Mycobacteria and allograft heart valve banking: an international survey.

Since the 1970s many tissue banks have been testing allograft heart valves (HVs) for Mycobacterium tuberculosis (MTB). Donor selection for low risk of tuberculosis (TB) was introduced in the 1980s and appears to have reduced the risk of TB transmission. Regulatory guidance does not specify testing for TB, but does exclude donors with a recent history of TB. This survey of HV international bank practices revealed variations in donor selection, testing and processing of valves. Participant banks (from Europe and the USA) reported that over a period of 15 years, HV tissues from 38,413 donors were banked and 32,289 donors were tested for TB, none being positive. HV-associated tissue from 27,840 donors was stained and underwent microscopy; none of these were positive for acid-fast bacilli (AFB). Non-tuberculosis mycobacteria (NTBM) were detected by culture on 24 HVs. It is recommended that HV banks employ donor selection to exclude donors at risk of TB, to culture material for mycobacteria, and to investigate potential sources when clusters of NTBM are found to facilitate corrective and preventative actions.

Ecological consequences of dredged material disposal in the marine environment: a holistic assessment of activities around the England and Wales coastline.

This study provides a holistic perspective on the ecological effects of dredged material disposal, both intertidally and subtidally. A number of numerical techniques (univariate, distributional, multivariate and meta-analysis) were used to assess impacts at 18 different disposal sites. The analyses revealed that ecological effects associated with dredged material disposal were dependent on the numerical techniques used, and that impacts were disposal-site specific. Disposal-site communities were generally faunistically impoverished to varying degrees, and impacts following intertidal placement were comparable to those of subtidal placement. We conclude that any assessment of the consequences of dredged material disposal to the coastal environment must take account of site-specific variation in prevailing hydrographic regimes and in ecological status, along with information on the disposal activity itself (mode, timing, quantity, frequency and type of material). As would be expected, variability in the latter presents a significant challenge in attempts to generalise about environmental and ecological impacts.

Transfusion-associated graft-versus-host disease and its prevention.

Transfusion-associated graft-versus-host disease is a rare but usually fatal complication of transfusion of cellular blood components, caused by multiorgan engraftment and proliferation of donor T lymphocytes. The classical features of skin rash, diarrhoea and hepatitis, along with striking bone-marrow failure, are seen 1-2 weeks after transfusion. Although early reports described the condition only in immunosuppressed individuals, sharing of an HLA haplotype between donor and an immunocompetent recipient can also result in transfusion-associated graft-versus-host disease. The condition is entirely preventable by gamma irradiation of cellular blood components to 25 Gy, although this results in some reduction of red-cell viability and increased loss of red-cell potassium. The major indications for irradiated blood components include bone marrow/stem cell auto- or allografting, Hodgkin's disease, intrauterine transfusions, and transfusions from relatives or HLA-selected platelet donors.

Safety aspects of cord blood banking.

The safety of cord blood for transplantation depends upon a considered approach to donor selection, testing and processing of donations. It should be undertaken within a total quality system and good manufacturing practice facilities. Protocols should be developed based upon risk assessment and cost efficiency. In this context the retesting of donors for HIV is considered and the risk of a serological window period HIV transmission by cord blood illustrated to be minimal compared to the risks of transplant procedures or of not having a donor.

Needle modifications for invasive fetal procedures.

OBJECTIVE: To investigate the effect of needle size and siliconization on fetal blood sampling, transfusion, and electrocardiography. METHODS: Standard needles were modified by increasing the internal (but not the external) diameter and either siliconization of the bore or external Teflon coating. The siliconized needles were subjected to a series of flow experiments with either blood or saline at various driving pressures, and assessed in clinical use during fetal transfusion and fetal blood sampling. The Teflon-coated needles were used for fetal transfusion to try and facilitate the fetal electrocardiogram (ECG). RESULTS: Under conditions simulating fetal transfusion, the siliconized needle allowed a 93% increase in flow rate compared to the standard needle (P < .05). Samples obtained after fetal transfusion with the siliconized needles were free of clots, whereas 50% of the post-transfusion samples with the standard needle had clots present. Similarly, samples taken for fetal platelet count were free of platelet clumping and clots with siliconized needles, but not with standard needles. Fetal ECG recordings were recorded successfully when Teflon-coated needles were used to access the fetal circulation via the intrahepatic vein. CONCLUSIONS: Modifications to standard needles improved blood flow and reduced the activation of coagulation during both fetal intravascular transfusion and platelet count measurement. Direct fetal ECG recording was facilitated by Teflon coating the external surface of the needle, insulating the fetal signal from maternal electrical signals.

