A cross-country comparison of pregnant women's decision-making and perspectives when opting for non-invasive prenatal testing in the Netherlands and Belgium

Background

The Netherlands and Belgium have been among the first countries to offer non-invasive prenatal testing (NIPT) as a first-tier screening test. Despite similarities, differences exist in counseling modalities and test uptake. This study explored decision-making and perspectives of pregnant women who opted for NIPT in both countries.

Methods

A questionnaire study was performed among pregnant women in the Netherlands (NL) (n = 587) and Belgium (BE) (n = 444) opting for NIPT, including measures on informed choice, personal and societal perspectives on trisomy 21, 18 and 13 and pregnancy termination.

Results

Differences between Dutch and Belgian women were shown in the level of informed choice (NL: 83% vs. BE: 59%, p < 0.001), intention to terminate the pregnancy in case of confirmed trisomy 21 (NL: 51% vs. BE: 62%, p = 0.003) and trisomy 13/18 (NL: 80% vs. BE: 73%, p = 0.020). More Belgian women considered trisomy 21 a severe condition (NL: 64% vs. BE: 81%, p < 0.001). Belgian women more frequently indicated that they believed parents are judged for having a child with trisomy 21 (BE: 42% vs. NL: 16%, p < 0.001) and were less positive about quality of care and support for children with trisomy 21 (BE: 23% vs. NL: 62%, p < 0.001).

Conclusion

Differences in women's decision-making regarding NIPT and the conditions screened for may be influenced by counseling aspects and country-specific societal and cultural contexts.     

The impact of non-invasive prenatal testing on anxiety in women considered at high or low risk for aneuploidy after combined first trimester screening

Objective: The aim of this study was to (1) examine the psychological impact of non-invasive prenatal testing (NIPT) in women with a high-risk (≥1 : 300) and low-risk (≤1 : 301) result on combined first trimester screening (cFTS) and (2) to examine factors influencing anxiety and decision-making in both risk populations. Method: Questionnaires and structured interviews were administered to low (n = 50) and high (n = 63) risk women at the time of NIPT blood draw (point A) and again at least 1 week after receiving their NIPT result (point B). Anxiety levels were measured at these two time points using the State–Trait Anxiety Inventory. Results: Both high-risk and low-risk cFTS groups demonstrated similar intrinsic (trait) anxiety levels (36 ± 10 vs 35 ± 10; p = 0.70). High-risk women had significantly higher levels of state anxiety at point A than low-risk women (42 ± 11 vs 36 ± 11; p < 0.01). Both groups had a statistically significant reduction (p < 0.01), to similar final levels of state anxiety at point B (30 ± 11 vs 29 ± 8; p = 0.61). Conclusion: Women receiving a high-risk result on cFTS have higher levels of state anxiety than their low-risk counterparts. Following a low-risk NIPT result, the anxiety levels in both populations are reduced to similar levels. © 2017 John Wiley & Sons, Ltd.     

Methane emissions and related physicochemical soil and water parameters in rice–fish systems in Bangladesh

Lowland rice fields constitute a semi aquatic environment, which is potentially suitable for fish production. Little is known about the effect of fish on greenhouse gas emissions from integrated rice–fish systems. An experiment was carried out at the Bangladesh Agricultural University to assess the effect of the stocking of fish on methane emissions from rice fields. Common carp, Cyprinus carpio L., and Nile Tilapia, Oreochromis niloticus (L.) were stocked in a mixed culture and subjected to three different input regimes: (1) urea fertilization according to the recommendation of the Bangladesh Rice Research Institute (BRRI), (2) supplementary feeding at 2 × maintenance level and (3) an elevated feeding schedule where 4 × maintenance level was fed initially and 2 × maintenance level towards the end of the growth period. Rice only with urea fertilization according to BRRI-recommendation was included as the control. The presence of fish increased methane emissions in all three rice–fish treatments. Average emission over the cropping season was 34, 37, and 32 mg m⁻² h⁻¹ in the rice–fish treatments, respectively, and 20 mg m⁻² h⁻¹ in rice only. Apart from an increase in methane emission, a significant drop (p < 0.05) in floodwater pH and dissolved oxygen concentration was observed in the rice–fish plots. Both parameters were the lowest in the treatment where a higher feeding rate was provided. Due to the fish activity, floodwater in the rice–fish treatments was more turbid, as reflected in higher particulate inorganic matter (PIOM). An elevated level of dissolved methane was observed in the floodwater of the feed supplemented rice–fish plots. Methane emissions showed negative correlation with morning and afternoon pH of the floodwater (r = −0.46; r = −0.56, p < 0.001) and morning and afternoon dissolved oxygen level (r = −0.53; r = −0.46, p < 0.001). Positive correlations were recorded between morning and afternoon floodwater temperature (r = 0.49; r = 0.44, p < 0.001) and with air temperature (r = 0.54, p < 0.001). The results suggest that the stocking of fish has an increasing effect on methane emissions from rice fields.     

