Prognostic accuracy of factors associated with poor outcome in prenatally diagnosed sacrococcygeal teratoma: A systematic review and meta-analysis

Several factors associated with poor outcome in patients with prenatally diagnosed sacrococcygeal teratoma (SCT) have been found. However, the prognostic accuracy of these factors has not been well established. Therefore, we aimed to systematically review the prognostic accuracy of factors associated with poor outcome in these patients. We queried Search Premier, COCHRANE Library, EMCARE, EMBASE, PubMed, ScienceDirect, and Web of Science databases to identify studies regarding patients with prenatally diagnosed SCT. Poor outcome was defined as termination of pregnancy (TOP), intrauterine fetal death (IUFD), or perinatal death. We estimated the odds ratio of factors associated with poor outcome. Eleven studies (447 patients) were included. Overall mortality, including TOP, was 34.9%. Factors associated with poor outcome in fetuses with prenatally diagnosed SCT were cardiomegaly, hypervascular tumor, solid tumor morphology, fetal hydrops, and placentomegaly. A tumor volume to fetal weight ratio (TFR) of >0.12 before a gestational age of 24 weeks is predictive of poor outcome. The prognostic accuracy of factors associated with poor outcome in fetuses prenatally diagnosed with SCT seems promising. Factors associated with cardiac failure such as cardiomegaly, hypervascular tumor, solid tumor morphology, fetal hydrops, placentomegaly, and TFR >0.12 were found to be predictive of poor outcome.     

EFFECTIVE WATER RESOURCES MANAGEMENT IN THE URBAN SETTING1

Water resources management in the urban areas of the United States to be effective must include dimensions far beyond water supply and sewerage. This paper concerns itself with those problem areas of water resource management outside of potable water supply and sanitary sewers. These areas include flood plain management, greenways and blueways, storm water, vistas of waterways, and other attributes of living in or near a water-related environment. The perceptions and attitudes of the concerned public and community power structure must be known in order to manage the water environment effectively. Methods of measuring these perceptions and attitudes are described and ways in which the resulting citizen-resource can be tapped and used as a management device are explored.     

GOALS IN WASTEWATER TREATMENT1

Within a few years all domestic wastewater effluents in the United States will be subjected to a minimum of a properly operated primary and secondary treatment process. This implies a very high degree of removal of the more readily biologically degradable material as measured by the BOD test. This practice will to a large degree negate the value of the BOD test as a pollution parameter. Organic carbon appears to be a more suitable means for determining the strength of a wastewater or for controlling the operation of physical and chemical treatment processes. Studies were conducted to determine the effect of time of passage on the ratio of organic carbon to BOD, COD and carbohydrate. The ratio was found to vary with both time and the state of the sample. The carbon content was reduced to a lesser degree than the other parameters. Organic carbon content appears to correlate better with COD than with BOD. The efficiency of a chemical precipitation process can be determined on the basis of organic carbon removal.     

A numerical study of soil cover performance

In the investigation of soil cover design options for final decommissioning of reactive mine waste, it is often necessary to analyze or predict the anticipated cover performance as a function of the cost of implementation, which is governed by the type, number and thickness of the layers in the cover system. An example of such investigation is presented in this study where one-dimensional evaporation from hypothetical moisture-retaining cover systems is simulated to assess the influence of several cover properties and hydrogeologic parameters on performance. The commercially available transient flow model, SoilCover, was used to compute suction and water content profiles for different cover design scenarios. The predicted water content profile and porosity of layers were then used to estimate the oxygen diffusion coefficients of the various layers. The oxygen diffusion coefficients were used to estimate oxygen flux through the cover systems. The oxygen flux was, in turn, related to the maximum acid flux. The studied cover and hydrogeologic parameters included soil type, thickness of barriers, and water table elevation. Two types of infiltration and oxygen barrier and two types of capillary layer with different thicknesses were studied. The water table was either kept constant at the base of the waste (tailings) or dropped by 0.5, 1, 2, and 3m over 120 days. The results showed that the relationship between water table depression and the thickness of capillary layers, on one hand, and desaturation of the infiltration and oxygen barrier, on the other, is not linear. Relationships between oxygen flux and barrier thickness and between cost increase and performance improvement of the studied cover systems are presented. Finally, a method that outlines steps for site-specific and economically feasible design of multi-layer cover systems is introduced.     

