First-trimester screening for Down syndrome; the role of nasal bone assessment in the Korean population

Objectives The aim of this study was to evaluate the role of nasal bone assessment in first-trimester screening for Down syndrome (DS) in the Korean population. Methods From July 2004 to March 2006, we prospectively evaluated the fetal nasal bones at 11–14 weeks' gestation in the Korean population. Results A successful evaluation was possible in 6490 of 6787 fetuses (95.6%). Absent, hypoechoic, and short nasal bones were seen in 4 (26.7%), 4 (26.7%), and 1 (6.7%) of 15 fetuses with DS, respectively, whereas in 5 (0.1%), 11 (0.2%), and 246 (3.8%) of 6456 normal fetuses. The incidence of absent and hypoechoic nasal bone showed significant differences between normal fetuses and fetuses with DS (P < 0.0005, both). Screening for DS using an absent or hypoechoic nasal bone resulted in a sensitivity of 53.3%, a specificity of 99.8%, a positive likelihood ratio of 215.2, and a negative likelihood ratio of 0.5. Conclusion Our study showed that nasal bone abnormality at 11–14 weeks of gestation had a high association with DS in the Korean population. This suggests that nasal bone assessment can be used to supplement the current first-trimester screening for DS in the Korean population. Copyright © 2007 John Wiley & Sons, Ltd.     

Enhanced anaerobic biodegradability and inactivation of fecal coliforms and Salmonella spp. in wastewater sludge by using microwaves.

During continuous operation of three mesophilic-anaerobic digesters, the effect of microwave irradiation, as sludge thermal pretreatment (60 to 65 degrees C), was studied. The fecal coliforms log inactivation for microwaved/digested sludge was 4.2 +/- 0.4, whereas for conventionally heated/digested sludge and control were 2.9 +/- 0.5 and 1.5 +/- 0.5, respectively. In the case of Salmonella spp., no colonies were detected in 85% of the microwaved/digested samples. Considering the detection limit, the log inactivation of these samples was greater than 2.0 +/- 0.3. The conventionally heated/digested sludge and control showed log inactivations of 1.9 +/- 0.2 and 1.1 +/- 0.3, respectively. At the 95% confidence level, microwaved/digested sludge increased the biogas production by 16.4 +/- 5.6% and 6.3 +/- 2.4%, as compared to control and conventionally heated/digested sludge, respectively. When thermally treated sludge was analyzed for soluble chemical oxygen demand, microwaved waste-activated sludge showed considerable solubilization between 37 and 60 degrees C. Microwaved/digested sludge showed a reduction of capillary suction times by 11.1 +/- 5.9% and 10.7 +/- 5.6%, as compared to control and conventionally heated/digested sludge, respectively.     

Quantifying the efficiency of soil sampling designs: A multivariate approach

The objective of this paper is to quantify and compare the loss functions of the standard two-stage design and its composite sample alternative in the context of multivariate soil sampling. The loss function is defined (conceptually) as the ratio of cost over information and measures design inefficiency. The efficiency of the design is the reciprocal of the loss function. The focus of this paper is twofold: (a) we define a measure of multivariate information using the Kullback–Leibler distance, and (b) we derive the variance-covariance structure for two soil sampling designs: a standard two-stage design and its composite sample counterpart. Randomness in the mass of soil samples is taken into account in both designs. A pilot study in Slovenia is used to demonstrate the calculations of the loss function and to compare the efficiency of the two designs. The results show that the composite sample design is more efficient than the two-stage design. The efficiency ratio is 1.3 for pH, 2.0 for C, 2.1 for N, and 2.5 for CEC. The multivariate efficiency ratio is 2.3. These ratios primarily reflect cost ratios; influence of the information is small.     

Prenatal diagnosis of 46, XX/47, XXY mosaicism: A case report

A case of 46,XX/47,XXY mosaicism was diagnosed at 22 gestational weeks by amniocentesis and fetal blood sampling. After genetic counselling, the couple elected to have the pregnancy terminated. Culture of the fetal skin and both gonads confirmed the prenatal diagnosis. In external appearance, the abortus had no remarkable findings except hypospadia. Histology of both gonads showed testicular tissue without evidence of ovarian components.     

