Fetoscopic myelomeningocoele closure: Is the scientific evidence enough to challenge the gold standard for prenatal surgery?

Since the completion of the Management of Myelomeningocoele Study, maternal-fetal surgery for spina bifida has become a valid option for expecting parents. More recently, multiple groups are exploring a minimally invasive approach and recent outcomes have addressed many of the initial concerns with this approach. Based on a previously published framework, we attempt to delineate the developmental stage of the surgical techniques. Furthermore, we discuss the barriers of performing randomized controlled trials comparing two surgical interventions and suggest that data collection through registries is an alternative method to gather high-grade evidence.     

Macro-scale effective constitutive relationships for two-phase flow processes in heterogeneous porous media with emphasis on the relative permeability-saturation relationship

Macro-scale simulations often play an important role in the assessment and remediation of contamination by dense non-aqueous phase liquids (DNAPLs) in the subsurface. Effective parameters for the macro scale are required for these simulations in order to avoid a detailed discretisation of the geological structures. Starting from the observed influence of heterogeneities on multiphase flow processes at the macro scale, we present an upscaling procedure from the local to the macro scale for the derivation of constitutive relationships for multiphase flow processes. The approach is based on the assumption of an equilibrium of (capillary) forces, which allows the application of a percolation model. This results in saturation distributions for different capillary pressures. Averaging these distributions gives rise to a macroscopic capillary pressure-saturation relationship. For the saturation distribution, relative permeabilities and effective conductivities are computed depending on the structure and the flow direction. These are averaged with the help of the renormalisation method. The evolving relative permeability-saturation relationship for the macro scale shows a saturation-dependent anisotropy and pronounced residual saturations of the nonwetting phase (which were not assumed for the local scale). The anisotropy reflects the underlying structure of the considered system that needs not to be known in detail.     

Effect of ambient ozone and acid mist on aphid development

The effect of ambient air with increased ozone concentrations and artificial acid mist on the population growth of two different aphid species was studied: Aphis fabae on Phaseolus vulgaris and Phyllaphis fagi on seedings of Fagus sylvatica. Whereas the ambient air inhibited growth of Aphis fabae, it stimulated population growth of Phyllaphis fagi. In Fagus, analysis of a phloem exudate revealed that the amino acid/sugar ratio was significantly increased by the ambient air compared to filtered air. In Phaseolus, no significant differences in amino acid or sugar content of the phloem exudate could be found. Acid mist inhibited population development in both aphid species; the strongest effect was observed in the first weeks after artificial infestation.     

(M)VOC and composting facilities. Part 2: (M)VOC dispersal in the environment

BACKGROUND, AIMS AND SCOPE: Composting facilities are known to release odorous volatiles due to biodegradation of municipal waste and plant residues. Although odour perception and its grading is influenced by experience, attitude and adaptation, these emissions have created a lack of acceptance for residents in the vicinity of composting facilities. Enclosure of compost pile halls, ventilation systems and biofilters are often insufficient to minimise the burden of compost-derived compounds in the air. Moreover, economic considerations forced smaller communities to establish less sophisticated facilities with open storage areas and other relevant sources for wind-borne dispersal of bioaerosols. Aim of the present study was to characterise the immission and dispersal of microbial volatiles (MVOC) and, besides, to find coincidences between MVOC and compost odour. METHODS: In the course of this study, the surroundings of two composting facilities, differing in their type of process engineering, were investigated for emission of volatiles in the environment. Both microbially and plant-derived substances were assessed, several of which have low odour thresholds. Air samples were taken in distances ranging from 50 to 800 m in a downwind direction from each facility. RESULTS AND DISCUSSION: Compost-derived and microbial volatile organic compounds (MVOC) were found at distances of up to 800 m from the composting facilities. Terpenes like alpha-pinene, camphene and camphor were the dominant compounds and coincided with typical compost odour, whereas several typical MVOC were not found at greater distances. The terpenes in combination with certain MVOC may play an important role in the perception of compost odour. Exposure concentrations were not of toxicological relevance, but sensory irritation and psychohygienic effects due to an annoyance potential of such compounds should not be dismissed. RECOMMENDATIONS AND OUTLOOK: Although terpenes are generally associated with pleasant odour characteristics, they seemed to contribute to malodours in a mixture with other VOC, in this context of volatile waste from compost facilities. Malodorous emissions from biowaste have to be considered as sources of health complaints and the investigation of mixtures of compost-derived volatiles is still inevitable. Exposure levels have to be discussed taking VOC mixtures into account. Within composting facilities, technical devices have to be improved to minimise dispersal of volatiles to prevent residents from immissions eventually causing health complaints.