Plants release, pathogens decease: Plants with documented antimicrobial activity are associated with Campylobacter and faecal indicator attenuation in stormwater biofilters

Stormwater biofilters demonstrate promising treatment of faecal microorganisms, however performance can vary with design and operational conditions. This study investigated whether plants with significant documented antimicrobial activity could improve faecal bacterial treatment within biofilters. Laboratory-scale biofilters (n = 30) were dosed with synthetic stormwater containing faecal bacteria Escherichia coli, Enterococcus faecalis and Campylobacter jejuni under south-eastern Australian climatic conditions. Systems vegetated with Melaleuca species, renowned for their in vitro antimicrobial activity, consistently enhanced removal of all tested culturable bacteria in total outflow and submerged zone water relative to other plant configurations. Within just 1-2 days of stormwater dosing, M. linariifolia submerged zones demonstrated significantly reduced bacterial concentrations compared to C. appressa (p = 0.023 and <0.001 for C. jejuni and E. coli, respectively), removing ∼1.47 log10 MPN/100 mL E. coli, ∼1.14 log10 MPN/100 mL E. faecalis and ∼0.81 log10 MPN/L C. jejuni from inflow. These trends continued even after all but one M. linariifolia replicate perished during an extended drying period (p = 0.002 and 0.003 for C. jejuni and E. coli, respectively). Through a systematic process of elimination, these observations were attributed to enhanced bacterial attenuation with elevated plant inhibitory activity. Cumulative biofilter age reinforced plant-mediated bacterial treatment (p = 0.023 for E. faecalis), ostensibly due to increased plant size/growth and net biological activity. Notably, E. coli and E. faecalis attenuation improved with prolonged antecedent drying length (14 vs. 4 days; p < 0.0001 for both), while the converse was observed for C. jejuni (not significant). This study addresses significant knowledge gaps around plant-mediated faecal microbe treatment within biofilters, providing key direction for real-world system design to optimise stormwater pathogen treatment.

Coronal STIR MRI sequences in unexplained limping in children under 6 years old: A single-center retrospective study of 130 cases

INTRODUCTION

Limping is a common presenting symptom in young children. Clinical examination backed up by laboratory analysis, standard radiography, and/or ultrasound may fail to determine the diagnosis, and limping may prove persistent, requiring repeated consultation. Magnetic resonance imaging (MRI) can suggest the etiology or provide welcome reassurance when normal. We advocate the use of MRI in cases of persistent unexplained limping in young children. The study hypothesis was that coronal short TI inversion recovery (STIR) MRI has good negative predictive value (NPV) in unexplained limping in children under 6 years of age.

MATERIAL AND METHOD

Coronal STIR MRI sequences were analyzed in 130 children younger than 6 years (84 boys, 46 girls) during the period April 2007 to May 2017. They extended from the lower thoracic spine down to the feet. Agreement was analyzed between the radiologist's initially suggested diagnosis and the pediatric orthopedic specialist's final diagnosis.

RESULTS

Overall, 49 scans were normal (37.7%) and 81 abnormal (62.3%). The mean age at MRI was 32.3 months. Coronal STIR MRI had 98% NPV. There was 99.2% agreement between the radiologist's diagnosis and the final diagnosis.

DISCUSSION

The recently reported contribution of STIR MRI in bone and joint infections was extended to unexplained limping.

CONCLUSION

First-line MRI with coronal STIR sequences improved the diagnostic efficacy, thanks to its speed and relative lack of movement artifacts.

Plants against pathogens: Effect of significant antimicrobial-producing plants on faecal microbe inactivation throughout the soil profile of stormwater biofilters

Stormwater biofilters have demonstrated promising yet variable removal of faecal microorganisms. Significant antimicrobial-producing plants have been proposed as an inexpensive, safe and easily adaptable component of biofilter design to enhance faecal pathogen treatment. The aim of the present study was to investigate whether significant antimicrobial-producing plants improved faecal bacterial inactivation throughout the biofilter soil profile, focusing on four key treatment zones. These were specifically the top sediment/surface layer; the rhizosphere (soil directly attached to and influenced by plant roots); bulk soil (soil not directly associated with roots); and the submerged/saturated zone. Biofilters were configured with either: (1) no plant; (2) Carex appressa, the most highly recommended plant species in Australian biofilter adoption guidelines; or (3) one of two significant antimicrobial-producing Australian plant species, Melaleuca linariifolia or Melaleuca fulgens (n = 3 each). Following 16 months' maturation, systems were dosed with semi-synthetic stormwater containing faecal bacteria Escherichia coli and Enterococcus faecalis to monitor their ensuing die-off within all major biofilter treatment zones. Bacterial inactivation was generally more rapid in M. fulgens and M. linariifolia than C. appressa biofilters, with E. faecalis demonstrating an overall enhanced resistance to inactivation. Top sediment tended to exhibit the highest inactivation rates, significantly correlated with sunlight exposure. Conversely, the rhizosphere supported comparatively prolonged faecal bacterial survival. The authors recommend further investigation of melaleucas and similar highly antimicrobial-producing plants for enhanced faecal pathogen treatment within biofilters and related treatment contexts.

