Objective
Ultrasound assessment of the fetal anatomy and fetal echocardiography are feasible in the first trimester of pregnancy. This study was designed to assess the performance of a comprehensive fetal anatomy assessment in a high-risk population at a tertiary fetal medicine unit.Methods
A retrospective review of high-risk patients undergoing comprehensive fetal anatomy ultrasound assessment between 11 weeks and 13 + 6 weeks of gestation was conducted. Findings of the early anatomy ultrasound scan were compared with those of the second trimester anatomy scan, and birth outcomes or post-mortem results.Results
Early anatomy ultrasounds were performed in 765 patients. The sensitivity of the scan for detecting fetal anomalies compared to the birth outcome was 80.5% (95% CI 73.5–86.3) and specificity was 93.1% (95%CI 90.6–95.2). Positive and negative predictive values were 78.5% (95% CI 71.4–84.6) and 93.9% (95% CI 91.4–95.8), respectively. The most missed and overdiagnosed abnormalities were ventricular septal defects. The second trimester ultrasound had sensitivity of 69.0% (95% CI 55.5–80.5) and specificity of 87.5% (95% CI 84.3–90.2).Conclusions
In a high-risk population, early assessments had similar performance metrics as the second trimester anatomy ultrasound. We advocate for a comprehensive fetal assessment in the care of high-risk pregnancies. 相似文献Agriculture is the main occupation of the majority of people in India. The majority of the population in India is dependent (directly or indirectly) on agriculture as an occupation. The agriculture sector requires more freshwater and power for better yield in the current scenario. Nevertheless, the ever-increasing rate of energy consumption, limited fossil fuels, and rising pollution have made the expansion of renewable resources essential. Due to the suitable solar potential available in India, the deployment of solar energy has been more as compared to other renewable resources. The current study aims to discuss the various technologies, initiatives and policies of solar energy usage in agriculture. This work delivers an assessment of the advancement of solar energy vis-à-vis agricultural applications through the greenhouse concept and photovoltaic approach in India. Various agricultural applications of solar energy, such as solar water desalination system, solar water pumping system, solar crop dryer system for food safety, etc. are discussed as a means to promote solar-based technology. It also highlights the scenario of solar energy in India with important accomplishments, developmental approaches, and future potential. In-depth studies of various policies and government initiatives including those in research and development are also discussed. The current survey on solar technologies will be an aid to agribusiness frameworks to comprehend the statuses, obstructions, and extent of advancement. Finally, some future recommendations for further developments in this approach are discussed. This work sheds light on varied areas of solar energy-assisted agricultural systems as a potentially sustainable and eco-friendly pathway.
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