Aicardi syndrome in a male patient

Aicardi syndrome ( OMIM 304050) is defined by the clinical triad of early-onset infantile spasms, agenesis of the corpus callosum and chorioretinal lacunae. Almost all patients are females showing severe cognitive and physical disabilities, and early onset seizures. Astrocytic inclusions containing filamin have been found, but the molecular defect in Aicardi syndrome is not yet known. We report a male patient with Aicardi syndrome characterised by agenesis of the corpus callosum, infantile spasms, chorioretinal lacunae, severe psychomotor retardation, periventricular heterotopias, and patent ductus arteriosus. As the latter two symptoms are suggestive of a mutation in the FLNA gene encoding filamin A, this gene was sequenced, but the sequence did not reveal a disease-causing mutation.

Design of self-cleansing sanitary sewer systems with the use of flushing devices

Many European countries tend to shift from constructing combined sewer systems to separate ones, in order to optimise wastewater treatment efficiency and reduce CSO impact on surface waters. An economic design minimises maintenance requirements by aiming at self-cleansing pipes. However, providing the necessary slopes for self-cleansing sanitary sewer pipes often is unfeasible in flat regions, resulting in an increased risk of loss of hydraulic capacity or blocking. To reduce these risks, flushing tanks can be installed in the sewer system. Where most other researchers contribute to a better understanding of the hydraulics of flushing, this paper rather tries to formulate a methodology to design and test flushing devices in sanitary sewer systems using standards and hydrodynamic simulations. Therefore, several aspects that require consideration when incorporating flushing devices into a sanitary sewer system are discussed. For instance, when flushing sanitary sewers the increase in discharge has to be explicitly considered. A Belgian case study is used to investigate the suitability of the developed methodology. Although the pipe slopes in the methodology are derived assuming uniform flow, the simulation results comply with it. Furthermore, pressurisation of the conduits due to multiple flushing waves remains within acceptable limits.

Modelling hydrological effects of wetland restoration: a differentiated view

The paper presents findings of a conjunctive hydrological and ecological study into habitat restoration and catchment hydrology. Physically-based, fully distributed hydrological modelling was coupled with spatial analysis and wetland scenario generation techniques to simulate potential effects of restoring lower, middle, and upper catchment wetlands. In the past, anthropogenic interference of this catchments' landscape for agriculture and settlement has left most wetland areas drained, and brought the natural functioning of the ecosystem into conflict with human needs. Many eco-hydrology studies conclude that such disturbances result in a more extreme hydrological regime. The study objectives were to develop and study innovative methods for habitat restoration, and understand the potential hydrological impacts of each approach. The study aims to analyze the scenarios and whether the hydrological response is influenced by the topological placement of the restoration sites. Land-use change scenarios are developed on the basis of physical characteristics and consider the credibility of transitions from current land-use. This study focused on the position of the wetlands in the catchment and hydrological typology. Wetland restoration scenarios are created for different geographical settings within the catchment. A distinction is made between groundwater dependent wetlands and wetlands that are influenced by in-stream water tables or surface water inundations. Results show that there is little effect on the total annual water budget. The results point to river valley rewetting as having the effect of decreasing the paved overland component of stream flow, and increasing the saturated zone flow component. It promoted groundwater recharge. There was no increase of peak flows due to headwater wetlands, contrary to some sources (Bullock & Acreman 2003). The catchments' actual evapotranspiration and root zone water responses were found to be varied over the analysis points, and were the consequence of a number of factors. As a second conclusion we point out the main knowledge gaps and demerits that could compromise the modelling exercise. Land-use classification for hydrological modelling is subject to important ambiguities. Different maps often have different class definitions and methods for classification. Many in-between land use/land cover types do not fit any particular class definition in map classification. Wetlands were often found to be classified as grassland, leaf forest, or open water. How do we deal with the diversity of wetland types and how to incorporate their specific hydrological behaviour in models? These issues will be thoroughly illustrated for the case of the Grote Nete and put in a larger perspective.

Science-policy interfacing in support of the Water Framework Directive implementation

Many current water-related RTD projects have established operational links with practitioners, which allow the needs of policy makers to be taken into account. However, RTD results are not easily available to water policy implementers and research scientists may lack insight in the needs of policy makers and implementers (i.e. the European Commission and water managers). The SPI-Water project worked out a number of concrete actions to bridge these gaps in communication by developing and implementing a 'science-policy interface', enhancing the use of RTD results in the Water Framework Directive (WFD) implementation. This project is part of a wider EC perspective aiming to bridge the gap between science and policy, specifically with respect to the WFD implementation. As a first action, existing science-policy links are investigated. RTD and LIFE projects that are of direct relevance for the implementation of the WFD are identified and analysed. Secondly, an information system (Harmoni-CA's WISE RTD Web Portal) has been further developed to cater for an efficient and easy to use tool for dissemination as well as retrieval of RTD results. As third action, this science-policy interfacing of WFD related topics are extended to non-EU countries taking into account their specific needs.

