Discordant non-invasive prenatal testing (NIPT) – a systematic review

With a high sensitivity and specificity, non-invasive prenatal testing (NIPT) is an incomparable screening test for fetal aneuploidy. However, the method is rather newly introduced, and experiences with discordant results are few. We did a systematic review of literature reporting details of false positive and false negative NIPT results. Discordant sex chromosome results were not included. We identified 22 studies reporting case details. In total, 206 discordant cases were included, of which 88% were false positive and 12% false negative. Details on maternal age, gestational age, platform/company, Z-score, fetal fraction, results and explanation were specified. The main reasons for discordant results were confined placental mosaicism, maternal copy number variation, vanished twin, maternal cancer and true fetal mosaicism. A very high percentage of cases (67%) were reported with no obvious biological or technical explanation for the discordant result. The included cases represent only a minor part of the true number of false positive or false negative NIPT cases identified in fetal medicine clinics around the world. To ensure knowledge exchange and transparency of NIPT between laboratories, we suggest a systematic recording of discordant NIPT results, as well as a quality assurance by external quality control and accreditation. © 2017 John Wiley & Sons, Ltd.     

Monitoring the Environment: Taking a Historical Perspective

This paper introduces the five papers that follow, all of which were originally presented at a workshop titled Monitoring the Environment: Scales, Methods, and Systems in Historical Perspective. The workshop, sponsored by the Society for the History of Technology and the American Society for Environmental History, examined past efforts to develop tools, methods, and systems for measuring or monitoring some aspect of the physical environment. Four of the papers included here focus on various aspects of air quality monitoring; the fifth has to do with monitoring the earth from space. Despite differences in time period and approach, each article examines how specific tools and methods – and the motivations for developing those tools and methods – evolved. Among other things, these papers make clear that systems for monitoring various aspects of the physical environment are shaped by a variety of stakeholders and suggest that efforts to construct such systems should not be viewed as a purely technical task.     

On uncertainty and sensitivity of LCA-based priority setting

Life-cycle assessments are normally made without quantitative estimations of their uncertainty. More interest has been focused on sensitivity analysis. In ISO 14040, LCA standard and SETAC's ‘code of practice’ sensitivity and uncertainty analysis are recommended or even requested. In the EPS system, an analysis of significance and sensitivity has been carried out for several years. The article describes this procedure in ISO terms and generalises it for other types of life-cycle assessments.     

Field methods and example applications for the Min-Trap® mineral sampler

Important reactive minerals are commonly created during in situ groundwater remediation activities; for example, iron sulfides formed during enhanced reduction approaches can abiotically degrade many chlorinated solvents. However, cost-effective tools to evaluate these treatment processes in field applications are limited and the collection of samples to evaluate in situ mineral formation is costly due to drilling requirements. The new passive Min-Trap sampler is a simple and cost-effective tool that can directly measure the formation of reactive minerals in situ without the need for additional drilling or soil core collection. The methods presented here describe how Min-Traps deployed in conventional monitoring wells can measure reactive minerals and how these minerals can be identified through commercially available analytical methods. Several examples are presented that show how Min-Traps can be used to characterize the rate and spatial variability of reactive mineral precipitation and these data may support operation and optimization decisions.     

Emission rates of chlorinated volatile organics from new and used consumer products found during vapor intrusion investigations: Impact on indoor air concentrations

Consumer products can emit chlorinated volatile organic compounds (CVOCs) that complicate vapor intrusion (VI) assessments. Assessment protocols acknowledge the need to remove these products during VI investigations, but they can be problematic to identify and locate. Predicting if the products cause detectable air concentrations is also difficult since emission rate information is limited and can vary with product use and age. In this study, the emission rates of 1,2-dichloroethane, trichloroethene, tetrachloroethene, and carbon tetrachloride from four consumer products identified as indoor sources during VI field investigations were measured under laboratory conditions using a flow through system. Emissions of PCE from an adhesive container tube ranged from 1.33 ± 1.13 μg/min (unopened) to 23.9 ± 2.93 μg/min (previously opened). The laboratory-measured emission rates were used to estimate indoor air concentrations, which were then compared to concentrations measured after the products placed were into an actual residence. The estimated and measured indoor air concentrations were generally comparable, showing that emission rate information can be used to determine the relative impact of internal CVOC sources.     

Tipping Points and Climate Change: Metaphor Between Science and the Media

Over the past decade, scientists and journalists have prominently utilized the metaphor of a tipping point for drastic, irreversible and dangerous climate change. This paper shows how the tipping point metaphor became a multi-purpose bridge between science and the news media, describing how its meaning and use developed and diversified in interaction between these two domains. Within the scientific domain, the metaphor developed from a rhetorical device conveying a warning of drastic, irreversible and dangerous climate change to a theoretical concept driving empirical research. The news media soon picked up the tipping point metaphor for abrupt and dangerous climate change, turning it into a common part of the journalistic lexicon. Moreover, both science and the news media developed another, societal use of the tipping point metaphor, calling for radical societal change to avoid climate change catastrophe. The tipping point metaphor is hence not a monolithic notion but a highly versatile concept and expression, allowing it to be used for various communicative purposes by distinct stakeholders in different contexts.     

Documenting lemming population change in the Arctic: Can we detect trends?

Lemmings are a key component of tundra food webs and changes in their dynamics can affect the whole ecosystem. We present a comprehensive overview of lemming monitoring and research activities, and assess recent trends in lemming abundance across the circumpolar Arctic. Since 2000, lemmings have been monitored at 49 sites of which 38 are still active. The sites were not evenly distributed with notably Russia and high Arctic Canada underrepresented. Abundance was monitored at all sites, but methods and levels of precision varied greatly. Other important attributes such as health, genetic diversity and potential drivers of population change, were often not monitored. There was no evidence that lemming populations were decreasing in general, although a negative trend was detected for low arctic populations sympatric with voles. To keep the pace of arctic change, we recommend maintaining long-term programmes while harmonizing methods, improving spatial coverage and integrating an ecosystem perspective.