Book Reviews

CARCINOGENESIS AND MUTAGENESIS, by Myron A. Mehlman, Morris F. Cranmer and Raymond E. Shapiro, from the Journal of Environmental Pathology and Toxicology (Official Organ of the American College of Toxicology), 388 pages and 135 tables and figures, 1977, linen, format 261 × 178 mm, ISBN 0–930376–02–1, printed by Pathotox Publishers, Inc., Park Forest South, Illinois 60466, $23.00

WASTE TREATMENT AND UTILIZATION (Theory and Practice of Waste Management) by Murray Moo‐Young and Grahame J. Farquhar, University of Waterloo, Ontario, Canada; 574 pages, 211 illustrations and 513 literature references, linen, format 256 × 182mm, ISBN 0–08–023831–9, printed by Pergamon Press Ltd., Oxford OX3 OBW, England 1979, US$ 70.00 or £32.00.

HANDBOOK ON THE TOXICOLOGY OF METALS by Lars Friberg (S‐10401 Stockholm), Gunnar F. Nordberg (DK‐5000 Odense) and Velimir B. Vouk (WHO, CH‐1211 Geneva), and sponsored by the U.S. Environmental Protection Agency 1979, 709 pages, linen, format 246 × 173 mm, ISBN 0–444–80075–1, printed by Elsevier/North‐Holland Biomedical Press, Amsterdam NL, $117.00/Dfl. 240.00     

Upper trapezius fatigue in carpet weaving: the impact of a repetitive task cycle

Introduction. Shoulder disorders are one of the most prevalent musculoskeletal disorders among carpet weavers. The most important cause of these disorders is muscle fatigue. The aim of the present study is to investigate the effect of carpet weaving characteristics on upper trapezius (UTr) muscle fatigue during a task cycle. Method. In this cross-sectional study, 9 women and 3 men participated. During an 80-min cycle of carpet weaving, a times-series model was applied to assess electromyography amplitude and frequency changes. Result. According to the joint analysis of electromyogram spectrum and amplitude method, the participants experienced 0% force decrease, 0.9% recovery, 18% force increase and 72% fatigue in the left UTr. Furthermore, the rates of force decrease, recovery, force increase and fatigue in the right UTr were 18%, 18%, 18% and 45%, respectively. Fatigue in the right and the left UTr was reported to be the dominant state during one carpet weaving task cycle. Conclusion. Task cycle appears to have a significant impact on UTr fatigue in participants, and UTr fatigue can be considered a serious risk factor in shoulder musculoskeletal disorders. Hence, further studies should focus on better workstations and work–rest periods during various subtasks.     

Cancer incidence in people with residential exposure to a municipal waste incinerator: An ecological study in Modena (Italy), 1991–2005

We conducted a retrospective ecological study to assess cancer incidence during the period 1991–2005 in proximity of a municipal waste incinerator (MWI) in Modena (Italy). We identified three bands of increasing distance from the MWI, up to a radius of 5 km and used the residence as surrogate marker of the exposure. Residential history for Modena’s population was reconstructed and residents were associated to the most appropriate census unit. Age-standardized incidence ratios (ASR) and standardized incidence ratios (SIR) were estimated for all cancers and selected sites. Variations in cancer incidence were investigated using space and space–time scan statistic. Deprivation index was taken into account as potential confounding factor. During the 15-year study period, 16,443 new cases of cancer were diagnosed among residents in Modena. The space–time clustering test identified three significant clusters but their shapes were not associable to the MWI exposition. The purely spatial analysis not showed statistically significant clusters. The SIR computed for all cancers and selected sites did not show any excess of risk in the area closest to the plant. Higher SIR for leukaemia was found in the second band from MWI (2–3.5 km) for females (SIR, age and DI adjusted: 1.35, 95%CI: 1.01–1.79) and for both sexes (SIR, age and DI adjusted: 1.28, 95%CI: 1.03–1.57), but not a spatial trend was observed, thus excluding a possible link with MWI. In conclusion, bearing in mind the intrinsic limits of the study, the results suggest that there is no detectable increase of cancer risk for people living in proximity to the Modena MWI.     

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.     

OPTIMIZATION OF WATER RESOURCES FOR IRRIGATION IN EAST JORDAN1

The paper describes an approach towards optimal allocation of surface and ground water resources to three agricultural areas in the Jordan Valley under conditions of scarce water supply. The optimizing model allocates water from three main rivers, each with reservoir storage, and from two ground water sources to three irrigation regions. Productivity of irrigation water, expressed as the net present value of the regional agricultural output, but allowing for crop water deficits, is first maximized using nonlinear programming. The allocation process then adopts techniques of linear programming to determine the least cost alternative based on the unit cost of water from each resource at each destination, as it varies with time.     

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.     

The decline of a regional fishing nation: The case of Ghana and West Africa

Inadequate trade policies, globalization of the fishing industry, dominance of Europe's distant water fleets, declarations of exclusive economic zones (EEZs) by neighbouring West African nations, overfishing and a lack of good governance contributed to the decline of Ghana as a regional fishing nation, a position it had held since the 18^th century. The prohibitive cost of access arrangements limited Ghana's access to distant waters. The country's marine environments have been impacted by overexploitation of stocks and the use of destructive methods. Subsistence fishing has become the sole means of survival for many fishers. The decline of the fishing sector has limited the country's ability to meet domestic demand and threatened the economic and food security of many Ghanaians. The article traces the early history of Ghana's fisheries, their gradual decline during the last four decades, and outlines recommendations for policy changes to address the situation and steer the nation on a course towards sustainable fisheries.