Successful intrauterine shunting of a sacrococcygeal teratoma (SCT) causing fetal bladder obstruction

We report a case of a sacrococcygeal teratoma (SCT) diagnosed at 22 weeks with a substantial intrapelvic cystic extension leading to bladder outlet obstruction and hydronephrosis at 27 weeks. Prenatal percutaneous shunting of the cystic teratoma was performed at 28 weeks to avoid prolonged fetal pelvic compression by the tumour that could have adverse effects by stretching the pelvic plexus and sacral nerves. Urinary dilatation resolved completely after shunting and a 3880 g baby girl was delivered at 39 weeks. The potential benefits of in utero shunting to avoid urological complications of SCTs with intrapelvic extension are discussed. Copyright © 2001 John Wiley & Sons, Ltd.     

Toxicological effects of disinfections using sodium hypochlorite on aquatic organisms and its contribution to AOX formation in hospital wastewater

Sodium hypochlorite (NaOCl) is often used for disinfecting hospital wastewater in order to prevent the spread of pathogenic microorganisms, causal agents of nosocomial infectious diseases. Chlorine disinfectants in wastewater react with organic matters, giving rise to organic chlorine compounds such as AOX (halogenated organic compounds adsorbable on activated carbon), which are toxic for aquatic organisms and are persistent environmental contaminants. The aim of this study was to evaluate the toxicity on aquatic organisms of hospital wastewater from services using NaOCl in pre-chlorination. Wastewater samples from the infectious and tropical diseases department of a hospital of a large city in southeast of France were collected. Three samples per day were collected in the connecting well department at 9 a.m., 1 p.m. and 5 p.m. during 8 days from 13 March to 22 March 2001, and a mixture was made at 6 p.m. with the three samples in order to obtain a representative sample for the day. The toxicity test comprised the 24-h EC50 on Daphnia magna and a bioluminescence assay using Vibrio fischeri photobacteria. Fecal coliforms and physicochemical analyses such as total organic carbon (TOC), chloride, AOX, total suspended solids (TSS) and chemical oxygen demand (COD) were carried out. Wastewater samples highlighted considerable acute toxicity on D. magna and V. fischeri photobacteria. However, low most probable numbers (MPN), ranging from <3 to 2400 for 100 ml, were detected for fecal coliforms. Statistical analysis, with a confidence interval of 95%, gave a strong linear regression assessed with r=0.98 between AOX concentrations and EC50 (TU) on daphnia. The identification of an ideal concentration of NaOCl in disinfecting hospital wastewater, i.e. its non-observed effect concentration (NOEC) on algae and D. magna, seems to be a research issue that could facilitate the control of AOX toxicity effects on aquatic organisms. Therefore, it would be necessary to monitor the biocide properties of NaOCl on fecal coliforms at various doses and its toxicity effects on aquatic organisms.     

Fate of glutaraldehyde in hospital wastewater and combined effects of glutaraldehyde and surfactants on aquatic organisms

Glutaraldehyde (GA), an aliphatic dialdehyde disinfectant, and surfactants, one of the major components of detergents, are widely used in hospitals in order to eliminate pathogenic organisms causing nosocomial infectious diseases. After their use, disinfectants and surfactants reach the wastewater network together. The discharge of chemical compounds from hospital activities into wastewater is also a well-known problem, causing pollution of water resources and constituting an ecological risk for aquatic organisms. In this study, the chemistry and toxicology of GA and surfactant mixtures were reviewed in order to estimate their fate in aquatic ecosystems. Furthermore, their joint effects on aquatic organisms were experimentally assessed in the laboratory. A simple model of the additive joint action of toxicants was used to determine combined acute toxicity effects on the bacteria luminescence and Daphnia mobility of three mixtures containing GA at 1.5 x EC50 24 h [in mg/L] on Daphnia and anionic, cationic and nonionic surfactants at twice their critical micellar concentration (CMC). The mixture of GA and a cationic surfactant gave an EC50 30 min on Vibrio fischeri of 0.158%, with a concentration of 0.04 mg GA/L and 1.04 mg CTAB/L, which provided an additive action. The interaction between GA and an anionic surfactant on V. fischeri produced an antagonistic joint action with an EC50 30 min of 3.95%, containing 1.06 mg GA/L and 33.2 mg SDS/L. A synergistic action with an EC50 30 min of 8.4% on V. fischeri was observed for the mixture containing GA and a nonionic surfactant. Antagonistic interactions were observed for the joint action between GA and the surfactants studied on Daphnia. The mixture of GA and CTAB was more toxic (EC50 24 h=0.02%) than the two other mixtures (EC50 24 h GA+SDS=6%; EC50 24 h GA+TX 100=10%). This study provides new data on the toxicity of certain hospital pollutants entering the aquatic environment and detected in surface and groundwaters. It is necessary to study the joint effects of GA and surfactant mixtures following chronic and sublethal standard bioassays in order to estimate the contribution of the additive joint action models in assessing the environmental risk of hospital wastewater (HW).     

