Population screening for gestational hypertensive disorders using maternal,fetal and placental characteristics: A population-based prospective cohort study

Objective

To determine screening performance of maternal, fetal and placental characteristics for selecting pregnancies at risk of gestational hypertension and preeclampsia in a low-risk multi-ethnic population.

Method

In a prospective population-based cohort among 7124 pregnant women, we collected maternal characteristics including body mass index, ethnicity, parity, smoking and blood pressure in early-pregnancy. Fetal characteristics included second and third trimester estimated fetal weight and sex determined by ultrasound. Placental characteristics included first and second trimester placental growth factor concentrations and second and third trimester uterine artery resistance indices.

Results

Maternal characteristics provided the best screening result for gestational hypertension (area-under-the-curve [AUC] 0.79 [95% Confidence interval {CI} 0.76-0.81]) with 40% sensitivity at 90% specificity. For preeclampsia, the maternal characteristics model led to a screening performance of AUC 0.74 (95% CI 0.70-0.78) with 33% sensitivity at 90% specificity. Addition of second and third trimester placental ultrasound characteristics only improved screening performance for preeclampsia (AUC 0.78 [95% CI 0.75-0.82], with 48% sensitivity at 90% specificity).

Conclusion

Routinely measured maternal characteristics, known at the start of pregnancy, can be used in screening for pregnancies at risk of gestational hypertension or preeclampsia within a low-risk multi-ethnic population. Addition of combined second and third trimester placental ultrasound characteristics only improved screening for preeclampsia.

     

Different uses of plant semiochemicals in host location strategies of the two tachinid parasitoids

Some members of the family Tachinidae (Insecta: Diptera) deposit numerous very small eggs, termed “microtype” eggs, on the food plants of their caterpillar hosts. Parasitization is successful only when the hosts ingest these eggs. To increase the chance of hosts encountering the eggs, microtype tachinid parasitoids have to choose a suitable plant that harbors hosts and lay their eggs near the hosts. In their host location process, semiochemicals emitted by host-infested plants offer the tachinids a reliable cue. We investigated the behavioral responses of two microtype tachinid parasitoids, Pales pavida and Zenillia dolosa, to maize plants infested with their caterpillar host, Mythimna separata, in a wind tunnel. P. pavida females showed a significantly higher rate of landing on caterpillar-infested plants than on mechanically wounded or intact plants, whereas Z. dolosa landed on both the caterpillar-infested and mechanically wounded plants at significantly higher rates than on intact plants. We also examined which part of a caterpillar-infested maize leaf induces oviposition. P. pavida deposited eggs on the margin of the leaf, whereas Z. dolosa preferentially laid eggs around a caterpillar-infested area or a mechanically wounded spot. P. pavida eggs retained their parasitization ability for more than 15?days after they were deposited, whereas the eggs of Z. dolosa could not survive more than 5?days after oviposition. Our results suggest that each tachinid parasitoid employs a different host location strategy to exploit semiochemicals coming from plant–herbivore interaction as cues in order to increase their parasitization success.     

Dry Weather Water Quality Loadings in Arid,Urban Watersheds of the Los Angeles Basin,California, USA1

Abstract: Dry weather runoff in arid, urban watersheds may consist entirely of treated wastewater effluent and/or urban nonpoint source runoff, which can be a source of bacteria, nutrients, and metals to receiving waters. Most studies of urban runoff focus on stormwater, and few have evaluated the relative contribution and sources of dry weather pollutant loading for a range of constituents across multiple watersheds. This study assessed dry weather loading of nutrients, metals, and bacteria in six urban watersheds in the Los Angeles region of southern California to estimate relative sources of each constituent class and the proportion of total annual load that can be attributed to dry weather discharge. In each watershed, flow and water quality were sampled from storm drain and treated wastewater inputs, as well as from in‐stream locations during at least two time periods. Data were used to calculate mean concentrations and loads for various sources. Dry weather loads were compared with modeled wet weather loads under a range of annual rainfall volumes to estimate the relative contribution of dry weather load. Mean storm drain flows were comparable between all watersheds, and in all cases, approximately 20% of the flowing storm drains accounted for 80% of the daily volume. Wastewater reclamation plants (WRP) were the main source of nutrients, storm drains accounted for almost all the bacteria, and metals sources varied by constituent. In‐stream concentrations reflected major sources, for example nutrient concentrations were highest downstream of WRP discharges, while in‐stream metals concentrations were highest downstream of the storm drains with high metals loads. Comparison of wet vs. dry weather loading indicates that dry weather loading can be a significant source of metals, ranging from less than 20% during wet years to greater than 50% during dry years.     

