Patchiness of plankton ecosystem structure due to nutrient mixing along the shelf edge in the North Sea.

Mid-water column turbulence has been shown to cause elevated vertical nutrient flux at the shelf edge in the northeastern North Sea. Here, we demonstrate that phytoplankton communities in this region tend to be dominated by larger cells (estimated from percentage of chlorophyll captured on a 10 μm filter) than beyond the shelf edge. F/F (PSII electron transport capacity) corrected for photoinhibition in the surface layer correlated in this study with the percentage of chlorophyll captured on a 10 µm filter (assumed to be large cells), suggesting that the phytoplankton community was responding to increased nutrients in the euphotic zone by increasing photosynthetic efficiency and altering community composition.

Observed-to-expected lung-area-to-head-circumference ratio on ultrasound examination vs total fetal lung volume on magnetic resonance imaging in prediction of survival in fetuses with left-sided diaphragmatic hernia.

Objective: To assess and compare the value of antenatally determined observed-to-expected (O/E) lung-area-to-head-circumference ratio (LHR) on ultrasound examination vs O/E total fetal lung volume (TFLV) on magnetic resonance imaging (MRI) examination to predict postnatal survival of fetuses with isolated, expectantly managed left-sided congenital diaphragmatic hernia (CDH).

Methods: This was a multicenter retrospective study including all consecutive fetuses with isolated CDH that were managed expectantly in Mannheim, Germany, and in five other European centers, that underwent at least one ultrasound examination for measurement of O/E-LHR and one MRI scan for measurement of O/E-TFLV during pregnancy. All MRI data were centralized, and lung volumes were measured by two experienced operators blinded to the pre- and postnatal data.

Tracheomalacia and tracheomegaly in infants and children with congenital diaphragmatic hernia managed with and without fetoscopic endoluminal tracheal occlusion (FETO): a multicentre, retrospective cohort study.

Background: Temporary fetoscopic endoluminal tracheal occlusion (FETO) promotes lung growth and increases survival in selected fetuses with congenital diaphragmatic hernia (CDH). FETO is performed percutaneously by inserting into the trachea a balloon designed for vascular occlusion. However, reports on the potential postnatal side-effects of the balloon are scarce.