Dependability assessment of network-based safety-related system

Advances in electronic integration and radio communication have led to the emergence of a new kind of safety systems, i.e. Wireless Sensor Network (WSN). This network-based safety-related system is becoming more and more present in the domain of safety due to its easy deployment. It does not need a wire infrastructure and its range of applications is wide. Usually, such a system is composed of various nodes (sensors) collaborating to monitor a targeted phenomenon. In most cases, nodes are battery powered and this is the weakness of the system makes it necessary to design an energy saving policy. The present paper gives a dependability viewpoint of such a system. A modeling framework is suggested integrating the interdependency of the components. Stochastic Petri nets are used to implement this model and two heuristics to schedule component activity. The first is based on the proposed importance measures, the second on a multi-objective genetic algorithm. The aim is to conserve energy and so to extend WSN dependability.     

A regional inventory and monitoring setup to evaluate bark peeling damage by red deer (Cervus elaphus) in coniferous plantations in Southern Belgium

Sediment phosphorus (P) fractions and sorption characteristics and P release from intact sediment cores of Baiyangdian Lake in North China in spring 2009 were investigated. Results of chemical fractionation showed that total P (TP) content in sediment ranged from 443 to 611 mg kg(?-1). Of the P fractions including inorganic P (IP) and organic P (OP), IP was a dominant component of TP and present in the form of P bounded to calcium (Ca-P) while the bioavailable P content bounded to Al, Fe, and Mn oxides and hydroxides (Fe/Al-P) varied from 14 to 102 mg kg(?-1). The batch experiments showed that the sediments had appreciable maximum P adsorption capacity from 141.86 to 377.37 mg kg(?-1). However, the zero P equilibrium concentration (C?(eq))in most sampling sites was larger than the P concentration in water column. Accordingly, the sediments from those sampling sites would release P into the overlying water at the positive P flux rates as a P release source. Significant positive correlation between P flux rates and Fe/Al-P revealed that the sediment P release would mainly originate from the bioavailable P fraction. It is evident that the inherent phosphorus present in lake sediments would be a major threat to the water quality and ecosystem reservation in Baiyangdian lake.     

Radiocaesium accumulation in stemwood: integrated approach at the scale of forest stands for contaminated Scots pine in Belarus

Twenty years after the Chernobyl accident, root uptake from the surface layers of contaminated forest soils plays a major role in radiocaesium ((137)Cs) transfer to the trees and accumulation in perennial compartments, including stemwood. Trustworthy long-term predictions (modelling) of stemwood contamination with (137)Cs should accordingly be based on a reliable picture of this source-sink relationship. Considering the complexity of the processes involved in (137)Cs cycling in forest stands, elementary ratios like transfer factors (TF) were shown to be not very relevant for that purpose. At the tree level, alternatives like the wood immobilisation potential (WIP) have therefore been proposed in order to quantify the current net (137)Cs accumulation in stemwood. Our objective was here to compare WIP values determined for a series of contaminated forest stands in Belarus with the corresponding pools of (137)Cs available in the soil for root uptake. The comparison reveals that both indices are quite proportional, whatever the forest ecosystem features. This corroborates the relevancy of WIP as an indicator of the current (137)Cs root uptake by the trees, which could accordingly help to improve the existing models of (137)Cs cycling and the long-term management of contaminated forest ecosystems.     

Evaluation of the phytotoxicity of contaminated sediments deposited "on soil": II. Impact of water draining from deposits on the development and physiological status of neighbouring plants at growth stage

As part of a study of the phytotoxic risk of spreading contaminated sediments "on soil", a laboratory experiment was carried out to assess the impact of water draining from sediments on peripheral vegetation. Drainage water was obtained in the laboratory by settling three sediments with different pollutants levels, and the supernatant solutions (respectively A1, B1, C1 drainage waters) were used as soaking water for maize (Zea ma?s L.) and ryegrass (Lolium perenne L.). The physicochemical characteristics of the supernatant water, particularly metal contents, showed a pattern of contamination, with C1>A1>B1. The plants tested were grown on soil for 21 days, before being soaked for another 21-day period with drainage water (treatments) and distilled water (control). Biomass parameters (fresh weight, length, etc.), enzymatic activity [glutamine synthetase (GS), phosphoenolpyruvate carboxylase (PEPc)] and Zn, Cu, Cd and Cr contents were measured on both the shoots and roots of each plant. Biomass parameters were stimulated by C1, not affected by A1 and decreased with B1 for maize, whereas they increased for ryegrass in all the treatments. Compared to the control, GS activity was stimulated by C1 in the shoots of both plants and inhibited by treatments B1 and C1 in maize roots. PEPc activity in ryegrass was 1.5-5 times higher with contaminated water treatment, while contrasting effects were observed in maize plants. Both plants showed greater accumulation of chromium and zinc than cadmium and copper. Treatment A1 was found to be less active on plant growth and have a lower impact on the physiological status (enzymatic activities) of both plants. Treatment C1 stimulated the growth and physiological status of the plants, especially in shoots, with higher metal accumulation values in both plants. Treatment B1 was found to show more variable effects on growth indices, enzymatic activity and metal accumulation according to plant species.