Development of a simulator for training of fetoscopic myelomeningocele surgery

Objective

To develop a realistic simulation model for laparotomy-assisted fetoscopic spina bifida aperta (SBa) surgery, to be used for training purposes and preoperative planning.

Methods

The predefined general requirement was a realistic model of an exteriorized uterus, allowing all neurosurgical steps of the intervention. The uterus was modelled using ultrasound and MRI images of a 25 weeks’ gravid uterus, consisting of flexible polyurethane foam coated with pigmented silicone. The fetal model, contained an opening on the dorsal side for a customizable spinal insert with all the aspects of a SBa, including a cele, placode, and myofascial and skin layer. The model was assessed in a series of validation experiments.

Results

Production costs are low, uterus and fetus are reusable. Placental localization and the level and size of the spinal defect are adjustable, enabling case-specific adaptations. All aspects of the simulator were scored close to realistic or higher for both appearance and functional capacities.

Conclusions

This innovative model provides an excellent training opportunity for centers that are starting a fetoscopic SBa repair program. It is the first simulation model with adjustable spinal defect and placental localisation. Further objective validation is required, but the potential for using this model in preoperative planning is promising.     

Mesoporous silica synthesized from natural local kaolin as an effective adsorbent for removing of Acid Red 337 and its application in the treatment of real industrial textile effluent

Environmental Science and Pollution Research - This paper presents a synthesis of mesoporous silica (MS) from natural clay as a silica source using Pluronic L35 (EO11PO16EO11) as a...     

Comparing spatial and temporal changes in metal trends (Cr,Ni, Pb and Zn) on the Portuguese shelf since the 1970s

Comparison between an archive dataset, collected during the 1970s (1974–1977), and samples taken during the PALEO1 cruise (2002) enabled evaluation of large-scale and long-term spatiotemporal changes in Al, Cr, Ni, Pb and Zn contents in bulk surface sediments in four areas of the Portuguese shelf. The so-called gradient method (GM) with normalisation to Al, a proxy for terrigenous clay content, was applied. The studied areas are distributed from north to south along the western margin, with the northernmost located off shore the Ave and Douro rivers, a central one located off shore the Lis River and a southern one located off shore the Mira River. One-way ANOVA and Kruskal-Wallis tests were used to identify differences among study areas and periods of sample collection. A comparison of metal contents in 2002 samples with the Portuguese classification scheme regulation for deposition of dredged materials in coastal areas indicates good environmental quality in terms of Cr, Ni, Pb and Zn levels. Nevertheless, the GM results suggest an increase in metal loadings relative to Al from the 1970s to the 2002 samples (except for Pb). The Algarve area on the southern shelf is characterised by having high number of sites with metal level on class 2. These high values have traditionally been explained by a substantial supply of natural metals from the Guadiana, Tinto and Odiel rivers that drain areas Iberian Pyrite Belt formations. This supply has probably been magnified by present and past mining activities. For quality evaluation of marine sediments, especially when using total metal contents, this study shows the importance of considering all possible sources of metal loading. The natural grain size and composition variability have also a crucial influence on the metal content, and the combined evaluation allows a more holistic perspective.     

Earthquake recovery of historic buildings: exploring cost and time needs

Disaster recovery of historic buildings has rarely been investigated even though the available literature indicates that they face special challenges. This study examines buildings' recovery time and cost to determine whether their functions (that is, their use) and their status (historic or non-historic) affect these outcomes. The study uses data from the city of San Francisco after the 1989 Loma Prieta earthquake to examine the recovery of historic buildings owned by public agencies and non-governmental organisations. The results show that recovery cost is affected by damage level, construction type and historic status, whereas recovery time is affected by the same variables and also by building function. The study points to the importance of pre-incident recovery planning, especially for building functions that have shown delayed recovery. Also, the study calls attention to the importance of further investigations into the challenges facing historic building recovery.     

Serum concentrations of persistent organic pollutants (POPs) in the inhabitants of a Sicilian city

Background

Polychlorinated biphenyls (PCBs) and organochlorine pesticides are common environmental contaminants that have been associated with human health problems.

Objectives

To assess serum concentrations of several organochlorine contaminants in general population living in a city with an ancient agricultural tradition and to identify possible exposure sources in Sicily.

Methods

A cross-sectional study was conducted on 101 individuals. Each participant answered a face-to-face questionnaire submitted by well-trained personnel and provided a serum sample which was analyzed for the concentrations of PCBs, HCB, HCHs and DDTs by using gas-chromatography coupled with mass spectrometry.

Results

HCB, p,p′-DDE, PCB 138, PCB 153 and PCB 180 were detected in more than 80% of the study participants. The ng g⁻¹ lipid median concentrations were: 18.6 for HCB; 175.1 for p,p′-DDE; 22. for PCB 138; 32.5 for PCB 153 and 23.0 for PCB 180. PCB 153 and PCB 138, PCB 138 and PCB 180, PCB 153 and PCB 180, and p,p′-DDE and HCB showed a high correlation each other (p < 0.05). HCB and p,p′-DDE concentrations were significantly higher in subjects >49 years old (adj-p = 0.03 in 50-69 years old and adj-p < 0.001 in >69 years old, respectively) whereas PCB 138, PCB 153 and PCB 180 concentrations were higher in males (adj-p = 0.03), in subjects >69 years old (adj-p = 0.04) and in current smokers (adj-p = 0.04).

Conclusions

The present study shows that serum concentrations of organochlorine compounds detected in subjects living in a small Sicilian city with ancient agricultural tradition are similar to those found in subjects living in urban areas of other countries. However, further investigations are needed to compare data from rural/urban areas in the same country, assessing correlations between serum concentrations of several chemical compounds and potential health effects in general population.     

