A current landscape of provincial perinatal data collection in Canada.

BACKGROUND: The Canadian Perinatal Network (CPN) was launched in 2005 as a national perinatal database project designed to identify best practices in maternity care. The inaugural project of CPN is focused on interventions that optimize maternal and perinatal outcomes in women with threatened preterm birth at 22+0 to 28+6 weeks' gestation. OBJECTIVE: To examine existing data collection by perinatal health programs (PHPs) to inform decisions about shared data collection and CPN database construction. METHODS: We reviewed the database manuals and websites of all Canadian PHPs and compiled a list of data fields and their definitions. We compared these fields and definitions with those of CPN and the Canadian Minimal Dataset, proposed as a common dataset by the Canadian Perinatal Programs Coalition of Canadian PHPs. RESULTS: PHPs collect information on 2/3 of deliveries in Canada. PHPs consistently collect information on maternal demographics (including both maternal and neonatal personal identifiers), past obstetrical history, maternal lifestyle, aspects of labour and delivery, and basic neonatal outcomes. However, most PHPs collect insufficient data to enable identification of obstetric (and neonatal) practices associated with improved maternal and perinatal outcomes. In addition, there is between-PHP variability in defining many data fields. CONCLUSION: Construction of a separate CPN database was needed although harmonization of data field definitions with those of the proposed Canadian Minimal Dataset was done to plan for future shared data collection. This convergence should be the goal of researchers and clinicians alike as we construct a common language for electronic health records

Identification, origin and characteristics of bio-bead microplastics from beaches in western Europe.

Primary microplastics have been collected from 17 beaches along the Atlantic, English Channel and southern North Sea coasts of western Europe. Based on visual characteristics, these plastics were differentiated as either relatively smooth, lentil- or disc-shaped pre-production pellets (or nurdles), which were usually a few mm in diameter and were mainly white to off-white, or rougher and more irregular pellets that were slightly larger and usually black. The latter appeared to be bio-beads, or plastics that are specifically manufactured for use as biomedia in certain sewage water treatment (SWT) plants and, possibly, in other industrial wastewater treatment applications. Identification of bio-beads was confirmed following the acquisition of identical samples from a SWT plant in southwest England and a French supplier of bio-beads. Infrared and x-ray fluorescence analysis revealed that bio-beads have, at least historically, been constructed of plasticised polyethylene and, unlike pre-production pellets, contained variable quantities of potentially toxic elements: Br, Cd, Cr, Hg, Pb and Sb; with a distinctive Br to Sb ratio indicative of brominated flame retardants and antimony-based retardant synergists. It is asserted that bio-beads have been manufactured from a heterogeneous mix of recycled polyethylene and end-of-life electrical and electronic plastic, with concentrations of Br, Cd, Cr or Pb in about 50 bio-beads (out of 497 analysed) non-compliant or potentially non-compliant with respect to current regulations on hazardous plastic waste. Concentrations of Br, Cd, Cr, Pb and Sb extracted from individual bio-beads by a simulated avian digestive fluid were variable, with maximum values of about 14, 0.8, 1.3, 20 and 1.4 μg g-1, respectively. The presence and, in many cases, dominance of bio-beads among beached primary microplastics is discussed with regard to the classification of microplastics and potential impacts on wildlife