) have not. To investigate the transport and transformation of SDPOM in recipient streams, we experimentally injected fluorescently labeled SDPOM into a headwater stream and tracked its downstream fate at baseflow. Most SDPOM disappeared from the streamwater within a 160-m long reach with an average deposition velocity of 0.14 mm s(-1). We further coupled hydrometric measurements of specific water fluxes through the streambed interface with a mixing model to estimate streambed oxygen removal, and found significantly higher oxygen removal in the deposition (0.75 g O2 m(-2) d(-1)) than in the downstream post-deposition (0.36 g O2 m(-2) d(-1)) subreach. Contrary to our expectations, we did not detect any apparent effect of SDPOM deposition on streambed clogging. Our results show the capacity of a recipient stream to retain SDPOM and to reduce its downstream export, and thus contribute to a better understanding of ecosystem services of human-altered streams.