Association between fetal nuchal translucency thickness in first trimester and subsequent gestational hypertension and preeclampsia

Increased fetal nuchal translucency (NT) in the first trimester is associated with adverse pregnancy outcomes. Whether the increased NT is also associated with an increased frequency of pregnancy-associated hypertension (PAH) is not known. Seven hundred and seventy-nine pregnant women who received NT-based Down syndrome screening and delivered their babies at our hospital by September 2000 were enrolled into this study. Among these women, there are 46 cases of preeclampsia, 68 cases of gestational hypertension (GH); 665 women without any adverse pregnancy outcomes served as controls. Correlation analysis demonstrated that NT MoM (multiples of median) level had a positive association with maternal diastolic blood pressure at the time of admission for delivery (r = 0.104; p < 0.01). The severity of PAH was concordant with the stepwise increase of mean NT MoM level, which was 0.88 in control, 1.07 in gestational hypertension, and 1.13 in preeclampsia (p < 0.001). Using the 95th (1.52 MoM) and 90th (1.31 MoM) percentiles of NT thickness as cut-offs, the sensitivities and odds ratios of the women at risk for developing GH after 20 weeks of gestation were 8.8%, 19.1% and 1.98, 2.15 respectively, while for preeclampsia were 10.9%, 28.3% and 2.49, 3.58 respectively. It is concluded that the pathological changes in the placenta responsible for the development of PAH may also influence the physiological decrease of NT thickness in late first trimester. However, the sensitivity of fetal NT measurement in first trimester is not sufficient as a single marker for predicting the pregnant women at risk for subsequent PAH. Copyright © 2002 John Wiley & Sons, Ltd.     

Relationship between air pollution and daily mortality in a subtropical city: Taipei, Taiwan

Air pollution has been associated with daily mortality in numerous studies over the past decade. However most of these studies were conducted in the United States and Europe with relatively few done in Asia. In the current study, the association between ambient air pollution and daily mortality in Taipei, Taiwan's largest city which has a subtropical climate was undertaken, for the period 1994-1998 using a case-crossover analysis. This design is an alternative to Poisson time series regression for studying the short-term adverse health effects of air pollution. The air pollutants examined included particulate matter (PM(10)), sulfur dioxide (SO(2)), ozone (O(3)), nitrogen dioxide (NO(2)), and carbon monoxide (CO). The largest observed effect, which was without statistical significance, was seen for NO(2) and CO levels on deaths due to respiratory diseases (ORs=1.013 and 1.014, respectively). The well established link between air pollution levels and daily mortality may not be as strong in cities in subtropical areas, although other factors such as differences in pollutant mix or the underlying health of the population may explain the lack of a strong association in this study. Further studies of this type in cities with varying climates and cultures are needed.     

The research on extracting the information of human errors in the main control room of nuclear power plants by using Performance Evaluation Matrix

Digitalized nuclear instruments and control systems have been the main stream design for the main control room (MCR) of advanced nuclear power plants (NPPs) nowadays. Digitalization of human–system interface (HSI) could improve human performance and, on the other hand, could reduce operators’ situation awareness as well. It might cause that humans make wrong decision during an emergency unintentionally. Besides, digital HSI relies on computers to integrate system information automatically instead of human operation. It has changed the operator’s role from mainly relating operational activity to mainly relating monitoring. However, if the operators omit or misjudge the information on the video display units and wide display panel, the error of omission and error of commission may occur. This study applies Content Category Analysis (CCA) and Performance Evaluation Matrix (PEM) methods to explore the potential problems in the MCR of advanced NPPs which are caused by human errors. The results show that the potential problems that would probably contribute to the human performance of MCR in the advanced NPPs are multiple accidents, pressure level, number of operators, and other factors such as working environmental. The conclusions of this research may be considered to avoid and prevent human errors in the human factor related researches especially in the nuclear safety field.     

Assessing nitrate contamination and its potential health risk to Kinmen residents

Kinmen is located in the southwest of Mainland China. Groundwater supplies 50% of the domestic water use on the island. Residents of Kinmen drink groundwater over the long term because surface water resources are limited. Nitrate–N pollution is found and distributed primarily in the western part of groundwater aquifer whereas saline groundwater is distributed to the northeastern Kinmen. This work applied the DRASTIC model to construct the vulnerability map of Kinmen groundwater. MT3D was then used to evaluate the contamination potential of nitrate–N. The health risk associated with the ingestion of nitrate–N contaminated groundwater is also assessed. The results from DRASTIC model showed that the upland crop and grass land have high contamination potential, whereas the forest, reservoir and housing land have low contamination potential. The calibrated MT3D model inversely determined the high strength sources (0.09–2.74 kg/m²/year) of nitrate contaminant located in the west to the north west area and required 2–5 years travel time to reach the monitoring wells. Simulated results of MT3D also showed that both the continuous and instantaneous contaminant sources of nitrate–N release may cause serious to moderate nitrate contamination in the western Kinmen and jeopardize the domestic use of groundwater. The chronic health hazard quotient (HQ) associated with the potential non-carcinogenic risk of drinking nitrate–N contaminated groundwater showed that the assessed 95th percentile of HQ is 2.74, indicating that exposure to waterborne nitrate poses a potential non-cancer risk to the residents of the island. Corrective measures, including protecting groundwater recharge zones and reducing the number of agricultural and non-agricultural nitrogen sources that enters the aquifer, should be implemented especially in the western part of Kinmen to assure a sustainable use of groundwater resources.     

