Unintentional injuries among infants age 0-12 months

Each year an estimated 328,500 infants age 0-12 months are treated for unintentional injuries in emergency departments (EDs): one infant every minute and a half. The leading cause, overall and by month of age, was fall-related injury. The second leading cause was 'struck by or against.' The majority of patients were injured at home. Younger infants were more likely to be hospitalized than older ones and more males than females were injured. Gender differences suggest that parenting practices may play a role, but ecological approaches should be considered in an effort to understand the connection between injuries and an infant's developmental stage.     

发展一种估算石油工业温室气体排放的一致的方法

要获得有意义的温室气体清单,重要的是清单中包括的内容的方法论和定义应该是一致的.国际石油工业环境保护协会(IPIECA)、国际石油和天然气生产者协会(OGP)以及美国石油学会(API)已经制定了温室气体排放计算和报告的准则.国际石油工业环境保护协会(IPITCA)报告温室气体排放的石油工业指南的重点是放在石油工业温室气体排放的计算和报告上.为了提供排放估算一致的方法论,美国石油工业协会制定了石油和天然气工业温室气体排放估算方法论概要.从美国石油学会可以得到一个估算排放的工具--SANGEATM能源和排放估算系统.     

Spatial variation in concentrations and patterns of the PCDD/F and dioxin-like-PCB content in herring from the northern Baltic Sea

The purpose of the current study was to investigate spatial and seasonal variation of dioxin and dioxin-like PCB (dl-PCB) content in herring sampled along the northern Baltic Sea coast and map out risk zones for dioxins and dl-PCBs. We further aimed to investigate relationships between congener distribution (pattern) and sampling location and season. The results showed that there were distinct geographical differences in concentrations of dioxins, dibenzofurans and dl-PCBs along the Swedish coast, from the Bothnian Bay to north Baltic Proper, with the highest levels detected in the southern Bothnian Sea. The majority of the locations showed concentrations above the prescribed maximum for dioxin residues (4 TEQ pg g(-1) wet weight [w.w.]). If all the edible parts of the fish (muscle, subcutaneous fat and skin) are considered, the estimated concentrations exceeded the prescribed maximum level in the whole study area for herring collected during spring-summer. Concentrations in herring caught during spring-summer compared to concentrations in herring sampled in the autumn indicated seasonal variation. The pattern analysis showed a variation in relative congener concentration at the different sampling locations (spring-summer). Pattern differences were also noticed between seasons.     

Rapid whole exome sequencing in pregnancies to identify the underlying genetic cause in fetuses with congenital anomalies detected by ultrasound imaging

Objective

The purpose of this study was to explore the diagnostic yield and clinical utility of trio-based rapid whole exome sequencing (rWES) in pregnancies of fetuses with a wide range of congenital anomalies detected by ultrasound imaging.

Methods

In this observational study, we analyzed the first 54 cases referred to our laboratory for prenatal rWES to support clinical decision making, after the sonographic detection of fetal congenital anomalies. The most common identified congenital anomalies were skeletal dysplasia (n = 20), multiple major fetal congenital anomalies (n = 17) and intracerebral structural anomalies (n = 7).

Results

A conclusive diagnosis was identified in 18 of the 54 cases (33%). Pathogenic variants were detected most often in fetuses with skeletal dysplasia (n = 11) followed by fetuses with multiple major fetal congenital anomalies (n = 4) and intracerebral structural anomalies (n = 3). A survey, completed by the physicians for 37 of 54 cases, indicated that the rWES results impacted clinical decision making in 68% of cases.

Conclusions

These results suggest that rWES improves prenatal diagnosis of fetuses with congenital anomalies, and has an important impact on prenatal and peripartum parental and clinical decision making.     

Climate and land-use changes affecting river sediment and brown trout in alpine countries—a review

Background, aim, and scope

Catch decline of freshwater fish has been recorded in several countries. Among the possible causes, habitat change is discussed. This article focuses on potentially increased levels of fine sediments going to rivers and their effects on gravel-spawning brown trout. Indications of increased erosion rates are evident from land-use change in agriculture, changes in forest management practices, and from climate change. The latter induces an increase in air and river water temperatures, reduction in permafrost, changes in snow dynamics and an increase in heavy rain events. As a result, an increase in river sediment is likely. Suspended sediment may affect fish health and behaviour directly. Furthermore, sediment loads may clog gravel beds impeding fish such as brown trout from spawning and reducing recruitment rates. To assess the potential impact on fine sediments, knowledge of brown trout reproductive needs and the effects of sediment on brown trout health were evaluated.

