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In this study, we investigated the effects of sodium chloride (concentrations ranging from 0 to 60 g/L) on the performance of sequencing batch reactors (SBRs) using a microbial culture developed from a domestic sewage treatment plant. The lab-scale SBRs were fed with synthetic wastewater (acetate as the organic substrate) containing either sodium chloride solution or seawater to ensure consistency in feed composition. It was found that sodium chloride concentrations of up to 10 g/L stimulated substrate removal. The organic removal efficiency decreased from 96%, when no sodium chloride was added, to 86% when 60 g/L of sodium chloride was introduced into the influent wastewater. Effluent turbidity increased significantly when the sodium chloride concentration in the wastewater was equal to or above 30 g/L even though the sludge volume index (SVI) decreased. The increase in effluent turbidity could be caused by the release of nondissolved cellular components due to plasmolysis of microorganisms as observed by scanning electron microscopy. Experiments involving seawater (with 20 g/L total dissolved solids) showed that organic removal efficiency improved from 87 to 95% while effluent turbidity and SVI values were lowered when the loading rate parameter ([L.sub.i]) was lowered from 0.6 to 0.3 mg total chemical oxygen demand (mg VSS day). Optical microscopy and scanning electron microscopy indicated morphological changes in the microbial population. From this study, it was concluded that microbial culture from domestic wastewater facilities could be acclimated in a SBR to treat wastewater containing sodium chloride concentrations of up to 60 g/L. DOI: 10.1061/(ASCE)0733-9372(2005)131:11(1557) CE Database subject headings: Reactors; Dissolved solids; Chloride; Sea water; Sludge; Turbidity.

Performance stability of a biofilm airlift suspension reactor (BASR) was studied using ethanol as a substrate. The main objective of this research was to investigate the applicability of the reactor as a wastewater treatment process by examining the effects of soluble chemical oxygen demand (SCOD) loading rate and hydraulic retention time (HRT) on the performance of the reactor. SCOD removal of 90% or higher was achieved at an HRT of 45 min with loading rates from 10 to 18 kg SCOD/[m.sup.3] day. Similar results were obtained at HRTs of 60 and 90 min and a SCOD loading rate of 10 kg SCOD/[m.sup.3] day. Nitrification occurred in the system when the ratio of SCOD to ammonia nitrogen was changed from 10:1 to 6:1. The morphology of the biofilm in the BASR was denser and thicker when nitrifiers grew in the biofilm. Filamentous overgrowth was observed from time to time and proper chlorine dose successfully suppressed its growth. The oxygen uptake rate was an effective tool for monitoring the effect of chlorination. CE Database subject headings: Biofilm; Cisterns; Wastewater treatment; Nitrification: Chlorination.

The article discusses the ICD-PM perinatal period deaths classification being developed by the World Health Organization based on existing International Classification of Diseases-10 (ICD-10) codes. Topics include reference to unrecognized stillbirths or neonatal deaths, unifying perinatal death classification system with the contributing maternal factors as well as convened groups of experts such as obstetricians and neonatologists. Also mentioned are ICD-MM codes and the epidemiologists.

Objective: To apply the World Health Organization (WHO) Application of the International Classification of Diseases, tenth revision (ICD-10) to deaths during the perinatal period: ICD-Perinatal Mortality (ICD-PM) to existing perinatal death databases.Design: Retrospective application of ICD-PM.Setting: South Africa, UK.Population: Perinatal death databases.Methods: Deaths were grouped according to timing of death and then by the ICD-PM cause of death. The main maternal condition at the time of perinatal death was assigned to each case.Main Outcome Measures: Causes of perinatal mortality, associated maternal conditions.Results: In South Africa 344/689 (50%) deaths occurred antepartum, 11% (n = 74) intrapartum and 39% (n = 271) in the early neonatal period. In the UK 4377/9067 (48.3%) deaths occurred antepartum, with 457 (5%) intrapartum and 4233 (46.7%) in the neonatal period. Antepartum deaths were due to unspecified causes (59%), chromosomal abnormalities (21%) or problems related to fetal growth (14%). Intrapartum deaths followed acute intrapartum events (69%); neonatal deaths followed consequences of low birthweight/ prematurity (31%), chromosomal abnormalities (26%), or unspecified causes in healthy mothers (25%). Mothers were often healthy; 53%, 38% and 45% in the antepartum, intrapartum and neonatal death groups, respectively. Where there was a maternal condition, it was most often maternal medical conditions, and complications of placenta, cord and membranes.Conclusions: The ICD-PM can be a globally applicable perinatal death classification system that emphasises the need for a focus on the mother-baby dyad as we move beyond 2015.Tweetable Abstract: ICD-PM is a global system that classifies perinatal deaths and links them to maternal conditions. [ABSTRACT FROM AUTHOR]