First detection of enteric adenoviruses genotype 41 in recreation spring areas of Taiwan

Environmental Science and Pollution Research - Human adenoviruses (HAdVs) are DNA viruses found in recreational water, such as water parks and swimming pools. Human adenovirus 41 (HAdV-41) is the...     

Tank-connected food waste disposer systems – Current status and potential improvements

An unconventional system for separate collection of food waste was investigated through evaluation of three full-scale systems in the city of Malmö, Sweden. Ground food waste is led to a separate settling tank where food waste sludge is collected regularly with a tank-vehicle. These tank-connected systems can be seen as a promising method for separate collection of food waste from both households and restaurants. Ground food waste collected from these systems is rich in fat and has a high methane potential when compared to food waste collected in conventional bag systems. The content of heavy metals is low. The concentrations of N-tot and P-tot in sludge collected from sedimentation tanks were on average 46.2 and 3.9 g/kg TS, equalling an estimated 0.48 and 0.05 kg N-tot and P-tot respectively per year and household connected to the food waste disposer system. Detergents in low concentrations can result in increased degradation rates and biogas production, while higher concentrations can result in temporary inhibition of methane production. Concentrations of COD and fat in effluent from full-scale tanks reached an average of 1068 mg/l and 149 mg/l respectively over the five month long evaluation period. Hydrolysis of the ground material is initiated between sludge collection occasions (30 days). Older food waste sludge increases the degradation rate and the risks of fugitive emissions of methane from tanks between collection occasions. Increased particle size decreases hydrolysis rate and could thus decrease losses of carbon and nutrients in the sewerage system, but further studies in full-scale systems are needed to confirm this.     

The impact of the carbon tax policy on green building strategy

As Green Corporate Social Responsibility spreads across the globe, the construction industry is under pressure to reduce the carbon emissions across their building projects. Between maximum profit and environment management, mathematical programming can be used as a decision support tool concerning the optimal green building projects portfolio. This environment strategic decision problem is addressed in this study where an activity-based costing decision model incorporating carbon tax costs and construction resources constraints is developed from the perspectives of capacity expansion and green technology outsourcing. The results illustrate the positive contribution of the mathematical programming approach to achieve viable green building projects portfolio solutions. Sensitivity analyses are carried out to analyse the impact of carbon footprint emission variation on maximum profit, and the corresponding results are discussed.     

OPTIMUM STORAGE VOLUME OF ROOFTOP RAIN WATER HARVESTING SYSTEMS FOR DOMESTIC USE1

ABSTRACT: Major parameters and optimum storage volumes of rooftop rain water harvesting systems (RRWHSs) have not been investigated in detail in Taiwan. Accordingly, the four major parameters of RRWHSs were herein identified and elucidated using a simulation method. Because the performance of the RRWHSs is sensitive to the runoff coefficient, a field experiment was conducted to determine the runoff coefficient more precisely for various types of roofs. A simulation model including production theory was developed and employed to estimate the most cost effective combination of the roof area and the storage capacity that best supplies a specific volume of water. Consequently, the expansion path of optimum solutions for different volumetric reliability of water supply can be determined. Additionally, the method based on the marginal rate of substitution can be used for determining the rational volumetric reliability. The procedures developed herein constitute an effective tool for preliminarily estimating the most satisfactory storage capacity of any specific roof area and for determining the rational reliability of a corresponding water supply.     

Model Development and Calibration of a Saltwater Intrusion Model in Southern California1

Abstract: A nine‐layered confined‐unconfined flow and transport model is developed for the Alamitos saltwater intrusion barrier in Southern California. The conceptual model is based on the geological structure of the coastal aquifer system. The key parameters in the flow and transport models are calibrated using a two‐phase procedure which matches the types of data available for calibration. Because of the abundance of point measurements of hydraulic conductivity, the heterogeneous and random hydraulic conductivity field for each of the five aquifers is estimated by the geostatiscal method of natural‐neighbor‐kriging in Phase 1. In Phase 2, the longitudinal and transverse dispersivities in the transport model are estimated by a traditional inverse procedure that minimizes the least‐squares error for concentration (LSE‐CON). The minimum LSE‐CON is achieved near 15.2 and 1.52 m for the longitudinal and transverse dispersivities, respectively. Additional simulations with increasing transport parameter complexity did not yield significant improvements in LSE‐CON. Also, tracking least‐squares error for head while parametrically varying the transport parameters revealed there is a negligible interaction between predicted head and transport parameters.