Approach

We critically reviewed the literature and included results from ongoing studies to answer the following questions, focusing on recent decades and rivers in alpine countries.

Have climate change and land-use change increased erosion and sediment loads in rivers?

Do we have indications of an increase in riverbed clogging?

Are there indications of direct or indirect effects on brown trout from increased suspended sediment concentrations in rivers or from an increase in riverbed clogging?

Results

Rising air temperatures have led to more intensive precipitation in winter months, earlier snow melt in spring, and rising snow lines and hence to increased erosion. Intensification of land use has supported erosion in lowland and pre-alpine areas in the second half of the twentieth century. In the Alps, however, reforestation of abandoned land at high altitudes might reduce the erosion risk while intensification on the lower, more easily accessible slopes increases erosion risk. Data from laboratory experiments show that suspended sediments affect the health and behaviour of fish when available in high amounts. Point measurements in large rivers indicate no common lethal threat and suspended sediment is rarely measured continuously in small rivers. However, effects on fish can be expected under environmentally relevant conditions. River bed clogging impairs the reproductive performance of gravel-spawning fish.

Discussion

Overall, higher erosion and increased levels of fine sediment going into rivers are expected in future. Additionally, sediment loads in rivers are suspected to have considerably impaired gravel bed structure and brown trout spawning is impeded. Timing of discharge is put forward and is now more likely to affect brown trout spawning than in previous decades.

Conclusions

Reports on riverbed clogging from changes in erosion and fine sediment deposition patterns, caused by climate change and land-use change are rare. This review identifies both a risk of increases in climate erosive forces and fine sediment loads in rivers of alpine countries. Increased river discharge and sediment loads in winter and early spring could be especially harmful for brown trout reproduction and development of young life stages. Recently published studies indicate a decline in trout reproduction from riverbed clogging in many rivers in lowlands and alpine regions. However, the multitude of factors in natural complex ecosystems makes it difficult to address a single causative factor.

Recommendations and perspectives

Further investigations into the consequences of climate change and land-use change on river systems are needed. Small rivers, of high importance for the recruitment of gravel-spawning fish, are often neglected. Studies on river bed clogging are rare and the few existing studies are not comparable. Thus, there is a strong need for the development of methods to assess sediment input and river bed clogging. As well, studies on the effects to fish from suspended sediments and consequences of gravel beds clogging under natural conditions are urgently needed.     

Exposure assessment at a PCDD/F contaminated site in Sweden—field measurements of exposure media and blood serum analysis

Background, aim, and scope  

The main pathway for human exposure to the highly toxic polychlorinated-p-dioxins and polychlorinated furans [polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs)] is via dietary intake. Other exposure pathways may, however, be important in close proximity to point sources, such as wood preservation sites, where PCDD/F contaminated chlorophenols (CP) were previously used. In this study, a heavily PCDD/F contaminated CP saw mill site in Sweden was investigated. Human exposure through a broad spectrum of exposure pathways was assessed. Such studies are in demand since the question whether contaminated sites represent a current or future risk can only be answered by detailed site-specific risk assessments.     

Particle deposition,resuspension and phosphorus accumulation in small constructed wetlands

To improve understanding of phosphorus (P) retention processes in small constructed wetlands (CWs), we analysed variations in sediment deposition and accumulation in four CWs on clay soils in east-central Sweden. Sediment deposition (in traps) generally exceeded the total suspended solids (TSS) load suggesting that resuspension and wetland base erosion were important. This was confirmed by quantification of particle accumulation (on plates) (1–23 kg m^?2 year^?1), which amounted to only 13–23% of trap deposition. Spatial mean P concentrations in accumulated sediment on plates (0.09–0.15%) were generally similar to temporal mean P concentrations of particles in water (0.11–0.15%). Deposition/accumulation was minor in one wetland with high hydraulic load (400 m year^?1), suggesting that such small wetlands are not efficient as particle sinks. Economic support for CWs are given, but design and landscape position are here demonstrated to be important for effective P retention.