Spatial and long-term variability of soil loss due to crop harvesting and the importance relative to water erosion: A case study from Belgium

The harvest of crops such as sugar beet (Beta vulgaris L.), potato (Solanum tuberosum L.), leek (Allium porrum L.) and carrot (Daucus carota L.) causes soil loss from arable land because soil adhering to the crop and soil clods that failed to be separated by the harvesting machine, are exported from the field together with these harvested crops. These soil losses can be of the same order of magnitude as soil losses caused by water erosion processes, but are often neglected in soil erosion research. In this article we developed a methodology to investigate the spatial and long-term (1846–2004) variability of soil loss due to crop harvesting (SLCH) in Belgium and the spatial distribution of the importance of SLCH relative to soil losses caused by water erosion processes in Flanders. The study is based on long-term time series of soil tare data of crop processing factories and area and crop yield statistics. Until the middle of the 20th century, potato and roots and tubers grown as second crop, had the largest share in the SLCH-crop growing area in Belgium. Sugar beet gained importance from the end of the 19th century onwards and has now, of all SLCH crops, the largest growing area. We could estimate that, partly due to increasing crop yields and the mechanisation of the harvesting process, SLCH per hectare of cropland increased from 0.4 Mg ha⁻¹ year⁻¹ in 1846 to 2.4 Mg ha⁻¹ year⁻¹ in the 1970s and early 1980s. Since then mean annual soil losses decreased again to 1.8 Mg ha⁻¹ year⁻¹ in 2004. It was assessed that total yearly SLCH in Belgium rose from more than 575,000 Mg in the middle of the 19th century to more than 1.7 × 10⁶ Mg in the 1970s and early 1980s, while current SLCH values are 1.4 × 10⁶ Mg. We estimated that since 1846, more than 163 × 10⁶ Mg soil was exported from cropland in Belgium through this erosion process, which corresponds to 109 hm³ or an average soil profile truncation of 1.15 cm. Average sediment export from cropland in Flanders was 3.7 Mg ha⁻¹ year⁻¹ in 2002, of which 46% was due to SLCH and 54% was due to water erosion processes. The relative importance of SLCH varied, depending on the agricultural region, between 38% and 94%.     

Association between low fetal fraction in cell-free DNA screening and fetal chromosomal aberrations: A systematic review and meta-analysis

Objective

To perform a systematic review and meta-analysis of the available literature on low fetal fraction (LFF) in cell-free DNA (cfDNA) screening and the risk of fetal chromosomal aberrations.

Method

We searched articles published between January 2010 and May 2021 in PubMed and EMBASE databases. Risk of bias was assessed using QUADAS-2.

Results

Twenty-seven studies met the inclusion criteria, comprising data of 243,700 singleton pregnancies. Compared to normal fetal fraction, LFF was associated with a higher risk of trisomy 13 (OR 5.99 [3.61–9.95], I ² of heterogeneity = 0%, n = 22 studies), trisomy 18 (OR 4.46 [3.07–6.47], I ² = 0%, n = 22 studies), monosomy X (OR 5.88 [2.34–14.78], I ² = 18%, n = 10 studies), and triploidy (OR 36.39 [9.83–134.68], I ² = 61%, n = 6 studies), but not trisomy 21 (OR 1.25 [0.76–2.03], I ² = 36%, n = 23 studies). LFF was also associated with a higher risk of various other types of fetal chromosomal aberrations (OR 4.00 [1.78–9.00], I ² = 2%, n = 11 studies). Meta-analysis of proportions showed that absolute rates of fetal chromosomal aberrations ranged between 1% and 2% in women with LFF. A limitation of this review is the potential risk of ascertainment bias because of differences in outcome assessment between pregnancies with LFF and those with normal fetal fraction. Heterogeneity in population characteristics or applied technologies across included studies may not have been fully addressed.