The Optimization of Methods for the Collection of Aerosolized Murine Norovirus

Globally, norovirus is the most common gastroenteritis causing pathogen. Annually, norovirus causes 685 million cases of acute gastroenteritis and 200,000     

A nanofilter composed of carbon nanotube-silver composites for virus removal and antibacterial activity improvement

We have developed a new nanofilter using a carbon nanotube-silver composite material that is capable of efficiently removing waterborne viruses and bacteria.The nanofilter was subjected to plasma surface treatment to enhance its flow rate,which was improved by approximately 62%.Nanoscale pores were obtained by fabricating a carbon nanotube network and using nanoparticle fixation technology for the removal of viruses.The pore size of the nanofilter was approximately 38 nm and the measured flow rate ranged from 21.0 to 97.2 L/(min·m~2)under a pressure of 1–6 kgf/cm~2 when the amount of loaded carbon nanotube-silver composite was 1.0 mg/cm~2.The nanofilter was tested against Polio-,Noro-,and Coxsackie viruses using a sensitive real-time polymerase chain reaction assay to detect the presence of viral particles within the outflow.No trace of viruses was found to flow through the nanofilter with carbon nanotube-silver composite loaded above 0.8 mg/cm~2.Moreover,the surface of the filter has antibacterial properties to prevent bacterial clogging due to the presence of 20-nm silver nanoparticles,which were synthesized on the carbon nanotube surface.     

The mixing and segregation characteristics of rice straw in a cylindrical bubbling fluidized bed

In the present study, an experiment was performed to investigate the mixing and segregation characteristics of standard sand and rice straw particles in a cylindrical bubbling fluidized bed. The mass ratio (rice straw/standard sand = 0.5–1.25 %) of two particles and superficial gas velocity (0.13–0.18 m/s) were changed as experimental variables. The pressure drop curve and Kramer’s equation were used to determine the minimum fluidization velocity and mixing index, respectively. In all cases, the mixing index was the lowest at U/U _mf = 1.15. Based on the point of U/U _mf = 1.15, the segregation region and mixing region were observed. In the segregation region, mass ratio of 0.75 % showed the lowest mixing index. At the U/U _mf = 1.23 which was selected as the starting of fast pyrolysis considering residence time and the previous fast pyrolysis experiment, mass ratio of 1.25 % showed the highest mixing index which was 0.90.     

Are there higher pedestrian fatalities in larger cities?: A scaling analysis of 115 to 161 largest cities in the United States

Objective: In 2012, 4,743 pedestrians were killed in the United States, representing 14% of total traffic fatalities. The number of pedestrians injured was higher at 76,000. Therefore, 36 out of 52 of the largest cities in the United States have adopted a citywide target of reducing pedestrian fatalities. The number of cities adopting the reduction goal during 2011 and 2012 increased rapidly with 8 more cities. We examined the scaling relationship of pedestrian fatality counts as a function of the population size of 115 to 161 large U.S. cities during the period of 1994 to 2011. We also examined the scaling relationship of nonpedestrian and total traffic fatality counts as a function of the population size.

Methods: For the data source of fatality measures we used Traffic Safety Facts Fatality Analysis Reporting System/General Estimates System annual reports published each year from 1994 to 2011 by the NHTSA. Using the data source we conducted both annual cross-sectional and panel data bivariate and multivariate regression models. In the construction of the estimated functional relationship between traffic fatality measures and various factors, we used the simple power function for urban scaling used by Bettencourt et al. (2007 Bettencourt LMA, Lobo J, Helbing D, Kühnert C, West GB. Growth, innovation, scaling and the pace of life in cities. Proc Natl Acad Sci USA. 2007;104:7301–7306.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar], 2010 Bettencourt LMA, Lobo J, Strumsky D, West GB. Urban scaling and its deviations: revealing the structure of wealth, innovation and crime across cities. PLoS ONE. 2010;5:e13541.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and the refined STIRPAT (stochastic impacts by regression on population, affluence, and technology) model used in Dietz and Rosa (1994 Dietz T, Rosa EA. Rethinking the environmental impacts of population, affluence and technology. Human Ecology Review. 1994;1:277–300. [Google Scholar], 1997 Dietz T, Rosa EA. Effects of population and affluence on CO₂ emissions. Proc Natl Acad Sci USA. 1997;94:175–179.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and York et al. (2003 York R, Rosa EA, Dietz T. STIRPAT, IPAT and IMPACT: analytic tools for unpacking the driving forces of environmental impacts. Ecol Econ. 2003;46:351–365.[Crossref], [Web of Science ®] , [Google Scholar]).

Results: We found that the scaling relationship display diseconomies of scale or sublinear for pedestrian fatalities. However, the relationship displays a superlinear relationship in case of nonpedestrian fatalities. The scaling relationship for total traffic fatality counts display a nearly linear pattern. When the relationship was examined by the 4 subgroups of cities with different population sizes, the most pronounced sublinear scaling relationships for all 3 types of fatality counts was discovered for the subgroup of megacities with a population of more than 1 million.

Conclusions: The scaling patterns of traffic fatalities of subgroups of cities depend on population sizes of the cities in subgroups. In particular, 9 megacities with populations of more than 1 million are significantly different from the remaining cities and should be viewed as a totally separate group. Thus, analysis of the patterns of traffic fatalities needs to be conducted within the group of megacities separately from the other cities with smaller population sizes for devising prevention policies to reduce traffic fatalities in both megacities and smaller cities.