Discordant non-invasive prenatal testing (NIPT) – a systematic review

With a high sensitivity and specificity, non-invasive prenatal testing (NIPT) is an incomparable screening test for fetal aneuploidy. However, the method is rather newly introduced, and experiences with discordant results are few. We did a systematic review of literature reporting details of false positive and false negative NIPT results. Discordant sex chromosome results were not included. We identified 22 studies reporting case details. In total, 206 discordant cases were included, of which 88% were false positive and 12% false negative. Details on maternal age, gestational age, platform/company, Z-score, fetal fraction, results and explanation were specified. The main reasons for discordant results were confined placental mosaicism, maternal copy number variation, vanished twin, maternal cancer and true fetal mosaicism. A very high percentage of cases (67%) were reported with no obvious biological or technical explanation for the discordant result. The included cases represent only a minor part of the true number of false positive or false negative NIPT cases identified in fetal medicine clinics around the world. To ensure knowledge exchange and transparency of NIPT between laboratories, we suggest a systematic recording of discordant NIPT results, as well as a quality assurance by external quality control and accreditation. © 2017 John Wiley & Sons, Ltd.     

Gaseous nitrogen and carbon losses from pig manure derived from different diets

Manipulation of the diets of pigs may alter the composition of the manure and thereby the environmental and agricultural qualities of the manure. Laboratory studies were performed to quantify the effect of manipulation of pig diets on the chemical composition of the derived manure (slurry), the potential emission of methane (CH4) and ammonia (NH3) during anaerobic storage of the manure, and the potential nitrous oxide (N2O) and carbon dioxide (CO2) emission after application of the manure to soil. The diets differed in contents of crude protein and salt (CaSO4), and the type and contents of nonstarch polysaccharides (NSP). Emissions of NH3 and CH4 during storage were smaller at a low than at a high dietary protein content. The emission of NH3 was significantly related to the contents of ammonium (NH4), total N, and pH. The emission of CH4 was significantly related to contents of dry matter, total C, and volatile fatty acids in the manure. The effect of manure composition on N2O emission markedly differed between the two tested soils, which points at interactions with soil properties such as the organic matter content. These types of interactions require soil-specific recommendations for mitigation of N2O emission from soil-applied pig manure by manipulation of the diet. From the tested diets, decreasing the protein content has the largest potential to simultaneously decrease NH3 and CH4 emissions during manure storage and N2O emission from soil. An integral assessment of the environmental and agricultural impact of handling and application of pig manure as a result of diet manipulation provides opportunities for farmers to maximize the value of manures as fertilizer and soil conditioner and to minimize N and C emissions to the environment.     

On uncertainty and sensitivity of LCA-based priority setting

Life-cycle assessments are normally made without quantitative estimations of their uncertainty. More interest has been focused on sensitivity analysis. In ISO 14040, LCA standard and SETAC's ‘code of practice’ sensitivity and uncertainty analysis are recommended or even requested. In the EPS system, an analysis of significance and sensitivity has been carried out for several years. The article describes this procedure in ISO terms and generalises it for other types of life-cycle assessments.     

Tipping Points and Climate Change: Metaphor Between Science and the Media

Over the past decade, scientists and journalists have prominently utilized the metaphor of a tipping point for drastic, irreversible and dangerous climate change. This paper shows how the tipping point metaphor became a multi-purpose bridge between science and the news media, describing how its meaning and use developed and diversified in interaction between these two domains. Within the scientific domain, the metaphor developed from a rhetorical device conveying a warning of drastic, irreversible and dangerous climate change to a theoretical concept driving empirical research. The news media soon picked up the tipping point metaphor for abrupt and dangerous climate change, turning it into a common part of the journalistic lexicon. Moreover, both science and the news media developed another, societal use of the tipping point metaphor, calling for radical societal change to avoid climate change catastrophe. The tipping point metaphor is hence not a monolithic notion but a highly versatile concept and expression, allowing it to be used for various communicative purposes by distinct stakeholders in different contexts.     

Window of opportunity of <Emphasis Type="Italic">Liparis loeselii</Emphasis> populations during vegetation succession on the Wadden Sea islands

The present study aims at assessing the life span of populations of the orchid L. loeselii during successional in dune slacks on the Wadden Sea islands. An inventory of Liparis loeselii populations was carried out on 6 islands, while the population structure was assessed in more detail on the island of Texel. The occurrence of the orchid was related to soil factors and hydrological conditions. Groundwater levels were measured in a dune area with natural dune slack formation. The groundwater composition was analyses and the freshwater lenses were modelled. Various scenarios were investigated, including sea level rise and sand nourishment. The window of opportunity for L. loeselii to colonize a new slack is relatively narrow. Under favorable management, the population can survive c. 20 years. Soil pH was positively correlated with the occurrence of L. loeselii populations, while a high organic matter content was negatively correlated. Sites with large populations of L. loeselii, were situated in young dune slacks, that functioned as flow-through lakes and has top soilsinfluenced by anoxic calcareous groundwater. Modelling showed that the freshwater lens would decrease due to sea level rise, while artificial sand nourishment could counteract this effect. The populations of the Hors area on Texel, the Netherlands, can survive for several decades due to continuous formation of new slacks. Discharge of calcareous groundwater is essential to keep the pH on a high level. The hydrological systems that supply dune slack with groundwater are relatively small and are vulnerable for changes in sea level rise.     