The influence of temperature and salinity on energy partitioning in the marine nematode Diplolaimelloides bruciei.

Measurements of population growth, generation time, fecundity and respiration in laboratory culture have been made, in relation to temperature and salinity, for the nematode Diplolaimelloides bruciei Hopper, a species normally associated with decayed material of the marsh grass Spartina. The intrinsic rate of increase (r) is high: it is related to temperature between 5° and 25°C by a sigmoid function which is steepest between 10° and 15°C, and is maximum at 26‰ salinity. Generation time is related to temperature by a power function and is shortest at 26‰ salinity. The effect of temperature on generation time is consistent with other data for marine nematodes, and the steep slope of r against temperature is largely due to the marked effect of temperature on fecundity. A sex ratio of 2:1 in favour of males is maintained regardless of culture conditions or population density. Respiration increases exponentially with temperature between 5° and 25°C, with a very high Q10 (3.94), but is not affected by salinity. At 30°C respiration is no higher than at 25°C.A high and relatively stable production efficiency (P/A) is maintained between 10 and 30°C with a maximum of 87% at 15°C; there is a stable reproductive effort (Pr/A) of about 10%. At 5°C both these ratios are zero. Data for the harpacticoid copepod Tachidius discipes, derived from the literature, show that this too has a high and stable production efficiency, which may be a characteristic of meiofaunal species in general, but in this species efficiency is relatively high at 5°C. Many features of the energy balance in D. bruciei can be related to an opportunistic mode of life.

The size distribution of organisms in the Celtic Sea: from bacteria to Metazoa.

The main features of the size distribution of pelagic and benthic organisms are described, with particular reference to comprehensive studies at a single station, CS2, in the Celtic Sea. These are: 1. A more or less even distribution of biomass in all size classes of pelagic autotrophs. 2. Five size groups of pelagic heterotrophs separated from each other by roughly 103 differences in individual weight, with three well-defined gaps in the size spectrum between the four smallest size modes. 3. Benthic organisms with three size modes, the microbial peak between the two smallest pelagic modes, the meiofaunal peak between the size of pelagic ciliates and herbivorous macrozooplankton, and the macrobenthic peak at about the same size as the carnivorous macrozooplankton. Differences in the positions of the microbial peaks are thought to be associated with the different nutritional environments of free-living and surface-attached bacteria. Other features of the pelagic heterotroph spectrum are explicable in terms of the known limits to size ratios between prey and predator for suspension feeders. These limits do not apply to the benthos, the size distribution of which is largely determined by physical constraints of the sedimentary environment and the optimisation of size-related life history characteristics. Thus, constraints on body size are entirely different in the two systems, and we see little evidence for coupling between the pelagos and benthos which might result in complementary patterns of size distribution, except perhaps for interactions between the pelagic larvae of macrobenthos and the permanent macrozooplankton at the upper end of the size spectrum.

The effect of temperature on the respiration rate of meiofauna.

The effect of temperature on respiration rate has been established, using Cartesian divers, for the meiofaunal sabellid polychaeteManayunkia aestuarina, the free-living nematodeSphaerolaimus hirsutus and the harpacticoid copepodTachidius discipes from a mudflat in the Lynher estuary, Cornwall, U.K. Over the temperature range normally experienced in the field, i.e. 5-20° C the size-compensated respiration rate (R c) was related to the temperature (T) in °C by the equation Log10 R c=-0.635+0.0339T forManayunkia, Log10 R c=0.180+0.0069T forSphaerolaimus and Log10 R c=-0.428+0.0337T forTachidius, being equivalent toQ 10 values of 2.19, 1.17 and 2.17 respectively. In order to derive the temperature response forManayunkia a relationship was first established between respiration rate and body size: Log10 R=0.05+0.75 Log10 V whereR=respiration in nl·O2·ind-1·h-1 andV=body volume in nl.TheQ 10 values are compared with values for other species derived from the literature. From these limited data a dichotomy emerges: species with aQ 10≏2 which apparently feed on diatoms and bacteria, the abundance of which are subject to large short term variability, and species withQ 10≏1 apparently dependent on more stable food sources.

