Ultrasonography in pregnancy and fetal abnormalities: Screening or diagnostic test? IPIMC 1986–1990 register data

The aim of the present study was to assess the sensitivity of ultrasound diagnosis used as a screening test in detecting major congenital anomalies in the prenatal period in a large nation-based multicentre setting. Data from the IPIMC register were collected in the period 1986–1990. One hundred and thirty-five hospitals, located in 17 out of the 20 regions in Italy, participated in the register. Study cases were 3479 infants with major congenital anomalies diagnosed at birth or in the first week of life. Subjects with chromosomal anomalies or multiple defects were excluded. The sensitivity of ultrasound prenatal diagnosis was 49.5 per cent for central nervous system anomalies, 3.8 per cent for congenital heart diseases, 17.1 per cent for gastrointestinal tract defects, 46.6 per cent for abdominal wall defects, 74.8 per cent for urinary tract anomalies, and 22.9 per cent for skeletal abnormalities. The detection rate for diaphragmatic hernia was 24.2 per cent. Overall, only 18 per cent of the defects diagnosed in utero were detected before 24 weeks' gestation. The sensitivity of prenatal diagnosis was 30.1 and 19.0 per cent in the northern, central, and southern regions, respectively. In light of its low sensitivity, ultrasonography as a screening test in the general population should be abandoned, although some improvement in its performance should be expected following adequate training of the ultrasound staff and the use of good technical equipment.     

Multi-GCM projections of future drought and climate variability indicators for the Mediterranean region

Future climate conditions for the Mediterranean region based on an ensemble of 16 Global Climate Models are expressed and mapped using three approaches, giving special attention to the intermodel uncertainty. (1) The scenarios of mean seasonal temperature and precipitation agree with the projections published previously by other authors. The results show an increase in temperature in all seasons and for all parts of the Mediterranean with good intermodel agreement. Precipitation is projected to decrease in all parts and all seasons (most significantly in summer) except for the northernmost parts in winter. The intermodel agreement for the precipitation changes is lower than for temperature. (2) Changes in drought conditions are represented using the Palmer Drought Severity Index and its intermediate Z-index product. The results indicate a significant decrease in soil moisture in all seasons, with the most significant decrease occurring in summer. The displayed changes exhibit high intermodel agreement. (3) The climate change scenarios are defined in terms of the changes in parameters of the stochastic daily weather generator calibrated with the modeled daily data; the emphasis is put on the parameters, which affect the diurnal and interdiurnal variability in weather series. These scenarios indicate a trend toward more extreme weather in the Mediterranean. Temperature maxima will increase not only because of an overall rise in temperature means, but partly (in some areas) because of increases in temperature variability and daily temperature range. Increased mean daily precipitation sums on wet days occurring in some seasons, and some parts of the Mediterranean may imply higher daily precipitation extremes, and decreased probability of wet day occurrence will imply longer drought spells all across the Mediterranean.     

A new record of the endosymbiont polychaete Veneriserva (Dorvilleidae), with description of a new sub-species, and relationships with its host Laetmonice producta (Polychaeta: Aphroditidae) in Southern Ocean waters (Antarctica)

A new record of the genus Veneriserva Rossi, 1984 (Polychaeta: Dorvilleidae) is reported, as an endosymbiont in the coelom of the polychaete Laetmonice producta Grube, 1877 (Aphroditidae) in the eastern Weddell Sea and off King George Island (Southern Ocean, Antarctica). The specimens studied were very similar to Veneriserva pygoclava Rossi, 1984; however, due to the greater morphological variability and larger dimensions of our specimens, as well as different host species and geographic locations, a new sub-species, V. pygoclava meridionalis, was erected. A total of 842 specimens of L. producta were examined, 163 of which hosted 209 symbionts (183 in the Weddell Sea samples and 26 in the King George Island samples). Symbiont prevalence was higher in the Weddell Sea samples, and increased with depth (max. 51% at stn 14, 850 m depth). Symbiont intensity was equal to one for 78% and to two for 19.6% of all hosts examined; a maximum of six symbionts per single host was observed. Mean symbiont density was equal to 0.36 and 0.07 for the Weddell Sea and King George Island host populations, respectively. A weak linear relationship was found between symbiont and host size. Eight symbiont specimens (all found at a single station, 850 m depth) were bearing eggs, ranging between 10 and 200 µm in diameter, while 13 specimens were observed in regeneration of the posterior part, suggesting the occurrence of both sexual and asexual reproduction. The way of feeding is still not clear; reduction of the jaw apparatus suggests a parasitic host-symbiont relationship, however, no evident damage was observed in the tissues of the host. These results point out that occurrence of polychaete endoparasites in large aphroditids may be a more frequent and widespread phenomenon than previously believed, and that more attention should be paid to this aspect also in temperate and tropical aphroditid species.     

From green product definitions and classifications to the Green Option Matrix

Hybrid cars, recycled products, photovoltaic cells, bioplastics: why so different products can be called ‘green’? Which practices companies willing to develop green products should implement? How companies can easily and effectively communicate to stakeholders the environmental features of their green products? This paper tries to answer these questions, by developing a Green Option Matrix (GOM), which characterizes green products and practices along different dimensions. This matrix is then used to analyze the different features of green products as well as related green practices developed by a sample of companies belonging to the Dow Jones Sustainability World Index (DJSWI). Relevant data are collected by means of content analysis of companies’ websites and sustainability reports. Green products and practices developed by each company in the sample are positioned in the matrix and results are presented and discussed for each industrial sector. Then, different sectors’ behaviors are compared. The proposed matrix can be used by companies as a market tool to analyze competitors’ green products and practices and as a communication tool to effectively communicate to stakeholders the specific green features of their products and practices.     

