Prenatal diagnosis of isolated bilateral microphthalmia with confirmation by evaluation of products of conception obtained by dilation and evacuation

We describe the prenatal diagnosis of isolated bilateral fetal microphthalmia in a woman at increased risk of having a fetus with microphthalmia. Ultrasound examinations at 161 and 19-5 weeks' gestation demonstrated bilateral fetal microphthalmia with no other associated structural defects. The patient elected to terminate her pregnancy at 19.5 weeks. Pathological evaluation of the products of conception obtained by dilation and evacuation confirmed the prenatal diagnosis of isolated bilateral fetal microphthalmia.     

Adverse outcome in pregnancy following amniotic fluid isolation of Ureaplasma urealyticum

Infections in pregnancy with Ureaplasma urealyticum have been associated with a wide range of adverse outcomes, such as early abortion, stillbirth, prematurity, and neonatal morbidity and mortality. Causality has been difficult to demonstrate secondary to the high prevalence of asymptomatic lower genital tract (LGT) colonization and culture data from inaccessible or potentially contaminated sites. Between 1985 and 1989, 2461 second-trimester genetic amniocenteses were evaluated at the cytogenetics section of the Children's Hospital Medical Center of Akron. All were cultured for the genital mycoplasmas: Mycoplasma hominis and Ureaplasma urealyticum. A total of nine patients were positive, all for Ureaplasma urealyticum, with one patient excluded because of subsequent therapeutic abortion. In addition, complete follow-up data, such as indication for amniocentesis, serum alpha-fetoprotein levels, gestational age at parturition, and out- come of pregnancy, were available on 86 Ureaplasma-negative (U –) patients during an approximate 2-year span within the time-frame of the study. This was in part due to physician response to a questionnaire sent after amniocentesis. Of the eight positive cultures, 100 per cent were associated with an adverse outcome, defined as fetal loss or premature delivery. This was significant compared with the U–group (p<0.001) with a more than eight times greater risk of adverse outcome. Six (75 per cent) resulted in spontaneous miscarriage within 4 weeks of amniocentesis and at less than 21 weeks' gestation. Two (25 per cent) delivered prematurely, with one (12.5 per cent) neonatal death at 24+ weeks. Histological examination of all eight placentae and the seven fetuses revealed a 100 per cent incidence of chorioamnionitis and pneumonia, respectively. In addition, in four of the five cases (80 per cent), cultures were positive for Ureaplasma urealyticum in pure culture from either placenta, fetal lung, or both tissues. The remaining case (20 per cent) was negative for aerobes, anaerobes, and mycoplasmas. The study demonstrates a significant association and supports a causal relationship between isolation of Ureaplasma from mid-trimester amniotic fluid with fetal wastage and premature birth.     

Paradise Threatened: Land Use and Erosion on St. John, US Virgin Islands

2 /yr, respectively. Geomorphic evidence indicates that plantation agriculture during the 18th and 19th centuries did not cause severe erosion. Since about 1950 there has been rapid growth in roads and development due to increasing tourism and second-home development. Our field investigations identified the approximately 50 km of unpaved roads as the primary source of anthropogenic sediment. Field measurements of the road network in two catchments led to the development of a vector-based GIS model to predict road surface erosion and sediment delivery. We estimate that road erosion has caused at least a fourfold increase in island-wide sediment yields and that current sedimentation rates are unprecedented. Paving the dirt roads and implementing standard sediment control practices can greatly reduce current sediment yields and possible adverse effects on the marine ecosystems surrounding St. John.     

OPTIMIZATION MODELING OF A NEW FACILITY FOR THE CALIFORNIA STATE WATER PROJECT1

ABSTRACT: A non-linear optimization model is applied to the California State Water Project (SWP) and portions of the Central Valley Project (CVP). The model accounts for the major hydrologic, regulatory, and operational features of both projects. The model maximizes long-term SWP yields over a 70-year period, using a quarterly time step. The potential for increased yield associated with a proposed facility improvement is evaluated with the model. The proposed facility is an extension of the Folsom-South Canal, which would allow water to be conveyed from the American River below Folsom Reservoir into New Melones Reservoir on the Stanislaus River or into the California Aqueduct. Model results indicate that extension of the Folsom-South Canal has the potential to increase SWP yields by 13 percent.     

Job level risk assessment using task level strain index scores: a pilot study.