Sustainable micropollutant bioremediation via stormwater biofiltration system

Waters contaminated with micropollutants are of environmental and public health concern globally. Stormwater is a significant source of anthropogenic micropollutants to receiving waters. Hence, sustainable stormwater remediation is needed to reduce contamination of waterways. Yet designing sustainable bioremediation solutions, including those targeted to remove micropollutants, is a major scientific challenge. This study aimed to adapt the design of stormwater biofiltration systems, to improve the removal of micropollutants and understand the role of the micropollutant-degrading bacteria in this bioremediation process. We investigated the atrazine removal performance of a prototype biofiltration system, in which the filter media was supplemented with Granulated Activated Carbon (GAC). The prototype biofiltration system completely removed atrazine to below detectable limits, significantly exceeding the GAC's adsorption capacity alone, suggesting other biological processes were present. We showed that atrazine degradation capacity, measured by the kinetics of the trzN gene abundance, was accelerated in the prototype system compared to the standard system (which had no added GAC; 0.8 vs. 0.37 week-1, respectively). Notably, this high level of atrazine removal did not come at the expense of the removal performance of other typical stormwater macropollutants (e.g., nutrients, suspended solids). The prototype biofiltration system showed a proof-of-concept of sustaining microbial remediation of a model micropollutant alongside stormwater macropollutants, which could be used to reduce impacts on receiving waterways and protect our ecosystems and human health.

Electrocardiographic characteristics of patients with coronavirus disease 2019 (COVID-2019) related pneumonia at first presentation

Funding Acknowledgements

Type of funding sources: None.

Purpose

To evaluate electrocardiographic (ECG) characteristics at first presentation in patients with possible coronavirus disease (COVID-19) pneumonia.

Methods and results

356 patients presenting at the emergency room with possible COVID-19 pneumonia based on clinical presentation and computed tomography findings were included and subdivided into a COVID-19 positive group ([COVID-19-positive], n = 231, 65%) and a COVID-19 negative group ([COVID-19-negative], n = 125, 35%) based on polymerase chain reaction tests.

The study population was predominantly middle aged-elderly (67 ± 14 year; n = 235, 66% male). Mortality rate was 24% after 1-month follow-up. There were no significant (NS) differences in sex, age, and mortality between the COVID-19-positive and COVID-19-negative group. 

Atrial fibrillation (AF) was common (9%), though its prevalence was NS (regression analyses adjusted for age and sex) different in the COVID-19-positive vs. the COVID-19-negative group. ECG characteristics reflecting atrial enlargement and repolarization abnormalities were frequently present (<38% and 14% respectively). No significant differences were found between the COVID-19-positive vs. the COVID-19-negative group for the majority of morphological ECG characteristics (Figure 1 for more detailed data). 

Conclusion

AF and ECG characteristics reflecting atrial enlargement and repolarization abnormalities are commonly present in COVID-19 patients. The prevalence of these ECG characteristics however do NS differ from their COVID-19-negative counterparts.

HIGH-FIDELITY MULTI-PHYSICS PIN-BY-PIN MODEL OF A SVEA-96 OPTIMA2 ASSEMBLY WITH TORT-TD/CTF

This paper describes the development of a 3-d high-fidelity multi-physics pin-by-pin neu-tronic and sub-channel thermal hydraulic model of a SVEA-96 Optima2 fuel assembly for the coupled code system TORT-TD/CTF. No pin power reconstruction is applied. Detailed descriptions are given on (a) the generation of few-group parameterized pin cell-homogenized cross section data using HELIOS, (b) the 3-d neutronic pin-by-pin and ther-mal-hydraulic sub-channel model of a single SVEA-96 Optima2 assembly and its qualifica-tion by Monte Carlo models using Serpent, (c) coupled steady-state results for a single as-sembly and (d) coupled steady-state and transient simulations of a 4-by-4 mini core model of SVEA-96 Optima2 assemblies in a partially rodded state.

