International Society for Prenatal Diagnosis 2022 DEBATE: There should be formal accreditation and ongoing quality assurance/review for units offering fetal therapy that includes public reporting of outcomes

The field of fetal therapy has so far escaped from formal accreditation and quality control. Despite that, current published evidence shows that outcomes of interventions in younger fetal therapy centers are similar to what is achieved in more experienced centers and outcomes of interventions have improved over time. The question however remains what is not being published and what should be the standard of care, given the lack of level 1 evidence from randomized controlled trials for many interventions. Formal collaborative networks such as NAFTnet and others allow for anonymized benchmarking of center outcomes, without publicly shaming (and financially punishing) underperforming centers. Large registries also allow for tracking of rare complications and may result in improved patient outcomes over time. Core outcome sets, which could serve as a basis for outcome reporting, are available for some conditions, but certainly not for all, resulting in communication difficulties between centers. Formal accreditation, quality control, and outcome reporting are hard to implement, expensive, and may result in decreasing access to care by pushing smaller centers out of the market. Despite the existing difficulties, international societies have committed to quality improvement, and fetal therapy programs are strongly recommended to participate in voluntary outcome tracking.     

LANDSLIDE INITIATION,RUNOUT, AND DEPOSITION WITHIN CLEARCUTS AND OLD‐GROWTH FORESTS OF ALASKA1

ABSTRACT: More than 300 landslides and debris flows were triggered by an October 1993 storm on Prince of Wales Island, southeast Alaska. Initiation, runout, and deposition patterns of landslides that occurred within clearcuts, second‐growth, and old‐growth forests were examined. Blowdown and snags, associated with cedar decline and “normal” rates of mortality, were found adjacent to at least 75 percent of all failures regardless of land use. Nearly 50 percent of the landslides within clearcuts occurred within one year following timber harvest; more than 70 percent of these sites had hydrophytic vegetation directly above failures. In following the runout paths of failures, significantly more erosion per unit area occurred within clearcuts than in old‐growth forests on slopes with gradients from 9 to 28* (16 to 54 percent). Runout length, controlled by hillslope position within deglaciated valleys, was typically longer in old‐growth forests than in second growth and clearcuts (median values were 334, 201, and 153 m, respectively). Most landslides and debris flows deposited in first‐and second‐order channels before reaching the main stem channels used by anadromous fish. Slide deposits in old‐growth forests were composed of a higher proportion of woody debris than deposits derived from slides in second growth or clearcuts.     

Effects of Disturbance Associated With Seismic Exploration for Oil and Gas Reserves in Coastal Marshes

Anthropogenic disturbances in wetland ecosystems can alter the composition and structure of plant assemblages and affect system functions. Extensive oil and gas extraction has occurred in wetland habitats along the northern Gulf of Mexico coast since the early 1900s. Activities involved with three-dimensional (3D) seismic exploration for these resources cause various disturbances to vegetation and soils. We documented the impact of a 3D seismic survey in coastal marshes in Louisiana, USA, along transects established before exploration began. Two semi-impounded marshes dominated by Spartina patens were in the area surveyed. Vegetation, soil, and water physicochemical data were collected before the survey, about 6 weeks following its completion, and every 3 months thereafter for 2 years. Soil cores for seed bank emergence experiments were also collected. Maximum vegetation height at impact sites was reduced in both marshes 6 weeks following the survey. In one marsh, total vegetation cover was also reduced, and dead vegetation cover increased, at impact sites 6 weeks after the survey. These effects, however, did not persist 3 months later. No effects on soil or water properties were identified. The total number of seeds that germinated during greenhouse studies increased at impact sites 5 months following the survey in both marshes. Although some seed bank effects persisted 1 year, these effects were not reflected in standing vegetation. The marshes studied were therefore resilient to the impacts resulting from 3D seismic exploration because vegetation responses were short term in that they could not be identified a few months following survey completion.     

