Prenatal diagnosis of endocardial fibroelastosis

In a case of fetal heart failure caused by endocardial fibroelastosis, prenatal echocardiography clearly demonstrated; a thickened endocardium. We therefore suggest that an abnormal endocardium may be detected in utero by ultrasound, thus representing an important clue in the differential diagnosis of fetal nonimmune hydrops and in the evaluation of pregnancies at risk for endocardial fibroelastosis.     

Transabdominal chorionic villus sampling: Analysis of 350 consecutive cases

We report a series of 350 patients submitted to transabdominal chorionic villus sampling (CVS). A technique using two ultrasound-guided needles and a suction pump was used. In most cases, the procedure was performed between 9 and 13 weeks. Twenty-one pregnancies were selectively terminated; nine spontaneous abortions followed the procedure and one fetal loss after 28 weeks was recorded; 153 pregnancies are in progress and 169 delivered fetuses are alive and well. Transabdominal biopsy is a feasible and effective technique for CVS.     

Integrating the Social Dimension in Remediation Decision‐Making: State of the Practice and Way Forward

Sustainable remediation guidance, frameworks, and case studies have been published at an international level illustrating established sustainability assessment methodologies and successful implementation. Though the terminology and indicators evaluated may differ, one common theme among international organizations and regulatory bodies is more comprehensive and transparent methods are needed to evaluate the social sphere of sustainable remediation. Based on a literature review and stakeholder input, this paper focused on three main areas: (1) status quo of how the social element of sustainable remediation is assessed among various countries and organizations; (2) methodologies to quantitatively and qualitatively evaluate societal impacts; and (3) findings from this research, including challenges, obstacles, and a path forward. In conclusion, several existing social impact assessment techniques are readily available for use by the remediation community, including rating and scoring system evaluations, enhanced cost benefit analysis, surveys/interviews, social network analysis, and multicriteria decision analysis. In addition, a list of 10 main social indicator categories were developed: health and safety, economic stimulation, stakeholder collaboration, benefits community at large, alleviate undesirable community impacts, equality issues, value of ecosystem services and natural resources, risk‐based land management and remedial solutions, regional and global societal impacts, and contributions to other policies. Evaluation of the social element of remedial activities is not without challenges and knowledge gaps. Identification of obstacles and gaps during the project planning process is essential to defining sustainability objectives and choosing the appropriate tool and methodology to conduct an assessment. Challenges identified include meaningful stakeholder engagement, risk perception of stakeholders, and trade‐offs among the various triple bottom line dimensions. ©2015 Wiley Periodicals, Inc.     

A preliminary investigation into the physical and chemical properties of biomass ashes used as aggregate fillers for bituminous mixtures

Fly and bottom ashes are the main by-products arising from the combustion of solid biomass. Since the production of energy from this source is increasing, the processing and disposal of the resulting ashes has become an environmental and economic issue. Such ashes are of interest as a construction material because they are composed of very fine particles similar to fillers normally employed in bituminous and cementitious mixtures. This research investigates the potential use of ash from biomass as filler in bituminous mixtures. The morphological, physical and chemical characteristics of 21 different ashes and two traditional fillers (calcium carbonate and “recovered” plant filler) were evaluated and discussed. Leaching tests, performed in order to quantify the release of pollutants, revealed that five ashes do not comply with the Italian environmental re-use limits. Experimental results show a wide range of values for almost all the investigated properties and a low correlation with biomass type in terms of origin and chemical composition. Furthermore, sieving and milling processes were found to improve the properties of the raw material in terms of grading and sample porosity. The effectiveness of these treatments and the low content of organic matter and harmful fines suggest that most of the biomass ashes investigated may be regarded as potential replacements for natural filler in bituminous mixtures.     

The fetal behavioural states: An ultrasonic study

In order to accurately detect the fetal behavioural state, we simultaneously measured fetal heart rate and multiple fetal activities in 27 healthy pregnant women at 38 to 40 weeks of gestation. We ultrasonically identified gross body movements, breathing movements and micturition. Analysis of fetal heart rate allowed us to distinguish two different patterns of fetal behaviour: active and quiet phases. The frequency distribution of the analysed fetal events was significantly different in these two phases. These data suggest that a complete biophysical profile of the fetus is effective in differentiating behavioural states and may improve the predictive accuracy of fetal heart rate analysis alone.