Exploring the risk information gap. Research into information supply and information demand of different parties concerned

The Dutch National Institute for Public Health and the Environment (RIVM), a governmental research institute, provides information on environmental and health risks. The primary contractors’ information demands are served well. But the risk information available from the RIVM does not always correspond to the desires and requirements of other parties concerned. It became apparent that – to a certain extent – an information gap exists, arising from a difference between the institute’s information supply and the information demand of the different parties concerned.This explorative study focuses on the information demand and supply with regard to three different risks: flooding by rivers, air pollution and food related risks.For each risk, the information supply was determined by listing the available risk information in RIVM reports. In a second step, the information demand of the five different parties, as well as different channels of communication, were examined. The parties’ perceptions and requirements concerning risk information were identified in interviews and focus group discussions.The public, which in general appeared to be quite unfamiliar with the institute and its information sources, preferred risk information tailored to its personal circumstances. Policy makers mainly appreciated personal contacts in order to keep up to date on risk topics, whereas NGOs and fellow researchers judged the institute’s website and reports to be more relevant. Press releases appeared to add little to satisfying the information demand of the media.     

Prognostic accuracy of factors associated with poor outcome in prenatally diagnosed sacrococcygeal teratoma: A systematic review and meta-analysis

Several factors associated with poor outcome in patients with prenatally diagnosed sacrococcygeal teratoma (SCT) have been found. However, the prognostic accuracy of these factors has not been well established. Therefore, we aimed to systematically review the prognostic accuracy of factors associated with poor outcome in these patients. We queried Search Premier, COCHRANE Library, EMCARE, EMBASE, PubMed, ScienceDirect, and Web of Science databases to identify studies regarding patients with prenatally diagnosed SCT. Poor outcome was defined as termination of pregnancy (TOP), intrauterine fetal death (IUFD), or perinatal death. We estimated the odds ratio of factors associated with poor outcome. Eleven studies (447 patients) were included. Overall mortality, including TOP, was 34.9%. Factors associated with poor outcome in fetuses with prenatally diagnosed SCT were cardiomegaly, hypervascular tumor, solid tumor morphology, fetal hydrops, and placentomegaly. A tumor volume to fetal weight ratio (TFR) of >0.12 before a gestational age of 24 weeks is predictive of poor outcome. The prognostic accuracy of factors associated with poor outcome in fetuses prenatally diagnosed with SCT seems promising. Factors associated with cardiac failure such as cardiomegaly, hypervascular tumor, solid tumor morphology, fetal hydrops, placentomegaly, and TFR >0.12 were found to be predictive of poor outcome.     

Factors influencing the acceptability of energy policies: A test of VBN theory

This paper examines factors influencing the acceptability of energy policies aimed to reduce the emission of CO₂ by households. More specifically, it is studied to what extent the value–belief–norm theory of environmentalism (VBN theory; Stern, [(2000). Toward a coherent theory of environmentally significant behavior. Journal of Social Issues, 56(3), 407–424.]) is successful in explaining acceptability judgements. In contrast to previous studies, we test the full VBN theory. A questionnaire study was conducted among 112 Dutch respondents. Results confirmed the causal order of the variables in VBN theory, moving from relative stable general values to beliefs about human–environment relations, which in turn affect behaviour specific beliefs and norms, and acceptability judgements, respectively. As expected, all variables were significantly related to the next variable in the causal chain. Biospheric values were also significantly related to feelings of moral obligation to reduce household energy consumption when intermediate variables were controlled for. Furthermore, as hypothesized, personal norms mediated the relationship between AR and acceptability judgements, AR beliefs mediated the relationship between AC beliefs and personal norms, AC beliefs mediated the relationship between NEP and AR beliefs, and NEP mediated the relationship between values and AC beliefs.     

Short-term outcome after the prenatal diagnosis of right aortic arch

Objectives

To determine the proportion of children that require surgery in the first year of life and thereafter in order to improve the counseling of parents with a fetus with a right aortic arch (RAA).

Methods

Fetuses diagnosed with isolated RAA, defined as the absence of intra- or extracardiac anomalies, between 2007 and 2021 were extracted from the prospective registry PRECOR.

Results

In total, 110 fetuses were included, 92 with a prenatal diagnosis of RAA and 18 with double aortic arch (DAA). The prevalence of 22q11 deletion syndrome was 5.5%. Six pregnancies were terminated and five cases were false-positive; therefore, the follow-up consisted of 99 neonates. Surgery was performed in 10 infants (10%) in the first year of life. In total, 25 (25%) children had surgery at a mean age of 17 months. Eight of these 25 (32%) had a DAA. Only one child, with a DAA, required surgery in the first week of life due to obstructive stridor.

Conclusions

Children with a prenatally diagnosed RAA are at a low risk of acute respiratory postnatal problems. Delivery in a hospital with neonatal intensive care and pediatric cardiothoracic facilities seems only indicated in cases with suspected DAA. Expectant parents should be informed that presently 25% of the children need elective surgery and only incidentally due to acute respiratory distress.     

Exploring the linkage between the home domain and absence from work: Health,motivation, or both?

The aim of this study was twofold. First, we examined depleting and enriching effects of employees' home domain (home demands and quality time spent at home) on unscheduled absence from work. Second, we tested the assumption of the medical and withdrawal models that absence duration and frequency are uniquely predicted by respectively health condition and job motivation. We used longitudinal, different‐source data from 1014 employees. The results showed that home quality time was negatively related to absence frequency and duration in the following year through a physical pathway (less physical stress symptoms and health complaints) and through a psychological pathway (less psychological stress symptoms, increased job motivation). Employees with heavy home demands reported more physical and psychological stress symptoms, more health complaints, and lower job motivation. Accordingly, they had longer and more frequent sick leaves in the consecutive year. We conclude that the home domain adds to our understanding of absence from work. In addition, the model including cross pathways between health complaints and job motivation on the one hand, and absence frequency and duration on the other, best fitted the data. Thus, a clear distinction between volitional absence (frequency) and absence due to illness (duration) seems hard to justify. Copyright © 2012 John Wiley & Sons, Ltd.