Is there still a role for nuchal translucency measurement in the changing paradigm of first trimester screening?

Objectives

To give an overview of the genetic and structural abnormalities occurring in fetuses with nuchal translucency (NT) measurement exceeding the 95th percentile at first-trimester screening and to investigate which of these abnormalities would be missed if cell-free fetal DNA (cfDNA) were used as a first-tier screening test for chromosomal abnormalities.

Methods

This is a national study including 1901 pregnancies with NT≥95th percentile referred to seven university hospitals in the Netherlands between 1 January 2010 and 1 January 2016. All cases with unknown pregnancy outcome were excluded. Results of detailed ultrasound examinations, karyotyping, genotyping, pregnancy and neonatal outcomes, investigation by a clinical geneticist and post-mortem investigations were collected.

Results

In total, 821 (43%) pregnancies had at least one abnormality. The rate of abnormalities was 21% for fetuses with NT between 95^th and 99^th percentile and 62% for fetuses with NT≥99^th percentile. Prevalence of single-gene disorders, submicroscopic, chromosomal and structural abnormalities was 2%, 2%, 30% and 9%, respectively.

Conclusion

Although cfDNA is superior to the combined test, especially for the detection of trisomy 21, 34% of the congenital abnormalities occurring in fetuses with increased NT may remain undetected in the first trimester of pregnancy, unless cfDNA is used in combination with fetal sonographic assessment, including NT measurement.     

Characterisation of particulate exposure during fireworks displays

Little is known about the level and content of exposure to fine particles (PM_2.5) among persons who attend fireworks displays and those who live nearby. An evaluation of the levels of PM_2.5 and their elemental content was carried out during the nine launches of the 2007 Montréal International Fireworks Competition. For each event, a prediction of the location of the firework plume was obtained from the Canadian Meteorological Centre (CMC) of the Meteorological Service of Canada. PM_2.5 was measured continuously with a photometer (Sidepak?, TSI) within the predicted plume location (“predicted sites”), and integrated samples were collected using portable personal samplers. An additional sampler was located on a nearby roof (“fixed site”). The elemental composition of the collected PM_2.5 samples from the “predicted sites” was determined using both a non-destructive energy dispersive ED-XRF method and an ICP-MS method with a near-total microwave-assisted acid digestion. The elemental composition of the “fixed site” samples was determined by the ICP-MS with the near-total digestion method. The highest PM_2.5 levels reached nearly 10 000 μg m^?3, roughly 1000 times background levels. Elements such as K, Cl, Al, Mg and Ti were markedly higher in plume-exposed filters. This study shows that 1) persons in the plume and in close proximity to the launch site may be exposed to extremely high levels of PM_2.5 for the duration of the display and, 2) that the plume contains specific elements for which little is known of their acute cardio-respiratory toxicity.     

Evaluation of the persistence of micropollutants through pure-oxygen activated sludge nitrification and denitrification.

The persistence of pharmaceuticals, hormones, and household and industrial chemicals through a pure-oxygen activated sludge, nitrification, denitrification wastewater treatment facility was evaluated. Of the 125 micropollutants that were tested in this study, 55 compounds were detected in the untreated wastewater, and 27 compounds were detected in the disinfected effluent. The persistent compounds included surfactants, fire-retardant chemicals, pesticides, fragrance compounds, hormones, and one pharmaceutical. Physical-chemical properties of micropollutants that affected partitioning onto wastewater solids included vapor pressure and octanol-water partition coefficients.     

Social justice and mobility in coastal Louisiana,USA

Regional Environmental Change - Louisiana faces extensive coastal land loss which threatens the livelihoods of marginalized populations. These groups have endured extreme disruptive events in the...     

Collective decisions in ants when foraging under crowded conditions

In this paper we examine the effect of crowding on the selection of a path in the mass-recruiting ant Lasius niger. In our experiment, ants had to go from their nest to a food source by crossing a diamond-shaped bridge, giving the choice between two paths. Two types of bridges were used: the first had two branches of equal length but different width while the second had two branches of different length and width. Experiments at high traffic volume always ended up with the selection of the wider branch, even if it was longer. This result shows that overcrowding on the narrow branch plays an essential role in the mechanism underlying the choice of route in ants. A mathematical model was developed to evaluate the importance of two mechanisms that could account for this result. The first is based on the difference in travel duration between the two paths. The second is based on the repulsive interactions between workers making head-on encounters. The model shows that travel duration per se is not sufficient to explain path choice. Rather, it is the interplay between trail following behaviour and repulsive interactions that allows ants to choose the path that minimizes their travel time. When choosing a path ants thus prefer to trade time against energy. Our results demonstrate that any environmental constraint that alters the dynamics of trail recruitment can lead to the emergence of adaptive foraging decisions without any explicit coding of information by the foragers at the individual level.     

Criteria and indicators for a bioenergy production industry identified via stakeholder participation

As bioenergy production expands and new bioenergy-based technologies emerge, there is a growing concern regarding the sustainability of their ecological and socioeconomic impacts. Comprehensive sustainability assessments are needed to address this concern and to assure that the development of the bioenergy industry meets sustainability goals. Most sustainability assessments for bioenergy are expert-driven, broad, and largely motivated by an interest in optimizing international trade in bioenergy. As a result, social and cultural sustainability targets are vague or underdeveloped. In this study, we developed a sustainability assessment for a regional bioenergy production industry in Upper Michigan, using stakeholder participation. Semi-structured interviews and focus group meetings were used to elicit participants’ concerns and opinion. These concerns were translated into sustainability Criteria and Indicators (C&Is), many of which could be supported with available science. Some of the C&Is identified by participants were unique to the region. Sustainability C&Is were broadly categorized into economic (C = 5; I = 22), environmental (C = 6; I = 12), social (C = 3; I = 9), policy and regulations (C = 3; I = 13), and institutional capacity (C = 4; I = 13). While participants could identify indicators for most of the criteria (many of which are also supported by existing literature), further research and validation will be necessary to identify measurable, practical, and bias-free indicators for all criteria.     

Hybridization,agency discretion,and implementation of the U.S. Endangered Species Act

The U.S. Endangered Species Act (ESA) requires that the “best available scientific and commercial data” be used to protect imperiled species from extinction and preserve biodiversity. However, it does not provide specific guidance on how to apply this mandate. Scientific data can be uncertain and controversial, particularly regarding species delineation and hybridization issues. The U.S. Fish and Wildlife Service (FWS) had an evolving hybrid policy to guide protection decisions for individuals of hybrid origin. Currently, this policy is in limbo because it resulted in several controversial conservation decisions in the past. Biologists from FWS must interpret and apply the best available science to their recommendations and likely use considerable discretion in making recommendations for what species to list, how to define those species, and how to recover them. We used semistructured interviews to collect data on FWS biologists’ use of discretion to make recommendations for listed species with hybridization issues. These biologists had a large amount of discretion to determine the best available science and how to interpret it but generally deferred to the scientific consensus on the taxonomic status of an organism. Respondents viewed hybridization primarily as a problem in the context of the ESA, although biologists who had experience with hybridization issues were more likely to describe it in more nuanced terms. Many interviewees expressed a desire to continue the current case‐by‐case approach for handling hybridization issues, but some wanted more guidance on procedures (i.e., a “flexible” hybrid policy). Field‐level information can provide critical insight into which policies are working (or not working) and why. The FWS biologists’ we interviewed had a high level of discretion, which greatly influenced ESA implementation, particularly in the context of hybridization.