New prebiotic chemistry inspired filter media for stormwater/greywater disinfection

Greywater and stormwater have received significant attention due to increasing water scarcity. Passive filtration such as biofiltration has been a popular treatment method with its low energy input and environmental friendliness. However, pathogen removal capacity needs improvement to achieve safe water quality. In this study, a prebiotic chemistry inspired copolymer based on aminomalononitrile and 3,4,5-trihydroxybenzaldehyde (AMNT30) was introduced to develop antimicrobial media for passive filtration. The AMNT30 polymer provided an adhesive coating on zeolite substrates following a spontaneous polymerisation process at room temperature. AMNT30 coated media were investigated for metal loading capacity, surface morphology, E. coli removal and metal leaching after filtration of different water sources (i.e. stormwater, greywater, and deionised water) at low/high conductivity. The coating enhanced metal ion loading on the surface and demonstrated that >8 log reduction of E. coli can be achieved for silver loaded materials compared to a 1 log reduction for copper loaded materials. The coating also increased the stability of the metals on the media irrespective of inflow characteristics. This study provided the first example using AMNT30 to create antimicrobial water purification media. It is expected that this technology will find applications in the water treatment industry.

Comparative thermohydraulic analyses of VVER 1000 active core for two different construction types of assemblies

The OECD/NEA Benchmark on NPP Kalinin Unit 3 “Switching-off of one of the four operating main circulation pumps at nominal power” based on measurements is at its end phase. A new benchmark is starting based on measurements from the NPP Rostov Unit 2 “Reactivity compensation with diluted boron by stepwise insertion of control rod cluster into the VVER-1000 core”. The Rostov-2 core is loaded with assemblies of a new modern type “TVS-2M” which differs in construction in comparison with the “TVSA”-type implemented in the Kalinin-3 core. The goal of the performed study is to determine the thermohydraulic differences, during steady-state operation, between the two cores based on loads with different assembly types. Results of steady-state simulations are compared for Kalinin-3 and Rostov-2 cores, taken from the respective Benchmarks specifications. To ensure that the observed differences are coming only from the fuel assembly construction, the same axial power density is used for all cases. Calculations are done with an under-development version of the GRS system code ATHLET, which has sub-channel modeling capabilities. Thus, in addition to the typical assembly-wise models, calculations with seven assemblies modeled at the sub-channel (pin-by-pin) level were also performed and analyzed. This work will help the Benchmarks' Rostov-2 participants to set up more accurate core thermohydraulic models.

Rise of the killer plants: investigating the antimicrobial activity of Australian plants to enhance biofilter-mediated pathogen removal

BACKGROUND

Biofilters are soil-plant based passive stormwater treatment systems which demonstrate promising, although inconsistent, removal of faecal microorganisms. Antimicrobial-producing plants represent a safe, inexpensive yet under-researched biofilter design component that may enhance treatment reliability. The mechanisms underlying plant-mediated microbial removal in biofilters have not been fully elucidated, particularly with respect to antimicrobial production. The aim of this study was therefore to inform biofilter vegetation selection guidelines for optimal pathogen treatment by conducting antimicrobial screening of biofilter-suitable plant species. This involved: (1) selecting native plants suitable for biofilters (17 species) in a Victorian context (southeast Australia); and (2) conducting antimicrobial susceptibility testing of selected plant methanolic extracts (≥ 5 biological replicates/species; 86 total) against reference stormwater faecal bacteria (Salmonella enterica subsp. enterica ser. Typhimurium, Enterococcus faecalis and Escherichia coli).

RESULTS

The present study represents the first report on the inhibitory activity of polar alcoholic extracts from multiple tested species. Extracts of plants in the Myrtaceae family, reputed for their production of antimicrobial oils, demonstrated significantly lower minimum inhibitory concentrations (MICs) than non-myrtaceous candidates (p < 0.0001). Melaleuca fulgens (median MIC: 8 mg/mL; range: [4-16 mg/mL]), Callistemon viminalis (16 mg/mL, [2-16 mg/mL]) and Leptospermum lanigerum (8 mg/mL, [4-16 mg/mL]) exhibited the strongest inhibitory activity against the selected bacteria (p < 0.05 compared to each tested non-myrtaceous candidate). In contrast, the Australian biofilter gold standard Carex appressa demonstrated eight-fold lower activity than the highest performer M. fulgens (64 mg/mL, [32-64 mg/mL]).

CONCLUSION

Our results suggest that myrtaceous plants, particularly M. fulgens, may be more effective than the current vegetation gold standard in mediating antibiosis and thus improving pathogen treatment within biofilters. Further investigation of these plants in biofilter contexts is recommended to refine biofilter vegetation selection guidelines.