Evaluation of three different antigens in an indirect enzyme-linked immunoassay for the detection of antibodies against Brucella abortus SRB51 in vaccinated heifers

The live attenuated Brucella abortus SRB51 (SRB51) is a partial O-chain-deprived mutant. The relative lack of the polysaccharide prevents it from inducing antibodies detectable by most of the serological tests used for the diagnosis of bovine brucellosis. The performance of three antigens used in an indirect enzyme-linked immunoassay test for detecting SRB51 antibodies were evaluated. A homogeneous group of twenty-five 10-month-old Hereford heifers was used. The animals were bled on day 0 and then subcutaneously vaccinated with 2 ml of a commercially available SRB51 vaccine (Schering-Plough) containing 1x10(7) to 3.4x10(7) viable cells. Blood samples without anticoagulant for sera obtaining were then collected at days 30, 90, 210 and 360 post-vaccination. To detect the SRB51 antibodies, Brucella ovis hot saline extract, B. ovis RLPS (RLPS), and SRB51-RLPS were used. The buffered antigen plate agglutination test and an indirect enzyme-linked immunoassay (I-ELISA) using the smooth LPS (SLPS) antigen from B. abortus were used as control tests. All the sera samples were negative in the BPA test and in the standard I-ELISA using the SLPS. The SRB51-RLPS and the B. ovis RLPS antigens performed better than the B. ovis hot saline extract antigen.

Probabilistic modelling of overflow, surcharge and flooding in urban drainage using the first-order reliability method and parameterization of local rain series

Failure of urban drainage systems may occur due to surcharge or flooding at specific manholes in the system, or due to overflows from combined sewer systems to receiving waters. To quantify the probability or return period of failure, standard approaches make use of the simulation of design storms or long historical rainfall series in a hydrodynamic model of the urban drainage system. In this paper, an alternative probabilistic method is investigated: the first-order reliability method (FORM). To apply this method, a long rainfall time series was divided in rainstorms (rain events), and each rainstorm conceptualized to a synthetic rainfall hyetograph by a Gaussian shape with the parameters rainstorm depth, duration and peak intensity. Probability distributions were calibrated for these three parameters and used on the basis of the failure probability estimation, together with a hydrodynamic simulation model to determine the failure conditions for each set of parameters. The method takes into account the uncertainties involved in the rainstorm parameterization. Comparison is made between the failure probability results of the FORM method, the standard method using long-term simulations and alternative methods based on random sampling (Monte Carlo direct sampling and importance sampling). It is concluded that without crucial influence on the modelling accuracy, the FORM is very applicable as an alternative to traditional long-term simulations of urban drainage systems.

Generation of a flat-top laser beam for gravitational wave detectors by means of a nonspherical Fabry-Perot resonator

We have tested a new kind of Fabry-Perot long-baseline optical resonator proposed to reduce the thermal noise sensitivity of gravitational wave interferometric detectors--the "mesa beam" cavity--whose flat top beam shape is achieved by means of an aspherical end mirror. We present the fundamental mode intensity pattern for this cavity and its distortion due to surface imperfections and tilt misalignments, and contrast the higher order mode patterns to the Gauss-Laguerre modes of a spherical mirror cavity. We discuss the effects of mirror tilts on cavity alignment and locking and present measurements of the mesa beam tilt sensitivity.

Safety and Immunogenicity of Early Vaccination with Two Doses of Tetravalent Measles-Mumps-Rubella-Varicella (MMRV) Vaccine in Healthy Children from 9 Months of Age

BACKGROUND

This open, randomized, controlled study [208136/018] assessed the safety and immunogenicity of early vaccination with an experimental tetravalent measles-mumps-rubella-varicella (MMRV) vaccine (GlaxoSmithKline Biologicals) compared to concomitant administration of separate licensed MMR (Priorix) and varicella (Varilrix) vaccines (MMR+V).

METHODS

Vaccines were administered as a two-dose course in healthy children at 9 and 12 months of age (N = 153 in the MMRV group and N = 146 in the MMR+V group).

