The impact of non-invasive prenatal testing on anxiety in women considered at high or low risk for aneuploidy after combined first trimester screening

Objective: The aim of this study was to (1) examine the psychological impact of non-invasive prenatal testing (NIPT) in women with a high-risk (≥1 : 300) and low-risk (≤1 : 301) result on combined first trimester screening (cFTS) and (2) to examine factors influencing anxiety and decision-making in both risk populations. Method: Questionnaires and structured interviews were administered to low (n = 50) and high (n = 63) risk women at the time of NIPT blood draw (point A) and again at least 1 week after receiving their NIPT result (point B). Anxiety levels were measured at these two time points using the State–Trait Anxiety Inventory. Results: Both high-risk and low-risk cFTS groups demonstrated similar intrinsic (trait) anxiety levels (36 ± 10 vs 35 ± 10; p = 0.70). High-risk women had significantly higher levels of state anxiety at point A than low-risk women (42 ± 11 vs 36 ± 11; p < 0.01). Both groups had a statistically significant reduction (p < 0.01), to similar final levels of state anxiety at point B (30 ± 11 vs 29 ± 8; p = 0.61). Conclusion: Women receiving a high-risk result on cFTS have higher levels of state anxiety than their low-risk counterparts. Following a low-risk NIPT result, the anxiety levels in both populations are reduced to similar levels. © 2017 John Wiley & Sons, Ltd.     

DEARS particulate matter relationships for personal,indoor, outdoor,and central site settings for a general population

This analysis provides the initial summary of PM_2.5 mass concentrations relationships for all seasons and participants for a general population in the Detroit Exposure and Aerosol Research Study (DEARS). The summary presented highlights the utility of the new methodologies applied, in addition to summarizing the particulate matter (PM) data.Results include the requirement to adjust the exposure data for monitor wearing compliance and measured environmental tobacco smoke (ETS) levels, even though the study design specified a non-smoking household. A 40% wearing compliance acceptance level was suggested as necessary to balance minimizing exposure misclassification (from poor compliance) and having sufficient data to conduct robust statistical analyses. An ETS threshold level equivalent to adding more than 1.5 μg m^?3 to the collected sample was found to be necessary to detect changes in the personal exposure factor (F_pex). It is not completely clear why such a large threshold level was necessary.Statistically significant spatial PM_2.5 gradients were identified in three of the six DEARS neighborhoods in Wayne County. These were expected, given the number of strong, localized PM sources in the Detroit (Michigan) metro area. Some residential outdoor bias levels compared with the central site at Allen Park exceeded 15%. After adjusting for ETS biases, the outdoor contributions to the personal exposure were typically larger by factors from 1.75 to 2.2 compared with those of the non-outdoor sources. The outdoor contribution was larger in the summer than in the winter, which is consistent with the fractions of time spent outdoors in the summer vs. the winter (6.7% vs. 1.1% of the time).Mean personal PM_2.5 cloud levels for the general population DEARS cohort ranged from 1.5 to 3.8 (after ETS adjustment) and were comparable to those reported previously. The personal exposure collections indoors were typically at least 13 times greater than those contributed outdoors.