Roles of ventral versus dorsal pathways in language production: An awake language mapping study

Human language is organized along two main processing streams connecting posterior temporal cortex and inferior frontal cortex in the left hemisphere, travelling dorsal and ventral to the Sylvian fissure. Some views propose a dorsal motor versus ventral semantic division. Others propose division by combinatorial mechanism, with the dorsal stream responsible for combining elements into a sequence and the ventral stream for forming semantic dependencies independent of sequential order. We acquired data from direct cortical stimulation in the left hemisphere in 17 neurosurgical patients and subcortical resection in a subset of 10 patients as part of awake language mapping. Two language tasks were employed: a sentence generation (SG) task tested the ability to form sequential and semantic dependencies, and a picture-word interference (PWI) task manipulated semantic interference. Results show increased error rates in the SG versus PWI task during subcortical testing in the dorsal stream territory, and high error rates in both tasks in the ventral stream territory. Connectivity maps derived from diffusion imaging and seeded in the tumor sites show that patients with more errors in the SG than in the PWI task had tumor locations associated with a dorsal stream connectivity pattern. Patients with the opposite pattern of results had tumor locations associated with a more ventral stream connectivity pattern. These findings provide initial evidence using fiber tract disruption with electrical stimulation that the dorsal pathways are critical for organizing words in a sequence necessary for sentence generation, and the ventral pathways are critical for processing semantic dependencies.

Relationship between sugarcane culm and leaf biomass composition and saccharification efficiency

BACKGROUND

Lignocellulosic biomass is recognized as a promising renewable feedstock for the production of biofuels. However, current methods for converting biomass into fermentable sugars are considered too expensive and inefficient due to the recalcitrance of the secondary cell wall. Biomass composition can be modified to create varieties that are efficiently broken down to release cell wall sugars. This study focused on identifying the key biomass components influencing plant cell wall recalcitrance that can be targeted for selection in sugarcane, an important and abundant source of biomass.

RESULTS

Biomass composition and the amount of glucan converted into glucose after saccharification were measured in leaf and culm tissues from seven sugarcane genotypes varying in fiber composition after no pretreatment and dilute acid, hydrothermal and ionic liquid pretreatments. In extractives-free sugarcane leaf and culm tissue, glucan, xylan, acid-insoluble lignin (AIL) and acid-soluble lignin (ASL) ranged from 20 to 32%, 15% to 21%, 14% to 20% and 2% to 4%, respectively. The ratio of syringyl (S) to guaiacyl (G) content in the lignin ranged from 1.5 to 2.2 in the culm and from 0.65 to 1.1 in the leaf. Hydrothermal and dilute acid pretreatments predominantly reduced xylan content, while the ionic liquid (IL) pretreatment targeted AIL reduction. The amount of glucan converted into glucose after 26 h of pre-saccharification was highest after IL pretreatment (42% in culm and 63.5% in leaf) compared to the other pretreatments. Additionally, glucan conversion in leaf tissues was approximately 1.5-fold of that in culm tissues. Percent glucan conversion varied between genotypes but there was no genotype that was superior to all others across the pretreatment groups. Path analysis revealed that S/G ratio, AIL and xylan had the strongest negative associations with percent glucan conversion, while ASL and glucan content had strong positive influences.

CONCLUSION

To improve saccharification efficiency of lignocellulosic biomass, breeders should focus on reducing S/G ratio, xylan and AIL content and increasing ASL and glucan content. This will be key for the development of sugarcane varieties for bioenergy uses.

Source tracking using microbial community fingerprints: Method comparison with hydrodynamic modelling

Urban estuaries around the world are experiencing contamination from diffuse and point sources, which increases risks to public health. To mitigate and manage risks posed by elevated levels of contamination in urban waterways, it is critical to identify the primary water sources of contamination within catchments. Source tracking using microbial community fingerprints is one tool that can be used to identify sources. However, results derived from this approach have not yet been evaluated using independent datasets. As such, the key objectives of this investigation were: (1) to identify the major sources of water responsible for bacterial loadings within an urban estuary using microbial source tracking (MST) using microbial communities; and (2) to evaluate this method using a 3-dimensional hydrodynamic model. The Yarra River estuary, which flows through the city of Melbourne in South-East Australia was the focus of this study. We found that the water sources contributing to the bacterial community in the Yarra River estuary varied temporally depending on the estuary's hydrodynamic conditions. The water source apportionment determined using microbial community MST correlated to those determined using a 3-dimensional hydrodynamic model of the transport and mixing of a tracer in the estuary. While there were some discrepancies between the two methods, this investigation demonstrated that MST using bacterial community fingerprints can identify the primary water sources of microorganisms in an estuarine environment. As such, with further optimization and improvements, microbial community MST has the potential to become a powerful tool that could be practically applied in the mitigation of contaminated aquatic systems.