Plant species affect colonization patterns and metabolic activity of associated endophytes during phytoremediation of crude oil-contaminated soil

Plants coupled with endophytic bacteria hold great potential for the remediation of polluted environment. The colonization patterns and activity of inoculated endophytes in rhizosphere and endosphere of host plant are among the primary factors that may influence the phytoremediation process. However, these colonization patterns and metabolic activity of the inoculated endophytes are in turn controlled by none other than the host plant itself. The present study aims to determine such an interaction specifically for plant-endophyte systems remediating crude oil-contaminated soil. A consortium (AP) of two oil-degrading endophytic bacteria (Acinetobacter sp. strain BRSI56 and Pseudomonas aeruginosa strain BRRI54) was inoculated to two grasses, Brachiaria mutica and Leptochloa fusca, vegetated in crude oil-contaminated soil. Colonization patterns and metabolic activity of the endophytes were monitored in the rhizosphere and endosphere of the plants. Bacterial augmentation enhanced plant growth and crude oil degradation. Maximum crude oil degradation (78 %) was achieved with B. mutica plants inoculated with AP consortium. This degradation was significantly higher than those treatments, where plants and bacteria were used individually or L. fusca and endophytes were used in combination. Moreover, colonization and metabolic activity of the endophytes were higher in the rhizosphere and endosphere of B. mutica than L. fusca. The plant species affected not only colonization pattern and biofilm formation of the inoculated bacteria in the rhizosphere and endosphere of the host plant but also affected the expression of alkane hydroxylase gene, alkB. Hence, the investigation revealed that plant species can affect colonization patterns and metabolic activity of inoculated endophytic bacteria and ultimately the phytoremediation process.     

Analysis of atmospheric aerosol (PM2.5) in Recife city,Brazil

Several studies indicate that mortality and morbidity can be well correlated to atmospheric aerosol concentrations with aerodynamic diameter less than 2.5 µm (PM_2.5). In this work the PM_2.5 at Recife city was analyzed as part of a main research project (INAIRA) to evaluate the air pollution impact on human health in six Brazilian metropolitan areas. The average concentration, for 309 samples (24-hr), from June 2007 to July 2008, was 7.3 µg/m³, with an average of 1.1 µg/m³ of black carbon. The elemental concentrations of samples were obtained by x-ray fluorescence. The concentrations were then used for characterizing the aerosol, and also were employed for receptor modelling to identify the major local sources of PM_2.5. Positive matrix factorization analysis indicated six main factors, with four being associated to soil dust, vehicles and sea spray, metallurgical activities, and biomass burning, while for a chlorine factor, and others related to S, Ca, Br, and Na, we could make no specific source association. Principal component analysis also indicated six dominant factors, with some specific characteristics. Four factors were associated to soil dust, vehicles, biomass burning, and sea spray, while for the two others, a chlorine- and copper-related factor and a nickel-related factor, it was not possible to do a specific source association. The association of the factors to the likely sources was possible thanks to meteorological analysis and sources information. Each model, although giving similar results, showed factors’ peculiarities, especially for source apportionment. The observed PM_2.5 concentration levels were acceptable, notwithstanding the high urbanization of the metropolitan area, probably due to favorable conditions for air pollution dispersion. More than a valuable historical register, these results should be very important for the next analysis, which will correlate health data, PM_2.5 levels, and sources contributions in the context of the six studied Brazilian metropolises.

Implications: The analysis of fine particulate matter (PM_2.5) in Recife city, Brazil, gave a significant picture of the local concentration and composition of this pollutant, which exhibits robust associations to adverse human health effects. Data from 1 year of sampling evaluated the seasonal variability and its connections with weather patterns. Source apportionment in this metropolitan area was obtained based in a combination of receptor models: principal component analysis (PCA)/chemical mass balance (CMB) and positive matrix factorization (PMF). These results give guidelines for local air pollution control actions, providing significant information for a health study in the context of establishing a new national air pollution protocol based on Brazilian cities data.     

Peri-urban agro-ecosystems in the Mediterranean: diversity,dynamics, and drivers

Regional Environmental Change - To address sustainability challenges of agro-ecosystems located in Mediterranean urban regions, this paper focuses on the multidisciplinary subject of urban...     

Efficacy of nanoparticles as nanofertilizer production: a review

Environmental Science and Pollution Research - Owing to the ever-increasing demand for food, the growing global population has forced farmers to increase fertilizer use. The overall use of...     

Genotypic characterization of quinolone resistant-Escherichia coli isolates from retail food in Morocco

This study was conducted to assess the retail food as a possible vehicle for antimicrobial resistant, particularly quinolones resistant and pathogenic Escherichia coli. We determined the prevalence and characteristics of nalidixic acid (Nal) resistant E. coli isolates from diverse retail food samples. In all, 70 (28%) of 250 E. coli isolates studied were Nal-resistant E. coli and 91% of these were multi-drug resistant. Plasmid mediated quinolone resistance genes were identified in 32 isolates, including aac(6′)-Ib-cr (n = 16), qnrS1 (n = 11) and qnrB19 (n = 7). Mutations in gyr A and par C genes were detected among 80% of the isolates, and the isolates showed substitution Ser83-Leu and Asp87-Asn in gyrA and Ser80-Ile in parC. In addition, three different gene cassettes were identified (aadA1, aadA7, aac(3)-Id) in 18%. Virulence-associated genes stx1, eae, sfa, hlyA and stx2 were found in six (8%), three (4%), two (3%), three (4%) and three (4%) isolates, respectively. E. coli isolates of phylogenetic group A were dominant (64%, 45/70). Pulsed field gel electrophoresis revealed none epidemiological relationship between these isolates. The results of this work report the higher frequency of Nal-resistant E. coli isolates from Moroccan retail food samples including MDR and pathogenic isolates.