Risk assessment approach for untreated wastewater using the QUAL2E water quality model

This paper presents a novel approach for assessing the risk of consumer product ingredients in surface waters that receive untreated wastewater. The approach utilizes the water quality simulation model QUAL2E for predicting the impact caused by conventional pollutants, as well as the exposure concentration of consumer product ingredients. This approach invokes an impact zone concept whereby the receiving water can be thought of as a natural wastewater treatment system. After the river has recovered via self-purification, the ecosystem is then assessed by traditional risk assessment methods. This approach was validated using data collected from the Balatuin River, which is located in the Philippines. Results from this study support the use of QUAL2E for assessing the risk of consumer product ingredients in riverine systems receiving untreated wastewater.     

Mid-trimester amniocentesis and antibiotic prophylaxis

Objectives and Methods Assuming that the rate of fetal loss after amniocentesis may be reduced in patients receiving antibiotic prophylaxis, we conducted a retrospective study on untreated versus treated patients receiving prophylactic antibiotics (amoxicillin/clavulanic-acid or azithromycin) and evaluated the fetal loss rate within the 22nd week of gestation, also with respect to the risk of spontaneous abortion, both preexisting and related to mid-trimester amniocentesis. Results Spontaneous abortion occurred in 22 cases out of 1744 (1.26%). The incidence of spontaneous abortion was 1.3% among patients treated with antibiotic prophylaxis and 1.2% among untreated patients. Between patients with risk factors that predated amniocentesis, the spontaneous fetal loss rate was 9.2% in untreated patients versus 2.3% in patients treated (p = 0.10). In patients with procedure-related risk factors at amniocentesis, the spontaneous abortion rate was, respectively, 2.2 and 1.2% (p = 0.72). Conclusion Our data demonstrate that antibiotic prophylaxis does not reduce the risk of spontaneous abortion within the 22nd week of gestation. Compared with untreated patients, patients treated with amoxicillin showed the lower fetal loss rate (1.16 vs 0.31%), but the difference was not statistically significant (odds ratio (OR) = 3.68, p = 0.32). The same was true for patients with preexisting risks (OR = 4.25, p = 0.10). Copyright © 2007 John Wiley & Sons, Ltd.