Rethinking funding priorities in mental health research

Mental health research funding priorities in high-income countries must balance longer-term investment in identifying neurobiological mechanisms of disease with shorter-term funding of novel prevention and treatment strategies to alleviate the current burden of mental illness. Prioritising one area of science over others risks reduced returns on the entire scientific portfolio.

Genetic associations with brain cortical thickness in multiple sclerosis

Multiple sclerosis (MS) is characterized by temporal and spatial dissemination of demyelinating lesions in the central nervous system. Associated neurodegenerative changes contributing to disability have been recognized even at early disease stages. Recent studies show the importance of gray matter damage for the accrual of clinical disability rather than white matter where demyelination is easily visualized by magnetic resonance imaging (MRI). The susceptibility to MS is influenced by genetic risk, but genetic factors associated with the disability are not known. We used MRI data to determine cortical thickness in 557 MS cases and 75 controls and in another cohort of 219 cases. We identified nine areas showing different thickness between cases and controls (regions of interest, ROI) (eight of them were negatively correlated with Kurtzke's expanded disability status scale, EDSS) and conducted genome-wide association studies (GWAS) in 464 and 211 cases available from the two data sets. No marker exceeded genome-wide significance in the discovery cohort. We next combined nominal statistical evidence of association with physical evidence of interaction from a curated human protein interaction network, and searched for subnetworks enriched with nominally associated genes and for commonalities between the two data sets. This network-based pathway analysis of GWAS detected gene sets involved in glutamate signaling, neural development and an adjustment of intracellular calcium concentration. We report here for the first time gene sets associated with cortical thinning of MS. These genes are potentially correlated with disability of MS.

Transfusion transmitted infections in solid organ transplantation

While the risk of infectious disease transmission through blood transfusion has been greatly reduced as a result of improved screening methods, transfusion-transmissible infections remain a concern for transplant recipients, especially those receiving multiple transfusions. Although transfusion and transplant recipients are at risk for similar infections, the current reporting requirements for infections transmitted by transfusions and organ transplantation vary greatly and remain distinctly separate with no communication between reporting systems. This article reviews 23 past reports of transfusion-transmitted infections in organ recipients acquired through transfusions. While cytomegalovirus was a major focus of such reports in the 1980s, more recent reports have focused on West Nile virus transmission. Additionally, this article highlights challenges in determining transfusion-transmitted infection risk in transplant recipients related to the current reporting systems.

Analysis of JSI TRIGA MARK II reactor physical parameters calculated with TRIPOLI and MCNP

New computational model of the JSI TRIGA Mark II research reactor was built for TRIPOLI computer code and compared with existing MCNP code model. The same modelling assumptions were used in order to check the differences of the mathematical models of both Monte Carlo codes. Differences between the TRIPOLI and MCNP predictions of keff were up to 100pcm. Further validation was performed with analyses of the normalized reaction rates and computations of kinetic parameters for various core configurations.

Patterns of arteriosclerotic lesions of the lower extremity in a West Indian population based on angiographic findings and ethnicity

INTRODUCTION

This study aimed to determine whether ethnic differences show different patterns of arterial disease in the lower limb.

METHODS

A prospective analysis of 100 consecutive patients with 160 lower limb arteriograms was performed looking at the pattern of disease with relation to ethnicity in Trinidad and Tobago.

RESULTS

There were 53 male and 47 female patients with an age range of 43-90 years (mean: 66 years). Of the 100 patients, 45 were of East Indian descent, 36 of Afro-Caribbean descent, 14 of mixed descent and 5 had other backgrounds. There were 32 smokers and 69 diabetics. The most commonly affected artery in East Indians was the anterior tibial artery (ATA, 70%) followed by the peroneal artery (60%), superficial femoral artery (SFA, 60%), posterior tibial artery (PTA, 57%) and tibioperoneal trunk (TPT, 39%). In Afro-Caribbeans, the most commonly affected artery was the ATA (79%) followed by the PTA (74%), peroneal artery (66%) and TPT (55%). The mixed group showed the PTA (85%) to be most diseased followed by the peroneal artery (75%), ATA (70%), SFA (70%), dorsalis pedis artery (DPA, 60%) and TPT (50%). Overall, the most diseased vessel in all groups was the ATA (73%) followed by the PTA (66%), peroneal artery (64%), SFA (59%), TPT (46%), DPA (38%), popliteal artery (31%) and medial plantar artery (MPA, 29%), with the proximal vessels not being affected severely.

