The legal frameworks that govern fetal surgery in the United Kingdom,European Union,and the United States

The specialty of fetal surgery or fetal intervention is one of the most exciting emerging fields of modern medicine. It is made possible by decades of major developments in antenatal imaging, obstetric anaesthesia, fetal medicine, paediatric surgery, and of course by the bold and novel practitioners willing to take new steps to advance the field. Beginning in the 1970s, it has now reached a stage of maturity where there are several established in utero procedures and countless clinical trials and studies to develop more. But what is the legal situation that fetal surgeons find themselves in? What are the rights and legal protections for the fetus and the mother, both of which are arguably the patient? This article will address this question, discussing and summarising the current legal frameworks governing fetal surgery in the jurisdictions of the United Kingdom, European Court of Human Rights, and the United States of America as well as discuss what the future may hold and how researchers and physicians in the specialty can best navigate the legal environment.     

Feeding ecology of juvenile rockfishes off Oregon and Washington based on stomach content and stable isotope analyses

The feeding habits of pelagic, juvenile rockfishes (Sebastes spp.) collected off Oregon in 2002, and Oregon and Washington in 2006, were examined using stomach content and stable isotope analyses. Sampling occurred along a series of transects across the shelf between Crescent City, California (Lat. 41°54.0′), and Newport, Oregon (Lat. 44°39.0′), in 2002, and off Willapa Bay, Washington (Lat. 46°40.0′), and the Columbia River, Oregon (Lat. 46°10.0′), in 2006. Species composition varied both years with distance from shore, but the predominant species were darkblotched (Sebastes crameri), canary (S. pinniger), yellowtail (2006 only; S. flavidus), and widow (S. entomelas) rockfishes. Stomach content analysis revealed that darkblotched rockfish had highly variable diets, and canary, yellowtail, and widow rockfishes exhibited a high degree of overlap in 2006. Multivariate analysis showed significant differences in diet based on distance from shore where caught, fish size, and species. Stable isotope analysis indicated that all species were feeding at about the same trophic level within each year, with a 1.5 ‰ difference in δ¹⁵N between years and regions. The difference in δ¹⁵N values may indicate a greater contribution of mesotrophic zooplankton such as euphausiids, hyperiid amphipods, and chaetognaths to fish diets in 2006. Depleted ¹³C values were indicative of diets based on primary production from a more offshore origin, suggesting that these rockfish had previously inhabited offshore waters. These results add to our understanding of some of the important environmental factors that affect young-of-the-year rockfishes during their pelagic phase.     

How the social parasitic bumblebee <Emphasis Type="Italic">Bombus bohemicus</Emphasis> sneaks into power of reproduction

Social parasitism is widespread in many groups of social living hymenopteran species and has also evolved in the genus Bombus. Cuckoo bumblebees (subgenus Psithyrus) are obligate brood parasites in nests of other bumblebee species. After nest usurpation and the killing of the host queen, the parasite female has to control worker reproduction in order to accomplish and maintain reproductive dominance and to ensure her reproductive success. The aim of our study was to examine whether the generalist parasitic bumblebee Bombus bohemicus monopolizes and prevents worker reproduction by physical or chemical means and to identify possible odor compounds involved therein. We performed bioassays with callow workers of the host Bombus terrestris and have shown that B. bohemicus females are able to suppress host worker ovarian development, when these host workers are under the direct influence of the parasite female. Furthermore, by chemical analyses, we have demonstrated that the parasite females adjust to the odor profiles of their host queens in order to maintain the level of fertility signaling inside the host colony although the host queen is absent. We also found that host workers change their odor profile after nest usurpation by the parasite female and consequently, we suggest that the host and parasite are caught up in a chemical arms race.     

Detecting the effects of coal mining,acid rain,and natural gas extraction in Appalachian basin streams in Pennsylvania (USA) through analysis of barium and sulfate concentrations

To understand how extraction of different energy sources impacts water resources requires assessment of how water chemistry has changed in comparison with the background values of pristine streams. With such understanding, we can develop better water quality standards and ecological interpretations. However, determination of pristine background chemistry is difficult in areas with heavy human impact. To learn to do this, we compiled a master dataset of sulfate and barium concentrations ([SO₄], [Ba]) in Pennsylvania (PA, USA) streams from publically available sources. These elements were chosen because they can represent contamination related to oil/gas and coal, respectively. We applied changepoint analysis (i.e., likelihood ratio test) to identify pristine streams, which we defined as streams with a low variability in concentrations as measured over years. From these pristine streams, we estimated the baseline concentrations for major bedrock types in PA. Overall, we found that 48,471 data values are available for [SO₄] from 1904 to 2014 and 3243 data for [Ba] from 1963 to 2014. Statewide [SO₄] baseline was estimated to be 15.8 ± 9.6 mg/L, but values range from 12.4 to 26.7 mg/L for different bedrock types. The statewide [Ba] baseline is 27.7 ± 10.6 µg/L and values range from 25.8 to 38.7 µg/L. Results show that most increases in [SO₄] from the baseline occurred in areas with intensive coal mining activities, confirming previous studies. Sulfate inputs from acid rain were also documented. Slight increases in [Ba] since 2007 and higher [Ba] in areas with higher densities of gas wells when compared to other areas could document impacts from shale gas development, the prevalence of basin brines, or decreases in acid rain and its coupled effects on [Ba] related to barite solubility. The largest impacts on PA stream [Ba] and [SO₄] are related to releases from coal mining or burning rather than oil and gas development.