Quantifying structural redundancy in ecological communities.

In multivariate analyses of the effects of both natural and anthropogenic environmental variability on community composition, many species are interchangeable in the way that they characterise the samples, giving rise to the concept of structural redundancy in community composition. Here, we develop a method of quantifying the extent of this redundancy by extracting a series of subsets of species, the multivariate response pattern of each of which closely matches that for the whole community. Structural redundancy is then reflected in the number of such subsets, which we term "response units", that can be extracted without replacement. We have applied this technique to the effects of the Amoco-Cadiz oil-spill on marine macrobenthos in the Bay of Morlaix, France, and to the natural interannual variability of macrobenthos at two stations off the coast of Northumberland, England. Structural redundancy is shown to be remarkably high, with the number and sizes of subsets being comparable in all three examples. Taxonomic/functional groupings of species within the differing response units change in abundance in the same way over time. The response units are shown to possess a wide taxonomic spread and, using two different types of randomisation test, demonstrated to have a taxonomically and functionally coherent structure. The level of structural redundancy may therefore be an indirect measure of the resilience or compensation potential within an assemblage.

Species size distributions in marine benthic communities.

Species body size distributions from eight temperate benthic communities show a highly conservative pattern with two separate lognormal distributions, corresponding to the traditional categories of meiofauna and macrofauna. The meiofaunal mode occurs at a dry body weight of 0.64 µg and the macrofaunal mode at 3.2 mg, with a trough between them at 45 µg. It is suggested that there is a particular body size at which meiofaunal life-history and feeding traits can be optimised, and another for macrofaunal traits. As size departs in either direction (larger or smaller) from these optima, fewer species of the same size are able to co-exist. The split occurs at 45 µg because many life history and feeding characteristics switch more or less abruptly at about this body size, compromise traits being either non-viable or disadvantageous. Meiofauna and macrofauna therefore comprise two separate evolutionary units each with an internally coherent set of biological characteristics.The expression of this conservative pattern is modified by water depth: the proportion of macrofauna species increases from intertidal situations to deeper water, and it is suggested that mechanisms of resource partitioning and diversity maintainence in the meiofauna and macrofauna are affected differentially by sediment disturbance. Salinity does not affect this proportionality, and so does not differentially affect mechanisms for maintaining species diversity in any particular size category of animals. Meiofauna species size distributions may be modified in sandy sediments because of physical impositions on interstitial or burrowing lifestyles.Brief discussion of some implications of these observations includes speculations on the larval ecology of macrofauna, on gigantism in Antarctic invertebrates, and on the benthic Sheldon spectrum.

Evidence for the effects of metal contamination on the intertidal macrobenthic assemblages of the Fal Estuary.

The intertidal invertebrate macrofauna of five creeks in the Fal estuarine system, Cornwall, UK, is compared with data from 40 locations in six other estuaries in south-west Britain. Multivariate analysis shows that the community composition in the Fal is distinct from all the other estuaries. The differences are principally due to the absence of two crustacean species, Corophium voluntator and Cyathura carinata, and the high abundance of small opportunistic annelid species. The Fal Estuary is heavily contaminated with heavy metals as a result of mining in the catchment, and the faunistic features are commensurate with what is known of the relative sensitivities of marine invertebrate taxa to pollution.

The banking of arterial allografts in the United kingdom. A technical and clinical review.

The standard graft materials for reconstructive vascular surgery are autologous vessels and synthetic prostheses. However, the clinical results are unsatisfactory when the diameter of the required graft is less than 6 mm and attention has therefore been directed to the possibility of using vascular allografts when autologous conduits are not available. In this review, we consider the evidence that cryopreserved allogeneic vessels might meet this need. Other factors being equal, the literature suggests that arteries will give superior performance to veins when grafted into the arterial circulation. Conventional cryopreservation techniques have been developed and these can provide structurally intact and functional small elastic arteries in animal experiments. We conclude that cryopreservation per se produces only modest injury which may well be recoverable following grafting. However, both experimental and clinical studies suggest that immunological injury is a greater problem. Nevertheless, the general indication is that appropriate risk-benefit analysis in individual cases will justify the clinical use of cryopreserved allograft vessels. Immunosuppression with careful immunological monitoring may be justified in the more desperate clinical situations. Finally we conclude that the existing tissue bank network in the United Kingdom is well placed to provide surgeons with such tissue.