CONCLUSIONS

Ethnic divisions were only statistically significant (p<0.05) with East Indians showing worse disease in the profunda femoris artery and Afro-Caribbeans showing worse disease in the PTA, DPA and MPA. This suggests that environmental factors may play a significant role in the disease process including smoking and dietary factors rather than purely genetics.

Does water level affect benthic macro-invertebrates of a marginal lake in a tropical river-reservoir transition zone?

Benthic macro-invertebrates are important components of freshwater ecosystems which are involved in ecological processes such as energy transfer between detritus and consumers and organic matter recycling. The aim of this work was to investigate the variation in organism richness, diversity and density of benthic fauna during the annual cycle in Camargo Lake, a lake marginal to Paranapanema River, southeast Brazil. The correlation of environmental factors with community attributes of the macro-benthic fauna was assessed. Since Camargo Lake is connected to the river, we tested the hypothesis that water level variation is the main regulating factor of environmental variables and of the composition and abundance of benthic macro-invertebrates. The results indicated that lake depth varied with rainfall, being the highest at the end of the rising water period and the lowest at the beginning of this period. The sediment granulometry was more heterogeneous at the bottom of the lake by the end of the high water period. The benthic macro-invertebrate fauna was composed by 15 taxa. The Diptera order was represented by seven taxa and had greater richness in relation to other taxa. This group was responsible for 60% of the total abundance of organisms, followed by Ephemeroptera (22%) and Anellida (16%). Significant differences were observed over time in total richness and, in density of Narapa bonettoi, Chaoborus, Ablabesmyia gr. annulata, Chironomus gigas, Larsia fittkau, and Procladius sp. 2. Total taxa richness correlated negatively with water pH, transparency, conductivity, and bottom water oxygen. Higher positive correlations were found between the densities of some taxa and bottom water oxygen, conductivity and very fine sand, silt + clay of sediment, while negative correlations were recorded with organic matter, and fine, medium and coarse sand, bottom water temperature, mean temperature and rainfall. The significant temporal difference in water level was associated with changes in abiotic factors and macro-invertebrate community attributes.

The development and evaluation of a holistic needs assessment and care planning learning package targeted at cancer nurses in the UK

A project team from the United Kingdom Oncology Nursing Society developed a blended e-learning website to facilitate nurses to further develop their confidence and competencies in a range of skills related to assessing the holistic needs of people with cancer. The project team identified three areas which were integral to an holistic needs assessment (HNA) implementation project. These were project support information, project management skills, and practical competencies delivered in a blended e-learning package containing a series of accessible video presentations, supporting documents, and practical activities. The team worked with internal and external partners to ensure that a robust and inspiring programme was created.

www.hnaforcancer.com was launched in October 2012 as a blended learning programme that incorporates e-learning on core subjects. These subjects are packaged as videoed presentations with supporting learning material and can be accessed via the UKONS website. By the end of the programme participants were equipped to identify and explore the essential requirements for HNA and care planning, more able to recognise potential need, and initiate care to prevent or minimise the risk of complications. Participants had also developed confidence and competency in new skills, including basic project management.

Aquatic macroinvertebrates associated with Eichhornia azurea (Swartz) Kunth and relationships with abiotic factors in marginal lentic ecosystems (São Paulo, Brazil)

Marginal lakes are characterised by their having high biological diversity due to the presence of aquatic macrophytes in their coastal zones, providing habitats for refuge and food for animal community members. Among the fauna components associated with macrophytes, aquatic macroinvertebrates are important because they are an energy source for predators and fish. In six lakes and two different seasons (March and August 2009), the ecological attributes of aquatic macroinvertebrate community associated with Eichhornia azurea were compared and the controlling environmental factors were identified. Since the attributes of macroinvertebrate community are strictly associated with abiotic variables of each distinct habitat, our hypothesis was that each site associated with the same floating aquatic macrophyte (E. azurea) should have a typical composition and density of organisms. We identified 50 taxa of macroinvertebrates, with greater taxa richness for aquatic insects (37 taxa) divided into eight orders; the order Diptera being the most abundant in the two study periods. On the other hand, higher values of total taxa richness were recorded in August. Dissolved oxygen and pH presented the greatest number of significant positive correlations with the different taxa. The animals most frequently collected in the six lakes in March and August 2009 were Hirudinea, Oligochaeta, Hydrachnidae, Conchostraca, Ostracoda, Noteridae, Ceratopogonidae, Chironomidae, Culicidae, Caenidae, Pleidae, Aeshnidae, Libellulidae, Coenagrionidae and Nematoda. Only densities of Trichoptera, Ostracoda and Conchostraca presented the highest significant differences between lakes in both study periods and considering the composition of macroinvertebrates no significant differences were registered for macroinvertebrate composition.