Perfluorocarbon background concentrations in Europe

Five studies of the background level of several perfluorocarbon compounds in Europe are here presented together with measurements from the European Tracer Experiment (ETEX). The tracers used during the two ETEX tracer releases were the perfluorocarbons (PFCs); perfluoromethylcyclohexane (C₇F₁₄, PMCH) and perfluoromethylcyclopentane (C₆F₁₂, PMCP). Their background concentrations were detected by using both passive and active sampling techniques, to define the spatial and temporal variation of the PFCs over Europe. Also the background variations of four isomers of the PFC compound perfluorodimethylcyclohexane (C₈F₁₆, PDCH) were studied. The results were compared to other PFC tracer studies in the U.S.A. and Europe. The mean and median values of the measured PFCs were found to vary slightly and randomly in space and time. They were found to be higher and to have a larger standard deviation than the measurements from the American studies. The background concentrations were still found to be low and stable enough for PFCs to be highly suitable for use in tracer studies. The following concentrations were found: PMCP; 4.6±0.3 fl ℓ^-1, PMCH: 4.6±0.8 fl ℓ^-1, ocPDCH: 0.96±0.33 fl ℓ^-1, mtPDCH: 9.3±0.8 fl ℓ^-1, mcPDCH: 8.8±0.8 fl ℓ^-1, ptPDCH: 6.1±0.8 fl ℓ^-1. A study of the correlation between the measured PFC compounds showed a significant correlation between most of the compounds, which indicate that there are no major PFC sources in Europe.     

Recycling of nickel smelter slag for arsenic remediation—an experimental study

In this study, recycled Ni smelter slag has been used as a reactive medium for arsenic (As) removal from aqueous solutions. The results of the study showed that 10.16–11.43-cm long columns containing 451–550 g of slag operated for at least 65 days were able to remove 99–100 % As species from continuously flowing contaminated water at an initial As concentration of 10 mg/L. The removal capacities were found to be 1.039 to 1.054 mg As per g of slag. X-ray photoelectron spectroscopy (XPS) and Raman spectroscopy data also showed that electrostatic attraction and oxidation–reduction reactions between As species and mixed iron oxides present in the slag were the main mechanisms for the removal of arsenic from aqueous solutions. Theoretical multiplet analysis of XPS data revealed that the amount of goethite in the slag increased from 22 to 60 % during arsenic removal by adsorption and the percentage of magnetite decreased from 50 to 40 %. These changes indicate that redox-mediated reactions occurred as part of the As(V) removal process. Raman spectroscopy studies confirmed that, in addition to surface reactions, internal interactions between the slag and arsenic also occurred. The findings of the study suggest that recycled Ni smelter slag could be an effective low-cost reactive medium for a subsurface remediation system, such as a permeable reactive barrier. Recycling of waste material (slag) for the removal of another waste (arsenic) can significantly reduce the environmental footprint of metallurgical operations and hence contribute to sustainable development. Such recycling also decreases slag disposal costs and eliminates the need to purchase commercial reactive material or obtain expensive natural material for remediation purposes.     

Effectiveness of Marine Protected Areas in Managing the Drivers of Ecosystem Change: A Case of Mnazi Bay Marine Park, Tanzania

Marine protected areas (MPAs) are being promoted in Tanzania to mitigate the drivers of ecosystem change such as overfishing and other anthropogenic impacts on marine resources. The effectiveness of MPAs in managing those drivers was assessed in three ecological zones, seafront, mangrove, and riverine of Mnazi Bay Marine Park, using Participatory Community Analysis techniques, questionnaire survey, checklist and fishery resource assessment methods. Eleven major drivers of ecosystem change were identified. Resource dependence had a major effect in all ecological zones of the park. The results indicated that the park’s legislations/regulations, management procedures, and conservation efforts are reasonably effective in managing its resources. The positive signs accrued from conservation efforts have been realized by the communities in terms of increased catch/income, awareness and compliance. However, some natural and anthropogenic drivers continued to threaten the park’s sustainability. Furthermore, implementation of resource use and benefit sharing mechanisms still remained a considerable challenge to be addressed.     

Generating sustainable towns from Chinese villages: a system modeling approach

The great majority of China's developing towns will be extensions of already existing villages. With the prospect of hundreds of millions of Chinese farmers projected to leave their villages to become industrial workers in new and expanded towns within the next few years, new challenges will be faced. As expansion and modernization progress, this development moves from the traditional village model that operates not far from resource sustainability to increasingly unsustainable patterns of commerce, urban development, and modern life. With such an unprecedented mass migration and transformation, how can Chinese culture survive? What is to become of the existing million plus agricultural villages? How can these massively unsustainable new industrial towns survive? In the European Commission sponsored research program SUCCESS, researchers worked from the scale of the Chinese village to find viable answers to these questions.