RESULTS

The incidence of fever of any intensity (axillary temperature > or = 37.5 degrees C) during the 15 days of follow-up post-dose 1 was higher in the MMRV group than in the MMR+V group (48.3% vs 25.7%, respectively) but was low in both groups post-dose 2 (20.3% and 22.1%, respectively). The incidence of fever > 39.0 degrees C and the incidence of solicited local symptoms (pain, redness, swelling) were low ( < or = 5.3% and < or = 13.7%, respectively) in the two groups after each vaccine dose. Seroconversion rates were similar in the two groups for all vaccine antigens after each vaccine dose and were > or = 99.2% for each antigen post-dose 2. Anti-measles GMT was higher in the MMRV group than in the MMR+V group after the first vaccine dose. After the second dose, slight to moderate increases in measles, mumps and rubella antibody titers and a substantial increase in varicella antibody titer were seen in both groups, leading to higher GMTs in the MMRV group compared with the MMR+V group for measles, mumps and varicella. Anti-rubella antibody GMTs were similar in the two groups post-dose 2.

CONCLUSION

Early vaccination with two doses of this experimental MMRV vaccine at 9 and 12 months of age was well-tolerated and at least as immunogenic as two doses of separate licensed MMR and varicella vaccines.

The effects of insole configurations on forefoot plantar pressure and walking convenience in diabetic patients with neuropathic feet

BACKGROUND

The aim of this study was to evaluate the effects of insole configurations on plantar pressures and on walking convenience in patients with diabetic neuropathy.

METHODS

Twelve different insole configurations were constructed for each of 20 patients with diabetic neuropathy. For this, different combinations of a metatarsal dome, varus and valgus wedges and arch supports with different heights were added on a fitted basic insole. Foot orthoses were evaluated while patients walked on a treadmill. Plantar pressure was measured with a Pedar Insole-system. Walking convenience was scored on a 10-point scale.

FINDINGS

For the central and medial regions, plantar pressure reductions (up to 36% and 39%, respectively) were found when using a dome, standard and extra supports. The largest reductions were achieved with combination of a dome and extra support. There were no statistically significant pressure reducing effects of the insole configurations in the big toe and lateral regions, except for the effect of the combination extra support/varus wedge (21%), and for a dome (10%), respectively. The basic insole and a standard support received the best ratings for walking convenience and gradually worsened by adding extra support, a varus wedge and a dome.

INTERPRETATION

A dome and the supports reduce plantar pressure in the central and medial forefoot. The combination of a dome and extra support seems to be the best choice for the construction of insoles. The results of this study are a step towards developing an evidence-based algorithm for the construction of optimal orthoses in therapeutic shoe design.

Random number generator or sewer water quality model?

Integrated urban drainage modelling and environmental impact assessment require sewer emission models to be linked with submodels for treatment infrastructure and receiving rivers. The uncertainty in current water quality modelling is, however, huge, and environmental impact assessment looses more and more credibility. Based on an integrated modelling case for a combined sewer-WWTP-river system, it is shown in the paper that the integrated model does not produce more accurate results in comparison with the random simulation of emission concentrations from a frequency distribution. This should, however, not pose a serious problem as in most applications of impact assessment, model results are not needed in real time but in statistical terms. Further investigation makes clear that detail/sophistication in water quality modelling is not so important, but that more focus has to be given to long-term simulations, the use of parsimonious models and model validation based on concentration frequencies.

100 years of Belgian rainfall: are there trends?

In 1999 the digitisation of old rainfall records of measurements at Uccle (Belgium) was completed, which resulted in a unique rainfall series of 100 years (period 1898-1997). This is an ideal opportunity to search for trends in the rainfall over the last century. Large variations in rainfall probability over the century have been observed. For small aggregation levels there is a small decrease in extreme rainfall events over the century. For large aggregation levels there is a more explicit increase in extreme rainfall. Because the rainfall on seasonal aggregation level is only slightly increased, the increase in extreme rainfall events for aggregation levels between a few days and a few months can only occur due to larger clustering. However, the final conclusion is that no significant trend can be observed. A pure random variation of the rainfall can cause equally large variations. This does not exclude a possible trend in flooding frequency, due to the strong increase in urbanisation over the last century.

Probabilistic emission and immission modelling: case-study of the combined sewer-WWTP-receiving water system at Dessel (Belgium)

The impact of the combined urban drainage and WWTP system of the village of Dessel (Belgium) on the Witte Nete receiving water is modelled both in terms of emissions and immissions. The hydrodynamic and water quality modelling is performed both in a deterministic and probabilistic way. For the deterministic modelling, detailed physically based and simplified conceptual models are used in a complementary way. In the probabilistic modelling, the different uncertainties in the deterministic model are classified in input uncertainties, parameter uncertainties and model-structure uncertainties. The probabilistic simulation results can be used in risk analysis and management, for the determination of the major uncertainty-sources and priorities in model improvement, for model bias elimination and for efficient model calibration.