Conclusion

An LFF test result in cfDNA screening is associated with an increased risk of fetal trisomy 13, trisomy 18, monosomy X, and triploidy, but not trisomy 21. Further research is needed to assess the association between LFF and other specific types of fetal chromosomal aberrations.     

Optimizing carbon sequestration in commercial forests by integrating carbon management objectives in wood supply modeling

This paper provides a methodology for generating forest management plans, which explicitly maximize carbon (C) sequestration at the forest-landscape level. This paper takes advantage of concepts first presented in a paper by Meng et al. (2003; Mitigation Adaptation Strategies Global Change 8:371–403) by integrating C-sequestration objective functions in existing wood supply models. Carbon-stock calculations performed in Woodstock^TM (RemSoft Inc.) are based on C yields generated from volume table data obtained from local Forest Development Survey plots and a series of wood volume-to-C content conversion factors specified in von Mirbach (2000). The approach is used to investigate the impact of three demonstration forest-management scenarios on the C budget in a 110,000 ha forest in south-central New Brunswick, Canada. Explicit demonstration scenarios addressed include (1) maximizing timber extraction either by clearcut or selection harvesting for greatest revenue generation, (2) maximizing total C storage in the forest landscape and in wood products generated from harvesting, and (3) maximizing C storage together with revenue generation. The level of clearcut harvesting was greatest for scenario 1 (≥15 × 10⁴ m³ of wood and ≥943 ha of land per harvesting period), and least for scenario 2 (=0 m³ per harvesting period) where selection harvesting dominated. Because softwood saw logs were worth more than pulpwood ($60 m⁻³ vs. $40 m⁻³) and were strategic to the long-term storage of C, the production of softwood saw logs exceeded the production of pulpwood in all scenarios. Selection harvesting was generally the preferred harvesting method across scenarios. Only in scenario 1 did levels of clearcut harvesting occasionally exceed those of selection harvesting, mainly in the removal of old, dilapidated stands early in the simulation (i.e., during periods 1 through 3). Scenario 2 provided the greatest total C-storage increase over 80 years (i.e., 14 × 10⁶ Mg C, or roughly 264 Mg ha⁻¹) at a cost of $111 per Mg C due to lost revenues. Scenarios 3 and 1 produced reduced storage rates of roughly 9 × 10⁶ Mg C and 3 × 10⁶ Mg C, respectively; about 64% and 22% of the total, 80-year C storage calculated in scenario 2. The bulk of the C in scenario 2 was stored in the forest, amounting to about 76% of the total C sequestered.     

Fetoscopic laser photocoagulation versus expectant management for stage I twin-to-twin transfusion syndrome: A systematic review and meta-analysis

To investigate the outcomes of asymptomatic stage I twin-to-twin transfusion syndrome (stage I TTTS) among patients treated with fetoscopic laser photocoagulation (FLP) versus expectant management. Databases such as PubMed, Web of Science and Scopus were systematically searched from inception up to March 1st, 2022. The primary outcome was at least one fetal survival at birth and secondary outcomes included gestational age at delivery, preterm premature rupture of membranes < 32 weeks, preterm birth < 32 weeks, and single and dual fetal survival. Five studies were included in the meta-analysis. There was no significant difference in terms of at least one survival (odds ratio (OR) = 1.40, 95%CI= (0.26, 7.43), P = 0.70), single survival (OR = 0.87, 95%CI= (0.51, 1.48), P = 0.60) and dual survival (OR = 1.63, 95%CI= (0.74, 3.62), P = 0.23) among FLP and expectant groups. Gestational age at delivery (mean difference = 1.19, 95%CI= (−0.25, 2.63), P = 0.10), the risk of PTB<32 weeks (OR = 0.88, 95%CI= (0.50, 1.54), P = 0.65), and pPROM<32 weeks (OR = 1.80, 95% CI= (0.41, 7.98), P = 0.44) were also comparable between the groups. Routine FLP of the placental anastomoses before 26 weeks of gestation is unlikely to be beneficial among asymptomatic stable stage I TTTS patients without cervical shortening as the procedure does not offer a survival advantage compared with expectant management.     

