Postnatal management and long-term outcome for survivors with congenital diaphragmatic hernia

Significant advances in the postnatal management of patients with congenital diaphragmatic hernia (CDH) have resulted in a remarkable improvement in survival rates over the past two decades. The success of current postnatal management of CDH patients has rendered fetal intervention to be limited to the most severe cases, and the role for prenatal treatment of CDH patients remains unclear. The adoption of lung-preserving strategies including high-frequency oscillatory ventilation (HFOV) and extracorporeal membrane oxygenation (ECMO) have improved CDH outcomes especially in those patients with significant ventilatory or circulatory compromise. Survival rates of up to 90% are being reported in some high-volume centers. However, the increased survival in CDH patients has been accompanied by an increase in neurological, nutritional and musculoskeletal morbidity among the long-term survivors. This has resulted in the need to provide resources for the long-term follow-up and support of this patient population. In this article, the postnatal management strategies and primary and secondary outcomes of high-volume international pediatric surgical centers will be reviewed. Finally, the role of a multidisciplinary management team for the follow-up of long-term CDH survivors will be discussed. Copyright © 2008 John Wiley & Sons, Ltd.     

Characterization of contamination in and toxicities of a shipyard area in Hong Kong

This is the first integrated study on the contaminant characterization and toxicities of a shipyard area. This site in Hong Kong contained 3.6-33.4 mg kg(-1) dichlorodiphenyltrichloroethane and 5-79 g kg(-1) oil and grease. Other pollutants exceeding the Dutch intervention values were total polyaromatic hydrocarbons, total petroleum hydrocarbons, and metals Cu, Pb and Zn. These pollutants persisted partially owing to the poor fertility with <125 mg N kg(-1) and <530 mg P kg(-1) typical of coastal soil. Sediments collected within 100 m also showed contamination exceeding the China and Hong Kong intervention levels. The shipyard soil killed two bacteria Pseudomonas stutzeri and Acinetobacter sp. isolated from a clean coastal soil, inhibited germination of three exogenous plants Triticum aestivum, Brassica chinense and Lolium perenne, and inhibited proliferation of three indigenous bacteria: Methylobacterium sp., Pseudomonas aeruginosa and Bacillus cereus. Thus, ex situ remediation was needed.     

Total mercury loadings in sediment from gold mining and conservation areas in Guyana

The Low Carbon Development Strategy proposed in June 2009 by the government of Guyana in response to the Reducing Emissions from Deforestation and Forest Degradation in Developing Countries program has triggered evaluation of forest-related activities, thereby acting as a catalyst for improvements in Guyana's small- to medium-scale gold mining industry. This has also shed light on areas committed to conservation, something that has also been handled by Non Governmental Organizations. This paper compares water quality and mercury concentrations in sediment from four main areas in Guyana, two that are heavily mined for gold using mercury amalgamation methods (Arakaka and Mahdia) and two that are considered conservation areas (Iwokrama and Konashen). Fifty-three sediment and soil mercury loadings ranged from 29 to 1,200 ng/g and averaged 215 ± 187 ng/g for all sites with similar averages in conservation and mining areas. Sediment loadings are within the range seen in French Guiana and Suriname, but conservation area samples had higher loadings than the corresponding uncontaminated baselines. Type of ore and location in the mining process seemed to influence mercury loadings. Mercury sediment loadings were slightly positively correlated with pH (correlation coefficient = 0.2; p value < 0.001) whereas no significant correlations were found with dissolved oxygen or turbidity.     

cfDNA screening and diagnosis of monogenic disorders – where are we heading?

Cell-free fetal DNA analysis for non-invasive prenatal screening of fetal chromosomal aneuploidy has been widely adopted for clinical use. Fetal monogenic diseases have also been shown to be amenable to non-invasive detection by maternal plasma DNA analysis. A number of recent technological developments in this area has increased the level of clinical interest, particularly as one approach does not require customized reagents per mutation. The mutational status of the fetus can be assessed by determining which parental haplotype that fetus has inherited based on the detection of haplotype-associated SNP alleles in maternal plasma. Such relative haplotype dosage analysis requires the input of the parental haplotype information for interpretation of the fetal inheritance pattern from the maternal plasma DNA data. The parental haplotype information can be obtained by direct means, reducing the need to infer haplotypes using DNA from other family members. The technique also allows the assessment of complex mutations and has multiplexing capabilities where a number of genes and mutations can be assessed at the same time. These advantages allow non-invasive prenatal diagnosis of fetal monogenic diseases to be much more scalable. These applications may drive the next wave of clinical adoption of cell-free fetal DNA testing. © 2018 The Authors Prenatal Diagnosis Published by John Wiley & Sons Ltd     

Trace metals in mussels from mariculture zones, Hong Kong

In 1997, concentrations of cadmium (Cd), chromium (Cr), copper (Cu), lead (Pb) and nickel (Ni) were analysed in green-lipped mussels (Perna viridis) from three mariculture zones located in the north-east (Kat O), south (Lo Tik Wan) and to the west (Ma Wan) of Hong Kong. Spatial differences in the concentration of metals were found, chromium and copper were higher at Ma Wan and Lo Tik Wan compared to Kat O in the north-east. In contrast, the highest levels of lead (mean = 4.37 microg/g dry wt) were recorded at Kat O. There were no differences in the level of nickel between the study sites. A comparison of the metal concentrations in mussels with the results of a previous study seven years before, in 1990, showed a twofold increase in the mean levels of cadmium for all three sites. However, levels of the other metals in 1997 were lower by 12-32% for chromium, 32-39% for copper and 24-25% for nickel. The greatest reductions were recorded for lead: Kat O (39%), Ma Wan (51%) and Lo Tik Wan (75%). This may be related to the introduction of lead-free petrol in 1991. Despite the apparent reduction in some heavy metal bioaccumulation between 1990 and 1997, from a public health risk perspective, the data suggest a continued need for monitoring of heavy metals in mussels from mariculture zones.     