Early postnatal surge of serum Clara cell secretory protein in newborn infants

BACKGROUND

Clara cell secretory protein (CCSP) is an anti-inflammatory mediator, but its role in neonatal lung adaptation and diseases is uncertain.

OBJECTIVE

To characterize postnatal changes in serum CCSP in relation to gestation, respiratory disease (RDS) and bronchopulmonary dysplasia (BPD) in comparison with other anti-inflammatory cytokines (IL-4, -10 and -13).

METHODS

Blood was collected from 76 infants (26 of 23-29 weeks' gestation, 33 of 30-36 weeks' gestation and 17 term infants) at birth (preterm cord blood); on admission; at 12, 24 and 48 h; and on days 3-4 and 7 of life. CCSP was assayed by ELISA and cytokines by Bio-Plex.

RESULTS

Median serum CCSP in extremely and moderately preterm infants rose from a baseline of 13.6 and 15.9 to 33.4 ng/ml (p = 0.04) and 59.8 ng/ml (p = 0.03) at 12 h of age, respectively. CCSP levels were highest in term infants (80.7 ng/ml at 12 h). CCSP then decreased to 22.5 ng/ml on days 3-4 (p = 0.001). CCSP of 37 RDS infants fell to a lower baseline on days 4 and 7 than that of the 22 non-RDS preterms. The 8 infants who developed BPD had persistently low serum CCSP (12.7 ng/ml at 12 h). In contrast, early postnatal changes were not seen in IL-4, -10 and -13 levels, but low IL-10 and -13 levels were found on day 7 in BPD infants.

CONCLUSIONS

Serum CCSP levels were characterized by an early postnatal surge. This apparent gestation-influenced surge may represent an initiation of a protective cascade against postnatal lung injury during extrauterine adaptation.

Temporary fragmentation of a marginal lake and its effects on zooplankton community structure and organization

A river lateral lake (Coqueiral Lake marginal to Paranapanema River in its mouth zone into Jurumirim Reservoir, São Paulo, Brazil) presented fragmentation into four small isolated bodies of water during a prolonged drought period, disrupting the link with the river. The aim of this work was to compare the temporal modifications on zooplankton community structure (total abundance, species richness, and diversity) in the four water bodies. Zooplankton samplings and abiotic factor measurements were made in two periods--during isolation phase of the lake in relation to river and after re-establishment of hydrologic connectivity. A concentration effect on zooplankton abundance was recorded with drought progression, but without significant modifications in species richness and diversity. When the river inundation pulse occurred, a reduction in total zooplankton density was observed due to the dilution effect and a significant increase in species richness and diversity was recorded. Lateral water influx from the river to the lacustrine environment acts as a temporary disturbance factor on the zooplankton community structure. Zooplankton species composition presented some modifications between the two periods. Zooplankton organism drift in water from the river to the lake, removal of individuals from the aquatic macrophytes, and eclosion of resting eggs from sediment are probable factors that can increase zooplankton species richness immediately after lateral pulse inundation with water by the river.

Zooplankton fluctuations in Jurumirim Reservoir (São Paulo, Brazil): a three-year study