Physical conditions for trapping air by a microtrichia-covered insect cuticle during temporary submersion

The intertidal midge Clunio, which reproduces on exposed rocky seashores, becomes enclosed in an irregularly shaped air bubble during short submersion by incoming waves. This water-repellent property of Clunio’s cuticle is caused by a complete cover of hydrophobic microtrichia offering an effective surf tolerance. These microtrichia not only trap a thin air layer above the cuticle but also maintain a larger air bubble between the insect’s ventral side and legs. The effectiveness of the water repellence was quantitatively characterised on the basis of a known model (Crisp and Thorpe, Discuss Faraday Soc 3:210–220, 1948). The parameters of the model are the contact angle θ (>90°) at the contact line of air/water/microtrichia and the distance between individual microtrichia and their radius. When the microtrichia are 1.1 μm apart and have a radius of 0.1 μm and an estimated contact angle θ of 140°, the air layer is stable against hydrostatic pressures of up to 3 m water column. As shown by a modified version of the model, considerably larger air bubbles can be trapped by the microtrichia cover of the legs up to distances of 0.5 mm from the body. The widely spaced (about 8 μm apart) and longer setae of Clunio are not involved in the formation of air layers and air bubble.     

Hybridization between wheat (Triticum aestivum) and the wild species Aegilops geniculata and A. biuncialis under experimental field conditions

Hybridization between Aegilops geniculata, A. biuncialis and bread wheat Triticum aestivum has been evaluated during two seasons under simulated field conditions to estimate the field hybridization rate under Central Spain conditions. The mean frequencies of hybridization between A. biuncialis and A. geniculata with wheat were 0.34% and 0.31%, respectively. Data from 10 hybrid plants for each combination showed that hybrids can be partially fertile by backcrossing with wheat parent, with percent averages of 3.17 grains/spikelets for A. biuncialis × wheat hybrids and 2.87 grains/spikelets for A. geniculata × wheat hybrids. Self-pollination, although at very low rates, was also possible in hybrids. The potential risks associated with natural hybridization in the context of transgenic wheat cultivation are discussed.     

Nectar production dynamics and sugar composition in two <Emphasis Type="Italic">Mucuna</Emphasis> species (Leguminosae,Faboideae) with different specialized pollinators

Nectar is secreted in particular rhythms throughout the lifespan of a flower, which allows determining the nectar production dynamics. This paper compares nectar features in Mucuna japira and Mucuna urens describing: dynamics of nectar production, floral response to nectar removal, resorption, nectar sugar composition, and variation in nectar sugar composition. M. japira inflorescence bears 12–21 yellow flowers, which are in anthesis for 7 days, whereas M. urens inflorescence bears 36–54 greenish flowers, but only 1–3 flowers are in anthesis simultaneously that last one night. Nectar volume and sugar concentration were measured, and the amount of sugar was estimated. Qualitative and quantitative nectar sugar composition was determined. Both species had a constant nectar sugar concentration (ca. 10% for M. japira and ca. 16% for M. urens) and secreted high volumes of nectar (ca. 340 μl per flower for M. japira and 310 μl per flower for M. urens), during 5 days for M. japira and 6 h for M. urens, but after the first removal, i.e., when flower opening mechanism is triggered, nectar production stops immediately. Nectar resorption occurred in both species. Nectar sugar composition showed some similarities between the species. Variation in nectar sugar composition occurred in both species. The Mucuna species are dependent on their pollinators to produce fruits and seeds, and they have different strategies to promote the necessary interaction with birds or bats, especially related to nectar and flower characteristics.     

Prenatal detection of aortic coarctation in a well-organized screening setting: Are we there yet?

Objective

We aimed to assess current prenatal detection rate (DR) of aortic coarctation (CoA) and its impact on neonatal outcome in the Netherlands to evaluate the efficacy of the Dutch screening protocol in which the cardiac four-chamber view, outflow tracts and three-vessel view are compulsory.

Methods

All prenatally and postnatally diagnosed CoA cases between 2012 and 2021 were extracted from our PRECOR-registry. Annual DRs were calculated with a focus on the trend over time and attributing factors for detection. Postnatal outcome was compared between prenatally detected and undetected cases.

Results

49/116 cases (42.2%) were detected prenatally. A higher chance of detection was found for cases with extracardiac malformations (71.4%; p = 0.001) and the more severe cases with an aortic arch hypoplasia and/or ventricular septal defect (63.2%; p = 0.001). Time-trend analysis showed no improvement in DR over time (p = 0.33). Undetected cases presented with acute circulatory shock in 20.9% and were more likely to have severe lactic acidosis (p = 0.02) and impaired cardiac function (p < 0.001) before surgery.