Surface‐Water Nutrient Conditions and Sources in the United States Pacific Northwest1

Wise, Daniel R. and Henry M. Johnson, 2011. Surface‐Water Nutrient Conditions and Sources in the United States Pacific Northwest. Journal of the American Water Resources Association (JAWRA) 47(5):1110‐1135. DOI: 10.1111/j.1752‐1688.2011.00580.x Abstract: The SPAtially Referenced Regressions On Watershed attributes (SPARROW) model was used to perform an assessment of surface‐water nutrient conditions and to identify important nutrient sources in watersheds of the Pacific Northwest region of the United States (U.S.) for the year 2002. Our models included variables representing nutrient sources as well as landscape characteristics that affect nutrient delivery to streams. Annual nutrient yields were higher in watersheds on the wetter, west side of the Cascade Range compared to watersheds on the drier, east side. High nutrient enrichment (relative to the U.S. Environmental Protection Agency’s recommended nutrient criteria) was estimated in watersheds throughout the region. Forest land was generally the largest source of total nitrogen stream load and geologic material was generally the largest source of total phosphorus stream load generated within the 12,039 modeled watersheds. These results reflected the prevalence of these two natural sources and the low input from other nutrient sources across the region. However, the combined input from agriculture, point sources, and developed land, rather than natural nutrient sources, was responsible for most of the nutrient load discharged from many of the largest watersheds. Our results provided an understanding of the regional patterns in surface‐water nutrient conditions and should be useful to environmental managers in future water‐quality planning efforts.     

Spatial analysis of a large magnitude erosion event following a Sierran wildfire

High intensity wildfire due to long-term fire suppression and heavy fuels buildup can render watersheds highly susceptible to wind and water erosion. The 2002 "Gondola" wildfire, located just southeast of Lake Tahoe, NV-CA, was followed 2 wk later by a severe hail and rainfall event that deposited 7.6 to 15.2 mm of precipitation over a 3 to 5 h time period. This resulted in a substantive upland ash and sediment flow with subsequent down-gradient riparian zone deposition. Point measurements and ESRI ArcView were applied to spatially assess source area contributions and the extent of ash and sediment flow deposition in the riparian zone. A deposition mass of 380 Mg of ash and sediment over 0.82 ha and pre-wildfire surface bulk density measurements were used in conjunction with two source area assessments to generate an estimation of 10.1 mm as the average depth of surface material eroded from the upland source area. Compared to previous measurements of erosion during rainfall simulation studies, the erosion of 1800 to 6700 g m(-2) mm(-1) determined from this study was as much as four orders of magnitude larger. Wildfire, followed by the single event documented in this investigation, enhanced soil water repellency and contributed 17 to 67% of the reported 15 to 60 mm ky(-1) of non-glacial, baseline erosion rates occurring in mountainous, granitic terrain sites in the Sierra Nevada. High fuel loads now common to the Lake Tahoe Basin increase the risk that similar erosion events will become more commonplace, potentially contributing to the accelerated degradation of Lake Tahoe's water clarity.     

DEFINING REGIONAL POPULATIONS OF LAKES FOR THE ASSESSMENT OF SURFACE WATER QUALITY1

ABSTRACT: Topographic maps are commonly used to define populations of lakes in regional surveys of surface water quality. To illustrate the effect of different maps on that process, we compared the lakes represented on the 1:250,000-scale maps used for the Northeast Region of the Eastern Lake Survey—Phase I (ELS-I) to the lakes on a sample of large-scale maps (1:24,000 or 1:62,500). Lake areas at or near the lower limit of representation delimited “smallest-lake” values for the compared 1:250,000-scale maps. The regional median for these values was 4.5 hectares (ha) and ranged from 0.6 to 24.8 ha. Lake representation is influenced by cartographic limitations such as map scale, age, and complexity as well as the inherent variability of waterbodies (e.g., water level fluctuations or the creation of reservoirs, beaver impoundments, and oxbows). The total number of lakes on large-scale maps increased markedly as lake area decreased. Approximately 15,700 of the estimated 29,000 lakes in the EPA's Northeast Region were 1 to 4 ha in area. Because maps affect the size distribution of lakes included in a regional survey and because lake areas are thought to modify lake chemistry, maps ultimately affect the estimates of regional surface water quality.     