During three consecutive years, monthly samples of zooplankton were taken in the lacustrine (dam) zone of Jurumirim (São Paulo, Brazil). The seasonal effect on basic limnological features (thermal regime, oxygen distribution, phytoplankton biomass, etc.) was also examined. The influence of the seasonality on the fluctuation of the zooplankton composition and abundance was not clearly detected (low degree of recurrent patterns). Rotifers (32 taxa) were the most abundant organisms during almost the entire study period with some seasonal alternations in the maximum abundance peaks of the main taxa (Conochilus unicornis, Keratella americana, K. cochlearis and Hexarthra spp.), except for Polyarthra (mainly P. vulgaris). Only occasionally copepods were numerically dominant. Higher copepod abundance was positively associated to periods of increase in the water retention time. Among the Copepoda (10 taxa) the calanoids (mainly Notodiaptomus iheringi) were more abundant, especially in warmer periods. Conversely, cyclopoids had higher abundance in autumn and winter. The species Thermocyclops minutus and T. decipiens co-occurred, but the first attained higher abundance. Some evidence of co-existence strategies between both species are considered. Cladocera (17 taxa) was never numerically dominant and the main taxa (Bosmina spp., Ceriodaphnia spp. and Diaphanosoma spp.) occurred almost the whole study period and did not present a seasonal pattern of fluctuation. Diaphanosoma (mainly D. birgei) attained the highest abundance among cladocerans. Most organisms were always found at the surface, but they also occupy the whole water column, even in periods of stratified conditions and low oxygen concentration in the bottom layers. Among the main zooplanktonic taxa, only Hexarthra avoids deep layers. An exceptionally high concentration of Copepoda nauplii on the surface was influenced by low transparency, high concentration of phytoplankton at this layer and low oxygen concentration at the bottom. In periods of higher retention timevariability there was a more heterogeneous distribution of the zooplankton in the water column. The increase in the retention time seems also to favor the copepod development. Finally, some inter-decade changes are considered on the basis of zooplankton assemblage structure observations.

The importance of excretion by Chironomus larvae on the internal loads of nitrogen and phosphorus in a small eutrophic urban reservoir

Measurements of ammonium and phosphate excretion by the Chironomus larvae were conducted in order to evaluate the importance of these chironomids for the internal loads of a small eutrophic urban reservoir. Ammonium and phosphate excretion rates by Chironomus larvae of small size (6-10 mm total length) were significantly higher than those of the Chironomids having medium (9-11 mm) and large (11-16 mm) sizes. A dependence in relation to temperature was recorded for the ammonium and phosphate excretions that was significantly higher at 25 °C than at 20 and 15 °C. Through a linear relation between biomass (dry weight) and total length and, between excretion and biomass and, data on chironomids densities, after an intense sampling in 33 sites distributed all along the reservoir bottom, the mean phosphate and ammonium excretion rates corresponded to 2,014 ± 5,134 µg.m-2/day and 1,643 ± 3,974 µg.m-2/day, respectively. Considering the mean biomass (34 mg.m-2) of Chironomus, the lake area (88,156 m²) and the mean excretion rates, the contribution of benthic chironomids to the internal loads would be 181 KgP and 147 KgN. for the sampling months (October-November 1998). These values showed that the internal loads by excretion from Chironomus larvae correspond to approximately 33% of the external loads of phosphorus in the lake and, in the case of nitrogen, to only 5%.

Identification, Preparation, and Characterization of Several Polymorphs and Solvates of Terazosin Hydrochloride

The phenomenon of polymorphism is prevalent in pharmaceuticals, yet it is unusual to identify more than three or four forms for any particular drug. Terazosin hydrochloride has been found to exist at room temperature in four solvent-free forms that can be isolated directly, one solvent-free form that can be prepared by desolvation of a methanolate, a methanol solvate, and a dihydrate. This study presents characterization and methods for preparation of each of these forms. Data are also presented demonstrating the relative stability of these forms.

Annual and short-term variability in primary productivity by phytoplankton and correlated abiotic factors in the Jurumirim Reservoir (São Paulo, Brazil)

The annual variability of the photosynthetic production (PP) by phytoplankton in the lacustrine zone of the Jurumirim Reservoir (São Paulo, Brazil) was evaluated in a three-year study to identify recurrent patterns and their causes. Variability in PP was measured daily during two periods of the year (the dry and rainy seasons). An analysis of the PP data failed to identify a recurrent pattern, since the PP values showed no correlation with hydrological factors (rainfall, water level and discharge, and washout) nor, apparently, with the water’s nutritional conditions. A principal component analysis revealed that the PP and assimilation ratio were higher when the PO4(3-) and N-NH4+ contents were low and the Z EU/Z MIX ratios were at their highest. Areal primary productivity can be predicted based on the ratio between the maximum volumetric productivity and the coefficient of vertical extinction of light. However, the biomass integrated for Z EU was a poor predictor of areal primary productivity. No correlation was found between water temperature and areal and maximum volumetric productivity. Thus, the three-year PP study indicated that the variability pattern is typically chaotic. As for the short-term measurements, the PP was found to be higher in the dry season than in the rainy, although both seasons showed an areal PP variability of 35 to 40%. This pattern was attributed to the daily variation in the nutritional conditions and the magnitude of light penetrating through the water, combined with the mixing of phytoplanktonic cells. A comment about the relationship between primary production by phytoplankton and fish yield is also briefly discussed here.