Laser therapy for twin-to-twin transfusion syndrome (TTTS)

Monochorionic twins are subjected to specific complications which originate in either imbalance or abnormality of the single placenta serving two twins including twin-to-twin transfusion syndrome. The diagnosis is well established in overt clinical forms with the association of polyuric polyhydramnios and oliguric oligohydramnios. The best treatment of cases presenting before 26 weeks of gestion is fetoscopic laser ablation of the intertwin anastomoses on the chorionic plate. Although subjected to subtle variations, the core technique follows robust guidelines which could help understanding and acquiring the required skills and experience to perform this procedure. However appropriate and tailored hands-on training and appropriate perinatal set-up are critical not only for surgical management but also for the follow-up and management of related complications. Copyright © 2011 John Wiley & Sons, Ltd.     

Simulation of Airport Air Quality by Box Photochemical and Gaussian Models

Brookhaven National Laboratory has critically evaluated the structure and results of the Stanford Research Institute model (SRI model) for assessing national-level economic impacts of oxidants on plants. In response to inherent weaknesses in the SRI approach, a new model (DAMAGE) was constructed to estimate national-level damage from oxidants for alfalfa. DAMAGE uses actual oxidant measurements and the Oshima dose-response function for alfalfa to estimate effects on yield. Economic loss is then simply calculated by multiplying crop value by percent loss. Estimates of oxidant effects on alfalfa in 1974 were calculated with both DAMAGE and the SRI model. Results of the SRI model closely approach those of DAMAGE when the dose estimate is approximated by the seasonal total of the hourly averages. Other methods of estimating dose in DAMAGE give distinctly higher estimates of economic loss. The lower bound estimates suggest losses equal to $20 million or 4% of the total yield in the counties examined. Upper estimates suggest losses as high as $200 million or a 36% reduction in yield.     

Comparative floorplan-analysis as a means to develop design guidelines

This study explores the usefulness of comparative floorplan-analysis for the development of spatio-organizational concepts in architectural design processes.Each floorplan can be considered as a reflection of the goals and activities of the users as interpreted by the architect. By comparing a wide range of building layouts for similar organizations one may achieve a good understanding of the way organizational characteristics are (can be) expressed in spatial solutions. In the study reported here, in which 50 Dutch health centres were analysed comparatively, definite relationships between organizational and spatial concepts were found. This information is used both as a means to make organizational principles more explicit as well as data for briefwriting and design guidelines.