Conclusion

Even in a well-organized screening program, the DR of CoA still requires improvement, especially in isolated cases. The increased risk of severe lactic acidosis in undetected cases stresses the need for urgent additions to the current screening program, such as implementation of the three-vessel trachea view and measurement of outflow tracts.     

Specific dynamic action affects the hydrostatic pressure tolerance of the shallow-water spider crab <Emphasis Type="Italic">Maja brachydactyla</Emphasis>

The bathymetric distribution of marine benthic invertebrates is likely governed by a combination of ecological and physiological factors. The present study investigates oxygen consumption and heartbeat rate in response to attempted feeding at 1, 100 and 150 atm in the shallow-water spider crab, Maja brachydactyla, from temperate European waters. No significant difference was evident between the resting heartbeat rate of specimens at 1 or 100 atm, which were 56 and 65 bpm, respectively (Mann–Whitney, U = 5382.0; n = 95, 98; p = 0.079). However, at 150 atm the resting heartbeat rate was significantly higher than that observed for 100 atm at 108 bpm (Mann–Whitney, U = 149.0; n = 45, 98; p < 0.001). At 150 atm, feeding was never observed and coupled with the elevated resting heartbeat rate; it is suggested by 150 atm continued survival is unfeasible. At 1 and 100 atm, feeding instigated a distinct increase in heartbeat rate, which remained elevated for over 30 h. This increase peaked within 1 h at 1 atm. At 100 atm, this required 4 h and postprandial oxygen consumption was significantly higher than at 1 atm (Kruskal–Wallis, H = 85.036; df = 2; p < 0.001). Elevated hydrostatic pressure is hypothesized to extend the duration and the total metabolic energy devoted to specific dynamic action. The metabolic requirements of feeding under hyperbaric conditions may even reach such a critical demand that feeding is entirely inhibited.     

Gaseous emissions from weaned pigs raised on different floor systems

Gaseous emissions from agriculture contribute to a number of environmental effects. Carbon dioxide (CO₂), methane (CH₄) and nitrous oxide (N₂O) are greenhouse gases taking part to the global problem of climate change. Ammonia (NH₃) emissions are responsible of soil acidification and eutrophication and contribute also to indirect emissions of N₂O. This work evaluated the influence of the type of floor on the emissions of these gases in the raising of weaned pigs. Two trials were carried out. In the first trial, the animals were kept either on fully slatted floor or on straw-based deep litter and, in the second one, either on fully slatted floor or on sawdust-based deep litter. For each trial and on each type of floor, 2 successive batches of weaned pigs were raised without changing the litter or emptying the slurry pit between the 2 batches. The rooms were automatically ventilated to maintain a constant ambient temperature.The performance of the animals was not significantly different according to the floor type. In trial 1, the nitrogen contents of the straw deep litter (including the substrate) and slurry were respectively 276 and 389 g pig⁻¹. In trial 2, the sawdust deep litter and slurry nitrogen contents were respectively 122 and 318 g pig⁻¹.Raising pigs on straw deep litter produced proportionately around 100% more NH₃ than raising pigs on slatted floor (0.61 g NH₃-N d⁻¹ pig⁻¹ vs. 0.31 g NH₃-N d⁻¹ pig⁻¹; P < 0.05). Differences in CO₂, H₂O and CH₄ emissions were not significant between systems. Raising pigs on sawdust deep litter produced also proportionately more NH₃ (+52%; 0.55 g NH₃-N d⁻¹ pig⁻¹ vs. 0.36 g NH₃-N d⁻¹ pig⁻¹; P < 0.01) but also more CO₂ (+25%; 427 g d⁻¹ pig⁻¹ vs. 341 g d⁻¹ pig⁻¹; P < 0.001) and H₂O (+65%; 981 g d⁻¹ pig⁻¹ vs. 593 g d⁻¹ pig⁻¹; P < 0.001) and less CH₄ (−40%; 0.52 g d⁻¹ pig⁻¹ vs. 0.86 g d⁻¹ pig⁻¹; P < 0.001) than raising pigs on slatted floor. Practically no N₂O emission was observed from rooms with slatted floor while the N₂O emissions were 0.03 and 0.32 g N₂O-N d⁻¹ pig⁻¹ for the straw and sawdust deep litter respectively. The warming potential of the greenhouse gases (N₂O + CH₄), were about 22, 34 and 168 g CO₂ equivalents per day and per pig on fully slatted floor, straw or sawdust deep litter respectively.In conclusion, pollutant gas emissions from rearing of weaned pig seem lower with fully slatted plastic floor system than with deep litter systems.     