Objective: We explore preterm-related neonatal deaths using the WHO application of the International Classification of Disease (ICD-10) to deaths during the perinatal period: ICD-PM as an informative case study, where ICD-PM can improve data use to guide clinical practice and programmatic decision-making.Design: Retrospective application of ICD-PM.Setting: South Africa, and the UK.Population: Perinatal death databases.Methods: Descriptive analysis of neonatal deaths and maternal conditions present.Main Outcome Measures: Causes of preterm neonatal mortality and associated maternal conditions.Results: We included 98 term and 173 preterm early neonatal deaths from South Africa, and 956 term and 3248 preterm neonatal deaths from the UK. In the South African data set, the main causes of death were respiratory/cardiovascular disorders (34.7%), low birthweight/prematurity (29.2%), and disorders of cerebral status (25.5%). Amongst preterm deaths, low birthweight/prematurity (43.9%) and respiratory/cardiovascular disorders (32.4%) were the leading causes. In the data set from the UK, the leading causes of death were low birthweight/prematurity (31.6%), congenital abnormalities (27.4%), and deaths of unspecified cause (26.1%). In the preterm deaths, the leading causes were low birthweight/prematurity (40.9%) and deaths of unspecified cause (29.6%). In South Africa, 61% of preterm deaths resulted from the maternal condition of preterm spontaneous labour. Among the preterm deaths in the data set from the UK, no maternal condition was present in 36%, followed by complications of placenta, cord, and membranes (23%), and other complications of labour and delivery (22%).Conclusions: ICD-PM can be used to appraise the maternal and newborn conditions contributing to preterm deaths, and can inform practice.Tweetable Abstract: ICD-PM can be used to appraise maternal and newborn contributors to preterm deaths to improve quality of care. [ABSTRACT FROM AUTHOR]

Objective: The WHO application of the tenth edition of the International Classification of Diseases (ICD-10) to deaths during the perinatal period (ICD Perinatal Mortality, ICD-PM) captures the essential characteristics of the mother-baby dyad that contribute to perinatal deaths. We compare the capture of maternal conditions in the existing ICD-PM with the maternal codes from the WHO application of ICD-10 to deaths during pregnancy, childbirth, and the puerperium (ICD Maternal Mortality, ICD-MM) to explore potential benefits in the quality of data received.Design: Retrospective application of ICD-PM.Setting: South Africa and the UK.Population: Perinatal death databases.Methods: The maternal conditions were classified using the ICD-PM groupings for maternal condition in perinatal death, and then mapped to the ICD-MM groupings of maternal conditions.Main Outcome Measures: Main maternal conditions in perinatal deaths.Results: We reviewed 9661 perinatal deaths. The largest group (4766 cases, 49.3%) in both classifications captures deaths where there was no contributing maternal condition. Each of the other ICD-PM groups map to between three and six ICD-MM groups. If the cases in each ICD-PM group are re-coded using ICD-MM, each group becomes multiple, more specific groups. For example, the 712 cases in group M4 in ICD-PM become 14 different and more specific main disease categories when the ICD-MM is applied instead.Conclusions: As we move towards ICD-11, the use of the more specific, applicable, and relevant codes outlined in ICD-MM for both maternal deaths and the maternal condition at the time of a perinatal death would be preferable, and would provide important additional information about perinatal deaths.Tweetable Abstract: Improving the capture of maternal conditions in perinatal deaths provides important actionable information. [ABSTRACT FROM AUTHOR]

Maternal mortality continues to be the major cause of death among women of reproductive age in many countries. Data from published studies and Demographic and Health Surveys show that gains in reducing maternal mortality between 1990 and 2005 have been modest overall. In 2005, there were about 536,000 maternal deaths, and the maternal mortality ratio was estimated at 400 per 100,000 live births, compared to 430 in 1990. Noteworthy declines took place in east Asia (4% per year) and north Africa (3% per year). Maternal deaths and mortality ratios were highest in sub-Saharan Africa and southeast Asia and low in east Asia and Latin America/Caribbean. In 11 of 53 countries with data, fewer than 25% of women had had at least four antenatal visits. About 63% of births were attended by a skilled attendant: from 47% in Africa to 88% in Latin America/Caribbean. In 16 of 23 countries with data, less than 50% of the recommended levels of emergency obstetric care had been fulfilled. Only 61% of women who delivered in a health facility in 30 developing countries received post-partum care, and far fewer who gave birth at home. Countries with maternal mortality ratios of 750+ per 100,000 live births shared problems of high fertility and unplanned pregnancies, poor health infrastructure with limited resources and low availability of health personnel. The task ahead is enormous. [ABSTRACT FROM AUTHOR]

