Factors involved in the decision to decline prenatal screening with noninvasive prenatal testing (NIPT)

Objective

To investigate factors involved in the decision to decline prenatal screening with noninvasive prenatal testing (NIPT).

Method

A questionnaire study was conducted among 219 pregnant women in the Netherlands who had declined prenatal screening with NIPT (TRIDENT-2 study). Respondents were selectively recruited from three hospitals and 19 midwifery practices, primarily located in or near socioeconomically disadvantaged neighborhoods. 44.3% of the respondents were of non-Western ethnic origin and 64.4% were religious.

Results

Most respondents (77.2%) found the decision to decline NIPT easy to make, and 59.8% had already made the decision before information about NIPT was offered. These respondents were more often religious, multigravida, and had adequate health literacy. The main reasons to decline NIPT were “I would never terminate my pregnancy” (57.1%) and “every child is welcome” (56.2%). For 16.9% of respondents, the out-of-pocket costs (175 euros) played a role in the decision, and the women in this group were more often nonreligious, primigravida, and had inadequate health literacy.

Conclusion

The primary factors involved in the decision to decline NIPT were related to personal values and beliefs, consistent with autonomous choice. Out-of-pocket costs of NIPT hinder equal access for some pregnant women.     

Alternative poultry litter storage for improved transportation and use as a soil amendment

Transportation of poultry litter out of nutrient limited watersheds such as the Illinois River basin (eastern Oklahoma) is a logical solution for minimizing phosphorus (P) losses from soils to surface waters. Transportation costs are basedon mass of load and distance transported. This study investigated an alternative litter storage technique designed to promote carbon (C) degradation, thereby concentrating nutrients for the purpose of decreasing transportation costs through decreased mass. Poultry litter was stored in 0.90-Mg conical piles under semipermeable tarps and adjusted to 40% moisture content, tested with and without addition of alum (aluminum sulfate). additional study was conducted using 3.6-Mg piles under the same conditions, except tested with and without use of aeration pipes. Samples were analyzed before and after (8 wk) storage. Litter mass degradation (i.e., loss in mass due to organic matter decomposition) was estimated on the basis of changes in litter total P contents. Additional characterization included pH, total nutrients, moisture content, total C, and degree of humification. Litter storage significantly decreased litter mass (16 to 27%), concentrated nutrients such as P and potassium (K) and increased proportion of fulvic and humic acids. The addition of aeration pipes increased mass degradationrelative to piles without aeration pipes. Nitrogen volatilization losses were minimized with alum additions. Increases in P and K concentrations resulted in greater monetary value per unit mass compared with fresh litter. Such increases translate to increased litter shipping distance and cost savings of $17.2 million over 25 yr for litter movement out of eastern Oklahoma.     

Perfluoroalkyl compounds (PFCs) in wildlife from an urban estuary

Previous research has documented the bioaccumulation of perfluoroalkyl compounds (PFCs) in apex predators in remote locations but few studies have evaluated urban estuaries. To assess the importance of PFCs in San Francisco Bay, two apex predators in the San Francisco Bay, double-crested cormorants (Phalacrocorax auritus) and Pacific harbor seals (Phoca vitulina richardii), were sampled. Prey fish (Atherinops affinis and Menidia audens) were also evaluated to better understand potential sources of PFCs to the foodweb. Perfluorooctane sulfonate (PFOS) was the primary PFC detected in cormorant eggs, small fish and harbor seal serum. PFOS detected in San Francisco Bay seal serum was typically an order of magnitude higher than those at the reference site. PFOS concentrations were highest in seals and cormorant eggs from the highly urbanized southern portion of the Bay. PFOS in eggs from the southern part of the Bay remained relatively constant between 2006 and 2009 despite the phase-out of perfluorosulfonyl-based compounds nationally. In addition, these levels exceed the avian predicted no effects concentration of 1.0 μg mL(-1). Concentrations of the remaining PFCs measured were substantially lower than those of PFOS.     

Systemic review of genetic and epigenetic factors underlying differential toxicity to environmental lead (Pb) exposure

Environmental Science and Pollution Research - Lead (Pb) poisoning is a major public health concern in environmental justice communities of the USA and in many developing countries. There is no...     

Urbanization and its effects on land and water resources in Ijebuland,southwestern Nigeria

Environment, Development and Sustainability - The many widely reported significant environmental changes in sub-Saharan communities caused by population change and expansion of built-up areas have...