Cell-free DNA screening in twin pregnancies: A more accurate and reliable screening tool

Objective

Outcome data from cell-free DNA (cfDNA) screening in twin gestations are limited. This study adds an appreciable number of confirmed outcomes to the literature, and assesses performance of cfDNA screening in twins over a 4.5-year period at one large clinical laboratory.

Method

Prenatal cytogenetic and SNP microarray results were cross-referenced with cfDNA results for twin pregnancies, yielding 422 matched cases. Using diagnostic results as truth, performance of cfDNA screening in this population was assessed.

Results

Of the 422 twin pregnancies with both cfDNA and diagnostic results, 3 specimens failed amniocyte analysis, and 48 samples (11.5%) were nonreportable from the initial cfDNA draw. Analysis of the 371 reportable samples demonstrated a collective sensitivity of 98.7% and specificity of 93.2% for trisomies 21/18/13. Positive predictive values (PPVs) in this study population, which is enriched for aneuploidy, were 78.7%, 84.6%, and 66.7% for trisomy 21, 18, and 13, respectively.

Conclusion

CfDNA screening in a cohort of twin pregnancies with matched diagnostic results showed superior performance compared to traditional serum biochemical screening in twins. This study adds to a growing body of evidence suggesting that cfDNA is an accurate and reliable screening tool for the major trisomies in twin pregnancies.

     

Robust prediction of chatter stability in milling based on the analytical chatter stability

A major obstacle that limits the productivity in machining operations is the presence of machine tool chatter. Machining is a dynamic process and chatter behavior depends upon a number of different aspects including spindle speeds, material properties, tool geometry, and even the location of tool respect to the rest of machine. Many of the traditional models used to predict chatter stability lobes assume that parameters such as natural frequency, stiffness, and cutting coefficients remain constant. In reality, these parameters vary and they affect the chatter stability. The uncertainty in these parameters can be taken into consideration by employing the robust stability theory into a two degree of freedom milling model. Utilizing the Edge theorem and the Zero Exclusion condition, a robust chatter stability model, based on the analytical chatter stability milling model, is developed. This improves the reliability compared to the projected pseudo single degree of freedom model. The method is verified experimentally for milling operations while considering a changing natural frequency and cutting coefficient.     

Differential fate of erythromycin and beta-lactam resistance genes from swine lagoon waste under different aquatic conditions

The attenuation and fate of erythromycin-resistance-methylase (erm) and extended-spectrum beta-lactamse (bla) genes were quantified over time in aquatic systems by adding 20-L swine waste to 11,300-L outdoor mesocosms that simulated receiving water conditions below intensive agricultural operations. The units were prepared with two different light-exposure scenarios and included artificial substrates to assess gene movement into biofilms. Of eleven genes tested, only erm(B), erm(F), bla_SHV and bla_TEM were found in sufficient quantity for monitoring. The genes disappeared rapidly from the water column and first-order water-column disappearance coefficients were calculated. However, detected gene levels became elevated in the biofilms within 2 days, but then disappeared over time. Differences were observed between sunlight and dark treatments and among individual genes, suggesting that ecological and gene-specific factors play roles in the fate of these genes after release into the environment. Ultimately, this information will aid in generating better predictive models for gene fate.     

Effectiveness of gutter brushes in removing street sweeping waste

Litter on roadways has to be removed for hygiene and to reduce pollution, amongst other reasons. Therefore, the effective operation of street sweepers is important in the collection of solid waste. In this article, the effectiveness of gutter brushes of street sweepers in removing different debris types, namely medium-size gravel, small and fine particles, and wet thin debris is studied by means of sweeping tests using a brushing test rig. Two types of gutter brushes, cutting and F128, are tested under a variety of operating conditions. The experimental tests provide a means of identifying suitable ranges of brush penetration for the different debris types under defined operating parameters such as brush angle of attack, brush rotational speed, and sweeper velocity. These ranges may provide sufficiently high removal forces and avoid the occurrence of sweeping problems such as backward sweeping and inappropriate bristle–surface contact. Optimum operating parameters for the three debris types studied, as well as a mixture of all of them, are determined. Lastly, the results indicate that, as far as the sweeping effectiveness is concerned, the F128 brush is the preferred one for the cases studied.     