This paper explores 2 methods of modifying the Strain Index (SI) to assess the ergonomic risk of multi-task jobs. Twenty-eight automotive jobs (15 cases and 13 controls) were studied. The first method is based on the maximum task SI score, and the second method is modeled on the NIOSH Composite Lifting Index (CLI) algorithm, named cumulative assessment of risk to the distal upper extremity (CARD). Significant odds ratios of 11 (CI 1.7-69) and 24 (CI 2.4-240) were obtained using the modified maximum task and CARD, respectively. This indicates that modification of the SI may be useful in determining the risk of distal upper extremity injury associated with a multi-task job.     

Coupled reservoir-geomechanical analysis of CO2 injection and ground deformations at In Salah,Algeria

In Salah Gas Project in Algeria has been injecting 0.5–1 million tonnes CO₂ per year over the past 5 years into a water-filled strata at a depth of about 1800–1900 m. Unlike most CO₂ storage sites, the permeability of the storage formation is relatively low and comparatively thin with a thickness of about 20 m. To ensure adequate CO₂ flow-rates across the low-permeability sand-face, the In Salah Gas Project decided to use long-reach (about 1–1.5 km) horizontal injection wells. In an ongoing research project we use field data and coupled reservoir-geomechanical numerical modeling to assess the effectiveness of this approach and to investigate monitoring techniques to evaluate the performance of a CO₂ injection operation in relatively low-permeability formations. Among the field data used are ground surface deformations evaluated from recently acquired satellite-based inferrometry (InSAR). The InSAR data shows a surface uplift on the order of 5 mm per year above active CO₂ injection wells and the uplift pattern extends several km from the injection wells. In this paper we use the observed surface uplift to constrain our coupled reservoir-geomechanical model and conduct sensitivity studies to investigate potential causes and mechanisms of the observed uplift. The results of our analysis indicate that most of the observed uplift magnitude can be explained by pressure-induced, poro-elastic expansion of the 20-m-thick injection zone, but there could also be a significant contribution from pressure-induced deformations within a 100-m-thick zone of shaly sands immediately above the injection zone.     

Sulfur Dioxide and Material Damage

Whereas most estimates of material damage are based on industrial surveys, the estimates produced in this study were derived from material damage experiments and ambient air quality data. Air quality data on SO₂ were obtained from 200 or more monitoring sites primarily located in heavily populated or polluted areas. Material threshold damage function data were then compared with SO₂ levels, and an estimate of losses, as reflected in increased maintenance and replacement costs, was determined. Estimates of the total stock of various materials in use were derived from census and industry data and allocated geographically according to population. A substantial decrease in the ambient SO₂ levels, particularly in larger urban areas, has occurred during the past five years. From 1968 to 1972, the estimated amount of material damage from SO₂ in the U. S. decreased from $900 million/yr to less than $100 million. During this period, the estimated percentage of man made materials exposed to SO₂ levels exceeding the proposed secondary annual average standard (60 μg/m³) and primary annual average standard (80 μg/m³) in the U. S. fell respectively, from 20% to less than 5% and from more than 10% to less than 1%. Most of the present loss is attributed to corrosion damage of metallic surfaces that are normally exposed to the ambient environment.     

Climate change,risk perception,and protection motivation among high-altitude residents of the Mt. Everest region in Nepal

Mountain ecosystems are considered vulnerable to early impacts of climate change. Whether and how local residents of these areas perceive these changes, however, remain under-studied questions. By conducting a household survey in the Khumbu region of Nepal, this study assessed local residents’ experience-based perception of changes in climate trends and patterns, perceived risk, and attitudes towards climate issues. Multivariate cluster analysis based on residents’ climate change beliefs revealed three segments: “Cautious,” “Disengaged,” and “Alarmed.” A comparison of these segments along key psychosocial constructs of Protection Motivation Theory (PMT) revealed significant inter-segment differences in residents’ perception of severity, vulnerability, response efficacy, self-efficacy, and response cost associated with engaging in mitigating behavior. Results shed light on how residents of high elevation areas that are considered to be exposed to early impacts of climate change perceive the risk and intend to respond. These findings could also assist stakeholders working in other similar mountain ecosystems in understanding vulnerability and in working towards climate readiness.Electronic supplementary materialThe online version of this article (10.1007/s13280-020-01369-x) contains supplementary material, which is available to authorized users.