Alteration of potential harmful elements levels in sediments and biota from the central Mediterranean Sea (Aeolian Archipelago) following an episode of intense volcanic activity

In this paper levels of four (Hg, Cd, Pb, As) potential harmful elements (PHE) were measured in three different environmental matrices (sediments, macroalgae and fishes) from the Aeolian Archipelago and control areas both after 1 and 10 months from a volcanic activity of particular relevance occurred at the end of October 2002. Results were analysed on a multivariate statistical basis with the aim to evaluate: (I) general levels of pollution and increase of PHE due to the event; (II) differences observed among tested matrices in the time of recovery after the occurrence of the critical event; (III) the biological enrichment of PHE along the trophic web produced by the geological event. Results evidenced that volcanic emissions could represent a local source of particular relevance able to determine great enrichments of considered PHE in sediments and biological species. After 10 months from the event, levels in sediments and macroalgae notably decreased, whereas fish species evidenced an increase, principally related to the bioaccumulation phenomena. On the basis of the biological enrichment factors (BEF), major enrichments were evidenced after 1 month whereas, after 10 months, were recorded values reliable to an incomplete recovery. Concerning Cd, the BEF higher levels reported for the species Serranus cabrilla was probably related both to the diet and to the specific detoxification rates of this species.     

Evaluating day–night changes in shallow Mediterranean rocky reef fish assemblages by visual census

Ecological information on coastal fish distribution patterns and habitat use can be greatly improved by nocturnal samplings and observations. To this purpose, the structure of a Mediterranean fish assemblage inhabiting the shallow rocky littoral of Linosa Island (Sicily Strait, Italy) was examined by using visual census to detect possible diel variations in species composition and abundance. Day–night fish distribution patterns were investigated by multivariate and univariate analyses. Overall, 42 fish taxa belonging to 19 families were recorded: 35 during the day and 24 during the night. Seventeen species were common to both diurnal and nocturnal assemblages. Within the diurnal assemblage, Chromis chromis was the most represented species (37.2%), followed by Thalassoma pavo (23.2%) and Sparisoma cretense (10.8%). Within the nocturnal assemblage, the most abundant taxon was Atherina spp. (33.9%), followed by Apogon imberbis (26.4%) and Boops boops (11.5%). Our results indicated wide variation in the abundance and species composition during the day and during the night. Multi Dimensional Scaling plot showed a clear-cut separation between the two assemblages and analysis of similarities found significant differences as well. SIMPER analysis revealed that ten species individually contributed by more than 2.5% to the dissimilarity between diurnal and nocturnal assemblages, T. pavo, C. chromis and S. cretense being the first three species in order of decreasing percentage. ANOVA performed on species richness and fish abundance detected significant differences between diurnal and nocturnal assemblages, the latter showing far lower average values for both variables.     

Determination of dose rates from natural radionuclides in dental materials

Different types of materials used for dental prosthetics restoration, including feldspathic ceramics, glass ceramics, zirconia-based ceramics, alumina-based ceramics, and resin-based materials, were investigated with regard to content of natural radionuclides by means of thermoluminescence beta dosimetry and gamma spectrometry. The gross beta dose rate from feldspathic and glass ceramics was about ten times higher than the background measurement, whereas resin-based materials generated negligible beta dose rate, similarly to natural tooth samples. The specific activity of uranium and thorium was significantly below the levels found in the period when addition of uranium to dental porcelain materials was still permitted. The high-beta dose levels observed in feldspathic porcelains and glass ceramics are thus mainly ascribable to (40)K, naturally present in these specimens. Although the measured values are below the recommended limits, results indicate that patients with prostheses are subject to higher dose levels than other members of the population. Alumina- and zirconia-based ceramics might be a promising alternative, as they have generally lower beta dose rates than the conventional porcelain materials. However, the dosimetry results, which imply the presence of inhomogeneously distributed clusters of radionuclides in the sample matrix, and the still unsuitable structural properties call for further optimization of these materials.     

CSR codes and the principal-agent problem in supply chains: four case studies

The benefits of corporate social responsibility (CSR) affect the entire supply chains a firm participates in. However, not every firm is in a position to force the implementation of CSR in its supply chains as some, especially small and medium-sized enterprises (SMEs), lack the necessary power. Chain directors can implement it acting as a principal, whereas the other chain members can act as agents.In the principal-agent framework, two main problems occur due to information asymmetry: adverse selection and moral hazard. This paper examines how a code of conduct (i.e. Social Accountability 8000) can help address the principal-agent problem, for SMEs, between chain directors and partners. The research method involves four case studies on CSR practices as implemented by Italian and Dutch SMEs within their supply chains.     

Transverse limb reduction defects after chorion villus sampling: A retrospective Cohort study

A retrospective cohort study was performed in five Italian obstetrical centres from 1984 to 1991 in order to verify the association between chorionic villus sampling (CVS) and transverse limb reduction defects (TLRDs). TLRD rates by period of gestation at CVS were calculated, and the study's results were compared with data from the general population. Of the 3430 pregnancies for which CVS was performed, 2759 had a known outcome. The overall rate for TLRDs was 1 in 1143 CVS pregnancies, four times higher than that of the general population in Italy (1 in 4458). The rate of TLRDs was 2·9/1000 for CVS performed at 9 weeks' gestation and 1·0/1000 for CVS at 10 weeks' gestation. A scalp defect was detected in a pregnancy in which CVS was performed at 10 weeks. A high proportion of pregnancies lost to follow-up and the poor quality of the data may have affected the results. Nevertheless, our results suggest an association between CVS carried out at less than 10 weeks' gestation and TLRDs which is consistent with the findings of other studies. CVS should not be prepared at less than 10 weeks' gestation until additional evidence is obtained.