Factors affecting the clinical use of non-invasive prenatal testing: a mixed methods systematic review

Non-invasive prenatal testing has been in clinical use for a decade; however, there is evidence that this technology will be more widely applied within the next few years. Guidance is therefore required to ensure that the procedure is offered in a way that is evidence based and ethically and clinically acceptable. We conducted a systematic review of the current relevant literature to ascertain the factors that should be considered when offering non-invasive prenatal testing in a clinical setting. We undertook a systematic search of relevant databases, journals and reference lists, and from an initial list of 298 potential papers, identified 11 that were directly relevant to the study. Original data were extracted and presented in a table, and the content of all papers was analysed and presented in narrative form. Four main themes emerged: perceived attributes of the test, regulation and ethical issues, non-invasive prenatal testing in practice and economic considerations. However, there was a basic difference in the approach of actual or potential service users, who were very positive about the benefits of the technology, compared with other research participants, who were concerned with the potential moral and ethical outcomes of using this testing method. Recommendations for the appropriate use of non-invasive prenatal testing are made. © 2013 John Wiley & Sons, Ltd.     

Pimp Your Landscape: A Tool for Qualitative Evaluation of the Effects of Regional Planning Measures on Ecosystem Services

The article presents the platform “Pimp your landscape” (PYL), which aims firstly at the support of planners by simulating alternative land-use scenarios and by an evaluation of benefits or risks for regionally important ecosystem services. Second, PYL supports an integration of information on environmental and landscape conditions into impact assessment. Third, PYL supports the integration of impacts of planning measures on ecosystem services. PYL is a modified 2-D cellular automaton with GIS features. The cells have the major attribute “land-use type” and can be supplemented with additional information, such as specifics regarding geology, topography and climate. The GIS features support the delineation of non-cellular infrastructural elements, such as roads or water bodies. An evaluation matrix represents the core element of the system. In this matrix, values in a relative scale from 0 (lowest value) to 100 (highest value) are assigned to the land-use types and infrastructural elements depending on their effect on ecosystem services. The option to configure rules for describing the impact of environmental attributes and proximity effects on cell values and land-use transition probabilities is of particular importance. User interface and usage of the platform are demonstrated by an application case. Constraints and limits of the recent version are discussed, including the need to consider in the evaluation, landscape-structure aspects such as patch size, fragmentation and spatial connectivity. Regarding the further development, it is planned to include the impact of land management practices to support climate change adaptation and mitigation strategies in regional planning.     

Prymnesium parvum: The Norwegian Experience1

Johnsen, Torbjørn M., Wenche Eikrem, Christine D. Olseng, Knut E. Tollefsen, and Vilhelm Bjerknes, 2010. Prymnesium parvum: The Norwegian Experience. Journal of the American Water Resources Association (JAWRA) 46(1):6-13. DOI: 10.1111/j.1752-1688.2009.00386.x Abstract: In Norwegian waters, Prymnesium parvum has been reported from Oslofjorden in the south to Spitzbergen in the north. However, blooms of P. parvum have only been reported from the Sandsfjorden system in Ryfylke, Western Norway where the salinity of the permanent brackish layer (2-5 m) typically is in the range of 4-7 psu during the summer months. The first bloom on record occurred in 1989, and it killed 750 metric tons of caged salmon and trout which was a significant economic loss to the fish farming industry. Toxic blooms occurred as well in subsequent years and the number of fish farms in the area decreased considerably as did the occurrence of P. parvum. In 2005, fish farming was reintroduced to the area and again, in 2007 a toxic bloom of P. parvum killed 135 metric tons of caged fish. The Norwegian Institute for Water Research has, in collaboration with “Erfjord Stamfisk” fish farm, set up a monitoring program that includes light microscopy cell counts of Prymnesium, water quality measurements, and observation of the caged fish. A submergible fish net was mounted over the fish pens and during the toxic outbreak of P. parvum in July-August 2007, which was as previous years confined to the upper brackish water layer, the fish nets were lowered to 10 m depths below the surface and fish feeding was temporarily stopped. Despite substantial weight loss, the fish survived the toxic bloom and the economic loss was minimal. Monitoring of P. parvum bloom dynamics in 2007 revealed that populations were initially dominated by the nonmotile forms which were gradually replaced by the flagellated forms. Toxicity was observed when the flagellated cells dominated populations in the summer. Chrysochromulina, solitary small Chaetoceros species, and small centric diatoms co-existed with P. parvum during the monitoring period (June-October).     

Institutional dynamics and climate change adaptation in South Africa

Climate change is a multi-dimensional issue and in terms of adaptation numerous state and non-state actors are involved from global to national and local scales. The aim of this paper is first to analyse specific institutional networks involved in climate change predominantly at the national level in South Africa and second to determine how different stakeholders perceive their role vis-a-vis climate change adaptation. Within the South African context there is a gap in understanding and evaluating how institutional networks operate and thus the findings of this work may help inform and strengthen such relationships in the future. Results showed that few institutions fully understand the implications of adaptation and their roles and responsibilities have not yet been properly defined. Constraints relating to capacity, lack of awareness and poor information flow need to be addressed. Climate change is perceived as an important issue although problems such as poverty reduction and job creation remain national priorities. Most importantly this research has demonstrated how adaptation challenges the hierarchical manner in which government works and a more collaborative approach to climate change adaptation is needed. Adaptation needs to be mainstreamed and institutional networks need to be strengthened in order for adaptation mechanisms to be effectively implemented.

Persistence of Human Noroviruses on Food Preparation Surfaces and Human Hands

The human noroviruses (NoV) are the major cause of acute non-bacterial gastroenteritis and are commonly transmitted by foodborne routes. Epidemiological evidence from propagated outbreaks, as well as environmental sampling, suggest that these viruses are environmentally stable. The purpose of this study was to examine the persistence of representative human NoV on the fingertips of volunteers and on commonly used food preparation surfaces. Human fingerpads and surfaces (stainless steel, Formica^®, and ceramic) were inoculated with 20% fecal suspensions of Norwalk virus (NV) or Snow Mountain virus (SMV). The virus inocula were recovered by elution at serial time points ranging from 0 to 120 min post-inoculation (for fingerpads) and after up to 42 days (for surfaces). The quantity of detectable viral RNA, expressed as genome equivalent particles (GEP) was evaluated using quantitative real-time RT-PCR (RT-qPCR). The amount of NV RNA on the surface decreased gradually over time, with an average reduction ranging from 1.5 to 2.9 log₁₀ GEP after 21–28 days storage under ambient conditions. SMV showed greater environmental persistence, with a 0.4–1.2 log₁₀ GEP reduction on all three surfaces after 42 days of ambient storage. On fingerpads, the amount of human NoV RNA declined slightly (<0.25 log₁₀) after 15 min and remained relatively unchanged thereafter (through 120 min). These results support the epidemiological evidence that food preparation surfaces and human hands can act as vehicles for human NoV transmission long after the initial contamination event has occurred.