Temperature Dependent Depuration of Norovirus GII and Tulane Virus from Oysters (Crassostrea gigas)

Raw oysters are considered a culinary delicacy but are frequently the culprit in food-borne norovirus (NoV) infections. As commercial depuration procedures are currently unable to efficiently eliminate NoV from oysters, an optimisation of the process should be considered. This study addresses the ability of elevated water temperatures to enhance the elimination of NoV and Tulane virus (TuV) from Pacific oysters (Crassostrea gigas). Both viruses were experimentally bioaccumulated in oysters, which were thereafter depurated at 12 °C and 17 °C for 4 weeks. Infectious TuV and viral RNA were monitored weekly for 28 days by TCID₅₀ and (PMAxx-) RT-qPCR, respectively. TuV RNA was more persistent than NoV and decreased by?<?0.5 log₁₀ after 14 days, while NoV reductions were already?>?1.0 log₁₀ at this time. For RT-qPCR there was no detectable benefit of elevated water temperatures or PMAxx for either virus (p?>?0.05). TuV TCID₅₀ decreased steadily, and reductions were significantly different between the two temperatures (p?<?0.001). This was most evident on days 14 and 21 when reductions at 17 °C were 1.3–1.7 log₁₀ higher than at 12 °C. After 3 weeks, reductions?>?3.0 log₁₀ were observed at 17 °C, while at 12 °C reductions did not exceed 1.9 log₁₀. The length of depuration also had an influence on virus numbers. TuV reductions increased from?<?1.0 log₁₀ after seven days to?>?4.0 log₁₀ after 4 weeks. This implies that an extension of the depuration period to more than seven days, possibly in combination with elevated water temperatures, may be beneficial for the inactivation and removal of viral pathogens.

     

Birthweight of children with isolated congenital heart disease—A sibling analysis study

Objective

Congenital heart disease (CHD) is associated with decreased birthweight (BW) compared to population-based references. The aim of this study was to compare the BW of isolated CHD cases to their siblings, thus controlling for unknown and unmeasured confounders within the family.

Methods

All isolated CHD cases in the Leiden University Medical Center were included (2002–2019). Generalized estimated equation models were constructed to compare BW z scores of CHD neonates with their siblings. Cases were clustered to minor or severe CHD and stratified according to the aortic flow and oxygenation to the brain.

Results

The overall BW z score of siblings was 0.032 (n = 471). The BW z score was significantly lower in CHD cases (n = 291) compared to their siblings (−0.20, p = 0.005). The results were consistent in the subgroup analysis of severe and minor CHD (BW z score difference −0.20 and −0.10), but did not differ significantly (p = 0.63). Stratified analysis regarding flow and oxygenation showed no BW difference between the groups (p = 0.1).

Conclusion

Isolated CHD cases display a significantly lower BW z score compared to their siblings. As the siblings of these CHD cases show a BW distribution similar to the general population, this suggests that shared environmental and maternal influences between siblings do not explain the difference in BW.     

Solomon versus selective fetoscopic laser photocoagulation for twin-twin transfusion syndrome: A systematic review and meta-analysis

This meta-analysis aims to compare the perinatal outcome of twin-twin transfusion syndrome (TTTS) pregnancies undergoing selective versus vascular equator (Solomon) fetoscopic laser photocoagulation (FLP). We performed a systematic search in PubMed and Web of Science from inception up to 25 July 2021. Studies comparing the Solomon and selective techniques of FLP for treatment of TTTS pregnancies were eligible. Random-effects or fixed-effect models were used to pool standardized mean differences (SMD) and log odds ratio. Seven studies with a total of 1664 TTTS pregnancies (n = 671 undergoing Solomon and n = 993 selective techniques) were included. As compared to the selective FLP, Solomon was associated with a lower risk of recurrent TTTS compared to the selective technique (Log odds ratio [OR]: −1.167; 95% credible interval [CrI]: −2.01, −0.33; p = 0.021; I²: 67%). In addition, Solomon was significantly associated with a higher risk of placental abruption than the selective technique (Log [OR]: 1.44; 95% CrI: 0.45, 2.47; p = 0.012; I²: 0.0%). Furthermore, a trend for the higher risk of preterm premature rupture of membranes was observed among those undergoing Solomon (Log [OR]: 0.581; 95% CrI: −0.43, 1.49; p = 0.131; I²: 17%). As compared to selective FLP, the Solomon technique for TTTS pregnancies is associated with a significantly lower recurrence of TTTS; however, it significantly increases the risk of placental abruption.     

