Is there a role for fetal interventions in gastroschisis management? – An updated comprehensive review

We conducted a comprehensive evidence-based review on the epidemiology and current standard of care of gastroschisis management as well as the pathophysiology, rationale and feasibility of fetal therapy as a viable alternative. Gastroschisis is a periumbilical abdominal wall defect characterized by abdominal viscera herniation in utero. It affects 4 in 10 000 live births, but the prevalence has steadily increased in recent years. Gastroschisis is typically diagnosed on routine second-trimester ultrasound. The overall prognosis is favorable, but complex gastroschisis, which accounts for about 10% to 15% of cases, is associated with a higher mortality, significant disease burden and higher healthcare costs due to long- and short-term complications. The current standard of care has yet to be established but generally involves continued fetal surveillance and multidisciplinary perinatal care. Postnatal surgical repair is achieved with primary closure, staged silo closure or sutureless repair. Experimental animal studies have demonstrated the feasibility of in utero closure, antiinflammatory therapy and prenatal regenerative therapy. However, reports of early preterm delivery and amnioinfusion trials have failed to show any benefit in humans. Further experimental studies and human trials are necessary to demonstrate the potential benefit of fetal therapy in gastroschisis.     

Extensive aerosol optical properties and aerosol mass related measurements during TRAMP/TexAQS 2006 – Implications for PM compliance and planning

Extensive aerosol optical properties, particle size distributions, and Aerodyne quadrupole aerosol mass spectrometer measurements collected during TRAMP/TexAQS 2006 were examined in light of collocated meteorological and chemical measurements. Much of the evident variability in the observed aerosol-related air quality is due to changing synoptic meteorological situations that direct emissions from various sources to the TRAMP site near the center of the Houston-Galveston-Brazoria (HGB) metropolitan area. In this study, five distinct long-term periods have been identified. During each of these periods, observed aerosol properties have implications that are of interest to environmental quality management agencies. During three of the periods, long range transport (LRT), both intra-continental and intercontinental, appears to have played an important role in producing the observed aerosol. During late August 2006, southerly winds brought super-micron Saharan dust and sea salt to the HGB area, adding mass to fine particulate matter (PM_2.5) measurements, but apparently not affecting secondary particle growth or gas-phase air pollution. A second type of LRT was associated with northerly winds in early September 2006 and with increased ozone and sub-micron particulate matter in the HGB area. Later in the study, LRT of emissions from wildfires appeared to increase the abundance of absorbing aerosols (and carbon monoxide and other chemical tracers) in the HGB area. However, the greatest impacts on Houston PM_2.5 air quality are caused by periods with low-wind-speed sea breeze circulation or winds that directly transport pollutants from major industrial areas, i.e., the Houston Ship Channel, into the city center.     

Auditing the Assessment of the Environmental Impacts of Planning Projects

This paper presents the results from a post-auditing study-a comparison of the predictions of environmental impacts of projects made in environmental statements prior to developmentwith those that actually occurred upon or after development. The purpose of post-auditing is to provide an analysis of prediction performance in environmental impact assessment and thus to improve future practice by learning from experience. By means of a combination of site visits, interviews and document scrutiny, 865 predictions from 28 UK projects granted planning permission were examined. Of these, 488 (56%) were auditable, of which 383 (79%) were deemed 'accurate' or 'nearly accurate' and 105 (21%) 'inaccurate'. The remaining 377 (44%) predictions were not auditable, the main reasons being lack of data, vague or ambiguous predictions and time dependency.There were only six unpredicted impacts. The study reveals some encouraging findings, but also a number of discouraging ones, which indicate the need to increase both enthusiasm for, and implementationof, post-auditing activities. Several suggestions are made to help achieve these objectives.     

Evaluation of methylene blue and riboflavin for the photosensitized degradation of ethylene glycol

Degradation rates ranging from 0.22 ± 0.11 to 1.52 ± 0.50 mg/L-h were measured for ethylene glycol in riboflavin solutions exposed to natural sunlight. Significant degradation rates were noted in systems using 6 and 10 mg/L riboflavin at pH values of 4, 7, and 10. No significant degradation was found in systems using methylene blue as the photosensitizing agent. Possible mechanisms for ethylene glycol degradation include a combination hydrogen or electron abstraction by an excited photosensitizer and reaction with singlet oxygen or reaction with superoxide radicals.     

Echolocation call design and limits on prey size: a case study using the aerial-hawking bat Nyctalus leisleri

The echolocation calls used by Nyctalus leisleri during search phase in open air space are between 9 and 14 ms long, with the peak energy between 24 and 28 kHz. The pulses are shallowly frequency-modulated with or without an initial steep frequency-modulated component. The diet consists primarily of small flies (Diptera), including many chironomids (wingspan 9–12 mm) and yellow dung flies (Scatophaga; wingspan 24 mm), but also of some larger insects such as dung beetles (Coleoptera; Scarabaeoidea), caddis-flies (Trichoptera) and moths (Lepidoptera). The echo target strength of some prey items was measured. Contrary to models based on standard targets such as spheres or disks, the echo strength of real insects was found to be virtually independent of the emitted frequency within the 20–100 kHz frequency range. A model was used to calculate probable detection distances of the prey by the bat. Using narrow-band calls of 13.7 ± 2.7 ms duration, a bat would detect the two smallest size classes of insect at greatest range using calls of 20 kHz. The results may therefore explain why many species of large and medium sized aerial-hawking bats use low-frequency calls and still eat mostly relatively small insects. The data and model challenges the assumption that small prey are unavailable to bats using low-frequency calls.