Twenty Years of New Zealand’s National Rivers Water Quality Network: Benefits of Careful Design and Consistent Operation1

Davies‐Colley, Robert J., David G. Smith, Robert C. Ward, Graham G. Bryers, Graham B. McBride, John M. Quinn, and Mike R. Scarsbrook, 2011. Twenty Years of New Zealand’s National Rivers Water Quality Network: Benefits of Careful Design and Consistent Operation. Journal of the American Water Resources Association (JAWRA) 47(4):750‐771. DOI: 10.1111/j.1752‐1688.2011.00554.x Abstract: This paper reviews New Zealand’s National Rivers Water Quality Network (NRWQN), which is now in its third decade of monitoring. The NRWQN is noteworthy for being operationally stable throughout its history, and the resulting consistency is increasingly valuable for detecting water quality trends and for “anchoring” temporary special purpose monitoring campaigns. The NRWQN was carefully designed following considerable effort to learn from monitoring experiences elsewhere. Monthly visits are made to 77 sites (all near hydrometric stations) on 35 river systems that cumulatively drain about one half of the national landscape. “Core” (routinely measured) variables are: conductivity, pH, temperature, dissolved oxygen, visual clarity, turbidity, colored dissolved organic matter, fecal indicator bacteria, and different forms of nitrogen and phosphorus (italics indicate field measurements). Associated benthic biological monitoring comprises monthly visual assessment of periphyton and annual sampling for macro‐invertebrates. We overview the conception, design, initiation, and operational history of the NRWQN, and highlight the diverse applications of its datasets including numerous scientific applications, national‐scale modeling of material fluxes, and state‐of‐environment reporting and practical water management at both regional and national scale. The qualified success of the NRWQN can probably be attributed to careful (and parsimonious) design and consistent operation.     

The effects of long-term unemployment on attitudes to employment

This paper is concerned with whether long-term unemployment (6-24 months) affects people's attitudes to employment once they have found a new job. One hundred and forty men aged 25-40 were asked whether they felt various aspects of employment (e.g. job security, pay) are more important to them as a result of being unemployed. The effects of mental well-being when unemployed on attitudes to employment are explored. Unemployment is reported to have made most aspects of employment more important to people. Those whose mental health was worst when unemployed report that job security is most important to them.     

Scottish peat bog records of atmospheric vanadium deposition over the past 150 years: comparison with other records and emission trends

Cores from four Scottish ombrotrophic peat bogs were used to reconstruct the historical record of atmospheric vanadium (V) deposition in Scotland over the last 150 years. The general similarity of V and Pb concentration profile trends in (210)Pb-dated cores from each of the sites strongly suggested that V, like Pb, is essentially immobile in ombrotrophic peat. After allowance via use of the conservative element Ti for the contribution of soil dust V, the deposition of anthropogenic V was found to be greatest (～ 1.3 to 2.0 mg m(-2) y(-1)) in the mid-20(th) century before decreasing to 0.1-0.3 mg m(-2) y(-1) in the early years of the 21(st) century. The latter values were in good agreement with directly measured atmospheric V fluxes at nearby sites, a finding also observed in the case of Pb. The decline in peat-core-derived fluxes for both V and Pb from 1970 to 2004, however, was not as large as the decline in official UK emission estimates for the two metals during this period. This, along with an order of magnitude discrepancy between the anthropogenic V/Pb ratios at the peat core surface and the higher values of the ratio for UK emissions in the early 2000s, suggests that the recently revised UK emissions data for V may perhaps still be overestimated and/or that some previously deposited Pb is being resuspended in the atmosphere.     

Radioactivity in drinking water: Expert opinion and policy choices

To examine the preferences of experts to selected economic and policy options in ground-water protection, we conducted an exploratory survey. We presented a group of 120 experts with an analysis of the problem of radium in drinking water supplies of Iowa, and requested their response to a variety of formal questions pertaining to specific issues related to the presence of radium in drinking water. Ninety-seven of the 120 responded. We observed definite preferences in responses to certain aspects of the problem, although in some cases their responses differed significantly due to such factors as length of ground-water related professional experience and residential status. When the presence of excessive radium in drinking water is identified, the respondents preferred immediate action in a world of incomplete knowledge over extensive future research; were willing to undertake personal action to seek radium-free water rather than wait for official action; and favoured local and state government involvement over federal intervention. Findings based on such exploratory surveys can be of much value in defining insightful research hypotheses for field testing. Confirmatory testing of such hypotheses to establish actual preferences in communities with excessive radium in drinking water is a valuable area for further research.