Body mass estimations for <Emphasis Type="Italic">Plateosaurus engelhardti</Emphasis> using laser scanning and 3D reconstruction methods

Both body mass and surface area are factors determining the essence of any living organism. This should also hold true for an extinct organism such as a dinosaur. The present report discusses the use of a new 3D laser scanner method to establish body masses and surface areas of an Asian elephant (Zoological Museum of Copenhagen, Denmark) and of Plateosaurus engelhardti, a prosauropod from the Upper Triassic, exhibited at the Paleontological Museum in Tübingen (Germany). This method was used to study the effect that slight changes in body shape had on body mass for P. engelhardti. It was established that body volumes varied between 0.79 m³ (slim version) and 1.14 m³ (robust version), resulting in a presumable body mass of 630 and 912 kg, respectively. The total body surface areas ranged between 8.8 and 10.2 m², of which, in both reconstructions of P. engelhardti, ∼33% account for the thorax area alone. The main difference between the two models is in the tail and hind limb reconstruction. The tail of the slim version has a surface area of 1.98 m², whereas that of the robust version has a surface area of 2.73 m². The body volumes calculated for the slim version were as follows: head 0.006 m³, neck 0.016 m³, fore limbs 0.020 m³, hind limbs 0.08 m³, thoracic cavity 0.533 m³, and tail 0.136 m³. For the robust model, the following volumes were established: 0.01 m³ head, neck 0.026 m³, fore limbs 0.025 m³, hind limbs 0.18 m³, thoracic cavity 0.616 m³, and finally, tail 0.28 m³. Based on these body volumes, scaling equations were used to assess the size that the organs of this extinct dinosaur have.     

Brain cortical assessment by MRI in fetuses with left congenital diaphragmatic hernia

Objective

To evaluate fetal brain development using MRI (magnetic resonance imaging) in CDH (congenital diaphragmatic hernia).

Methods

52 isolated left CDH and 104 control fetuses were imaged using MRI. Brain morphometry (Biparietal diameter—BPD, brain fronto-occipital diameter—BFOD, third ventricle, posterior ventricles, transcerebellar diameter—TCD, anteroposterior and craniocaudal cerebellar vermis diameter—AP and CC) and cortical structures (bilateral cingulate fissure—CF, insular fissure—IF, insular depth - ID) were compared with controls using Mann–Whitney test.

Results

Median gestational age at MRI (p = 0.95)and the median biparietal diameter (p = 0.737) were comparable. Among morphometric parameters, only the brain fronto-occipital diameter was significantly smaller in CDH (p = 0.001) and the third ventricle was significantly greater in CDH (<0.0001). Among cortical structures, the cingulate and insular fissures were significantly deeper in CDH fetuses (p < 0.0001) as the insular depth ID was smaller in CDH (p < 0.03).

Conclusions

CDH fetuses have a smaller fronto-occipital diameter, reduced insular depth, deeper cingulate and insular fissure, and greater third ventricle width as compared to controls. These findings suggest that left CDH may have an impact on fetal brain development with an overall reduction in brain volume.     

Extraordinarily long sperm in the socially monogamous cichlid fish <Emphasis Type="Italic">Pelvicachromis taeniatus</Emphasis>

The main function of the spermatozoon is the transfer of the male haploid genome during fertilisation. In animals in general and in fishes in particular, there is huge variation in sperm size. In fishes, sperm size ranges from 13 μm in Mugil cephlus to nearly 100 μm in the channel catfish Ictalurus punctatus. We examined intra-specific variation in sperm morphometry in the socially monogamous cichlid Pelvicachromis taeniatus using scanning electron microscopy. The mean total sperm length of nearly 70 μm was extraordinarily large for cichlids. Furthermore, within-male variation was remarkably high. To our knowledge, P. taeniatus produces the longest cichlid sperm ever documented. Several hypotheses concerning the adaptive significance of these results are presented.