Increased nuchal translucency in euploid fetuses—what should we be telling the parents?

Nuchal translucency (NT) measurement between 11 and 14 weeks' gestation is an undisputed marker for aneuploidies. When conventional karyotyping is normal, enlarged NT is a strong marker for adverse pregnancy outcome, associated with miscarriage, intrauterine death, congenital heart defects, and numerous other structural defects and genetic syndromes. The risk of adverse outcome is proportional to the degree of NT enlargement. Although the majority of structural anomalies are amenable to ultrasound detection, unspecified genetic syndromes involving developmental delay may only emerge after birth. Concern over these prenatally undetectable conditions is a heavy burden for parents. However, following detection of enlarged NT the majority of babies with normal detailed ultrasound examination and echocardiography will have an uneventful outcome with no increased risk for developmental delay when compared to the general population. Counseling should emphasize this to help parents restore hope in normal pregnancy outcome and infant development. Copyright © 2010 John Wiley & Sons, Ltd.     

Vaquita Bycatch in Mexico's Artisanal Gillnet Fisheries: Driving a Small Population to Extinction

Abstract: The world's most endangered marine cetacean, the vaquita (   Phocoena sinus ), continues to be caught in small-mesh gillnet fisheries throughout much of its range. We monitored fishing effort and incidental vaquita mortality in the upper Gulf of California, Mexico, from January 1993 to January 1995 to study the magnitude and causes of the incidental take. Of those factors studied, including net mesh size, soaktime, and geographic area, none contributed significantly to the incidental mortality rate of the vaquita, implying that the principal cause of mortality is fishing with gillnets per se . The total estimated incidental mortality caused by the fleet of El Golfo de Santa Clara was 39 vaquitas per year (95% CI = 14, 93), over 17% of the most recent estimate of population size. El Golfo de Santa Clara is one of three main ports that support gillnet fisheries throughout the range of the vaquita. Preliminary results indicate that fishing effort for San Felipe, Baja California, is comparable to that of El Golfo de Santa Clara, suggesting that this estimate of incidental mortality of vaquitas represents a minimum. We strongly recommend a complete and permanent ban on gillnets in the area. Alternative or supplemental mitigation strategies include (1) a maximum annual allowable mortality limit of vaquitas; (2) mandatory observer coverage of all boats fishing within the Upper Gulf of California and Colorado River Delta Biosphere Reserve; (3) extension of the Upper Gulf of California and Colorado River Delta Biosphere Reserve to encompass all known vaquita habitat; (4) rigorous enforcement of new and existing regulations; and (5) development of alternative sources of income for gillnet fishers.     

What is the acceptable margin of error for the oxygen uptake method in evaluating the reactivity of organic waste?

The acceptable margin of error for the organic waste reactivity measured by the oxygen uptake method was assessed. Oxygen uptake was determined by the Dynamic Respiration Index (DRI) (mgO₂/kgVS h). The composed uncertainty (uC) of the experimental set up used for the DRI test was evaluated and the uncertainty (u) of all the components of the apparatus was evaluated. A procedure for calculating the uC of the apparatus is proposed. The components affecting the uC of the DRI to a more significant extent were the one of the oxygen mass rate and the u of the amount of VS in the sample analyzed. For a confidence level of 99.73%, the extended uC (UC) interval for a DRI = 1024 mgO₂/kgVS h was ±440 mgO₂/kgVS h, whereas for a DRI = 3489 mgO₂/kgVS h, the UC interval was ±1288 mgO₂/kgVS h. When oxygen consumption and VS content become lower than 600 mgO₂/h and 0.9 kg, respectively, the UC interval is similar to the measured DRI.     

Concentrations of trace elements in tissues of loggerhead turtles (Caretta caretta) from the Tyrrhenian and the Ionian coastlines (Calabria,Italy)

Environmental Science and Pollution Research - Toxic trace elements from both, natural and anthropogenic origin, pose a threat to aquatic environments and marine wildlife due to their long-range...     

Current practice of first-trimester ultrasound screening for structural fetal anomalies in developed countries

Objectives

First-trimester ultrasound screening is increasingly performed to detect fetal anomalies early in pregnancy, aiming to enhance reproductive autonomy for future parents. This study aims to display the current practice of first-trimester ultrasound screening in developed countries.

Method

An online survey among 47 prenatal screening experts in developed countries.

Results

First-trimester structural anomaly screening is available in 30 of the 33 countries and is mostly offered to all women with generally high uptakes. National protocols are available in 23/30 (76.7%) countries, but the extent of anatomy assessment varies. Monitoring of scan quality occurs in 43.3% of the countries. 23/43 (53.5%) of the respondents considered the quality of first-trimester ultrasound screening unequal in different regions of their country.

Conclusions

First-trimester screening for structural fetal anomalies is widely offered in developed countries, but large differences are reported in availability and use of screening protocols, the extent of anatomy assessment, training and experience of sonographers and quality monitoring systems. Consequently, this results in an unequal offer to parents in developed countries, sometimes even within the same country. Furthermore, as offer and execution differ widely, this has to be taken into account when results of screening policies are scientifically published or compared.