     

Disappearing plants: why they hide and how they return

Prolonged dormancy is a life-history stage in which mature plants fail to resprout for one or more growing seasons and instead remain alive belowground. Prolonged dormancy is relatively common, but the proximate causes and consequences of this intriguing strategy have remained elusive. In this study we tested whether stored resources are associated with remaining belowground, and investigated the resource costs of remaining belowground during the growing season. We measured stored resources at the beginning and end of the growing season in Astragalus scaphoides, an herbaceous perennial in southwest Montana, USA. At the beginning of the growing season, dormant plants had lower concentrations of stored mobile carbon (nonstructural carbohydrates, NSC) than did emergent plants. Surprisingly, during the growing season, dormant plants gained as much NSC as photosynthetically active plants, an increase most likely due to remobilization of structural carbon. Thus, low levels of stored NSC were associated with remaining belowground, and remobilization of structural carbon may allow for dormant plants to emerge in later seasons. The dynamics of NSC in relation to dormancy highlights the ability of plants to change their own resource status somewhat independently of resource assimilation, as well as the importance of considering stored resources in understanding plant responses to the environment.     

Nitrogen Budget in a Lowland Coastal Area Within the Po River Basin (Northern Italy): Multiple Evidences of Equilibrium Between Sources and Internal Sinks

Detailed studies on pollutants genesis, path and transformation are needed in agricultural catchments facing coastal areas. Here, loss of nutrients should be minimized in order to protect valuable aquatic ecosystems from eutrophication phenomena. A soil system N budget was calculated for a lowland coastal area, the Po di Volano basin (Po River Delta, Northern Italy), characterized by extremely flat topography and fine soil texture and bordering a network of lagoon ecosystems. Main features of this area are the scarce relevance of livestock farming, the intense agriculture, mainly sustained by chemical fertilizers, and the developed network of artificial canals with long water residence time. Average nitrogen input exceeds output terms by ~60 kg N ha^?1 year^?1, a relatively small amount if compared to sub-basins of the same hydrological system. Analysis of dissolved inorganic nitrogen in groundwater suggests limited vertical loss and no accumulation of this element, while a nitrogen mass balance in surface waters indicates a net and significant removal within the watershed. Our data provide multiple evidences of efficient control of the nitrogen excess in this geographical area and we speculate that denitrification in soil and in the secondary drainage system performs this ecosystemic function. Additionally, the significant difference between nitrogen input and nitrogen output loads associated to the irrigation system, which is fed by the N-rich Po River, suggests that this basin metabolizes part of the nitrogen excess produced upstream. The traditionally absent livestock farming practices and consequent low use of manure as fertilizer pose the risk of excess soil mineralization and progressive loss of denitrification capacity in this area.     

Functional autoregressive forecasting of long-term seabed evolution

There is a need for decadal predictions of the seabed evolution, for example to inform resurvey strategies when maintaining navigation channels. The understanding of the physical processes involved in morphological evolution, and the viability of process models to accurately model evolution over these time scales, are currently limited. As a result, statistical approaches are used to supply long-term forecasts. In this paper, we introduce a novel statistical approach for this problem: the autoregressive Hilbertian model (ARH). This model naturally assesses the time evolution of spatially-distributed measurements. We apply the technique to a coastal area in the East Anglian coast over the period 1846 to 2002, and compare with two other statistical methods used recently for seabed prediction: the autoregressive model and the EOF model. We evaluate the performance of the three methods by comparing observations and predictions for 2002. The ARH model enables a reduction of 10% of the root mean squared errors. Finally, we compute the variability in the predictions related to time sampling using the jackknife, a method that uses subsamples to quantify uncertainties.     

Cx43 regulates mechanotransduction mechanisms in human preterm amniotic membrane defects

Objective

The effects of mechanical stimulation in preterm amniotic membrane (AM) defects were explored.

Methods

Preterm AM was collected from women undergoing planned preterm caesarean section (CS) due to fetal growth restriction or emergency CS after spontaneous preterm prelabour rupture of the membranes (sPPROM). AM explants near the cervix or placenta were subjected to trauma and/or mechanical stimulation with the Cx43 antisense. Markers for nuclear morphology (DAPI), myofibroblasts (αSMA), migration (Cx43), inflammation (PGE₂) and repair (collagen, elastin and transforming growth factor β [TGFβ₁]) were examined by confocal microscopy, second harmonic generation, qPCR and biochemical assays.

Results

In preterm AM defects, myofibroblast nuclei were highly deformed and contractile and expressed αSMA and Cx43. Mechanical stimulation increased collagen fibre polarisation and the effects on matrix markers were dependent on tissue region, disease state, gestational age and the number of fetuses. PGE₂ levels were broadly similar but reduced after co-treatment with Cx43 antisense in late sPPROM AM defects. TGFβ₁ and Cx43 gene expression were significantly increased after trauma and mechanical stimulation but this response dependent on gestational age.

Conclusion

Mechanical stimulation affects Cx43 signalling and cell/collagen mechanics in preterm AM defects. Establishing how Cx43 regulates mechanosignalling could be an approach to repair tissue integrity after trauma.