Dominance rank, morphological characteristics and reproductive success of adult males were measured in a multi-male multi-female group of urban feral cats ( Felis catus L.). Paternity of nine litters (34 kittens) of the domestic cat from six females was determined through microsatellites analyses at nine loci. The percentage of multiple paternities in this social group was as high as 78%. A positive correlation was found between male size/body weight and dominance. The males who sired the highest number of kittens were the dominant ones. Additionally, dominant males were more likely to be infected by the feline immunodeficiency virus, a virus transmitted by bites through aggressive interactions. Thus this study demonstrates that rank and body weight were both important in predicting the annual reproductive success. However, it shows that the reproductive benefit associated to rank may be balanced by cost due to at-risk aggressive behaviour of dominant males. [ABSTRACT FROM AUTHOR]

Performance stability of a biofilm airlift suspension reactor (BASR) was studied using ethanol as a substrate. The main objective of this research was to investigate the applicability of the reactor as a wastewater treatment process by examining the effects of soluble chemical oxygen demand (SCOD) loading rate and hydraulic retention time (HRT) on the performance of the reactor. SCOD removal of 90% or higher was achieved at an HRT of 45 min with loading rates from 10 to 18 kg SCOD/m[sup 3] day. Similar results were obtained at HRTs of 60 and 90 min and a SCOD loading rate of 10 kg SCOD/m[sup 3] day. Nitrification occurred in the system when the ratio of SCOD to ammonia nitrogen was changed from 10:1 to 6:1. The morphology of the biofilm in the BASR was denser and thicker when nitrifiers grew in the biofilm. Filamentous overgrowth was observed from time to time and proper chlorine dose successfully suppressed its growth. The oxygen uptake rate was an effective tool for monitoring the effect of chlorination. [ABSTRACT FROM AUTHOR]

Abstract Populations of fallow deer, in general, have low genetic diversity. Nevertheless, we screened 39 microsatellite loci and identified 20 that were polymorphic and suitable to determine paternity of fallow deer. To date, paternity has been studied for 87, 110 and 152 fallow deer fawns born between 2000 and 2002. Our results confirm the existence of a strong polygynous mating system in our population and confirm that the number of copulations performed by males is globally a good estimator of their reproductive success: males which performed the largest proportion of matings fathered the largest proportion of fawns. Nevertheless, we report some differences between the two measurements of the males’ reproductive success: measures of copulatory success underestimated the variance of the males’ reproductive success. On average, males whose copulatory score exceeded their paternity had mated with a higher proportion of younger females. Young females may be more likely to lose the conceptus, or their offspring may suffer high postnatal mortality. [ABSTRACT FROM AUTHOR]

This study aimed to evaluate the success of a project in achieving community participation in efforts to improve perinatal health. A 10-step structured process was used to work with a community in Istanbul, Turkey. To evaluate the success of the project in achieving community participation, five key indicators were selected: (i) participation of the community group in decision making; (ii) gains in knowledge and skills of the community group; (iii) continuity of the community group; (iv) continuation of the health program by the community group; and (v) initiation of new support and advocacy activities. From the beginning, community members participated in all decisions regarding the group activities. In the early months, project staff had more of a guiding role, but, over time, the community members became active decision-makers. Over the course of the project they learned how to identify community health problems, and to design, implement and evaluate interventions to address those problems. Four years later, meetings and activities of the group are continuing. The antenatal education course developed by the group continues to be offered at a local community centre. Community members are now completely responsible for promoting the course, communication with participants, planning the courses, making preparations for the sessions, as well as teaching non-technical topics. Course participants have developed ongoing support networks and have begun to advocate for better perinatal health services in the community. Working with a community is an intensive, time-consuming process. The results of this project indicate that the benefits, both in terms of health outcomes and in terms of increases in community capacity, can be well worth the effort. [ABSTRACT FROM AUTHOR]