Effects of elevated carbon dioxide on soils in a Florida scrub oak ecosystem

The results of a 3-yr study on the effects of elevated CO2 on soil N and P, soil pCO2, and calculated CO2 efflux in a fire-regenerated Florida scrub oak ecosystem are summarized. We hypothesized that elevated CO2 would cause (i) increases in soil pCO2 and soil respiration and (ii) reduced levels of soil-available N and P. The effects of elevated CO2 on soil N availability differed according to the method used. Results of resin lysimeter collections and anion exchange membrane tests in the field showed reduced NO3- in soils in Years 1 and 3. On the other hand, re-analysis of homogenized, buried soil bags after 1 yr suggested a relative increase in N availability (lower C to N ratio) under elevated CO2. In the case of P, the buried bags and membranes suggested a negative effect of CO2 on P during the first year; this faded over time, however, as P availability declined overall, probably in response to P uptake. Elevated CO2 had no effect on soil pCO2 or calculated soil respiration at any time, further suggesting that plant rather than microbial uptake was the primary factor responsible for the observed changes in N and P availability with elevated CO2.     

Optimizing Liquid Effluent Monitoring at a Large Nuclear Complex

Effluent monitoring typically requires a large number of analytes and samples during the initial or startup phase of a facility. Once a baseline is established, the analyte list and sampling frequency may be reduced. Although there is a large body of literature relevant to the initial design, few, if any, published papers exist on updating established effluent monitoring programs. This paper statistically evaluates four years of baseline data to optimize the liquid effluent monitoring efficiency of a centralized waste treatment and disposal facility at a large defense nuclear complex. Specific objectives were to: (1) assess temporal variability in analyte concentrations, (2) determine operational factors contributing to waste stream variability, (3) assess the probability of exceeding permit limits, and (4) streamline the sampling and analysis regime. Results indicated that the probability of exceeding permit limits was one in a million under normal facility operating conditions, sampling frequency could be reduced, and several analytes could be eliminated. Furthermore, indicators such as gross alpha and gross beta measurements could be used in lieu of more expensive specific isotopic analyses (radium, cesium-137, and strontium-90) for routine monitoring. Study results were used by the state regulatory agency to modify monitoring requirements for a new discharge permit, resulting in an annual cost savings of US $223,000. This case study demonstrates that statistical evaluation of effluent contaminant variability coupled with process knowledge can help plant managers and regulators streamline analyte lists and sampling frequencies based on detection history and environmental risk.     

Simplified method for detecting tritium contamination in plants and soil

Cost-effective methods are needed to identify the presence and distribution of tritium near radioactive waste disposal and other contaminated sites. The objectives of this study were to (i) develop a simplified sample preparation method for determining tritium contamination in plants and (ii) determine if plant data could be used as an indicator of soil contamination. The method entailed collection and solar distillation of plant water from foliage, followed by filtration and adsorption of scintillation-interfering constituents on a graphite-based solid phase extraction (SPE) column. The method was evaluated using samples of creosote bush [Larrea tridentata (Sessé & Moc. ex DC.) Coville], an evergreen shrub, near a radioactive disposal area in the Mojave Desert. Laboratory tests showed that a 2-g SPE column was necessary and sufficient for accurate determination of known tritium concentrations in plant water. Comparisons of tritium concentrations in plant water determined with the solar distillation-SPE method and the standard (and more laborious) toluene-extraction method showed no significant difference between methods. Tritium concentrations in plant water and in water vapor of root-zone soil also showed no significant difference between methods. Thus, the solar distillation-SPE method provides a simple and cost-effective way to identify plant and soil contamination. The method is of sufficient accuracy to facilitate collection of plume-scale data and optimize placement of more sophisticated (and costly) monitoring equipment at contaminated sites. Although work to date has focused on one desert plant, the approach may be transferable to other species and environments after site-specific experiments.     

Environmental auditing at the crossroads: The environmental auditing roundtable's response to ISO 14000

The Environmental Auditing Roundtable (EAR) is the single largest professional organization in the world, representing over 900 members. Built on a tradition of promoting environmental auditing through openly sharing experiences in the field of safety, health, and environmental auditing, the organization in recent years has significantly expanded its influence on auditing practices both nationally and internationally by monitoring audit activities and participating in the development of audit policy, regulation, standardization, and the certification of environmental auditors. This article describes the origin and evolution of the organization from meeting the needs of the membership to addressing the needs of external national and international stakeholders.