Expected,prenatally discovered,and born cases of Down syndrome in Denmark during the period 1980–1998

In order to elucidate the consistency between generally used age-dependent risk values for Down syndrome (DS) and estimates of the probability of miscarriage in Down pregnancies we have compared expected numbers with estimated numbers of births with DS in Denmark had no intervention at all been carried out. The expected numbers were calculated from the distribution of newborn children according to maternal age combined with the age-related risk of DS. The estimated numbers of children that actually would have been born without any intervention were estimated from observed numbers of cases of DS, i.e. the cases born plus – with corrections because of the high probability of miscarriage in DS pregnancies – a proportion of those cases discovered prenatally. The analysis was carried out separately for mothers aged 35 years or older and for younger mothers. We found a high degree of compatibility between expected and estimated numbers, probably with a minor underestimation of the expected values for the older mothers. The performance of DS screening in Denmark in the period under consideration (1980–1998) is discussed in relation to the figures presented. Despite the fact that 11.8% of all pregnancies were subjected to an invasive diagnostic procedure, only about 38% of all births with DS were prevented. This means that in the period 1990–1998, reluctance to accept serological screening has indirectly resulted in the birth of almost 300 cases of DS in Denmark and at the same time the miscarriage of an unreasonable high number of normal fetuses. Copyright © 2001 John Wiley & Sons, Ltd.     

Characterisation, dissemination and persistence of gentamicin resistant Escherichia coli from a Danish university hospital to the waste water environment

The aim of the study was to investigate the potential spread of gentamicin resistant (GEN(R)) Escherichia coli isolates or GEN(R) determinants from a Danish university hospital to the waste water environment. Waste water samples were collected monthly from the outlets of the hospital bed wards and the inlet of the related waste water treatment plant (WWTP) from October 2002 to August 2003. Waste water samples were also collected monthly from a residential area in the same period to be able to compare the prevalence of GEN(R)E. coli isolates from hospital related and residential waste water. The waste water isolates were compared to GEN(R)E. coli isolates obtained consecutively from September 2002 to September 2003 from patients mainly with urinary tract infections at the hospital with respect to Pulsed Field Gel Electrophoresis (PFGE) profiles. All isolates were investigated for GEN(R) mechanisms (aac(3)-II, aac(3)-IV, ant(2')-I, armA), phenotypic resistance pattern, and virulence genes (hlyA, chuA, sfaS, fogG, malX, traT, iutA, fyuA, iroN, cnf1) to investigate if the hospital and waste water could be reservoirs of antimicrobial resistance and virulence. The ability for GEN(R) determinants to transfer horizontally was investigated by mating experiments. A total of 38, 15, 21, and two GEN(R)E. coli were isolated from patients, the hospital outlets, the inlet of the WWTP, and the residential area, respectively. GEN(R)E. coli were more prevalent in waste water from the hospital and the WWTP than in waste water from the residential area. PFGE profiling revealed no spread of specific patient isolates to the waste water. The aac(3)-II gene was detected both in patient and waste water isolates. Furthermore horizontal transfer of the aac(3)-II gene of patient origin to a recipient was shown in vitro, indicating a potential spread of the gene from patient isolates to waste water isolates. Regardless of origin, most isolates exhibited multi-resistance and contained several virulence genes. In conclusion, our study showed a possible spread of aac(3)-II from the hospital to the waste water. Most of the GEN(R)E. coli isolates from both patients and waste water had a multi-resistant phenotype and contained virulence genes and should therefore be considered reservoirs of antimicrobial resistance and virulence genes.     

Metrics for quantifying how much different threats contribute to red lists of species and ecosystems

Red lists are a crucial tool for the management of threatened species and ecosystems. Among the information red lists provide, the threats affecting the listed species or ecosystem, such as pollution or hunting, are of special relevance. This information can be used to quantify the relative contribution of different threat factors to biodiversity loss by disaggregating the cumulative extinction risk across species into components that can be attributed to certain threats. We devised and compared 3 metrics that accomplish this and may be used as indicators. The first metric calculates the portion of the temporal change in red list index (RLI) values that is caused by each threat. The second metric attributes the deviation of an RLI value from its reference value to different threats. The third metric uses extinction probabilities that are inferred from red list categories to estimate the contribution of a threat to the expected loss of species or ecosystems within 50 years. We used data from Norwegian Red Lists to test and evaluate these metrics. The first metric captured only a minor portion of the biodiversity loss caused by threats because it ignores species whose red list category does not change. Management authorities will often be interested in the contribution of a given threat to the total deviation from the optimal state. This was measured by the remaining metrics. The second metric was best suited for comparisons across countries or taxonomic groups. The third metric conveyed the same information but uses numbers of species or ecosystem as its unit, which is likely more intuitive to lay people and may be preferred when communicating with stakeholders or the general public.     