Rubber tire life cycle assessment and the effect of reducing carbon footprint by replacing carbon black with graphene

This research utilizes real operating data from a tire plant operating in Central Taiwan to investigate the carbon footprint emissions (CO₂e) involved in producing the electric bicycle. The simulation results are based on the PAS 2050 standard using the SimaPro 7.3 software tool. Our results show the total carbon footprint emissions of 1.2-kg tire for the electric bicycle weighing 4.53-kg CO₂e, composed of 2.63-kg CO₂e from raw tire materials stage, 1.295-kg CO₂e from tire manufacturing stage, and 0.605-kg CO₂e from tire transport stage. An international certified organization, British Standard Institute (BSI), verified the accuracy of our results as 98.7%. We found that carbon emissions at the raw materials stage were higher than that for the other two stages – manufacturing and transportation. Carbon black was determined as the maximum source of carbon emissions at the raw material stage. To reduce the tire plant carbon emissions, this paper recommends using graphene to replace carbon black. Graphene has been reported by many researches to improve the properties of rubber products. From our simulation results, the carbon footprint emissions of 4.56-kg CO₂e of the origin tire plant uses 0.456-kg carbon black to produce 1.2-kg electric bicycle tires. This can be reduced to 4.29 (5.92%), 4.03 (11.62%), 3.75 (11.76%), and 3.49-kg CO₂e (23.46%) by using graphene to replace carbon black 25, 50, 75, and 100 wt% respectively. If we focus only on 0.456-kg carbon black producing 1.08-kg CO₂e, the reduced carbon footprint will be 0.812 (24.81%), 0.547 (49.35%), 0.28 (74.07%), and 0.0128-kg CO₂e (98.81%) by using graphene to replace carbon black 25, 50, 75, and 100 wt% respectively. From our analysis, graphene replacing carbon black can reduce carbon footprint. This has not been published previously and provides a direction for the tire plant to save carbon emissions.     

Assessing links between crop diversity and food self-sufficiency in three agroecological regions of Nepal

Increasing on-farm crop diversity is one agroecological approach to enhancing food self-sufficiency that helps small-scale farmers keep their food systems stable by reducing risks associated with stressors, such as a pest outbreaks or droughts. But understanding how crop diversity and food self-sufficiency are related is unknown. To explore this complex relation, this study presents household data (n = 1664) from Nepal to test the hypothesis that families with high crop diversity enjoy greater household food self-sufficiency. Data are presented for three districts that are representative of three distinct agroecological regions of the country: (1) Sarlahi, which is affluent, market-oriented, and on the plains; (2) Makwanpur District in the hills, which has well-developed integrated farm production; and (3) the mountainous District of Humla, which has the poorest quality environment and is the most remote. Results show that in the Humla District, families with greater crop diversity were more self-sufficient. In contrast, farmers in Makwanpur, who have already established a high degree of crop diversity based on vegetable production, do not benefit from additional crop diversity in terms of their ability to provide for themselves. Finally, data from Sarlahi show that families’ food self-sufficiency benefits from crop diversification. We conclude that boosting crop diversity is a viable strategy for maintaining stability in food systems, but this varies depending on the accessibility of a farm and, in particular, access to markets.     

Benefits of clean development mechanism application on the life cycle assessment perspective: a case study in the palm oil industry

This study performed an assessment on the beneficial of the Clean Development Mechanism (CDM) application on waste treatment system in a local palm oil industry in Malaysia. Life cycle assessment (LCA) was conducted to assess the environmental impacts of the greenhouse gas (GHG) reduction from the CDM application. Calculations on the emission reduction used the methodology based on AM002 (Avoided Wastewater and On-site Energy Use Emissions in the Industrial Sector) Version 4 published by United Nations Framework Convention on Climate Change (UNFCC). The results from the studies showed that the introduction of CDM in the palm oil mill through conversion of the captured biogas from palm oil mill effluent (POME) treatment into power generation were able to reduce approximate 0.12 tonnes CO2 equivalent concentration (tCO2e) emission and 30 kW x hr power generation per 1 tonne of fresh fruit bunch processed. Thus, the application of CDM methodology on palm oil mill wastewater treatment was able to reduce up to 1/4 of the overall environment impact generated in palm oil mill.     

Biohydrogen production by Clostridium butyricum and Rhodopseudomonas palustris in Co-cultures

This study evaluated biohydrogen production by co-culture of Clostridium butyricum and Rhodopseudomonas palustris. C. butyricum and R. palustris were grown separately and together as batch cultures. Hydrogen production, growth, NH₄-N, total volatile fatty acid production, and sucrose degradation were monitored. The hydrogen production of the co-culture produced 562 ml, R. palustris 426 ml, and C. butyricum 333 ml. The co-culture produced 2.16 mol H₂/mol sucrose, C. butyricum and R. palustris produced 1.77 and 1.64 mol H₂/mol sucrose, respectively. The co-culture was more efficient in the hydrogen production. Therefore, the co-culture is a good method for biohydrogen fermentation.