Freeliving marine nematodes as a pollution indicator of the Bohai Sea.

A hierarchical diversity index--taxonomic distinctness index delta+, which was first defined by Warwick and Clark in 1998, was employed to evaluate the pollution status of the Bohai Sea with freeliving marine nematodes. The result showed that the Bohai Bay and other coastal sampling sites might be affected by oil and gas production and other anthropogenic influences. In other words, anthropogenic disturbance was affecting this component of the benthos in these locations. And most offshore sampling sites in the middle of the Bohai Sea were clear and unpolluted.

The use of benthic macroinvertebrates to establish a benchmark for evaluating the environmental quality of microtidal, temperate southern hemisphere estuaries.

Establishment of a benchmark against which deleterious changes to an estuary can be evaluated requires validating that it has not been subjected to detrimental anthropogenic perturbations and then identifying the biological features which are indicative of a pristine condition and can thus be employed as indicators for detecting and monitoring departures from the natural state. The characteristics of the benthic macroinvertebrate fauna of an essentially pristine, seasonally-open estuary in Western Australia (Broke Inlet) have been determined and compared with those previously recorded for a nearby eutrophic, seasonally-open estuary (Wilson Inlet). Density was far lower in Broke than Wilson. Compositions differed radically at all taxonomic levels, with polychaetes contributing less, and crustaceans more, to the abundance in Broke. Average taxonomic distinctness was greater for Broke than both Wilson and 16 other temperate southern hemisphere estuaries, whereas the reverse was true for variation in taxonomic distinctness, emphasizing that Broke Inlet is pristine.

Benthic macroinvertebrates as indicators of environmental deterioration in a large microtidal estuary.

This study tested the hypothesis that, during recent years, the benthic macroinvertebrate fauna of the large basin of the Swan-Canning Estuary has changed in ways consistent with deteriorating environmental conditions in that estuary. Between 1986/7 and 2003/4, the compositions of that fauna altered markedly at the species and even family levels. Thus, the densities and number of species of molluscs, and especially of crustaceans, which are particularly susceptible to environmental stress, declined, while those of the more tolerant polychaetes increased. However, taxonomic distinctness declined consistently only at one of the four widely-spaced sampling sites and the dispersion of samples did not differ markedly between periods, indicating that the benthic fauna has not undergone such extreme changes as in the nearby Peel-Harvey Estuary. It is thus proposed that benthic macroinvertebrates can act as important indicators of the severity of environmental degradation in microtidal estuaries in regions where such perturbations are increasing.

The structure and functioning of the benthic macrofauna of the Bristol Channel and Severn Estuary, with predicted effects of a tidal barrage.

The severity of the physical regime in the hypertidal Severn Estuary and Bristol Channel decreases in intensity in the seaward direction. As a result, the diversity of benthic macrofaunal species is very low in the Estuary and Inner Channel, but is still relatively low in the Outer Channel compared with more benign conditions elsewhere in the UK. Nevertheless, the taxonomic spread of species (taxonomic distinctness) throughout the area is no lower than expected. Barrage construction would result in an increase in the area of soft sediment relative to hard bottom benthic assemblages and the disappearance of reduced communities seaward of the barrage, although the time-scale of such a change is not known. Above the barrage the overall species richness, density and biomass of the benthos are likely to increase, factors that will ameliorate the loss of inter-tidal area.

Changes in the benthic macroinvertebrate fauna of a large microtidal estuary following extreme modifications aimed at reducing eutrophication.

An artificial channel was opened in 1994 between the microtidal Peel-Harvey Estuary and the Indian Ocean to increase tidal exchange and thus ameliorate the problems of eutrophication. Although this greatly reduced macroalgal and cyanobacterial growths and the amount of particulate organic matter, our data indicate that, contrary to managerial expectations, the benthic environment has deteriorated. Thus, although macroinvertebrate density has declined as predicted, taxonomic distinctness (Delta( *)) has also declined and species composition has become more variable. Macroinvertebrate composition has also changed markedly at the species, family and even phylum levels. The Crustacea, the most sensitive of the major macrobenthic taxa to environmental stress, has become proportionally less abundant and speciose, whereas the Polychaeta, the least sensitive, was unique in showing the reverse trend. The benthos of the Peel-Harvey Estuary is thus apparently more stressed than previously, probably due to the multiple effects of a great increase in system use.