Effects of Watershed Impervious Cover on Dissolved Silica Loading in Storm Flow1

Abstract: Dissolved silica (DSi) availability is a factor that affects the composition of algal populations in aquatic ecosystems. DSi cycling is tightly linked to the hydrological cycle, which is affected by human alterations of the landscape. Development activities that increase impervious cover change watershed hydrology and may increase the discharge of DSi‐poor rainwater and decrease the discharge of DSi‐rich ground water into aquatic ecosystems, possibly shifting algal community composition toward less desirable assemblages. In this study, DSi loadings from two adjacent coastal watersheds with different percent impervious cover were compared during four rain and five nonrain events. Loadings in the more impervious watershed contained a significantly larger proportion of surface runoff than base flow (ground‐water discharge) and had lower [DSi] water during rain events than the less impervious watershed. Application of the Soil Conservation Service Curve Number (CN) method showed that the minimum rainfall height necessary to yield runoff was significantly lower for the more impervious watershed, implying that runoff volumes increase with impervious cover as well as the frequency of runoff‐yielding events. Empirical data collected during this study and estimates derived from the CN method suggest that impervious cover may be responsible for both short‐term DSi limitation during rain events as well as long‐term reduction of DSi inputs into aquatic ecosystems.     

Aromatic Copolyester-based Nano-biocomposites: Elaboration, Structural Characterization and Properties

Biodegradable polymers are one of the most promising ways to replace non-degradable polymers. But, to be a real alternative to classical synthetic polymers and find applications, biopolymer (biodegradable polymer) properties have to be enhanced. Nano-biocomposites, which are obtained by incorporation of nanofillers into a biomatrix, are an interesting way to achieve these improvements. Modified and unmodified montmorillonites have been introduced into a biodegradable aromatic copolyester, poly(butylene adipate-co-terephthalate) (PBAT). Structural characterization, thermal and mechanical tests have been carried out to understand better the relations between the nanofillers structuring and the final nano-biocomposite properties. Main results show that clay incorporation and the obtained intercalated structures improve PBAT properties (enhanced thermal stability, increased stiffness) and thus may increase the attractiveness of this biopolymer.     

Semilobar holoprosencephaly in a 46,XY female fetus

We report the prenatal echographic diagnosis of holoprosencephaly (HPE) at 11 weeks' gestation. Fetopathological examination revealed an unusual variant of semilobar HPE with middle interhemispheric fusion associated with sex-reversal: 46,XY normal male karyotype, normal external and internal female genitalia and streak gonads. Copyright © 2001 John Wiley & Sons, Ltd.     

Leachate recirculation: moisture content assessment by means of a geophysical technique

Bioreactor technology is a waste treatment concept consisting in speeding up the biodegradation of landfilled waste by optimizing its moisture content through leachate recirculation. The measurement of variations in waste moisture content is critical in the design and control of bioreactors. Conventional methods such as direct physical sampling of waste reach their limits due to the interference with the waste matrix. This paper reviews geophysical measurements such as electrical direct current and electromagnetic slingram methods for measuring the electrical conductivity. Electrical conductivity is a property, which is linked to both moisture and temperature and can provide useful indications on the biodegradation environment in the waste mass. The study reviews three site experiments: a first experimentation shows the advantages (correlation between conductive anomaly and water seepage) but also the limits of geophysical interpretation; the two other sites allow the leachate recirculation to be tracked by studying the relative resistivity variation versus time from electrical 2D imaging. Even if some improvements are necessary to consider geophysical measurements as a real bioreactor monitoring tool, results are promising and could lead to the use of electrical 2D imaging in bioreactor designing.     

Carbon trading: time for industry involvement

Carbon trading is no longer just theory. Infant markets already exist and, in 2002, they traded perhaps $10 million worth of emissions allowances. We estimate conservatively that, by 2010, the EU scheme will trade as much as $1 billion in allowances each year. The motor of the carbon markets is a worldwide effort to reduce emissions of greenhouse gases. Its most visible symbol is the Kyoto Protocol of 1997, formally known as the United Nations Framework Convention on Climate Change. Even if Kyoto is not ratified and, despite the US's decision to opt out of the treaty, the genie of greenhouse-gas reduction is out of the bottle. We believe that trading of greenhouse gases will be a real, day-to-day activity by 2010, almost certainly in Europe and probably in Canada and Japan. Carbon trading in these areas will affect the US, whether or not America sets up a programme of its own. The conclusion of this study is that industry should get involved in defining carbon trading-and now-to advance and defend their interests. Interest should be greatest among producers and users of the greenhouse gases other than carbon dioxide, namely methane, nitrous oxide, hydrofluorocarbons, perfluorocarbons and sulphur hexafluoride.     

A field evaluation of a piezo-optical dosimeter for environmental monitoring of nitrogen dioxide

Measurements of 8-hour time-weighted average NO(2) concentrations are reported at 7 different locations in the region of Dunkirk over 5 consecutive days using PiezOptic monitoring badges previously calibrated for the range 0-70 ppb together with data from chemiluminescent analysers in 5 sites (4 fixed and one mobile). The latter facilities also provided data on ozone and NO concentrations and meteorological conditions. Daily averages from the two pairs of badges in different types of sampling cover in each site have been compared with data from the chemiluminescent analysers, and found largely to agree within error margins of +/-30%. Although NO(2) and ozone concentrations were low, rendering detailed discussion impossible, the general features followed expected patterns.