Gestational diabetes mellitus: The optimal time of delivery.

Gestational diabetes mellitus (GDM) is a common pregnancy complication strongly associated with poor maternal-fetal outcomes. Its incidence and prevalence have been increasing in recent years. Women with GDM typically give birth through either vaginal delivery or cesarean section, and the maternal-fetal outcomes are related to several factors such as cervical level, fetal lung maturity, the level of glycemic control still present, and the mode of treatment for the condition. We categorized women with GDM based on the latter two factors. GDM that is managed without medication when it is responsive to nutrition- and exercise-based therapy is considered diet- and exercise-controlled GDM, or class A1 GDM, and GDM managed with medication to achieve adequate glycemic control is considered class A2 GDM. The remaining cases in which neither medical nor nutritional treatment can control glucose levels or patients who do not control their blood sugar are categorized as class A3 GDM. We investigated the optimal time of delivery for women with GDM according to the classification of the condition. This review aimed to address the benefits and harms of giving birth at different weeks of gestation for women with different classes of GDM and attempted to provide an analytical framework and clearer advice on the optimal time for labor.

Unitary and binary remediations by plant and microorganism on refining oil-contaminated soil.

Refining oil contaminants are complex and cause serious harm to the environment. Remediation of refining oil-contaminated soil is challenging but has significant impact in China. Two plant species Agropyron fragile (Roth) P. Candargy and Avena sativa L. and one bacterium Bacillus tequilensis ZJ01 were used to investigate their efficiency in remediating the refining oil-polluted soil sampled from an oil field in northern China. The simulated experiments of remediations by A. fragile or A. sativa alone and A. fragile or A. sativa combined with B. tequilensis ZJ01 for 39 days and by B. tequilensis ZJ01 alone for 7 days were performed in the laboratory, with B. tequilensis ZJ01 added before or after the germination of seeds. Seed germination rates and morphological characteristics of the plants, along with the varieties of oil hydrocarbons in the soil, were recorded to reflect the remediation efficiency. The results showed that the contamination was weakened in all experimental groups. A. sativa was more sensitive to the pollutants than A. fragile, and A. fragile was much more resistant to the oil hydrocarbons, especially to aromatic hydrocarbons. Adding B. tequilensis ZJ01 before the germination of seeds could restrain the plant growth while adding after the germination of A. fragile seeds notably improved the remediation efficiency. The degradation rate of oil hydrocarbons by B. tequilensis ZJ01 alone was also considerable. Together, our results suggest that the unitary remediation by B. tequilensis ZJ01 and the binary remediation by A. fragile combined with B. tequilensis ZJ01 added after the germination of seeds are recommended for future in situ remediations.

[Effects of Organic Carbon Content on the Residue and Migration of Polycyclic Aromatic Hydrocarbons in Soil Profiles].

The effects of total organic carbon content (TOC) on the migration of polycyclic aromatic hydrocarbons (PAHs) in the soil were investigated. This study analyzed the vertical properties of the concentrations and distributions of PAHs and TOC at various soil profiles from functionally different environmental regions including nature reserves, ploughs, orchards, farmlands, metropolitan areas, and industrial parks. The vertical migration properties of PAHs in soils were examined by conducting leaching experiments in soil columns. The concentrations of PAHs varied from region to region and showed strong, positive correlations with TOC in the same region. Furthermore, based on the leaching experiments, the transport abilities of PAHs were significantly influenced by TOC, although they could all be transported to the deep layers by TOC in soil columns. The downward migration of PAHs decreased with the increase in TOC and vice versa. The properties of the composition and structure of PAHs also had an obvious influence on their residues and migration in soil profiles at the same TOC conditions. In addition, the transport of PAHs was related to the amount of leaching water, the leaching time, and the additional PAHs.