Assessment of volatile organic compound removal by indoor plants—a novel experimental setup

Indoor plants can remove volatile organic compounds (VOCs) from the air. The majority of knowledge comes from laboratory studies where results cannot directly be transferred to real-life settings. The aim of this study was to develop an experimental test system to assess VOC removal by indoor plants which allows for an improved real-life simulation. Parameters such as relative humidity, air exchange rate and VOC concentration are controlled and can be varied to simulate different real-life settings. For example, toluene diffusion through a needle gave concentrations in the range of 0.10–2.35 μg/L with deviations from theoretical values of 3.2–10.5 %. Overall, the system proved to be functional for the assessment of VOC removal by indoor plants with Hedera helix reaching a toluene removal rate of up to 66.5 μg/m²/h. The mode of toluene exposure (semi-dynamic or dynamic) had a significant influence on the removal rate obtained by H. helix.     

Butyltin compounds in sediment and molluscs from the shipping strait between Denmark and Sweden

The distribution of tributyltin (TBT) contamination in the subtidal zone of the waters between Denmark and Sweden was investigated in relation to major international shipping lanes. Sediment and different benthic molluscs were sampled in transects along and perpendicularly to the shipping lanes in the Sound (?resund) and the Kattegat/Skagerrak region. The samples were analysed for TBT and its degradation products, dibutyltin (DBT) and monobutyltin (MBT), using GC-PFPD. In sediments, the TBT concentration ranged from <1 to 19 ng g(-1) dry weight (dw) with a strong correlation between the TBT concentration and the organic fraction in sediment (r(2)=0.90) in the samples collected in the Sound, where the highest concentrations were found. This relationship was not observed in the samples from the Kattegat because the TBT concentration in most sediment samples was below the limit of detection. In the molluscs, TBT and its degradation products were detected in all samples from the entire area with concentrations ranging from 8.1 ng g(-1) dw in Buccinum undatum to 1316 ng g(-1) dw in Nuculana pernula. The deposit-feeding bivalve N. pernula was found to have a particularly high accumulation potential for TBT. In addition, a strong correlation between TBT concentrations in sediment and N. pernula was found. Therefore this species seems to be an ideal organism for monitoring sediment contamination. The TBT concentration in N. pernula was found to decrease gradually along the shipping lanes from the Sound, through the Kattegat and into the Skagerrak.     

Evaluation of Chemical Exposures in the Hazardous Waste Industry

Abstract

The assessment of personnel exposure to volatile solvent vapors is an important aspect in any comprehensive health and safety program. This is particularly true at Treatment, Storage, and Disposal Facilities (TSDFs) and for industries dealing with volatile solvents. This paper presents organic vapor monitoring data from seven TSDFs and from several routine small business and household activities. It shows that proper controls at TSDFs effectively reduce personnel vapor exposure. Through an examination of data from a specialized business such as a TSDF, along with data from more routine activities, a different perspective arises regarding potential hazards associated with hazardous waste disposal activities.     

Modelling large-scale vented gas explosions in a twin-compartment enclosure

Natural gas and LPG are common fuels that have been used relatively safely in the home for many decades. However, when there is a release of gas within a dwelling, or gas from a leaking external pipeline migrates into a building, an explosion may occur. Most of the experimental research into vented gas explosions has been conducted in single enclosure, cuboid or spherical geometries which are not representative of accidental explosions in dwellings or process industries. This paper discusses the findings of a comprehensive large-scale experimental programme undertaken by British Gas Research and Development and also compares FLACS CFD (Computational Fluid Dynamics) simulations against a number of these experiments. The results suggest that the software is useful in gaining a greater understanding of the dynamics of explosion development in dwellings. The paper highlights areas of good performance of the software as well as areas of shortcomings where further understanding and modelling effort is needed.     

The impact of visual factors on noise annoyance among people living in the vicinity of wind turbines

Wind turbines are highly visible objects and the response to wind turbine noise is possibly influenced by visual factors. In this study, visibility of the noise source, visual attitude and vertical visual angle (VVA) in different landscapes were explored. Data from two cross-sectional field studies carried out among people living near wind turbines (n=1095) were used for structural equation modelling. A proposed model of the influence of visual attitude on noise annoyance, also comprising the influence of noise level and general attitude, was tested among respondents who could see vs. respondents who could not see wind turbines from their homes, living in flat vs. hilly/rocky terrain, and living in built-up vs. rural areas. Visual attitude towards the noise source was associated with noise annoyance to different degrees in different situations. A negative visual attitude, more than multi-modal effects between auditory and visual stimulation, enhanced the risk for noise annoyance and possibly also prevented psychophysiological restoration possibilities. Aesthetic evaluations of the noise source should be taken into account when exploring response to environmental noise.