A note on the silent decline of the Caspian environment.

The Caspian Sea, the world's largest enclosed water body, experiences significant transformations in its physico-chemical properties and a decline in bioresources due to extensive anthropogenic activities. These activities include the discharge of diverse pollutants and bio-physical alterations such as over-fishing, hunting, and physical alterations to rivers. While acute manifestations such as a fall in the Caspian water levels and wetland desiccation are more overt, the pervasive impact of human activities contributes to a likely irreversible decline in environmental quality that we aim to spotlight in this discussion in order to facilitate its restoration.

A prospective study of the relationships between movement and glycemic control during day and night in pregnancy.

Both disturbed sleep and lack of exercise can disrupt metabolism in pregnancy. Accelerometery was used to objectively assess movement during waking (physical activity) and movement during sleeping (sleep disturbance) periods and evaluated relationships with continuous blood glucose variation during pregnancy. Data was analysed prospectively.

Macroscopic findings at appendicectomy are unreliable: implications for laparoscopy and malignant conditions of the appendix.

Background: At laparoscopic appendicectomy, some surgeons leave a macroscopically normal appendix in situ. To assess if this is safe practice, the authors wanted to identify the correlation between macroscopic findings at appendicectomy and pathologists' assessment with regard to the inflamed and the neoplastic.

Method: Operative cases and histological findings over a 3-year period were identified.