Exposure to ultrafine and fine particles and noise during cycling and driving in 11 Dutch cities

Recent studies have suggested that exposures during traffic participation may be associated with adverse health effects. Traffic participation involves relatively short but high exposures. Potentially relevant exposures include ultrafine particles, fine particles (PM_2.5) and noise.Simultaneously, detailed real time exposure of particle number concentration (PNC), PM_2.5 and noise has been measured while driving and cycling 12 predefined routes of approximately 10–20 min duration. Sampling took place in eleven medium-sized Dutch cities on eleven weekdays in August till October 2006. To investigate variability in cyclists exposure, we systematically collected information on meteorology, GPS coordinates, type of road, traffic intensity, passing vehicles and mopeds while cycling.The overall mean PNC of car drivers was 5% higher than the mean PNC of cyclists. The overall mean concentration of PM_2.5 in the car was 11% higher than during cycling. Slightly higher 1-min peak concentrations were measured in the car (PNC 14%; PM_2.5 29% for 95-percentiles). Shorter duration peaks of PNC were higher during cycling (43% for 99-percentile of 1-s averages). Peaks in PNC typically last for less than 10 s. A large variability of exposure was found within and between routes. Factors that significantly predicted PNC variability during cycling were: passing vehicles (mopeds, cars), waiting for traffic lights, passing different types of (large) intersections and bicycle lanes and bike paths close to motorized traffic. No relation was found between PM_2.5 and those predictor variables. The correlation between PNC and noise was moderate (median 0.34). PM_2.5 had very low correlations with PNC and noise.PNC and PM_2.5 exposure of car drivers was slightly higher than that of cyclists. PNC was largely uncorrelated with PM_2.5 and reflected local traffic variables more than PM_2.5. Different factors were associated with high PNC and high noise exposures.     

Environmental bonds and the challenge of long-term carbon sequestration

The potential to capture carbon from industrial sources and dispose of it for the long-term, known as carbon capture and sequestration (CCS), is widely recognized as an important option to reduce atmospheric carbon dioxide emissions. Specifically, CCS has the potential to provide emissions cuts sufficient to stabilize greenhouse gas levels, while still allowing for the continued use of fossil fuels. In addition, CCS is both technologically-feasible and commercially viable compared with alternatives with the same emissions profile. Although the concept appears to be solid from a technical perspective, initial public perceptions of the technology are uncertain. Moreover, little attention has been paid to developing an understanding of the social and political institutional infrastructure necessary to implement CCS projects. In this paper we explore a particularly dicey issue--how to ensure adequate long-term monitoring and maintenance of the carbon sequestration sites. Bonding mechanisms have been suggested as a potential mechanism to reduce these problems (where bonding refers to financial instruments used to ensure regulatory or contractual commitments). Such mechanisms have been successfully applied in a number of settings (e.g., to ensure court appearances, completion of construction projects, and payment of taxes). The paper examines the use of bonding to address environmental problems and looks at its possible application to nascent CCS projects. We also present evidence on the use of bonding for other projects involving deep underground injection of materials for the purpose of long-term storage or disposal.     

Mapping nitrate leaching to upper groundwater in the sandy regions of The Netherlands, using conceptual knowledge

The European Community asks its Member States to provide a comprehensive and coherent overview of their groundwater chemical status. It is stated that simple conceptual models are necessary to allow assessments of the risks of failing to meet quality objectives. In The Netherlands two monitoring networks (one for agriculture and one for nature) are operational, providing results which can be used for an overview. Two regression models, based upon simple conceptual models, link measured nitrate concentrations to data from remote sensing images of land use, national forest inventory, national cattle inventory, fertiliser use statistics, atmospheric N deposition, soil maps and weather monitoring. The models are used to draw a nitrate leaching map and to estimate the size of the area exceeding the EU limit value in the early 1990s. The 95% confidence interval for the fraction nature and agricultural areas where the EU limit value for nitrate (50 mg/l) was exceeded amounted to 0.77–0.85 while the lower 97.5% confidence limit for the fraction agricultural area where the EU limit value was exceeded amounted to 0.94. Although the two conceptual models can be regarded as simple, the use of the models to give an overview was experienced as complex.